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HomeMy WebLinkAbout41895-Z St1fFOL.��Q�. Town of Southold 8/23/2017 P.O.Box 1179 rh 53095 Main Rd �'��, �yyo*X Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39164 Date: 8/23/2017 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 15705 Route 25, Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-1-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/26/2017 pursuant to which Building Permit No. 41895 dated 8/22/2017 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: "as built"alterations (including window replacements)to existing one family dwelling as applied for. The certificate is issued to McHeffey,April of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 17-45731 8/23/2017 PLUMBERS CERTIFICATION DATED t o e Signature ��UFF®t`rc� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 41895 Date: 8/22/2017 Permission is hereby granted to: McHeffey, April 641 Kings Highway E Atlantic Highlands, NJ 07716 To: legalize "as built" alterations (including window replacements) to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 15705 Route 25, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-1-2 Pursuant to application dated 7/26/2017 and approved by the Building Inspector. To expire on 2/21/2019. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $752.00 CO -ALTERATION TO DWELLING $50.00 Total: $802.00 n, ), Bui nspector 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 Co of Certi e - 4. Updated Certificate of Occupancy- $50.0 5. emporary Certificate of Occupancy-Res $15.00, Commercial$15.00 Date. 6L New Construction: Old or Pre-existing Building: �` (check one) / Location of Property: /5_� r®S_ A-1 N a0"dVA /-�A—rMUC 1'e' Ad House No. n / Street Hamlet Owner or Owners of Property: AP12 J Suffolk County Tax Map No 1000, Section ®® Block © �c V0 Lot CO2 - 00 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Sign ur 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 11952 Application Number 17-45731 Certificate#: 17-45731 Electrical License #: Section: 1000 Block: 15 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: Newer Service Panel / New Romex Wiring in Basement/ Kitchen Outlets ' . A visual'inspection of the premises electrical system, limited to electrical devices a,hd 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 23rd day of August 2017 Name QTY Paddle Fan - 15 Amp, 120V 2 Motion Light Fixture.- 15 Amp, 120V 1 Range Circuit-40 Amp, 220V 1 Incand Fixture - 15 Amp, 120V 11 GFI Receptacle - 15 Amp, 120 V 2 Dishwasher Circuit-20 Amp, 120V 1 Switch - 15 Amp, 120V 5 Dimmer- 15 Amp 120V 2 Electrical Inspector: Anthony Giordano ..........11 -o �(�D�� = _�APPROVED 2: ;0 1/z AUG 2, I mm This certificate is not valid unless raised seal is present. TOWN Oy- 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 11952 Application Number#: 17-45731 Certificate#: 17-45731 Electrical License#: Section: 1000 Block: 15 Lot: 1-2 Building Permit#: Name QTY Branch Circuit-20 Amp, 120V 5 Duplex Receptacle - 15 Amp, 120V 5 Electrical Inspector: Anthony Giordano ICAL PR ............... This certificate is not valid unless raised sea[ is present. D GC [ D�[ AUG 282017 BMDING DM. TOWN OF SOUMOLD +.+ir-e.e,.r -.,'a...,•G.a.A'wr.4=..e%4.:...akn".+,vim. .w�-++-ati,r..ew« ,�..,•.m....,r...re.ww�-ina-+m-..i.e`r ed....'v�,v.r..r-^se<+rr „�,-•� - L sotlr�®� � Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O, Box 1179 G ,c i Southold,,NY 11971-0959 I , BUILDING DEPARTMENT TOWN OF SOUTHOLD i I � • 1 Qr� _ .t R I ' CERTIFICAT-12 Date, ' 4 r Building Permit No. � f Owner. (Please print) g -- Plumber: (Please print) I certify ist the solder used in the water supply system contains less th`m 2/10 of 1% lead. A: (Plumbers Siow Swom'to beforeme this �/ ^'•;'ti ;', '>, DAVID J.JANNIJZZI �� day of Notary Public, State of New York-- No. T` No. 02JA6052505 Qualified in Suffolk Ccbnt i' w ' .Commission Expiies Dee—. 2&,-eq. Al Notary Public, ' County i - f - f - , 1 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631)765-1802 Planning Board approval FAX: (631) 765-9502 , Ll 1 Survey Southold town ny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application �0a.o® 4-C'/„ Flood Permit Examined ,20_ w Single&Separate V Ulf _y �U (✓'��`�'�` Truss Identification Form Storm-Water Assessment Form Contact: Approved ,20_ Mail to: Disapproved a/c Phone: 6A I 5 7 Expiration 61, 20 :ft B in pector PPLICATION FOR BUILDING PERMIT � 2 JUL 2 6 2017 Date �� , 20 �7 INSTRUCTIONS a. T'1BiUUiPMVMT be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pP0,Mbale. 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. (Signature of applicant or name,if a corporation) pd 60y l&?-Z kl 77ncle' /V-/ 10,j Z (Mailing address of applicant) State whether app ica>tiwn , lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises f't" J` l"t C kFFr r (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. 1. Location of land on which proposed work will be done: i 5 70S P14-1w /* +h House Number StreetHamllet County Tax Map No. 1000 Section /� JC. 00 6��qq Block 0 /- 00 Lot 002— , D�� 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 /2-E S /Da 6V'7714L— b. Intended use and occupancy 12,P,S/&�P Af 77 4L 3. Nature of work.(check which applicable):New Building Addition Alteration ✓ Repair Removal Demolition Other Work �I (Description) 4. Estimated Cost * '30/ o Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units l 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 Z WZA: i Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Z t�vC_ 8. Dimensions of entire new construction: Front Rear Height Number of Stories ' �' d ! L'A I'`�^°; �''�Cz�j -�� r,r 9. Size of lot: Front 0 Rear O C d Depth 2 J•-.� - -� 4 1 r� 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ' •rr;;' : ' '/�y "'-''4� 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 from premises? YES NO 14.Names of Owner of premises �� L Aj /`ddress .S1414C- Phone No. 1316,Fd //J7 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. 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 S uFQ )AAJ I 0 - V D� JAwl'Vy2being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the A&S/ V7-- (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 day of 201-7 Notary Public Signatur of cant ,� ,� , ,,:�'.. �,f ;• . - ;.g/D8=485629 , ' No MA A a �. til)IF xq < Awqu to l Unauihoriaed4akteratiofiaraddiiiontothis.survOkavfidtai ,tion,of saction#6 of the NewYork$tatkEducdtich taw:. Q Copus ofthis survey map,not bearing the land w voyat s inked seal orambossed aei+i sha11 riot.be'4Gnsiciered to be a - tvaiid copy:: •' :': ,. (? Guarantees of certltications ipdicated hereon sha,,t)run only ,• to,lheperscn'fory hfiil :thasuryey•fsprepared;andott.fiis 63 ti: , w s behalf to the title company,;governmental agency aril ian ding lnstituiion Listed hereon,and to 3tta assigrteies o>i Ieniliny:institi'tign;;-Guarantees or cortifhatWo are not. transfera6ta,iv addinonafinst tutie'9rgubsequet+towcoet+s. '' ► ' 12 , AP ROVED AS NOTED DATE: B.P.# ,S�_ ! ' FEE: BY: NOTIFY BUILDING DEPARTMENT A 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ; /�� I„ul 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CO""-,f-,,-",TION MUST BE COMPLf ` FJR C.O. ,Additional ALL CONSTR:;Oi'10N SHALL MEET - REQUIREMEN-I S OF THE CODES NEIN _ l Certification YORK STATE. NOT RESPONSIBIE FOR y ft Regnited. DESIGN OR CONSTRUCTION E RORS. t 1 COMPLY WITH ALL COD -&OF NEW YORK STATE & TOWI'i ECODES AS REQUIRED AND CONDI-rig)NS OF 1 E '6 RD I>� OCCUPANCY OR :y r y•.. G USE IS UNLAWFUL �� � � WITHOUT CERTIFIC TES����_ ; CO OCCUPANCY _ ELECTRICAL cNv INSPECTION REQUIRED t RETAIN STORM WATER RUNOFF, PURSUANT TO CHAPTER 236 OF THE TOWN CODE. I �� /�.� ��� t :� } �, f. ;; �,�� ` r I`f+ I 1 1 '�.` f s t i .1 M i f �� '�_ �� r � r k N cv � } �� .' may � , . i 2 ', � t =r n 1./`� 1481'— 48' 2510 55' 18' 24' 30'—T-39, 15' 36' � p' c 36' -24' 27 21' '1• 37$' "�l;Cx•� T10 -3 ••ll�l W�038 W153 I A NO W361824 n 24.DISHW BW821 m - - - - - - - - - - - - - - - in m 0 `vNZ- -- - - - - - - - - • - - - - - - ' tlJ m m U 3 — 'K min F24'-- � 75' 3 99` All dimensions side designations given are �2 ffi,.,�I This is an original design and must not be Designed: 5/17/04 subject to verification on job site and TECHNOLOGIESN released or copied unless applicable fee has Printed: 5/17/04 adjustment to fit job conditions. been paid or job order placed. 0444 Lci mcheffey countertop drawing JDrawing # 1 Zl � ..