HomeMy WebLinkAbout26744-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27285 Date: 08/31/00
THIS CERTIFIES that the building DECK ADDITION
Location of Property: 925 BENNETTS POND LA MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Nap No. 473889 Section 113 Block 13 Lot 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 28, 2000 pursuant to which
Building Permit No. 26744-Z dated AUGUST 29, 2000
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 DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS BUILT AS APPLIED FOR
The certificate is issued to PETER SWAHN & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
c
ori d Sign ture
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. 26744 Z Date AUGUST 29, 2000
Permission is hereby granted to:
PETER & WF SWAHN
PO BOX 729
MATTITUCK,NY 11952
for
PRE EXISTING WOOD DECK ADDITION ON NO. EAST SIDE OF EXISTING ONE
FAMILY DWELLING AS APPLIED FOR WITH TRUSTEES APPROVAL. A� gGLILT
at premises located at 925 BENNETTS POND LA MATTITUCK
County Tax Map No. 473889 Section 113 Block 0013 Lot No. 010
pursuant to application dated AUGUST 28, 2000 and approved by the
Building Inspector.
Fee $ 75 . 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 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.
8. 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 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - _2%p
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . A/1 0�/ . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pr -existing
�Building. .,.J.1✓ . . . . . . . . . . . ,(�f {�—�1�7
Location of Property. . .17�. . . . . ��'•.v`•�• • • •��lY�• • '• • • • • •�• Ott l 1•�•L 7t.
House No. n Street Com/ , ' �� Hamlet
Onwer or Owners of Property. {��;-T� . . . . �& . . .v. t7IA /. . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . ./ . . . . . . .Block. . . .10. . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. .:'.'K ��.� . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $.��� . . . . . . . . . . . . . . . .
co a7as . . . . . . .1 . . . . . . . . . . . . . . . . . . . . . .
2 ,�g�lDq APPL�I-CA/NT
[ELD INSPECTION REPORTDATE COMMENTS
___________ _------_1======s=====____-------
II
-----------
II -----
--------------
II
II --- ---------------------- -- ----- ------------
)UNDATION ( IST) 11
— --- — -- -- a -------- ------------------
itp
II II
I� II ---------- ------ -- ------ -----
------ION (2ND) II II
________________________________________ S}w
p---------II
II II
OUGH FRAME -----It
--
PLUMBING
ii
it Jj
I--
1JI
II
___ _-------
__________
__
II
11--1111 f
y S
NSULATION PER N. Y. u-- if rb
STATE ENERGY 11 11
u--- i1
CODE lu --fit
U It
!I -
11 II
it
11 !�1
II 11
II II
FINAL
�I fi
11
II
0
----ADDITIONAL COMMENTS:
t�
IV
H
n,
z �J
_ � I
m
ro
CHARLES R.CUDDY
P' �3 28
�.ma. ATTORNEY AT LAW
ELDG CtPT 445GRIFFINGAVENUE
N FSOUTD =` RIVERHEAD,NEW YORK
Mailing Address; TEL: (631)369-8200
P.O. Box 1547 FAX: (631)369-9080
Riverhead, NY 11901 E-mail: creuddy@earthlink.net
August 24, 2000
Gary Fish, Building Inspector
Town of Southold
53095 Main Road
Southold,NY 11971
Re: Peter Swahn
SCTM 1000-113.00-13.00-010.000
Dear Mr. Fish:
Enclosed is the deck plan for the Swahn residence at Bennetts Pond Lane,together with two copies
of the survey showing the side yard on the east side of the parcel is 15.1 feet.
Please proceed to inspect the deck and confirm that a certificate of occupancy for the deck will now
be issued.
Thank you.
Very truly yours,
L3
Charles R. Cuddy
CRC:JML
Enclosures
Albert J. Krupski, President �1;4$UFF014, Town Hall
James King,Vice-President h�0 �jy 53095 Route 25
Henry Smith c P.O.Box 1179
Artie Foster WSouthold,New York 11971-0959
Ken PoliwodaTelephone(631) 765-1892
Fax(631)765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
June 22, 2000
Mr. Peter Swahn
P.O. Box 729
Mattituck, NY 11952
RE: 925 Bennetts Pond Lane, Mattituck
SCTM#113-13-10
Dear Mr. Swahn:
The following action was taken by the Southold Town Board of
Trustees at their Regular Meeting held on Wednesday, June 21,
2000 :
RESOLVED, that the Southold Town Board of Trustees grant the
request for a Waiver to PETER SWAHN for an existing deck as
indicated on survey dated May 31, 2000 .
This approval does not constitute approvals from any other
agency.
If you have any questions, please call our office at 765-1892 .
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK: lms
cc: Building Dept.
A
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE; July 6. 2000
TO Peter Swahn
PO Box 729
Mattituck NY 11952
Please take notice that your application dated June 27 2000
For permit for deck addition at
Location of property 925 Bennets Pond La Mattituck
County Tax Map No. 1000 - Section 113 Block 13 Lot 10
Subdivision Filed Map# Lot#
Is returned herewith and disapproved on the following grounds proposed construction on lot .63 acres
+/ 27,440 square feet not permitted pursuant to Article XXW Section 100-244B which requires a
minimum side yard setback of 15 (fifteen) feet proposed deck set back 7.7 feet fron side lot line
Author'zed Si nature
I
l� �' �{ i
BOARD OF HEALTH .
FORM NO. 1 3 SETS OF PLANS .
JU 'F ;SOUTHOLD SURVEY . . . . .. . .. . . . . . . . . . . . . . . .
BUILT IN DEPARTMENT CHECK . . . .. . . . . . . . . . . . . . . . . . . . .
f3LDG.GeS111
HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
TOWN 0 LD, N.Y. 11971 DEC ... . . . . . . . . . .... .. .. . .. . . . .
S
TEL: 765-1802 TRUSTEE . . . . .. .. . . . . .
NOTIFY:
CALL o - ✓ . .
E-Aamined..r`r/;,?!........... 2(4c) o2-6 (/` MAIL TO: . . . . . . . . . . . . . . . . . . . .
Apprwed.....gC .y ..... Permit No. �7 7
........ ...................................
Disapproveda/c .................................. ..................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
S 3 •.
Date. . . . . . . . . . . . . . . . 20.Q1 .
INSTRUCTIONS
a. 'this application most be completely filled in by typewriter or in ink and submitted to the Building Inspector wi
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 giving a detailed description of layout of property must be drawn on the diagram which is part of
this application.
c. the work covered by this application may not be cam enced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
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 whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICAPION IS HERBY 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 applicabI s, 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, buildi code, housing code, and
regulations, and to admit authorized inspectors on premises and in buildingfor necessary 'nspectionys✓
e.-:.:............ .... .. .................
(Signature of applicant, o if a corporation)
�;�� 701 dt 9;�-„y�< �✓� /9�a
(Mailing address of applicant)
State whether applicant is owner, lessee agent architect engineer, general contractor, electrician, plumber or builder
................... ........... .. .......... ...................................................
Nam of owner of premises ...... �'` l
....... ..................... . ....................................................
(as on the tax roll or latest deed)
l
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nave and title of corporate officer)
BuildersLicense No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of land onn vhich propo7oN
work will be done..............................................................
:� /
..�9n!�....*I-F(, j2f G/(/.....!V' ...1����........................
House Number Street// ./.Hamlet
County Tax Map No. 1000 Section .../1.,3...... Block .../3....... Lot .. 5:2.......
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Name)
2. State existing use and occupancy of pr 'ses and intended use awl occupancy of proposed construction:
a. Existing use and occupancy ..... r .............................................................
b. Intended use and occupancy .... lnz4.:.............................................................:'
3. Noture of work (check which applicable): New I3uilding .......... Addition Alteration
Repair ............ Removal ............. Dewlition ............ Other Work ........................
(Description)
4. Estimated Cost .......................... fee ......
........................................
(to be paid on filing this application)
5. If rkaelling, nuui)er of dwelling units ............ Ib ber of dwelling units on each floor ................
If garage, momber of cars ...
.. .............
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
7. Dimensions of existing structures, if arty: Front................ gear ............... Depth .......
]]eight ......................... Umber of Stories ......................
Dimensions of same structure with alterations or additions: Front ...............
Depth .................... height .................... U rber of Stories ...... ...ar ...............
8. Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
}]eight ......................... Nm&r of Stories ..
9. Size of lot: Front .................... Rear .................... Depth ....................
10. Wte of Purchase ..................... None of Former Owner ........................................
............... .............
If. Zane or use district in which premises are situated ......
12. Does proposed constructionvi late any zoning law, ordinance or regulation: ................... .....
13. Will lot be regraded R.......... Will excess fill be removed from premises: YES OND
14. Names of Owner of premises .. ... Address .... ..... PFS
. ...... .. .......... . ...... . ............
Name of Architect .................................... Address .............................. Phone No. ............
I
Name of Contractor ................................... Address ...... ........ Phone No
.... ............
15. Is this property within 300 feet of a tidal wetland? * us NO
*11? YES, S(XMIXD TOWN TRFJSTEES PUMIT MAY BE 1drQJIR[I.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block number or description according to deed, and show street names and indicate
iihether interior or corner lot.
