HomeMy WebLinkAbout43911-Z FO(+f' � Town of Southold 9/13/2019
P.O.Box 1179
a
co 53095 Main Rd
4 0 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40692 Date: 9/13/2019
THIS CERTIFIES that the building DECK
Location of Property: 2045 Central Dr, Mattituck
SCTM#: 473889 Sec/Block/Lot: 106.-2-36
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/28/2019 pursuant to which Building Permit No. 43911 dated 6/27/2019
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:
DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Frangiskou,Peter
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
0 ov
ignature
L2n—ek. TOWN OF SOUTHOLD
%offal,(c BUILDING DEPARTMENT
Mo
y x TOWN CLERK'S OFFICE
oy . 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#: 43911 Date: 6/27/2019
Permission is hereby granted to:
Frangiskou, Peter
130 Pleasant St
Haworth, NJ 07641
To: construct deck addition to existing single-family dwelling as applied for.
At premises located at:
2045 Central Dr, Mattituck
SCTM # 473889
Sec/Block/Lot# 106.-2-36
Pursuant to application dated 5/28/2019 and approved by the Building Inspector.
To expire on 12/26/2020.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $286.40
CO -ADDITION TO DWELLING $50.00
Total: $336.40
Build -tor
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$1500
Date. �i /7
New Construction: Old or Pre-existing Building: {/� (check one)
Location of Property: 0/� �` � -�//�-rG-,/ 2 j
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section l alp Block �°� Lot 436
Subdivision � L'L�C� `ZL� �i� �� Filed Map. O� �� 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: $
plicant Sig ture
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
Z Peter A.Frangiskou residing at 2045 Central Drive,Mattituck NY 11952
' (Print property owner's name)
(Mailing Address)
do hereby authorize Absolute Improvement
(Agent)
to apply on my behaifto the
Southold Building Department.
e 5/23/2019
kwner's Si afore)
(Date)
Peter A.Frangiskou
(Print Owner's Name)
{ I y�00E 50UjyO
# TOWN OF SOUTHOLD BUILDING DEPT.
courm,NE`' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING /STRAPPING [ FINAL fioc k.
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: oz
E4!n f, se 01<i/
(9 W I &'
lsA- 4�6 4p 'Jldl
DATEg 90RU 11301c
FIELD INSPECTIOA T PAT DATE COMMLNTS
FOUNDATION (1ST) . )
• H
...................
'FOUNDATION (2ND) CFO C��
• � O
ROUGH FRAMING&
PLUMBING H t
V .
INSULATION PER N.Y. H
STATE ENERGY CODE
toll
1
FINAL a 17
ADDITIONAY,COMMENTS
az
,y
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 ofBuildin4 Plans j
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
South oldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.-
Trustees•.
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
" Contact: -�
Approved 20 MAY 2 4 2019: Ego
Mail'to•
Disapproved a/c T, d;11
'1�0�OF Phone:
Expiration ,20
Building Spector t-
APPLICATION FOR BUILDING PERMIT
Date , 20
INSTRUCTIONS 1"0000e-
a.
�
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
,hall be kept on the premises available for inspection throughouf 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,Buit*&D,epartmen#for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk County,New York,andother 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,houshi&code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applic ni or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ' /�g A0
(As on"th ax roll,or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporat officer)
Builders License No. ,:? a;:�
Plumbers License No.
Electricians License No.
Other Trad'e's License No. .
1. Location of land on which proposed work will be done:-,`
House Number. Street 4 "' Hamlet
County Tax Map No. 1000 Section /® � Block a;• Lot
i
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing•use and occupancy
b. Intended use and occupancy _40 ,��"�iy Q�
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, of dwelling units P �A
g g Number of d e1'1uig units on each floor
If garage, number of cars
" -•�" !•�'gip!q
6. If business, commercial or mixed occupancy, specify nature and extent of Pach ty e 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 e n
i aeo s, ti n: Front Rear , Depth
Height . ��""�� �� Number of Stories'
9. Size of lot: Front 1610 Rear /b0 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 Will excess fill be removed.from premises? YES NO
14. Names of Owner of premises __Phone No.,901- ft-oMe4V
Name of Architect "otter,A Address, Phone No
Name of Contractor o vSAedress P0, g.�, hone No. � iPX-5�-"6
15 a. 'Is this property within 100 feet of a tidal wetland or a freshwaterwetland? *YES NO c/
* 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 1�
* 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��
MAt�` !o l t u ay 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 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 wi H be
performed in the manner set forth in the application filed therewith.
`l'RACEY L. DWYER
Swor tp before me thi NOTARY PUBLIC,STATE OF NEW YORK
day of 20 NO.OIDW6306900
QUALIFIED IN SUFFOLK COUNTY
411 rLU A COMMISSION EXPIRES JUNE 30,
Notary Public 0Signature of Applican
FF
Scott A. Russell ot�- ,
S�C'O]KI��JIWA T E]E,
SUPERVISOR ( r C EN T
SOUTHOLD ��][A\1�A\G.]EI��J ]
53095 ain Road--SOUTHOLD,NEW YORK 911971
Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
-----
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY I
Yes No
❑�A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface. '
❑Excavation or filling involving more than 200-cubic yards of material
� within any parcel or any contiguous area.
