HomeMy WebLinkAbout27281-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27739 Date: 06/08/01
THIS CERTIFIES that the building ACCESSORY
Location of Property: 900 HARVEST LA MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 120 Block 3 Lot 8.10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 2, 2001 pursuant to which
Building Permit No. 27281-Z dated MAY 1, 2001
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 SHED AS APPLIED FOR.
The certificate is issued to STEPHEN FEENEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
ut rized ignature
Rev. 1/81
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. 27281 Z Date MAY 1, 2001
Permission is hereby granted to:
STEPHEN FEENEY
900 HARVEST LANE
MATTITUCK,NY 11952
for .
NEW CONSTRUCTION OF AN ACCESSORY SHED 161X16 ' IN REAR YARD AS
APPLIED FOR.
at premises located at 900 HARVEST LA MATTITUCK
County Tax Map No. 473889 Section 120 Block 0003 Lot No. 0.08 . 010
pursuant to application dated MARCH 2 , 2001 and approved by the
Building Inspector.
Fee $ 35 . 00
Autho zed Signature
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR-CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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 o� 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:
I. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a.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 $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 - y2i
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . .
New Construction. . . . . . .. . Old Or Pre-existing Building. . . .. . . . . . . . . . . . .
' Location of Property. . .. ... . . . . . . . . .. .. . . . . . . . . .. .. .. . . . . . . .. . . .. . .
House No. Street Hamlet
- LA
Onwer or ��. Owners of Property.. . . .6 . :W 14:�!��' �. . .. . . . . . .. 1vci�. . . . i-?i . . .�
}}
CountCf
y Tax Map No 1000, Section. . .` : �. . . . . .Block. . . . . . . . . . . . .Lot. . / . . . . . . . . . . . . .
Subdivision. . .. . ..46 . . . . . . . . . . . . . . . .. . . . . . . . . .. .Filed Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . .
. Permit No. . . . .Date Of Permit, . . . . . . . . . .. . . .Applicant. , . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . 44 . . . . . . . . . .. .. . ..Underwriters Approval. . :.-. . . . . . . . . .
Planning Board Approval. . . . . . .. . . . . . . . .. .. . . . ..
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .� . . . .
Pee Submi ted: $. . . . . .�.:
PLICANT
Town Hall,53095 Main Road p '� Fax(516)765-1823
P.O. Box 1179 Telephone(516)765-1802
Southold,New York 11971-0959
2zcr
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 4, 2001
Stephen Feeney
900 Harvest Lane
Mattituck, NY 11952
To Thom This May Concern:
We are unable to complete your Certificate of Occupancy because of the
following reasons:
xx An application for Certificate of Occupancy is
not on file• (Enclosed)
No Underwriters Certificate on file.
xx The check is (not on file• )$25.00
No Health Department Approval on file.
No final inspection has been made•
No Plumber Solder Certificate on file.
(All permits involving plumbing being
. issued after April 1, 1984) •
BUILDING PERMIT 27281-Z
Please contact our office on this matter. Thank you for
cooperation•
SOUTHOLD TOWN BUILDING DEPT.
-2 2-k 14��
70-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSUL N
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
,DATE `5 BI INSPECTOR �
1
FIELD INSPECTION REPORT DATECOMMENTS
FOUNDATION ( 1ST)
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FOUNDATION (2ND) 1
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ADDITIONAL COMMENTS:
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BUILDING PERMIT REVIEW CHECK LIST
DATE REVIEWED: 5/1/01
APPLICANT NAME: FEENEY DATE SUBMITTED: 3/02/01
SCTM# --- DISTRICT: 1,000 SECTION:_l20 BLOCK: 3 LOT 8.10
PROJECT LOCATION AND TYPE OF PROPOSED WORK:
PROJECT DESCRIPTION: ADD ALT ACC R N/D: S�ej
Lf2
STREET:_900 HARVEST LANE CITY:_ SUBDN. NAME:_
ARCHITECT/ENGINEER: �003e, FAST TRACK: YES o N
SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOT OM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8"3
ZONING: PERMIT ESTIMATE AMOUNT:_$- .00 PERMIT USE: EXISTING: - FF Z INTENDED: $� ffx'e
ZONING DISTRICT: R40 R80 A CONFORMING: YESOR6) REQUIRED LOT SIZE: fO SQFT.
WHERE ACTUAL LOT SIZE FROAX CA ACTUAL LOT SIZE: fp SQFT.
REQUIRED QUIRED REQUIRED
FRONT: 'PROPOSED: SIDE YD: '/ ' PROPOSED:—,/—' REAR: 'PROPOSED: '
LOT COVERAGE: LOWED:_% EXISTING: sf_% NEW: sf_% TOTAL: sf_%
CORNER? YUoRINOYWAT ER FRONT? YES o DESCRIPTION:
/6 ' Se w c
FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: FLOOD ZONE: X ,
AGENCY PERMITS REQUIRED FOR REVIEW
INCLUDED IN APPLILCATION
TOWN SPETIC PERMIT: YES or
SUFFOLK COUNTY HEALTH DEPT: YES or 19 (BED #): DTE:—/—/ PERMIT#:R10-
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES
SOUTHOLD TOWN TRUSTEES: YES o
TOWN ZONING BOARD APPROVAL: YES or
�
TOWN PLAN. BOARD APPROVAL: YES or
NYS ENERGY: YES O NO : '���' EGRESS: VENT: LIGHT:
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR SF
SECOND FLR SF INIT OTHER TOTAL
TOTAL: ;� SF FEE FEE FEE
T( SF)- SF)= SFX $ =$ +$ +$ = $ 3
1 V 1NP1 Vr avu llivW) BUILVINU rhKM11 APPLICATION C:HEC;KL15
BUILDING DEPARTMENT Do you have or need the following,before applying
TOWN HALL Board of Health
SOUTHOLD, NY 11971 3 sets of Building Plans
TEL: 765-1802 survey
PERMIT NO. ' 17Z Z Check
Septic Form
N.Y.S.D.E.C.
Examined -S / ----.20 offTrustees
_ Contact-Trustees
Approved s / ,200/ Mail to: ^A j L tm.a
Disapproved a/c X60 �A-�– &-r— ,
Phone• 9�-
ZLL
Building Inspector
W - 2 . 1
APPLICATION FOR BUILDING PERMIT
Date Z , 20 c>i
INSTRUCTIONS
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 odpremises,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 a Certificate of Occupan
is issued by the Building Inspector.
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 a pli ant or name, if a corporation)
90o ufig.,e5 u, AA ujc luy iegr
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician, plumber or builder
Name of owner of premises 5TIV.4
(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. Oww�-IZ
Plumbers License No. t�A
Electricians License No. w A
Other Trade's License No. OA
1. Location of land on which proposed work will be done:
House Number Street Harltlet ,
., . wA
County Tax Map No. 1000 Section f Zo Block o Lot s io
Subdivision Filed Map No. Lot
(Name)
10t,"S u,c aliu uucupaucy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy S1 uGLe FA,-i,,,r U,eLL,
b. Intended use and occupancy_ SO-GLC ran,La r*cl- ,4c-c
>. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
I. Estimated Cost 4 13 oo Fee (Description)
(to be paid on filing this application)
If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
�. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
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
Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
Size of lot: Front Rear Depth
0. Date of Purchase Name of Former Owner
1. Zone or use district in which premises are situated
2. Does proposed construction violate any zoning law, ordinance or regulation:
3. Will lot be re-graded Will excess fill be removed from premises: YES NO
4. Names of Owner of premises wJ
1-r�, id 5 Address_5e� ,NLy 5,�p Phone No. 2i8 `tGo9
Name of Architect n Address Phone No
Name of Contractor 1J.1% Address Pone No.
5. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, OUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
TATE OF NEW YORK).
SS:
:OUNTY OF_�
F s being duly sworn, deposes and says that(s)he is the applicant
(Name of in ividual signing contract)above named,
i)He is the owp,rr-
(Contractor, Agent, Corporate Officer,etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
trformed in the manner set forth in the application filed therewith.
worn to before me this
day of 0 U
Notary Public ignature of Ap is t
ELIZABETH A STATHIS
NOTARY PUBLIC,State of New York
No.01 ST6008173,Suffolk County
Term Expires June 8,20-Q 7-;.-
4.
JOB No. FRMV-8 TAX I.D. No. 1000-120-03-8.10
L CATIO; i7',NELLS,WATER SERVICE
LINES, S SP i_? , TANKS AND CESSPOOLS
SHOWN HEREON ARE FIELD OBSERVA-
TIONS AND OR DATA OBTAINED FRO LOT 21 LOT 20
OTHER$. 1,.— � wHy
—2 N 70019'30"E 125.00'
10
LOT 6
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a O CONC ENT O rLw
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o n 1 ST BAY
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D = 21.8' rOri 9.0 2 ST 54.8 CHIM is I Tyr r�►
LOT 7 FRAME g,f3 o LOT 9
15.0 " J
0 1A.2 7.7 N 40
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SEPTIC
Z WOOD PORCH R/O
rn LP r
TIE 295.00
k� f
L=36.67 S 70°19'30"W 125.000'
R=25.00
HARVEST LANE [ 50' 1
LOT 45 LOT 44
FILE MAP No. 8808 9/1/89
Unauthorized alteration w addition to this document is a violation of Section 7209
of the New York state Education Law. LOTSURVEY OF:
Certifications indicated hereon shall run only to the person for whom it Is prepared
and onhis
stedhtrMeTn to the
signeeeofthel ndingiyantionsor MAP OF FARMVEU ASSOCIATES
Institution listed hereon,and to fhe assignees of the lending institutions or
subsequent owners.
Copies this document not bearing the professional's inked seal or embossed MATT IT U C K, TOWN O F S 0 U T H O L D
seal shallll not be considered a valid true copy.
The offsets I or dimensions I shown hereon from structures to the property lines are
for a specific purpose and use and therefore are not Intended to guide the erection of SUFFOLK C O U N T1r' NEW YO R K
fences,retaining wells,pools,planting areas,addition to buildings or any other r
construction.
The existence of right of ways andfor easements of record,If any,not shown are
not guaranteed. SURVEY DATE: 6/13/00 SCALE: 1"=50'
CERTIFIED ONLY T0: �P� NElfyp'9
STEPHEN G. FEENEY D TING.GRAF DESTIN G.GRAF
r LAND SURVEYOR
HOMESIDE LENDING INC. .
STEWART TITLE INSURANCE COMPANY ' 3 Woodlawn Road
OA ENS #050x; Rocky Point, N.Y. 11778
By DESTIN G.GRAF N.Y.S. LIC No. 50067 516-821-3442
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---------------
APPROVED AS N
FEE BY:
#
DATE:
NOTIFY BUILDING DEPART4V,
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:- . f 4 - 1. FOUNDATION. - TWO REQUIREG42LFOR POURED CONCRETE;- ej
i 2. ROUGH - FRAMING & PLUMB C
3. INSULATION
41 ;% �. 4. FINAL - CONSTRUCTION MU T
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEE
i THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DES
-------------
Z� .�5
7777
77--
I
a'4
DO NOT PROCEED WITH Krl
FRAMING UNTIL SURVEY
OF FOUNDATION LOCATION
HAS BEEN APPROVED. j