HomeMy WebLinkAbout42399-Z � 'fco Town of Southold 3/2/2018
P.O.Box 1179
53095 Main Rd
'41 �aSouthold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39537 Date: 3/2/2018
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1425 New Suffolk Ave, Mattituck
SCTM#: 473889 Sec/Block/Lot: 114.-11-28
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/20/2018 pursuant to which Building Permit No. 42399 dated 2/20/2018
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"wood frame entry alteration as applied for.
The certificate is issued to Malcomson,Karen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
t oriz ignature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 42399 Date: 2/20/2018
Permission is hereby granted to:
Malcomson, Karen
PO BOX 1674
Mattituck, NY 11952
To: legalize an "as built" alteration to an existing single family dwelling.
At premises located at:
1425 New Suffolk Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 114.-11-28
Pursuant to application dated 2/20/2018 and approved by the Building Inspector.
To expire on 8/22/2019.
Fees:
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $457.60
CO -ALTERATION TO DWELLING $50.00
Total: $507.60
Ydingspector
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$15.00
qs- BUILT Date. y ��13 �1$
New Construction: "?l�l MckOld or Pre-existing Building: (check one)
Location of Property: I4.2;5- NEW S V F Fo LIL AV E 11)VF_ M ATT 1 T ULIL
House No. S reet 1 Hamlet
Owner or Owners of Property: k L}"U M A I—co M.S,0
�I Suffolk County Tax Map No 1000, Section .¢ Block �l Lot 2$
--Subdivision Filed Map. Lot:
Permit No. ��3qq Date,,oft1 Permit. Applicant:
Health Dept. Approval: NZ Underwriters Approval: /A
Planning Board Approval: ZX
Request for- Temporary Certificate Final Certificate: X (check one)
Fee Submitted: $ �
Applicant Signature
�Of SOUjy
o�UOUHi'1�,,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL AAViff
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: 0&—f(A oulh& Oil
Y bAs .
DATE Y INSPECTOR
EDF SUUrb
06
cou►m
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: Q wrA
y &-s/ C f-x� fri�
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DATE INSPECTOR
Nigel Robert Williamson
Architect
P.O. Box 1758
Southold, NY 11971
Phone 631.834.9740
March 1, 2018
John J. Jarski, Senior Building Inspector
Town of Southold Bldg: & Zoning Division
Southold Town Hall Annex
54375 Main Road
Southold,NY 11971-1179
Re: Malcomson.residence 1425 New Suffolk Avenue Mattituck. SCTM 1000-114-11-28
Dear Mr. Jarski:
I have observed the footings to the girder on the as-built entry porch at the abov
mentioned property. They are adequate for their p ose. r NE itr THE M JJJ1 HuH
QCQVi2,9�Mr.Al TS P2.. tkE N • V-S, &3,aa .
I trust that everything is in order. If additional information is required please do n
hesitate to contact me. I thank you for your assistance in this matter.
Your's faithfully,
i 1 Robert Williamson R.A.
DD
` MAR - 1 2018
TOWN OF SOUTHOLD
FIELD INSPECTION REPORT DATE COMMENTS
b
FOUNDATION (1ST) �y
------------------------------------
�C
FOUNDATION (2ND)
z
0
ROUGH FRAMING& H
PLUMBING r^
v
INSULATION PER N.Y.
STATE ENERGY CODE
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5� AV
FINAL g M S ph
In
ADDI IOAL COMMENTS
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TOWN OF Sul UTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
----TOWNHALLBoard of Health
SOUTHOLD,!NY 11971 j-meets of Building Plans
TEL: (631) 765-1802 i Planning Board approval
FAX: (631) 765-9502 2 Cj G� j-�rvey
Southoldtown ny .gov PERMIT NO. ✓ l ` Check
Septic Form
atees
pplication
1 'Flood Permit
Examined 20 i Sitrgle&Separate
' T-xusjIdentification Form
�/ Storm-Water Assessment Form
'7 - d Contact: PtGI4. Lf.
Approved ,20 i Mail to: Ar'CL. �wr W)LL►gMj�)
Disapproved a/ `; P.a. LA. 17sg Sovr t jo b u•y. n4rl
Phone: 631. 34.17740
Expiration /.20
D ! QVIE r-1 /X
I spa r
FEB 1 2 X018 ICATION`FOR UILDING IT
31 r,-)UQ'G DEP-y. Date =fRaJAZA 20 IS
TOWN OF SOLTMOLD 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, relationshipito 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
shal I 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.
i
(Signatur .of applicant or name,if a corporation)
I
(Mailing address of applicant)
State whether applicant is owner, lessee, age , architect, ngineer, general contractor, electrician, plumber or builder
i
Name of owner, of premises k"eQ A MA-LcpNiso� i
(As on the tax roll or latest deed)
If applicant is i corporation; f-
'signature-oduly authorized officer
a•:
(Nam and title of,corporate-officer) I
BuilderL i rise No.
Plumbers icense No. '
Electric' ns NiLense No. j
Other rade's l \\nse No.
I
1. Location of land on which proposed work will be done:
/42-5 /�1>E� pro
Ava Jue MATri'1�ack-
House Number Street - Hamlet
County Tax Map No. 1000 Section 114 Block // —Lot-28
i
Su division 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 514 Lg ►J 4-
b. Intended use and occupancy ►k1<LC L.1�1J4
3. Nature of work (check which applicable): New Building Addition Alteration -
Repair Removal Demolition t er or
op (Description)
'\4,. Estimated Cost 4,000. 1,e Fee
` (To be paid on filing this a plication)
If dwelling, number of dwelling units Number of dwelling units on each floor IU
If garage, number of cars
If business, commercial or'i`nixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front S� Rear 4S ^D `' Depth 3Z-O''
Height 26�- o " Number of Stories TWO
Dimensions of same structure with alterations or additions. Front 45-0 A-.,,-Rea-r3 4S?o
Depth �42= o Height 26�,o ~� Number{of Sto'r,es''/ Wo t !
Dimensions of entire new construction: Front 9 318 Rear 9 (3�/h� _ , Depth I 0 = 941 1
Height 'Z O" ± Number of Stories O
Size of lot: Front :7,5-fl� Rear 78, 91 Depth /q6, 6Q 217. 47
s
_ \rkDate of Purchase Name of Former Owner
one or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOX.-
13. Will lot be re-graded? YES NO Y\ excess fill be removed from premises? YES NO
kq xa:a 1425 aX 4 sof�� AV 6.,
1' N A
es of Owner of premises MLcoH.&-J Address NA rTvTVGk, 1- Phone No. 63►.ffS3.SSS7
ame of Architect M14FL P0064 WJL1- "J- Address Fo, go w. Of&,A -1;ourxcL.v Phone No 63►, 834,g74a
e 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
* 1F 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 N0__)�,
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
r J?-80-r- being duly sworn, deposes and says that/he is the applicant
( ame of individual signing contract) above named, CONNIE D.BUNCH
Notary Public,State of New York
He is the &fair. No.01BU6185050
(Contractor,Agent, Corporate Officer, etc. Qualified in suttow Co
ommission Expires April 14,2Qab
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 arid'belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn teefore me this
day of r l& 20 /$
Notary Pub-17-c Signature of Applicant
¢' �� °S`JFFgI� ST(01Kj\J[WA\T)E)[,
• -
Scott A. Russel � � �,A�(Gl)EI�v][)E1��C'
�_ SUPERVISOR � !�z ��[���
SOUTHOLDTOWN BALL-P.O.Box 1179 0 Town of Southold
53095 Main Road-SOUTH OLD,NEW YORK 11971
CHAPTER 236 - STORMVyATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
I>O]ES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
(O-tEOC ALL THAT APPLID
Yes No
E119 A. Clearing, grubbing, grading or stripping of land which affects more i
than 5,000 square feet of ground surface:
❑ B. Excavation or f 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 ;
100 feet of horizontal distance.
D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
Site reparation within the one-hundred-year floodplain as depicted
E. ;
El p
on FIRM Map of any watercourse.