❑� C:. Site preparation on slopes which exceed 10 feet vertical rise to
' 100 feet of horizontal distance.
c Erb.ll- Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
I ❑ Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse. '
❑(/F_ Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
s
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S C.T.M. : 1000 Dat
District
NAME: _
(N.0 Section Block Lot
FOR BUILDING D ARTMENT USE
Contact Information
.Tdryim"c�ti"ent
Reviewed By:
Date.
Propel ty Address/Location of Construction Work: — — — - - - - - - - - - -
- — — — — — — — — — — — — —
Approved for processing Building Permit.
Stormwater Management Control Plan Not Required.
�� / ❑ Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review.)
FORM # SMCP-TOS MAY 2014
Town Hall Annex �� Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O. Box 1179
Southold, NY 11971-0959 1
BOLDIN-G-DE-PARTMENT- ____ _
NOTICE OF UTILIZATION OF TRUS&TYPE CONSTRUCTION, PRE-ENGINEERED
WOOD CONSTRUCTION AND/GR-'TIMBER CONSTRUCTION
Date: =
k .
Owner:
Lo&aU of Property: � I
u
Please take;notice that thd-(Ld �qk applicable.line):
New commercial;br-'rdsideiitial",structure
+
7Addition to exi iri'9 commelli W.or•residential sti uctur-e t ;
-
E habilitatipnPf i:an existing%doMmercial or resider t_i2(1;structure
to beYcconstrucfee i3r' -performed at the subject property reference above wifi&f t -
(check applicable-line}:
Truss type,on�truction (TT) ;
Pre-engicreet`ed virocz 'coRstruction (PW).
Timber construdtivtl (-.TCS:'I
in the following location(s) (check applicable line):
Floor framing, including girders and beams (F)
Roof framing (R)
Floor and roofframing•(FR)
Signature:
Name (person submitting this form):
Capacity(check applicable line):
Owner
Owner representative
TrussRegl5.docx Effective 1/1/2015 \
6" DIAMETER
REFLECTIVE WHITE
REFLECTIVE RED
PANTONE #187
5
ts.
JIr
•
The construction type STROKE
designation shall be
cclls' 461117' cclllssy qv"off' ACV5�
to indicate the construction
classification of the
structure under DESIGNATION FOR' STRUCTURAL
section 602 of the BGNYS COMPONENTS THAT ARE OF
TRUSS TYPE CONSTRUCTION
■ 461771 FLOOR FRAMING, INCLUDING
■ ■ GIRDERS AND BEAMS
ROOF FRAMING
EGFR" FLOOR AND ROOF FRAMING
STANDARDS AND CODES
LUT AICA - 12,000 SQ. FT.
CENTRAL DRIVE
(471) N 7726'00'E 100.00' +
(4771 11-) (4&4)
\ edge of pov�ament
POLE �M�
75.00'
40
R-25.00 �� \ _40
L=30.27'
z u _ o cn
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p P 20.67 26 0• �_
4 WOOD DECK
PORCH O
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4 PROP 4.7W
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� ' DECK \
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M s 77'26'00»w 100.00'
LOT NUMBER 132
Im 0.+r Iw rmomwN� mw nor am swam n n[
tis Ns awwo ws.i as ��wo nor JOB No. 03-4e9 FILE No. CAPTAIN KH) ESTATES
�i�r�i���■maw a•atm�a qua wwt rte►
Kam on"mmm m waam ai of am awrwaaK SURVEYED FOR
L wn X w ==mom to un axw■•v0."°"cr LOT NUMBER 125
7lU t M r vm U4
EWA.NX Aar ie>K r PM v ut MAP OF CAPTAk1 KID ESTATES
■rN►:,a= =
tl�wi m�c a�ww m SITUA7M AT MATTIYUCK
A/�► tD 1�4 11�10 7!R ll�r 9►M
uw��ams AIA• IIR lIA•!�f TO/ IML TOWN OF SONUhtOLD. SUFFOLK COUNTY. Y.
mm v im saw nr nor mmaa 1K LAW•wiupft am WL a SCALE 1' - 20' DATE 11-11-2003
osr•sw fwrt�r �aw�vo R•vvuo «r+r. FILED MAP No. 1972 DATE 1-19-1948
CERTIFIED ONLY T0: TAX MAP No.(IMF ONLY)1000-108-2-36 DISK 2003
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
P.O. BOX of 15
1966 WADING RIVER-MANOR RD.WAMG RIVER,
NEW YORK, 1V92
N.HAROLD F.TRANCHON JR. PEW Lr_. o..2�-E 631-929-4495
APPRO ED AS NOTED
DATE: B.P.# 3
FEE: ® BY: COMPLY WITH ALL CODES OF
NOTIFY BUILDING DEPARTMENT AT NEW YORK STATE & TOS K4 ��DES
FOLLOWING
02 GAM TO 4 PM FOR THE AS REQUIRED AND CONDITIONS OF
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED rn�IA R
FOR POURED CONCRETE n�jO A�
2. ROUGH - FRAMING & PLUMBING SLT9WN�LANN_BOARD
3. INSULATION SGP n m WEES
4. FINAL - CONSTP;'l TION MUST
BE COMPLETE FOP C.O. NYS DFC
ALL_CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OCCUPANCY OR OF THE TOWN CODE.
USE IS UNLAWFUL `t -
WITHOUT CERTIFICATE
OF OCCUPANCY
At-
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