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Home My WebLink About48400-Z ,� suEEatk Town of Southold 10/17/2022 P.O.Box 1179 0 o _ z 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43505 Date: 10/17/2022 THIS CERTIFIES that the building ALTERATION Location of Property:' 135 Dogwood Lane Ext.,East Marion SCTM#: 473889 Sec/Block/Lot: 37.-1-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/31/2022 pursuant to which Building Permit No. 48400 dated 10/14/2022 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: accessory outdoor shower as applied for The certificate is issued to Matzen,Lawrence of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED th ize Si nature TOWN OF SOUTHOLD BUILDING DEPARTMENT 1' TOWN CLERK'S OFFICE Cn • �fi1 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#: 48400 Date: 10/14/2022 Permission is hereby granted to: Matzen, Lawrence 601 Gulf Dr N #105A Bradenton Beach, FL 34217 To: Construct an accessory outdoor shower as applied for. Must maintain a minimum setback of 3 feet. At premises located at: 135 Dogwood Lane Ext., East Marion SCTM # 473889 Sec/Block/Lot# 37.-1-10 Pursuant to application dated 8/31/2022 and approved by the Building Inspector. To expire on 4/14/2024. Fees: ACCESSORY $100.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $150.00 � JDl dol Building Inspector �pf SO�jryP. Town Hail Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 .. Q Southold,NY 11971-0959 Q a` BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: GZ Building Permit No. �I o Owner: `/ �ld/il �/� i12 0►i�0i (Please print) Plumber: L�///1'Q M- (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. r (Plumbers Signa(ure) Sworn to before me this day o 201 ry Public,( 'ounty JENNA KOCKENMEISTER . Notary Public,State of New York Reg.No.01K06402096 Oualihed in Suffolk County Commission Expires December 23;1230 FIELD INSPECTION REPORT DATE COMMENTS ro FOUNDATION (IST) �a -------------------------------------- FOUNDATION (2ND) t� z . o Ick V ` y ROUGH FRAMING& y PLUMBING C r t� INSULATION PER N.Y. STATE ENERGY CODE Olt v FINAL ADDITIONAL COMMENTS 1150 1.1 , f-o z m X S t� b N � z x H x d b TOWN OF SOUTHOLD—BUILDING DEPARTAMNT ao Gym a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 �y�Q aov Telephone(631)765-1802 Fax (631)765-9502 https://www.southoldtgnLnny.gov 71 D� Received APPLICATION FOR BUILDING PERMIT ` ' AUG 3 1 209 For Office Use Only 1 tt1TLT.) G DEP". PERMIT NO. V Building Inspector: 2 a Applications and forms-must be filled out in their entirety. Incomplete applications will not,be,accepted. Where the Applicant is not the owner,an'` ",', Owner's,Authorizationform(Page 2)shall.be completed. ri Date: OWNER(S)OF"PROPERTY: Name: r A� SCTM# 1000- :. -- _- -_- � A!A•dl�-J ----'-'-•>��/°r/�/}{��- ��/�1i6�1�GS_ Project Address:. 13. ..- -- Phone#: ...�� ✓�� = - - -- Email: Mailing Address: !� 1� f�� f�. �� a- 4./`_✓. ___ �� _-__ _._.. -- --- r - CONTAC'T.PERSON: Name:Mailing Address: Phone#: S/� r ' j Email: `DESIGN PROFESSIONAL,INFORMATION:,� Name: MailingAddresss=: Phone#: Email: F CONTRACTOR INF.ORMATION:, Name: Mailing Address: Phone#: Email: J, DESCRIPTIOWOF.PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other S/v0 LSE/[wit" be re-graded? ❑Yes IJNo Will excess fill be removed from premises? ❑Yes �HIVo 1 PROPE RTY.IN FORMATION' Existing use of property: Intended use of property: Zonegr use district n, which premises is situated: Are there any covenants and restrictions with respect to _ this property? OYes[tlo IF YES, PROVIDE A COPY. eaiso >✓ - - -- -- -- 'Bc�x ►fr Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by ❑ 9ek Chapter 236 of the Town Code. APPLICATION,IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building2one ordinance of the Town of Southold,Suffolk,County;New York and other,applicable Laws,Ordinances or Regulations,for the construction of buildings, additions;alterations cr#or 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(s)for necessary inspections. False statements made herein are punishable as,a class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): � ® `j P(�t/Jc%' f'Authorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) COUNTY OF V ) I I C AAA' 'per 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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this (I-OV day ofyep , 2012�9_ ary Public 44 JENNA KOCKENMEISTER Notary Public,State of New York Reg,No.01 K06402096 In Suffolk Cou PROPERTY OWNER AUTHORIZATION commisssonfed Expires ecember23,2023 (Where the applicant is not the owner) residing at � do hereby authorize //T/�/I/( ' �l to apply on my behalf to07 Twn of Southold Building Department for approval as described herein. 0 er's Signature Date V WWjf5A /_6�111t)WWF;--r Print Owner's Name 2 "PROPERTY-IN F6'RMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes 1-DNo IF YES, PROVIDE A COPY. IB The owner/contractor/design professional is responsible for all drainage and stone water.issues as;prdv ed,b 0.Mick' 6'� & y Chapter 236 of the.Towri Code. 