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HomeMy WebLinkAbout33102-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 4/16/2012 CERTIFICATE OF OCCUPANCY No: 35540 Date: 4/16/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 610 PARK AVE EXT MATTITUCK, Sec/Block/Lot: 123.-8-28.6 Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/4/2007 pursuant to which Building Permit No. 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: alterations and repairs to an existing seasonal one family dwelling as applied for. Lot No. filed in this officed dated 33102 dated 6/4/2007 The certificate is issued to HENRY & MARY S DRUM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 5/31/91 33102 3/16/12 Walter Dohm -~d-Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33102 Z Date JUNE 4, 2007 Permission is hereby granted to: HENRY & MARY S DRUM 2615 EAST MILL RD MATTITUCK,NY 11952 for : CONSTRUCT ALTERATIONS & STRUCTURAL REPAIRS TO A SEASONAL DWELLING AS APPLIED FOR. (THIS REPLACES BP #19870Z) at premises located at County Tax Map No. 473889 Section 123 pursuant to application dated JUNE Building Inspector to expire on DECEMBER Fee $ 50.00 610 PARK AVE EXT MATTITUCK Block 0008 Lot No. 028.006 4, 2007 and approved by the 4, 2008. ~ho~~' Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 33 Io~-~ No- -49~70 Z~ ~t. ...... .,.,~".././.~. ................................ ,,,.~./.. Permission is hereby, granted to: ~ ............. ............... ~ ....... t' ....... ~'-~ ......... ~ - -"""~'~'"'2Z"-'.' .................................... o, ,.m,, ,=,ed o,---.~.~-~-...-'~--~.-.~.,~e~'.......--~-- .~~ .................................... c,~,t~ To~ Mo~ No. ~000 S,~t~o~ ..../..~.,~.. ..... mo~k ......... ..JJ~... ....... Lot No....'~=.~?~.~. ..... pursuant to application dated .... ( ...................................... , 19...c?~.., ,,nd approved by th~ Building Inspector. Fee ~' Rev. 6/30/80 Form No. 6 TOWN OF' $OUTitOLD BUILDING DEPARTMENT TOWN ItALL 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 following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply aud sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contaius less than 2/10 of I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planuing 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, tile Building Inspector shall state the reasous therefor in writiug to tile applicant. C. Fees I. Certificate of Occupaucy - New dwelIing $50.00, Additions to dwelling $50.00, Alterations to dwelliug $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. Permit No. New Construction: Old or Pre-existing Buildiug: Location of Property: House No. Street Owner or Owners of Property: ~RL(9_ if'~'-G1 .~.~ ~ ~}c~ ~L~ Suffolk Coun, Tax Map No 1000, Section Subdivision ~ ~.'~ ~[ 0 ~ Date of Permit. Applicant: (check one) Hamlet Healtb Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) [ ' Appli~nt Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 ro.qor, richort~town.so uthold, nv. us BUILDING DEPARTMENT TOWN Ob' SOUTI-IOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Mary Drum ~,ddress: 610 Park Ave Ext City: Mattituck St: NY Zip: 11952 ~uilding Permit#: ~t ~'" Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: AS BUILT DBA: License No: SITE DETAILS Office Use Only Residential ~] Indoor ~ Basement ~ Service Only ~ Com medcal 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: Ceiling Fixtures [~ HID Fixtures Wall Fixtures [~ Smoke Detectors Recessed Fixtures [~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures L_~ TVSS AS BUILT unheated summer home, 1 GFCI circuit breaker Notes: Inspector Signature: Date: March 16 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD OFF1CE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date May 31: ]991 Building Permit No. i % ~ ~ © ~ Owner ~ ~ ~--'~ ~ .~ ~c~-~ ~ (please print) Plumber WALTER L. DOHM LIC. # 453-P (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me this 31st day of M~y ' 19 91 · Notary Public, Suffolk County Notary Public 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ],ST [ R~'~OUGH PLBG. {. ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING //~ [ ]FINAL ._ INSPECTOR 765-X8~2 BUILDING DEPT, FOUNDATION FOUNDATION 2ND INSPECTION [ R~~OUGN PLBG. [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY .RE RESISTANT CONSTRUCTION ROUGH PLBG. INSULATION ~ FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE ~-' r~' c~ r INSPECTOR ~r~~'-~ !.'iELD il;S['EC?iO/ IIDATE 11 COMM£NT£ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ,ppro~ed ................ ~L~e~it ~o FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 )isapproved a/c ..................................... API)ROYED AS NOIED / ~ ..... ~;;~':2-1/:lq/' ~:~. ~'"2_~~ ...... ~ //' Nb~IFY BUIldING D~PA~T AT ~uilding~pccto;~ '~' '' 765-1~2 9 AM '.~ 4 PM FOR THE FOLLOWING INSPECTIONS: APPLICATION FOR BUILDING PERMIT 1.FOUNDATION ~O REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSU~IIO~ INSTRUCTIONS BOAKD OF HEALTII ......... 3 SETS O~,~PLANS .......... SURVEY ClIECK ..~.* ............... SEPTIC F 0 R,~I .......... HAIL TO: Date ....... , 19 a 'm~: 'ca 'o C~Om~ U T. .. · -~-'-c.a-T4°.~[~,~ p~te~ filled in by Wpewnter or in ink and submitted to the Building Inspector, with 3 ' v~J{~.~ %h~t~a~ of bulldogs on premises, relationship to adjoinin- remises or u areas,~ ¢ ~"~ ".'. = P p b~c streets tion S~T~~rl~fl~ layout of property must be drawn on the diagram which is part of this appl- e ~OO~. t~Ojt~81B~ FOR ' g~$~&$g't~~ may not be cbmmenced before issuance o f Building Pemit. d. ~u~~ication, the Building Inspector will issued a Bulldog Pemit to the app~cant. Such pemit ~1 be ke~t on t~e pre~ises~ayafla?e for inspection throt ghout the work. e. N~:~B¢¢i~-~ ~5~0~ ~d in whole or in p~t for any purpose whatever until a Cerh c all have h~g ~=an~.,hv ~ n:.~i~,~._: fi ate of Occup~cy · ~P~*~.~,~~,[Og~e Budd~g Dep~ment for the issuance ora B~Idin~ ee ' tfldlng ~off~ ' ~ ~ m~t pursuant to the m?~~ ot'~uthold, Suffolk County New York ~d other app~cable ~ws, Ordm~ces or gulations,'~p ' ' s ' ' ' ,.*o~,~f.~ffX~~l~ , addmons or alteranons, or for removal or demolition as h te appnmffi~ c~ ~ · . . . . erem described. mit aut~~a p y ~t~ ~ a~,cab.le Jaws, ordinances, building code,~ousmg code,' and rggulations and to 4. Fl~s~ec~3~ ~ building for necessa~e~ons.. , / //' ' 8E COMPLEIEFO~ C,O. G/ ~., / . //. A . THE REQUIREMENTS OF THE N Y t = ature o/ap~nt, or nam~ a corporation) coo~s..~ .~s~.s~ ~o. ,/~- ~-~. ~/~ (Maffing address of apphcant) DESIGN OR C~STRU~ON ERRORS ' ' ' ate whether applicant is owner, lesseq, agent, architect, e~eer, general contractor, electrician, plumber or builder. ..... ............... t / ./. .,.../¢. .e.,. .... (as on the t~fl roll or latest deed) ................. applicant ~ration, signature o f d~authorizcd officcr. ,. Builder's License No .......................... ' USE IS UN~WFUL Plumber's License No ......................... ...................... OF OCCUltly Location of land on which proposed work w/Il be done. . ~ . . ~ .... ~1~ .[ ~.~ ~) ..... . &(~,~ ~. ~.F./~~. .............................................. House Number Street Hamlet cou,,~,~o. ~000~,~o. .... /~ ...... ~,o~ .................. Lo, ............ Subdivision ..................................... Filed Map No. Lot (Name) ............................. State existing Use and occupancy of premises and intended use and occupancy of proposed con.ruction: b. Intended use and occupancy ........ ~(. . ~ 3. Nature of work (check which applicable): New Building .......... Addition .......... ' .-..X ........ .............. .............. x ..... ..... · , .................. Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .............. Number of dwelling units on each floor . If garage, number of c~s ........ ' ............... If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. ' Height ............... Num her o f Stories ........................................................ D~ensions of same structure with alterations or additions: Front ................. Rear ........... Depth ........ Height ................ Number of Stohes .... 8. Dimensions of entire new const~ction: Front ............... Rear ...... ~ ........ Depth ............... Height ............... Num her of Stohes ................................................... 9. Size of lot: Front ...................... Rear.. . Depth ' 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ~.~ .......................... 13. Will lot be regraded ...... ~(~. · ......... ~ · ~... Will excess fill be removed from premises: Yes 14. Nme °f Owner ° f premises ~/·.. ~O* ~ Addres~/~Z~, .~mne No~~.~ ~: ~¢o~Z: ~:' ~' '{ '~': '; ..... Address .... ~ ............ Phone No .......... .If yes, Southold Town Trustees Permit may be require~ / ~o ..... .... PLOT DIAG~ Locate clearly ~d distinctly MI bufld~, whether existing or proposed, ~d~indicate ~1 set-back d~ensions from prope~y Hnes. Give street ~d block number or descfiptioh accord~g to deed, and show street nines and indicate whether !nt¢or or comer lot /4p~ ~ WL~cc / s.s .... ~ ~'~"~' ~ ~ '~ ............. being duly sworn, deposes and says that he is the applicant (Name ~f individual signing contract) (Contractor, agent, corporate officer, etc.) said OWner or owners, and is duly authorized to perform or have perfomed the said work and to m~e and file this ~lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the rk will be perfomed in the intoner set forth in the application filed therewith. om to before me this : '' ~~' .'