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Home My WebLink About29979-ZFORM NO. ~ TOW~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspecnor Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29972 Date: 01/23/04 T~IS CERTIFIES that the building ACCESSORY Location of Property: 3945 CAMP MINEOLA RD (HOUSE NO. County Tax Map No. 473889 Section 123 Subdivision MATTITUCK (STREET) (HAMLET) Block 5 Lot 30 Filed Map No. Lot No. conforms substantially no the Application for Building Permit heretofore filed in this office dated DECEMBER 29, 2003 pursuant to w~ich Building Permit No. 29979-Z dated DECEMBER 30, 2003 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 "AS BUILT" ACCESSORY ONE CAR G2LR3kGE AS APPLIED FOR PER ZBA #441 DATED 4/6/62. CONSTRUCTION CERTIFIED ROBERT F O'BRIEN, ENGINEER. · he certificate is issued to LINDA D REINARES (OWNER) of tke aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALT~I ~-PPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'rmu Rev. 1/81 N/A N/A N/A ~u~ri zgd S~Ze~ 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. 29979 Z Date DECEMBER 30,2003 Permission is hereby granted to: LINDA D REINARES 3945 CAi4P MINEOLA ROAD MATTITUCK,NY 11952 for : AS BUILT ACCESSORY GARAGE AS APPLIED FOR AND AS PER ENGINEER'S CERTIFI~CATION DATED DECEMBER 23, 2003 at premises located at County Tax Map No. 473889 Section 123 pursuant to application dated DECEMBER Building Inspector to expire on JUNE Fee $ 150.00 3945 CAMP MINEOLA RD MATTITUCK Block 0005 Lot No. 030 29, 2003 and approved by the 30, 2005. Rev. 5/8/02 ORIGINAL Form No. 6 TOW~ ~ ~T~TTtOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIlqCATE OF OCCUPANCY This application must be filled in by typewhter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final survey of property with accurate location af all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approvai from Health Dept. of water supply and s6wemge-disposat (S-9 form). 3. Approval of electrical installation fi'om 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 requiremems. For existingbuildings (prior to April 9, 1957) non-confoming 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 applica~at. C. Fees 1. Certificate of Occupancy - New dwelling $25.00. Additions to dwelling $25/J0, Alterations to dwelling $25.00, Swimmingpool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on,lc-existing Building- $100.00 3 Copy of Certificate of Occu/~0ancy - $.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: (check one) LocationofProperty: ~c~ ~a;ql.?,("~, fh~_~,D~.' ~ House No. Street H~et Own~ or Own~s of Prope~: 1~ t Suffolk Co~ Tax Map No 1000, Section } ~ S~di~sian Date of Permit. / ~ '~ C~ '0~ Permit No. ~)a ~"~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Block 'D~ Lot Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: BROBERT O'BRIEN RE. CONSULTING ENGINEERING SERVICES ~1~11 2074 MAIN ROAD, P.O, BOX 456. LAUREL, NY 11948 631-298-5252 December 23, 2003 Southold Town Building Department Town Hall Southold, New York 11971 Garage As-Built 3945 Camp Mineola Road Mattituck, New York SCTM No. 1000-123-5-30 Gentlemen: I hereby certify thaL to the best of my knowledge, belief and professional judg- ment, that the above-captioned garage is structurally sound. Further, that it is also in compliance with the New York State Building and Southold Town Codes existing at the time of its construction in 1963. Please find attached a front yard set back variance granted by the Zoning Board of Appeals, dated April 6, 1962. Very truly yours, Enc. Robert O'Brien P. E. /~7.~":~ g,~--~ DATE REVIEVv'ED: /,//..~/03 ~PLIC~: DA~ S~TTED: /~/~/03 SCTM~ DIST~CT: 1~000, SECTION: ~3 , BLOCK: ~, LOT: ~ S~D~SION: ~ ~D~SS: ~ ~ ~F ~'¢¢ CITY: M~'~a~ iZO~GOISTmCT: ~'._ CONFO~G?/~ BUILDING PE~TS OPEN,EXPI~D: P~ CO: Y OR N BP -Z / C/¢ Z- . ~0 / BP -Z C/0 Z- , ~O BP -Z / C/0 Z- _, ~O / BP -Z / C/0 Z- ., ~O SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 46,000SF - 100~24. Lot recognifion.(CPdSATED before June 30, 1983,, UNDERSIZED LOTS FROM JAI~.1997 I00-25, M~rger.(A nonconforming ar any time aider ~ REQ. LOT SIZE: ~ ACT. LOT SIZE:~ .~ REQ. LOT COV. AGT. LOT COVz REQ. FRONT PROP. FRONT~,~ ,~Q SIDE ~ A~T. 'SIDE f REQ. REAR PROP. REART- / REQ, I-IEIGHT__ PROP. HEIGHT PROJECT DESCRIPTION: ~ ~ ~ i~- ¢~ ESTIMATED PROJECT COST: ARCHITECt: ~_~ ~ f~. ~ ~ WATER FRONT? DESCRIPTION: PANEL # FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE: TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: P~-~{; ~/vv~. YES or NO DTE: SOUTHOLD TOWN TRUSTEES: YES or NO DTE: TOWN ZONING BOfzfd~D/APPROVAL: YES or NO DTEV TOWN PLAN. BOARD APPROVAL: YES or NO DTE: TOWN ItlSTORICAL PRE (SPLIA): YES or NO PERMIT #: PERMIF #: PERMiT #: PERMIT #: _~ PERMIT #: NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: 1. (_ SF)- ( SF)- SF X $ 2. ( SF'~- ( SF)= SF X 5 3. ( SF'}- ~__ SF)= SF X $ SF SF SF SF SF INIT OTHER TOTAL FEE FEE FEE =$ +$ +$ = $ =5 +$ +$ = $ --5 +5 ~5 = $ FINAL TOTAL: APPROVED ~S NOTED NOTIFY BUILDING DEP.