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Home My WebLink About42532-Z Town of Southold 4/10/2018 P.O.Box 1179 53095 Main Rd � pT Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39587 Date: 4/10/2018 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 3310 New Suffolk Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-9-5.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/28/2018 pursuant to which Building Permit No. 42532 dated 4/5/2018 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"GARAGE CONVERSION INTO LIVING SPACE WITH A HALF BATH TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Bagshaw Jr,Harvey&Gay of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED \6U Auto ed ature ` 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#: 42532 Date: 4/5/2018 Permission is hereby granted to: Bagshaw Jr, Harvey & Gay Deephole Dr - PO BOX 1449 Mattituck, NY 11952 To: legalize "as built" interior alteration to existing single-family dwelling as applied for. Additional certification will be required. At premises located at: 3310 New Suffolk Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-9-5.2 Pursuant to application dated 3/28/2018 and approved by the Building Inspector. To expire on 10/5/2019. Fees: AS BUILT -COMMERCIAL ADDITIONS/ALTERATIONS $764.00 CO -ALTERATION TO DWELLING $50.00 Total: $814.00 Buil ctor 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 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. ,r � 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. 3 `(! ( y New Construction: Old or Pre-existing Building: X (check one) Location of Property: 3310 New Suffolk Avenue Mattituck House No. Street Hamlet Owner or Owners of Property: Harvey Bagshaw Jr. and Gay Lynn Bagshaw /L Suffolk County Tax Map No 1000, Section 115.00 Block 09.00 Lot 005.002 Subdivision C.� Filed Map. Lot: Permit No. 153 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 1, G �'evGutr Ap ican ature 1 SO Y J OF S u�LO # "F co 1 TOWN OF SOUTHOLD BUILDING DEPT. . 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL A Aa [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ( ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: - k4w 6� DATE INSPECTOR JAMES J. DEERKOSKI P.E. 260Deer Drive Mattituck, NY 11952 (631) 774 7355 Date: April 3, 2018 To: Bagshaw 3310 New uffolk Ave. Mattituck, NY 11952 Re: Garage Conversion i To Whom It May Concern: This letter certifies that a inspection was performed at the above mentioned Garage conversion and all work was completed as per all state and local codes at the time of construction(1976). Any questions feel free to call. S cerely, J erkoski P.E. N E W y0 DEE 0 EEo Qir C-0 t� C W `OAROFE SS\D�P FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION (1ST) Iv � ------------------------------------ �C 'FOUNDATION (2ND) (� T �O G ROUGH FRAMING& PLUMBING y Ql\ 1 . � r V1 fi N INSULATION PER N.Y. H STATE ENERGY'CODE 39l n% vrkns rrb✓ Wo ` FINAL Aot e&AAco- , ml Af9 ADDITIONAL COMMENTS T m X � o z d t� 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 . (Dts of Building Plans TEL: (631) 765-1802 44mmThrg Board approval FAX: (631) 765-9502 �i 0-trvey Southoldtownny.gov PERMIT NO. (� Gk"k SSeptie-Form 11-Y-8-D.E.C. Trustees �O pplication Reed,Permit Examined 20�v S4ig4e—&rSeparate Trus94lentification Form Steff*-W&er Assessment Form 6 ,20 Contact: Approved o N 1ffR-1 NLaa - Harvey Bagshaw Jr. Disapproved a/c Phone: 631-298-5933 Expiration 20 B g Inspector D D APPLICATION FOR BUILDING PERMIT MAR 2'8 2018 Date ^'�� /5— , 20 18 INSTRUCTIONS JD VG DEIN. a. be completely4 filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of 0 , 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. (Si afar pplican or name, if a corporation) 3310 New Suffolk Avenue, Mattituck, NY 11952, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Harvey Bagshaw Jr. and Gay,_Lynn Bagshaw (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: 3310 Ivy,,, Suffolk A jram ,a Mattituck House Number Street Hamlet 115.00 09.00 f 005.002 County Tax Map No. 1000 Section ..,Block :, Lot 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 As Built 977 fi ( ro convers-on.. g e to esidenct ntia Buse pec ion AUqUSt Zb, b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration X Repair Removal Demolition Other Work As Built (Description) 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 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear f ( i I 'Depth `' �__ ► ; r-� Height Number of Stories' 1 377.51 (west 9. Size of lot: Front 225.92 Rear 208.57 Depth 422.98(east) 10. Date of Purchase 8/16/1979 Name of Former OwnerMichael R & Loretta I. Maher 7 a ' L4 dtiJ PSP 1 "1 11. Zone or use district in which premises are situated M 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO X Harvey Bagshaw Jr. 3310 New Suffolk Ave. 14. Names of Owner of premises Gay Lynn Bagshaw AddressMattituck, NY 11952Phone No.631-298-5933 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 X * 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 x * 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 Suffolk being duly sworn, deposes and says that(s)he is the applicant (Name of individual sigYng contract)above named, (S)He is the DG 01 (Contractor;Agent, Corporate Officer, etc.) of said owner.,or owners, and is duly authorized to perform or hav&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 o before me this day of20 18 BARBARA H. TANDY c, State Of New York — Notary Public No. 01TA6086001 IuregnatApplicant Qualified In Suffolk County Commission Expires 01/13/20 149.30' 143.7G' ^=/ UL ot 1�4 0 Aq p \, o 00 FE. PARCEL I co 4 E Qp- T mo 20 I I Z o o 6PEA/ , Z zTOR P�ARA ?SE = W I CE C)I p I O CNllbi L1) STOINE PATr! m O I ° / k fA/ \\\ CONCH PMA EW,Y ' / DRAIN I _` l AP VED AS NO//TE�ED DATE: S B.P.# `t�S 3 .FEE: � tS BY: NOTIFY BUILDING DEPAR ENT AT RETAIN STORM WATER RUi, S; 765-1802 8AM TO 4P FOR THE: PURSUANT TO CHAPTER 236 FOLLOWING .INSPECTIONS: OF THE TOWN CODE. 1. FOUNDATION -= TWO REQUIRED FOR POURED CONCRETE 2.-ROUGH,' FRAMING & PLUMBING 3. INSULATION 4. FINAL • CONSTRUCTION MUST BE 'COMPLETE FOR C.O. ELECTRICAL ALL CONSTRUCTION SHALL MEET THE INSPECTION REQUIRED REQUIREMENTS OF THE CODES OF NEW Y013K STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF Additional NEW YORK STATE & TOWN CODE: Certification AS REQUIRED AND CONDITIONS OF May Be Required. -S6bfiH2e6 --- T 1 Rl tOMOLU I UVV11iMb5fEE3 OCCUPANCY OR USE IS UNLAWFUIL. WITHOUT CERTIFICA7 OF OCCUPANCY ILI rq MA .rJ tR iF -A FAAAjAILY KM' 'A : N�E14/� 0 E Ey kp of- LY Z' i>7 25 ssl AW 'IT Twlm Y.