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HomeMy WebLinkAbout42179-Z Town of Southold 5/15/2018 fl P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39641 Date: 5/15/2018 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 910 New Suffolk Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 114.-12-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/27/2017 pursuant to which Building Permit No. 42179 dated 11/27/2017 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: INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Donlin Carole Revoc Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42179 04/11/2018 PLUMBERS CERTIFICATION DATED A tho ' Signature �gVEE01 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#: 42179 Date: 11/27/2017 Permission is hereby granted to: Donlin Carole Revoc Trust 910 New Suffolk Ave Mattituck, NY 11952 To: make interior alterations to an existing single family dwelling as applied for, At premises located at: 910 New Suffolk Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 114.-12-8 Pursuant to application dated 11/27/2017 and approved by the Building Inspector. To expire on 5/29/2019. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $234.40 CO -ALTERATION TO DWELLING $50.00 To 1: $284.40 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$15.00f Date. ` New Construction: Old or Pre-existin Building: (check one) Location of Property: 11 L 0 / v�'V kitE. House No. Street Hamlet Owner or Owners of Property: 6C Suffolk County Tax Map No 1000, Section Block 2' Lot 0U Subdivision .� r Filed Map. Lot: Permit No. `sem Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: !/ Request for: Temporary Certificate Final Certificate: `' (check one Fee Submitted: $ L)� y- Applicant Signature pF SO(�j�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.rich ert(a)-town.southoId.ny.us Southold,NY,11971-0959 ® _ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Carole Donlin Address: 910 New Suffolk Avenue city Mattituck st: New York zip: ,11952 Building Permit#: 42179 Section: 114 Block: 12 Lot: 8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Fntractor: DBA: G&S Electric License No: 578-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 1 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 6 Twist Lock Exit Fixtures TVSS Other Equipment: Bath Room Renovation, 1- Bath Fan Notes: Inspector Signature: yltte�A—= Date: April 11, 2018 0-Cert Electrical Compliance Formas y'q��yQTr Stl���a . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT f TOWN OF SOUTHOLD i , CERTIFICATION _ S t Date: 2 i 27 Building Permit No. �_ I Owner: ID6yi l I M (Please print) / Plumber. (Please print) I certify that the solder used in the water supply system contains less than 2/10 of'1% lead. i i (PIumbers Signature) Sworn to before me this,��� day of 20� D B9:[E0'V[E D � Notary Publi plwnty MAR 2 3 2018 I CONNIE D.BUNCH BU.IDYNG DElr, Notary Public,State of Nesv York TOWN OF SOL-MOLD No.01 BU6185050 Qualified in Suffolk County commission Expires April 14, I �pE SOUry �o� olo OOUMV TOWN OF SOUTHOLD BUILDING DEPT. 765-1502 INSPEC CN [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] OUNDATION 2ND [ ] INSULATION [ FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL NAL) KS. • MAR �r� h DATE � � INSPECTOR OF SOUT�olo 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: DATE INSPECTORS SOUryo cou 0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ] JMULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 10i00, DATE lql 2e INSPECTOR - 4 } F -4 ; FIELD INSPECTION REPORT DATE COMMENTS . b FOUNDATION(1ST) y -------------------------------------- FOUNDATION -----------------------------------FOUNDATION (2ND) z v + (cxvv�i iS 8l� kuvio✓ Nfop/.. 14&A, ROUGH FRAMING& y PLUMBING r v � 771. Iq I tit OW —040, r INSULATION PER N.Y: H STATE ENERGY CODE FINAL ADDITIONAL COMMENT v -H-aolri I yo q-- 3 -` Z -�cl- I a Q � o z d H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following;before applying? TOWN HALL , , z: 'i t• •Boardof;Health SOUTHOLD, NY 1197-1 -- - 4'�sets of Building Plans' TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 - InI T1 - Survey_ ' SoutholdTown.NorthFork.net PERMIT NO. Check - _. _ _ - � :,'.••: r' 'Septic'Form`' ". 'I " N.Y.S.D.E.C:" Trustees C.O.Application Flood Permit Examined ,20 ' Single&,Separate Storm-Water Assessment Form ontact: Approved ,20 Mail to: lDow,h,w �Disapproved a/c IG-92, Mme t a - Phone: Expiration 20 ui ding Inspe or- + l - r I, D_ NOV 1 .7 2017 APPLICATION-FOR B_&]LDING'FERMI. , Date t 6,4/ 20 70-N-14 OF SOUTHOLD INSTRUCTIONS== I a. This application MUST be completely filled in by`t}Oji`A-i'iterror`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;,relatronship to adjoining-premises,or public streets or areas, and waterways. c. The work covered by this applicati= 'Iaing�lnspe-�tor'wiil'iss'u'e'a"gu'ii'di'ng not be commence ,) efore.issuance of,Building Permit. d• Upon approval of this application, 'Permit to the applicant. Such a permit shall be kept on the premises,available-for inspection throughout the work. j,. e,No building shall•be occupied-or used in whole or in part or any purpose whIat so ever until the Building Inspector issues a Certificate of Occupancy. f, Every building permffs,hall expir"e if the work uthorizec�. as_rlofcQri�rnenced within 12 months after the date of issuance or has not been completed within 18'months from such`xlhte:'I;f no zoning amendments or other regulations affecting the , - property have been enacted ih the-irit`erim,-the Building Inspecto'r-',,intray authorize, in writing,the extension of the;permit for an addition six months. Thereafter, a new permit shall be required. j APPLICATION IS,HFREBYMADE:to-th�',B,uildirig;D.epartrri'L fdx the issuance of a Buildirig Permit pursuant to the BuildingZone Ordinance of the Town,of•Southold;Suffollt C'urity,Nest Yorlc;;and•other'applicable Laws„Ordinances,or Regulations, for the construction of buildings,_additiorts, or alterations o!'f r removal or:demolition' s herein described.The applicant agrees to comply with all applicable laws, ordinances,building�c, e' i t-in ' ode, and'r ulatioris; and to admit authorized inspectors on premises and in building for necessary ins pectio s. (iSi/gnatur/e/hof app icant or name,if a corporation) '(Ivlailing'addre's's of applican State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,.plu ffi ber or builder Name of owner of premises. � ?G— . .