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HomeMy WebLinkAbout25948-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPART~NT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26663 Date: 09/07/99 THIS CERTIFIES that the building ALTERATION MATTITUCK Location of Property: 2850 DEEP HOLE DR (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 4 Lot 13 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 9, 1999 pursuant to which Building Permit No. 25948-Z dated AUGUST 13, 1999 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 ENCLOSE EXISTING DECK WITH SCREENING AND CANVAS AS APPLIED FOR "AS BUILT" The certificate is issued to EDWARD & CHRISTINE VIOLA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southald, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25948 Z Date AUGUST 13~ 1999 Permission is hereby granted to: EDWARD & CHRISTINE VIOLA 2850 DEEP HOLE DR MATTITUCK~NY 11952 for : ENCLOSE EXISTING DECK WITH SCREENING AND CANVAS AS APPLIED FOR "AS BUILT". at premises located at 2850 DEEP HOLE DR MATTITUCK County Tax Map No. 473889 Section 123 Block 0004 Lot No. 013 pursuant to application dated AUGUST 9 1999 and approved by the Building Inspector. Fee $ 75.00 Rev. 2/19/98 ORIGINAL Thi insp 1. 2. 3. 4. TOWN HALL ~ ....... '~CATION FOR CERTIFICATE OF OCCUPANCY ~~c[~led in by typewriter OR ink and submitted to the buildir i~--~-?~_?~r?_pert~ with accurate location of all buildings, property lines [tr'~e~~ural or topographic features. R~TR'f-lpproval from Health Dept. of water supply and sewerage-disposal(S-9 form) Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildJ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. B.. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings . '!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 applica~ 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 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 ................. ~ocation of ~roperty... ~f~. ........ .~-.~-~ .... ~- ......... ' ...... House No. Street Hamlet Onwer or Owners of Property ............................ ~ ............. .: ................ 123 B ' o~o~ o7~ County Tax Map No 1000, Section .............. lock .............. Lot ................. ?.Z~ ~/~ ~ot .... Subdivision Filed Map ........ Permit No Z~ ~ .... Date Of Permit. -~-/(~./.~..~..Applicant.~-~ ~/~Z~ Health Dept. Approval ...... .~/-/~ ............... Underwriters Approval ................... Planning Board Approval ..... ./l//.~. .............. Request for: Temporary~Certificate ........... Final Certicate ........... Fee Submitted: , ............................. CO Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD AUGUST 19, 1999 MR. EDWARD VIOLA P.O. BOX 430 MATTITUCK, N.Y. 11952 To Whom 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 # 25948-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~DAT ION (IST) ~ ~A~O~ (2~) I ~ FRAME & PLUM]B ING .~SULATION PER N. Y. ' ~A~ E~R~ CODE FIlL ADDITIONAL COMMENTS: A, Albert J. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P,O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 May 26, 1995 Edward & Christine Viola 2850 Deep Hole Drive Mattituck, NY 11952 RE: Edward & Christine'Vtola SCTM #123-4-13 Dear Mr & Mrs. Viola: The following action was taken by the Southold Town Board of Trustees on Thursday, May 25, 1995: RESOLVED that the Southold Town Board of Trustees grants a waiver to add a 10' X 16' extension to the existing deck and relocate a 4' X 8' dock house as per DEC request. Located 2850 Deep Hole Drive, Mattituck. If you have any questions, please do not hesitate to contact this office. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:Jmd cc: Bldg. Dept. 'rnV-IN i.} F SCHEDULE A Compliance gchedule for Alxicle 15 md/ur 25 GENERAL REQUIREMENTS: lmmedlareiy, Respondent (s) shall cease and desist from any and all future violations of the New York State Environmental Conservation Law ahd the rules and regularioas ermeted pursuant thereto. Respondent (s) shall submit photographs of the completed work, if any, required under this schedule, to tile Dep~tment within five (5) days of its completion. : All submittals to the Department required under this Order shall be made by Respondent (s) as follows: 1) One copy to the Legal Affairs Office, Region One, New York State Department of Environmental Conservation, Building 40, S.U.N.Y., Stony Brook, New York 11790-2356: 2) One Copy to the Regulatory Section, Bureau of Marine Habitat Protection. Region One, New York State Department of Envisonmenmi Conservation, Building 40, S.U.N.Y., Stony Brook. New York 11790-2356., II REMOVAL REOUIREMENTS: Within thirty (30) days --~' from the date qf the execution of this Order, Respondent (s) shall have removed the structures and/or fill which are tho subject of this Order. F --] NoRemoval Required Removal Specifications Initial. . I Page 4 of 5 Examined ................. , 19... TOWNOFSOUTHOLD ' ~URV£Y .......... BUILDING DEPARTMENT ~ ~CllECK ....... ~.:. SEPTIC FORH .............. TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ................. 