. County _ ~IRE L G~ . · ~~dN~ / ...... -- ~MIn S~ ~u~ ~-~ (~a~m of applicant) Town Hall A~nex 54,375 Main Road P.O. Box 1179 Southold, NY 11971-09.59 Telephone (631.) 765-1802 (631) ? m.r. BUILDING DEPARTMENT TOWN OF 8OUTttOI~ APPLICATION FOR ELECTRICAL INSPECTION ~,EQUESTED BY: ,;ompany Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) ~ *Is job ready for inspection: ~ Rough In *Do you need a Temp Certificate: Final Temp Information (ff needed) *Service Size: I Phase *New Service: Re-connect Additional Information: ~iL~c~ o~ >~- 3Phase 100 150 200 300 Underground Number of Meters Change of Service PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form 350 400 Other Overhead BLDG. D£PI. TOWN OF SOUTHOLD RECORD CARD* ~ ",.-..-~ ..- - /~,,~,_ ,,,~.~_?. ~ W LD PROPERTY '".*' ' ' '.'~ ' ~ OWNER STREET VILLAGE DIST. ' SUB. LOT '/" S W "rYPE'OF BUILDING LAND IMP. TOTAL DATE REMARKS 'illoble , , FRONTAGE ON WATER Voodland FRONTAGE ON ROAD 6eadowland DEPTH. louse Plot BULKHEAD /,~o~_/~s_£..g£(;TOWN OF SOUTHOLD PROPERTY RECORD CARD ChVNER STREET ~/~.~ VILLAGE DIST. ~UB. LOT S W ~PE ~ BUILDING ~ND IMP. TOTAL / DATE R~RKS 'ill~l~ , FRONTAGE ON WAT[R t~1~ FRONTAGE ON ROAD COLOR /t~'~ -r O ~ ~) L.- TRIM M. Exl~m~ian ~ Extm'~l~ P ch Foundation ~ement Ext. Wails Fire Place Type Roof Interior Finish Heat Rooms 1st Floor Patio Recreation R___~'~m Roon~ 2nd Floor O.B. Dormer Driveway Dinette Ko LR. DR. BR. FIN. B ?~/??f INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. W]ECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 17, 1991 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Capt. Henry Drum 2615 Mill Rd. Mattituck, N.Y. 11952 Re: Building Permit 919870-Z (WM. DRUM EST. OWNER) Suffolk Co. Tax Map ~1000-123-8-28.6 Dear Capt. Drum: Please be advised the above building permit has been written, but in order to release the permit to you, your signature has to be notarized. Kindly stop by the office to have the application notarized and we will release the permit to you. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Georgia Rudder, Secretary Town Halk 53095 Main Road P.O. Box 1179 Southold. New York 11971-0959 Fax (631 ) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTItOLD May 30th, 2007 Henry Drumm 2615 East Mill Road Mattituck, N.Y. 11952 RE: 610 Park Ave. Ext. (Deck & kitchen addition) SCTM # 123 8 28 6 Dear Mr. Drumm, Please be advised that your Building Permit # 19870 issued May 16th, 1991 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of 50.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold. Ne~v York 11971-0959 Fax (631) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 25, 2007 Henry & Mary Drum 2615 East Mill Rd Mattituck, NY 11952 RE: 610 Park Ave Ext, Mattituck TO WHOM IT MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not one file. (Enclosed) No Electrical Underwriters Certificate on file. The check is (not on file) $25.00 Final Health Depadment approval not on file. No final inspection has been completed. No Plumber Solder Certificate on file. (All permits involving plumbing issued after 4/1/84) Certificate of Compliance from the Trustees. Final Planning Board Approval Final Fire Inspection from Fire Marshal. BUILDING PERMIT: 33102-Z SOUTHOLD TOWN BUILDING DEPT. Tox~u Hail Aum:x 5t375 Main Road 1'.(). 1½ox [ 179 SI)tit[lo[d, N Y Tclcllhonc (631) 76.5-1802 l:ax (631) 7~i,5-9,502 BI ILl)IN(; DEPAI~,TMI'~NT TOWN OF $OUTHOLD August15,2011 Henry & Mary Drum 2615 East Mill Rd Mattituck NY 11952 Re: 610 Park Ave Ext., Mattituck TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: J Application for Certificate of Occupancy. (Enclosed) '-~ Electrical Underwriters Certificate. J^ fee of $25.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 33102- Alterations/Repairs to Seasonal Dwelling Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 January 6, 2012 Henry & Mary Drum 2615 E. Mill Rd Mattituck, NY 11952 BUILDING DEPARTMENT TOWN O1* SOUTHOLD TO WHOM IT MAY CONCERN: The ' g ( ) p Your Ce~ificate~f Occupancy: ~Application for Ce~ificate of Occupancy. (Enclosed) ~"~ ~ ~ __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees #765-1092) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 33102-Alterations/Repairs to Seasonal Dwelling