� o• d6�1�lly' '(As"on the tax roll,or.latest,deed)(,_ , f If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. � 0! Plumbers'License No. Electricians License"No. Other Trade's License No. i 1. Location of land on which proposed work will be done: House Number Street Y ,., Hamlet Block County Tax Map No. 1000 Section 1 . Lot I i 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 / y► Xv '�n1.6 b. Intended use and occupancy ?'/err►C__ 3. Nature of work (check which applicable): New Building Addition Alteration�X Repair Removal, Demolition Other Work • ' 4. Estimated Cost " OST Fee (Description) —� (To be paid on filing this application) 5. If dwelling, number of'dwelling units I Number of dwelling units on each-floor If garage; hurrfbe�'of car's' 6. If business, commercial or mixed;occupancy, specify nature and extent of each type of use. i - - 7. Dimensions of existing structures, if any: Front :2-4 I Rear 2�- Depth Height '''Number of Stories 1:7-- Dimensions Dimensions of same structure with alterations or r additio_ ns: Front S�' ;�- Rear_ Depth Height cJt a: -r.E'Number of`Stories 8. Dimensions of entire new constructions,T.'t'ont; �c x -Rear-. >- Depth Height Number of~Stories � 9. Size of lot: Front �Q Rear &5! B , Depth , 10. Date of Purchase Name of,Form'ey.Owner R (Mari 11. Zone or use district irr which'premises;dre situated. ...':.,,i 12. Does proposed construc'tion;v�iolate Any tzoning'law;;'`ordin'ance-or rdgu_lationi?YES:. , - - NO X 13. Will lot be re r ded? YES NO ,/` Will excess fil bd,fq t11'6 ` ?•YES NO -g t? l�i retno;�ed�from;preinises 14. Names of Owner of premisesQ6PL-WA. ddress ?P'r1-1.i-uej� Phone.No. ���r Name of Architect; P�..C:aFi:t ?='„":fA `'`'•`'`'''_�'�'�i'nr�^J'p ,Phorie No ddress, _ . :,d,� Address '' Name of Contractor prt�r ,:i>>; _� 5. -Phone No.' 15 a. Is this property,within 100,feet.'of,,'tidal wetland,or.:6frdshwaier,?dtland?�,ftYES," ' '!NO, * IF YES, SOUTHOLD TOWN;2RUSTEES &:TQ.&GCPERMTT#S''IvIA:Y'BE,r,REQUfRED. ” Y b. is this prop erty'wit4in3001feet;ofa=tiddl=wetlarid2.*!YES,' NO:;:, * IF YES; D.E.C. PERNIITS.lU[A'Y°BE REQIIIRED:`e;x ' �`:.;;' '" :t: 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point 6h'ptoperty`-i's"at'10 feet or below, must provide topographical data on survey. 18. Are there any eovenants,and.restrictions with respect to this property? * YES NO A IF YES, PROVIDE A COPY. STATE OF NEW YORK)` SS: COUNTY OF ) 'D®PD-d0 ��1 LPIf2— _, ..being;duly,swpi�n, deposes and says that(s)he is the applicant (Name of individual �sr�g fmng contract) above� named; ''a Vll t, , (S)He is the i T�� (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 th�C� day of 20� 00NNll ti.BUNCH I oiag,'R,blic,State of Now York Notary Public No.01BU6185050 INWhature of Applicant Qualified in Suffolk-C.ounty Commission Expires Aprll 14,2 l7 i Tam HallAnnex o I 54375 AWa Road T e ? P.O Box II79 �; Q r er-ri SoikhoId,NY ii97i-o959 1J FEB 20 2018 BSO DEPARTMENT TOWN OF SOUM' OLD F J i &':N"G DF-T-x; APPLICATION FOR EI..