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HomeMy WebLinkAbout40992-Z Town of Southold 10/11/2016 Ago P.O.Box 1179 o 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38565 Date: 10/11/2016 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 2828 Great Peconic Bay Blvd, Laurel SCTM#: 473889 Sec/Block/Lot: 128.-6-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/6/2016 pursuant to which Building Permit No. 40992 dated 9/14/2016 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for r[� which this certificate is issued is: "as built"foundation for relocation of existing dwelling with front masonry entry, side brick entry, and outdoor shower stall and alterations, including window replacements and boiler/hot water heater as applied for The certificate is issued to Mastropolo Jean Irrev Tr&Janet of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED tVized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o� • o� 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#: 40992 Date: 9/14/2016 Permission is hereby granted to: Mastropolo Jean Irrev Tr & Janet 2828 Great Peconic Bay Blvd Laurel, NY 119481808 To: legalize "as built" foundation and alterations (including window replacements and boiler/hot water heater) to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 2828 Great Peconic Bay Blvd, Laurel SCTM # 473889 Sec/Block/Lot# 128.-6-22 Pursuant to,application dated 9/6/2016 and approved by the Building Inspector. To expire on 3/16/2018. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Total: $450.00 ui�lspector 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 I% 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: _�2 e2S-_ vLG. House No. Street/ Hamlet Owner or Owners of Property: . T ,fit c QuLG ,O a i�alG Suffolk County Tax Map No 1000, Section 12e Block Lot 2z Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (ch Fee Submitted: $ 5/ pplica ignature Town Hall Annex Telephone(631)765-1802 54375 Main Road CX-) Fax(631)765-9502 P.O.Box 1179 ® a� roger.riche rt(�i-)town.southoId.ny.us Southold,NY 11971-0959 l�C®UNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mastropolo Address: 2828 Great Peconic Bay Blvd. City: Laurel St: New York Zip: 11948 Building Permit#: 40992 Section 128 Block- 6 Lot: 22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: "AS BUILT" DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment, "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS" Notes Electrical Survey of House and Garage to Include; Gas Furnace and Water Heater. Inspector Signature: Date: October 6, 2016 0-81-Cert Electrical Compliance Form.xis laF SOUTyOI cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ' [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Ceik4x 4s vuzA©rl-1 wl VA 0 DATE INSPECTOR V\)�D& OF SOUlyolo . �ycom,N TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE lO 1 C.z INSPECTORYC1 ROBERT O'BRIEN P.E. CONSULTING ENGINEERING SERVICES 2074 MAIN ROAD, P.O BOX 456, LAUREL. NY 1 1948 631-298-5252 D IRCIE�vp= D OCT 1 1 MIS Ilu" NG DE". TOWN OF SOUMOLD September 30, 2016 Southold Building Department Office of the Building Inspector Town Hall Annex Southold, NY 11971 Permit#40992 SCTM #473889 Sec/Block/Lot# 128-6-22 Mastropolo Jean Irrev Tr & Janet 2828 Great Peconic Bay Blvd, Laurel, NY 11948-1808 hereby certify that the aluminum foil/Kraft-faced vapor barrier on the /fiberglass insulation installed in the north attic space'end wall cavities has been removed. This per the Town Building Department final inspection report remarks directive dated 9/30/16 (copy attached). Very truly yours, OF M !