❑ j 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 Nam1,
ignaturerContac�Infor-mation,Date-&-Coant�j-Tax-Map-Number!—Cbapter-236-does not-app4Ao-your-ProleX
lf you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Cbeck last Form to the Building Department with your Building Permit Application.
n,contractor,other) S.C.T.M. *: 1000 Date
APPLICANT: (Property Owner,Design Professionaljg"C'L
Dwrici
NAME IV Se t' n Block LoP'
LsM:W., "'►° FOR BU1LDIG DEPAR�'l;ENI llL u1LY `
Ccnud In(ormat,
.7r4'yM^•.L•�pn
Reviewed By:
- - - — - - - - - Date: _
�
Property-Address / Location of Construct,on Work — — — — — — — — — — — — — —
� I Approved for processing Building Permit
Stormwater Management Control Plan Not Required.
f [IStormwater Management Control Plan a Required
(Forward to Engineering Department for Review)
FORM ` SMCP - TOS MAY 2014
VAR E N MALCOM SON i
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AP�RAS NOTED
ZO
B.P.# Z-51�� COMPLY `^JITH ;ALL. CODES OF
DATE.
X AT
oo NEW YORK� ;4S REQUIRED ,A,F TOWN"CODES
_]�1.1" BY
FE ? .,
NOTIFY BUILDING DEPARTMENT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: ^ �i7 LU iOtiVN PLP,�!�!IN OARQ
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
..,�w�,._...,e JC .� •.. •: i nut ��S
2. ROUGH - FRAMING & PLUMBING rrn
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE �1CCUPAIVCY OR
REQUIREMENTS OF THE CODES OF NEW i
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. USE IS UNLAWFUL
WITHOUT CERTIFICATE
RETAIN STORM WATER RUNOFF OF OCCUPANCY
PURSUANT TO CHAPTER 236
OF THE TOWN
I
To �2
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N /
4.,y- 6.. GOHPOSITF-
DE.c.�ING.
1 2, 14 Y � f"
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-"-VJ.E:ST ELEVATIOQ. SOUTH ELEV&T10W
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FT R IS A VIOLATION OF THE �`� �b O
crof4pos 1 . mck-UJ4 LAW UNLEFOR
ACTING UNDER THE w
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DIRECTION OF A LICENSED Q ,
I I I I M
4'n,4'Aca-posW O
1. SLEEVC cotit�llL y N� ARCHITECT,TO ALTER ANY U w 3
VW ITEM ON THIS DRAWING IN
I I I I 2r'XSII ACQ LEDCr�12 I30I.TED Y ANY WAY.ANY AUTHORIZED �s�
I TO L 2,c UiJTs. GON�sITI: FASGIQ, ALTERATION MUST BE �P
I I I I 'SINpSoo STRONrr-TIE 2',,-10'AGO- CIOLMIL BOLTED 7D NOTED,SEALED,ANDc��IAUGE2 , -
4".ACA,. ,. DESCRIBED IN ACCORDANCE
I I _BLOGk ALL..-Opiwio4S G2� WITH THE LAW. co
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( U �Q
T T- T- fi SF-t Tl om 'DS C1< 76.2.* SMPS 1:2.-7* TOTAL 84 Sri.1`r �
CLIMATIC AND GEOGRAPHIC DESIGN CRITERIA
AS PER"2015 INTERNATIONAL RESIDENTIAL CODE-ICC",TABLE R301.2(1)
_ F M I Q Cr PLAM
WIND DESIGN SEISMIC SUDI MO DAMAGE FROM WINTER ICE SHIELD
GROUND DESIGN FLOOD
SNOW DESIGN UNI>ERLAYMENT
J� R r �� A {� t �'f� i I ' _ LOAD �,, h1 TOPOOMPHIC SPEMALWWD WIND-BORNE CAtIlOOAY WEATIIERINQ PROSTUNR TEMP. REQUIRED HAZARDS
•AS ` L U 1 LT D G C k OP, j�j p-F—Q M4�/MSO S I ME= REGION DESIUS ZONE D'mINEpTi ���
!� I MODERATE TO
- �I ZS PSF pJ s YES YES S SEVERE �MIN HEAVY
i3 YES ZONE'X'
_-1425 NEW 5uFFQLV- 4VF-WUE
W.Y. II-R52- S C,T H. 1000- lt4- 11 -•28 $GALE.: !4"z 1=0' DAIL: 9`EL8QroA2y 2ot8 .