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HomeMy WebLinkAbout26609-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27200 Date: 07/17/00 THIS CERTIFIES that the building ADDITION Location of Property: 540 CONKLIN RD MATTITUCX (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 139 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 2000 pursuant to which Building Permit No. 26609-Z dated JUNE 22, 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 BUILT" AS APPLIED FOR. The certificate is issued to KENNETH P. & WENDY S. KMETZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A hors• d Sign lure 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. 26609 Z Date JUNE 22, 2000 Permission is hereby granted to: KENNETH P KMETZ 540 GRAND AVE MATTITUCK,NY 11952 for ADDITION OF NEW DECK "AS BUILT" TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 540 CONKLIN RD MATTITUCK County Tax Map No. 473889 Section 139 Block 0004 Lot No. 005 pursuant to application dated JUNE 20, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authorized 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 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 17, 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" wand 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 Building - $100.00 3. Copy of Certificate of Occupancy - _ .25t�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .Jul , 2000 . . . . . . . . . .12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . .x. . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property.. , _540 CONKLIN RD. MATTITUCK, N.Y. . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . . .15�NNETHP. S WENDY S. Kmetz County Tax Map No 1000, Section. . . . 1394 5 . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . 26609-Z JUNE 22, 2000 KENNETH P. KMF.TZ Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .XX. . . . . Fee Submitted: $. . . . 25,.00 _ WENDYr�TZ �,.� . . . . . . . . . . . . . . . . . . . . . . APPLICANT CO-2_ 2 ?�?B 6 ., _. / _ F -- .r r "yy� .. i•1 _ 't 3r..- ,.�'.�:. -("�?.� Iv- ue+vl 1� 1�`� i � 'r y LGi �"". •, irr Qi -s far. +.r »s5 1"��.y Y�2+�i:a..�• [}{y`�.:•�•- / JVLL�lI1 WMltl �LXlli Yi L� y,:Y L•' •'J�••` �,•' JUL 051977, ,4;. . -_ /3 SASE_ FI. � i:FF `� t A 2k � :he savapa disposal ml ter supply pog re-ciIit!en :o, -z— loc3t-on here been 4 J j at - o to 59 _9. 2 rhi c, of Geacral EnSiaaeriog v " W 0 W ON Vjp 4�1 tP /'lwam ��� /• W .� �1 �S 140ZZ 4:7) . 2,50 lP sP, 49 Z 3 Q V ymu K_F 04 tx c / f MNk ' r?OAO 14 r y" -a• �:.51 _ , ONK�,y_ :,.. TYs� f...r..• .,ati- �.0 J zz . (� _ JSFQLK C, t = UL.La'a JUL 051977, the sena -8 dleposelcrd tsr supply tecll!t!ea :o, tci5 loc.)t_on hove been ° y �...can� Clyh C`,fe: o: G»c:sl Engineering � �.0 � � 2H ces ct I Q 43'- 140" ` I o09,50 E \ 5j4 19 Z Q V 4a' IA 510 c0 r O -� /� L�•, Ve V r r K Oq Lam J .. _'Y=�.•:�� -•�+�u-�..,,. ...- .- < y Jr�..- � Y���} Sri 3I.I�[�CFpf'��ti.X( u�H{gyp/ •y •�.Ld t - :. wig ���•� r` .7- I�w�� � ?Y Y ��y-,s^r.A� JUL 054977. "' Z rrg g 4 1 Q The SawaKO disposel t d ar Sip Y ! h fe.cilltlea :o- ._ rzz .'t}on hove be�enJ/6aJ//�J� \ ZS •Sites✓ 4 tt Q t..•o pCC;O.a. \ U a: Ge�cral a lnaering J k - V� C,k9� 1 m r rlJ 0 14043` - 15 5.14-02, _ V IJV/V yL Ic- OAO v 0 G �50 rq 14 r^ONK,. s� ; s w. .� � Syn,' ;lam-' J^.fi}:-^ .�.�• z'>' 4 .r- f•`.; � ._. ' .' o�oSUFFoc�-�, , ti� OGy� Town Hall,53095 Main Road p Fax(516)765-1823 P.O. Box 1179 Telephone(516) 765-1802 Southold,New York 11971-0959 Oy �tS BUILDING DEPARTMENT TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION Date: June 12 , 2000 TO: Kenneth P . Kmetz & Wendy S. Jochum 540 Conklin Rd. Mattituck, NY 11952 PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance - 45-8 Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in that: a deck has been constructed without first obtaining a Building Permit. In violation of Code of the Town of Southold YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at:450 Conklin Rd. , Mattituck SUFFOLK COUNTY TAX MAP 1000-139-4-5 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may co t tute an offense punishable by fine or imprisonment or both. z JgfXn M. Bou is LDING INSPECTOR encl . (Cert. Mail) COMPLAINT REPORT NAME o �j N or DATE ADDRESS PHONE# HOW RECEIVED, TEL MAIL IN PERSON LOCATION OF COMPLAINTf d✓1 /3 — �j -- NATURE OF -� COMPLAINT ✓� c_ k ex ci c� I + L v ASSIGNED TO INSP. DATE REMARKS d( o 0 ACTION TAKEN FILE # (IF APPLICABLE) RE-INSP DATE Town Hall,53095 Main Road p '� Fax(516)765-1823 P.O. Box 1179 w Telephone(516) 765-1802 Southold,New York 11971-0959 O yC BUILDING DEPARTMENT TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION Date: June 12 , 2000 TO: Kenneth P. Kmetz & Wendy S. Jochum 540 Conklin Rd. Mattituck, NY 11952 PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance - 45-8 Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in that: a deck has been constructed without first obtaining a Building Permit. In violation of Code of the Town of Southold YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at:450 Conklin Rd. , Mattituck SUFFOLK COUNTY TAX MAP 1000-139-4-5 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may c s itute an offense punishable by fine or imprisonment or both. hn M. Boufis UILDING INSPECTOR encl . (Cert. Mail) o��gUFFO(,�c Town Hall,53095 Main Road p Fax(516)765-1823 P.O. Box 1179 Telephone(516)765-1802 Southold,New York 11971-0959 Oy �•tC dol � Sao BUILDING DEPARTMENT TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION Date: June 12 , 2000 TO: Kenneth P . Kmetz & Wendy S. Jochum 540 Conklin Rd. Mattituck, NY 11952 PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance - 45-8 Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in that: a deck has been constructed without first obtaining a Building Permit. In violation of Code of the Town of Southold YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at: 450 Conklin Rd. , Mattituck SUFFOLK COUNTY TAX MAP 1000-139-4-5 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of lawmay c s itute an offense punishable by fine or imprisonment or both. n �Jl n M. Boufis ILDING INSPECTOR encl. (Cert. Mail) 765-1002 INSPECTION [ ) FOUNDATION IST [ ] ROUGH FLOG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ) FIREPLACE /&`CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: �(76tdt- `rA-� -57 1-0d DATE INSPECTOR ?AA-4 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 2 O � ' BOARD OF HEALTH . . . . . . . . . . . . . . . ' FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . ' TOWN OF SOUTHOLD SURVEY . f TOWti it SOI;TNOLD E BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC ... . . . . TEL: 765-1802 TRUSTEES . . . . . . . �.j.^Q.��„� NOT FY: CAL . . 7 , Examine MAIL T d... '22........, i.A©:y O: .'. . . . .`./ Approved.................... Permit No. �Y�J.v..4 � .............. a r! 6/22 2c� Disapproved a/c = .............................................. . .. ............. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. .6.I. .1. . . . . . . . , 2G.f7 INSTRUCTIONS ` a. This application must be completely filled in by typewriter or in ink and sulmitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan stowing 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 mist be drawn on the diagram which is part o this application. 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 trill issue a Building Permit to the applicant. Sur 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. APPLICATION IS lI:'EIEBY M41E 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 bu'lding for necessary-inspections. (Signature of applicant, or name, if a corporation) r r,ry 1 (Mailing address of applicant) State whether applicant �� is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or. buil .....................O.U—M.E..fiy ..........................n..............t............................................ Name of owner of premises ):o--K.....�'ty¢.ry�AS_ ,o���S Y—. (as on the tax roll or latest decd) 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. .................... 1. Location of lard on which proposed cork will be done............................................................ ,5,q( ..................... r`O C L)1pl... � ..........................rf\ x � 4< Com............ Rouse Number Street Hamlet County Tax Map No. 1000 Section .. 3 CG..... Block .C'.m:y Ct C..... Lot p.944- m. Subdivision .{ �jL u L,N.. .� c �"C,r� ...... Filed No. ....5.7..�.... Lot ..{.......... Map (Name) 2. State existing use and occupancy of premises and intended use and occupanc�ytof propnsed•cgnstnrtion: a. Existing use and occupancy ........FRM a� :�....!?.1r:4l �.ln �71WYtr, YRAT04 p... .... ..x y} ............... VV i b. Intended use and occupancy 3i^ '-^�i.i':X:�t�-:�,C..�� v, :r.`.��1d.C. _u.: mmrk:' u�$:,R;tG ' IT c� ..... j. mauue uL wonK ww" much applicable): New Building .......... Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ otlier Work ta� (Description) -%.....