HomeMy WebLinkAbout43422-Z g�FFOt,�.
Town of Southold 3/7/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40253 Date: 3/7/2019
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1550 Sound Beach Dr, Mattituck
SCTM#: 473889 Sec/Block/Lot: 106.4-32.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/23/2019 pursuant to which Building Permit No. 43422 dated 1/25/2019
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"alterations (windows and doors)to an existing dwelling as applied for.
The certificate is issued to Meskouris,Chris&Maryann
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Aho ' Signature
gv nbr TOWN OF SOUTHOLD
cam.. 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#: 43422 Date: 1/25/2019
Permission is hereby granted to:
Meskouris, Chris
PO BOX 630256
Little Neck, NY 11363
To: legalize "as built" alterations (windows and doors) to an existing dwelling as applied
for.
At premises located at:
1550 Sound Beach Dr, Mattituck
SCTM # 473889
Sec/Block/Lot# 106.-1-32.1
Pursuant to application dated 1/23/2019 and approved by the Building Inspector.
To expire on 7/26/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
C - TION TO DWELLING $50.00
Total: $450.00
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$15.00
Date. /',7, 3, /y
New Construction: Old or Pre-existing Building: (check one)
Location of Property: Z5 Sa ���..L�I / e c,,C /1f. 77" (7VC e
House No. treetQ � Hamlet
AOwner or Owners of Property: �f2+. �v is l /6'
Suffolk County Tax Map No 1000, Section /,=,&I Block ( Lot
Subdivision C"r , Filed Map. Lot:
✓
Permit No. ✓ VoG� Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
ho��pF SOUjy��
# TOWN OF SO'UTHOLD BUILDING DEPT.
`�courme 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
r
UNDATION 2ND [ ] INSULATION
AMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATIONI- nn [ ] CAULKING
REMARKS: 01A AVS fy
L-01-11
DATE ! ? INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
------------------------------------
'FOUNDATION (2ND) ,
r1 O
ROUGH FRAMING& y
PLUMBING
INSULATION PER N.Y: y
STATE ENERGY CODE
O l we,
FINAL
ADDITIONAL COMMENTS
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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 Surve
O. /3ci,-�C�Southoldtownny.gov PERMIT NCheck
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Truss Identification Form
lStorm-Water Assessment Form
f Conta -
Approved ,20 ail to:
Disapproved a/c
Phone:
Expiration 120
Building Inspector
D
JAN 2 3 2019 APPLICATION FOR BUILDING PERMIT
Date /- z 3 , 20�
� -t<:I�° INSTRUCTIONS
TOWN OF SO OLD
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)
(Mailing address of ap icant) �� Z_Z_
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
C�9-�
Name of owner of premises f3�f'i� �f�« r;s /f/l /G>u/7
(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:
2-ec.-e fir. ,�f/�ifLTT TvLlr
House Number Street Hamlet
County Tax Map No. 1000 Section 1041, 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 2),�
b. Intended use and occupancy `
3. Nature of work(check which applicable): New Building Addition Alteration L
Repair Removal Demolition Other Work
,A44escription)
4. Estimated Cost 40 g,o bo 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 r_=',- R,r'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 s
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 Will excess fill be removed from premises?YES NO
'64�rlc Ay
14. Names of Owner of premisee.Irv,1e.0 v J AddressYI'ACP4114fhone No. J-/-7- 09�V /3`Fj
Name of Architect Address Phone No
Name of Contractor i.1-ek 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 covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF / )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual srgning contract) above named, CONNIE D. BUNCH
Notary Public,State of New York
(S)He is the No.01 BU6165050
(Contractor,Agent,Corporate Officer, etc.) Commission Expires April 14,2-D—a®
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 tp before me
this-
day o NA6VXAn_ 20
Notary Public Signature of Applicant
SURVEY OF
LOT 34
MAP OF
CAPTAIN KIDD ESTATES
BLOCK 2
FILE No. 1672 FILED, JANUARY 19, 1949
SITUATED -AT
MATTITUCK
V �►��O� � TOWN OF SOUTHOLD
GP�� d'o SUFFOLK COUNTY, NEW YORK
O' S.C. TAX No. 1000- 106-01 -32
00, SCALE 1 "=20'
JULY 12, 1999
JANUARY 6, 2019 MARK PROPERTY LINES
JANUARY 22, 2019 ADD CZM LINE
AREA = 1 1 ,341 .71 sq. ft.
1 0.260 ac.
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UNATHORIZED ALTERATION OR ADDITION
THIS SURVEY IS A VIOLATION OF PREPARED IN ACCORDANCE WITH THE MINIMUM
SE Nathan Taft Corwin III
SECTION 72OF THE NEW YORK STATE STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
LA
EDUCATION LAW. BY THE L.I.A.L.S. AND APPROVED AND ADOPTED a
COPIES OF THIS SURVEY MAP NOT BEARING FOR SUCH USE BY THE NEW YOR TA`fE�mMD.,
THE LAND SURVEYORS INKED SEAL OR TITLE ASSOCIATION. OF� , LandSurveyor
EMBOSSED SEAL SHALL NOT BE CONSIDERED q4
TO BE A VALID TRUE COPY. ?
CERTIFICATIONS INDICATED HEREON SHALL RUN +!a� ,�
ONLY TO THE PERSON FOR WHOM THE SURVEY Successor To: Stanley J. Isaksen, Jr. L.S.
IS PREPARED, AND ON HIS BEHALF TO THE gay Joseph A. Ingegno L.S.
TITLE COMPANY, GOVERNMENTAL AGENCY AND d`y =•,�dA" r�
LENDING INSTITUTION LISTED HEREON, ANDc $nom Title Surveys - Subdivisions - Site Plans - Construction Layout
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. ' PHONE (631)727-2090 Fax (631727-1727
THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED. s Jamesport, New York 11947 Jamesport, New York- 11947
L' No. 50467
99-444A
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APZ 0!FD A S N IED COMPLY WITH ALL CODES OF
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AS REQUIRED A
NOTIF BUILDING D ?Af;i nt:NT ATSOUTHOLDT A
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REQUIREMENTS OF THE CODES OF NEW USE 6 UNLAWFUL
YORK STATE NnT PERP I I =-
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