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HomeMy WebLinkAbout38942-Z Town of Southold Annex 8/13/2014 P.O. Box 1179 co a 54375 Main Road o4 4 Lt Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37087 Date: 8/13/2014 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 5050 New Suffolk Ave, Mattituck, SCTM#: 473889 Sec/Block/Lot: 115.40-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/29/2014 pursuant to which Building Permit No. 38942 dated 6/6/2014 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"ALTERATIONS TO A SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Evans, Martin&Evans, Doreen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Autho ' e Sig ture `g11FF0(,�''' 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 #: 38942 Date: 6/6/2014 Permission is hereby granted to.- Evans, o:Evans, Martin & Evans, Doreen _ 178 Oceanview Rd East Rockaway, NY 11518 To: as built" alterations to an existing single family dwelling as applied for. At premises located at: 5050 New Suffolk Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-10-3 Pursuant to application dated 5/29/2014 and approved by the Building Inspector. To expire on 12/6/2015. Fees: AS BUILT - SINGLE FAMILY ADDITION/ TION $400.00 CO -ALT ION TO DWELLI $50.00 Tot $450.00 Building Ins 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 following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or 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 Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent 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,Accessory building$50.00,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. —ail 1� New Construction: Old or Pre-existing Building: (check one) Location of Property: `?C, �= House No. ` Street Hamlet Owner or Owners of Property: I l l� T 1 Q <_:�V/T tO � Suffolk County Tax Map No 1000, Section 5 Block Lot 3 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ nt ignature SOOlyol COUN,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FO DATION 1 ST [ ] ROUGH UMBING [ ] UNDATION 2ND [ ] INS ATION [ FRAMING / STRAPPING [ INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: :a DATE INSPECTOR1 FIELD INSPECTION REPORT DATE COMMENTS �v ot FOUNDATION(IST) — C FOUNDATION(2ND) ROUGH FRAMING& `' y PLUMBING INSULATION PER N.Y. H STATE ENERGY CODE FINAL ... VITT O l.` �-a '1 tri TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 R @ Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ._,20 (tom r-- ---- Single&Separate Storm-Water Assessment Form / ontact: Approved (�' ,20 -I U 1 MAY 29 2{?14 ; Mail to: Disapproved a/c IPhone: he Expiration 120 Bui ding I APPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS 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 12 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 beettenacted 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 of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises WAR7-/4J 4—=--11AA/5 (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. 1. Location of land on which proposed work will be done: So bin ls,�nay -521PF0tK A� / ,477t7ye,6 House Number Street Hamlet County Tax Map No. 1000 Section ��`—Block /,a Lot 3 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 -Pr r5 t DF,vuGb b. Intended use and occupancy C52:�)Vxk-y 3. Nature of work(check which applicable): New Building Addition Alteration Repair _ Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units ` Number of dwelling units on each floor If garage, number of cars -0 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 Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front t Rear 21'� �� Depth Height > Number of Stories f 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated r, 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO K, 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO �euJ-'/�p 14. Names of Owner of premises Address Ea�c-r��� �k`APhone No.SIG- x-37 3i4�' Name of Axwl thu ��/ ress!7N 4 9 — one No Z.4�es Name of Contractor7e:%dv Q �rx dress 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 of a tidal wetland? * YES G 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. 18. Are there any covenants and restrictions with respect to this property? * YES NOI-"� * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF on n J �. (/vy- being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing,contract)above named, (S)He is the f; -r41� (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. Sworn tp before me thi day of 20 I E Notary �1 t gt 0 / Sign a of Applicant Qualified in Su County Commission Expires 09/24/20�� Scott A. Russell �0°��� � SUPERVISOR MAN AG]EM[]EN T z SOUTHOLD TOWN HALL-P.O.Box 1179 Qt Southold + 7 53095 Main Road-SOUTHOLD,NEW YORK 11971 0 rh\ Town of�J o u th o l d � � CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES 'FHIS IPROJEC'I' RNVO]LyIE ANY OF 'FH[IE 1FO]LILOWING: Yes No (CHECK ALL THAT APPLY) A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. E1W B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. Elfff F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. ": 1000 Date: District --�) NAME: Section IB ock Lot 1,0P I (L:I")I�t; DI�P��I�'F111;.N"1 C;�1. O L.,`t' •��" Contact Information '/i � 7 dr„io� mrxd Reviewed By: Date: Property Address / Location of Construction Work: — — — — — — — — — — — — — — Approved for processing Building Permit. [Je1� f��i/ ©I Stormwater Management Control Plan Not Required. — — — — — — — — — — — — — — — — �L(���� N �j ❑ Stormwater Management Control Plan is Required. (Forward to Lngineering Department for Review.) FORM 1 SMCP-'I'OS MAY 2014 TOWN OF SOUTHOLD Pr,-,OPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT �46/Ar ve FORMER OWNER N A/ E ACR. hev-r ]?,,13 fAl 0, 7-5 Y S libi W TYPE OF BUILDING 6 SEAS. VL. r FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ZP 1-7 L«- Ar I 100 9 �Z 7'1 zap q 7'0/ C.00 1 1) (20 L I a� 9(a to- 2-0 6p# 30-M- �nst--11 qo� AGE BUILDING CONDITION 2Z NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH Av House Plot BULKHEAD Total DOCK 2'x2'x10" Footing an CMU Pier ' o Existing CMU Foundation Wall Scope of Work -•AT - Replace existing rot and termite damaged sill southeastern comer. Sistered Existing L_——J - Sister existing floor joists and add new where spaced on 24 inch centers. 2 x 8 v 16 OC C> - Replace existing beam with triple 2 x 6 on existing support posts. F U Ri '0 U1 � T4 r Brawl 2 Rt IC`.1 "."" (� 04 X Space - Install new header over stair opening. 3. iNISUL ACION N CM - Install new footing and pier under crawl space beam. i r F ALL C0 STRt'S .... SHALL 'SEE T THE X All new lumber is to be No. 2 Douglas Fir or better. REQU`REMIEN T S 0,::.rHE&'-',D _FS OF N 'h, W YORK STATE. NOT rES?ONS`BLE FOR Existing Block Pie xisting CMU Wall DESIGN OR CON TF'iUO T 1CIN ERRORS. I r- .o ICY OR JE-)F IS UNLAWFUL _ - ,�. OF L WITHOUT CERT6FICATE r� ���N, �E r s- ti OF I Existing & New OF OCC IPANCY Existing 2 x 8 2 x 6 11 V V V f 1 i!V 16"OC 16„ OC Existing 4"0 Steel Columns - - 00 New )2x6 00 x X N cv M_ I Cellar 3 Z �I Z CD ��p� MEW !gip c s Existing & New Q` X U I 16" OC "00 � X N N CO W N xisting CMU Wall Plans are prepared by Condon Engineering,P.C. It is a violation of the New York State Education Law,Article 145,Section 7209,for any person unless acting under the direction of a licensed d Professional Engineer,Architect,or Land Surveyor,to alter any item in any way.If an item bearing c Q Crawl the seal of an Engineer,Architect,or land Surveyor is altered,the altering Engineer,Architect,or DSs�a XCD to Space Land Surveyor shall affix to the item his/her seal and the notation"Altered by"followed by his/her W x signature and the date of such alterations,and a specific description of the alteration. N Existing CMU Foundation Wall Scale: 1/4" = 1'-0' New Condon Engineering, P.C. e cQ stl 5050 New Suffolk Avenue Drawn by : JJC 1755 Sigsbee Road SM1 Mattituck, New York 11952 Mattituck, New York Date : 5-29-2014 (631) 298-1986