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Home My WebLink About37422-Z8/16/2012 Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 35883 Date: 8/16/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: AS BUILT ALTERATION 285 Riley Ave, Mattituck, Sec/Block/Lot: 143.-4-22 Filed Map No. conforms substantially to the Application for Building Permit heretofore 8/6/2012 pursuant to which Building Permit No. 37422 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" plumbing alterations to an existing single family dwelling as applied for. Lot No. filed in this officed dated dated 8/6/2012 The certificate is issued to Woodhull, Ruthanne & Ors. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 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 #: 37422 Permission is hereby granted to: Woodhull, Ruthanne & Berliner Jr, William PO BOX 971 Mattituck, NY 11952 To: Date: 8/6/2012 install "as built" plumbing alterations to an existing single family dwelling as applied for At premises located at: 285 Ri_Igx Ave SCTM # 473889 Sec/Block/Lot # 143.-4-22 Pursuant to application dated To expire on 2/5/2014. Fees: 8/6/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLiNG - ADDITION OR ALTERATION CO - ALTERATION TO DWELLiNG Total: $400.00 $50.00 $450.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765~ 1802 APPLICATION FOR CERTIFICATE OF OccUPANcy · Thie applioation must be filled in by typewriter or ink and submitted to thc Building Departmeat with the folio.Wing: A~ For new building or new use: 1. Final survey of property with acouratc'loeation of all buildings, pmpe~y line~, streets, and unusual natura} or topograp[fic featur6a. · · 2. Final Approval from Health Dept. o f water supply and sewerage-disposal (8.9 form). 3-. Approval of electrieal installation from Board 0 f Fire Underwrite~. · 4. 'Sw. om statement from plum .her cea'tif~ng that th~ aokler used in ~]~tom contaius le~$ than 2/10 of 1% lead.. $. Commercial building, ind. u~tfial buildi~, mtiltipl¢ resideo~e~ and similar buildings a~d ixmtallafiotm, a certificate of Code ComPliahco'from an~hit~t or engineer responsible for the building; .6. 8ubmit planning Board App£oval of completed site phn requiremet~s. B. For exisling buildings (prior to April 9, 1957} fion~:onforming us~s, or buildings 'and "pre-existing" ii. nd uses: 1. Accurate survey of property showing aH property line~, streets, building and. unusuM natural or topographic feature~. ' · 2. A properly c~mpleted application and consent to inspect signed-by the applicant. Ifa Certificate of Occucrancy 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, . Swimmivlg poql $50.00, Adcessory building $50.00, Additions to accessory building $!;0.00, Businesses $50.00,. 2. C~rtifieate ok=Occupancy on Pre-existing BuiMing - $100.00 3. Copy of Certificate of.Occupancy- $:25 ' 4. Updated Certificate of Occupancy - $50_00 ' 5. Tempoyary Certificate df Occupancy - Residential $15.00, Commercial $15.00 Construction: 'f" 3 Date. d or Pre-existing Building: ' (check one) Hamle~ Filed lq_ap. Lot: Date 0fP~mit. ~'~ 6 - l ~ AppEeant:. Undenvriter~ Approval: _ Final. Certificate: J (check one) .County Tax Map No'1000, 8ectiQn Mbdivisi8n · ~licant Sienaturg - p~mait No. ,~ q O 2.2-- ~ Dept. Approval: 'finning Boarg Approval: .egtuest for: Temporary Certificate __ IVee Submilted: $ IFO. CO FOUNDATION (IST) FOUNDATION (2ND) PL~G ~S~ON PER N. Y. STA~ EN~R~ CODE ~ ' ~D~ION~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net Approved Disapproved a/c ~'xpiration c~/~,, 20 fF JUL 3 1 2012 BLOG. DE?I. TOWN OF SOUTHOLD PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, belbre applying5) Board of Health 4 sets of Building Plans Planning Board approval Survey. ,,,'Check ~O~, _~.