- * F � Att. obe 'Brien P. E. A W � Z 521��` AR,�1�Ss1oNP�'� • Y • • `� r i . • s . . s1 i u INwL.ArEIGN. • ,MomA= IN aMI r r � . . ,� '� � � 1 LSA ►: r � o r TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Healh 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. Check Septic Form NYSDEC Trustees C 0 Application Flood Permit Examined ' 201 Single&Separate Storm-Water Assessment Form Contact: Approved 120& Marl to Robert O'Brien P E Disapproved a/c P O.Box 456,Laurel,NY 11948 Phone 631-298-5252 Expiration 20 D [EC[EG%1[E Bui d ns ector APPLICATION FOR BUILDING PERMIT DD Date September 6, 20 16 S E P ® 6 2016 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 J=DMWp%plan to scale.Fee according to schedule. ToMea 6 cation of lot and of buildings on premises,relationship to adjoining premises or public streets or �ry 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 L dinances or Regulations,for the construction of buildings,additions,or alterations or for removal or de ion a heren bed.The applicant agrees to comply with all applicable laws,ordinances,building code,hous code, regulat' s,an o admit authorized inspectors on premises and in building for necessary inspections. (Sig plicantor name,if a corporation) P O.Box 456, Laurel,NY 11948 (Marling address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Engineer Name of owner of premises Janet Mastropolo and Joyce O'Donnell (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 I Location of land on which proposed work will be done- 2828 Great Peconic Bay Boulevard Laurel House Number Street Hamlet County Tax Map No. 1000 Section 128 Block 6 Lot 22 4 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 one-family residential b. Intended use and occupancy one-family residence 3. Nature of work(check which applicable) New Building Addition Alteration Repair Removal Demolition Other Work As-built replacement windows for existing sunroom,as- 8f,pu )SunE3F ming 4. Estimated Cost Fee room opening Y�� (To be paid on filing this application) 5 If dwelling,number of dwelling units one Number of dwelling units on each floor If garage, number of cars two 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. not applicable 7 Dimensions of existing structures,if any:Front 26-feet Rear 26-feet Depth 44-feet Height 24-feet Number of Stories 1-1/2 stories Dimensions of same structure with alterations or additions: Front 26-feet Rear 26-feet Depth 44-feet Height 24-feet Number of Stories 1-1/2 stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot:Front 102-feet Rear 91 97-feet Depth 251-feet 10 Date of Purchase 3/27/15 Name of Former Owner M Mastropolo Irr Trust&M.Mastropolo 11 Zone or use district in which premises are situated R-40 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO X 13. Will lot be re-graded?YESNO X Will excess fill be removed from premises?YES_NO N/A 14.Names of Owner of premises Janet Mastropolo anAdgyy@%O'Donnell,208 Oak St,ftghFNb,NY 11001 Name of Architect Engineer Robert O'Brien P E Address PO Box 456,Laurel,N)Phone No 631-298-5252 Name of Contractor Address Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO bulkhead/beach *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b Is this property within 300 feet of a tidal wetland9 *YES NO bulkhead/beach * 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 NO X *IF YES,PROVIDE A COPY. STATE OF NEW YORK) ss- COUNTY OF Robert O'Brien P E. being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Agent (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 to before me this (.:a, —day/-\of IL -9 INO 20 Notar P rf7i/A� ,*!t New York u ta gi o Applicant Qua i le in oik County Commission Expires January 19, 20 1g_ Scott A. Russell �`' � �� ST0]K1A�] WA T1E]K SUPERVISORI�ul[A\NA\�G�]El\vl[]EN`]F SOUTHOLD TOWN HALL-P.O.Box 1179 7 7,7 53095 Main Road-SOUTHOLD,NEW YORK 11971 � Town of So u th o 6(�L CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS IPIBOJIECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑YA. learing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑ 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 0'0 feet of horizontal distance. ❑EYD. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. [:][TE. Site preparation within the one-hundred-year floodplain as depicted ❑ /on FIRM Map of any watercourse. FInstallation 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 Distract NAME /l G ( / /4 � (P 'Section Block Lot k FOR BUILDING DEPA1"I"N41 N'l- UZI-1 ONLY Y Contact Information ���- z 9? S-2 -,±. .rei.oi�.Nwohcr Reviewed By. Property Address / Location of Construction Work Date — — — — — — — — — — — — — — Approved for processing Building Permit Stormwater Management Control Plan Not Required ❑ Stormwater Management Control Plan iJ Required (Forward to Engineering Department for Review) FORM * SMCP-TOS MAY 2014 _'_�� __ '__ --_ / �. '~� . '" u� -` ~=°~ ' . ] � � SURVEY of PROPERTY a. SITUATE LAUREL,TOWN OFSOUTHOLD� SUFFOLK COUNTY,NEW YORK [CT,5c6N—UjCC LAND SURVEr Suffolk Tax Map No.:1000-128io6-22 .� � DATE SURVEYED:6(f7hot6 I SCALE:1"=3D' 10 S 4 Lindenhurst, New York , M73aellee®mJelendmfrrey.00m P:83l-957-24d0 F891-228-2400 �A D futYfT[o W.0 JOB NOSfbo574 L 4f•1YtT.0.0. OU ONI�BA� 1 1 N S 68146-00t' W 91.99 1 i 1 �' N 63'46'00" E I 34.5 FR CARS � AsgwrpsnwAr � rr� 6.4' . 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TOTAL DATE REMARKS w 3-/..-;L VAP/ 4 - 2p o 00 �o flafalln +r s VffA lU Lo Lo n m W mTillable i FRONTAGE ON WATER m Woodland FRONTAGE ONROAD N Meadowland DEPTH N House Plot BULKHEAD Tota I SEEN ME ME s ■■�■■■�■i■■■:■■■■■■■■■ ■■■■ : .. _ ■�■■■■■■■■mow■■■■■■■■■■■■■■■■■ _ r ■■!■!■■■i■■■■■■■■■■■■■�■■■■ O IM Ext. Walls Interior Finish • Fire Place,I CA-'T47 Rooms Ist Floor • / . ■ • • 11� APPROVED AS NOTED 6.P.# a � ELECTRICAL DATE: INSPECTION REQUIRED FEE: b •®D BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: / 1. FOUNDATION - TWO REQUIRED A (-nm , FOR POURED CONCRETE /- 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST b e- ��tk i reci- BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODE AS REQUIRED AND CONDITIONS OF S SOtlfil#� - . . .DE OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY V ad /aGc -/2P If -2 JtAr� 1 -2rA T�/G I - 'r $ '2 -- - - - ) f�- i _g - e"o:�c-•_ ,�eoc�, - ,fTJ�tPP/DR CvL ' 17AX v X116 �f �oGh/fes _ 3 Ib S W 4 A Ar 14, 0 it 11 AS- 1 f 1 /R�''rK r,l rr i — I ,--• , I I Y v ' - �� S o Ile .� =�"X �=�p ��°� �E �� ' As_-built concrete block house foundation /.-/1 �rIF. y - - - ♦'a ;SCALE ' � ' '; I Mastropolo/O'Donnell Residence` `QRAWN BY ®'6 - 2828 Great Peconic Bay Blvd ` `--- :-REVISED TO THE BEST OF MY KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGMENT, THESE ! -- - - -'- -._ Laurel New York 11948 ____ _ PLANS ARE IN COMPLIANCE WITH THE NEW YORK STATE RESIDENTIAL CODE AT y� �� v r�ROBERT O'BRIEIV P.E. E z THE TIME OF CONSTRUCTION _ �__ __. A 05� FQ- R�FESSI�Nr\• CONSULTING ENGINEERING BEgVICEB DRAWING NUMBER p Main Road, Laurel, NY 11948 STOCKORAFTING FORM NO.101-81 r -Fia 11 :I� ;T I Jill I s+ 3 ft 41.4 Bc�L-F .2-r2 X if ri �"�c%V d@ 3�Sst 0 01 Ol Ld i a 1__�If W C Z _ ! As-built replacement windows for existingsunroom•' ��.�� OFNE .. , svriie1�0.1n , ev$� .a°��• �r-L�. as-built steel girder sunroom/living room opening IC `SCALE �c / Mastropolo/O'Donnell Residence 1 , WN BY I - -` - 2828 Great Peconic Bay Blvd - - - ^ r DATE ,s" ;�� "-RIEV/ISED W �__.. _ � _ Laurel, New York 11948 _ -- �� ° 0521 ��s� TO THE BEST OF MY KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGMENT, THESE +e ROBERT O'BRIEN P.E. a #0+ 00 00 .I PLANS ARE IN COMPLIANCE WITH THE NEW YORK STATE RESIDENTIAL CODE AT f _ CONSULTINo ENOINEERINO SERVICES DRA d ESSION THE TIME OF CONSTRUCTION — .r 2. I( Nu ER p Main Road, Laurel, NY 1 19aB . - - --__ STOCKDRAFTING FORM NO 101.81 ".