HomeMy WebLinkAbout37019-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
4/13/2012
No: 35537
Date:
4/13/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
RESIDENTIAL ALTERATION
420 Summit Dr, Mattituck,
Sec/Block/Lot: 106.-2-8
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
2/21/2012 pursuant to which Building Permit No. 37019 dated 2/27/2012
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
alter existing porch to sunroom on an existing one family dwelling as applied for.
The certificate is issued to Mallas, Stella
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIHCATE NO.
PLUMBERS CERTIFICATION DATED
37019 4/9/12
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 37019
Date: 2/27/2012
Permission is hereby granted to:
Mallas, Stella
48 Vanderbilt Rd
Manhasset, NY 11030
To:
to alter an existing porch as applied for
At premises located at:
420 Summit Dr, Mattituck
SCTM # 473889
Sec/Block/Lot # 106.-2.8
Pursuant to application dated
To expire on 8/2812013.
Fees:
2/21/2012 and approved by the Building Inspector.
SiNGLE FAMILY DWELLiNG - ADDITION OR ALTERATION
CO - ALTERATION TO DWELLING
Total:
$315.20
$50.00
$365.20
Building Inspector
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the £ollowing:
A. For new building or new use: 1. Final survey &property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Healtb Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance froni amhitect or engineer responsible for the building
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual uatural or topographic
features.
2. A properly completed application and consent to inspect sigued by the applicaut. Ifa Certificate of Occupaucy is
denied, tile Buildiug Inspector shall state the reasons therefor in writiug to tile applicant
C. Fees
I. Certificate of Occupaucy - New dwelling $50.00, Additious to dweltiug $50.00, Alterations to dwelliug $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Busiuesses $50.00.
2. Certificate of Occupaucy on Pre-existing Buildiug- $100.00
3. Copy of Certificate of Occupancy - $.25
- 4 Updated Certificate of Occupancy- $50.00
5 Temporary Certificate of Occupancy - Resideutial $15.00, Commercial $15.00
New Construction: V
Locatiou of Property: L/~ ~y
House No.
OWner or Owners of Property: · ] ~c'~
Suffolk County Tax Map No 1000, Section
Su[division
Permit L 01
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Old or Pre-existing Building:
Date of Permit.
Street
Date.
(check cue)
Block ~ Lot
Filed Map. Lot:
Applicant:
Underwriters Approval:
__ Final Certificate:
(check cue)
Hmnlet
Fee Submitted: $ ~3-~' , v~/~/
/
Applicant '
Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone(631)765-1802
Fax(631)765-9502
rofler, riche~town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Mallas
Address: 420 Summit Dr City: Mattituck St: NY Zip: 11952
3uilding Permit Cf: 37019 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Platinum East Electric License No: 34091 -me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCl Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: sun room
Notes:
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ~ 3J Smoke Detectors
Recessed Fixtures~ CO Detectors
Fluorescent Fixture ~,~ Pumps
Emergency Fixtures[~ Time Clocks
Exit Fixtures L__J TVSS
Inspector Signature:
Date: April 9 2012
81-Cert Electrical Compliance Form.xls
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE,
_INSPECTOR__~ ~
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
~ELECTRICAL (ROUGH) [ ] ELECTRICAL
(FINAL)
REMARKS:
DATE
iNSPECTOR~~~------~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] ROUGH PLBG.
[ ] INS~Ii. ATION
FRAMING / STRAPPING [/~NAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
F~RE RmSTA.T CONSTRUC'nO. [ 1 F~RE RES,STA.'r
[ ] ELECTRICAL (ROUGH} [ ] ELECTRICAL (FINAL)
REMARKS: /~ ~ ~
DATE
INSPECTOR~/~/~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) J~LECTRICAL (FINAL)
REMARKS:
DATE ~ ~ ~_~._~.__iNSPECTOR ~, ~ ~
I1 I~] DATE COMMENTS..
~oUm~,~o~ Os~ l.~ ~
STA~ ~ cODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL : .....
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (63.1) 765-9502
www. northfork.net/Southoid/
Examined
Approved
Disapproved a/c
Expiration
2 7,20/2
PEWIT NO. 3 70/?