~. ,~ //~.) Septic Form ~' N.Y.S.D.E.C. Trustees ,~"C .O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Phone: /~nspector APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. Tiffs application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b, Plot plan showing location of lot and of buildings on premises, relationship 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 throaghout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Bnilding 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 wilhin 18 nlonths from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Depamnent for the issuance ufa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordinances or Regnlations, for the construction 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 of applicant or name, if a corporation) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. (Mailing address of applicant) APPROVED AS NOTED State whether applicant is o;vner, lessee, agent, architect, engineer, general contractor~elrctnc~an, pl,u, mber or builder DATE ff'/~ t 1 FEE ~Svf~ Nalne of'owner of premises ~ ~ ~ne~ ~t{tt ~ [~l~" ,~NOTIFY~o~BUILDING* (As on the tax roll or la~k~O If applicant isa co,oration, signature ~e~,~f~ 1, FOUNDATION-TWO REQUIa;. .OUaE (Name and title of corporate Ot~ iSUNLAWFUL a, ROUGH-F~INO, 8TRAPPINO, [L[~TRICAL & CAULKI~,3 VV I ~ ~lk/~.1 j 4, FINAL- CONSTRUCTION & ELECTRICAL MUST BE C~TE F~ C,O, .... :n, PANCY Location of land on which proposed work will be done: 5'- A,..,,- · House Number Street ? ALL CONSTRUCTION ~HALL ~ ~ REQUIREMENTS OF THE ~ OF NEW YO~K STATE. Hamlet County Tax Map No. 1000 Section / ~3 Block ~ Lot Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use_and occupancy of proposed construction: a. Existing use and occupancy ~'; Addition Alteration ~ Other Work (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor / b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars 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 Rear _Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase ~ I~ I~'x Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoni~glaw, ordinance or regulation? YES__ NO__ 13. Will lot be re-graded? YES NO --~Will excess fill be removed from premises? x~ES 14. Nantes of Owner of premises Name of Architect Name of Contractor Address(:~l~, q'~[ /~(U('qL PhoneNo.~q~'~{4 ~ Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a fi'eshwater wetland? * YES · IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES__ NO __ · IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO J 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. 18. Are there any covenal~t~ .a3tO,.I;~trictions with respect to this property'? * YES NO · IF YES, PROVIDE ~8~'i~?" -- -- STATE OF NEW YORK) SS: COUNTY OF~ ~ ..... being duly sworn, deposes and says that (s)be is the applicant (Name of individual signing contract) above named, ' cONNIE D. BUNCH Nota~ Public, State of New York (S)He is the No. 01BU6185050 (Contrac, tor, Agent, Corporate Officer, etc.) Quali~ed ~n Suffoll( t~oun y ~..~ ~ Commission Expires April 14, 2~_~/',¢ of said owner or ow.e2s, add ,is;duly authorized to perform or have performed the sa.i4 work and to make and file this application; that all stato13~]i~."~flat'ined ifftlli~f applii~atien are true to the best of his knowledgb~'~nd belief; and that the work will be perror~b~'~,~hi~ ~e,t fqix..ff i'fi the :aOl~ltcation filed tberewith. Sworn tO nelore me mis .... · ' ~ [-,~ dayof ~ 20 )~3-_ Notary Public Signature of Applicar~t - JUL 31 2012 BLDG DEPI. lO\I~N OF SOLIIHOLD Woodhull PO Box 971 Mattituck, NY 11952 July 31, 2012 Southold Town Building Department PO Box 1179 Southold, NY 11971 Re: Property at 285 Riley Avenue, Mattituck SCTM #1000-143-4-22 This will confmn that plumbing work, including installation of PVC piping, was done on the above-referenced property during the year of 2003. Please contact me if you need additional information. Thank you for your attention to this matter. Sincerely, Ruthanne Woodhull 631-298-9192 Town H~ Annex ,5437,5 Main Road P.O. Box 1179 Southold, NY 119714)959 Telephone (631) ?(~5-180~ · (631) 7 ro.qer, nchert~o~n.so~ u6~o~.ny.us BUll,DING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: JOBSITE INFORMATION: (*Indicates required information) *Name: ~-'~ ~) ~\~ I~.A-~, ~ ~r'~ *Address: ~5 ~;~,.',~,-~ ~ *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: { L~ Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information(If neededl *Service Size: 1 Phase *New Service: Re-connect Additional Information: YES / NO Rough In YES / NO Final 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 8,?