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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• )$25.00 No Health Department Approval on file. No final inspection has been made• No Plumber Solder Certificate on file. (All permits involving plumbing being . issued after April 1, 1984) • BUILDING PERMIT 27281-Z Please contact our office on this matter. Thank you for cooperation• SOUTHOLD TOWN BUILDING DEPT. -2 2-k 14�� 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSUL N [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE `5 BI INSPECTOR � 1 FIELD INSPECTION REPORT DATECOMMENTS FOUNDATION ( 1ST) i I.•I• __ IjI tl FOUNDATION (2ND) 1 =a-=------...=-===-------- II II C p� ROUGH FRAME & PLUMBINGrrj�� " II ff ,`qs INSULATION PER N. Y. II i H STATE ENERGY II►— � CODE ---xx=—s---�----masa------------x--•�---x=— Ii Xz na II # FINAL lP jH a=aaxsaexax=m=x=x�xxxxxc�x=x==���sxs.--ssc�==ax==-x==xaaxv=eaa�xax==ma=vx===axaa==x=x ADDITIONAL COMMENTS: asaxxxxxxxxxxxxxxxx=cxe=x=xxxxxe._--==�=xxxxxxx=-ex��=cmxsxsx=ssx=sasxsa=xsxx==sxxac as c 0 H N I O x ro H .2— BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: 5/1/01 APPLICANT NAME: FEENEY DATE SUBMITTED: 3/02/01 SCTM# --- DISTRICT: 1,000 SECTION:_l20 BLOCK: 3 LOT 8.10 PROJECT LOCATION AND TYPE OF PROPOSED WORK: PROJECT DESCRIPTION: ADD ALT ACC R N/D: S�ej Lf2 STREET:_900 HARVEST LANE CITY:_ SUBDN. NAME:_ ARCHITECT/ENGINEER: �003e, FAST TRACK: YES o N SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOT OM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8"3 ZONING: PERMIT ESTIMATE AMOUNT:_$- .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 a L O R tv Cn Q = C� 7 > C� '•", n WELL Z -j :x L toe.) � � o w o rc ra << p ( �C .x 7T'�� .? n '� �lC".4n a O CONC ENT O rLw a, < 0 DOWN 1 1O M�hJ 3 o n 1 ST BAY r. � CL 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 c N 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 4A, Lay aurr102 s Vol t -_ ' ws Y JD s Bum 4 Ccs i ilv ri 1 ` y„ ' m - r 11 n / -.R L ' r i s l_ " IL --------------- 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