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HomeMy WebLinkAbout26481-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27079 Date: 05/11/00 THIS CERTIFIES that the building ADDITION Location of Property: 2405 DEEP HOLE DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 14 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 7, 2000 pursuant to which Building Permit No. 26481-Z dated MAY 2, 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 ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to PATRICIA ENDRES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Au/Vficriz6d Signature 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. 26481 Z Date MAY 2, 2000 Permission is hereby granted to: PATRICIA ENDRES 2405 DEEP HOLE DR MATTITUCK,NY 11952 for CONSTRUCTION OF AN "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2405 DEEP HOLE DR MATTITUCK County Tax Map No. 473889 Section 115 Block 0014 Lot No. 013 pursuant to application dated MARCH 7, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Author z d Signature ORIGINAL Rev. 2/19/98 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 buiidi Inspector with the fol.loWi;ig: for new building or new use: 1 . Final survey of property with accurate location of all buildings, property line 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 ins(al) •„ti-o� fr^m Board of Fire Und ,writc;�s. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 12 lead. 5 . Commercial building, industrial building, multiple residences and similar build and installations, a certificate of Code Compliance from archite:,t or engineer responsible Cor the building. 6. Submit Planning Board Approval of completed site plan requirement:;. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings '.'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 applies- 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, Addicions 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 - -25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . �:. :. l. . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . Old OrPrre,-existing Building. . . .X. . . . - - - - . . . Location of Property. . ..Nhc'7. ;�ctClfd .�2�f . . . . . �TA . . . . . . . . . . . . . . . . . House N ) 11 V Street Hamlet Onwer or Owners of Property, Q :lfiC .C� �i (fi S , , , , , , , , , , , , , , , , , , , , , , , , , , , , County Tax Map Not 1000, Section. . . .1 .6 . . . . . .Block. . . . .fLl . . .. . . .Let. . . . . . . . . . . . . . Subdivision. . . .�� 1� . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. : 4t' . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . I . . . . . . . . . . . . . . . . . . HealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . PlanningBoard Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. K. . . . . . . . Fee Submitted: $. JR6-.'.M. . . . . . . . . . . . . . . . . . t . . . . . . . . . . . . . . . APPLICANT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A ClHIMNEY REMARKS., (� DATE �'.j J_T) INSPECTOR " V "� A FIELD INSPECTION REPORT DATE --COMMENTS ----- ------ --- II,r —_JI p u H FOUNDATION OST) Im— --ii ------------------ ------- ----------- C�1' FOUNDATION (2ND) ii n � ROUGH FRAME & ii v PLUMBING - u �— II rb II II II V1 Ij if y INSULATION PER N. Y. If p t� STATE ENERGY ii II u CODE n if it fie pco II j H I II I --4I IfI FINAL xaaasaaa==sxxs==x=aaaaxa=�-x==r=c�z=s--c-==saasasaaaa=xx=a====sxxasa=saaxasr=x=a==a==s=z O ` ADDITIONAL COMMENTS: H � y � N O x 4 BOARD OF HEALTH . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: Q CALL . ' ! . . . Examined.................. 20 ... u 10 MAIL TO: . . . . . . . . . . . . . ... . Approved... ].Z.......2-n© C) Permit No. ./�....l.u........ ............................... Disapproved arc .................................. ............................... ...................................... ... ........... (Building tor) i APPLICATION FOR BUILDING PERMIT ✓ Date. '��s . . . . . . . . . . . 