�CTRICAI` INSPECTION TOWN OF SOUTjffOLD REQUEST€D BY: w Date: o`Z /(� parry Name: he" ame: G U P�IZ rz t f- nse No.: dress: v hone No.: S/ JOBSfTE INFORMATION: (*Indicates required.information) II *Name: /� 1-- IAI, *Address: 9/D 4U�lJ S 1 FFD��c �"tl.�, 14A T7-1 YIJC-/t *Cross Street: T a �- *Phone No.: Permit No.: Tax-Map District: " 1p0a Section: Bloctc: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) /i�a✓ot A !l©A/ ------------ (Please.Circle AH That Apply) *Is job ready for inspection: NO. Rough In Final *Do.you need a Temp Certificate: YES! NO Temp Information Of needed) *Service Size: 9 Phase 3Phase 100 450 200 300 350 400 Other *New Serfilce: Re-connect Underground Number of Meters Change of Service Overhead AddWonal Information: PAYMENT DOE WITH APPLICATION R! .824�eWest for Fnspecion Form `� cJ `�- ,; �`. t' �: �4 ,. x � _� i ` �t `� 1AS r .. m....�-.v....... .. _. r4 � w i t ,��� �llt J4.. _.t ,: y• ->... Saar--*.r�y'�#!� - 7 �"�-�,�.".,.",,,,�,,.. i I � i �4 s .. Ga� QPM ,� +". �, "'"+..,.�.,,,, � . gyp, .. � � .� ,- � r i .. � `� .., -Y +� ,� `� `\ R :. .� ,� r ..- �.� ._ -- ' a �. =�r�� �, �F.n. y'; F'._ \ ��"�`^ r ... : .fie'�x•- w t. .... ��� d n 1.. k ,a a III. x 6� i �3r£Zu r � � �� ,. �� e ,-u�,: ';i�. �r .c:: µ ,. r -, y, .. �� .� _. ��e4 �' t. � �, __--- . -- w `""�-�., t� K ., £ F .,:,,. �, i t,, f �� ,, t s - �.r- t, � -. .._ �. >:. y, �v �' � � t �. , -� �--� �:.. ;. Y L�', � c : :_ -- F�. T �. ..,�,� .� �_ _ ___� ��, r `J s� r"- r '�'P ......r. '�- S aoK f,�. '�` .,� �' ,�, A ,�• �-/' �. _4�� f..r i 1 �, , � �; x 5 _ _`..__- ' _ ,. � - ,- +.,�' ^7 -*IMF [ o 00 � z• I", ,. - - - - ' _t..�...�-..:.. �. - - - lid l�" �• ��''C♦Sro^j;�,3".- ry �j 4^ O � e �r. ilia i Iuj , z p5 VSD r�S � °s ® n Lu DAT u }�— FEE ` •'!t! ' .�- f Tb *-#C , NOTI Y BUIL Dli i a n'� VENT AT U }� s°?s`iat 765-1302 8 AMi O 4 ";i FOR THE I'v -FOLLOWING, INSPECT IONS: �' 0 Y � FOUNDATION - T'R�0 REQUIRED 74 FOR�POURED CONCRETE ' • y _ PLUMBING ,,, cv { 'bUILDING use Resfdertiai -SIFT 2. ROUGH FRAMING & p, GUiL[ING Al N m - ? tit�S+A:- �O 13UILL�NG HEIGHT: T'(A. E E-t40V� s�e�'� 3. INSULATION W ,TYr'E OF ODNsTRueTION Ttiv - CONSTRUCTION MUST _! Y��►' r_ t' RIT RtA RreS[ii uvn Ctes cn 4. FINAL C 0. W •© k tOa �a F;s a BE COMPLETE FORcio /f " 'DEADL�AO - 10 psi Al_L CONSTRUCTION SHALL, MEET THE L1._ r'' 5 $VOW.LOAO, d5nst ground cl S'--tStvVC ZONE REQUIREMENTS OF THE CODES OF NEW 1?)O r='em0) YORK STATE. NOT RESPONSIBLE FOR _ = ; xRosURATEGf�RY , © CONSTRUCTION ERRORS. DESIGN - - —•�-�-_ ��vE-.PrF�ERrNG - 8nvcro OR �R'•{ QG J t �f FrRC3S7'LiME`GEPTH ' ' ,'ERWTE Prt^Cerata Co heavy J . •- _ - _ ,.` -�,', - f `` - �CsCG Sf,Sntta'mzr�'erate (���i�,l�:��tl F ?-z'i--{ '`1 CODES .. 'ViltdiER DESIGN DRY BULB TEMP i 7Dcgrees F i ° %t+ X1\1 C 0 D C 3 Cj A;t ca,icna ,s dosigned 41 accorci rncc with't}u; BUtldtflg Coda _`V YO i;{ti D��'� ':' -; l.� p{Fi5r1 Ya�x State.B the Amer,�n Forest &Paper Assoraatiola �, p r , s; 'ti i t:16 ��F`V e ,' -' .'t• - ' *-ty r' "-"a=_:y J-'F _ I 'Mood FrertSg Cansiryct a Marx,-11 for One&Twof�{�". C��VI IJ i�I= -• I�''� ` �-y -t5AFP.PA) 4 = ') ( ) N IR `2 -L." f_.i7 - --- " ,.� - i�,�r•._ ��1� Pc��1s"6cY i ,r I;v',.rr'j jI,�IEtJ r 11 OR 2 �r�y ® `s UNLAt.FUL !' CUT CER _STH TIFICATE . tA cl I*quiz� CF OCCUPANCY J