The URL can be used to link to this page

Home My WebLink About37422-Z Town of Southold A OgUEFO[KC�x nnex 8/16/2012 30� �2y�N P.O.Box 1179 y 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35883 Date: 8/16/2012 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 285 Riley Ave,Mattituck, SCTM#: 473889 Sec/Block/Lot: 143.4-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/6/2012 pursuant to which Building Permit No. 37422 dated 8/6/2012 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"plumbing alterations to an existing single family dwelling as applied for. The certificate is issued to Woodhull,Ruthanne&Ors. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 91 Autho e igna re TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 37422 Date: 8/6/2012 Permission is hereby granted to: Woodhull, Ruthanne & Berliner Jr, William PO BOX 971 Mattituck, NY 11952 To: install "as built" plumbing alterations to an existing single family dwelling as applied for At premises located at: 285 Riley Ave SCTM #473889 Sec/Block/Lot# 143.-4-22 Pursuant to application dated 8/6/2012 and approved by the Building Inspector. To expire on 2/5/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector 3 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 nexv buildiig or neiv-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.2110 of 1% lead. - 5. Commercial building,industrial building, multiple residences and similar buildings and installations,a certificate of Code Complialice•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'C°pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building,and.unusual natural or topographic features. 2_ A properly cpmpletecl application and consent to inspect signed-by the applicant. If a Certificate of Occupancy is denied, the Baitding Inspector shall state the reasons therefor in writing to the applicant. C_..Fees 1_ Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.0.0,Alterations to dwelling$50.00; Swimming pool$50.60,Accessory building$50.00,Additions to accessory. building$50.00,Businesses$50.00 2_ Certificate of Occupancy on 1?re-existing Building- $100-00 3- Copy of Certificate o€.Occupancy-$_25 4. Updated Certificate of Occupancy- $50-00 • 5_ Temporary Certificate of Occupancy -Residential $15-00_,Commercial$15.00 Date. vew Construction: Id t Pre-existing Building: (check one) �G ration of Property: ,1 fj5 fZllet_ nlve_- 1 House No. Str t • �� qq II 11 Hamlet Dwnir or Owners of Property: U�l A,II�IA�. IIV!9 (L `�AI{(�tl ►uffolk County Tax Map No"1000,Section /Cf�j Block Lot lubdivision I?iled Map. jot: Permit No. 3 q q Z 2- Date of Permit. B. —i Z-- Applicant health Dept.Approval: Underwriter's Approval: 'lanning Board Approval: request for: Temporary.Certificate Final-Certificate: (check one) fee Submitted: $ licant Signature • � R, J FIELD INVECTJQN REPORT DATE COMMENTS FOUNDATION(1ST) 9J FOUNDATION(2ND) ' � z ROUGH FBAAaNQ& y PLUNMING a! t�7 INSULATION PER N.Y. STATE ENERGY COME c c FINAL ADDITIONAL COMMENTS • O Z • rn y Fri 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 Survey SoutholdTown.NorthFork.net PERMIT NO. , Check t1c.a. ;Ze :gyp) Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 20 Tom Single&Separate Stone-Water Assessment Form Contact: Approved �,20 Mail to: Disapproved a/c G p, Phone: Expiration 20:fy RD :C-E V E Building Inspector JUL 3 1 2012 APPLICATION FOR BUILDING PERMIT Date , 20 BLDG.DEPT. INSTRUCTIONS TOWN OF SOUTHOLD 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, 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 pennit 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) (Mailing address of applicant) APPRQVED AS NOTED State whether applicant is owner, lessee, agent, architect, engineer, general contractor ctrician, plumber or builder DATES'B.P.