2012 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspectc 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 this application. c. The work covered by this application my 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. St permit shall be.kept on the penises available fur inspection throughout the work. e. No building shall be occupied or used in whale or in part for arty purpose whatever until a Certificate of Occupancy shall have been granted by the Binding Inspector. APPLICATION IS HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tam of Sduthold, 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 buildi for necessary inspections. ✓ ..- m .Y ..................... (Signature of applicant, or nae, if a corporation L1//-Z 9k,./qa .��Af1m (MailinA address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bu' ............................. .................................................................................... Nae of owner of premises .... 4.14***..... .............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nae and title of corporate officer) Builders License No. ....a)e— C ....... .. Pluabers License No. ............ (^........ Electricians License No. ..................... Other Trade's License No. .................... .: 1. Location of land on which proposed work will be dame........................................................... .......... n, c 1 ......Ct\).e..........C�`.1.a Et. .u.�k...,.�J ..l��� a.......... House Number Street Hamlet Cou my Tax Map No. 1000 Section ................ ...... / �... Black ................ Lot ..✓2 .......... Subdivision ...................................... Filed Map No. ............... lot ............... (Name) to existing use and occupancy of premises and intended//mw dnd occupancy of proposed constnmction: m Wsting use and occupancy .................�.. ....4 5 m aG 1, �o r ���,..'�. .! s'::<`:S.......... Intendeduse and ocampxy ............................................................................. f w,kv .nuuh yppucaoiel: New building .......... Addition ...x.... Alteration .......... ' Repair ............ Removal ............. Demolition ............ Other Work .................................. JJ (Description) Estimated Cost ......................... fee ..... .�.:.CS �........... ............... (to be paid on filing this application)// i. If dwelling, number of dwelling units .....)t ..... timber of dwelling units on each floor .....1. Ifgarage, nxnber of cars ....j................................ f. �. 7f business, commercial or mixers occupancy, specify nature and extent of each type of use..... .... ..... .. ... Dimensions of existing structures, if arty; Rront.......��.�. ..�'... Rear :3.."'�. ...... Depth ....3.-.! .......... Height ..........,' ............ Number of Stories ...... .............. Dimensions of sane stricture with alterations or additions: Front ............... Rear ............... Depth .................... Neiglit .................... Number of Stories ............... Dimensions of entire new construction: Front ..:!........... Rear ............... Depth .............. }eight ......................... Naber of Stories ..................... ��o Size of lot: Front .....p..�6 ........ Rear .........�...�`...... I -p .� D• 3. . 0. • Date of Purchase Z..�.1.V7....... Mane of Former Owner ........s�!�� 1. Zone or use district in wiiidi premises are situated ...............!e..T.D..,......................i................ 2. Does proposed construction violate any zoning law, ordinance or regulation: ................. ?.......... Will excess fill be removed from premises: YES ND ! 3. Will lot be regraded ....Y.� 4. Names of Owner of premises (... Phase No. 0�J.�. �J Nape of Architect .................................... Address .............................. Phone No. .. .......... Kane of Caheract:,r ..c:7gi-:I:St........................ Address ...............................Phone No. ............ 5. Is this property within 300 feet of a tidal wetland? * YES .......... NO ...X..... *IF YES, 900TI TD TOld1 TWfM'4 PM-117 MY BEISQOIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-baric dimensions ran property lines. Give street and block number or description according to deed, and show street names and indicate hether interior or corner lot. rK;r OF NiW Y(ft, SS XNly OE 1..5Vy�70.`1\........... Y:eS...........................being duly sworn, deposes and says Lhat the is the applicahC vane of individual signing contract) rove nand, is Lhe .... ......................................................................... ...................... (CantracCor, agent, corporate officer, etc.) C said owner or owners, and is duly authorized to performer have performed die said work and to make and fide this pplication; that: all statements contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in the »enner set forth in the application filed therewith. urn Lo before me this 1. . ...d or `... ... �....:200P . G.?' _ :.... Notary Public .. .., •.•.. ... .. . ... ...... SHONAL.COX 't (Signature of Applicant) NOTARY PUBLIC STATE Of DELAWARE My Commission Expires Nov.24,2001 MAP OF DEEP HOLE CREEK EST. coRN£R TOWN OF SOUT14OLD FM# 4256 1/28/65 N 0.2' N 0.4' LOT 3 LOT 4 N 83. 20' 40" W CCHAIN L/NC FENCE 95.00, W 0.8' FD END F£ S 1.8 FD FD STOCKADE STK CM FENCE M W 0.3' O S 0.0' 1.0 N 1.0' 0 ISTOCKADE FE. p .0' A N/F N/F KERRIGAN DALY /ROGERS WOO DECK 12.0' OVERHANG 38.7' 9.5' 1 STORY 1.8' WOOD FRAME 1.5' �i RES. —CHIMNEY a GARAGE 16.2• 14.1' 3.s' 40.2' 23.3' CONC. STOOP 0- Lai - SE � 0 � o O 'r, i eo M O Nj rn rn .� Ln Q v v h � O h1k Z 0 TIE FD S 83. 20' 40" E 105.00' /PD STK TAX MAP NO. DEEP HOLE DRIVE 1000-115-14-13 SURVEYED 6 OCT. 1998 SURVEY OF SCALE 1"=20' DESCRIBED PROPERTY AREA= 14,999.706 SF SITUATE OR MATTITUCK, TOWN OF SOUTHOLD 0,344 ACRES SUFFOLK COUNTY, N. Y. grantees indicated hensi on-sha0 ties my to the person for whom the survey 1 rmpared, and on his behalf to the SURVEYED FOR : PATRICIA ENDRES — HICKEY tle Company, Covermerl;I Aacncy, I w'iwt i,-st40icn, if listed hereon, and il iha csalrnecs of the lending institution. SURVEYED BY ucrc Mees are nct trmsf:mule to ddilicnol institulicns cr s.bsoquent owners STANLEY J. ISAKSEN, JR. Unauthorized alteration or addition to this P.O. BOX 294 survey is a violation of Section 7209 of the New York State Education Caw, NEW SUFFOLK, NY 11956 GUARANTEED TO 51V-73,d--r:55 5 PATRICIA ENDRES — HICKEY' ,/ TOWN OF SOUTHOLD Copies of this survey map not bearing the land Surveyors embossed seal shall L/CEN D .LAND SU EYOR not be ccnsiderad to be a valid true - COPY. NYS LIC. NO, 49273 98R747 MDR - 7 'olaa J • L � XlST1 V--.1G� �\�l � 1.L11`1Ca EX I ST I r--t G Z x -r- 1-tom" fw L E BE TJ EX14T11+.l Gr MALLS E_ N EX1�TrN4 2 -Z •�8 °en z•z. s 4, �oG•IGG-7 � V qY••x G' GL{.\� 4 3"l ETA N v N 'P EAG K-lN4 O x ;70 ,,,J p N 'Pm�iT P132 I �JW E�•ti•= TCPIGA� C 7'/s" a�"G�•� N If s/4•x G'� 1 GG.0. 1// 3• U FhGH ��-GI�INIn - '7 1 -Z h.TSO EY• f 'SYI ! 4G.. jk E.PCC 1 ST11,1 G 2-L'aca GG6> 10 - Z•• Ii1010 •. L., Gri R17�Y.. Cv/4N4 18• G • 4.• 1�8" IZ -p.. GG.Ca Yd" -fes SET i r 4- 2Z-2" 3.o Llo GUl-1G. ' - - Gtzti-vE SG�. 1.t- 1�4` = 1 J 5G/'-t.�E=- : 1 /4"' = 1 •- J' APPROVED AS NOTED DATE.J 1 ZIe 0 B.P N b (-w FEE: 1� NOTIFY BUILDING DE ARTM AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECIpNS: 1 FOUNDATION - TWO REQUIRED FOR POURED CORIDRETE 2. ROUGH . FRANING i PLUMBING 9. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS TITLE Eaco nr ASTm GARRETT A . STRAND �s �14 slc�E;t�G � "� LOCITION architect U C,IL,r N 6—\V `C u rm I- °j<<A ,,;,'� 1230 Traveler Street Southold N.Y. 11971 ..EEt s0 � REVISED °"" "` NO DATE ✓ ` / _ 015244 �h F MF4io/ 516 - 765 - 5455 DRAWN BY - PROJECT NP