HomeMy WebLinkAbout33528-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
7/5/2012
CERTIFICATE OF OCCUPANCY
No: 35790
Date: 7/5/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ADDITION/ALTERATION
1455 MARYS RD MATTITUCK,
Sec/Block/Lot: 139.-4-14
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
11/15/2007 pursuant to which Building Pernfit 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 deck addition to an existing one family dwelling as applied for.
Lot No.
filed in this ofliced dated
33528 dated 11/15/2007
The certificate is issued to
Kristie Ann Steigerwald
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
3052506 11/19/07
FORM NO. 3
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)
PEP,~IT NO. 33528 Z Date NOVEMBER 15, 2007
Permission is hereby granted to:
ESTATE OF ROSEMARY L STEIGERWA
PO BOX 1181
MATTITUCK,NY 11952
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.THIS PERMIT REPLACES BP # 30581
at premises located at 1455
County Tax ~4ap No. 473889 Section 139
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
MARYS RD MATTITUCK
Block 0004 Lot No. 014
15, 2007 and approved by the
15, 2009.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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. 30581 Z Date AUGUST 20, 2004
Permission is hereby granted to:
ROSEMARY STEIGERWALD
PO BOX 377
MATTITUCK,NY 11952
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at 1455 MARYS RD
County Tax Map No. 473889 Section 139 Block
pursuant to application dated JUNE 29, 2004
MATTITUCK
0004 Lot No. 014
and approved by the
Building Inspector to expire on FEBRUARY
Fee $ 150.00
20, 2006.
Rev.
5/8/o2
ORIGINAL
Form No, 6
TOX. VN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typew~ ite~ or il}k and snbmitted to the Building Department with the following:
A. For new building or uew use:
l. Final survey of property with accurate location of all buildings, property lines, streets, and umisual natural o~
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Under~vriters.
4. Sworn statement from plumber certif~ving that the solder used in system contains less than 2/10 of 1% lead
Commercial buildiug, industrial building, multiple residences and sinfilar buildings and installations, a certificate
of Code Compliance fi'om ardhitect or engineer responsible for the building.
6. Submit Planning Board Approval of con',pleted site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate smwey of properly showing all plol)eay lines, streets, building and unusual natural or topo~'aphic
features.
2. A properly completed application and cousent to inspect si~ed by the applicant. If a Ce~ificate of Occupancy is
denied; the Building Inspector shall state the reasons dierefor m writing to the applicant.
C. Fees 1. C ~llficate of Occupaucy - New dwelling $25.00, Additions to dwelling $25.00, ~teratious to dwelling $25.00,
Swimming pool $2500, Accessory building $25.00, Additions to accessow building $25.00, Businesses $5000
2. Cedificate ofOccupan%' oa Ibc-existing Building- $10000
3. Copy of Ceaificate ol Occupancy .$.25
4. Updated Ce~lificatc of Occupancy _ $50.00
5. Tempora~3' Certificate ofOccupancy Residential $1~q.00, (.c rune ca1515.00
Date. ~o ¢~g~ ~W
New Construction: Old or Pre-existing Building: ~ (check one)
Location of Property: /455 ~ ~o~D M~rrtroch
House No Street Hamlet
Owner or Owners of Property: ~O~ga~_ _ ~'U[l~D
Suffolk County Tax Map No 1000~ Section O 13 q Block OOO~ Lot or{
Subdivision_ ~~ _ Filed blap ~ _ Lot:
Applicant ~1 [~ ~ ~¢ , ~c~
Health I )cpi Approva h ~ ~ [ ]nclerx,,'~ ~t~rs Approval:
Plamm~g 14cai d Approval: ~./,t~
Request for: Temporary. ( e~lificate _ . F' ml (,erttimatc:'
Fee Submitted: $ ~ ¢
(check one
Applicant Signature
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[~ FINAL
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING / STRAPPING
] FIREPLACE & CHIMNEY
] FIRE RESISTANT CONSTRUCTION
REMARKS:
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
FIELD INSPECI'ION REPORT I DAT~ COMMENTS
FO~DA~ON (1S~
FO~DATION (2~) -
ROUGH ~G & '
PL~G
~S~ATION P~ N. Y.
STATE ENERGY CODE
. tt~[[-.o7
~D~ON~ CO~TS
BUILDING
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
PERMIT NO.
Approved D, 20 {7/
Disapproved a/c
Expiration ,20
sets of p
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
3 sets of Building Plans N/
planning Board approval
Survey
Check V
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Phone: 631. 2~8.~5~'$
-~-\ ~.' ~PPLICATION FOR BUILDING PERMIT
Date ~.l~~:: ,,~tdg ,200,4-
INSTRUCTIONS
riter or in ink and submitted to the Building Inspector with 3
shall be r,-
issues a m
property r,-
addition po rOlal PO~taOO a FOe
H¥~
raises, relationship to adjoining premises or public streets or
need before' issuance of Building Permit.
will issue a Building Permit to the applicant. Such a permit
e work.
for any purpose what so ~ver until the Building Inspector
has not commenced within 12 months after the date of
:e. If no zoning amendments or other regulations affecting the
~y authorize, in writing, the extension of the permit for an
~ I ~t ~o_~., .¢ . ~ rtment for the issuance of a Building Permit pursuant to the
Buildin[ ~ ~t_r~i~Jb~.~2~___~ ............ ], New York, and other apphcable Laws, Ordinances or
Regulati P- t:]~~~22 :'~i:i: Ile~i!!~t:~ln°;cdSme:la~it~rne;lha:~:~s d2:r~°beadd~th
appliear ............................ e... !._._]_ rl]__'___:. '' ' ' .
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
owner, lessee, agent,~engineer, general contractor, electrician, plumber or builder
State
whether
applicant
is
Name of owner of premises Mtg. ~o~' Mn~.~j~ ~TI~ tGal~J~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(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 S~eet
M aTT
Hamlet
County Tax Map No. 1000 Section I ~ 9 Block -~ Lot I z~
Subdivision b{~ O/¢ Ca-~}~£gJ' H~.lC, rklT~q Filed Map No. 577
State existing use and occupancy of premises and intended use and occupangy o£proposed construction:
a. Existing use and occupancy ~ t*.t Grt~ Fm,~,~ ~5~g.~.,.J ~-
b. Intended use and occupancy ~l,J 6r~- ~
Nature of work (check which applicable): New Building
Repair Removal
4. Estimated Cost ~~OOO ~,
5. If dwelling, number of dwelling units
If garage, number of cars
Demolition
Fee
Addition (PE~C~.) Alteration_
Other WOrk
(DeScription)
(To be paid on filing this application)
Number of dwelling units on each floor
L
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front '~2'-0' ~ Rear ,~2,~t-O" ~ Depth 33' 6
Height_ I'~.'-O" ~ Number of Stories
· 4-:2 %o' t
Dimensions of same structure with alterations or additions: Front
DePth 47-'-- ~, ~ ~ Height 12 L O' +-- Number of Stories O~J~'
g ~ Rear 13-~s/$ L Depth
8. Dimensions of entire new construction: Front ~ "' ' ~
Height Number of Stories
9. Sizeoflot: Front IoO, oo' Rear IOo. O(~' .Depth [1~
Rear42~Lo" ~
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 regulatioa'?. YES __ NO
¥ .
13. Will lot be re-graded? YES NO Will excess fill be removed fi:om premises? YES .-NO__
'~' 14. Names of Owner of premises ~se~,~,~ Sroc~tO~.~ddress Ha~r~r-m:4~ ~.¥/t~'zPhone No. ~
Name of Architect pJ~q, P-,,a~e.r I~m,~,J Address ~°,br~*~,~2~'J~ [tl~Ir PhoneNo &3L
Name of Contractor klof x~cr~t~ ocr Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~/'
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BEJ?~EQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO b,/
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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 )
,~Jt ¢¢~L [.J ~ ~ ~ ~¢. ~J being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
~He is the A P-C ~4 ~ ¢TE~F-,
(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 true 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. I
Sworn to before me this
c~7'71 day of ~ I.,4J. WI~
~ ' lq[~tary~bl~
ANNE REITMAN
N~.. ry PubliC, State of
no. 4827014.S-flotk Count;
Term Ex.es May $1,
/~c-/ag-~'-/~' TOWN OF SOUTHOLD PROPERTY RE4:ORD CARD
. S W ~PE'OF BUILD NG
lES. ~/~ S~S. VL. FA~ COMM. CB. MISC. Mkt. Value
~ND IMP. TOTAl- DATE REMARKS
N~ NO~AL BELOW ABOVE
FARM Acre V~lue Per V~lue
Acre ·
tillable 2
'illable 3
V~dland
,wampland FRONTAGE ON WATER
;rushland FRONTAGE ON ROAD
{ouse Plot DEPTH
BULKH~D
'oral D~K
~' F~ F,~L~ ~4~ '~/'~. ~.~,
M. Bldg.
Extension
Basement
Extension Ext. Walls
Extension Fire Place
Type Roof
Porch
Recreation P, oorr
Dormer
Breezeway Driveway
Garage
Patio
Total
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floo~
Dinette J
K.
LR.
DR.
BR.
FIN. B.