^w;2y.tv,.ve���� ...s:rs �_M: xra:�r..r •.„,..:..:.......,....,trz� r:.:,:. :,..r° •.....ems..�ura��•iu�mu,,,, 1 ..u„ �- ; - - - - - ---H - ! I I HIM ,, Note: This drawing is an artistic2O ¢¢ Designed: 5/17/04 interpretation of the general appearance of TECHNOLOGIESY Printed: 5/17/04 the design. It is not meant to be an exact rendition. JAIL,l� mciheffey Drawing #: 1 -( l n� oo.Ell — , OC ool ®® (Q)G® Note: This drawing is an artistic 2O � Designed: 5/17/04 interpretation of the general appearance of TECHHOLOGIES Printed: 5/17/04 the design. It is not meant to be an exact rendition. tncheffey IDrawing #: 1 LvIA d'W5 Line Item# _0001 Line Item Qty 1 Initial. 4 Location RO Size=6'0 3/4"W x 6' 10 7/8" H Unit Size=6'0"W x 6'10 3/8" H 0 200 Series, PSGPD Double-wide Units i• Unit CodelItem Size: PS6 i Operation/Handing: LS 4 —�—(—j� � Exterior Color: White la Interior Color: Pre-finished White Glass Type. Low E Tempered Glass, Finelight Grilles-Between-the-Glass, Colonial, a _ 1 _ h i White/White, 1" Grille Construction- Finelight Grilles-Between-the-Glass Insect Screens: Gliding Insect Screen,White Hardware Color: Metro Style-White { Threshold. Maple I Sill Support Yes I f Comments: Qty Part Num Item Size Description Total Price Extended Price 1 1971253 PS6LS Frame,WhitelPre-finished White $ 206-31 $ 206.31 1 1993084 PS6LSTAT Stationary Panel,White/PI White, Low E $ 367.77 $ 367.77 Tempered Glass, Finelight Grilles-Between-the-Glass, Colonial, 3W6H, White/White, 1" 1 1993083 PS61LOPER Operating Panel,White/PI White, Low E $ 367.77 $ 367.77 Tempered Glass, Finelight i Grilles-Between-the-Glass, Colonial, 3W6H, " White/White, 1" 1 1974130 PS30611 Insect Screen, Gliding, White $ 96.74 $ 96.74 1 2565694 ------ Hardware Pack, PS/FWG, Metro Style-White $ 36,57 $ 36.57 1 1207059 #61 Threshold, Maple $ 18.15 $ 18 15 1 149;057 OD60 Support, Sill,Aluminum(Neutral Gray) $ 1325 $ 1325 $ 1,106.56 $ 1,106.56 Line Item#: 0002 Line Item Qty: 1 Initial: _ Location: RO Size=2'8"W x 5'7 1/8"H Unit Size=2'7 1/2"W x 5'6 5/8"H Composite Unit Part Number: 0000000 Mulling Location: Shop(Warehouse) Mull Priority. Horizontal I!—L Mulling Material: Narrow Transom { { Unit Code/Item Size: 244CT28/244DH2840 Operation/Handing F/AA Comments Qty Part Num Item Size Description Total Price_ Extended Price QUOTE: 000032 Print Date: 06/01/2004 Page 2 Of 4 iQ Version' iQ4.0 COMPOSITE:Total mulling charges $ 2857 $ 28.57 $ 28.57 $---- 28.57 200 Series, Circle Top Units Unit Code/Item Size: 244CT28 Operation/Handing: F Part Number: 0882752 Frame Depth,4 9/16" Exterior Color: White Interior Color. Pre-finished White Glass Type: Low E Glass, Finelight Grilles-Between-the-Glass, Renaissance, White/White, 3/4" Grille Construction: Finelight Grilles-Between-the-Glass Arch Casing: 2 1/2"Colonial Maple Plinth Block: 2 7/8"x 2 7/8"Maple Comments: Qty Part Num Item Size: Description Total Price Extended Price 1 0882752 244CT28 Unit,4 9/16"Frame Depth,White/PI White, Low $ 338.10 $ 338.10 E Glass, Finelight Grilles-Between-the-Glass, Renaissance, 4 Lites, White/White, 3/4" 1 0877132 244CT28 Arch Casing, 2 1/2"Colonial Maple(Includes $ 57.34 $ 57.34 Plinth Blocks) __$ _ 395.44 $ 395.44 200 Series, Single Units — -- 1 Unit Code/Item Size: 244DH2840 Operation/Handing:AA Part Number: 0881721 Frame Depth:4 9116" Exterior Color: White t Interior Color: Pre-finished White 1 Glass Type: Low E Glass, Finelight Grilles-Between-the-Glass, Colonial, White/White, 3/4" Grille Construction: Finelight Grilles-Between-the-Glass Insect Screens: Insect Screen,White Hardware: Andersen 200 Series-White i Comments: —-- - Qty Part Num Item Size Description Total Price Extended Price 1 0881721 244DH2840 Unit, 4 9/16"Frame Depth,White/Pl White, Low S 199.41 $ 199.41 E Glass, Finelight Grilles-Between-the-Glass, Colonial, 3W2H,White/White, 3/4" 1 0833321 244DH2840ite $ 18.15 $ 1815 $ 217.56 $ 217.56 $ 641.57 QUOTE 000032 Print Date. 06/01/2004 Page 3 OF 4 iQ Version iQ4.0 Perma-Shield° Casement Windows (1966 to 1995) CsA a 0k)s Standard and Picture Windows Parts Illustration Parts fflugtrati.o.n A c :I Manufactured 1966 to 1995; Replacement Parts Available Perma-Shield°Casement Window Unit Parts Unit viewed from extenor. Perma-Shield®Casement Windows(1966 to 1995)-5