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Home My WebLink About42267-Z hoy�aoF SOUTyo�o Town of Southold * * P.O. Box 1179 0 53095 Main Rd UN". Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46269 Date: 06/26/2025 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 3320 Oregon Rd Mattituck, NY 11952 Sec/Block/Lot: 100.-4-7.1 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 12/26/2017 Pursuant to which Building Permit No. 42267 and dated: 12/27/2017 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" deck addition with pergola to existing single-family dwelling as applied for. The certificate is issued to: Leslie Benway Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 42267 5/14/2025 PLUMBERS CERTIFICATION: Aut o ' ed ignature ofso(/ryo� TOWN OF SOUTHOLD BUILDING DEPARTMENT • TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT RENEWED (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 42267 Date: 12/27/2017 Permission is hereby granted to: Renewal Date: 04/21/2025 Leslie Benway 3320 Oregon Rd Mattituck, NY 11952 To: legalize "as built" deck addition with pergola to existing single-family dwelling as applied for. Additional certification may be required. Premises Located at: 3320 Oregon Rd, Mattituck, NY 11952 SCTM# 100.4-7.1 Pursuant to application dated 12/26/2017 and approved by the Building Inspector.. To expire on 04/21/2027. Contractors: Fees: Renewal Fee $414.60 Total $414.60 Building Inspector �tfEQl,r TOWN OF SOUTHOLD ha �aG. BUILDING DEPARTMENT TOWN CLERK'S OFFICE co SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 42267 Date: 12/27/2017 Permission is hereby granted to: Benway, Leslie 3320 Oregon Rd Mattituck, NY 11952 To: legalize "as built" deck addition with pergola to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 3320 Oregon Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 100.4-7.1 Pursuant to application dated 12/26/2017 and approved by the Building Inspector. To expire on 6/28/2019. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $579.20 CO -ADDITION TO DWELLING $50.00 Total: $629.20 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application 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 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. 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificaie.of Occupancy on Pre-existing 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 Date. New Construction: Old or Pre-existing Building:: (check one) Location of Property: b316 Q reGo N/ House No. Street Hamlet Owner or Owners of Property: �.p.Sl e P,-e yL.,rPy Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: q4v) Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 7 Applicant Sign re o��OF SO�jyol � o ' Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Q Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Leslie BenWay Address: 3320 Oregon Rd city,Cutchogue st: NY zip: 11935 Building Permit#: 4aa0 Section: 100 Block: 4 Lot: 7.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Current Electrical& Lighting License No: ME-65941 SITE DETAILS Office Use Only Residential X Indoor Basement Solar Commerical Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment Notes: "As Built No Visual Defects" Deck Lighting Inspector Signature: ' Date: May 14, 2025 S.Devlin-Cent Electrical Compliance or (9) o��Of SOpryo! i � O • �o cOUNi'1 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULA�TIIOppN [ ] FRAMING /STRAPPING [ FINALDI - [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: sfvonom 'o *1 f 1 0 646L "' , 7' �/ 1 �l 1 C w` I . ' A GAN ✓ i DATE 3 1449 INSPECTOR a SOUTyo<o TOWN OF SOUTHOLD BUILDING DEPT. um, 631-765-1802 qv-M"o' INSPECTION , [ ] FOUNDATION 1ST/ REBAR [. ] ROUGH.PLBG. [ ] FOUNDATION 2ND [. ] I SULATIOWCA KING [ ] FRAMING /STRAPPING [ FINAL Wl/ f 014- [ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE,RESISTANT PENETRATION ( ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION - [ ] -PRE C/O [ ] RENTAL REMARKS: 0 9A"tl:� &Aki DATE ' °t10 le:( ANSPECTOR �o�aOFSOGIyO� TOW��F THO LD—� LiNI� PSI -1802 �G D�P� jT � 765 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ]-' FIREPLACE & CHIMNEY' [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION- [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: l5*`, d DATE INSPECTOR # # TOWN OF SOUTHOL I&NCQEPT&� { �o`y ao rou►m ' 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] -ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE& CHIMNEY [ ] FIRESAFETY"INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: �M(T A A C)Y.. e _ JA 6 U41 O . DATE INSPECTOR F ti � c H E: 7 ' E 'N � J 'NiEER11 �G May 1,2025 1 C E 0 E . M AY - 1 2025 Ry L2,11 Town of Southold Building Department Main Road Southold, NY 11971 RE:$320 Oregon Road, Mattituck,NY Building Permit#42267 I have inspected the side yard Deck. I certify to the best of my knowledge and experience that the deck and footings were completed according to New York State Residential Building Codes. JGSEPH &FISCHETTI.COM FISCHETTI ENO INEERING.COM 63 1 -765-2954 1 7Z5 HOBART ROAD SOUTHOLD , NEW YORK 1 1 137 1 ,t FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) y ------------------------------------ 'FOUNDATION (2ND) �y Z O w � ROUGH FRAMING& 1 PLUMBING INSULATION PER N.Y-. STATE ENERGY CODE o �s