Building Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
SurveK
Check
Septic Form
N.Y.S.D.E.C.
Trustees ,. ·
Contact:
Mail to:
Phone:
APPLICATION FOR BISILDING PERMIT
Date ,$ - ~ t ,20 t L
INSTRUCTIONS
a. This application MUST be completely filled in by tYPewxiter or in ink and submitted t'o th6 Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot, arid of buildings on premises, relationsh/p to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection thxoughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from s. uch date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, tl~e B6itding In'spee~or may authorize, ~n writi~ff,'the extension of the permit for an
addition six months. Thereafter, a new permit shall be required. .,
APPLICATION IS HEREB.Y,M.~[)E tg.the B.u/riding Department for the issuange of a BuildMg Permit pursuant to the
Building Zone Ordinance of the Town of Soathold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the con,stmction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature ofapphcant or name, if/a corporation)
(Mailing address of~qJplicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
plumber or builder
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
'°~Hamlet
County Tax Map No. 1000 Section /a ~ Block o 9.-
Subdivision c~,*pz- An,/J ~'~,,~.A~. Filed Map No.
(Name)
Lot o R-
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~, ,.~t'& ~,' ~ ./~,~
b. Intended useandoccupancy_ $,.,~ d/~
3. Nature of work (check which applicable): New Building Addition
Repair Removal Demolition Other Work
Estimated Cost es a, o,o Fee
5. If dwelling, number of dwelling units
If garage, number of cars
Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height. Number of Stories
Rear s' o
.Depth 5 o
Dimensions of same structure with alterations or additions: Front
9. Sizeoflot: Front
Depth. ~.~ Height ~..~
Dimensions of e~i~e now construction: Front or',,,/
Height Number of Stories
/ ~ 3'" Rear Jff'Z
Number of Stories it
Rear .Depth
.Depth / '/~. ~'!
Rear
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~
13. Will lot be re-graded? YES__ NO ~/s~,Vill excess fill be removed from premises? YES__ NO__
14. Names of Owner of premises 's'd ~gl~. t~/td4e~
Name of Architect .g',t~, ~.~,,~s-~
Name of Contractor ~..~., ~
Addres'~-~o .-¢o.~t~- A~., Phone No.
Address Phone No
Address o~ g~, $~..,,.,~ ~..~',Phone No.
15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES__ NO ~
* IF Y~.S, D.E.C.-P. ERMITS MAY BE R[QU.IRED.
NO.--
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17 If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF ) . ..
~---'~t'.e ~.~' ..~.~. be!.ng dul~ s.~orn, deposes and says that (s)he is the applicant
(Name of individual {igning contract) a~fioxTe' flamed, ;' ' ' :' '
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Swom to before me thi~ __
c'.~}'~J-- dayof ~,~Zkl~vl~/ 20~_~__
Notary Public
Signaturgof Applicant "'
CONNIE D. BUNCH
Notary Publk~ State of New YoCk
No. 0'1'BU6185050
Qualified in Suffolk County
Commission Ex~pires April 14, 2
Town ~ Annex
54375 Main Reed
P.O. Box 1179
Soulhold, NY 11971-0959
Telephone (631) 765-1802
m,qer riohort~.~o~n(~.t,~u~)~ ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:- ·
License No.:
Address:
Phone No.: ?~ ~ - 9 ¥,~-~
JOBSITE INFORMATION: (*Indicates required information)
*Address:
*Cross Street:
*Phone No.: ~T - 9 ¥2-'/
Permit No.:
Tax Map District: 1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
~0o $ c~ ~ .~,~ ~ao-".
Block:
Lot:
(Please Circle .All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Infonnation (If needed}
*Service Size: I Phase
*New Service: Re-connect
Additional Information:
82-Request for Inspection Form
3Phase 100
Underground
YES / O~
YES/~0~
Rough In
Final
150 200 300 350 400 Other
~ '~ 7 ~ '
Town Hall Annex
54375 Main Road
P.O. Box I 179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
April 6, 2012
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Stella Mallas
40 Vanderbilt Rd
Manhasset, NY 1030
Re: 420 Summit Dr., Mattituck
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
__ Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
A fee of $50.00.