19... Permit No ............ Disapproved a/c ..................................... CALL ................... · .... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .............. 19... a. This application must be completely filled in by typewriter or in ink an'd 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 on premises, relationship to adjoining premises or public st?eets br areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. lJpon approval of this application, the Building Inspector will issued 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 l?y 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 cede, housing code, and regulations, and to admit authorized inspect0rs on premises and in building for necessa?y inspecti~~ .j/...~... (Mailing address of applicant) State whether applicaff[~ lessee, agent, architect, enginee~i ¢on~, electrician, plumber~ Name of owner of premises ~P~ ' (as on the tax roll or latest deed) If applicant is a corporatign, signature of duly authoriied officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electric an s L cense No ....................... Other Trade's License No... .................... Location of land on which proposed work will be done ................................................. .. ........ g3/ t ' . . ltouse Number Street Hamlet o¥ County Tax Map No. 1000 Section ' /.~..~. ....... Block ...... ' · Lot...' ................ Subdivision ...' .......... Filed Map No. Lot .............. (Name) , State existing use and occup.ancy of premises and intended use and o~cupancy of proposed construction: b. Intended use and occupancy ' ~~ ~ ~/~ ( whi ppli ) ' Additi .'. · 3. Nature of work check ch a cable: New Building .......... on, ,. Alteration .... ; ...... Repair Removal Demolition , Other Work ~ 0~) .... ~t~Z//~ ~9 O (Description) 4 Estimated Cost · · ........... ~ .......................... Fee .......... '. ................. i , ' . (to be paid on filing this application) .If . ......... 6f dwelling units on each floor ................ dwelling, number of dwelling units Number If garage, number of cars . )~.f~. ................... ". ......... . .................................. . .... ~P6"~.. If business, commercial or mixed o. ccupancy, specify nature and extent of,each type of use . .~/~] ............... 7. Dimensions of existing stmct~r!s, lf any: Front ....... : ....... Rear ......... DePth ......... : ... Height .......... Number of Stories ' . ~/;' -' , -- ' Dimensions of same structure with alterations or additions Front DD.epth .. ................... i'" Height ..... l/~.t..,,.'..i. · .I..a~... Number of Stories . ,.~./ ...... ~ .A . .'a . 8. Hi .m,enslons of entire new construction: Fro. nt../,(Q..~.. [~... ~i~.~.~...~~-. eight ............... Number of Stones ........................ , .............. - .....~.: ......... 9, Size oflot: Front ....... .'i ......... ~.. Rear ............. ~ ........ Depth ............... 10. Date of Purchase .... t .~,~,~ ....... . ......... Name of Former Owner .... L~.,. ~//Z~ ........ 1 I. Zone or use district in which pr~mises are situated 12. Does proposed construction vio ate any zoning law, ordinance or ro-,,~ 13. Will ldt be regraded ....... '. ................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises .. t ........ ~ · ·. ~ .... Address ................... Phone No ............ ;... Name of Architect Address Phone No Name of Contractor .... i ..... Addm~ ' ~ t ......................... Phone No ................ s his property within 3_0Jl--fiee~-...0f a tidal wetland? *Yes. · .~... No ......... 15. '. *If yes, Sou.gh~own Trustiest-Permit may be require~. ~ i' -------'-PEO~T DIAGRAM Locate clearly and distinctly ~ll 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 whether interior or corner lot. STATE OF NEW YOuR,K, COUNTY OF.~.. ,,.o , ......... '../~J,)..~.~.fl~4)..'~.: .V./.~.