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,4orthe construction of buildings, additions,alteration's or.for removal or iJemoli#ion as herein described.The applicant agrees fo comply with all applicable lavas;ordinances;building code,_ housing code and regulations and to admit authorised inspectors.bn.premises and imbuilding(s)fonnecessary in False"statements made herein are, punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): ( `j r°jr�v� Authorized Agent Downer Signature of Applicant: Date: STATE OF NEW YORK) COUNTY OF ) 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/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this r-OL/ day ofy 20 kSW;r'y Public JENNA KOCKENMEISTER Notary Public,State of New York Reg.No.01K06402096 PROPERTY OWNER ASU` HORI `BION c:ommissonfied Expr sDecember2in SUffolk 3,2023 (Where the applicant is not the owner) c'� IXJ7- residing at do hereby authorize to apply on my behalf to th-be Town of Southold Building Department for approval as described herein. . / f 0 er's Signature / Date Print Owner's Name 2 SOf alK� TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O" Box 1179 Southold,NY 11971-0959 y + Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtownn�gov ` }DP Received 1 APPLICATION FOR BUILDING PERMIT AUG 3 1 2 For Office Use Only YC� ' rTT.LP, G DEPT ' � ° PERMIT NO. y 40 D Building Inspector: Applications and forms must be filled out in their entirety. Incomplete .applications will not.be accepted. Where the Applicant is.not the owner,an Owner's Authorization'form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: . c,. SCTM# 1000- Name: aJ �'•.�°%��e5-�J -' ��s'�-�d,�f�'C� .mac' ./J,�/��.5 = Project Address: ✓ {,'! )r I Phone#: � !,, jj �� Email: I� 1�L/� t9 Mailing Address: l�l�� CONTACT PERSON: Name: Mailing Address: � '�" Phone#: j/'t g 5-30P- DESIGN Email: �%� DESIGN PROFESSIONAL INFORMATION: . Name: Mailing-Address:- Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION - ❑New Structure ❑Addition ❑Alteration El Repair ❑Demolition Estim,+ated Cost of Project: ❑Other / f. �r �� GJ $ Will the lot be re-graded? ❑Yes CJlo Will excess fill be removed from premises? ❑Yes 'NNo 1 3t /Q A COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES APPROVED AS NOTED AS REQUIRED AND CONDITIONS OF ,.rt. B - -aa 0o SOUTHOLDTOWN DATE- :x�,;a 5' .P.# FEE 1152 -22 BY & SOUTHOLD T0=Rm=80" "- NOTIFY BUILDING DEPARTMENT AT ' 765-1802 8 AM TO 4 PM FOR THESOUTHOLDTOWN 7RW FOLLOWING INSPECTIONS: :>w: 1. FOUNDATION—TWO REQUIRED ,, ,,,,, N.Y.S.DEC FOR POURED CONCRETE 2. ROUGH-FRAMING,PLUMBING, STRAPPING, ELECTRICAL&CAULKING 3. INSULATION 4. FINAL-CONSTRUCTION&ELECTRICAL OCCUPANCY ®R MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE USE IS UNLAWLFUL REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE Additional OF OCCUPANCY Certification May Be Required. PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2110 OF 1%LEAD. DWI cc, S.C.T.M. NO. DISTRICT: 1000 SECTION:37 BLOCK: I LOT(S):10 rlejulms fnimmurn 6p 3 se+acro P/O LOT B3 z 0 0 ��F� ---- a]m 0- FC 0 2.0'E m 0 cn 00IPE 0.VW P/0 LOT B3 * 910.1's S5 Nq-, PIPS \X 0.7W 40 YPIPE ox , 0.3W, EEP ' 0 0..7 N LOT 8 1 4 0 0 � � / 0 .S ry::;.: PIPE 0.2's OFC, O:A,W BILCO LP GAS 0 . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 2 STY FRM.::::::: ON . . . . . . . GUY L.P I 000 �O U.P. 0 TK. L.P. C) X, 1.4'S LOT COVERAGE 201' MAX COVERAGE 1545 S.F. DWELLING: 933 S.F. FRONT DECK: 190 S.F. F 96 SWIMMING POOL: 288 S.F. PIP SHED: 96 S.F. \9 STONE PATIO (ON GRADE)NIA TOTAL: 1507 S.F. or 19.57 g! FINAL SURVEY 06-07-22 REVISED 02-08-22 ADD COVERAGE 02-03-22 REVISED 12-06-21 ADD PROPOSED POOL 11-12-21 THE WATER SUPPLY, WELLS DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS, AREA: 7723 SQ,FT. or 0.18 ACRES ELEVA77ON DATUM. UNAUTHORIZED ALTERATION OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW COPIES OF THISY URVE'y L RU MAP NOT BEARING 7HE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPGUARANTEES INDICATED HEREON SHALL UN] ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS77TU770N, GUARANTEES ARE NOT TRANSFERABLE 7HE OFFSETS OR DIMENSIONS SHOWN HEREON FROM 7HE PROPERTY LINES TO THE STTUC7URES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE 774EY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL S7RUC77JRES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 7HE PREMISES AT THE 77ME OF SURVEY SURVEY OF:LOT 97 CERTIFIED TO: ANTHONY FERNANDES; MAP OF:GARDfNERS BAY ESTATES SEC. 2 JENNIFER FERNANDES; FILED:SEPT. 23, 1927 No. 275 CITIZENS BANK, N.A., ISAOA-ATIMA; SITUATED AT.FAST MARION FIRST METROPOLITAN ABSTRACT COR-P; - OLD REPUBLIC TITLE INSURANCE COMPANY, TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PUC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 PHONE (631)298-1588 FAX (631) 298-1688 FILE #221-160 SCALE: 1"=20' DATE;AUG. 19, 2021 N.Y.S. LISC. NO. 050882 maintoluing the records of Robert J. HG=088y&TC—netb M.Voychuk