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HomeMy WebLinkAbout26679-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28095 Date: 11/30/01 THIS CERTIFIES that the building ADDITION Location of Property: 1095 GABRIELLA CT MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.37 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 31, 2000 pursuant to which Building Permit No. 26679-Z dated JULY 26, 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BRIAN & JENNIFER MCNAMARA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A tho ized 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. 26679 Z Date JULY 26, 2000 Permission is hereby granted to: BRIAN & JENNIFER MCNAMARA MATTITUCK,NY 11952 for NEW CONSTRUCTION OF A WOOD DECK ADDITION AS APPLIED FOR. at premises located at 1095 GABRIELLA CT MA TITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot 'iNo. 007 . 037 pursuant to application dated MAY 31, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signat re ORIGINAL Rev. 2/19/98 + L& Form No. 6 /-`} 7�� '^- rG/L�CUI DWN OF SOUTHOLD ING DEPARTMENT --77/�'t ��i /t HAL % llISO- 765-1802L APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitte th60Vui1di U inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings Or. D r streets, and unusual natural or topographic features. 70M_QFSOUTHOD 2. Final Approval from Health Dept, of water supply and sewerage-disp sal(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 li lead. 5. Commercial building, industrial building, multiple residences and 4imilar 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 byj 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 dwells g $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 . . . . .! 0j�jQI. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . .V. . . / Old Or/,Pre-existing ^Building. . . . .. . . .. .. ... . . . . . . Location of Property. . . . .1(9 MW.F UA.iiT. . . . . . . . . . . . . . . . . . . . . . . . . House No. ��AA II Street Hamlet Onwer or Owners of Property. . . . .A.JRR./��Q YTeA . . . . . . County Tax Map No 1000, Section. . . . .QC?. . . . .Block. . . . Lot. .l JV.4: . Sl. .�. . . . . Subdivision. . .__.//. . . .77. .�.. . . . . . . . . . . . . . . . . . . . . . . . .Fil/�eyyd''��Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. 2`//�:l� . J. . C . . .Date Of Permit. . C(D. .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. �. . . . . Fee Submitted: L. �� A r Tr rr BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: �i Q t\ } 5e�r���ck �G� Reviewed: Architect/ Date Engineer: Submitted: scrm 4: District. 1000 Section: 5K Block: Lot: Projectp Subdivision Location: `�`� GG--106 k �^� Name: Single B,: separate Required _ / \ ,r certification: (Yes/Nol / c ' 7-1 Req 0��ZonmB District [Lot size SOK Actual - [Lot coverage �Proposed Req Req [/. _/ r t / Req / [Front Yard So Proposed:�J [Side Yard /�{(� Proposed: �/91 [Rear Yard JO/ Proposed �4 i Project Description: ��-t'-f ISe,, AeV AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. ✓ Town Trustees Town Zoning Board approval: ✓ Town Planning Board approval: Flood Plane Elevation??? Flood Zone: �m�d X Notes: 765-1802 BUILDING DEPT. INSPECTION [ ef FOUNDATION 1ST [ ) ROUGH PLBG. ( ) FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: a C DATE /0LINSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION AMI [ RNG ( j FINAL [ ] FIREPLACE & CHIMNEY o REMARKS: DATE �� INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION IST [ ] ROUGH P [ ) FOUNDATION 2ND [ ] IN ATION [ ) FRAMING [ FINAL [ ] FIREPLACES IMNEY REMARKS: DATE D INSPECTOR 40 FOUNDATION ( I;'I ) u n ' I i FOUNDATION ( 2ND) I'I --- -- ---- ------ ---sir -- - --- - - -- -- - - - - - --- -- ---- - =I s I177�o—ii/ L - nii _ - I� ROUGH FRAMF 6 - PLUMRING II I JI — n . _ II II INSULATION PER N. Y. II IIi STATE ENERGY CODE �- u —II Cie n n u II^til II II u II II II � H u � � u II u u n n H II I FINAL I II --NI n _______________ -----_--ADDITIONAL COl44ENTS.---------�______________ � Z �0 H\ r -- - --- ------ --- - o ro 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: CALL Ermined . 