HomeMy WebLinkAbout44980-Z �o�OS�FFOtk Gym Town of Southold 6/3/2023
a t P.O.Box 1179
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53095 Main Rd
oy p� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44159 Date: 6/3/2023
THIS CERTIFIES that the building SHED
Location of Property: 1475 Sigsbee Rd,Laurel
SCTM#: 473889 Sec/Block/Lot: 144.-2-9
Subdivision: Filed Map No. Lot No.
conform substantially to the Application for Building Permit heretofore filed in this office dated
7/6/2020 pursuant to which Building Permit No. 44980 dated 7/14/2020
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 McClean,Robert
. J
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
th riz Signature
i
TOWN OF SOUTHOLD
FFQ(,r 0
4�o aye BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
ca
o • g�` SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 44980 Date: 7/14/2020
Permission is hereby granted to:
McClean, Robert & Mary
1475 Sigsbee Rd
Mattituck, NY 11952
To: construct a shed as applied for.
At premises located at:
1475 Sigsbee Rd, Laurel
SCTM #473889
Sec/Block/Lot# 144.-2-9
Pursuant to application dated 7/9/2020 and approved by the Building Inspector.
To expire on 1/13/2022.
Fees:
ACCESSORY $157.60
CO-ACCESSORY BUILDING $50.00
Total: $207.60
I
Building Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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 I%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:
1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic
features.
2. A properly completed application and 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. July 1, 2020
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 1475 Sigsbee Road, Mattituck
House No. Street Hamlet
Owner or Owners of Property: Robert Kevin McClean
Suffolk County Tax Map No 1000, Section 14400 Block 0200 Lot 009000
Subdivision Filed Map. 1000 Lot:
Permit No. Au Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: -
11
Request for: Temporary Certificate Final Certificate: ( (check one)
Fee Submitted: $ �•( �_
AppTir2ifit Signature
OF SOUTyOIo
TOWN OF SOUTHOLD BUILDING DEPT.
courm��' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ eSLATIOWCAULKING
U
FRAMING /STRAPPING [ AL &04%
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE �! INSPECTO
FIELD INSPECTION REPORT DATE COMMENTS
m
- 5
FOUNDATION(IST) QR :4
C
FOUNDATION (2ND) th
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CJS '
ROUGH FRAMING& y
PLUMBING
INStiLATION PER N.Y. H
STATE ENERGY CODE
FINAL
ADA#IONAL C.ONIMENTS.
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 Survey
Southoldtownny.gov PERMIT NO. �— Check
Septic Form
N.Y.S.D.E_C.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20 Mail
Disapproved a/c
to--
Phone--
Expiration II 20
Building Inspector
JUL - s 2020 [D,K
APPLICATION FOR BUILDING PERMIT
Date Gt.e..Q, 20�
INSTRUCTIONS
BITLI[�P+ING DEPT.
a.This-aUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans;accura an 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 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 pad for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new permit shall be required.
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 inspe o
(Signature of applicant or mare,if a corporation)
f �
(Mailing address of applicant)
State whether applicant is owner,lessee, ent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises CC `�-
(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.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on hich proposed work will do e
147C_ � f Co�s G
House Number Street Hamlet
County Tax Map No.1000 Section/4 Block Jqt�,GV Lot .<9—r-n
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition ��erat;�onl
Repair Removal Demolition Other Work �� arc gT
(Description)
4. Estimated Cost_ 14_._ j Fee
-- (To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7. 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
8. Dimensions of entire new construction:Front Rear / Depth
Height 1/ Number of Stories
9. Size of lot:Front O r Rear 5� ( Depth
10.Date of Purchase_ WOO 2 C O Name of Former Owner L
11.Zone or use district in which premises are situated /
12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO +/
13.Will lot be re-graded?YES NO d Will excess fill be removed from premises?YES NO
14.Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO
*IF YES,SOUTIIOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE RF,QUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES NO
*IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on/survey.
18.Are there any covenants and restrictions with respect to this property?*YES NO
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
CO Y OF
C
JfC�( a �' being duly swom,deposes and says that(s)he is the applicant
(Name of mi
--uaal�l signing contract)above named,
(S)He is the 19Wk"I co
(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 application;
that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of 20
C
Notary Public "Mg—nature ofA r ' antes
Robert xevin JWCCean
1475 Sigsbee Road Mattituck, NY 11952
Emaifi RXevi?LNcClean@amaGcom Home:631-298-7846 Ceff 917-653-9313
July 1,2020
Town of Southold
Building Department
Town Hall
Southold, NY 11971
Dear Sir or Madam:
Please find enclosed a Building Permit Application to erect a shed on my property at the above
Mattituck address.
Also enclosed are:
• A survey of the property with the location highlighted
• An Application for Certificate of Occupancy
• An excerpt from the vendor's brochure (Kaufold's Country Sheds and Gazebos, Ridge, NY) with
the style,a Backyard Series Cape,8'x18',and some construction features highlighted.
• Anchors will be installed per code
• A check in the mount of$207.60,which I understand is the fee for the permit.
Thank you for your attention to this request.
Be well, be safe.
Sincerely,
V�c4tx�Nd C-
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Unauthorized alteration or adAt on to th,.survey is a violation of
section 7209 of the New'Ia'c State C,ucat•on Law.
Copies cf 11115 W-cy map rot bacrrg the land surveyors inked
seat or orrbo,-sd ssal sha!l n,t he con-ide- 31+o ba a val-d c� 9
GLo•en'cas or e,f.t•a.L, .tewon thall run only to the 1
person for when the su ley i;preperad,and an his behalf to rhe (�
title company.govommr -tcl agency cnd landing institution listed
hereon,Ord to the ass+gnaos of the lending institution Guarantees
or certifications aro not transferable to additional trtsbiuhons or
subsequent owners.
SURVEY FOR REFERENCE t
SUSAN J LEMER/SE MATTITUCK PARK PROPERTIES Mr-
AT MATT/TUCK 4P���FNcWy09 FILED 1-12-26 AS MAP NO 801
TOWN OF SOUTHOLD 2. T A. � GUARANTEED TO
SUFFOLK COUNTY, NA R0 THE MILE GUARANTEE COMPANY
1 SUSAN J.L.EMERISE'
SCALE f"a 30' * f
JULY 13, 1978
[g
SFO LA•Q`-VLAND D
XY2.LIC.M2*M
�nt RIYERHEAD N.Y.
A F RR,0', r.— A l
,ATE:
B.P.#-� �b CC'I`viiPLY WITH ALL CODES OF
,Y —a�_ NEW YORE( STATE & TOWN CODES
---
FEE:- �� AS REQUIRED SOF
NOTIr ' BUIL�i�<<-, I)'.PARTMENT AT
'%65-1c862 8 AM TC) 4 PIS FOR THE ;SOUTH
LDTOWN
FOLLOWING INSPECTIONS: -
-I FCUNDgIoN - T�40 REQUIRED L NPLANNINGBOARD
FOR POURF-t� 0 =rlcFt`-T-. LD TOWN TRUSTEES
2. ROUGH FRa.PAIidC� (".3. INSULA T IQi- EC
4. FINAL - CONI' TRUCTION MUST
BE CoMPLET 'FOR C-0.
ALL CONSTFWICTION Sl ALC. MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR OnCUPANCY
DESIGN OR CONSTRUCTION ERRORS. USE � UNLAWFUL
VFUL
to"VITHOUT CERTIFICATE
polo STORM WA�PTER 236F� OF OCCUPANCY
pURSUANT TO CHA I
OF THE TOWN CODE.
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