The URL can be used to link to this page

Home My WebLink About29136-ZFORM NO. 4 ~OWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspecuor Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30054 Date: 02/27/04 THIS CERTIFIES that the building ADDITION Location of Property: 435 WESTVIEW DR ~LATTITUCK (HOUSE NO.) (STREET) (PIAMLET) Cou/~ty Tax Map No. 473889 Section 139 Block 1 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially To the Application for Building Permit heretofore filed in ~h4s office dated DECEMBER 13, 2002 pursuant to which Building Permit No. 29136-Z dated JANUARY 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 COVERED PORCH ENTRY ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOB. The certificate is issued to ERIC W MCCLU~E & LUMI M ROLLEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'rKo Rev. '1/81 N/A N/A N/A d/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 PEP~IT NO. 29136 Z Date JANUARY 30, 2003 Permission is hereby granted CHARLES J SIREY PO BOX 1477 HATTITUCK,NY 11952 for : COVERED PORCH ENTRY ADDITION AS APPLIED FOR at premises lOcated at 435 WESTVIEW DR MATTITUCK County Tax Map No. 473889 Section 139 Block 0001 Lot No. 023 i~pursuant to applicatiOn dated DECEMBER ~ 13, 2002 and approved by the BUilding Inspector to expire on JULY~~ Fee $ 150 00 ~~ Au{horized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDIN~ DEPA~T~ENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ttds applicatioa 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 ali buildings, property Iines, streets, and unusual natural or topographic features. 2. Final Approval from Heal~ Dept. of water supply and sewemge-disposal,(S-9 form). 3. Approvat of el~etripal installation from Board of Fire Underwriters. 4. Sworn stat~efit from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commem~af 5u/lding, industrial building, multiple residences and sim/lar buildings and installations, a certificate Gf C6d'e'Comp]~anC¢ i?om architect or engineer responsible for the buflding. 6. Submit Planning Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate sur~ey o£property showing all property lines, streets~ building and unusuaI natural or topographic £eamres. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied_ the t~uildiag Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occopancy 7~*ew dwelfing $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. Certi~cate o£ Occupancy on Pre-exisVmg 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 New Construction: Location of Property: Date. February 23, 2004 C_Of for porch)additioh (Building Permit #29136Z) x Old or Pre-existing Building: ('check one) 435 Westview Drive Mattituck House No. Street Owner or Owners of Property: Eric McCture and LumJ Ro:}ley Suffolk County Tax Map No 1000. Section 139 Subdivision Permit No. 29136Z Date of Perluit. Health Depn Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: S 25. 1/30/03 Hamlet 23 Block l Lot Filed Map. Lot: Applicant:_ Charles Sirey Underwriters Approval: Final Certificate: X ~ ,t [check one) ~/App licant'~Signamr e Abigail A. ~2ck~am, Agen~ ~EILTC' J. BRESSLER ABIGAIL A. WICKtlAM LYNNE M. GORDON JANET GEg, SA LAW OFFICES WtCKHAM, BRESSLER. GORDON & GEASA. P.C. 13015 MAIN ROAD. P.O. BOX 1424 MATTITUCK, LONG ISLAND NEW YORK 11952 631-298-8353 TELEFAXNO. 631-298-8565 wvblaw~aol.com February 23, 2004 WILLIAM WICKHAM ~06-02x 275 BROAD HOLLOW ROAD SUITE 111 MELVILLE, NEW YORK 11747 631-249-9480 TELEFAX NO. 631-249-9484 .~/tm: Gary Fish, Bui!ding?mspector ToWn of Sonthold Building Department 53095 Main Road P.O. Box 1179 Southold, New York 1t97l Re: Building Permit #29136-z (porch addition) Premises: 435 Westview Drive, Matfituck, NY SCTM# 1000-139-1-23 New Owners: Eric McClure and Lumi Rolley Former Owners: Charles Sirey and Aileen Sirey In connection with the above matter and pursuant m your notice dated February 19, 2004 (copy enclosed), enclosed is the application and $25. fee for the C.O. for the porch addition. I believe that this completes the requirements for the C.O. The C.O. should be mailed to my office. A/IW/dm encl 30/shdbd2 Abigail A. Wickharn B~ ~DING PERMIT EXAMINER CHECK LIST A~E RE~D APPLICANT: SCTM# ~ DISTraCT: 1,0O0, SECTION: ~ ~ , BLOCK: ~D~SS ~ ~G CITY B~LDING PE~ITS OPEN/EXP~D: BP ~ -Z/C/0 Z- ~ ~ , ~O BP ~ ~ -Z / C/9 Z- ~z~&, ~O~ P~CO:YORN~ ~;~P [~k~%~Z/C/0 Z-~ SINGLE & SEPA~TE CERTIFICATION-~QU~D ~Q. ~OZ S~: ~ aCT. [0~ S~: ~c?~Q. ~Or COL ~~cr. kOT COY. ~. FRO~ gl' PROP. FRONT_~Q S~ ~Q. ~ ~ PROP. ~ ~PROV~S ~Q~D SUFFOLK COUNTY ~TH DEPT: ~S or~ ~ED g): DTE: PE~IT TOWN SEPTIC ~CE~T: Y o~ so~mo~ xo~ ~Rns~~ o~ · Ap uow g ' TOWN PL~. BO~ APPROVe: ~S or ~} _ TO~HISTO~C~ P~ ~SPL~): ~S or~ NOTES: ~, ~ FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF 12XFfT OTHER TOTAL TOTAL: ~f4~ SF FEE FEE ~ I ( fl[ar~ SF)- (_ _SF)= SF X $ =$ +$ +$ ~ 2. ( .SF)- (_ SF~= SF X $ =$ +$ ~$ = $ 3. (_ .SF)- ( SF)-- SF X $ =$ +$ FINAL TOTAL: 765-1802 BUILDING DEPT. _ ~NSPECTION [/,,~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING [ FIREPLACE & CHIMNEY [ ] INSULATION ] FINAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROUGHPLBG. [ ] FO~JND~ION2ND [ ]INSULATION [/~]~FRAMING [~ ] FINAL []FIREPLACE&CHIMNEY DATE ~'*~~/~-P/~ INSPECTOR Examined A.pproved D~sapproved aJc ?tJILDIN¢ I~ARTMENT TOWN HALL ~ SOUTHOLD, NY 11971 TEL: (631) 765q802 FAX: (631) 765-9502 ~w. nor thfork.net/S outhokl/ . ,20_Z Expkafion BUILDING PERMIT APPLICATION CHECKLIST Do yon have or need therfetl6wLng, before applying? Boar& of Healtt~ 3 sots ofBuild~ Plmns planning Board approval Survey Check Septic Form N.Y.S.D.E.£. Contact: Ma/1 to: APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. Tkis 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 ~o schedule. b. Plot plan showing location of lot and o£buildings on premises, relationship to adjoin22g prermses or public streets or areas, and watepvays. c. The Work covered by this application may not be commenced before issuance of Building Permit. d. Upont approval of this application, the Building Inspector will issue a Building Pemfit to the applicant. Such a permi! shall be kept on the premises 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 Certific~ate of Occupancy. f. Every building permit shall expire if the work authorized has nor commenced within 12 months alker 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 Lnspecmr 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 cfa 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 ~oonstruction o£buildmgs, addition~, or alterations or for removal or demohtion as herein described. The applicant agrees to comply with all applicablelaws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary mspections /; (Malting address-ct appiica~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofprermses ~C(¢5 n.~'~- ~qi I~eC/ (As on the tax-raJ1 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: House Number Street ~ Hamlet County Tax Map No. 1000 Section Subdivision ,~-~,x (Name) Block [ Filed Map No. Lot 2_'~ State existing use and occupancy of premises and intended use and occupancy of proposed conslmction: a. Existing use and occupancy ~¢ xt d~o ce b. Intended use and occupancy /~e 5/~en6? Nature of work (cheek Wb/~c~a.applicable): New Building_ Repair Rei~Oi-al Demolition Es at d Cost <oo - t'7,,oo Fee 5. Ifdwellmg, number of dwelling units If garage, number of cars Addition Other Work Number of dwetling units on each floor (Descr/ption) (To be paid on filing this application) If business, commercial or mixed oqcupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: From ,~ ~/ ~' ~ ~-' ' Rear Height ~:~,~ ?~, Number of Stones a. 4~'~" Rear z,./'¢-~ '~' Number of Stories ~2. Rear £o ' Depth Dimensions of same structure with alterations or addffbns: Front Depth ~ '5'3' Height /~a~ 8. Dimensions of entire new construction: Front Height / 2..' t* Number of Stories 9. Size oflot: Front ~,~;(~fp Rear a~..,<'f~ Depth 10. Date ofPurchase [2..//~.oc~/gFf 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? YES NO t/~ 13. Will lot be re-graded? YES NO (,"'Will excess fill be removed from premises? YES NO /~ 14. Names of Owner of premises Address Phene No. Name of Architect Address Phone No Name of Contractor Chnc~7< Ol~_ ~_ 4~ ~ Address b0,1~'5~7, ~'Xi~/- ~ d? Phone No. (6, 51~ 55 ~- ~ ~ 9_.. "u~' 15 a. Is this property within 100 feet of a tidaJ wetland or a freshwater wetland? *YES v/ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PEP_MITS MAY BE REQUIRED. b. Isthisproperrywithin300feetofatidalwetland?*YES / NO * IF YES, D.E.C. i~ERMITS MAY BE REQLrffiED. 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_ STATE OF NEW YORK) SS: COUNTY OF ) ~"/GP-4-/P$ ~- C~/' t*~O~,~ · , being duly sworn, deposes and says that (s~he is tt/e applicant (Name of individual sign/a~ contract) above nameo_ (SIHe is the ~c.J/~ ¢~ ~ (Contractor_ Agent, Corporate Officer. etc.) of said owner or owners, and is duly authorized to perform or have performed the smd work and to make and file this apphcation: that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be the manner set fo~t in the application filed therewith. Nota~ Public, State of N~w York No 4822563 Suffolk ~un~ ~ T~rm Exp~m~ December ~ ,~