HomeMy WebLinkAbout37439-Z · ,~'~ Town of Southold Annex
P.o. Box 1179
!3'----'~ ~l 54375 Main Road
~,~.~_ ~.'- SouthoId, New York 11971
CERTIFICATE OF OCCUPANCY
8/16/2012
No: 35890 Date:
8/16/2012
Location of Property:
SCTM #: 473889
Subdivision:
THIS CERTIFIES that the building AS BUILT ALTERATION
160 Sunset Ave, Mattituck,
Sec/Block/Lot: 115.-3-7
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
7/31/2012 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
37439 dated 8/13/2012
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:
"as built" alteration for bathroom in basement, bathroom on second floor, deck and stoop additions to an existing one
family dwelling as applied for.
The certificate is issued to
Pedro, Mary
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N198417 12/13/84
/2
ATri~ Si.gt~at ure
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 #: 37439 Date: 8/13/2012
Permission is hereby granted to:
Pedro, Mary
160 Sunset Ave
PO BOX 1243
Mattituck, NY 11952
To:
'As Built', Additions & Alterations to a Single Family Dwelling;
Baths (2nd Floor & Basement), Deck, Stoop, as applied for.
At premises located at:
160 Sunset Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 115.-3-7
Pursuant to application dated
To expire on 2/12/2014.
Fees:
7/31/2012
and approved by the Building Inspector.
CO - ADDITION TO DWELLING
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
Total:
$50.00
$620.80
$670.80
~ng 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 follO~'ing:
A, For new building or new use:
Final survey of prop~'y with accurateiocation of all buildings, property lines, streets, and unusual natural or
topographic festurds_
Final Approval from Health Dept. of water supply and sewemgeMisposal (8-9 forml.
Approval of electrical installation froro Board df Fire Undenvritem
-6.
'llw. orn statcrocnt froro plum .bet clarifying that tho solder used.in system contains less than 2/10 of 1% lead.
COmm~lxliai building, ind. mtfial building, mtfltipie msideno~ and aimilm' buildings and installations, a certificate
ofCodo Compliahc~'from amhitect or engineer rcspon~oible for the building,
Subroit planning Board Approval of coroplet~d site plan requirements.
B. For exist}ns buildings (prior to April 9, 1957} don*conforming us~, or buildings 'and "pre-existing" I&nd Uses;
1. Accurate survey of property showing all property linc~,'streets, building and. unusuM natural or topographic
features.
2. ^ properly -.co..mp!eted appficatign and c~nsent to inspect signed.by the applicant_ If a Certificate of Oecuvaucy is
denied, the BUilding Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50_00,
· Swimroilig poql $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00:
2. -Ci:~tifieate 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
>few Construction: ~
-,ocafion of Property: ' /~ ~
Honse~ No.
Date.
Old or Pm-existing Building: (check one) --
Hamlet
)wn~rorOwnersorProPertY~ '-D[~fJO~: H,q~:~l&h Ri ~f~ ~ ~r~.O
~ffolk .C_,o}mty Tax Map No'1000, SectiQn. . ;//ot~
lubd~visi~n
~anitHo. 5~q'L/~,~ DateofPermit. ~"i~-~
Biock ,.~ Lot
Map. Lot:
l *lth Dept. Approval:
'lanning Board Approval:
.equest for: Temporary Certificate __
ee Submilted: $
Undenvfitem Approval: ~/fA
FinalCertificate:
(check one)
Applicant Sianatur¢
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
ak 85 JOHN STREET, NEW YORK. NEW YORK 10038
'"""December ].3. 1974 .-.,.,...a.o.,'o.o.S.e 684?94 N 198417
THIS CERTIFIES THAT
John Pedro, Sunset Lane,
Mattituck~ L.I.
,..,.,me,I,,,, December
SWITCHES
22
FURNACE MOTORS
w/side, Reeves & Marratoo Lane,
Lot
RANGES COOKING DECKS OVENS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
E R V ! C
1/0 ;
AWG.
~F HI LEG
1
1/o
Motor/s: 1-1/2hp
Frank Stepnoski,
420 Little Neck~.,
Cutchogue, L.I. 11935
This certificate must not be altered in any monner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
BUILDING'DEPARTMENT
TOWN OP SOUTHOLD
CERTIFICATION
(Please.p nt) MA~ITUCK PLUMBING
(~lease pdnO 0 ~ Ma~ituck, ~11952
' 631.298-8393 / F~: 631-298-1130
i cemiFy that the solder used in the water supply system comains less than 2/1
~ead
S,,om to before me this
xotary P u b I i ~.~,,~--.~Co u n t y
}7"' ' f>t'i"~'4 ~r s S i gna t u r e)
DENISE KING
Notary Public, State of New York
Registration ¢~01 KI6041757
Qualified in Suffolk County ~
My Commission Expireg May 15, 2
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU~LATION
[ ] FRAMING/STRAPPING [ ~.~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS::.~.~,~.<.//~.,~.~-~ ~
DATE 8 l /~'~/~'~ INSPECTOR ~~
TOWN OF SOUTH~)LD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork, net/Southold/
Examined ~7~'- /O ,20 [~'~
Approved ~'~'/ 3 , 20 [~
Expiration ~ .--- ] ~L,20 /~d
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
~ Building Inspector
' i'~) ¢-~~ [// /[/APPLICATION FOR BUILDING PERMIT
--
[ a2~mpletely filled in by ~pewriter or in i~ ~d submi~ed to the Building Inspector with 3
set~T ~s, accurate plot plan to scale. Fee according to schedule.
b. Plot pl~ showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and wate~ays.
c. The work covered by this application may not be commenced before issuance of Building Pe~it.
d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such a pemit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in pa~ for ~y pu¢ose what so ever until the Building Inspector
issues a Ce~ificate of Occupancy.
[ Every building pe~it shall expire if the work authorized has not commenced within 12 months a~er the date of
issuance or has not been completed within 18 months ~om such date. If no zoning mendments or other regulations affecting the
prope~ have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pe~it for an
addition six months. Thereafter, a new pemit shall be required.
APPLICATION IS HE,BY MADE to the Building Depa~ment for the issuance of a Building Pemit p~suant to the
Building Zone Ordinance of the Town of Southold, Suffolk Count, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, Mditions, or alterations or for removal or demolition ~ herein described. The
applicant agrees to comply with ail applicable laws, ordin~ces, building code,
housing code, ~d r~ ations, and to admit
authorized inspectors on premises and in building for necess~ inspections.
{~nature of applic~t or name, if a co~oration)
(Mailing add~essffi applic~t~ ,. / /
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~"~
(As on the tax roll or latest d6ed) rd
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:
At cd, t,
House Number Street
County Tax Map No. 1000 Section
Subdivision
Hamlet
Block :. ~
Filed Map No.
Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~'t4,t.~/.c ~ /tt~..~.,~.~ ~ /~'~r/
!
b. Intended use and occupancy g'm~q~--~ocrr' ~ ~ ~:n~rr~¢~ ~-~a~'~,d
Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition Alteration
Other Work
4. Estimated Cost ~? ~/~
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
(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 Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size oflot: Front /~t,J ~¢
10. Date of Purchase -~'~fP ,{
Rear .Depth
Rear /& o '~ ~ Depth /LO / ~
Name ofFormer Owner ~]bt 4 P[~ gd,¢~o
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 ~ Will excess fill be removed from premises? YES__
14. Names ofOwner ofpremises't~ ~-~kt~ 7 ~/Ad~res~s~re' Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
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 BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* 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~ff~_)
.~a~t..rc,~ect ~ ~t~,~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ~,~_g..{/~
(conti'j~ctor, Agent, Corporate Officer, etc.)
m ~,~m owne~ or owners, and is duly authorized to perform or have performed the said ~.o.k and to make and file thL 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.
S,~fore me this~
day of ,.~,~ ~ 20_ [~
-- ~ B~ ~ P~N8
~,~eMN~
No. 01PE6~
~Mifl~ In Suffolk
~ml~lon ~pims ~u~
Signature of Applicant
Se~vag. t~l - Water Supply In~
~pprovea: ........ L
·
~et~tnq
~AI~O ~'ro~.~$. ~c.
pHYSICAL EXAbIINATION
GUARANTE~ WE
1Nb~ALL
MATTITUCK PLUMBING & HEATING CORp.
TEL. 298-8393 MA~N ROAD P. O. BOX 1148 MATTITUCK, N. Y. 11952
^DDReS$M~z' JnhD Pe~ ~
Su. nse~ Lane Ma '
P]urabing as per agreement
~eating as per agreement
Celln~ bath as per a~eeraent
~ O~in Ce].lal, -
C~o ~o~ed fixtures in cellar
~ &~tr~ in cellar
~ 2nd floo~ bath fixtures
We~l & suction llne
P~ice adjustment
$157o.oo
~4o,oo
385. oo
160.00
~8.00
195. oo
473. O0
zSo.oo
3~,6.97
10o .00
COPY OF INVOICE ¢00t25
JOB
BUILDING PERMIT EXAMINER CHECKLIST
Applicant:
SCTM#!000- - 7 Subdivision:
Property Address:
*Date Submitted: ~.- 3 o - Ic,R. Date Reviewed:
Estimated Cost. ~!
Zone: ~ '~ Conforming?~
ty Pre COs?
