HomeMy WebLinkAbout36755-Z UpfOl,fc Town of Southold Annex 9/25/2012
�Gy P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35970 Date: 9/25/2012
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property: 4105 Soundview Ave, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 94.-3-1.8
Subdivision: Fled Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/23/2011 pursuant to which Building Permit No. 36755 dated 10/14/2011
'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:
alterations and additions, including deck, to an existing one family dwelling as applied for.
The certificate is issued to Verdi,Robert
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36755 9/17/12
PLUMBERS CERTIFICATION DATED 9/10/12 Michael Algozzino
Auth rized Signature
TOWN OF SOUTHOLD
�OSUFFO(,+Co��
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
SOUTHOLD, NY
a:rstPf
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#: 36755 Date: 10/14/2011
Permission is hereby granted to:
Verdi, Robert
Quantuck Bay Ln
PO BOX 1669
Westhampton Beach, NY 11978
To: Additions & Alterations to a Single Family Dwelling;
Deck, Kitchen, Baths, as applied for.
At premises located at:
4105 Soundview Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 94.-3-1.8
Pursuant to application dated 9/23/2011 and approved by the Building Inspector.
To expire on 4/14/2013.
Fees:
CO -ADDITION TO DWELLING $50.00
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $433.60
Total: $483.60
B (ding Inspector
Form No.6 7 �
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 2110 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) n.on-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 $1..00,Commercial$15.00
Date\
New Construction: Old or Pre-existing Building:' (check one)
Location of Propert�j.i L,N 0 5 !goo r1 A y-be `j k a e- K#<7—r.'1Ue t�
House No. Street Hamlet
Owner or Owners of Propert k7
Suffolk County Tax Map No 1000, Section Block .03 Lot I
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: $ 50100
Applicant Signature
*pF SO�jyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roper.richert(D-town.southoId.ny.us
Southold,NY 11971-0959 mac` • a0
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Robert Verde
Address: 4105.Sound View Ave City: Mattituck St: NY Zip: 11952
Building Permit* 36755 Section: 94 Block: 3 Lot: 1.8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Beach Electric of Quogue License No: 4025-e
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 15 Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 9 Wall Fixtures 7 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 45 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture 4 Pumps
Transformer ARppliances Dryer Recpt EmerHgency Fixtures Time Clocks
Disconnect Switches 14 Twist Lock Exit Fixtures TVSS
[I
Other Equipment: 1-paddle fan, 1-oven (30), 3-exhaust fans, 24ft of lighting track, 1-wirlpool bath
Notes:
Inspector Signature: Date: Sept 17 2012
81-Cert Electrical Compliance Form.xls
���yOF SBjjyo
Town Hall Annex Telephone(631)765-1802
54375 Main Road (631)76 �5Q2
P.O.Sox 1179 .• O roaer.richerte #o`wn.sou o ny us
Southold,NY 1197I-0959 � ��
�y�OUNfY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No. 3� j o5 S uv n� V sec l A-ve /,1,A'L��o
Owner: Ro$ex-r v(5-e_ z
(Please print)
Plumber: a �°I 36-MP)
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
i�
(PlunibeK Signature)
Sworn to before me this �(7
day of &26, , 20j_2,_
Notary Public, SU I� County
Danielle L.Carter
Notary Public,State of New York
01 CA6185879
Qualified in Suffolk Count]
Commission Expires April 21, 2-_196
-3 �7 A�Z;_;::;
pF S0(/lyo
�y�OUNi'1,Nc�
TOWN OF SOUTHOLD UILDI
765-1802
INSPECT N
[ ] FOUNDATION 1ST [ ROUGH PLBG.
[ IF NDATION 2ND [ ] INSULATION
[ FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICA (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS
GJ � C
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j f Sj,f
DATE ( 1 INSPECTOR
SO(/T�olo
` olyCOuNmri'�
TOWN OF SOUTHOLD BUILDING DEPT.
i ;
765-1602
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
7
DATE l r INSPECTOR
�OF SOUTy
�'yCp
UN1V,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPEC - N
[ ] FOUNDATION 1ST [TOUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRIC OUCH) [ ] ELECTRICAL (FINAL)
REMARKS:
f A-V
4 c
� ���
DATE �l INSPECTOR
OF SO�Tyo�o
COUHi'l,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] RO PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIR AFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [- IRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
c
DATE �` �� INSPECTO
OE SOpT��� — —
7ST
cOUNI`l,N
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION"
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
74� -
r
DATE oZq 1 INSPECTOR
pf SO(/T�,�lo -
TOWN OF SOUTHOLD BUILDING DEPT,
765-1802
INSPECTION .-,
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE 1 7� INSPECTOR'
A' 1 1 0 • !i • 1 f'
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WAS
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ADDrrIONALCOMMNTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL I 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
Septic Form
N.Y.S.D.E.C.