~RTMENT AT 76~180~ 8~ TO 4PM FOR FOLLOWlN6 INS~CTIONS: ......... 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 4, ~=~AI ~'- "'OANCY OR -';FIOATB ]I~EI,D INSPECTION REPORT DATE I COMMENTS FOUNDATION (1ST) FOL~DATION (2ND) ROUGH F~G & PL~G INS~ATION PER N. Y. STATE E~RGY CODE ~DITION~ COMMENTS "~O~ OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: :(631) 765-9502 www. northfork.net/S outhold/ Disapp~?ved mmIT NO. Building ~nspector BUILDING PERMIT APPLICATI0~A CHECKL Do you have or need the following, bifa/.e apply Board of Health 3 sets of Buildthg Plans Planning Board approval Survey Check ~f~ ~g! S epti_'c Form N.Y.S.D.E.C. Trustees Mail to: Laurel, N~ 11948 631-298-5252 Phone: ~ ~ APPLICATION FOR'BUILDING PERMIT 3LDG. ~B'"T. Date Becember 23 ;OLD INSTRUCTIONS ,20~L~ a. Tkis application MOST be completely filled in by.typewriter or in ink and submitted to the Building Inspector w~tl- sera of plans, accurate plot plan to scale. Fee according ;o schedule. b. Plot,plan showing location 9f lo} and of buildings on prermses, relationship ;o adjoining prmuises or public streets areas, and waterWays. c. The work covered by th/s 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 peru shall be kept on the prem/ses available for inspection throughout the work. e. No buildIng shall be occupied or used in whole or in part 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 nas not commenced within 12 mohths after the date of ,issuance or has not been cgmpleted within 18 months from such date. If no zoning amendments or other regulations affecting ~rc per~y have been enacte~t in th~ i£teriin, the Building inspector may authorize, in writing: the extension of the permit for an ~ddhion six months. Thereafter, a new perm/t shall be req'ozired. ~ ¢~PPLICATION IS HEKEBBMADE to the Building Deparunem £or the issuance cfa Building Permit pursuant to th Building Zone Ordinance of the Town .,of Southold, Suffolk Coumy, New Y~ork, 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 ail applicable laws, ordinances, building code, ~.ousing code, and regulatinns, and to adrmt authorized inspectors on prermaes and in bu/lding for necessary inspections. ZoBe~gr~i~i:cant or name, if a ¢oF~oranonj --... (Mailing ~d~ess of applicant) State whether applic~t is owner, lessee, agem, ~chitect, engineer, general contractor, elec~ci~, plumber or build¢ Engineer N~e of owner ofpr~s~s Linda D. Rein~es (As on the rex 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. Location of land on which proposed work will be done: 3945 Cam~ Mineola Road House Number Street County Tax Map No. 1000 Section Subdivismn 1 23 (Name) Mattituck: -.Hamlet F .'~a. ,,,~ ,. Filed Map No ~- ,~j~' :' .:,~? ~, - 2. State exist/ng use and occupancy of premtses and intended use and occupancy of proposed construction: a, Existing%se and occupancy residential b. Intended use and occupancy Repair Removal ~4.~ Estirrc~ed Cos~ 5. If dwelling, number of dwelling units If garage, number of cars Nature of work (cheqk which applicable) New Building Demolition one Fee Addition Alteration OtherWork 'As-1ouilt garage 1963 (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy,'~fy nature and extent of each type of use. 7. Dimensions of existing smactures, if any: Front Height_ Number of Stodes Rear _D~th Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 14- ' 2" Rear 1 & ' 2" Height _ 10 ' ~" Number of Stories one 9. Size of lot: Front 59 · 6 Rear 60 .Depth 151 .Depth 22 ' 2" 10. Date of Purchase Name of Former Owner Gerald B. & Magdaliena Howell 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoningl~_w, ordinance or regulation? YES X* NO *see approved variance dated &/~/62 -- 13. Will lot be re-graded? YES NO__Will excess fii1 be removed from premises? YES __ NO 90 Theodore Drive 14. Names of Owner of premisesLinda A. Reinar~m~ressCoram, NY Phone No. Name q_~~.mginee~: Robert ~.~Address 2(3VA ~4r~ Prima) PhoneNo 29R-5257 ~Xo~Z~Ydh~K~ 0'Brien PET~ddressLaUrel, NY )PhoneNo. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__NO X * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Isthisproperrywithin300feetofatidalwetland?*YES X NO__ * IF YES. D.E.C. PERMITS MAY BE REQUIRED. 16. Prov/de survey, to scale, with affcu~ate 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. STATE OF NEW YORK) SS: COUNTY OF Suffol~ Robert 0 'Brien P. E, being duly s,~,om, deposes and says that (s)he is the applicant (Name of individual sigrdng contract) above named, 'S/He is the Agent (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 applicatio that all staterooms 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 20 g},,~ Notary Public ANNA CARLtNO Notary Public, State of New YOCK No. 01CA6018746 Otmli~ in 8uffo}k Gou~ ~ C~m~on ~pires Janua~ 19, ~ Signature of Applic~'~'~