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HomeMy WebLinkAbout36154-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 1/30/2013 CERTIFICATE OF OCCUPANCY No: 36126 Date: 1/30/2013 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 70 WESTVIEW ROAD MATTITUCK, Sec/Block/Lot: 139.-1-10 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/18/2011 pursuant to which Building Permit No. 36154 dated 1/26/2011 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: interior alterations to an existing one family dwelling as applied for. The certificate is issued to ARTHUR A1ELLO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 1/28/13 36154 8/1/11 Wa!!_e~Ma~rczew~s~" Autl~rizVed Signature f 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. 36154 Z Date JANUARY 26, 2011 Permission is hereby granted to: D AIELLO (HAMANN) 615 MARLENE DR MATTITUCK,NY 11952 for : INTERIOR ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax ~p No. 473889 Section 139 pursuant to application dated JANUARY Building Inspector to expire on JULY 395 BROWER RD MATTITUCK Block 0001 Lot No. 010 18, 2011 and approved by the 26, 2012. Fee $ 247.60 ed Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTItOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 BIDG DE. PT, TOWN OF SOI,THOI APPLICATION FOR CERTIFICATE OF occUPANcY ~ appli~tion must be filled in,by typewrite~ or ink and submitted to the Buildiag Department with the following: A~ Ii'or new building or new use: 1. Final aurv~' of property with accurate location of all buildings, property lines, strects, and unusual natura} or topographic featur6s. 2.Final Approval from Health D~pt. of water supply and sewerage-disposal (S-9 fonnJ~ 3..Approval of electrical installation from Board 6fFire Underwriters. 4.'Sw. om stat~aent from plumb~ certifying that the solder used in system contains less than 2/10 of 1% lead.. $. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code ComPliance'from architect or engineer responsible for the building~ .(5.Submit planning Board Approval of completed site plan requirements. B. ]For existing buildings (prior to April 9, 1957) non-conforming us~s, or buildings and "pre-existing" land uses~ 1. Accurate survey of property showing all property lines, streets, building and unusu~! natural or topographic features. 2. A properly eogmpleted application and corpse, hr to inspect signed by the applicant. If a Certificate of Occupancy 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, Swimming pool $50.00, Aceessory building-S50.00, 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. New Construction: Location of Property: 7t~ ~,J~7~l/'/,ct,~ .J.~ , Hous~ No. Street OwncrorOwnerso~Property: --~&~/X ¢ ,~LF~-7-/~"~' Suffolk Copnty Tax Map No 1000, Section /3 ~. Subdivisi6n Permit No..~'ff-./"5"'t7~ Health Dept. Approval: Old or Pm-existing Building:' (check one) Hamlet Block / Lot / Filed Map. DateofPermit. /- 2-~-'// Applicant:. Underwriters Approval: Planning Board Approval: Request for: Foe Submi,ed: $ Temporary Certifica_te- ~ ~ .--7~. 'nat Certificate: (check one) ~'~l r c; ,:i:~ ! / Applicant Signature L It,',; ;i ,:~,:fil,B j Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 ro.qer, richert~town southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Doris Aiello Address: 395 Brower Rd City: Mattituck St: NY Zip: 11952 Building Permit #: 36154 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Big Blue Electric LLC License No: 35348-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: 200a overhead service Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures [~ CO Detectors Fluorescent Fixture~.~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures [~ TVSS Inspector Signature: Date: Aug 1 2011 81-Cert Electrical Compliance Form Town Hal~ Annex 54375 Main Road P~O. Box 1179 Soutl',old. New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARI.%~ENT TOWN OF 8OUTItOLD C E RTI F 1 CAT 10_...~N Date: I certify that the solder used in the water supply system contains less than 2110 of 1% lead. Sworn to before me this day of~ Notary Public, ~.