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Home My WebLink About27297-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29031 Date: 10/29/02 T~{IS CERTIFIES that the building ACCESSORY Location of Property: 2315 GABRIELLA CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.51 Su]~ivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 2001 pursuant to which Building Permit No. 27297-Z dated MAY 8, 2001 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 FR3kNCIS W & CATHIE EVERETT (OWNER) of the aforesaid building. SUFFOLK COUIFEY DEPlkRTMENT OF ~{EALT~{APPROVAL ELEC-£~ICAL CERTIFICAI~NO. PLUMBERS CERTIFICATION DA'r~D N/A N/A N/A Rev. 1/81 //h fl zed ~gnature 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. 27297 Z Date MAY 8, 2001 Permission is hereby granted to: FRANCIS W EVERETT 2315 GABRIELLA CT MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AREA AS APPLIED FOR MAINTAINING 10' FROM LOT LINE at premises located at 2315 County Tax Map No. 473889 Section 108 pursuant to application dated APRIL Building Inspector. GABRIELLA CT MATTITUCK Block 0004 Lot No. 007.051 7, 2001 and approved by the Fee $ 35.00 Authorl~ Signat~e Rev. 2/19/98 COPY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY t' ~CT ~ ~ ?,~ to the Building Department w' the~fpllowing' This application must be filled in by typewriter or ink and submitted A. For new bnilding or new rise: 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 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. 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. Co 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- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. IO]Z~ ]0~' New Construction: Location of Property: Old or Pre-existing Building: (check one) House No. Street Ha~et Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Eli J Permit No. 2_q'7--ct'l l__ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ Block ~P~_ ~-~..'-~----~ Filed Map. Lot: Date of Permit. Applicant: Underwriters Approval: Final Certificate: ~"~' (check one) BUXLDING PER/qIT E qEW CHECKLIST Applicant/ ~ ~ Date Owners Name: Reviewed: Architect/ ,. -- Date Engineer: Submitled: Dis~ict: 1,000 Section: Block: Lot:_ Single & separate Required cemficalion: (Yes / No) Zoning District ~ ~. R~q Rc.q. Req Rcq Rcq [F*onl Ya/d __ Proposed: ' Project Description: AGENCY PERMITS REQUIRED FOR REVIEW Suffolk CoUnty Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation 777 Flbod Zone: Permit NO YES Number Notes: C ' 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSU~.A~N [ ,~j~FI NAL [ ] FIREPLACE & CHIMNEY REMARKS: ,/'""~;'~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS,~.ATION [ c.~NAL [ ] FIREPLACE & CHIMNEY FIELD INSPECTION REPORT ' DATE ~- COI~4ENTS II ~1 II II ~ II ~ : · II ~o~ ~o~ < ~ s~)II FOUNDATION (2ND) ROUGH FRAME & PLUMBING II II II II #__ If II II II INSULATION PER N. Y. STATE ENERGY CODE II I !1 I II II II II 11 II II II II H II II ii BUILD~VG DEPARTMENT TOWN HALL SOUTHOLD, ~ 11~?] TEL: %$-1802 Examined '~~ ,20 tS/ ^pproved 5rt'F. D ,20 v/ Disapproved a/c (/ PERMIT NO. I~UI2~.DLN~ FL_I'LtVII 1 A~IaLIL/A liON CHECK. LIS Do you have or need the following, before applying Board of Health 3 sets of Building Plans Survey. Check Septic Form N,Y.S.D.E.C. Trustees Contact: Mail to: APPLICATION FOR BUILDING PERMIT Phone: Date ,20 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 qn'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 Inipector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection througho.ut'the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building. Depa~hs,ent 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 c'onstruction of buildings, additions, oralterations or for removal or demolition as herein described. The applicant agrees to co~nply with all applicable laws, ordinan/.es, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neees, sary inspections. (Signatare 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, Nameofownerofpi'emises ~'OF)~,~ /~..~. ~l (/0~ ~d~ * (~0f~) (as ..,on the tax'roll or latest deed) If applicant isa corporation, sig 7/? r Suit authoritieS. . o.fficer (Name and title of corporat~ officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on whic~prqposed w, ork w~ done: / q / / c_l,_.-, ...' ' House Number Street County Tax Map No. 1000 Section Subdivision ('Nme) Hamlet · Block Filed Map No. Lot Lot State existing use and occupancy ofpremisqs and intended use,.gnd occupancy of proposed construction: a. Existing use and occupancy .. b. Intended use and occupancy. Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost If dwelling, number of dwelling units, ,"~///4 If garage, number of cars ,,'~,,/,d Fee Addition . Alteration Other Work' ~ (Description) Number of dwelling units on each floor (to be paid on filing this application) /t//,4 -/ If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height :. Dimensions of entire new construction: Front Height Number of Stories ~ Size of lot: Front Rear Number of Stories Rear Depth Depth O, Date of Purchase Name of Former Owner 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded /I~/O Will excess fill be removed from premises: YES NO 4. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO ~ · IY YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TAT.E OF NEW YORK) SS: :OUNTY OF ) /~//~/-7 ]eJ~' /d~::~/ /~'-(f~-~;d being duly sworn, deposes and says that (s)heis the applicant (Name of individual'signing contract) above named, (Contractor, Agent, Corporate Officer, etc.) -- f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; mt all statements contained in this application are true to the best of his knowledge and belief; and that the work will be :rformed in the manner set forth in the application filed therewith. worn to before me this day of~__ 20 Notary Pfiblic UNDA J. COOPER Notary Public, State of New York No. 4~22563, Suffolk Co~.nty Term E~pires December ~t, Signature of Applicant 8UILD£R'~ dO~ NO, TITLE NO. PLOT AREA = 40,011 ~: S.F. FIRST FLOOR AREA = · S.F. SECOND FLOOR AREA = i S.F. GARAGE FLOOR AREA = .t: S.F. ' ~ ~ . = ~5,oo~ ~ GABRIELLA ~ COURT E~A~ ~O~ HEREON REaR ~O U.S.C. ~ G.S. ~S SURLY WAS PREPARED IN AC~RDANCE ~ ~lE EXIS~NO C~E ~ PRAC~ F~ L~D 5UR~RS ADOP~O BY ~E NEW ~K A~A~ OF PR~S~AL ~ SUR~Y~S. ANY AL~R&~ON OR ADDI~ TO ~t5 SURLY IS A ~A~ ~ ~C~ON 72~ ~ ~IE NEW YORK STA~ EDUCA~ ~W. ~PICS 0F ~flS ~R~Y MAP NOr BEARING ~E LANG ~R~Y~'S iNKED ~AL OR EMBOSSED ~EAL SHALL NOT ~E C~StDERED 10 ~E A VAUD ~UE ~Y. NO ~RCIAL or ~s STA~, OR OF ANY Ct~, ~UN~, TO~ ~ MLLAGE ~IEREtN, CltAR~O ~t ~tE EHr~CEMENT ~ LA~, ~DIHAN~S ~ RE~LA~S ACCCPT ~ ~PRO~ ~NY ~NS ~ ~E~[CA~S ~AAT ARE NOT gTAMP~. CER~RCA~0NS iNDICA~D tlEREOH SH~ RUN ONLY TO ~E PER~ F~ ~ 1HE SURLY IS PREPAREO, AND ON ~tS B~HA~ TO ~E ~ C~P~Y. GO~NMEN~AL AG~CY A~ ~OlNG INS~ ANO ~O l~E ASSIGNEES OF ~[ ~N~NG INS~ON. ~R~JCA~S ARE NOT 1RANSFERAB~ ~O AODI~ INS~ONS ~ ~B~N1 BEHRENDT [o,, SMITH MAP OF ELIJAH'~ ~NE ESTATES. SECTION 3 PC ...... SURVEYORS ~YERS TITLE INSURANCE CORP. FINAL 8/28/g7 (5~e) 475--034g FIRST WEST MORTGAGE BANKERS, LTD. SCALE: 1" = 50.00' FILE NO: 87--559--5 FAX APPROVED AS NOTED DA~8.p. # .2.- 7.2- ~ NOTIFY BUILDING DEPAI:~AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION o TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING :[ INSULATION & FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.C. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY