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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