~ Ct a~_~ Co unty CONNIE D. Notary Public, State No. 0~BU618. Qua!i?ied in Suffol~ Oommission TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ~'~OUGH PLBG. [ ~NSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICA~il~OUGN) [ ] ELECTRICAL (FINAL) INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG., [ ]FO/~NDA~[ ]INSULATION [ ]~AMING~ST~PPINGJ [ ]FINAL IV]~ FIREPLAC~ [ ]FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) [ ] ELECTRICAL(ROUgH) REMARKS: DATE INSPECTOR/~./~/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 I NSPE t ' FOUNDATION 1ST (, [ ~] ROUGH P~P.PLBG;~'~. [ ]/F/OUNDATION 2ND [ ] INSULATION / FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ELECTRICAL (ROUGH) REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ~/~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTA#I' CONSTRUCTION[ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) DATE / ~- - '7-/~ INSPECTOR TOW~I OF SOUTHOLD BUIldING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined / ~'- ~"'~ _ 20 II Approved / '"-- ~-~ 20 [( Expiration ~7 f ~o , 20 I ~-- BLDG. DEPT. , , TOWN OF SOUTHOLD PERMIT NO. BUILDING PERMIT APPLICATION CHE~K,LIST Do you have or need the following, before app~yi'ng? Board of Health 4 sets of Building Plans Planning Board approval. Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector ?LICATION FOR BUILDING PERMIT INSTRUCTIONS Date I~/~/- ,20 '/ a. This 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 throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within I2 months after the date of issuance or has not been completed within 18 months 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 Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, 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) (Mailing address df applicant) State whether applicam i~ssee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises //g'Z~t9- At' ~-- ~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized Officer (Name an~e p}]e~orate officer) Builders LicenS~l~.!,:,~*,:e Plumbers Line,se ~o. '" ' Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section /~00 Block /~ ri - / _/,:v Lot Subdivision Filed Map No. Lot ~_. ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. intended use and occupancy, Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (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 Rear Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height_ Number of: Stories Depth Rear 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front Rear _Depth Depth 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 regulation? YES NO 13. Will lot be re-graded? YES__ NO__ Will excess fill be removed from premises? YES NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No 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 BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES __ NO ~/ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate lbundation 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 covenants and restrictions with respect to this property? * YES.__ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE O. Notm~ pub#o, ~l~e Of New yolk (S)He is the (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. Swo_m [~ before me this Notary Public Signature of Applicant Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 · (631) 765:50 ro,qe r.nchert('~,,~wn.sou{~o~d .ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: -~. /4/~*/-,~ *Address: 3 ~-5~ ,,,~--z~ ,,J~,,,~ ,~ ( 7~ ~c~:~ T~"~"~ .~,"~ V~,_) *Cross Street: *Phone No.: ~_~/ Permit No.: Tax Map District: 1000 Section: /~',~ Block: /.3 ~'- /_/¢ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed} *Service Size: 1 Phase *New Service: Re-connect Additional Information: YES / NO Rough In YES / NO Final 3Phase 100 150 ~"~20_~ 300 350 400 Other Underground Number of Metem Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 , ~ax (631) 765,-,95q2, ro,qer.ricner~(~,town.soutno~a.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOI.I~ APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: Date: JOBSITE INFORMATION: *Name: *Address: *Cross Street: L~.