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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