Nigel Robert Williamson
Archi*ect
P.O. Box 1758
Southold, NY 11971
631.765.4156
Steigerwaid Residence 1455 Mary'~ Road Matfituck N.y. 11956
Win, dow Schedule
1. Casemem CXW 135 (3'-½"W x 3'-5 3/8"H RO.) 400 Series.
2. Tilt Wash TW210210 (3'-1/8"W x 3'-7/8"H R.O.) 400 Series.
3. Tilt Wash TW210210 (3'-1/8"W x 3'-7/8'H R.O.) 400 Series.
4. Tilt Wash 2-TW210210 (5'-113/4"W x 3'-7/8"H R.O.) 400 Series.
5. Casement CXW 135 (3'- ½"W x 3'- 5 3/8 "H R.O.) 400 Series.
6. Tilt Wash TW210310 (3'-1/8" x 4'-7/8"H R.O.) 400 Series.
7. Tilt Wash TW210310 (3'-1/8" x 4'-7/8"H R.O.) 400 Series.
8. Tilt Wash TW210310 (3'-1/8" x 4'-7/8"H R.O.) 400 Series.
9. Tilt Wash
10. Tilt Wash
11. Tilt Wash
12. Tilt Wash
13. Tilt Wash
14. Tilt Wash
2-TW210310 (5'-113/4" x 4'-7/8"H R.O.) 400 Series.
TW210310 (3'-1/8" x 4'-7/8"H R.O.) 400 Series.
TW210310 (3'-1/8" x 4'-7/8"H R.O.) 400 Series.
TW210310 (3'-1/8" x 4'-7/8"H R.O.) 400 Seres.
TW210310 (3'-1/8" x 4'-7/8"H R.O.) 400 Series.
2-TW20210 (4'-33/4" x 3'-7/8"H R.O.) 400 Series.
Andersen white exterior w/white screens. Interior surfaces to be pre-finished white.
NYS Energy Code Table 502.2.5 - HDD 5750 Max. fenestration U-factor 0.4.
Table502.1.4.1 ~ Allowable Air Infiltration Rates
Windows 0.3 cfm. (AAMA/WDMA 101 / 1. S.,.'i and
ASTM D4099. '~
Swinging Doors 0.5 cfm.
NOTE Contractor to confirm R.O.'s before orderinll windows
PRICELESS CUSTOM MOMES Fax:16315378763 Jun 28 2004 16:00 P.02
Rosemary L Steigerwald
PO BOX 377
Mattimck, NY 11952
To Whom It May Concern:
Please accept this communication as acknowledgment that Niget Robert
Williamsen is acting on my behalf.
If you should have any question I can be reached at 631-298-4553.
Sincerely,
Rosemary L/.,Steigerwald ~/
JAN-i-2002 TUE 12:01PM ID: PAGE;2
Nigel Robert Williamson
Architect
P.O. Box 1758
Southold, NY 11971
Phone 631.765.4156
November 8, 2007
Southold Building Department
53095 Main Road
Southold, NY 11971
Re: BP# 30581 Steigerwald residence~ 1455 Mmys Rd., Mattituck, NY 11952
Dear Sir/Madam:
I am applying for a certificate of occupancy for work completed to the mentioned property.
Enclosed is a check in the amount of $25.00.
If any additional information is required please do not hesitate to contact me.
Your's faithfully,
Nigel Robert Williamson
ELEVATION A
ELEVATION C
ELEVATION
SECTION A-A
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATI
_ _OF OCCUP_A_NCY
APPR(~V .ED~0_~TED
NOTIFY~ BUILDING g£PA'~ENT AT
1. F(~UNDATION ~ TWO REQUIRED
F(~R POURED CONCRETE
2. R~UGH - FRAMING & PLUMBING
3. IN~ ULATION
4. FD AL - CONstRUCTION MUST
BE COMPLETE ~OR C O.
ALL (ONSTRUCTION SHALL MEET THE
REQL REMENTS OFTHECODESOFN~
YOR~ STATE NOT RESPONSIBLE FOR
DESK N OR CONSTRUCTION ERRORS.
C( ~MPLY WITH ALL ~DES OF
NEW YORK STATE & TOWN CODES
AS R~ UIREO AND C~DITIONS ~
-- ~TR~
COM~LY WI~ ~R ~6"
FLeD DA~ ~TION
SOUT~OL0 T~ ~.
NOTE
: I
? /
B
SITE PLAN
;$,.~,~: .........
MARY'S ROAD
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATEg
UNDERWRITERS CERTIF~TE
REQUIRED
' ) Bedroom 1 -- Bath
' - --~ ~;~ ~,~,
' '~ ~ ~'"" ~( ~ ' -'' ~:'-~'~i bedroom z ~' Bedroom 3 I~ [ I~l : I{ Lmvino Rm ' .~g_~R_l.~_ LEGEND
l/
EXIT
.... ..ING FIRST FLOOR