HomeMy WebLinkAbout41123-Z Town of Southold 11/17/2016
0
P.O.Box 1179
53095 Main Rd
��,fp� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38660 Date: 11/17/2016
THIS CERTIFIES that the building ALTERATION
Location of Property: 775 Farmveu Rd.,Mattituck
SCTM#: 473889 See/Block/Lot: 121.-7-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/28/2016 pursuant to which Building Permit No. 41123 dated 10/28/2016
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:
ALTER GARAGE TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Finnegan,Martin
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41123 11-16-2016
PLUMBERS CERTIFICATION DATED
(5ph ' ed Signature
�SUFFat,r�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
o ..
TOWN CLERK'S OFFICE
o . .I It 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#: 41123 Date: 10/28/2016
Permission is hereby granted to:
Finnegan, Martin
775 Farmveu Rd
Mattituck, NY 11952
To: garage conversion to bedroom as applied for
Replaces BP# 38927
At premises located at:
775 Farmveu Rd., Mattituck
SCTM # 473889
Sec/Block/Lot# 121.-7-5
Pursuant to application dated 10/28/2016 and approved by the Building Inspector.
To expire on 4/29/2018.
Fees:
PERMIT RENEWAL $143.00
Total: $143.00
Buil ' -I-nspe for
o�goFFnc�.goG TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y a TOWN CLERK'S OFFICE
oy . SOUTHOLD, NY
dol � Sao
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#: 38927 Date: 6/3/2014
Permission is hereby granted to:
Finnegan, Martin
775 Farmveu Rd
Mattituck, NY 11952
To: garage conversion to bedroom as applied for
At premises located at:
775 Farmveu Rd
SCTM # 473889
Sec/Block/Lot# 121.-7-5
Pursuant to application dated 6/3/2014 and approved by the Building Inspector.
To expire on 12/3/2015.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $286.00
CO -ALTERATION TO DWELLING $50.00
ELECTRIC $90.00
Total: $426.00
Building Inspector
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$15.00
Date. � ( i
New Construction: Old or Pre-existing Building: V� (check one)
Location of Property:
House No. Street Hamlet
Owner or Owners of Property: ,-
Suffolk County Tax Map No 1000,Section Z, Block Lot 5
SubdivisionFiled Map. Lot:
Permit No. Date of Permit. Applicant: 5'1_�
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)'
Fee Submitted:$ 60 . 7�_
Ap1' Signat
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.riche rt(a)-town.southoId.ny.us
Southold,NY 11971-0959 �®
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Finnegan
Address: 775 Farmveu Road City: Mattituck St: New York Zip: 11952
Building Permit#. 41123 Section- 121 Block 7 Lot: 5
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 Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 7 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors 1
Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Fj3 Twist Lock Exit Fixtures 11 TVSS
Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS"
Notes: 1- Paddle Fan
—7Inspector Signature: Date: November 16, 2016
0-81-Cert Electrical Compliance Form.xls
OF SOUT,yOIo .
G Q _
TOWN OF=SOUTHOLD-BUILDING.,DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
i ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTORS
OF SO1-Z
Ur�o
• �o
IOUNiY,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
IN-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 [ ] AULKING
REMARKS:
�WCAA�
110 DATE INSPECTOR
��OE SObTyo -
o
� o
le0ou ,N
TOWN- OF SOUTHOLD BUILDING-DEPT.
765-1802
INSPECTION ,
[ ] FOUNDATION 1 ST [ IR H PLUMBING
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIREAESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARK
DATE �� INSPECTOR
SO(/lyo
COUNi'l 0c�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] XISULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
o AV
DATE INSPECTOR
OF SOUlyolo
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:
l AJOL�
DATE �( �/° �� INSPECTOR i
PLUMING
1
INRL.ATION PER N.Y.
STATE ENEROY
• r
FtM- CEJ
• 1 1 • r 1
Ila MIMON.Al
•
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TOWN OF SOUTHOL BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMDo you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 MAY 2 3 201 4 sets of Building Plans
TEL: (631) 765-1802 BLDG. DEPT Planning Board approval
FAX: (631) 765-9502 TOWN OF SOUTHOLD Suryey
SoutholdTown.NorthFork.net PERMIT NO. 3 rfd-Z Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 3 ,20! Storm-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone:
Expiration 1-5—113,20 16'
Building Inspector
APPLICATION FOR BUILDING PERMIT
r
Date , 20_[�f
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 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.
