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HomeMy WebLinkAbout38082-Z S�ypFpt�.c Town of Southold Annex 11/19/2013 o`D °Gy P.O.Box 1179 cm ,� 54375 Main Road o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36610 Date: 11/19/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 1355 Deep Hole Dr, Mattituck, SCTM#: 473889 Sec/Block/Lot: 115.43-12.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this oflficed dated 5/30/2013 pursuant to which Building Permit No. 38082 dated 6/10/2013 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 SINGLE FAMILY DWELLLING AS APPLIED FOR The certificate is issued to Leone,Anthony&Leone,Angela (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38082 09-26-2013 PLUMBERS CERTIFICATION DATED 11-08-13 Kenneth Zdanio e- A rued ignature .1 h�o�s�FGy TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE py . 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#: 38082 Date: 6/10/2013 Permission is hereby granted to: Leone, Anthony & Leone, Angela PO BOX 1564 Mattituck, NY 11952 To: Interior alterations to an existing single family dwelling as applied for. At premises located at: 1355 Deep Hole Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-13-12.1 Pursuant to application dated 5/30/2013 and approved by the Building Inspector. To expire on 12/10/2014. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -RESIDENTIAL $50.00 Total: $250.00 JI' e J Bu Iding 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: I. 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 I%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$5.0.00, 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 $15.00 /� 2 Date. New Construction: Old or Pre-existing Building: /� (check one) s—/ Location of Property: ' 7 ��ep t� y E� /����(i�=�C, House No. Street Hamlet Owner or Owners of Property: A co 4 e ' Suffolk County Tax Map No 1000, Section , Block 13 Lot Q./ Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) .Fee Submitted:$ Applica ignature K �o'�'pF SO�jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.riche rt(a)-town.so utho Id.ny.us Southold,NY 11971-0959 OWN BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Leone Address: 1355 Deep Hole Dr City: Mattituck St: NY Zip: 11952 Building Permit#: 38082 Section: 115 Block: 13 Lot: 12.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Duffy Electric License No: 44991-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 10 Ceiling Fixtures 2 HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 8 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances dw Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 9 Twist Lock Exit Fixtures 11 TVSS Other Equipment: kitchen renovation, 1-exhaust fan, wall ovens (2) Notes: Inspector Signature: YDate: Sept 26 2013 lir 81-Cert Electrical Compliance Form.xls CERTIFICATION Date: II Building Permit No. �U Owner: ./ M " / ''1 (Please"print) Plumber: V'e orl e A-V( t)ld o-n I n (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (ElwAers Signature) Sworn to before me this day of l 1 —5 20 Notary Public, (il V ounty kLNOV MAV MEDITZ Notary Public,State of New York No.OIME6055676 6UA �1 ified In Nassau County BLDG. DEPf tah�i�i's!on Expires Mar.5,20_!J TOVV,�I OF SOUTHOLD �o��OF SO�lyo�o Coum �j TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE �7 INSPECTOR S0U19 • Al cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT ON " [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ - FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL UGH) [ ] ELECTRICAL (FINAL) REMARKS: tL 2 r DATE INSPECTOR 3�b f3f SOUTyolo �o 00UMV,�`� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT N [ ] FOUNDATION 1ST OUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR ho�aoF sooryolo 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 INSPECTOR 4 O�aOf SOUIyo coulm, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: t - DATE 11,3 INSPECTOR FIELD IrtSPEON REPORT DATE CONIlVQLNTS FOUNDATION(IST) � • oP - ------------- --------------=---- FOUNDATION(2ND) ROUGH FItAMNG& PLUAMING MUL•ATION PER N.Y. STATE ENERGY CODE • 4 A A FINAL ADDITIONAL COMMENTS 3 1e OK z rn ji C tb=i TOWN OXSOUTHOLD 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 Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 Storm-Water Assessment Form (0 Contact: Approved ,20 Mail to: Disapproved a/c Phone: 6 31 Ex n FF, �n 20 �Gt r'L ZBug 2Inspector MAY 3Q APPLICATION FOR BUILDING PERMIT i 2 ' BLDG.DEPT. Date 5 ' 3 , 20 /3 TOWN OF SOUTHOLD 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,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) qi (-Ake la pizl �V - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises A Ly Lt t� (As on the tax roll or latest deed) If applica I a rp\ on si ature of duly authorized officer (Name and title of corporaN officer) L Builders License No. 3 1 TT Plumbers License No. Electricians License No. ' M Other Trade's License No. 1. Location of land on which roposed work 111 be do, , Y- ( T7o House Number Street Hamlet County Tax Map No. 1000 Section Block 13 Lot Subdivision_ Filed Map No. Lot 2. State existing use and occupancy of premises and intended usq and occupancy of proposed construction: a. Existing use and occupancy r'Zn:9// en ld 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 J� •000 - en 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 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO 13. Will lot be re-graded?YES NO Y, Will excess fill be removed from premises?YES NO 14.Names of Owner of premises /A ddress � 02) done No. 0 Z� . �7jl f Name of Architect Address I I Phone No Name of Contractor_Liz-> ') !m - Address 4 / 1 Ca 4 Y11)APhone No. /„3) -2 r , 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 covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTYOFSIJ( ---11� "Luc,\,C\ S being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the &qn-' A (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 this`^_ 'j o day of 20)�) Notary Public Signature of Applicant \ WILSON SALAZAR NOTARY PUBLIC,STATE OF NEW YORK QUALIFIED IN SUFFOLK COUNTY REG.#01SA6224708 MY COMM.EXP.07-12-2014 o��OF S��lyp Town Hall Annex i f / Telephone(631)765-1802 W75 Main Road P.O.Box 1179 G Q rOger.rlChert Q�i01Nf11SZU�ti N.ny.us Southold,NY 11971-0959 Q y0 BUILDING DEPARTM M TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: V 2-� k Company Name: Name: (Z\ �N\ License No.: Li� o141 M 1 Address: NY U80 l Phone No.: S 1 - 1©6 JOBSITE INFORMATION: (*Ind.icates required information) *Name: F 1w C *Address: *Cross Street: *Phone No.: �� Permit No.: Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) _ Is job read for inspection:* y p YES!Q Rough In E C E F6V E *Do-you need a Temp Certificate: YES 110 U Temp Information,cif needed) J U L - 1 2013 *Service Size: 1 Phase 3Phase 100 150 200 300 0 he BLDG.DEPI. iNew Service: Re-connect Underground Number of Meters Change Service TGQ," +OLD Additional information: PAYMENT DUE WITH AP Ll ATION � 1 o r aw C"LA& m 82=Request for Inspection Form G r p c - 3 TOWN OF SOUTHOLD PROPERTY RECORD .CARD NNER STREET VILLAGE DIST. — U87— LOT )RMER OWNER N c E ACR.F, i e-1-5 k� 1:�f e4z Ho i P—cy, C-ci- (c).