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Home My WebLink About29445-ZFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29668 Date: 08/28/03 THIS CERTIFIES that the building ADDITION Location of Property: 5050 NEW SUFFOLK AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) Co%u~ty T~x ~4ap No. 473889 Section 115 Block 10 Lot 3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 30, 2003 pursuant to which Building Permit No. 29445-Z dated MAY 30, 2003 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" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. %~he certificate is issued to MARTIN P & DOREEN E EVANS ( OWNER ) of the aforesaid building. SIIFFOLK CO~ DEPAN~ OF B~kLTH APPROVi~-L ELEC/RIICJ%L CERTIFICA~ NO. PLL~BERS CERTIFIC3%TION DATED Rev. 1/81 N/A N/A N/A ature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF 0CCUPA~CY No: Z-29669 Date: ~8/28/03 T~IS CERTIFIES that the building ACCESSORY Location of Property: 5050 NEW SUFFOLK AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 10 Lot 3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAy 30, 2003 pursuant to which Building Permit No. 29445-Z dated MAY 30, 2003 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" ACCESSORY SHED AS APPLIED FOR. The certificate is issued to MARTIN P & DOREEN E EVANS (OWNER) of the aforesaid building. SI~FFOLK CODl~q~f DBPAR~}~qT OF ~I~2%L~{ APPROVA~ ELEC~ICAL CERTIFICATE NO. PLI~4BERS CERTIFICATION N/A N/A N/A Rev. 1/81 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. Sworu statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Cormnercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Sub,nit Plamfing Board Approval of completed site plan requirements. 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 Bnilding Inspector shall state the reasons therefor in writing to tile applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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-~-O~ New Construction: Location of Property: House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Perrrfit No. Z ~P'~t~ ff Health Dept. Approval: Old or Pre-existing Building: (check one) DateofPermit. ~'-/,~t/t9 ~ Block Filed Map. Applicant: Planning Board Approval: Underwriters Approval: Hamlet Lot ~_ Lot: Request for: Temporary Certificate Final Certificate: Fee Sub~rfitted: $ ~) · ~) ~ (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29445 Z Date MAY 30, 2003 Permission is hereby granted to: MARTIN P & DOREEN E EVANS 178 OCE~LNVIEW ROAD EAST ROCKAWAY,NY 11518 for : AS BUILT DECK ADDITION AS APPLIED FOR at premises located at 5050 NEW SUFFOLK AVE MATTITUCK County Tax Map No. 473889 Section 115 Block 0010 Lot No. 003 pursuant to application dated MAY 30, 2003 and approved by the Building Inspector to expire on NOVEMBER 30, 2004. Fee S 300.00 ~~~~ ORIGINAL Rev. 5/8/02 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10~)38 CERTIFIES THAT Upon the application of upon premises owned by MARTIN EVANS MARTIN EVANS 5050 NEW SUFFOLK AVENUE 5050 NEW SUFFOLK AVENUE MATTITUK, NY 11952 MATTITUCK, NY 11952 Located at 5050 NEW SUFFOLK AVENUE MATTITUCK, NY 11952 Application Number: 1143472 Certificate Number: 1143472 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Rcsideutial occupancy, wherein the premises electrical system consisting electrical devices and described below, located in/on the w~ring, premises at: First Floor, storage shed, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 23rd Day of June, :?003. Name QTY Rate Ratin~ Circuit Type Wiring and Devices Receptacle 2 0 General Purpose Fixture 1 0 Incandescent Switch 2 0 General Purpose Receptacle 1 0 GFCI A visua~ inspecti~n~ ~f the de~ineated eIectrica~ insta~ati~n~ determined that an ~bvi~us hazard is n~t present and the insta~ati~n is be~ieved t~ be seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD August 20, 2003 Mr. & Mrs. Martin Evans 178 Ocean View Rd. East Rockaway, NY 11518 RE: 5050 NEW SUFFOLK AVE., MATTITUCK SCTM#115-10-3 Dear Mr. & Mrs. Evans: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on August 20, 2003: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5302 to include the existing shed. This is not a determination from any other agency. If you have any questions, please call our office at (63 I) 765-1892. Sincerely, President, Board of Trustees AJK:lms Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK ISSUED TO _ -~ARTIN & ..D_OR..E_E. bI...]~¥A~$ ..................... · Pursuant' fo the provisions of Chapter 615 of the L~ws of. the State of New York, 1893; and Chapter 404. of the ,L~.ws of fha State of New York 1952~ and ~he Soufhold Town Ordinance ea.. tiffed ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBUC LANDS and ~ REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN 'WATERS;~-.': end in accordarme with fha Resolution of The B6ard adopted at a meeting held on ......A.p...r.~.].....~_.5..,. ~..0..9.,Zand in consideration of the sum of $_....?..°_..-'.._°.0 ....... paid by .. ~[~A~.~.LN......~....~ Q.g..E...~...~.V.~ ~ S ........................................................ : ........... ~ ........ of ...m..~..t.~.~_t...u...c....k.. ....................................... i .................... N. Y. and subied to the Terms and Conditions llsfed on the reverse side hereof, of SomUnold Town Trustees aufhorlzes and permlfs fha following: Wetland Permit to construct a 8'X :22' deck at the rear of the house and a 6tX 27~ side deck, with the condition that there is no clearing of the bluff from the deck to the edge o£ the water. all' in accordance with the detailed Specifications as presented in · the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- ~ causes ifs Oorporafe Seal to be affixed, and ~ese ~.resenfs fo subscn'bed by a'maiodhf of the said Board as of this date. Henry Smith ,~ Ab Jt NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL C~)NSERVATION ',D~ P~.~MIT NUMBER 1 ,-4~387)'2794/0p00 t Op FACILI.-rY/PROGRAM NUMBER(S) IERMIT Under the Environmental Conservation Law EFFECTIVE DATE April 1, 2003 EXPIRATION DATE(S) April30,2008 'TYPE OF PERMIT · New [] Renewal [] Modification [] Permit to Construct [] Permit to Operate [] Article 15, Title 5: Protection of Waters [] Article t5, Title 15: Water Supply [] Article 15, Title 15: Water Transport [] Article 15, Title t5: Long Island Wells [3 Article 15, Title 27: Wild, Scenic and Recreational Rivers [] 6NYCRR 608: Water Quality Certifica- ion [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT iSSUED TO Martin Evans ADDRESS OF PERMI3-rEE TELEPHONE NUMBER (516) 887-3267 178 Oceanview Road, East Rockawa¥, NY 11518 CONTACT PERSON FOR PERMITTED WORK Carl Governale, P.O. Box 546, Manorville, NY 11949 NAME AND ADDRESS OF PROJECT/FACILITY TELEPHONE NUMBER (631) 878-1851 Evans property; 50-50 New Suffolk Avenue, Mattituck SCTM #1000-115-10-03 COUNTY TOWN I WATERCOURSE I NYTM COOReINATES Suffolk SouthoId Deep Hole Creek DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a 3' x 35' stairway down embankment, 3' x 60' catwalk, 3' x 12' ramp and 6' x 20' float. Catwalk and float will be secured with maximum 6" diameter piles. All work shall be done in accordance with the attached NYSDEC approved plans and noted in Special Condition 1. The portion of the property located landward of the crest of the shoreline bank, which exceeds 10 feet above mean sea level in elevation, is outside the regulatory jurisdiction of NYSDEC. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: .George W, Hammarth AUTHORIZED SIGNATURE ADDRESS Region I Headquarters, E~ldg. #40, SUNY, Stony Brook, NY 11790-2356 DATE I Page 1 of 4 April 1, 2003 BUILDING DEPT. ///INSPECTION [ /] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] iNSULATION [ ]FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE INSPECTOR 765-1~02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ;ORAU'N'ON?O" 'ND REMARKS~ ROUGH ~G & New York BoaM of Fi~ Unde~dte~ ~D~ON~ COM B~au of Ele~ci~ is ~ ~e process of msmng a c~ficat of ~ b~+"'~d. ?d ~l~o.oo ~ p~aed for in ~e applica.on for ~ m New York Bo~ of Fire Unde~dte~ Bureau of Elec~ci~ Inspection acfi~ pu~u~t to Application ~ has been completed ~d a ceffificate compl~ s~ng fo~ ~e det~ of ~e " TOWN OF SOUTHOLD B[IILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Exammed Approved Disapproved a/c Expiration NO. kPPLICAT1ON FOR BUILDING PE~IT INSTRUCTIONS BUILDING PERMIT APPLiCA~FION'CHECKLIST Do you have or need the following, before applying'? Board of Health 3 sets of Buildil~g Plans Planning Board approval~ Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ?~~~Phone: C3).'::]r~ ~?~ _ 20 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 De connnenced before issuance of Bnilding 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, Ordkmnces or Regulations, for the construction of buildings, additions, or alterations or for rc~noval 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, ifa 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 ~/p~/~/t/ /9 fl d~>~_~/ ~-rflADv2-P (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. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) FiledMap No. Lo~t 3 Lot 2. State existing use and occupancy of premises and intended use and occupapc~( ofpropos~d c. onstruction: a. Existing use and occupancy f/,'~41e$£ ,1~ ~'/c,.¢r-,,a~ D~C/.'" kC'q$ ~utt,.r-] . b. Intended use and occupancy_ 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. EstimatedCost °P~ ~O0o. orv 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (Description) (To be paid on filing this application Number of dwelling units on each floor 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 Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Depth __ Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Sizeoflot: Front Rear Depth 10. Date of Purchase /d)d 7000 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 v'/ 13. Will lot be re-graded? YES NO__Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * 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. NO 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. STATE OF NEW YORK) SS: 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 tree 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 ~ . ,~ ~ day of ~ P/IO~ 2oQ5 [.)Notary Public LYNDA M. BOHN NOTARY PUBLIC, State of New York No. 01 BO6020932 Qualified in Suffolk County_ Term Expires March 8, 20 ~ Signature of Applicm~t NEW TiE~ 9B5':~ sUFFOLt4 (DEED $ 82' 64' E) 24" t' 59' ROAD CM N/F RULAND CON WA Y POrE I WOOD FRAME RES. N TM lO00-115-10--OJ GUARANTEED TO MAR TIN P. EVANS DOREEN E. EVANS JUDICIAL DTLE INS. CO, WASHINGTON MUTUAL FSB O~ERHANOS N/F RULAND ,/ SURVEY OF DESCRIBED PROPER TY SITUATE MATT/TUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED 03 OCL, 2000 SCALE l"=JO' AREA~ lh755.189 SF OR ~408 ACRES SURVEYED FOR MARtiN P. EV~NS DOREEN E. EVANS SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK, NY I1956A CENS /AN SUCCOR / NOTE: 1. 2,3 OCK, 2001 ADD ELEVAtiONS (CONTOURS.). 2. 15 MAY, 2002 ADD DECK 00R941