#�) 0 I,tJ't FEE: Naive of owner of remises ,� h,�� NOTIFY BUILDING D PARTM�'7 A. / (As on the tax roll or lagsIFQ 6 iNSPECTInNS' If applicant is a corporation, signature 06LTb gtN—C' gfbP 1, FOUNDATION-TWO REQUIRL�' v �ilVla 9 V FOR POURED CONCRETE (Name and title of corporate of UNLAWFUL 2. ROUGH•FRAMING,PLUMBING. Builders License No. STRAPPING, ELECTRICAL&CAULKING FICATE 3' INSULATION Plumbers License No. 41 FINAL•CONSTRUCTION&ELECTRICAL Electricians License No. (, Ir° �� MUST BE COMPLETE FOR C.O, Other Trade's License No. ALL CONSTRUCTION SWAM MEET TWE REQUIREMENTS OF THE CODES OF NEW YORK STATE, NOT RESPONSOLE FOR 1. Location of land on which proposed work will be done: 81ON0 CONSTRUCYIONEARORS. S ` w e- House Number Street Hamlet �C7 County Tax Map No. 1000 Section H3 Block tf Lot .1Z Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended us and occupancy of proposed construction: a. Existing use and occupancy ', e b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (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 Depth' Height Number of Stories 9. Size of lot: Front Rear. Depth �Jd11 - r 10. Date of Purchase— 0 a 6 � Name of Former Owner l�;Ak 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zonm law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES DD NO 1 Will excess fill be removed from premises? YES Nr'O 14. Names of Owner of premises `VJ ` Address 8)1 q1 t A0+—Phone No. 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 covenant e,and restrictions with respect to this property? * YES NO A^IF YES, PROVIDE 28OPY STATE OF NEW YORK) SS: COUNTY OF ... being duly sworn, deposes and says that(s)he is the applicant (Name of individual_signing`corifract)above named, CONNIE D.BUNCH Notary Public,State of New York (S)Heisthe :, No.01BU6185050 �:(Cotit aetpr,,.Agent, Corporate Officer, etc.) Qualified in Suffolk vl 14i 2�� Commission Expires Ap' of said owner or 6wn6rs,:,ghd�is;`duly�autl�orized to perform or have performed the.s4i-d work and to make and file this application; that all statai[i r S i; Alt fried ii tHi§`applibati.on are true to the best of his knowledge and belief; and that the work will be perforrr4e 1plt PgAN"'se'ttffdrtli 'n'tlieiaiplication filed therewith. .�i T,.►i}�"Z ,�.�lf.i rxj:: c•:7t.= Sworn to before me this - * day of 26 PlAjkA4MAJ=�, IAJ tj� Notary Public Signature of Applicant E C E d W E Woodhull JUL 3 1 2012 PO Box 971 Mattituck, NY 11952 BLDG.DEPT. TOWN OF SOUTHOLD July 31, 2012 Southold Town Building Department PO Box 1179 Southold, NY 11971 Re: Property at 285 Riley Avenue, Mattituck SCTM #1000-143-4-22 This will confirm that plumbing work, including installation of PVC piping, was done on the above-referenced property during the year of 2003. Please contact me if you need additional information. Thank you for your attention to this matter. Sincerely, W l{�v1/1c.L_ Ruthann Woodhull 631-298-9192 � <o Town Hall Annex J R J I Telephone(631)Y65--1802 54375 Main Road cn roger.richertdrown1sou5tnold.nV.us P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: Co VAA0 AX FZIFA CC License No.: Address: c C. N11 � Phone No.: 1 JOBSITE INFORMATION, (*Indicates required information) *Name: -�V I� Ps1 Ax,,y, 'e-� z *Address: ' SS5 Ll *Cross Street: *Phone No.: ,� (c6o j Permit No.: Tax Map District: 1000. Section: Block: Lot: � *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply). *Is job ready for inspection: YES / NO Rough In Final *Do.you need a Temp Certificate: YES / NO Temp Information-(If needed) *Service Size: 1 Phase 3Phase 100 15G 200 300 350 400 Other \ *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION R7+RSr,o?cf for IncnPr.tion Fnrm LAND N/F OF S.C.T.M. NO. DISTRICT: 1000 SECTION: 143 BLOCK: 4 LOT(S):22 J.H. RAMBO N70031 '00"E 75.00' MON. MON. WOOD POSTS 5.8, X 1 STY FRM. 0.4'E DWELLING LAND N/F OF O 2'x6' RILEY j STORAGE ROOF OVER WOOD DECK 7.0' MON. 5.5'W 24.1 POSTO FRM. No BLDG. RE-BAR U.P.B3B LOT 1 LOT 6 LOT 7 Imo.. — CONC. 1.8'W O 0 16.3' CONC. iV FRM. O ad COTTAGE O 15.8 tzj LOT 2 M.H.Q ,7.r . STORAGE Z M.H. O _ FRM, o RE-BAR GARAGE N MON. 18.4' U.P.13A — 11.7 1.9'W p � O OIL TANKS y LOT 3 O W CONC. SLAB O W �7 O J W W 2 .4% , 12.3' a ad v Da O o 17.9' an 3 z � 0 v 1 STY FRM MOH. m� my DWELLING N W U #285 a Ila z 3.5'W � � O 2.6' 30.2' 18.8 F; < CONC. x STOOP 94 LOT 4 �2i