_-Request for Insoect{on Form LAND N/F OF S.C.T. bl. NO. DIS'IRICT: 1000 SECTION: 145 BLOCK: 4 LOT(S): 22 ,LH~ RAUBO N70~31 'O0"E 75.00' ~o~. YON. WOOD POS~ - ~.~1 ~ s~ ~. RIL~ ~ ~ STO~G~ R~F ~R ~ ~ ~o'1 ~.~. ~ ~OSro~ 1 _5.~ LOT 2 ~.~.0 O u.~.t~ ~°~ i ~.~' ~or ~ ~ ~ ~ ~ ~co~c. s~ ~ ~ / -.- D~LLING o 2.9' ~ ' I 250.00' ~ ~[ RILEY (so') AVENUE c ss oa AREA:~,085.00 B~.FT. or O.SB AC~B u.al~ etewnon o~rum.. ......................... UNAUTHORIZED ALTERATION OR ADDIDO~ TO ~1~ ~R~Y I~ A ~OLAoON OF SECoON 7209 OF THE ~EW YORK $TA~ EDUCATIO~ LA~ COPIES OF THIS SURLY MAP NOT BEARING ~E LAND SUR~YOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COP~ GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR ~OM THE SURLY IS PREPARED AND ON HIS BEHALF TO ~E TI~E COMPAN~ GO~RNMENTAL AGENCY AND LENDING iNSTITUDON LISTED HEREON. AND TO ~E ASSIGNEES OF ~E LENDING INSTITUDON. GUARAN~ES ARE NOT ~ANSFERABLE. THE OFFSETS OR DIMENSIONS SHO~ HEREON FROM THE PROPERTY LINES TO THE STRUC~RES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC~ON OF FENCES. ADDInONAL STRUCTURES OR AND O~ER IMPRO~MENTS, EASEMENTS AND/OR SUBSURFACE STRU~URES RECORDED OR UNRECORDED ARE NOT GUARAN~ED UNLESS PHYSICALLY E~DENT ON THE PREMISES AT THE nME OF SURLY SURVEY OF: LOT 6 CERTIFIED TO: DONALD BERLINER; MA~ OF: CEO, H., W~LUAU T. AND D.T. R~[[Y ~ATT~TUCK L.~. nLEO: NOV. 27, 1928 No.186 SITUATED AT: MATTITUCK TO~ OF: SOUTHOLD ~NN~ M. ~O~CBDE [.S. SUFFOLK COUNTY, NEW YORK ~~ ~ ~nd Sure, rig and Desi~ P.O. Box ~, MatUtuek, New York, ~o~ (es~) ~-15~ ~ (~) FILE ~ ~2--56 SCALE: ~ "=~0' DATE:APRIL 25, 20~2 ~. Y. s. Lie N0, 50227 m,ln~inin~ ~e record. ~ Robert ~. TABLE P2904.5 WATER DISTRIBUTION PIPE WATER SUPPLY AND DISTRIBUTION MATERIAL STANDARD Brass pipe ASTM B 43 Chlorinated polyvinyl chloride (CPVC) plastic pipe and tubing ASTM D 2846; ASTM F 441; ASTM F 442; CSA B137.6 Copper or copper-alloy pipe Eopper or copper-alloy tubing (Type K, WK, L, WL, M or WM) gross-linked polyethylene (PEX) plastic tubing Eross-linked polyethylene/aluminum/cross-linked polyethylene PEX-AL-PEX) pipe ~2//~,,_ ~//~ alvanized steel pipe ~q'~ Polybutylene (PB) plastic pipe and tubing ASTM B 42; ASTM B 302 ASTM B 75; ASTM B 88; ~ ASTM B 251; ASTM B 447,// ASTM F 877; CSA B137j ASTM A 53 x~ Polyethylene/aluminum/polyethylene (PE-AL-PE) composite pipe itainless steel (Type 304/304L) pipe ASTM A312; ASTM A778 Stainless steel (Type 316/316L) pipe ASTM A312; ASTM A778 TABLE P2904.6 PIPE FI'I-rINGS MATERIAL STANDARD Acrylonitrile butadiene styrene (ABS) plastic ASTM D 2468 Brass ~.STM F1974 Cast-iron ~.SME B 16.4; ASME B16.12 Chlorinated polyvinyl chloride (CPVC) plastic ASTM F 437; ASTM F 438; ASTM F 439 ASME B16.15; ASME B16.18; ASME B16.22; Copper or copper alloy ASME B16.23; ASME B16.26; ASME B 16.29 Fittings for cross-linked polyethylene (PEX) plastic tubing ASTM F 1807; ASTM F 1960; ASTM F 2080 Gray iron and ductile iron AWWA C110; AWWA ~2153 Malleable iron ASME B16.3 Polyethylene (PE) plastic ASTM D 2609 Polyvinyl chloride (PVC) plastic ASTM D 2464; ASTM D 2466; ASTM D 2467; CSA B137.2 Stainless steel (Type 304/304L) pipe ASTM A312; ASTM A778 Stainless steel (Type 316/316L) pipe ASTM A312; ASTM A778 Steel ASME B 16.9; ASME B16.11; ASME B16.28 ASTM F 1282 RESIDENTIAL CODE OF NEW YORK STATE 391 WATER SUPPLY AND DISTRIBUTION TABLE P2904.5 WATER DISTRIBUTION PIPE MATERIAL STANDARD TABLE P2904.6 PIPS FI~DNGS MATER[AL STANDARD Acrylonittile butadlene styrene (ABS) plastic 'ASTM D 2468 Brass ASTM FI974 Cast-iron ASME B 16.4; ASME B 16.12 Chlonnated polyviny[ chloride (CPVC) plastic AS]~I F 437; ASTM F 438; ASTM F 439 Copper or copper alloy ASME B 1615; ASME BI6 18; ASME B 1622; ASME B 16.23; ASME BI6.26; ASME B 16.29 Fittings for cross linked polyethylene (PEX) plastic tubing ASTM F 1807; ASTM F 1960; ASTM F 2080 Gray iron and ductile iron AWWA C110; AWWA C153 Malleable iron ASME B16.3 Polyethylene (PE) plastic ASTM D 2609 Polyviny] chloride (PVC) plastic ASTM D 2464; ASTM D 2466; ASTM D 2467; CSA BI 37.2 Stainless steel ~ 304/304L) pipe ASTM A312; ASTM A778 Stainless steel (Type 316/316L) pipe ASTM A312; ASTM A778 Steel ASME B 16.9; ASME BI6 11; ASME B 16 28 RESIDENTIAL CODE OF NEW YORK STATE 391