~O ~',,~ *Phone No.: Permit No.: Tax Map District: (*Indicates required information) 1000 Section: / ~,c) 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: 3Phase 100 Underground YES/NO Rough In YES / NO 150 200 300 350 400 Number of Meters Change of Service PAYMENT DUE WITH APPLICATION Final Other Overhead 82-Request for Inspection Form TOWN OF $OUTHOLD PROPERTY RECORD CARD OWNER STRE~ ~'~6- WLU, GE ~S~.SU~. ~0~ ~.~ S~S.. VL. FARM CO~. ' CB. MICS. Mkt. Valu~ / ~ND IMP.. TOTAL DATE R~RKS AGE BUILDING CONDITION N~ NOeL BELOW ABOVE ' FAKM Acr~ Valu~ Per Value Acre Tillable FRONTAGE ON WATER W~land FRONTAGE ON ROAD / / ~ ~ ~. ~ ~ ~ Meodowland DEPTH / / ~ ~:~;~ , H~se Plot BULKH~D ';, Total ~ ~ DOCK JUL ] 8 20]2 T( ',',[', ,;)l :~%ll40tO Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone(631)765-1802 Fax(631)765-9502 BUILDINGDEPARTMENT TOWN OFSOUTHOLD December 11, 2012 Doris Aiello PO Box 1141 Mattituck, NY 11952 Re: 395 Brower Rd., Mattituck TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: ~. ~-'~pplication for Certificate of Occupancy. (Enclosed) kT'~~_ Electrical Underwrite rs Certificate (contact your electrician, ~X'~ ~---? A fee of $50,00, ' __ Final Health Department Approval. v/ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees # 765-1892) __ Final Planning Board Approval. (Planning # 765-1938) __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. __ Final inspection by Building Dept BUILDING PERMIT: 36154 - Interior Alteration BUILDING PERMIT EXAMINER CHECKLIST Applicant: . ~ SCTM# 1000-- I~q-- I -- t0 Subdivision: Property address: '~tT. [d/~ ~ Building Permits (Open/Expired): BP ~-Z / ~0 Z-~ ~fo: BP ~ -Z / ~0 Z- , Info: BP~-Z / C/0 Z- , ~fo: Single & Separate Search Required? Y o~etermination: ~Q. ~t Size: ACT. ~t Size: ~Q. Front ACT. Front ~Q Side ACT. Side *Date Submitted: Owner: Estimated Cost: Zone: Conforming? ~ City:./~~ Pre COs? BP -Z / C/0 Z- , Info: BP__-Z / C/0 Z- , Info: __ REQ. Lot Coy. __ REQ. Rear__ ACT: Lot Coy. PROP. Rear REQ. Height. ACT. Height I~ ~a~, ,~,d~- $tb¢$ , A CT Waterfro{at? Y o~.) If yes, water body: Panel# ~-- Flood Zone: ~ Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y or(l~/- If yes, *Bed#: *Date: / / *Permit#.' - If no, certification required: Y or N Received: Y or N By: NYS DEC: e~o~c~,an5 Yor~)- Date: / / Southold Trustees: y or~- Date: / Southold ZBA: Y or~ - Date: / Permit #: Pernfit #: / Permit #: z Town Septic: Y o(.~ or NJ Letter - Notes: or NJ Letter - Notes: - Notes: Southold Planning: Y o~- Date: :1 __ Permit #: Town Landmark C of A: Y o~)TE: /__ - Notes: Compliance (page 2)~r N CODE Fee Structure: Foundation: SF First Floor: }1 ~ SF Second Floor: SF Other: SF Total: SF Calculation: I Iq x, .' ¥, 4 + Initial Fee: $ + Additional Fee ( ): $ SF X $ :$ + Initial Fee: $ + Additional Fee ( ): $ TOTAL: $ a~'-O0,0 0 57'-6" 15'-8" 3046 BEDRC)f~M ~ q KITCHEN DINING HAl I WAY S~OKE AND Co DE~CTORS TO BE INSTALLED PER CODE lIVING 16' × 19' GARAGE 12' x 23' BEDROOM # 2 BFI)RC)C)M # 1 9'xW REPLACE EXISTING OPENIN6 WITH EGRESS WINDOW 3046 3046 27'-0" 57'-6" FLOOR PLAN SCALE: 1/4": 1'-O" 18'-2" 12'-4" COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED ~ S HOLD T,0W .Z -~:~--~i---- SOUTH~NNING BOARD APPROVED AS NOTED TIFY BUILDING DEPARJE~ AT .~-1802 8 AM TO 4 PM FOR THE LOWING INSPECTIONS: ~ OUNDATION - ~ REQUIRED ~ 3R POURED CONCRE~ ~UGH - FRAMING, PLUMBING, ~PPlNG, ELECTRICAL & CAULKING ~TION ~L- CONSTRUCTION & ELECTRICAL ~T BE COMPLETE F~ C,O. '~RUCTION SHALL ~ ~E ; C 'EMENTS OF THE C~ES OF NEW ," ATE NOT ~S~I~ FOR bE ~ ', OR CONS~UCTION ELECTRICAL INSPECTION REQUIRED DRAWN BY: 3F 3anuary 15, 2011 SCALE: 1/4" = 1'-0" SHEEI NO: $7'-6" 3046 10' x 11' BATH KITCHFN DINING HAl ~ WAY LIVING SMOKE AND Co DETECTORS TO BE INSTALLED PER CODE 12' x 23' BEDRt~C)M # ? gEDRC~C)M # 1 REPLACE EXISTING OPENING Wll~ EGRESS WJNDOW 3046-2 27'-0" lNG OPENING EGRESS WINDOW 3046 18'-2" 12'-4" 57'-6" FLOOR PLAN SCALE: 1/4" = 1'-0" AUG - 6 2012 BLDG DEPT. DRAWN BY: 3F 3uly 18, 2012 ~CALE: 1/4"= 1'-0" SHEET NO: