HomeMy WebLinkAbout28173-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28350 Date: 04/19/02
THIS CERTIFIES that the building ALTERATION
Location of Property: 495 RILEY AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 143 Block 4 Lot 17
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 14, 2002 pursuant to which
Building Permit No. 28173-Z dated MARCH 14, 2002
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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ELLEN & VINCENT MCLAUGHLIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELEC.'TRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Aut orized Snature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28173 Z Date MARCH 14 , 2002
Permission is hereby granted to:
ELLEN & VINCENT MCLAUGHLIN
1 PRIVATE ROAD
NORTHPORT,NY 11768
for
ALTER AND REPAIR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
THIS PERMIT REPLACES BP#22501
at premises located at 495 RILEY AVE MATTITUCK
County Tax Map No. 473889 Section 143 Block 0004 Lot No. 017
pursuant to application dated MARCH 14 , 2002 and approved by the
Building Inspector.
Fee $ 150 . 00
71f'o ized Signature
ORIGINAL
Rev. 2/19/98
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD,N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
............................... 19..
Date ................ .....
Na 22501 Z
Permission is hereby granted to;
- / C
� Lr � ....................1 ...... - . .......�f
..... � lG.......... ......................
to...../�% - .......... ......�"���ir� .
�1........... ........... ........ ....... .�......................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................... . .... ...............................................
at premises located at..............`T.../.!5........i ........... 'E....................I........................
C........................................... . ............
County Tax Map No. 1000 Section ....../, ...... Block........ . ...... Lot No. .`
pursuant to application dated ............ ................. 19...... and approved by the
Building Inspector.
Fee$..... � '.6='.......
ildin Inspector
Rev. 6/30/80
7 • Z-
• Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 f 1,�
APPLICATION FOR CERTIFICATE OF OCCUPANCY
!1
L)
This application must be filled in by typewriter or ink and submitted to the Building Department with the follow ng:
� 0 T
A. For new building or new use: �----- !OLD
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%0 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 a 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$25.00,Additions to dwelling$25.00,Alterations to,dwelling$25.00,
Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Photocopy of Certificate of Occupancy-$ 0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$,,155/.00
Date. `�' 5-/Z
New Construction: Old or Pre-existing Building: (check one)
Location of Property: e 't /lf V //I 1r2_
House No. Street amlet
Owner or Owners of Property: A.$ -i GtuC N 1, IJ
Suffolk County Tax Map No 1000, Section �4 3 Block Lot / 7
Subdivision _Filed Map. Lot:
Permit No. A B l 73ZDate of Permit. Z Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
od
Fee Submitted: $ o T
2 o1�s3 U Applicant
C� ���
PROFESSIONAL ENGINEER
1725 HOBART ROAD/PO Box 616, SOUTHOLD, NEW YORK 11971
TEL 631-765-2954 • FAX 631-614-3516 • e-mail: joseph@fischetti.com
Date: April 3, 2002
Reference: Permit#29173Z
Southold Building Department
Main Road
Southold,NY 11971
Dear Sir,
I inspected the completed work at 495 Riley Avenue in Mattituck. The floor framing
under the existing bath was re-constructed due to termite damage and has been completed in
accordance with New York State standards.
Three (3) skylights have been installed between the existing roof rafters. Because the
house has been finished,the interior framing can not be inspected. The work has been supporting
the roof loads for seven (7)years without evidence of any failure. We can assume that the
skylight framing should continue to support the expected loads.
AOF NEH,y
i
Op �O- 0525�� ��C9
Joseph Fischetti, PE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS
ZeaZ 04r
lVe
DATE o2 �� INSP 6
11DATIOY
1JDAT20II (2nd I ti
z
:;H FRAME - I)
..;;'•PLUMBING .'`' . • .. .. . - . . i
L.,?ION PER H H. Y. II n
STATE ENERGY -• II ��
CODE II
•FINAL
Akz
ADDITI011AL COMMENTS : m
IY-
• A7L - -75-Y - 07-60
�q S GS L� - • • ��
• x
rr)
.•�'•.'/ Y��1�f►`_ - -ter.:. —s •'Y-sem..-il.i..•i r:r •i .. • .. .. ... .. ► • - ... .. "� .�1►.id/. .