Building Permits (Open/Expired): BP -Z / C/0 Z- , Info:
BP -Z / C/0 Z- , Info: BP -Z / C/0 Z-__
Single & Separate Search Required? Y or~N)Determination:
REQ. Lot Size: ACT. Lot Size:
1LEQ. Front ACT. Front REQ Side
REQ. Height .3~/ ACT. Height_
ACT. Side
$o'rH $I0~5
BP -Z / C/0 Z- , Info:
BP__-Z / C/0 Z- , Info:
,SToR m,'~/~T~q.
REQ. Lot Coy. ~o~o ACT: Lot Cov.
REQ. Rear__ PROP. Rear
Waterfront? ~ ~ ~/~' - ' ~' -
If yes, water body: -- Panel# '--' Flood Zone: ~- Bulkhead/BluffDistance:
ADDITIONAL APPROVALS REQUIRED pkns/s(q-) 516~t~l~, Sen/_[b °~$ueVa¥ oR ~
Suffolk County Health: Y o~ If yes, *Bed#: *Date: / / *Permit#: Town Septic: - If no, certification required: Y or N Received: Y or N By:
NYS DEC: raz-necw~ns Y o~fi Date: / / Permit #: or NJ Letter- Notes:
$outhold Trustees: Y o~- Date: Permit #: or NJ Letter - Notes:
Southold ZBA: Y or~- Date: /__/ Permit #:
- Notes:
Southold Planning: Y or~ Date: / / Permit #: - Notes:
Town Landmark C of A: Y o~DTE: / / *NYS CODE ~ompliance (page 2): ¥ or N
Notes: -- ~
Fee Structure:
· -Foundation(~ ..~ SF
First Floor: ~ ! ,.~ SF
Second Floor: /o~ SF
Other: SF
'otal: f)'7~ SF
Calculation:
AS BUILT
+ hfitial Fee: $
Additional Fee ( ): $
SF X $,
+ Initial Fee: $
Additional Fee ( ): $ .a~ I 0 t ~0
-~ BlO, 40 TOTAL: $
k~o0, bO
NEW YORK STATE CODE COMPLIANCE CHECKLIST
C.LIMATIC/GEOG1Lt~PHIC DESIGN CRITERIA:
G~round Snow Load: 20
Weathering: Severe__ .Frost Depth: 36" __
Design Temp: 11 __ -Ice Shield Underlay: YES __
USE/OCCUPANCY CLASSIFICATION:
HEIGI-'ITfFIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE
FULL FRAMING DESIGN ELEMENTS: Y/N
HEADERS: 3//Ix/ WALL STUDS: Y/N
CEILING JOISTS: Y/N FLOOR JOISTS: ¥/N
LU'NI[BER SPECIES AND GRADE: YfN
Wind Speed: 120MPH__ Seismic Design Category/B
Termite: M-H' Decay: S-M
Flood Hazards:
GLRD ERS: Yf~
ROOF RAX~ERS: YfN
WINDOW AND DOOR SCHEDULE:
,NIISSLE TEST REQUIREMENTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%: Y/N
x~rENT 4%: Y/N
NAILING/CONSTRUCTION SCHEDULE: Y/lq
MEANS OF EGP,_ESS: Y/N
PLLrMBING RiSER DIAGRAM: Y/N
LOCATION OF FIRE PROTECTION EQUI2PMENT: Y/N
TRUSS DESIGN: Y/N
CERTIFICATION: YfN
ENERGY CALCS: Y/N
.TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
Al. ~6
2® Floor_
Basement
Scale: 1/4"= 1'0"
1 st Floor
ELECTRICAL
INSPECTION REQUIRED
Note: All finishes and addition were done in accordance
With the codes of time of construction.
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFiCATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY SYSTEM-CANNOT
EXCEED ~I0 OF I% LEAD.
COblPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CGND',T',ON$ OF
PLUMBING
ALL, PLUMI~ING WASTE
& WATER LINES NEED
· ESTING BEFORE COVERING
NOTED
N k~ EIJ', ~ DEPARTMENT AT
T,,~ -,~2 .,,I FO 4 PM FOR THE
FOR . IJRED CONCRETE
S R/-aPING ELECTRICAL & CAULKING
2 INSULATION
4 :rNAL - CONSTRUCTION & ELECTRICA~
MUST BE COMPLETE FOR C.O
ALL CONSTRUCTION SHALl. MEET THE
REQUIREMENT8 OF THE CODE8 OF NEW
YORK STATE NOT RESPONSIBLE FOR
----~~~ DESIGN OR CONSTRUCTION ERRORS
Tax Map No: 473889 115.- 3 - 7
DATE: 7-26-12
PEDRO RESIDENCE
160 SUNSET AVE.
~ MATTITUCK NY' A-1
C.OR.O.. .SS__OC,ATES