Trustees _.
Flood Permit
Examined 10 - 7 20 t Single&.Separate_
Storm-Water•Assessment Form
f�� I Contact: ` �
Approved ,20 I Mail to:
! 2 Phon. —
Expiration 120
as I
Building Inspector
D E C E � �1 E1corn
PLICATION FOR BUILDING PERMIT
Happ
2 3 2011 Date �l ` I� , 20
INSTRUCTIONS
a. TIj 3o iEMMUST beletely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of laps, e 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)
glOS SwAJV eW lave Mo,-77-, TVCa—
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
0w( eA
Name of owner of premises_R C>&Q;—(
(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. L003100
Plumbers License No. 13 M ^c6 eL AL j o z%e Pe ;?t A-vu et j end w p lRwn ?sb8-5.4 r;
Electricians License No. lj;3 1?j
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section � y 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 S M!!, �-`odv�c J
b. Intended use and occupancy _ �rrq�� -E�cV��\y kAtMe
3. Nature of work (check which applicable): New Building Addition Alteration ,
Pr-
Repair ✓1 Removal Demolition Other Work ✓5ee iz—rm g gd
50b is- (Description)
4. Estimated Cost d'�06 k Fee
(To be paid on filing this application)
r 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 existinor structures, if any: Front t Rear �"1 l Depth f00 r
Height (� Number of Stories
Dimensions of same structure with alterations or additions: Front m�— Rear
Depth AOO` Height s` Number,of Stories
8. Dimensions of entire new construction: Front ' ,)AMC' _ Rear Depth
Height Number of Stories
9. Size of lot: Front 1 �° a Rear M• 3g� Depth
10. Date of Purchase (ney ;.01 ( Name of Former Owner A V-2 PZ'
b l 1. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO r/
13. Will lot be re-graded? YES NO_ZWill excess fill be removed from premises? YES NO
14.Names of Owner of premises 9,p (Z-T WRO i Address q/OS 600flcld;eu)A,11 Phone No. 6g1'701"00601
Name of Architect Address ' Phone No
Name of Contractor F2eA '�LoAne)�- Address 3) IX Phone No. 631-`675- 53 3�
4kP',%&p-roA fj^4 /
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V 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 t" 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 OT&A
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or o-wners, 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 efore me thi
day of 20 1
Notary Public Signature of Applicant
B.P. 7-5
BUILDING PERMIT EXAMINER CHECKLIST Date Submitted: �-� Date Reviewed:
Applicant: Owner:
Aad_pjl� Estimated Cost:
SCTM# 1000 --_: 3 — Subdivision: - Zone: Conforming?
c y[� r
Property Address: f ® S �� City: / Pre COs?
Building Permits (Open/Expired): BP -Z/C/o Z- ,Info: BP -Z/C/o Z- ,Info:
BP -Z/C/o Z- , Info: BP -Z/C/o Z- ,Info: BP -Z/C/o Z- ,Info:
Single& Separate Search Required? Y o&Deterniination: ' SToR RR0t4 u,F`F=
IREQ. Lot Size: ACT. Lot Size: REQ. Lot Cov., ACT: Lot Cov.
REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear PROP. Rear
REQ. Height. ACT. Height R E dt. BOTH SIDES ACT
b�-
Project ription
Waterfront arp
If yes, water body: a'dC( � Panel# flood Zone: Bulkhead/Bluff Distance:
ADDITIONAL APPROVALS-REQUIRED PLqn/S SIGNED, 5El&LED L1�StARVF_Y Olt
Suffolk County Health: Y-or - If yes, *Bed#: _ *Date: _/ / *Permit#: Town Septic: Y-NI
- If no, certification required: Y or N Received: Y or N By:
NYS DEC: PRE-DEC 9/1175 Y o Date: / / Permit#: or NJ Letter- Notes:
Southold Trustees: Y orO Date:. / `/ Permit#: or NJ Letter=Notes:
Southold ZBA: Y orL - Date: / /_ Permit#: -Notes:
Southold Planning: Y o>9- Date: _/ /_ Permit#: -Notes:,,.
Town Landmark C of A: Y TE: _/ /_ *NYS CODE Compliance (page 2): Y or N
C0NTK4<T10 Q ew_—St 0 I5i4BILITY kUtBli, T .Work/y.— co ,� 1oA/
Notes
a
Fee Structure: Calculation:
Foundation: SF X $ , 7�"=$ �3, G
First Floor: SF + Initial Fee: $ 0 ® 0
Second Floor: (o SF +Additional Fee ( ): $
Other: SF SF X$ , =$
Total: - -SF +Initial Fee: $
+Additional Fee $
C. of o FiE _ "a, a0
AS 8 to I L T FEE TOTAL: $ b
i
NEW YORK STATE CODE COMPLIANCE"CHECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
.Ground Snow Load:ZD Wind Speed; 120MPH Seismic Design Category:B
Weathering: Severe Frost Depth: 36" Termite: M-H' Decay: S-M
Design Temp: 11 -lee-Shield Underlay: YES Flood Hazards:
USE/OCCUPANCY CLASSIFICATION:
HEIGHT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE .
FULL FRAMING'D ES IGN ELEMENTS: Y/N
HEADERS: YIN .WALL STUDS: Y/N GIRDERS: Y/N
CEILING JOISTS: Y/N FLOOR JOISTS:Y/N ROOF RATTERS: Y/N
LUMBER SPECIES AND GRADE: Y/N
WINDOW AND DOOR SCHEDULE:
•MISSLE TEST REQUIREMENTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%: Y/N
VENT 4%: Y/N
NAILING/CONSTRUCTION SCHEDULE: YIN
MEANS OF EGRESS-. Y/N
PLUMBING RISER DIAGRAMQ/N..
LOCATION OF DIRE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N ,
CERTIFICATION: Y/N
ENERGY CALLS: YIN (RESOfECK)
TOTAL COM'PI",IENCE? Y/N (RETURN TO PAGE ONE)
OF SO(/j�ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road ax(631)765- 5Q2
P.O.Box 1179 G Q roger.richert(a4own.sou5f9o1�d.ny us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: _ Date: IeZ
—
lCompanyName: �1 v%? .� ��%�-1�t I G Coo
Name: -, ►215 ��
License No.: W 3 j F
Address: o5'r�-�
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: V eP_C\t
*Address: q l0 :,ouf)o v 1fW AV e-
I
*Cross Street: SA Mi� i RE U JAY
*Phone No.: G-3/- 76 1 - b O o`�
Permit No.:
Tax-Map District: 1000 Section:._ Block; _ Lot: 1 • $'
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) tAST+�<<<�� (law a�r(e73 IrJ
OfA2A, Re luaJ���rJt #c.�ue,� aU�PYsS7 +cl� N cnJRew;q ��2. (>7�-r<a,� - : �-Srn
(Please Circle All That Apply)
*Is job ready for inspection: YES N Rough In Final
*Do-you need a Temp Certificate: YES / N .
Temp Information (if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.ElMequest for Inspection Form
's
Town Hall Annex O 1
Telephone(631)765-1802 1.
54375 Main Road -I
(631)765- 5
P.O.Box 1179 •: Q roger.richert tol sout95175 ny us
Southold,NY 11971-0959
o�yOwn i.
BUR DING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
3
IREQUESTED BY: l_�w 5c�h�v►�v�✓� Date: l
Company Name:
Name:
License No.: (� 2
Address:
0 +l' `�7�� � C\- �
'Phone No.:
JOBSITE fNFORMATION: (Indicates required information)
*Name:
*Address: :Gam\ e�.J
*Cross Street:
*Phone No.: Z, C�Oa
r f
Permit No.: Co —
Tax-Map District: 1000 Section: Block:_()__�. Lot: .`.
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) r
(Please Circle All That Apply)
*Is job ready for inspection:
&/ NO. Cough i "Final
*Do-you need a Temp Certificate: YES!(NO
Temp Information(if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Chang
e
Additional lnformation: PAYMENT DUE WITH APPLIC
11 II�
i
82=Request for Inspection Fonn G BLDG.DEPT. I
I J� TOWN OF SOUTHOLD I
ho�*pF SO(/r�olo
Town Hall Annex Telephone(631)765 1802
54375 Main Road Fax(63 I)765-9502
P.O.Box 1179
Southold,NY 11971-0959 Ol aQ
couffm
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
September 4, 2012
Robert Verdi
PO Box 1669
Westhampton Beach, NY 11978
Re: 4105 Soundview Ave, Mattituck
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy..(Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
A fee of$50.00.
Final Health Department Approval.
V Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#7684938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 36755 - Addition/Alterations
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SURVEY OF, PROPERTY
. ..5v� USES SI T UA TE
MATTITUCK
TOWN OF SOUTHOLD
/ SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-94-03- 1 .8
SCALE 1 "=30'
DECEMBER 2, 1997
/ DECEMBER 13, 1997 ADDED LANDSCAPE BUFFER & COASTAL EROSION LINE
APRIL 1 , 1998 REVISED LANDSCAPE BUFFER
NOVEMBER 23, 2009 ADDED POOL
APRIL 19, 2011 UPDATE SURVEY
°�os�NE AREA NE 2 1 ,13 110 sq. ff.
(TO ) 4ac.
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CERTIFIED TO:
�G`a RpP ROBERT VERDI
COMMONWEALTH LAND TITLE INSURANCE COMPANY
IRS COMPANY
JPMORGAN CHASE BANK
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UNAUTHORIZED ALTERATION OR ADDITION
• / TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
Qp p / EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
s 5
"O / CERTIFICATIONS INDICATED HEREON SHALL RUN
/ ONLY TO THE PERSON FOR WHOM THE SURVEY
O �oN IS PREPARED, AND ON HIS BEHALF TO THE
pJNG. TITLE COMPANY, GOVERNMENTAL AGENCY AND
G°a HEREON, AND
LENDING
ASSIGNEES OF TO ENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
THE EXISTENCE OF RIGHT OF WAYS
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURVQXS. S.-6$jABLISHED '
BY THE L.I.USE AND AP,PRbV,ED_ D ADOPTED Nathan Taft Corwin III
V FOR SUCH USE N. T,�AIE90lY0 Sl(ATEr�ND
TITLE ASSOCIATION. •\\
,A )0 Land Surveyor
�- r � -
,.4.
'oft f _ Successor To: Stanley J. Isoksen, Jr. L.S.
t 6 T r Joseph A. Ingegno L.S.
Title Surveys — Subdivisions — Site Plans — Construction Layout
PHONE (631)727-2090 Fax (631)727-1727
OFFICES LOCATED AT MAILING ADDRESS
Y.S. Lic. No. 50467 1586 Main Rood P.O. Box 16
Jamesport, New York 11947 Jamesport, New York 11947
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ELECTRICAL
1:1CMI CTIQN REQUIRED
PLUd
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\� CERTIFICATION I
PLUMBER Ef>; �4TI JN ALLPLLP, "!!G VY,STE
&WATER LiNES Rf rr_
ED
ON LEAD CO VMENT r,E 'ORE TESTING BEFORE COVERING
a CER77FlC'ArE OF OCCUP-pVCY
----
- ---- - - - - - --- - - — ---- - - SOLDER USED IN WA TER Ar PIR3OVED AS NOTED
SUPPLYSYSTEM CANNOT
EXCEED 2110 OF 1% LEAD. DATE B.P.#
36
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BY
NOTIFY BUILDING DEPARTMENT AT
7E5-18)2 8 ANI TO 4 PM FOR THE
FOLLOWING` INSPECTIONS:CON ALL WITH LL CODES OF 1. FOUNDATION -TWO REQUIRED NEW YORK STATE & TOWN CODES FOR POURED CONCRETE
t i I NC�t r®�I'"a � � '' ` AS REQUIRED AN6'CIItIMT1ONS-Of 2 ROUGH-FRAr,llNG,PLUMBING,
TRAPPING, ELECTRICAL &CAULKING
'`SO OLD T01�'VN ZBA � 3. INSULATION
4. FINAL-CONSTRUCTION&ELECTRICAL
SOUTHOLD '�V% NNING BOARD MUST BE COMPLETE FOR C.O.
_ _ �� SO D T0V'JN TRUST ES ALL
L CONSTRUCTION SHALL MEET THE
r — — � REQUIREMENTS OF THE CODES OF NEW
a __ ,$,DyO YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
12
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