HomeMy WebLinkAbout43491-Z $uFFO(�
Town of Southold 10/11/2020
0
P.O.Box 1179
W T, 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41522 Date: 10/11/2020
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 595 Brower Rd., Mattituck
SCTM#: 473889 Sec/Block/Lot: 139.4-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/23/2015 pursuant to which Building Permit No. 43491 dated 2/20/2019
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issuedd is:
alteration(sliding door)to an existing one family dwelling as applied for.
The certificate is issued to Haas Jr,Frederick
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ut ' e Signature
�SFF TOWN OF SOUTHOLD
moo °°yam BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
r�ra x r
y • 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#: 43491 Date: 2/20/2019
Permission is hereby granted to:
Haas Jr, Frederick
595 Brower Rd
Mattituck, NY 11952
To: Alter an existing dwelling as applied for.
Replaces BP#-43491.39
At premises located at:
595 Brower Rd., Mattituck
SCTM #473889
Sec/Block/Lot# 139.-1-8
Pursuant to application dated 2/19/2019 and approved by the Building Inspector.
To expire on 8121/2020.
Fees:
PERMIT RENEWAL $100.00
Total: $100.00
B nspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z 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#: 39916 Date: 7/1/2015
Permission is hereby granted to:
Haas Jr, Frederick & Haas, Holly
595 Brower Rd
Mattituck, NY 11952
To: alter an existing dwelling as applied for.
At premises located at:
595 Brower Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 139.-1-8
Pursuant to application dated 6/23/2015 and approved by the Building Inspector.
To expire on 12/30/2016.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
2Iotal: $250.00
Building prtor --
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- $100.00
3:--Copy of Cet tificate W C)ccupancy=$.25--
4.
:25=4. Updated Certificate of Occupancy- $50.00
S. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. (."I I5! �s
New Construction: Old or Pre-existing Building: (check'one)
Location of Property: 595 roc ier &r°• /V lLt 7-r7 hjL'k
House No. i Street / Hamlet
Owner or Owners of Property: �q�r j ' + Y611y Hka5
Suffolk County Tax Map No 1000, Section ? Block ' Lot
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: $
Applicant Signature
'F
l���I �o��OE SOUTyolo
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION '
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ _] I ULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE-& CHIMNEY [ ] 'FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
I
DATE lollL?-o�y INSPECTOR
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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 A 1 (� Survey
So utholdTown.NorthFork.net PERMIT NO. "� 1 � Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Storm-Water Assessment Form
1 Contact:
Approved ,20 1Qu tHcd aas
Disapproved a/c (2�:uilding
SJ�j- 57Phone:Expiration 20 I pector
FtsAPPLICATION FOR BUILDING PERMIT
in 2 3 X85 , Date 20INSTRUCTIONS
a. Thi§dppli6ation MUST e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
lans' acc irati 015 ale.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)
5q5 r'ooei- V, M�ly a /ill M -a
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises �r�d er�l k ���t tldQs
(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:
55 \Rr~oukr- 1?d. Ma4h4CR
House Number Street Hamlet
County Tax Map No. 1000 Section Block i 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 i eow'wa
b. Intended use and occupancy a5i CC P a
3. Nature of work(check which applicable):New Building Addition Alteration )C
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
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 Address 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 covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF I IK
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the G nen
(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 thi
day of 204;
s otary Public�Notarypublic StateofititftyMfVewYork Signature of App icant
Qualffied in Suffolk Count�yy
Commission Expires 03/3Ig
SURVEY OF PROPERTY N
SITUATE : MATTITUCK
TOWN : SOUTH OLD
SUFFOLK COUNTY, NY
5URVEYED 02-28-2014
SUFFOLK COUNTY TAX #
1000 - 139 - I - 8
CERTIFIED T0:
FREDERICK HAAS
HOLLY HAAS
FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC
STERLING NATIONAL BANK
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NOTES ®� ��� Unauthorized alteration n addition 's a survey
MONUMENT FOUND map i.n of a licensed Ions surveyor's 2,of is a
JOHN C. E H LE RS LAND 5 U RV EYO R ���o N G.�y�� °l,°° of seatlan 7209,sub-dry cion 2, of the
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MONUMENT
FENCE New York State Education Law"
v -, STOCKADE FENCE ® "Only copies from the anginal of this survey
X CHAIN LINK FENCE N��e marked with on original of the land surveyor's
/' stomped seal shall be considered to be valid true
copies'
G EA5T MAIN 5TREET N.Y.S. LIC. NO. 50202 * "Certifications indicated hereon signify that this
survey was prepared in accordance with the ex-
Area = 13,345 Sct, Ft. RIVERHEAD, N.Y. 1 1901 3G9-8288 Fax 3G9-8287 <� 'sting Code of Practice far Land Surveys adopted
Q by the New York State Association of Professional
Land Surveyors Said certifications shall run only
Area = 0.30G Acres to the person for whom the survey is prepared,
Ion Islandlandsurveyor.com ti 5 Q J and on his behalf to the title company,governmen-
GRAPIIIC SCALE I"= 30' `n
`rF0 LAN tot agency and lending institution listed hereon, and
o the assignees of the lending institution Certifica-
1 4-1 1 G tions are not transferable to additional institutions
:rrx= Southold Town Building Department
�o�S�FFo[p� P.O.Box 1179
1 Permit#: 39916
a y 53095 Main Rd
o • + Southold,New York 11971 Permit Date: 7/1/2015
y�'ot �ao� r (631) 765-1802 Expiration Date: 12/30/2016
Parcel M: 139.-1-8
BUILDING PERMIT RENEWAL LETTER
Dated: 1/10/2019
Applicant: Haas Jr,Frederick&Haas,Holly
Location: 595 Brower Rd, Mattituck
Work Description: ALTERATION
alter an existing dwelling as applied for.
�' )Od
A FEE OF' O"O IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Haas Jr,Frederick&Haas,Holly
Address: 595 Brower Rd
Mattituck,NY 11952
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department,P.O. Box 1179, Southold, New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
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AP -R �lED-As-NOTED
_---DATE; I� B.P.# ,CUPANCY OR
FEE. _ BY:4,�.� -� T USE IS UNLAWFUL - -
NDTIF -BUI DING-DERARTMEN-T-AT _ WITHOUT- ��FII E --
765-1802 8 M TO 4 PM FOR THE V T I
FOLLOWING-INSPECTIONS:— oF-��GUI�ANC�
1. FOUNDAT ON - TWO REQUIRED
-FGR--POU ED-CONCRETE_ - - -- - _�� --------- -- -- -
2. ROUGH - FRAMING & PLUMBING
-3-INSUL--A-T-I -----
4. FINAL - C ONSTRUCTION MUST NEW YORK STATE & TOWN CODES
BE-C(DM LETS FOR--C-O- AS-R EQU I-R E-D-AN&—o-E)NojTtoNS_OF__ __----------- -- ---
ALL CONSTRUCTION SHALL MEET THE
--REQUIREM NTS-OF-THE 00D5S OF NEW_
YORK STATE. NOT RESPONSIBLE FOR SOUTH D
---- --
DESIGN-OR-CONSTRUCTION ERRORS.
SOUTHOLD TOWN TRUSTEES
--- - -- - - - - - z a `N,Y.S.DEC—— --- - - -- ---
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DIMENSIONS
Assembled Depth(in.) nm Door Size 0wtxH>in. 72x80
Assembled Height(in) 80 in Door Thickness(in.) 4 i
Assembled Width(in.) 34.5 in
DETAILS
Color Family mh/m Features Weatherstripping
cvmmFiniox White Finish Type pmmheu
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Commercial No Included
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Door Configuration Double Door LmwE rating Yes
Door Handing Left-Hand/Slide Material Vinyl
ovor7ypo a|/UmU Patio Door Product Weight(lb.) 591b
WARRANTY/CERTIFICATIONS
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Manufacturer
E»e�y0u'�»uUnad Conon|.aouu`'m ' manan� um/�oLifetime Warranty