1 ..., 20.4:? MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved..�kk'". ..:...... .Wm. Permit No. 10:.7.G. Disapproved a/c .................................. .................................. .............................................. .... ilding Inspector) t ' illy 3%.I Wr APPLICATION FOR BUILDING PERMIT Date. . 5-//` . . . . . . . 20.4 OF SOUTWOLD INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w 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 mist be drawn on the diagram which is part of 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 will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection thra4=t 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 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 Canty, 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, regulations, and to admit authorized inspectors on premises and in building for necessary inspec ' (Sbgnature of applicant, or if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pinuber or builde Qc��t1 E ..................... . .................................................................... Name of owner of premises .. c�.�I /.�..�....r.... .�. ...1.7 2L!V..!7./.�11!�/.C-PC.... .. .. ... (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. .................... I. Location of land on which proposed work will be done.............................................................. J.t: C'�� ......� ., 1. � �A.:.. l:....................../1z� T.. .T4`.�........... House Number Street/ �( ( Hamlet County County Tax Map No. 1000 Section .....l.0 U•... Block ...1,,,1..,i....... Lot .. !. ,... :./ ....7, 3-) Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy ofpremises/and intended use and occupancy of proposed construction: 17 a. Existing use and occupancy ....I/ Gr ........................................................... J�//'' o7ny^ 14903$M b. Intended use and occupancy .....1 4, ...................... r.,r. ey Eloit... .......... yiG. ..J0 1 Nhture of word. (check uliidh applicable): New Building ..P...... Addition._...._ ... Alte aLion . . . ..... . . Repair ............ Ranrnwal ............. Demolition ............ Other Work .. C.. ............... . . . . . . . (Description) Estimated Cost ... ......... fee .......... .... . (to be paid on filing this application) if dwelling, nnber of dwelling units .... ...... Number of duelling units on each floor .... . . . .. . .... .. Ifgarage, number of cars ......I............................... if business, commercial or mimed occupancy, specify nature and extent of each type of ase..... . . . .............. Dimensions of existing structures, if any: Front....... .�. ...�. Rear ...... ......... Depth Ileight ....... . ..... ............ Number of Stories ................... ... Dimrensions of same structure with alterations or additions: Front ........ ....... Rear . . . ..... . . ..... Depth ........ ............ height .................... Number of Stories ............. .. V Dimensions of entire new construction: Front ... ........ Rear ... rJanO J.I............ Height .. .. ... .................. Umber of Stories ..................... Size of lot: Front ............ Rear ..... ....... Depth ... 1. Date of Purchase ....f.12.1q.9........ Name of Former Owner ................... ........ .... ......... I. 7one or use dtstricL in which premises are situated .....�:�.:�C....................................... . ... ..... .. Does proposed construction violate arry zoning lam, ordinance or regulation: ......CJU......' LI_. ...... 1. Will lot be regraded .....N 4 U........... Will excess fill be removed from premises: 1. Nares of Owner of premises ........................... Address ............................. Phone No. .. . .... ...... Name of Ardmirect .................................... Address ..... ................... .....'. phone No. . . . . . . . . . .. .. Name of Contractor ..C�.'e:!. E..�'�................... Address .............................,..Amore No. 5. Is this property within 300 feet of a tidal wetland? * YES .......... NO ........ *rF YES, SQfIIiIHD TOWN MMMMS PEIAII'I' MAY BE W41IRFD. PI.OT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all �set-bar_k dimensions r m property lines. Give street and block number or description according to deed, and show stro-t n-mes anal indicate nether interior or corner lot. FAIT, OF NW Y(NOK, SS NJNIY (1F JENNi.FE� .�y� m As.HZ...�1.{!.C. Y!?lihimng duly sworn, deposes and says that he is the appl ;earl ,Ione of individualsigning contract) move named' is the .. . . . .. . .. . . . . .. . .. . ............... ................................................... . ... . .... . .. (Gmtractor, agent, corporate officer, etc.) f said ironer or owners, and is duly authorized to perforin or have performed the said work and to Fake and file Lhis pplicatioir, Lha(. all sLataments contained in this application are true to the best of his knowledge and belief, and mat the work will a>e performed in the manner set forth in the application filed therewith. •worn to before me this .. . . . ... . . ...day i Notary Amblic ..... fi1 StR YetOotNenYpk r aL o.OR6001254 ' ) Ouelf O in Suffolk Co u ly S' , chre of Applie ant) Certl6cat3 filed in Suffolk Couqq Commission Expires Janes y 6,261 i ..::WMr N4:W .,na .:... BUILDER'S !OB NO. TITLE NO. PLOT AREA = 40,490 t S.F. N 04 NORFY EINEDRIO OEMIRTMEM AT 7MIS02&AM 10 4 PM FOR 114E POLLOVNN0 Pwl rwa . 1 FOUNDATION •M REQUIRED FOR POURED CONCRETE 2.ROUGH . FRAMING &PLUMBING S. INSULA31ON 4. FINAL • CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RF."(,NSIRLE FOR DESIGN OR CUNSTHUCIIUN ERROPL; Lor as Lot za iDT z1 YAtAN, VABAKI VAtAn, HAPTNP SPER NEB MS RRAS YNXIAKB GABRIELLA COURT _ (I ANE RN,_OF_19 ly ItlBONO BLOCN NM $37-40 0"E 125.00' ,QD T Y e'AM'y;L �lr-N• Z � g NU, 5 �AG ARUBA i aC BEiY N �MAJT,N,A S 6TdKKS LOi 13 f I i ILJ1 iM11 I 1 At+x, `I ie I' Q -II 1 V) W F- IN I 111 R N I � biLLG I M Ea )I pI MI E Sg1i II �F� 8 g � 4y I LOT 13 N37'02'50"W 95.95' N37'36'50"W 54.06' .A NMG F.vAICIn 9.OM1 IICREOI NEFER TO ULELC.Y 0S.DAWN THE IMSTENCE Or RIGHT Oi WAYS ANO/LF GBEMOITS Or SOME.Y NIY,NOi 910MY AM NOT GUARANTEED. TMS SIRL£Y WAS PREPARED Al ACCORDANCE MITI R2 EEIBRND EDGE M PNADTCE PM LAND RJRAMRS ADWTO BY ME NEW YORK STATE A!SW..AVON Of NCFES90NAI.LA N.SUNW.YOIHI. ANYµ,[RATION OR ADDITION 10 THIN SUI'2Y IB A NONDOI f!SECTION JEM M THE.NESE'YORK STATE EDUCATION UW.COPIES M IVIS WRNEY LU'NOT REARwO ME LAND NRKYM'S NNEO NAL OR VARYING X&SMALL NOT BE C0 MERE.10 BE A VAUD TRUE DENY NO OFrCW OF E DDIF,ON OT ANY OILY,MUNI TORN M MICROS MENEIN.CHANGED MMM ENFORCEMENT M LAI.ORDINANCES M REGULATORS SHALL Af.C[VI 01 MPMUEµV PLANS M ULPECMCATONS THAT TAE NOT S1µR6 GERIIROATONS INDICATE.HEREON SHALL RUN ONLY TO ME PERSON /M MIM: $NRK,IS PRVANPO,AND ON HIS BEHALF to ME TITLE MUMMY.INTANMCNTAL AGENCY AND MORE INSTM1bN UBTE.HEREON O 10 ME ARtIMEES M ME LENDING INSTIRMON. CERTEEATMS ARE NOT TRANSFERABLE 10 MAITONAL INSMIITONS M SUBSEQUENT ONNERS. SUPPOLK COUNTY TAX MAP OISTACHID SE.CT.1011 RLK.04 P/O LOT 7.1 BURTON MAP NO: N.I. DATE, OCTOBER S. 1998 LOT 13 BEHRENDT P\�O SMITH SGFd I�"r PAPA MAP Of ELIJAH'S LANE ESTATES. SECTION 2 ABS uRlO y LOCATION, MATTITUCK N ENGINEERS A TOWN OP BOUTNOLD, IUIPOLK COUNTY, NEW YORK ARCHITECTS SURVEYORS SURVEYED: MARCH 21, 1987 PREPARED: NOVEMBER. 1966 4, CERTIFIED TO, JENNIFER MCNAMARA AND BRIAN MONAMARA BLDG LOCATION.: 3/11/99 244 EAST MAIN ST. LO\ a0 ASTMA FEDERAL SAVINGS AND IRAN, ASSOC. PATCHOGUE, N.Y. 11772 FIDELITY NATIONAL TITLE CO. (51a) 475-0549 H3F0(ANO SVa SCALE: 1" = 50.00' FILE NO: 87-102-13 FAK a75-0351 FES r Nonry Moms7MIM 9 AMID 4 PM MR IM oswnMEllr /ar { 1. • TM irO�INMgO 1i0t11�00Np1E 2. ROUOM • liMIM al FUMNO ° a. INSu � L '` 4. FINAL • MUST 4- < � BE COMIMM FOR CA. ALL CONSTRUCTION •HALL MEET _ ____ _ --------- __ - THE MWWREMEMTS OF Till N.Y. _ JOONiTRtICTION at EII� ay Oft CONSTRUMION ERR= C L r + � xr - .:r;,;�t: ' DES. NOT RESMNSI s FOR K URACY US IS UNLAWFUL _ k f iVVIT OUT CERTIF0TE iy �� ® CCUPANCY it ip 1P. D0 NOT PROCEED WITH AMING UNTIL SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED. 4 u r Gomm lw�z- ! � Lo rbl*c,64 ✓• cC f i ,fibH t 10 AL 41, _ tlf ' .- ', •' b � } f 1 -.7 _.. .,. -. JJJ � yf'. ♦t y r ,r y !'���•'� J____ • � � •� •'C-'1'r � C '� � -,;,k ij .. L l s/Tf_ttr4f1A. t , a