u • lFf/ FINAL rl Tj G ADDITIOPALPOMMErNS l a z N b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 JJ Survey Southoldtownny.gov PERMIT NO. (9 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved ;20 Mail to: Disapproved a/c Phone: Expiration ,20 _U d Inspector � APPLICATION FOR BUILDING PERMIT gTnIVEp Date �C t`�� -, 20� DEC 2 2 2017 INSTRUCTIONS a. This a IWe " ST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plat3�1scale. Fee according to schedule. F000ion of lot and of buildings on 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 Inspector will issue a Building Permit to the applicant. Such a permit 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 Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after 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 Inspector 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 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 ode,a regulations, and m' authorized inspectors on premises and in building for necessary inspections. ignature of applican name,if a corporation) (Mailing address of applicaffty State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder caw N 4JZ Name of owner of premises 1 (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. ' IS��— LA 1. Location of land on which proposed work will be'done: House Number Street i Hamlet County Tax Map No. 1000 Section I Block ( Lot Subdivision Filed Map No. Lot I 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 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 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 of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth 0-1 Height Number of Stories _ C7 , 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 +a. ,.,,.,;f�,-71;,� 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO x 13. Will lot be re-graded? YES NO$—Will excess fill be removed from premises? YES NO X 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO_ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) C�✓L/ B�IVwA 'f being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is thedm�o��Il � (Contractor,Agent, Corporate Officer, etc.) I 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 PIRUCE L. McDONALD day of b��g�— 20 / ary Public-State of New York No.01 MC6224291 Qualified in Suffolk County dA11y66atission Expires J Notary Public Sig�7rV of Applic n ECEVJ S�FFOE BUILDING DEPARTMENT-Electrical n ector APR 2 3 2025 TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 117 " ''' Southold, New York 11971-0959 Dus6et@u�g egsa�ment T w�os��uto�a6d 1e 8 southot w ldnn . o02 sea d (sou ho dt631) 765-�o5 02 'ameshwnn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail information Required) Date: , y- Company Name: �" L&CTP-1CfJ2- YJAo 6 L! 7 Ur1Ai ' I U Electrician's Name: gle_ A114L1,3M License No.: M 6 9 1 Ele . email: ,�T �(Z 67M 41L .Cow Elec. Phone No: 4' - 6C.. � I� request an email copy of Certificate of Compliance Elec. Address.: P 0. 20X 883 fi7#IFI Tj C& Iv !l am JOB SITE INFORMATION (All Information Required) Name: &A/z,� Address: P C�a,u eb y►1�q�T(TUCGL t� Cross Street: ELI,-5n-H5 Lpvvvt Phone No.: 63I 02 -0 t 5-C) BIdg.Permit#: z j"'T email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Z z 21 Circle All That Apply: Is job ready for inspection?: 15'YES❑N - ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service[-]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals R 1 M2 0 H Frame F1 Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION `''� C �(� �x Sco LL A. Russell 0pSUFF(Y,r� 65 1F 0 1 R�M[W A,']F I E I R, a ��G� SUPERVISOR J\M \\N A\ G 1E1\1C1EN r]F a SOUTHOLD TOWN HALL-P.O.Box 1179 Q 53095 Main Road-SOUTHOLD,NEW YORK 11971 y��O �a- Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET -- - -- ---- - ------...(_TO BE COMPLETED BY THE APPLICANT) - --------- -------- - . DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes NO (CHECK ALL THAT APPLY ❑[A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ®�C] B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑[ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑® D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. (][59 E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, —--Signatu>=e;rContact-Info>rmation,-Date-&-Count-y-Tax-Map-Number—Chapter-236-does.-not-apply-to your-project If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.IVI. 'R: I OOO Date Dist ic1 / 1 NAME: 1\-� � 2I `�19. ^" „�t Section Block Lot tC)Lif3EiiE_Df �aD P-;,?Tltt..:ti"i t l:: ,1L: Contact Information: Reviewed By: ( — — — — — — — — — — — — — — — — / D .- / ��Date: Property Address / Location of' Construction Work: —[I/App,,-ed — — — — — — — — — — — — — — 3�-2® c)Fe for processing Building Permit. 3 /yJ �� Stormwater Management Control Plan Not Required. /" ` \�� Stormwater Management Control Plan is Required (Forward to Engineering Department ["or Review.) FORM SNICP - TOS MAY 2014 now or formerly R liable Associoles 'yam 2,6,9.97' S,2545�.5 • 4 a4.0' o / .00 uoi CV W Itu. 2 f hory 1 y f .wia b•y'• CA: h . i•. 84.97 �O 4 "i /65• 270.00' ��v N.25.2515 lo O ASSOIaf '/s o Reliable o now or formerly ° ' Q °to / 4 y 4 :,' Q )►� (11 al vti Arte,0•y0 �► Q' : yp O a°t,04 �'0A wow W T:04 o 1z � 2 a p ic• �v�ti��eo�rr�,r� h1 r cur per. � � � � � � ' ` � � - ~7 ' ^~