FORM NO, 1 BOARD OF HEALTH.
3 SETS OF PLAV S , - .
TOWN OF SOUTHOLD SURVEY _ • • •
BUILDING DEPARTMENT cllEcl; • • ' - ' ' ' '
TOWN HALL SEPTIC r• . . . _ - - ♦ •
SOUTHOLD, N.Y. 11971
Examined , . , ��// / TEL.. 765-1802 —
. 19 CALL
Approved . . . . . . . . /LPermit NMA I L T • .
•, 1 o:�1,�/ZL O •
SDisapproved,arc . . . .-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - • ' • ' . . . _
. . . . . . . . . .
.. . . .
-- (Buil in • . . .�'%, . . . . . .
spector)
APPLICATION FOR BUILDING PERMIT
- - Date
• • . . ., 19�l,`f
INSTRUCTIONS _
a• This application must be completes
filled
Y typewriter or in ink and submitted to the Building Inspector, with
sets of plans,accurate plot plan to scale. Fee ccording to schedule.
b• Plot plan showing location of lot and of building
or areas, and giving a detailed description of la out of property buildings on premises, relationship to adjoining premises or public street
cation. p Y p p y must be drawn on the diagram
C. The work covered by this application may g -which is part of this apps
d• Upon approval of this application, Y not be commenced before issuance of Building P
shall be kept on the premises available for inspection Building
throughoutermit.
b Inspector will issued a Building Permit to the applicant. Such permi
' e• No building shall be occupied or used in whole or in part tfor anhe y
shall have been granted by the Building Inspector.
Y purpose whatever until a Certificate of Occupanc
APPLICATION IS HEREBY MADE to the BuildingDe
Building Zone.Ordinance of the Town of Southold, 'Suffolk County,.
Department for the issuance of a Building Permit pursuant to the
Regulations, for the construction of buildings, additions or alterations or f
The applicant agrees to comply with all applicable laws, Ordinances, New York, and other applicable Laws, Ordinances o
admit authorized inspectors on premises and in building for rdinan � or removal or demolition, as herein described
nces, building code4husinr
rY ectio g, ode, and regulations, and tc
-ct
(Signature of applicant • • • ' ' ' ' ' '
or name, if a corporation)
L
7.
State wFiether applicant i (1Glailing address of applicant)
s gWner, lessee, agerAt, architect, engineer
• • • • . ���Gr , general contractor
�.cL , electrician, Plumber or builder.
• `r .► 'I
Name of owner of premises , , OLS J �' // . • ,
. . . . . . . .
f applicant is a corporation sig (as on the tax roll or latest deed) • • • • • • ' ' ' ' ' • •
onature of duly authorized officer.
. •(Nam and title o ' . . . .
fc rporat
6 .:. . . . . .
officer)
Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Plumber's License No. O
t f
Electrician's License No.
Other Trade's License No. . , , µ'
. . . . . . . . . . .
Location of land on which proposed work will be done. . . . . . St Q•���
V ) . . . . . . . . . . .
House Number V .
Street . . ..!.
County Tax Ma L Hamlet " " " "
Map No. 1000 Section Ll
Subdivision . . . . . . . Block . . . . . . . . . . . . . . . . . . Lot . . . . . . . .
St (Name] . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . • . . . . . . . . .
State existing use and Occupancy Loi . . . , • • • •
p y of premises and intended use and
occupancy of r,�;-..,c:� cO,tsl:►._�:..:.:
Existing use and occupancy ZS
•. Intended _ . . . • ,
use and occupancy, • •, . . . . . . . . . . . .
Y } � 1Wt8 t
014'
- ���ViM.r. •�Yyy.e< .»:: "l +"�ws,�(wYR�s'^.W.� ,.< „- f:::4j'��.
3. bNWUje of work (check which applicable): New Building
1 epai R:-`?qv, , • , • • • • • • • • • • • Addition . . . . . . . . . . Alteration . . . . . .
t Removal , , , , , , , , , , , , , Demolition .. . ... . . . . . . . . . Other Work .
4. Estimated Cost . . . . �,�. Cae�� (Description)
. . . . . . . . . . . . :. . . . . . Fee . T. '. :'fir. . . . . . . . . . . . . . . . . . . . . . . . . . .
S. If dwelling, number of dwelling units . . . (to be paid on filing this application)
If garage, number of cars • • • • • • • • 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 Stori ' ' ' Rear . . . . . . . . . . . Depth . . . . . . . . . . . . . .
Dimensions of same•structure with alterationses . . .or additions: Front . . . . . . . . . . • • ' ' ' ' ' ' ' ' ' ' ' ' '
8. epth • . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . Number of St . . Rear . . . . . . . : . . . . . . . . .
Dimensionsof entire new construction: Front . ones , , , , • ,
.Height . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . .
9. . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . .
Size of lot: Front • • • • • • . . . . . . . . . . .
10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . .Rear . . Name
of Former
nee Depth . . . . . . . . . . . . . . . . . . . . .
11. Zone or use district in which premises are situated , , . • me of Former Owner . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: • • • • • • • ' ' ' ' '
13. Will lot be regraded . . . . . . Will excess fill be rem ved from premises: • • • •y• • • N
14. Name of Owner of premises t. .ft,r 1'?. c-�,q �jtf�! Address HS;+; R. es Nc
of Architect . . . . . . . . . • mU� • • • Phone No. . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . Address . Phone No.
Name of Contractor . Address • � � • • • • ' ' ' ' ' ' • ' '
,15.* Is this property within 300 feet• of a tidal wetland? • * • • • • " " " • hone No. . . . . . . . . . . . . . .
*If yes, Southold Town Trustees Permit maybe required.
'' PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
_bA Hqq-r- 4-t• jj
�•-
N �lae� % �a•c.ti �i r: I �•
APPROVED AS NOTED
OCCUPANCY OR DATE: /l B.P.#
USE IS UNLAWFUL FEE-APBY: '
CERTIFICATE NOTIFY BUILDING DEPARTMENT AT
WITHOUT CERT UNOERWRITERS CERTIFICATE 766-1802 8 AM TO 4 PM FOR THE.
KEQUIRED FOLLOWING INSPECTIONS:
OF OCCUPANCY 1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR G.O.
ALL CONSTRUCTION SHALL MEET
TATE OFNEW OTHE REQUIREMENTS OF THE N.Y.
'OUNTY �, , , S S STATE CONSTRUCTION & ENERGY
• CODES. NOT RESPONSIBLE FOR
' ' • • • • • • • • • • --------. . . . . . . . ESIGN OR CONSTRUCTION ERRORS
• • - • • - - - being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
Jove named.
eis the . ... . �, � �1 t: . . . . . . . . . . . . . . . . . . :. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Contractor, agent, corporate officer, etc.) .
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the
)rk will be performed in the manner set forth in the application filed therewith.
.orn to before me this ,
. .�`L,� . . . . . . . .day of.. .IyeNe?�. . . . . 19 . . �
Itary Public41 .'-X-j :5t'Q_1'PIliou my
„:jjRA K.W0ERNER e\` y
.Owy public,Stat*of New Yo.R
No.01WO5010M . . • • ... .......
' 0uafi w in&M*Ceunry •.'
CwA&Iian Was Sept.20:1995 � �x �� �SiB Of applicant)
s
61- FOUND
0,n CONC.
UBERRIi 1 AS OW -�DEED
� 'Ok •v�, �°, `��G� �/�
N 18054'40" W MON s>? s
5.03' 0
0001C. MON. s ,�� 1�� � OEAVES ��
Z BLDO / . , X110
CA
g s to
? 6 11�
BLDQ
EWER
67. tr�
SURVEY OF PROPERTY ° 'E ENE FENCE O.4•N,
FOUND CONI. NON.
SI T UA TED A T 2,J• ars °•'�
ooNc. Put e.1• �
MATTITUCK
FRAME TORY 1
P/D LOT 0 p. � HOUSE
TOWN OF SOUTHOLD 2&W —
SUFFOLK COUNTY, NEW YORK ' � CONC. ;3 BRICKU) s
growS.C. TAX No. 1000- 143-04- 17 '9•
SCALE 1" =20' HEDGE WE °
MARCH 31 , 1993 I ';'.` . J►° ' I>
JUNE 25, 1993 (REVISED N. PROP. LINE) D.• °'
FOUND
CONC MON ° 1T1
I � P
To
AREA� 14,451 .19 sq. ft.
MAP UNE ) 0.332 ac.
M
P/0 LOT O9
CERTIFIED T0:
FIDELITY NATIONAL TITLE INSURANCE
COMPANY OF PENNSYLVANIA
FLEET REAL ESTATE FUNDING Corp.
PETER F. McLAUGHLIN I
ft 1REE5 8E ► P�
t(C,GJS f10WE SHED
O
° v
NOTE: s: ►' : e.
LOT NUMBERS REFER TO MAP OF , • CAR PW AlPHALr DRNEwAY : e..
0' :
PROPERTY OF Geo. H., lrm T. & D. T. RILEY 7.7 ss' 17
FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY I �• ► ►.
ON NOVEMBER 27, 1928 AS FILE No. 186
ENGLOBED --calAR FxTRANCE • °
n ,
PORCH i4 OUTSIDE sHowol " a
b 24A �. ►
20.e' BIDG. IWE.
�--�-{
11.2' 9A' y °►
PORCH
CHIMNEY 1 STORY41
FRAME HOUSE t
" DRNEWAY 1.3'E No. 495 °
L4 14.0' 26.7'
mrn
_20.8_ 14.8 SLATE PATIO ?► M
F' BLDG. 2.!'E
STOOP
�� I • CONC. 0.2'E
CONC. t WALK Ln
N
i 4
O
475.00'
FDUND
CONC NON.
FOUND FOUND
CONC. MON. / CONC. MON. °: FENCE 1.TN.
S 70°31 '00" W 75.00'
T I L E Y AV Fj -N, U E
PREPARED W ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
Joseph A. I n g e g n o
FBY OR LI USE AND APPROVED AND ADOPTED LAD TO THIS IZEDSUR EY IS ALTERATION OR ADDITION
FOR SUCH USE BY THE NEW YORK STATE LAND TO THIS SURVEY IS A VIOLATION OF
TM.E ASSOCIATION. SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
Land Surveyor SES OF THIS A SURMAP NOT BEARING
F THE LAND SURVEYOR'S INKED SEN. OR
GOGRk EMBOSSED BEA VAUUDD TRUE COPY BE CONSIDERED
GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
Title Surveys — Subdivisions — Site Plans — Construction LayoutIS PREPARED. AND ON HIS BEHALF TO THE
F� O 1' • O GOVERNMENTAL AGENCY
LENDING IINNSTITUTION LISTED HEREON, AND D
N TO THE ASSIGNEES OF THE LENDING INSII-
PHONE (516)727-2090 Fax (516)722-5093 TUTION. GUARANTIES ARE NOT TRANSFERABLE.
`iJ2
OFF7CES LOCATED AT AWUNG ADDRESS
One Union Square P.O. Box 1931 THE EXISTANCE OF RIGHT OF WAYS
Aquebogue, New York 11931 Riverhead, New York 11901 0 N.Y.S. Uc. No. 49668 AND, N EASEMENTS OF RECORD, IFANY, NOT SHOWN ARE NOT GUARANTEED.
93- 138A