(05(5 - S W TYPE OF BUILDING t ti `© SEAS. VL. FARM COMM. CB. MISC. Mkt. Value -AND IMP. TOTAL DATE REMARKS 710 �Po}j p 'U v �2 I .7. ), '°% /�s /a �y ca�sr�, a.o/�f C�� ;4p' G o 0 175 _ rn rvu.nc` i�001 -renew- .mac .5 000 o '7 00 �vv f �� �� a o , o .'s i sf; AJE - B LDING CONDITION _ NORMAL BE O A OV 4v dtLvI bna o 71o0 � a o o 11 de b moo.2go4 006 oo . 0 ible O O goo �.. able o 520 a 6'2-O0 /0 7 dland npldnd FRONTAGE ON WATER hland FRONTAGE ON ROAD se Plot 6 0O /09�.��� DEPTH BULKHEAD P" •� DOCK � tft a#'� MEMO■ INONOMMEMOMMONNOM■■■ t '9 �; s� t� ��-` i -�- r�i � }, �� ay�r�.a n�,L KY �; r'"''� r s�t "' r. ■■■■■■■ ■■©�■■■'l���_�-�■■■■■ t Y zw ■■■■■■■ eeQ�e■i® w■r�■■■■■■■ . � r • . . wrl FROM JUE)JUN 11 2013 10 :39/8T, 10 :38/No. 6660225827 P 1 91 Lakeland Avenue Patchogue, New York 11772 LEX Office#(631)289-6450 Construction Fax#(631)218.6811 Ik To: Town of Southold From. Barbara x 1005 Building Department Fa 631-765-9502 Pages: 2 (including cover) Dom: June 11,2013 Rr.Qisability Certificate for Anthony CC: Leone e-mail barbara scibetta0exconsWcti on,net Attached is the required disability certificate for the building permit we filed for: Anthony Leone 1355 Deep Hole Dr. Mattituck,NY 11952 Thank you, Barbara Scibetta Lex Construction Compliance pF SO!/jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Vs Southold,NY 1 1 97 1-0959 �l BUILDING DEPARTMENT TOWN OF SOUTHOLD September 30, 2013 Anthony Leone PO Box 1564 Mattituck, NY 11952 RE: 1355 Deep Hole Dr, Mattituck TO WHOM IT MAY CONCERN: The Following Items(if Checked)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. lumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 38082 — Interior Alterations l ex Development, Inc. 91 Lakeland Avenue, Patchogue, NY 11772 Phone: 631-289-6450 Fax: 631-218-681 1 Licensed and Insured Suffolk Lic# 31237-H November 14, 2013 Southold Building Department PO Box 1179 Southold,NY 11971 Re: Building permit # 38082 To whom it may concern: We have an open building permit for: Anthony Leone 1355 Deep Hole Dr Mattituck,NY 11952 Enclosed please find the original Solder Certification from Z-Rite Plumbing, required by you to close the permit and issue the CO. Should there be anything else needed to close this permit, please contact me. Thank you, Barbara Scibetta barbara scibetta@lexconstruction.net 631-289-6450 Ext. 1005 (8-2) Lex Construction Compliance 070H1nOS 10 N/v101 160;0018 �t17Z 5 A 0 N w z 3�1 cq LL •»----.c.-.r-,�.,i ...._,<�-•i_..?;.y�..''�.'_d...._>:;...,.._•__;t., _,�..,:�y... _..._-r:..=x....y,....ti.,;�.�;f•__. ..._.},..,y..►.:�.„„�.w:- � _ .:.ate,` o tQ jd IT t I:f IT vi 2 L 4LL- r w I t�1 -; r^ t u t -- _.... �_..._. „_ .' z x ca I a D r-p- Wl��To UALL COMPLY WITH ALL CODES OF its NEW YORK STATE & TOWN CODES AS REQUIRED =77 s Ulu+ _Jj4j.,-';;f 16A I I ` I I I N j�-F I cc° _ ^� f _I` - - - - - - ` I o }j I U 1E t Ill 4-' L)UDr,-P- kjc-L� WA L-1- Lu -----------N I 11 1 { 1 - j VA l-i !ck- T E D g2 eiEDATER o- OCCUPANCY OR USE IS UNLAWFUL -- .—::� ,,y FEE, p,,ti'TMENT AT WITHOUT CERTIFICATE 41011 NOTI Y BUILDIN' - - 1410 M-1802 8 MIl TO 4 PM FOR THE OF OCCUPANCY IS FOLLOWING INSPECTION5: REQUIRED 1. FOUNDA"'i101,11 1 TWO —4- FOR POURED CONCRETE 2. ROUGH - FRA%tIl-,!G & PLUMBING 3. INSULATION !ON, MUST �r- UZI-, 4. FINAL - (loNSTRUCT /,,'Vc � BE COMPLETE FOR C.O. 540 'P4W-e-2 HALL MEET THE ALL COf111STRUCTION S,- Cor)ES OF NEW ----------- REQUIRE-,vl,ENTS OF THE YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. 404