__ Final Health Department Approval.
__ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184)
__ Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1938)
__ Final Fire Inspection from Fire Marshall.
__ Final Landmark Preservation approval.
BUILDING PERMIT: 37019 - Alter Existing Porch
STREET ADDRESS: 420 SUMMIT DRIVE
SUMI~IT DRIVE ~?5.°°'~~
NSO'OO'OO"E ~_-~-~
SET
SURVEY OF PROPERTY
A T MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.. Y.
1000-106_02_06
SCALE... 1'--30'
SEPTEMBER 24, 2004
2~d FLR.
WALL
53.0'
· =MONUMENT
· =REBAR
AREA=23, 540 SQ. FT.
2.0'£
LOT 80
S86'22'?0"W
0,9'5
LOT 80 / LOT NUMBERS REFER TO "MAP OF CAPTAIN K/DO ESTA
,JANUARY 79, 1949 AS MAP NO. 1672. '~',, ~,~- ~,~v ,' F
F/LED IN THE SUFFOLK COUNTY CLERK,S n~,~ ~.,/ ~~
EXCEPT AS OEp SECtiON 7209-SUBDIVISION 2. ALL ' ~_ . '~ ~" ~ ~0,% ~~-~
CERTIFICA ~70N3 (OJl~ 76~-- ~0~ ~) ~~ ?
HEREON A~? VALID FO,; ~HIS MAP AND COPIEZ ~HEREOF ONL X ~F
ZAID MAP ~,~ COPlE~ qEAR ~HE /MPPE~EED ZE/~ OF THE
' P.O. BOX 909
H~OS~ 9/~t, 4 TURE /PF'E~RS HEREON~
02--202
EXISTING FOUNDATION
i FDN WALL
NEW 7 1/4" LVL OR 2- 2 x 8
FLOOR JOIST @ 16" O/C
PARTIAL FOUNDATION PLAN w/FIRST LEVEL FRAMING
SCALE: 1/4"= 1'-0"
EXISTING ROOF RAFTERS
TO REMAIN
EXISTING MAIN HOUSE
TO REMAIN
55
55
NEW ANDERSEN G55
WINDOWS
EXISTING FOUNDATION BELOW
BACK ELEVATION
SCALE: 3/8" = 1 '-0"
EXTG FLOOR LEVEL
EXISTING HOUSE
EXISTING DOOR
TO
NEW3-2x8 HDR
~ G55 ~ G55
UNCONDITIONED
SPACE
FWG8068 SR
NEW3-2x8 HDR
PROVIDE HURRICANE
EXISTING PORCH TO
BE RENOVATED
3- 2 x 6 POST
@ 3 LOCATIONS
w! POST CLAMPS
TOP + BOTTOM
NEW3- 2x 8 HDR
2 x 6 STUD WALL
PARTIAL FIRST FLOOR PLAN wi ROOF FRAMING
SCALE: 1/4" = 1'-0"
EXISTING RIDGE & ROOF RAFTERS
TO REMAIN
G~
G~
NEW ANDERSEN G55
WINDOWS
EXISTING FOUNDATION BELOW
SIDE ELEVATION
SCALE: 3/8" = 1 '-0"
FRAMING NOTES
GENERAL NOTES
DESIGN CRITERIA
WINDOWS - GLAZED OPENINGS
OCCUPAN£
USE L,, UNL
WIT'. ~uL'UT
OF E
Y OR
lJ 'V
EXISTING MAIN HOUSE
~--TO REMAIN
/
/
EXISTING ROOF RAFTERS
TO REMAIN
NEW ANDERSEN FRENCH
FWG ~068 SR
GRADE
FRONT ELEVATION
SCALE: 3/8" = 1 '-0"
z
~w§
O .c_ ,.,',
~ '"-' ,.-
iJ.i "~ g ..9
rr c~E
?
n o (..~
LIJ_~z
DRAWN BY: KM
DATE: 02.15.12
SCALE: AS NOTED
SHEET
OF 1 SHEET