HomeMy WebLinkAbout40115-Z o���F 1a �-Cp� Town of Southold ` 8/18/2016
� �� P.O.Box 1179
�, m� 53095 Main Rd
a��y�� ��p��� Southold,New York 11971
# � .
CERTIFICATE OF OCCUPANCY �
No: 38456 Date: 8/18/2016
THIS CERTIFIES that the building AS BLTILT ALTERATION �
Location of Property: 3655 Wickham Ave,Mattituck
SCTM#: 473889 SecBlock/Lot: 107.-9-8
Subdivision: F�iled Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/26/2013 pursuant to which Building Permit No. 40115 dated 9/25/2015
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"ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate 1s issued to Galeotti,Patricia&Galeotti,Anthony
of the'aforesaid building.
SUFFOLK COUN'�Y DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED ,
,
, s
Autho ' d Signature
�S�F�o��co TOWN OF SOUTHOLD
�,�o �y BUILDING DEPARTMEPlT
� = TOWN CLERK'S OFFICE
o , • � SOUTHOLD, NY
y�ol � �ao�
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#: 40115 Date: 9/25/2015
Permission is hereby granted to:
Galeotti, Patricia & Galeotti, Anthony
208 Auburn St
East Williston, NY 11596
To: an "as built" alteration to an existing structure (replace lally columns) as applied for.
At premises located at:
3655 Wickham Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 107.-9-8
Pursuant to application dated 9/26/2013 and approved by the Building Inspector.
To expire on 3/26/2017.
Fees:
AS BUiLT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING. $50.00
otal: $450.00
,
Building Inspector
,
I �--�N
, form No.6
TOWN OF SOUTHOLD
BUILDING DCPARTMENT
, TOWN HALL
- 765-1802
APPLICAT[ON FOR CER'i'IFICATE 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/]0 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 com�leted site plan requirements. '
B. For existing buildings(prior to April 9, 1957)'non-conforming uses,or buiidings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines,streets,building and unusua! 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]nspector shall state the reasons therefor in writir�g to the applicant.
G Fees
I. 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�'re-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 $15.00
Date.
New Construction: Old or Pre-existirig Building: L� (check one)
Location of Pro,�erty: � CrJ �� � 1�—�r��6�Yj l/,��/� f��� "�"7`�'�(,�L�? �✓�
House No. � Street Hamlet
Owner or Owners of Property_ � /� �I� � L ,
Suffolk CountyT�.x MapNo ]000,'Section f�� �G���Block ��� - Lot
� ' Subdivision ' Filed Map. Lot:
Permit No. � .l (� Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval: �
Planning Board`Approval: ��
Request for: Temporar�Ce ifcate• Final Certificat . (che one)
Fee Submitted:$ �v
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A icant '�nature
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�o��OF SO(/T,�,olo
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��y�OUMY,��
- TOWN OF SOUTHOLD BUILDING DEPT. -
765-1802
:- 1111SPECTI � ,N -
[ ] FOUNDATION 1 ST [ ] R UGH PLUMBING
- [ ] FOUNDATION 2ND [ ] NSULATION
. [ ] FRAMIIdG /STRAPPING [ ] FINAL
[ ] FIREPL.�CE & CWIMNEY [ ] FIRE SAFETY INSPECTION �
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION -
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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September 15, 2013 � D � � � Q � r�
Town of Southold �
Buiiding Department ;! SEP 2 4 2015
. 53095 Route 25 �
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P.�.Box 1179 'w, BL6G.DEPT.
Southold,New York 11971 � TOWN OF SOUTHOLD
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. Re: AnthonyGalveottiltesidence,3665�ickham
� Avenue,lVIattituck,IVY
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� Dear Building Inspector: �
�
iWe have,this date,uispected the structural st�el"I,ally"colu�ns that were installed to replace the
old locust posts in the cellar of the above residence and found that they are properly installed to
s�apport the loads of t]le subject residence a.�d are in conformance with the requirements of the New
York State �uilding Code. 'The signature and seal hereafter inscribed, certifies to the above
sta.tement. �
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If you need further clarification on this matte�,please ca11 us at your convenience.
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I�espectfully submitted, �'���T
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� . '$�c�VVl�T'OF SO�JTHOLD BUILL�ING 1'E12MIT APPLICATION CHECKLiST
' BUILDII�TG DEPARTMENT Do you have or need the following,before applying?
TOWN HALL , '�, Board af Health
SOUTHOLD,NY 11971 _ ' 4 sets of Building Plans
TEL: (631) 765-1802 '.`� � � , , '' Planning Board approval ,
FAX: (631)765-9502 � , Survey � � �
SoutholdTown.NorthFork.net PERMIT NO. ��b�/�-�� ' Check �
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined ,20 Storm-Water Assessment Form
�— Contact:
Approved �J ,20 / Mail to:
Disapproved a/c
Phone:
Expiration , 0�
/
Bwilding Inspector
APPLICATION FOR BUI]LDING PERMIT -
Date G' �� , 20 !�
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in inlc and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale,Fee according to schedule. '
b.Plot pl'an 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 applicatiorl 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 lcept 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 amend�nents or other regulations affecting the
property have been enacted in the interim,the L�u�lding Inspector may authorize, in writing,the extension of the permit for an
addition six morrths.Thereafter,a new permit shall be required.
APPLTCATTON IS HEREBY MADE to the Building Departirent for the issuance of a Bui]ding Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws, Ordinances or
Regulations, far the construction of buildings, additions, or alterations or for removal or derr►olition 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.
. G� n
(Signature of appli ant or name,if a corp ration)
o���������, �- GC�II,/�S�Gt�
(Mailing address of applicant) � � `�'�
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
����2
�I�rr�-i �r °
Name of owner of-premises � "� �' �Cjcg--'�'�-/G((� �d�}����
(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 I�Io,
1. Location of land on which,.�roposed worlc will b done: �
_ �� �.� � d��:t//��l 0��/C: /'��7�� 7`r��� ��,� /�S'�
House Number Street Hamlet '
f��� �a �� �-- �_8
County Tax Map No. ]000 Section Block Lot
Subdivision Filed Map No. Lot
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2. State existin'g use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy �/l-��� �
3. Nature of worlc(checic which applicable): New Buildir�g Addition Alteration
Repair �� Removal Demolition Other Worlc
(Description)
4, Estimated Cost `� � 5��� ° � � 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 �
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 Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of For�ner Owner
l ]. 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 fi•om premises? YES NO ' �� ��
��'�d'`1�' C-- t.c.�L!%1 cjT��,J a'�-G J
14.Names of Owner of premises �'vT��l� Address ��� ��'U/�s� ��hone No.�/C�" �1'Q '' G6�J
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. Pravide survey,to scale,with accurate foundation plan and distances to property lines. ,
17. If elevation at any point on property is �t 10 feet or below, must ptovide topographical data�on survey.
18. Are there any cavenants and restrictions with respect to this property? * YES NO i_�
* IF YES,PROVIDE A COPY. ,
STATE OF NEW YORK)
SS:
COUNTY OF )
C;//��� being duly sworn, deposes and says that(s)he is the applicant
(Name of ind�vidual signing contraCt)above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc,)
of said owner or owners, and is duly authorized to perform or have perforir�ed the said worlc and to make and file this application;
that all statements contained in this application are true to the best of his lcnowledge and belief; and that the worlc will be
perfonned in the��nanner set forth in the application �led therewith.
Sworn to before me this
_��day of 20�
.�� �,��.-c��
Notary Public Signatur of A 1' t
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UIVION SQI� "� - �� n N AVEIVUE � RIVERHEAD, NY 11901
September 15,2015
Town of Southold �
Building Department
53095 Route 25
P.O. Box 1179
Southold,New York 11971
Attn: Mr.Daman Rallis,Bldg Inspector
Re: Anthony Galeotti Residence, 3655 Wickham Avenue,
Mattituck,NY
Dear Mr.Rallis:
Attached for your records, is a sketch of the column supports at the above captioned residence, as you
requested. , �
If you need further clarification on this matter,please call us at your convenience.
Respectfully submitted,
E.S.KALOGEIdAS, P E. '
CONSULTIIVG ENGINEER
Elias S. Kalogeras .E.
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cc: Anthony Galeotti
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of encumbrances. Said cerfiflcations shall run only to the persons and/or enfities listed hereon and are not transferable to additional persons,entities or subsequent owners.
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v�w: LOT AREA = 20,371 S.F.
The offsets or dimensions shown from shudures to the propedy lines are for a specific purpose and use,and iherefore,are not intended ro guide in the erection of fences,retaining walls,
pools,patios,planeng areas,additions to buildings and arry other conshudion. Subsurface and environmental condifions were not examined or consideied as a pad of this survey.
Easemenls,R�ghtso�Way of r�ecord,if arry,are no�shown.Property comer monuments were not placed as a pad of this survey. cQ 2012 BBV PC
w w\ / Barrett Tmc Map: DISTRICT 1000 SECTiON 107 BLOCK 9 LOT 8
14'-8" 10'-0"
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idge Line ����a�i��y'S �� �i����e��
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ndicates TypicalFoundation �
Support Location FE : �, 3Y:C -�j��
N071 �!�ILDING f�E°ARTMENI' A.I
765-�802 8�,� TO 4 Pf�l Ft�R THE
FO!LQ�nliiv� fNS��C"�!ONS:
,�`—a'-4" 'I. FOUPdG�1TI0f� - TV1iG R�QUIRED
Idge Llne FOR PQUREQ CONCRETE
2. RUUGH - FRA�ING & PLUMBING
;� 3. iNSULATION
�-� � 4. F11JAL - COnS i RUCTION ��US7
M a i n Cottage � BE CCP�PLETE FOR C.O.
n � ALL CONSTRUCTION SHr�LL MEET TNE
-- �, �. � REQUIREMtNTS OF THE CODES OF NEIN
- o �IndfcatesTypicalFoundation YOr�iK STATE. i�OT RESPONSIBLE FOR
` , � Support LocaUon DESIC'aN OR COI�ISTRUCTION ERRORS.
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ndicates Typical Foundation � ����
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Foundation Supports @ 3655 Wickham Avenue 5 KA�O
Plan of Coltage & Supports ' 'r� �������
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Scale; 3/16"=1'-p" �'y � .'� �_"
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pR�FESSI�NP�/� UNION S9UARE, 727 UNION AVENUE, RNERHEAD, NEW YORK,11901
� TEL:(631J722-4040 FAX;(631)722-4004
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