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Home My WebLink About19295-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19442 Date OCTOBER 12, 1990 THIS CERTIFIES that the building ADDITION Location of Property 485 EAST LEGION AVE. MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 3 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25 1990 pursuant to which Building Permit No. 19295-Z dated AUGUST 3, 1990 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. The certificate is issued to KATHERINE L. KLEIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A S~ ui ding Inspector Rev. 1/B1 "UK NO. A 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) C N `12 z Date 3 19. f i Permission is hereby g t , r...F.~~- I , Y-A to Lam Q ...C s ~C lrtP?'L..... f.......Q?,7... V~~ Bn-4.... .rte...... .................j........... O at emises located at ...f ...B..V~.,~r~F..... 9 lye 3... f OoOd ~ County Tax Map No. 1000 Section ~ 3 /.'Z Block .2. Lot No........:V- 1........... pursuant to application doted 19........, and approved by the Building Inspector. c / /g0 I od Fee t 4 i L f ~f..4 Idin to Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 t 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 i 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. 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 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 - $5.00 over 5 years - $10.00 1• Updatud Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction. .~ld / Or Date . , !./'f _ Pre-existing Buildi g, Location of Property......... .11,x House No. •treet Hamlet Onwer or Owners of Property.... County Tax Ma p No 1000, Section. d.-?..` .......Block.... 3.......... Lot Subdivision.......,, " " " ' ......Filed Map Lot.......... Permit No./•V°7~'S . ~ ,,Date Of Permit.'. /~F v,••,Applicant[4 fealth Dept. Approval.. ~ " " ' ..•'•••'•••••.........Underwriters Approval., Tanning Board Approval.......... equest for: .Temporary Certificate...,, Final Certicate........ " ee Submitted; ~•o~~ ~Gl~c~ C ur 4oFG7. Ica t . E I g / y~ s APPLICANT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ INAL REMARKS: DATE INSPECTOR 765-1862 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST f ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING FINAL REMARKS: t?r 7 DATE 90, INSPECTOR + w ro lELD AbJ• p V11 iJDATEE q c:KC~J urs H rOUtIDATION (1st) N FOUNDATION (2nd) tr 2. z o X\\ ROUGH FRAME & PLUMBING y I y ^ IIISULATIOPI PER N. Y. STATE ENERGY CODE ~ . x En H X FINAL ADDITION I m ro H H hi c) QA l~ I ~ m - r~ x -v H ~~~EFOLKC~G o, - y TRUSTEES SCOTT L. HARRIS rz John M. Bredemeyer, III, President a - Supervisor Henry P. Smith, Vice President Albert J. Krupski, Jr. 1 a Town Hall, 53095 Main Road John L. Bednoski, Jr. P.O. Box 1179 Southold, New York 11971 John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 March 23, 1990 Katherine Klein 485 East Legion Avenue Mattituck, NY 11952 RE: Request for Waiver Dear Ms. Klein: The following action was taken by the Board of Town Trustees during its regular meeting held on March 22, 1990: RESOLVED that the Town Trustees approve your request for a waiver to add a 16' x 20' deck to an existing house . The property is located at 485 East Legion Avenue, Mattituck, NY, adjacent to James Creek. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Very truly you s, ohn M. Bredemeyer, III -President, Board of Town Trustees JMB:jb cc: Bldg. Dept. CAC File New York State Department of Environmental Conservation Region 1 Headquarters _ SUUnN~~Y"", Building 40, Ston,Fy/BBr~ook, NY 11794 DATE: yu 4 d4 r ~y0 1°' ~d~rY~~7ho ~a'G^~ mas C. Jorling 7 ~ J//• CA„¢, Commissioner Dear A review has been made of 4','f your proposal to: iae~ct ~ I6 )Colts ' 064 o~®yoyco,~ a. 2' " 'X _ .ate` .?ct°" Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the parcel project is: Greater than 300' from inventoried tidal wetlands. _ Landward of a substantial man-made structure greater than 100' in length which was constructed prior to 9/20/77. Landward of the 10' above mean sea level elevation contour on a gradual., natural slope. Landward of the topographic crest of a bluff; cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a.permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification tothe project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, i E ~ 3M Deputy Regional mit Adminiiistrator fif 00- BLDG. DEPT. TOWN OP SOU*OLD J VICTOR LESSARD Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR P.O. Box 1179 Southold, New York 11971 (516) 765-1802 FAX (516) 765-1823y~z~„ a OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Katherine Klein 485 EAST LEGION AVE. MATTITUCK, N.Y. 11952 (In order to issue a Building Permit for your proposed construction for buildings located on lots ad- jacent to tidal water bodies, we will need a waiver of jurisdiction or a permit from the New York State Depart- ment of Environmental Conservation. Fours truly, guildin'g" nector Phone Numbers: D.E.C. 251-7900 Town Trustees 765-1892 P.S. We have your Trustees waiver on file. ~.5 m r 0 Doe 'Mid, z cd U- o r, Fr z y0<0 L&J < Rq .4 IC LL F, 1j; o 44 Y i z ~h Q 'V rx W ~l J w C7 o i7 CZy ;s v 0 LL V n o'4 a `N Y $ 4i 4 U. w h N 2 (A W pfd ~V / / IV Y Gl/,arE,e $ Q 0 c a ~a 34 o W E ~w ~ z~ s~+'aeF b Q LL Q TOWN SO •OW ter: w MAN" `'7~j 6ry' ~'AC Y .4r E' r.~'~~ G W g Ire-.~ Q Q N o v $j kn 0 ~ BAUe 1~ / ~ p~ ~ C1 OAUK tee. rr.o W O/~ kb W Os FC'[1415E'o Z~ W c•• b q rI o m to W a ~p'• ~d M ° h b t1 CL \ ~c.i3.2 / W c'b.o 7 U y s~ m 00 A a 4 O$ ~`ac.~ G~d•C/ ~~s z w F O p\ Q A N 0 0 0 J U n O m `.J BOARD OF HEALTH / 3 SETS OF PLANS FORM NO. 1 SURVEY TOWN OF SOUTHOLD C ECK~Y A~ : BUILDING DEPARTMENT kTIC FORM TOWN HALL Q -iu~ SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL Cam, MAIL T0: Examined . 3......... , 19 !p / a/~~~.w Approved 19 Permit No. ! .4`Z 9 S 6 ( 1}t ~ Disapproved a/c S D Bui ector) A4R - 5 APPLICATION FOR BUILDING PERMIT 81.OG. DEPT. TOWN OF SOLITHOU) Date 19 P.94,em., INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and 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 streets or 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. Upon 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. 1 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 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 inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (~~tl:'72 ..T~..................e ..........................r............................................ Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. _ (Name and title of corporate officer) Builder's License No. Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done . . '-S & ~ C~ . House Number Street Hamlet County Tax Map No. 1000 Section Block ...3 Lot . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy e-.. ! -:e 111RJD°l 3MAJO b. Intended use and occupancy p BOc1PC$& 40 a 3. Nature of work (check which applicable): New Building Addition Y. .wAlteration Repair val . Demolition . . . . . . . . . . . . Other Work (Description) 4. Estimated Cost l ~ 0 O 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 L . . . . . 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 ofStories Dimensions of same structure with alterations or additions: Front Rear , . Depth Height , , Number of Stories . 8. Dimensions of entire new construction: Front Rear Depthrc~,f.. Height . Number of Stories , 9. Size of lot: Front . Rear Depth . 10. Date of Purchase . .Name of Former Owner . , , 11. Zone 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 No 14, Name of Owner of premises j . Address , Phone No.............. ! . Name of Architect , Address , . Phone No......... . Name of Contractor . . . . . . . . . 15.Is this ro ert located ................•Address ........,..........Phone No............:..; p p y within 300 feet of a tidal wetland? *YES. J NO.... *If yes, Southold Town' Trustees Permit may be required. 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 whether interior or corner lot. y er~:._.~r~4we, ~ ~1'G ~S C'Yl J 1 V .2, 0`~ ° l ~ 3 zy 1 STATE OFNE\ OR1J~,~ COUNTY OF. • • • • . • • • • • • • • • ' ' ' ' • that he is the applicant (Name of individual signing contract) being duly sworn, deposes and says t~ above named. fie is the .....Q (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 I I //ll . day of / 19 10 NotaryPublic, . County y IioM~I No w76 ofM.wwrt . . CANAled In (Signature of applicant) i FCAF O MATTIT'UC~K, I~u~m~l~tUtil, ~ o\ NO ~C ~~C i 1 r 1~ ,a(~ ~I I ~-G~~ s rAIC, 4 ~~bp r- 0 i i ~Ar~FT IzOAV