,
j
1) IWO�_
I
I
SrA1Ti OF ";1W Y(W
...........A . ' . ........... �` -
• ••• •••••....being duly sworn deposes and Says that he is the applicant(Nave of individual signing contract)
,-)Love named,ned,
Io �f4J
Ile 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
appl.icatirnm; that all statements contained in this application are true to the best of his knowledge and belief; and
LhaL the work will be performed in the manner set forth in dee application filed therewith.
Stworn Lo before me this
.............:./..day of ....:... �20 — -
Notary R
mbli .. ...... .�((... Zjp�mtue
NO PuBB6BIC,SiateofNewYork of App ant)
N0,01R14918439
Qualified in Suffolk County /
Commission Expires February 1,
%CZ 664
SURVEY OF LOT 5
MAS' OF BENNETT'S POND N
51TUATE: MATTITUCK
TOM 5MTHOLD e s
5UFFOLK COUNTY, W W E
5URVEYED MAY 31, 2000
AMENDED AUG. 2, 2000, AUG. 23, 2000
SUFFOLK COUNTY TAX #
1000-113-13-10
GERTIFIED TO:
\O
PETER 5WAHN
BARBARA 5Y4AHN
op
FE
O I.O'S
LT
qj
3.0'W
6 9 +
+
+ce
FE
Jib \
n�•G
co
n � �� s
Y. ��
20FE
� L 15E
I
�OL�
�a c �
o 0 0
u�
5k
00 L/
p�• O pt�o 00
��'
rn z ---------------- et�p�dd
X111,_ i
Ill (�X
J i I
V36L ,
°F
S� oR F�RMM R�E�E
�R�p\�AL Kp,�H1-SEN
30NN
��GoNE
C.Ey� `O
��O� �.f1 �� "IMauthor Ized oltarotlnn or addetlon Lo a survey
V• ivlation ansa land s r eal is o
Tev rn of section 20'i,subVdyvlslons 2,of Hie
Nrw Yark State Edvcatlon l.ow."
NOTES:
• '� markadLwltl,eanfroni tFe of he and this slrvv_y
���. stamped seal shall be"c�o'nsdered to be vualid[rue
■ MONUMENT FOUND '� O atan5 ca�edhere�n,�;ftha
y s pr,p dance wµmP 'S
Nodap rve,s adapt d
REBAR FOUND Yorks`` A
L
• L'r^. 'nlJ C.��• Laand Surveyor;,s neva h--y
ft t tt
1 �ti cal aQenc^ad o d 9 t t d
to n,e ss'g e f the lending�nsttn'an. ert'frca-
tions ora not transferable to add�l�onal nstltv[lons
AREA = 2,,460 5F OR 0.63 AGRE5 JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPHIC, 5GALE I"=30' RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.\\HP SERVER\D\PROS\20-191
1439AM \VP 56NER -1918
I i I
I, w
Lu
LL
LLI
E�IOX�I5��T�'G �E.IXO�15��T'6 CL
Lu
4'117,
- -WOOD 5TEP- -WOOD STEP-
I ' 'il i III
i ,
I I
W
X
� III I
_ I
� 1 W
WOO IIS
W STEP
Q '
I O EX15T G O
IN
X5T6 � I � I
OUSE I
HOUSE
I I 1
I, II
IS
E
II , II
I X T6
I I II
I I
K
DEC. DEC 0K
N
I
z Oli I ILII
'' II III Ii Ill iI I
2" X b" CEDAR DI E KING �I I INS,
2" XbCEDAR DEGm
Q
4'-2" u
-LJ
I QJ
0
li , LI, I III p w
I i I I tl1N X IfYV � �l
CI
x(I GGA JOISTS I Q " V O
W
4"I GGA
P05T (TYP)
O
- F
m U
0.
LidW
K W z
Q J (n
EXIST'O DEGK - SWAHN RESIDENGE EXISVIO DECK FRAMING - SWAHN RESIDENGE
5r-ALE 1/4" / 1'-0" 5GALE . 1/4" SE
r
MummFES03RIFICW
sF REQUIEM WMFY EURaIRG GEFRIRMENT AT r
706-IM • AM TO 4 PM FOR THE .L
FOLLONIING RIEPECROMI
1 FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE 11
2- ROUGH - FRAMING A PLUMBING
3. INSULATION V
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. L Q
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y. Q
STATE CONSTRUCTION & ENERGY uu��
CODES. NOT RESPONSIBLE FOR R
DESIGN OR CONSTRUCTION ERRORS
OCCUPANCY OR SHT. No.
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY OF I