~, ! ~ . ............. being duly sworn, deposes and says that he is the applicant (Name of individual signihg contract) ' above named. He is the , ' I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiS' authorized to perform or have performed the said work and to make and file this application; that all statements contained in this'application are irue to the best of his knowledge and belief; and that the work will be performed an the manneriset forth in the application filed therewith. ' Sworn to before me this Notary Public__~/~... . County Notmy'l~ub 'o, State of No'W York ............. .............. .i: .... [ ........... . No. 4951364 I · . ' ' (Signaturg of applicant) . Qualified in Suffolk County ~'~ ' ', ' , . Commission Expires May BLDG. DEPT. L_ TOWN OF SOUTHOLD FORH NO. I TOI~N OF 801JTHOLD BUILDING DEPARTHENT TO~I HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 Disapproved ale ............................... ,, . BOARD OF HEALTH ............... 3 SETS OF PLANS ......... '. ..... SURI/BY ........................ CHECK ......................... CALL ............. HAIL TO: .................... (BuilCng/nspeetor) APPLICATION FOR BUILDING PERHIT INSTRUCTIONS a. 'Ibis application must be eanpletely filled in by type~iter or in ink and sulnitted to the Pidlding Inspector vrlt 3 sets of plans, accurate plot plan to scale. Fee according to schedulet b. Plot plan shoaing leeatian of lot and of buildings on pr~nises, relationship to adjoining pranlses or public streets or areas, and giving a detailed deseription of layout of property must be dra~n on the diagran ttdcb is part of this applieatico. c. The ~ork covered by this applieatico my not be ecrmenead before issuance of l~dlding Permit. d. I/pco approval of this application, the Building Inspector v~ill issue a Building Permit to the applicant. Sud~ l~imit shall be kept on the premises available for inspection throughout the ~ork. e..No building shall be occupied or used in ~ole or in part for asy purpose dnatever until a Certificate of Occopaacy shall have been granted by the Building Inspector. APPLICATIfI~ IS I~a~i Nile to the Building l)epartn~t for the isanasee of a Building Permit porsxtant to the I~ailding Zorn Ordinai~e of the Toen of Southold, Suffolk Cotmty, Ne~ York, and other applicable La~s, Ordinaneas'or ICogulaticos, for the constmetico of buildings, additicos or alterations, or for remval or demolition, as herein tleacribed. ~ aFplicant agn~s to e~ply %rlth all appliable la~s, ordinaneee, building code, housing code, and r~gulations, and to adult autl~oxized"iig-~e~gf~ 6n p-eemisei and :tn fiuilai]~ for necessary inspeet, i~ns. (Signature of apl~t, or nam, if a corporation) (ltaillng address of applicant) (as on,the tax roll or latest deed) If applicant is a cox~orationi,'sigtmture ~'f,,duly authorized officer. (N~e and tltl~ o'~ corporate officer) Builders License No ....................... Plt~bers License No ........................ "L Eleetrlcians License lla .................... ..( ~/~ Other Trade's License No ................... ,: ,ion on ........ ............ ltause ti~ber Street tlanlet Tax. No. s tion .... ....... aivisi~ .................... ~il~ ~ ~ . lot .... (~) 2. State ~sti~ ~ ~ ~ of ~ias ~ inteM~ ~ ~ ~ of pro~ ~stxtlon: ,. ~,~ ~ ~ ~ ....................... 5~ ..... !5..(~ ......................... II. 12. ]4. 15. F;~ture o~ ~rk (dmck ~tdch spp~ icable): liepair ............ l{auoval ............. Estimated Co~t -~(to be paid on filing this If ~ra~e~ ~mt~r of cars ..................................... s~ct~ ~ture~ ~ten~ of ead~ ~ of ~ ...................... If I~i~ss, ~rcial or ~ ~, ~p~h .................... t~'~ .................... ~r o~ S~or~es ............... ........ '"'"' '"'" '' ' ..... .................... ~e of ~lrdm~ .................. ~ of Four ~r ........................................ ~ or ~ dlstrlct in ~fid~ p~i~8 a~ 8~t~ ....................................................... ~ o~ addtat ~ ' ~ress PLOT DIAGRAM I~cate clearly and distinctly a!l buildings, vtmtlmr existing or proposed, and indicate all set-back dimensions frc~ property lir~s, Give street and[block ntmber or description according to deed, and ~l~a street nares and indicate fOLLOWING INSPEcTIoNs: PMH POURED CONCRETE 2. ROUGH. FRAMING & PLUM~ING 3. iNSULATION 4, FINAL . CONSTRUCTION MUST BE COMPL~E FOR C.O. A~ CONSTRU~oN SHA~ ME~ THE REQUIREMEN~ OF THE N.E STATE CONS~U~ON & ENERG? CODES. N~ RE~NSi8~ FOR DESIGN OR C~U~ON ................................... ~ .................. being duly ~m, dqx~see and ,says that he is tim (IX~ of i~ivid~l signing c~tract) [ (~tractor, agent, eor~rat~ ofhcer, etc.) o~ ~id ~r or ~rs, ar~ is duly ~thori~ to ~rfom or h~ ~r[o~ 6~ ~id ~ ag to ~ ~ Hie this a~licati~; thac all star--nra c~t~i~ in fl~is a~licati~ are tn~ to fl~e ~st of his ~1~ and ~llef~ atg that the ~rk ~ill ~ ~rfon~ in th~ ~nncr ~t forO~ in O~e a~l. lcati~ fil~ ~t~fore ~ this .~ ] SUFF' THE WA SYST. EN CONFOf SUFFO£ SUFFO[ SERV~ CONST! DATE:_ H. S. RE APPRO~ DWN~ DEED: