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HomeMy WebLinkAbout28129-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29129 Date: 10/19/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 3065 CR 48 MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 141 Block 2 Lot 14.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 1, 2002 pursuant to which Building Permit No. 28129-Z dated MARCH 3, 2002 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to VIRGINIA A & MICHAEL H TYLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A //�4ho/ized Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29130 Date: 10/19/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 3065 CR 48 MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 141 Block 2 Lot 14.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 1, 2002 pursuant to which Building Permit No. 28129-Z dated MARCH 3, 2002 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 "AS BUILT" ABOVE GROUND SWIMMING POOL AS APPLIED FOR. The certificate is issued to VIRGINIA A & MICHAEL H TYLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2023891 09/22/04 PLUMBERS CERTIFICATION DATED N/A Aut o ize Sig ture Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT COMPLETIONBOFKEPT UNTIL FULL THE WORK AUTHORIZED) PERMIT NO. 28129 Z Date MARCH 3 , 2002 Permission is hereby granted to: VIRGINIA A BOLDUC PO BOX 1253 MATTITUCK,NY 11952 for . "AS BUILT" ABOVE GROUND POOL AND SHED AS APPLIED at premises located at 3065 CR 48 MATTITUCK County Tax Map No. 473889 Section 141 Block 0002 Lot No. 014 . 001 pursuant to application dated MARCH 1, 2002 and approved by the Building Inspector. Fee $ 450 . 00 Authorized ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT �AJbf k TOWN HALL d b 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 a 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$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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. 002 New Construction: Old or Pre-existing Building: (check one) Location of Property: �J O 6 S � - LI House No. Street Hamlet Owner or Owners of Property: V 19_33 131A R `1 \CA A-F L _T Li LF'2 Suffolk County Tax Map No 1000, Section Block 0 CO Z Lot 00 Subdivision Filed Map. Lot: Permit No. Date of Permit. of 3 02 Applicant: RG1)ia_--ZV 4 Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature s e 5 BY THIS CERTIFICATE OF COMPLIANCE THE S NEW YORK BOARD OF FIRE UNDERWRITERS 5 ERS S BUREAU OF ELECTRICITY S 5 40 FULTON STREET - NEW YORK, NY 10038 5 5 CERTIFIES THAT S SUpon the application of upon premises owned by 5 5 AMODIO,VINCENT S. MIKE TYLER 51 CORNFLOWER LN. 3065 ROUTE 48 S 5 E. NORTHPORT, NY 11731, MATTITUCK, NY 11952 S 5 Located at 3065 ROUTE 48 MATTITUCK, NY 11952 5 �5 S j Application Number: 2023891 Certificate Number: 2023891 5 5 SSection: Block: Lot: Building Permit: BDC: nsl1 5 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 5 First Floor,Outside,Pool/Spa, 5 5 rj A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other S authority having jurisdiction, and found to be in compliance therewith on the 22n Day of September,2004. 5 Name OTY Rate Rating Circuit Tvue 5 Miscellaneous 5 1-60 amp disconect with GFCI Sfor self contained spa 5 Appliances and Accessories 5 Pool/Spa Bonding 1 0 5 Wiring and Devices 5 Receptacle 1 0 20 amp Pool/Spa 5 Service C 5 1 Phase 3W Service Rating 200 Amperes 5 Service Disconnect: 1 200 cb S Meters: I S (Swimming Pool):This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have Sfrequent test and/or repairs made by a qualified person. 5 5 5 5 sea/ 5 5 1 of 1 `5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 1111, rafflow 115 i i OWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET _�A;: VILLAGE DIST. SUB. LOT r' zc� ;'ear"w a FORMER NER► P uc- N E ACR. 1 Y e(ir-) i Y ; 17,V7-61N6FanGl 373 W TYPE OF BUILDING 1 o' 6 fly* U cJ /416 4? ;ES.zo SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ?Z1,017-? �,r- , -� v,;%n ___-- 8'"0©. 3000 38'do. I;/lo l73 7/?-/7 R k , 3 7 3 18V Z D Q. L" C. 'fit O 6 v'�' ✓ J" ':�t'S ! J Z��.Jr /�y�0 �'n/� 1�1d�f!6 o h df.Yl')" a sic/' e0--%7 E a 3 ry N oto L1000 5 g 9 i d PI e1, e Y,' r- 3 i�9P 1971 -C o k d�44, f-f 'illable FRONTAGE ON WATER Voodland FRONTAGE ON ROAD Aeadowland DEPTH ' louse Plot BULKHEAD otal :r {p ^ , NONE WE NEENESSIMMIMMIMME ; ■■NE■■■NE■■N■E■■N■■■■■E■■■EN - _�, ■■.N.■■■■■■■■.N■....N NOON■■ r : ■■■EEEEs■■■■E.EE■E.E■■■■■■NNE ■■■■■ NOON■■■■■■ ■■■■■■■■ NOON -= MEN■■■■■■■■I■■■■■1■■■■■■ENE■■NE r ■■■N ■■.■■■■NN■■I. .■■■■■■■■■■ ■■■■■■■■■.N■.EN■�N■■NNE■■EN■N■ . ■■■■■■■■■■■■■■�■■■■■■ NOON■■ - ■C■ NOON■■■■■■■■�■■■■■■■■■■■■■ ■■.C........NIJ..■.......■...■ NOON■■ Ext. WallsInterior - � �■ Fire Place .. rr 4 : • •' 0 MIMMEEM■■■■■■■■■■■■■ �.'c i , f, ■ ■■■■■■■NEEM■■■MIME■■■■■■ ■ MEN ■�■■EE■■■■ML■MN■NMN■Imom ■■■■M■EE■■■MIME■■■■M■ ■ MN■ MEMO■MEM■■■■■E■N■■■EM■■ ■NIMH ■■■■EE■■■ME■■■■E■ N■NEN ■■M■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ - MEN MM■■■M ■■■■■■ENE■■N■■EN■mom ■ ME ON ON 00 NEON �■■■■M ■■■11 I■ ■NN■N■�■ ON ■■M■ ■■■■■■I■N■■■I■ ■■MEN S■■N■N ■■M■ M■NNURNE■■IM■MMIME■■M■■■ ■■MEEMEMMfuii■M■N■INMM■■■E■■■■NM ■■M■MMM■NNM'■■MNM I■■M■■MI■MM■■M ■■■■■■■■■■■S ■■■I■N■■■■■■■■MN■ IN ■■■■■■■■■'■E■■■ I■■■■■■ ■■■■■■ ■■■ ■■■■■■■■■■■■I■■■■■MEE■E■■■ . ■■■E■EN■■■■■EMEN■■■■■MNM■.MIM PlacFire e .. • r i i OWN OF SOUTHOLD PROPERTY RECORD CARD /b Go /4% J�. �-• OWNER STREET ` VILLAGE DIST. SUB. LOT FORMER NERr laatct c- N E ACR. 1 ; 't� r� 7-6,,V,6 4--c, 1273 S W TYPE OF BUILDING ;ESzd SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ;; , ,,�, A ~> t oa, 3o v . �3(f 73 7 2. 7 & ' $uiL o. B, L7, C. 1 � O ' w` :✓ .� , / / z�7�- /�yl�o So�� f{d�as o h r�'r �o 11/os �ia.s �� 1-3 l 5 5 � d 110 c) 'iliable FRONTAGE ON WATER Voodland FRONTAGE ON ROAD leadowland DEPTH louse Plot BULKHEAD 'oto I BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: S /3 /01- DATE OL.DATE SUBMITTED:� APPLICANT NAME: Ke-stw g N1440OS4 SCTM# DISTRICT: 1,000 SECTION: /Y/ BLOCK: .Z LOT: 1Y, / STREET:s5o6S Ge `/8 CITY: /'om-I me,C SUBDIV. NAME: d Ad" PROJECT DESCRIPTION: " ./�,� e �u.�o ARCHITECT/ENGINEER: 41 FAST TRACK? A)• SINGLE&SEPARATE CERTIFICATION-REQUIRED?_��NOTES: --' LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1, ZONING DISTRICT: /�� CONFORMING? Old V/71REQ. LOT SIZE: ' ��0`p ACT. LOT SIZE: /,0,- REQ. LOT COV. 0147 ACT. LOT COV. REQ.FRONT - 3 PROP. FRONT- REQ SID3 ACT. SIDE / REQ.REAR 3 PROP. REAR WATER FRO ? N d DESCRIPTION: PANEL #:- FLOOD ZONE: , AGENCY PERMITS REQUIRED FOR REVIEW APP S REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES o O ED#): DTE:—/—/ PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or� SOUTHOLD TOWN TRUSTEES: YES o .TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES�w_ NYS ENERGY: YES OP<�: EGRESS (18 H min.?4 sq total) VENT(SQ. FT. x 4%) —LIGHT(SQ.FT.x 8%) BUILDING PERMITS OPEN/EXPIRED: BP 1 -5 Z/C/0 Z- Gc.-,q O , HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- I NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : /1/6 SF SECOND FLR : SF INIT OTHER TOTAL ,:�4 -7 51-1 elf TOTAL: SF FEE FEE FEE 'OT( SF)- (__SF)= SFX$ =$ +$ +$ _$ ' S �'i.Z9R.1129:�631:39e.ii?� March 1,2002 To Whom It May Concern. Please be advised that I am giving my authorization for the office of Architecnologies, including, Frank Notaro'and Agnieszka Drozdowska, to fill`out and file any necessary applications for all the state and local agencies for my property located in Mattituck, Newyork. Sincerely yours, Michael Tyler, BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH P G. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ INAL [ ] FIREPLACE & CFIIMNEY REMARKS: p/)J--e e. L &T4 4 e DATE 10 7/ INSPECTOR suiwINc DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND ( j IN CATION ( ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS• &�:�-� GLL�4.(o DATE oZ D!� IN$pECTp suIwiNc DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDA710N 2ND [ ] INSULATION [ ] FRAMING ["FI [ ] FIREPLACE 8 CHIMNEY REMARKS: 4 DATE � 3' DY INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION(1ST) y ------------------------------------ FOUNDATION(2ND) r _ 71 .--r z O ROUGH FRAMING& h7 PLUMBING y r INSULATION PER N.Y. y STATE ENERGY CODE C i Z FINAL ke �"�"=',.AL COMMENTS O Z m S G b c� w c o W z x l x d r� b y t v r+II v1 vv V tttvLL 1)VSL1J11W LIZUYLLI lirrLiS,l�11V1V L 17L1�iL1,1 BUILDING DE+P_ARTNV4T Do you bavo or needthe:bUvv,mg;before applyi TOWN FALL BoardofHeabb S OUTHOLD,NY 11971 3 sets of Bdidmg Plass TEL: 765-1802 , Survey PERMIT NO. chook ' Septic Farm • • N,'Y.S.D.E.C. Tzostom Examined / 20 Approved ,20= Mail to: Disapproved a/c Phone: APPLICATION FOR BUILDING PERMIT Dam �o b2 _ .INSTRUCTIONS a. 44pplication MT T be=4 ietely filled in by%mwrrtar or in ink and subn*ted to the Building Inspector with sets o p s, accurate plot plan to scale.Fee according to w1odule. b. plot plan showing location of loot and of buildings on pr=nises,relationship.to adjoining premises or public streets c areas, and waterways. c. The work covered by this application may not bo co==.ced'bcA=issuance of Bwldigg PGim 1. d..Upon approval of this applic;40v,the Bum lhspoctor.will'issua a BmWimg Permit to tho applicant. Such a perm: shall be kept on the premises a k for inspection throughout the wc& e:No building shall be occupiod or used in whole or in part for any purpose what-ro cr=til a Certificate of Occupa 'is issued by the Building Inspector, APPLICATION IS HEREBY MADE to-tho BuW4 Depar4ncnt for the issuance of a Building Peanut pursuant to the Building Zone Ordinance of.the'Town of Southold,Suffolk County,New York,andother applicaislc La WS, Ordinances or Regulations, for the construction of buildjW,a4ftlo s,or alterations or for removal or dcmohticu as herein described. The applicant agrees to comply with all applicable laws,oadine wcs,building code;lousing code,and r ons, and to admit authorized inspectors on premises and in huMing for n000ssary'inspections. �t RL VT-p-, cs?8� ofWHcM or==,if a corporation) '0&ling a4&-m of applicant) State whether applicant is.owner,lessee;agent, atchit ot, engineer,general contractor, electrician,plumber or builder -�CT Name of owner of premises Qq�.� �R�_. 'l I CAAR1. T,4")9=- (as ,4")9=-(as on the.tax roll or-laWA deed) If applicant is a corporation, signature of duly aarthozized officer (Name and title of corporato officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Block _X02 Lot. Subdivision Fed Map No. Lot " (Name) 2: State existing we aaid;oeaupMW ofpr=ises and ktmAedwe and obey oaf proposed motion: a. Existing-use and occupancy b. Izrtende4 use 3. Nature of work..(check which applicable):New Building' Addition Alteration Repair Removal Demolition Other Work.—Io C taypo u e Fac t PD01 (Description) 4. Estimated Cost �02� C�� 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 aid extent of each type of use. 7. Dimensions of existing structures,if any:Front �Qi Rear �'b Depth Height zR' Number of Storm Dimensions of same structure with alterations or additions: FrontRear Depth lu ' Height Number of Stories 8. Dimensions of entire new construction:Front _ Rear Depth Height 'Number of Stories ' 9. Size of lot: Front i - Depth W ` 10. Date of Purchase blame of Fonner Owner, 11. Zone or use district in whichpremises are situated 12. Does proposed construction violate any zoning law,ordinance or regulation.: A-)C)tL/ . 13. Will lot be re-graded VO WM exams fill be removed.from premises: YES 14. Names of Owner of premises 1( fie._�m l,F V- _ Adders 3[ 5-Qr 4 Qt+tr 1radd>hone No. Ab I �-(�_`gJ Name of Architect l=ea t�) 00TA D Ad�ss-i_�.0.Iux�'� (�,4t�t !L/Pbone No h 31-� Name of Contractor —Address Phone No: 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation aj anypoiat on property is at 10 feet or below;must provide topogra*cal data on survey. STATE OF NEW YORK) SS COUNTY OF } A�X14 b ft dalS'g'' r,deposes acid ame of individual sigming contract)abovr named, SM that(s)he is the applicant (S)He is theQ (Contractor,AgeM Cerate OSicer,etc.). — of said owner or owners,and is duty atzthoE=d to p� or have P .the smid work and to make and file this application;. that all statements oontamed in this application are true to the best of bis I owl performed in the manner set forth in the apriication filed therewith. ` and belie>y and that the work will be Sworn to before me this day of .20 a'�,- lazy Public . •. Sim of Applicazit• JOYCE M.WILKINS Notary Public,State of New York No.4952246,Suffolk County Term Expires June 12, { a SURVEY OF PROPERTY f SITUATED AT 100, MATTITUCK, TOWN OF SOUTHOLD O N'0 SUFFOLK COUNTY, NEW YORK W g Q�� y S.C. TAX NO. 1000-141 -02-14.001O z A J VV y z e w, Z � JE Cu. r U EXISTING SHED �� 5 G TO BE REMOVED -�'- Q F— EX. SHED '\q1 1 1 1 1 11 I� I I I -T 11111111 1 q' 14' 10' • N POOL FRONT FRONT r 0 24' R. POOL p ABOVE GR. (EXISTING) r 1 EXISTING uJ Y DECK. Q 0 10 W 14' Q - - - - — - NEW 211 = it EXISTING •1 W O 24' _ - - - _ _ 10I� SHED 'i Ifr12 - - O 11 I I 1 1 1 1 1 1 1 I I I I 11 11 1 1 1 1 1 1 1 1 1 I 1 1 1 q �yj_I1 is_���_� o W 1 1 1 1 1 1 1 1 1 I PROPOSED '- 2 GARAGE. - r BACK SIDE BACK SIDE EXISTING Lu Y N 1 - STORY FR . HOUSE N OCCUPANCY OR UNDERWRITERS CERTIFICATE CL F USE IS UNLAWFUL REQUIRED O Q WITHOUT CERTIFICATE < O OF OCCUPANCY APPR VE0 AS N z z oo - rDATE' B.Rf 0 "IMMEDIATELY" r�io IF/ Bu i INc DEPART ENT AT N 4$I N ENCLOSE POOL TO CODE 765.7602 9 AM TO 4 PM FOR THE w UPON COMPLETION FOLLOWING INSPECTIONS: BEPORE "WATER" O 7. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE P. ROUGH - FRAMING & PLUMBING a INSULATION 4 FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. F ALL CONSTRUCTION SHALL MEET - THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION A ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS D Z I ro y a p 01VL1D11AV �+s co I>O m FILE NAME: T SITE_EX n 3�T� 40171k ®�� GALE 2}02 I m/„IIIIF wIn 1 81,_1, S . 750 15' 50” W. 138 ALL INFORMATION TAKEN DWG. NAME: FROM A SITE PLAN PREPARED BY RODERICK VANTUYL, P.C. SITE DATED JULY 18, 1973. PLAN MIDDLE ROAD C . R . 27 DWG. N°.: THESE ORAWIN06 A8INSTRUMENT9 OF SERVICE, ARE TH_SOLE PROPERLY OF THE ARCHRECT. NOREVISION$,CHAN�6$AND/OFt"MODIFICATIONS ;SITE PLAN' SI.IALL,BE ALLOWED WI'I}Iq" NALFTHORRATION B5'IHE/1F7CNITECi' ANy,EIEPRODUC'I'ION IN PNiT O WTiOLE ISSTRICTLY PgOF119ftlED BY LAW