CONC. , $7Y FRM � DWELLING Qi N M 2.9' I 250.00' —1 L 1 3-3,W1 1 1 _ MON. S70031 100"W 75.00' RILEY (50') AVENUE THE WATER SUPPLY, WELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS REMOVE ENCHROACHMENT 06-05-12 AND OR DATA OBTAINED FROM OTHERS AREA: 25,065.00 SQ.FT. or 0.58 ACRES U.P.13c-cb ELEVATION DATUM: ------------------------- UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 6 CERTIFIED TO: DONALD BERLINER; MAP OF: GEO. H., WILLIAM T. AND D.T. RILEY MATTITUCK L.I. FILED: NOV. 27, 1928 No.186 SITUATED AT: MATTITUCK TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S. SUFFOLK COUNTY, NEW YORK � Land Surveying and Design�/k P.O. Box 3, Mattituck, New York, 11952 2012 PHONE (631) 298-1588 FAX (631) 298-1588 FILE # 12-56 SCALE:1 "=30' DATE:APRIL 2.3, N. Y. S. LIC NO. 50227 maintaining the records of Robert J. Hennessy WATER SUPPLY AND DISTRIBUTION TABLE P2904.5 WATER DISTRIBUTION PIPE MATERIAL STANDARD Brass pipe ASTM B 43 Chlorinated polyvinyl chloride(CPVC)plastic pipe and tubing ASTM D 2846;ASTM F 441;ASTM F 442;CSA B137.6 Copper or copper-alloy pipe ASTM B 42;ASTM B 302 Copper or copper-alloy tubing(Type K,WK,L,WL,M or WM) ASTM B 75;ASTM B 88; ASTM B 251;ASTM B 447 Cross-linked polyethylene(PEX)plastic tubing ASTM F 877;CSA B 137 Cross-linked polyethylene/aluminum/cross-linked polyethylene ASTM F 12 -B1 7.10 (PEX-AL-PEX)pipe Galvanized steel pipe ► ASTM A 53 Polybutylene(PB)plastic pipe and tubing ASTM D 3309;CSA CAN - 37.8 Polyethylene/aluminum/polyethylene(PE-AL-PE)composite pipe ASTM F 1282 Stainless steel(Type 304/304L)pipe ASTM A312;ASTM A778 Stainless steel(Type 316/316L)pipe ASTM A312;ASTM A778 TABLE P2904.6 PIPE FITTINGS MATERIAL STANDARD Acrylonitrile butadiene styrene(ABS)plastic ASTM D 2468 Brass ASTM F1974 Cast-iron ASME B16.4;ASME B16.12 Chlorinated polyvinyl chloride(CPVC)plastic ASTM F 437;ASTM F 438;ASTM F 439 Copper or copper alloy ASME B 16.15;ASME B 16.18;ASME B 16.22; ASME B 16.23;ASME B 16.26;ASME B 16.29 Fittings for cross-linked polyethylene(PEX)plastic tubing ASTM F 1807;ASTM F 1960;ASTM F 2080 Gray iron and ductile iron AWWA C110;AWWA C153 Malleable iron ASME B 16.3 Polyethylene(PE)plastic ASTM D 2609 Polyvinyl chloride(PVC)plastic ASTM D 2464;ASTM D 2466;ASTM D 2467;CSA B137.2 Stainless steel(Type 304/304L)pipe ASTM A312;ASTM A778 Stainless steel(Type 316/316L)pipe ASTM A312;ASTM A778 Steel ASME B 16.9;ASME B 16.11;ASME B 16.28 RESIDENTIAL CODE OF NEW YORK STATE 391 WATER SUPPLY AND DISTRIBUTION TABLE P29D4.5 WATER DISTRIBUTION PIPE MATERIAL STANDARD Brass pipe ASTM B 43 Chlorinated polyvinyl chloride(CPVC)plastic pipe and tubing ASTM D 2846;ASTM F 441;ASTM F 442;CSA B 137.6 Copper or copper-alloy pipe ASTM B 42;ASTM B 302 Copper or copper-alloy tubing(Type K,WK,L,WL,M or WM) ASTM B 75;ASTM B 88; _ ASTM B 251;ASTM B 447 - Cross-linked polyethylene(PEX)plastic tubing ASTM F 877;CSA B137 Cross-linked polyethylene/aluminum/cross-linked polyethylene ASTM F I B 1 .10 (PEX-AL-PEX)pipe Galvanized steel pipe tea ��4,ASTMA.53 Polybutylene(PB)plastic pipe and tubing I- ASTM D 3309;CSA CAN 37.8 Polyethylene/aluminum/polyethylene(PE-AL-PE)composite pipe ASTM F 1282 Stainless steel(Type 304/304L)pipe ASTM A312;ASTM A778 Stainless steel(Type 316/316L)pipe ASTM A312;ASTM A778 TABLE P2904.6 PIPE FITTINGS MATERIAL STANDARD Acrylonitrile butadiene styrene(ABS)plastic ASTM D 2468 Brass ASTM F1974 Cast-iron ASME B 16.4;ASME B 16.12 Chlorinated polyvinyl chloride(CPVC)plastic ASTD4 F 437;ASTM F 438;ASTM F 439 Copper or copper alloy ASME B 16.15;ASME B 16.18;ASME B 16.22; ASME B 16.23;ASME B 16.26;ASME B 16.29 Fittings for cross-linked polyethylene(PEX)plastic tubing ASTM F 1807;ASTM F 1960;ASTM F 2080 Gray iron and ductile iron AW WA Cl l0;AW WA C153 Malleable iron ASME B 16.3 Polyethylene(PE)plastic ASTM D 2609 Polyvinyl chloride(PVC)plastic ASTM D 2464;ASTM D 2466;ASTM D 2467;CSA B137.2 Stainless steel(Type 304/304L)pipe ASTM A312;ASTM A778 Stainless steel(Type 316/316L)pipe ASTM A312;ASTM A778 Steel JASME B 16.9;ASME B 16.11;ASME B 16.28 RESIDENTIAL CODE OF NEW YORK STATE 391