HomeMy WebLinkAbout41877-Z �o�gUfrfi?t,y-COGy� Town of Southold 8/23/2017
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P.O.Box 1179
53095 Main Rd
G4,1 �a Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39163 Date: 8/23/2017
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 15705 Route 25,Mattituck
SCTM#: 473889 Sec/Block/Lot: 115.4-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/11/2017 pursuant to which Building Permit No. 41877 dated 8/11/2017
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:
alterations to an existing accessory garage as applied for.
The certificate is issued to McHeffey,April
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 17-45112 8/9/2017
PLUMBERS CERTIFICATION DATED
r FAA- uth rite ignature
" TOWN OF SOUTHOLD
o�SoncK�o'. BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o� • oR 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#: 41877 Date: 8/11/2017
Permission is hereby granted to:
McHeffey, April
641 Kings Highway E
Atlantic Highlands, NJ 07716
To: REMODEL ACCESSORY GARAGE AS APPLIED FOR
Replaces BP#14169
At premises located at:
15705 Route 25, Mattituck
SCTM # 473889
Sec/Block/Lot# 115.-1-2
Pursuant to application dated 8/11/2017 and approved by the Building Inspector.
To expire on 2/10/2019.
Fees:
CERTIFICATE OF OCCUPANCY $50.00
PERMIT RENEWAL $12.50
Total: $62.50
8 z
Bui Inspector
FORM NO. 9
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)
N° 13925 Z Date ....:..� 2...................... 19.
Permission is hereby gran
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of premiseslocated at .. .... .°�
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County Tax ap No. 1000 Section .. ..... Block ........I............ at No. ......4................
pursuant to application dated ..... ....... �............................, 19. ., and approved by the
Building Inspector.
Fee $.. ..........
...... ..:........... ... ... . ..............................
Building Inspector
Rev. 6/30/80
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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: r S�0`5 �O A,, a1-: 1 \ -I R,k
House No. Street Hamlet
Owner or Owners of Property: vl%
Suffolk County Tax Map No 1000, Section I lb Block Lot
Subdivision Filed Map. Lot:
Permit No.�\\�3-1 I Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted-
Applicant Signature
Certificate of Compliance
.............................................................................................................................................................................................
CERTIFIED ELECTRICAL INSPECTIONS, INC.
188 PARK AVENUE
AMITYVILLE, NY 11701
P: (631) 598-5610
_ ......................................................................................................................................................................................
CERTIFIES THAT
Upon the application of Upon premises owned by
April McHeffey April McHeffey
15705 Main Road 15705 Main Road
Mattituck, NY 11952 Mattituck, NY 11952
Located at: 15705 Main Road
Mattituck , NY 11752
Application Number#: 17-45112 Certificate #: 17-45112
Electrical License#:
Section: 1000 Block: 115 Lot: 1-2 Building Permit#:
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Service Equipment to Detached Accessory Garage
A visual inspection'of the premises electrical system, limited'to electrical devices and wiring to
the extent detailed herein, was conducted in accordance with the requirements of the applicable
code/or standard promulgated by the State of New York, Department of State Code Enforcement
and Administration, or other authority having jurisdiction, and found to be in compliance therewith
on the 9th day of August 2017
Name QTY
Service Disconnect- 100 Amp, 240V 1
Meter- 100 Amp, 240V 1
Power Panel - 100 Amp, 240V 1
UG-Service Feeder- 100 Amp, 240V 1
D `�Vc spector: Anthony Giordano
OR� Q .
\\`0,(O uGqLuii����i/ _
AUG 2 8 2017 PRov>;n�o
�
BUMMO DEP!'; •................ .
TOWN OF SOUTHOLD
This,certificate is not valid unless raised'seal is present.
I t
l laE SOUIyo
• ao
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] RO GH PLEIG.
[ ] FOUNDATION 2ND [ ] SOLATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
yr
_cK
1/ a,414A
DATE INSPECTOR
FORM NO. 1 D
TOWN OF SOUTHOLD ZL 2 6 0985
BUILDING DEPARTMENT {
TOWN HALL BLDG DEPT
SOUTHOLD, N.Y. 11971 TOIh N' Cyr `"CAUTHOLD�
TEL.: 765-1802
Examined . . . . �? . ., 19 912"71
Received . . . . . . . . . . . , 19 . . .
Approved . . . . .. . ., 19V. Permit No. qj.4�. 4--. .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . . . . . . . . . . . . . . . . . .. 19 . . .
INSTRUCTIONS
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a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3
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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation. -
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 in p *tions.
. . . . . .�. . . . . . . . . . . . . . . . . .
(Signa ure of applicant, or name, if a corporation)
QA) qsa WC . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . . ViQI � �. . X1.4- . .QW. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . ^r
1. Location of land on which proposed work will be done. A 5—) .�?. . . �.�.�.�. .. . . . . . . . . . . . . .
. ." . 6.0. .V&q— .1.°.+.am.;'1.�r�(C.�l�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
�.
House Number Street Hamlet
County Tax Map No. 1000 Section . . .� . . . . . . . . . . . Block . . . . . . ,. . . . . . . . . . . Lot . . . a . . . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . . . 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended u . . . . . . . . . . . . . . . . . . . . . . . . ; . . . . . . . . . . .
d se and occupancy �r, ►,Q. ,�
3. Nature of wo check which applicable): New Building . . . . .': . . . . Addition ... . . . . . . . . Alteration . . . . . . . . . ..
i Repair . . ;; I Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
X (Description)
4. Estimated Cost . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . Fee Q�. .". . . . . . . . . . . . . . . . . . . . . . . . . . . . .
`' (to be paid on filing this application)
5. If dwelling,number of dwelling units . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . .
Ifgarage, 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 ofStones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . .
-8. Dimensions of entire new construction: Front . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . .
Heicr + N'.z�::ber�f.�.tOrleB
-_ , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . ... . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . .
10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No
14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . .®
Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No.a.jQ.off'+ ljf''2'
UZ ��
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.
�A VVI
"10 VZO10
STATE NEW YORK, S.S
COU Y
• • • • • • • . • • • being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 to before me this
. . . . . . . . . . . A'. . . . . .day of. . . 11 . . . . . . . . ., 195
Notary Public, . . . . �. ��v4 !. . . . . . . . . County
K.of VOE . . . . . . . . . . . . . . . . . . . .
New York4t (Signature of applicant)
Bidi XWGF
TEL. 765-1802
��c,�v�FUCk�QI� TOWN OF SOUTHOLD
�< OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
o TOWN HALL
SOUTHOLD,N.Y. 11971
June 19 , 1985
Mr . R . Ferrari
Box 274
Westhampton , N .Y. 11977
Dear Mr. Ferrari :
This is to notify you that B . P. #13925Z
has been voided.
The reason for this is that there was
fraudulent information on the application . The
owners of the property are Elaine Ross & Jac-
queline Pleet . On your application you entered
Jean Loretto as the owner of the premises .
If you have any questions please call our
office . Thank you .
Yours truly ,
Victor Lessard
VL:hd EXEC . ADMINISTRATOR
RICHARD FERRARI
Post Office Box 274
Westhampton, N. Y. 11977
516 — 288 5623
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FORM NO. ~
TO~VN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N9 14169Z
Permission is hereby granted to:
·
...... ...................................
~. ~.~....¢.,..~r~......~ ........................
.......4.~..~, .............
!,~"2.?...~ '
at premises located at .........................
........ ~.~ .~.. ~.~.~ ......................................................
County Tax Map No, 1000 Section .'.....[L~... ........ Block ....... !. ............. lot No ......? ..............
pursuant to application dated ..... ...~..~ ...................... , 19..~..~., and approved by the
Building Inspector·
Fee Sa~..~.: ..............
Building Inspector
Rev. 6/30/80