��Y 4. Estimated Cost .. .J� l C,lG ......... fee ............. .LCU.... ....................... (to be paid on filing this application) 5. If dwelling, nafier of dwelling units ............ Number of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 6. If business, enmmercial or mixed occupancy, specify nature and extent of each type of use.......}............... 7. Dimensions of existing structures, if any: Front......l.10g.T.... Rear ..)�F.V ..... Depth .1,7. T.,,,,.,_. Ileight ......../:t F—E........... Number of Stories ..................... Dimensions of tsaame structure with alterations or additions: Front .....�. r... Rear .� ..F.`.... Depth .......I .Y:C...... Dei0rt ...q. T............ Nmntrer of Stories ......... 8. Dimensions of entire new construction: Dart ...... .. Rear .. ftw..... Depth . T....... Deidrt ......... .......... Nnnirer of Stories ..................... 9. Size of lot: Front .................... Fear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ It. Zane or use district in which premises are situated .............................................................. 12_ Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES ND 14. Names of Owner of premises ........................... Address .............................. Phone No. .......... Name of Architect .................................... Address .............................. Rhone No. ......... Name of Contractor ................................... Address ...............................Phone No. .......... 15. Is this property within 300 feet of a tidal wetland? dt YES NO .......... *Ir YES, SUURIOLD 1U41L1 TMISCCES PEM1717-MAY 1% RrlWIRED. PI.OT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frau property lines. Give street and block number or description according to deed, and show street names and indicate whetlherinterior rcorner lot. Cct+ V-L.,e? D Se �loc� i34eC Lor o <I;SOc: 3CrT . .. _.__. Shra1 Yo F r I I �' n•. Si.�f Et I r c4 ( � v LSPAITi Or NW YoZIC,� Tm � r"S _ Q COONI`I OF ...\ \1.?? .�14J4e,\t.�.�'�.'?e�Z-..................being duly swurn, deposes and says that he is the applicant (Nemo of individual signing contract.) above named, Neis Lbe ... .......................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly audiorized to perform or have performed Lbe said work and to make and file this application; that: all statements contained in tris application are true to the best of his knowledge and belief; and LhaL tae work will be performed in the manner set forth in tie application filed therewith. ScornI o ore nie this --1 t ....... ay of l?. !� .... 20.00 Notary Rr .... .• �- LYNDAM.BDHN Signature of Applicarht) NOTARY PUBLIC,State of Neer York No.01806020932 Qualified in Suffolk County., Term Expires March 8,20(,,1 Fl d 'yi . J" IO � Z Cal !Af -4 -4 1c ^CR� mr18y t' T`r�� I APPROVED AS NOTED DATE: !� 2 F B P # a ��S FE BY: NOTIFY r a �r+�t✓ i' %Jnt� R d G FY BUILDING DEPARTMENT AT ^^. LRS . � $n 61,Y e ki 765.1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: -- — _—' 1 1 FOUNDATION - TWO REQUIRED n I* brcce / FOR POURED CONCRETE 2. ROUGH - FRAMING di PLUMBING � _ 3. INSULATION = 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. 11 $ `< T —~^-----Y--- — M ALL CONSTRUCTION SHALL MEET I _ THE REQUIREMENTS OF THE N.Y. o �� �- STATE CONSTRUCTION & ENERey N r. <b7 s iT 3- -4f2' :� CODES. NOT RESPONSIMLE FORNSTRUCTION ERRORS DESIGN OR CO r 2 p sta G• ^� f e; S E C T io lV R 17 1'4 -o P SOP NEW y yl K I !f 18` / S calf Ij>` z /_3 y,�Pt �E r�p9,� u � C ryi .S3�Rri:s H Q J Y' 4i �V PDA r; "Y y �a�,z.',. i' ttl.'_" �(. 032254-1 �C'f cv' ijur°€pigs � UNC NIA 7 7I T lick` op'r0FESQScj �� USE IS UNIL AWFUL DO NOT PROCEED WITH /I�l l at; >>o FRAMING UNTIL SURVEY �` WITHOUT CERTIFICATE OF FOUNDATION LOCATION 0 0 - /19 OF OCCUPANCY HAS BEEN APPROVED. Sc r ry BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: w• ^. Reviewed: Architect/ Date Engineer: Submitted: (6 a G� SCTM #: �— District: 1,000 Section: /39 Block: _ Lot: Project ,,,, / �n Subdivision Location: J7� (_ �.�-f K� . Name: Sin&le&separate Required certification: (Yes/No) Ak Req. Req. Zoning District: [Lot size: Actual:— ���1 [Lot coverage Proposed: ] Req. , Req. / / Req. L � [Front Yard Proposed: ] (Side Yarda Proposed: 1 [Rear Yard -;t!7 Proposed: ] CO r"c1 /ftr or / Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. V 00, Town Trustees V Town Zoning Board approval.• Town Planning Board approval: Flood Plane Elevation??? Flood Zone: