HomeMy WebLinkAbout39052-ZTown of Southold
-
P.O. Box 1179
®
W 53095 Main Rd
0 0 �4
, ®& $ Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37684 Date:
THIS CERTIFIES that the building ALTERATION
Location of Property: 885 Wickham Ave, Mattituck
SCTM #: 473889
Subdivision:
Sec/Block/Lot: 140.-2-9
Filed Map No.
7/31/2015
7/31/2015
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/20/2014 pursuant to which Building Permit No. 39052 dated 7/24/2014
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:
INTERIOR ALTERATIONS TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR
The certificate is issued to McCarthy, Thomas & McCarthy, Susan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39052
09-22-2014
%'3fF6L4'- TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o a 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 #: 39052 Date: 7/24/2014
Permission is hereby granted to:
McCarthy, Thomas & McCarthy, Susan
PO BOX 1266
Southold. NY 11971
To: Alterations to an existing commercial building as applied for.
At premises located at:
885 Wickham Ave. Mattituck
SCTM # 473889
Sec/Block/Lot # 140.-2-9
Pursuant to application dated 6/20/2014
To expire on 1/23/2016.
Fees:
and approved by the Building Inspector.
COMMERCIAL ADDITION/ALTERATION
CO - COMMERCIAL
Total:
Building Inspector
$250.00
$50.00
$300.00
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.
New Construction: Old or Pre-existing Building: (check one)
Location of Property:
House No. Street Hamlet
Owner or Owners of Property:J�•
Suffolk County Tax Map No 1000, Section u 1�0 Block _ Lot
Subdivision Filed Map. Lot:
Pen -nit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: - ✓ (check one)
Fee Submitted: $
Applicant Signatu e
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
roger. riche rt@town.southold.ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: McCarthy
Address: 885 Wickhah Ave City: Mattituck St: NY Zip: 11952
Building Permit#: 39052 Section: 140 Block: 2 Lot: 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: All Pro Electric License No: 33703 -me
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only
Commerical X Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
L`P/�►� ft7�
Service 1 ph
Heat
Duplec Recpt
62
Ceiling Fixtures
HID Fixtures
Service 3 ph
Hot Water
GFCI Recpt
3
Wall Fixtures
4
Smoke Detectors
Main Panel
A/C Condenser
Single Recpt
Recessed Fixtures
CO Detectors
Sub Panel
100a
A/C Blower
Range Recpt
Fluorescent Fixture
65
Pumps
Transformer
Appliances
Dryer Recpt
Emergency Fixtures7
Time Clocks
Disconnect
Switches
22
Twist Lock
Exit Fixtures
TVSS
Other equipment:
6 -gas heaters, 1 00f lighting track with 30 heads, 3 -baseboard electric heaters,
9 -combination "exit/emergency" lights
Notes:
Inspector Signature: _-5z4Date: Sept 22 2014
81 -Cert Electrical Compliance Form.xls
OF
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TOWN. OF SOUTHOLD BUILDING --DEPT.,
765-1802
N-SPECTION'
[ ] FOUNDATION IST [ ] ROUGH PLUMBING
[ FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING/ STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CA G
REMARKS:
DATE
.INSPECTOR
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TOWN OFSOUTHOLD BUILDING DEPT.
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[ ]FIRE RESISTANT CONSTRUCTION
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL i
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
PERMIT NO.` O _
Examined%�91 '20 C1
Approved P°'' , 20�
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
C.O. Application
Flood Permit
Single & Separate
Storm -Water Assessment Form
Contact:
Mail to:
141
'Y"3
20 /V
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 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 na e, if a corporation)
(Mailing address of applicant) /J 9•j 7
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premisesf,, —s /41 L',_, -1A
(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. �,?yo 7- //
Plumbers License No. _
Electricians License NO.
Other Trade's License No.
Location of land on whVIIC-/�
roposed work will be done:
�'r1S ham,
House Number Street Hamlet
County Tax Map No. 1000 Section 140 Block
DLot
2
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
b. Intended use and occupancy, -Avn
Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost
5. If dwelling, number of dwelling units.
If garage, number of cars
(Description)
Fee
(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
8. Dimensions of entire new construction: Front Rear r "Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase
ame 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_
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No_
Name of Contractor 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 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.
Rear
w
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 NO
* IF YES, PROVIDE A COPY.
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 D. BUNCH
Notary Public, State of New York
50
(S)He is the ��c �✓ No. O1 01ialified in Suffolk
County
(Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14, 2
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 to before me this
—day of 20
Notary Public
1431~' /
Signature f Applicant
Scott A. Russell ,��-°SU jr SF01KMWAT]EIK
SUPERVISOR \][A\1�A\(G�JE��/JUE1��C'
z
SOUTHOLD TOWN HALL - P. O. Box 1179 p
53095 Main Road- SOUTHOLD, NEW YORK 11971 ti Town of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
----------
DOES
------- DOFS THIS PRojECT INVOLVE ANY OF THE FOLLOWING
(CHECIC ALL THAT APPLY)
A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
B Excavation or f 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. t
Sitere aration within the -one-hundred-year floodplain as depicted
P P
on FIRM Map of any watercourse. r
F. Installation of new -or resurfaced impervious surfaces of 1,000 square
i
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 Cbeck List Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner, Design Professional. Proofe'ional. Agent, Contractor, Other)
NAME: //V) -"x l \ o�/�% a� a�
(N-)
/� tSgmemrJ ' /J G
Contact Information: '1 3/ - � / O r 70Y3
Mkph—NumheA
Property Address / Location of Construction Work:
FORM ' SMCP - TOS MAY 2014
S.C.T.M. #: 1000 Date_
District � /�
Sectionn�Block Lot
FOR BUILDING DEPARTMENT USE ONLY""
Reviewed By:
Date:
--------------
Approved for processing Building Permit-
Stormwater Management Control Plan Not Required.
Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review-)
TOM
5 ME L� v �r� Telephone (631) 78g65-1802
(631)SOUtnS
P.O. B 1 �'� 0 �� r�Qel:richertf�oR O nV us
Southold, AUG - 1 2014
�bei�usv_
BLDG. DEPT.
TOWN OF SOUTHOLMBi]ILDIN DEPARTTMIVNNr
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �S\\ O C pec ®ate:
Company Name: `\ Z; 6 i C
Name: C Y1
License No.: p 3 6
Address: 9• O loo rC3 d e, i 1..
Phone No.: (p \ O O G
JOBSITE INFORMATION: (*Ind!
*Name:
*Address:
*Cross Street:
*Phone No.:
required information)
Permit No.:j j (p. 3c( 0 -
Tax -Map District: 1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Block:
Lot:
(Please Circle Ali That Apply)
*Is job ready for Inspection: ES / NO. Rough In Final
*Do- you need a Temp Certificate: YES! NO
Temp lnformadon (If needed)
*Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other
;'New Service: Re -connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.824Request for 1Wwiion Form
ea
'UPANCY OR
- IS UNLAWFUL
WITHOUT iJERTlFIG, T
11fE- s1' ,I 1ftI\icy
FIRST FLOOR ELECTRICAL PLAN
SCALE 1/16" = 1'-0"
ES
OF
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SO I � S OARD
SO r _ i�'v"�NTRUSTEE
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ELECT PRICk'kU
ELECTRICAL SYMBOL LEGEND
ELECTRICAL OUTLET.
M® EMERGENCY EXIT.
EMERGENCY Lldl!TiNd.M
APPR VED AS � �OT E D
DATE: /�3.P.I � m�
FEE: B'r,a.
NOTIFY BUILL?IN�? i:�=�-, - TlviEP1T AT
765-1802 8 AM TO Pi -A FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR CO.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
LCY DESIGN - 151 LAFAYETTE ST. 2nd FL.
www.LCYdesigngroup.eom NEW YORK, NY. 10013
P: 212 228 3834 Q 917-843-3552
louie®LYCdesigngroup. com
PROJECT
885 WICKHAM AVENUE
MATTITUCK, N.Y. 11952
SHEET
FIRST FLOOR ELECTRICAL PLAN
SI L X10 yC�l
DATE 08-10-74
PROJECT No
DRAWING BY: YB
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FIRST FLOOR CONSTRUCTION PLAN
SCALE 1/16" = 1'-0"
GENERAL CONSTRUCTION NOTES
1. CONSTRUCTION SHALL COMPLY WITH ALL FEDERAL, STATE, AND LOCAL CODES,
ORDINANCES, RULES AND REGULATIONS PERTAINING TO LABOR AND MATERIALS.
IF DRAWINGS OR SPECIFICATIONS CONFLICT WITH ANY LAW OR CODE, THE
PERTAINING LAW OR CODE SHOULD SUPERCEDE DRAWINGS AND SPECIFICATIONS.
2. CONTRACTOR TO PROCURE AND MAINTAIN ALL INSURANCE REQUIRED BY STATUTE
AND BY BUILDING OWNER.
3. THE CONTRACTOR SHALL VERIFY ALL CONDITIONS, DIMENSIONS AND LOCATIONS
SHOWN ON THE DRAWINGS AND SHALL NOTIFY THE ARCHITECT/ENGINEER OF
ANY DISCREPANCY.
4. CONTRACTOR SHALL MAINTAIN PROTECTION OF THE PUBLIC, CONSTRUCTION
PERSONNEL, AND PROPERTY.
5. CONTRACTOR SHALL SAFEGUARD ALL WORK, MATERIALS, TOOLS, AND.EQUIPMENT
ON THE SITE AND ON ALL ADJACENT PROPERTY WHETHER FURNISHED BY
CONTRACTOR -OR -OWNER.
6. THE CONTRACTOR SHALL SUBMIT ALL SHOP DRAWINGS AND SAMPLES, AND PRODUCT
DATA FOR ALL MATERIALS, INSTALLATIONS, AND EQUIPMENT SUBJECT TO STANDARDS
OF NEW YORK STATE BUILDING CODE. BY SO DOING THE CONTRACTOR REPRESENTS
THAT HE HAS VERIFIED ALL MATERIALS, FIELD MEASUREMENTS, AND FIELD
CONSTRUCTION CRITERIA.
7. THE CONTRACTOR SHALL FURNISH ALL WORK AND MATERIALS NOT MENTIONED,
BUT NECESSARY FOR THE PROPER EXECUTION AND COMPLETION OF WORK.
8. ALL MATERIALS AND CONSTRUCTION TO BE -INCORPORATED IN THE WORK SHALL BE
IN STRICT ACCORDANCE WITH THE LATEST EDITION OF THE ASTM SPECIFICATIONS
APPLICABLE AND SHALL CONFORM TO THE STANDARDS AND RECOMMENDATIONS OF
--THE-VARIOUS-TRADE INSTITUTES-(A.C:I., A.I.S.C., ETC.) WHERE APPLICABLE.
LEGEND
O EXISTING WALLS AND PARTITIONS
® NEW PARTITIONS— 3 5/8" 20 GAUGE METAL STUDS
16" O.0 WITH ONE LAYER OF TYPE X GYP. BD ON EACH SIDE
FIRST FLOOR ELECTRICAL PLAN
SCALE 1/16" = 1'-0"
ELECTRICAL SYMBOL LEGEND
ELECTRICAL OUTLET.
M EMERGENCY EXIT.
T EMERGENCY LIGHTING.