(Signa re of applicant or name,if a corporation) , A
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises (X�""�`✓` `
(As on the tax 1 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. Loc tion o land on which-proposed work will be one:
House Number Street Hamlet
County Tax Map No. 1000 Section t ( Block ? Lot J4,—
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and mended ,�use d ccu ancy_of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy4f�'leQ&t--
0 1j
3. Nature of work(check which applicable):New Building Addition Alteration)iZ"r
Repair Removal Demolition Other Work CyhW°�/1- X61"
( scription)
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
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 6
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories l
8. Dimensions of entire new construction: Front Rear Depth '
Height Number of Stories
9. Size of lot: Front Rear Depth '
10. Date of Purchase 1 Name of Former Owner j a4m-c-
11. Zone or use district in which premises are situated K—qo
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NOill excess fill be removed from premises? YES NO
14. Names of Owner of prelnjses,Aqat� d ress Phone No.
Name of Architect r 6 J Address�/((n -��r.��. Phone No ���3'
Name of Contractor '��.P> 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.
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�
)AG-ACft�\ , being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing c ct)above named,
(S)He is the
(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 t before met is
day of 2014P�AIN
NoOf-P l 51Q. BUNCH Sign of Applicant
)Votary Public,State of New York
No.01 BU6185050
QualtFied in Suffolk County
Commission Expires April 14,2�ll k
J�
I�
Scott A. Russell �� �TO�]E�.I��1[\�vA\IC']E]E�
SUPERVISOR 1\M1A\\N ASG 1EM1ENT
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEWYORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
❑Yes No (CHECK ALL THAT APPLY)
Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
E]EJ B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑0/6. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑0/15. 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.
❑[�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.
Dulnct
NAME ✓1-� ,,, (— i _ �—
�--mlmSection Block Lot
n '��� FOR BUILDING lll�F'��1-tT: IENT 1.'SE ONLY
Contact Information lam
(Tdepha Numbed
Reviewed By:
q f / Date
Property Address / Location of Construction Work: tir �L3G �d��h5 — — — — — — — — —
-rf/ Approved for processing Building Permit
11 IL�►�'ti'Ve t'` ZA Stormwater Management Control Plan Not Required.
�L e"` ` ❑ Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review)
FORM # SMCP-TOS MAY 2014
U SO�j�Yp �cQ
Town Hall Annex J Telephone(631)765-1 OS 2`" 5_/�.
54375 Main Road
(631)765- 5a2
P.O.Box 1179 G ' OQ ra er.richert #�'o`Wn.sout Oltl.n .us
Southold,NY 11971-0959
o�y�4Ulfn��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: 6 It/
Name:
License No.:
Address-
-Phone No.: L/7 -
JOBSITE f NFORMATION: (*Indicates required information)
*Name:
*Address:
G
*Cross Street:
*Phone No.:
Permit No.: �- I
Tax-Map District: 1000 Section: Block: 7 Lot: '
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) A _J �P o
(Please Circle All That Apply)
Is job ready for inspection: YES/ NO Rough In Final
*bo-you need aTemp Certificate: YES/ NO -
Temp Information(If needed)
*Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other I
*New Service: Re-connect Underground Number of Meters Change of Service Overhead '
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
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Echeck Software Version 4.5.0
Compliance Certificate
Project 775 Farmveu Road
Energy Code: 2010 New York Energy Conservation
Location: Suffolk County, New York
Construction Type: Single-family
Project Type: Alteration
Climate Zone: 4 (5750 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
775 Farmveu Road Martin Finnegan John J.Condon,P.E.
Mattituck,NY 11952 775 Farmveu Road Condon Engineering, P.C.
Mattituck, NY 11952 1755 Sigsbee Road
Mattituck,NY 11952
298-1986
a o -c o
Compliance: 1.9%Better Than Code Maximum UA: 212 Your UA: 208
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelme Assemblies
Gross Area Glazing
cavity Cant.
Assembly or, or r. .
Perimeter e
Floor 1:Slab-On-Grade:Heated 215 4.0 0.764 164
Insulation depth: 6.0'
Ceiling 1: Flat Ceiling or Scissor Truss 215 0.0 38.0 0.025 5
Wall 1:Wood Frame, 16" D.C. 55 15.0 0.0 0.077 4
Wall 2:Wood Frame, 16"o.c. 210 15.0 0.0 0.077 14
Window 1:Wood Frame:Double Pane with Low-E 11 0.330 4
Window 2:Wood Frame:Double Pane with Low-E 11 0.330 4
Wall 3:Wood Frame, 16"D.C. 113 15.0 0.0 0.077 8
Window 3:Wood Frame:Double Pane with Low-E 14 0.330 5
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications, and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2010 New York Energy
Conservation Construction Code requirements in REScheckV %4.5.0to comp�Withthemandatory requirements listed in
the REScheck Inspection Checklist.
QO Nta ' lDa �G.
Name-Title Date
Project Title: 775 Farmveu Road Report date: 05/30/14
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