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Home My WebLink About30797-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30593 Date: 11/30/04 THIS CERTIFIES that the building ADDITION Location of Property: 115 EAST SIDE AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 99 Block 3 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 21, 2004 pursuant to which Building Permit No. 30797-Z dated NOVEMBER 24, 2004 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 TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF ROBERT O'BRIEN, P.E. DATED 11/21/04 . The certificate is issued to FRED J MEINHART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signa4rure Rev. 1/81 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. 30797 Z Date NOVEMBER 24 , 2004 Permission is hereby granted to : FRED J & WF MEINHART 115 EAST SIDE AVE MATTITUCK,NY 11952 for AS BUILT DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 115 EAST SIDE AVE MATTITUCK County Tax Map No. 473889 Section 099 Block 0003 Lot No. 019 pursuant to application dated NOVEMBER 21, 2004 and approved by the Building Inspector to expire on MAY 24 , 2006 . Fee $ 300 . 00 01 Authorized Signat e ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 2 3 2M APPLICATION FOR CERTIFICATE OF OCCUPAN This application must be filled in by typewriter or ink and submitted to the Building Department with the followhg: 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$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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. 11t 3 G 4 New Construction: Old or Pre-existing Building- y`' (check one) Location of Property: 7�(//__5_ 0/, House No. Street Hamlet Owner or Owners of Property: AG 7— Suffolk Suffolk County Tax Map No 1000, Section Block Lot Subdivision O Lp Filed Map. 1;Pr Lot: 2 Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ i ature 7)3 �-?73 93 r-TICe ROBERT O'BRIEN P.E. CONSULTING ENGINEERING SERVICES 2074 MAIN ROAD, P.O. BOX 456, LAUREL, NY 1 1948 631-296-5252 COMPLY WITH All CODES OF APP OV D AS NOTED NEW YORK STATE & TOWN CODES DATE: 23 B.P.# � AS REQUIRED AND CONDITIONS OF FEE: BY: $"OLD NOTA., MENT AT OUTHOIL TOWN PLANNING OM November 21, 2004 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: SOUTHOWTOMTRUSTEES 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE �N.Y.S.W 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Southold Building Department ALL CONSTRUCTION SHALL MEET THE Town Hall REQUIREMENTS OF THE CODES OF NEW Southold, New York YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Re: Certificate of Occupancy for As-built Deck Meinhart Residence 25 East Side Drive, Mattituck SCTM No. 1000-99-3-19 Gentlemen: I hereby certify that the deck at the above-captioned property appears to be structurally sound. Further, that it was constructed in accordance with the building codes in effect in 1994, when it was built. Very truly yours, Of NEW 13 F. 0, or Robert O'Brien P. E. o J. No 052�1� A.OfESs1OCCUPANCY OR t1SF I� I Intl. A Ili rr' 'j1w V1141 THOU ' t, Fi � �G i r E OF OCCUPANCY AI z 74t v -7.,,r/fit,.G ��Yl �� 79 R f OF NE yqP F. O. fie * X00 * � �I ;� • l OFESSIONP�� ` ^y ROHERT O'HRIEN P.E. �Q �'��F Ss�%..../r-L �T��M�T / ��'�5.� /�L�-^�'t'1✓S�/�K-Q O CON6ULTINO ENOINEERINO 9ERVICE9 QV/C®,�-,�G�G�Q /.■t. �Fi�c /,v /f f'i¢ G✓/moi"',✓ 1Ji�' — 3 cf Man R..d.La...l.N Y "S.0 X.E( / // � •O. MEET ' . ..- R'SJL f o f �� - .. i.►�► PROPERTY RECORD CARD U'VVNER STREET 1. VILLAGE DISTRICT SUB. LOT 'r Ix- FORM OWNER �. N E ACREAGE S a Pt 1..,Ct F.� ' cis W Ccr��,c� � TYPE OF BUILDING R S. � 0 � SEA . VL. COMM. ( IND. I CB. f MISC. LAND IMP. TOTAL DATE REMARKS r s i eec,�t -4z,�Ar Ile4� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 f tillable, 3 _ Noodland wampland rushland r� ouse Plot ,a 1 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIS BUILDING DEPARTMENT Do you have or need the following, before applyin TOWN HALI, Board of Health _ SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 7657950; Survey www. northfork.netlSouthold/ PERMIT NO. a - Check Septic Form N.Y.S.D.E.C. Trustees Examined j� Z 20 y Contact: Approved 20__ Mail to:A,71,e riC-4'!.P/19Al-^' Disapproved a/c _ Phone: 44fAf C/Cl• Expiration 20 -.,1( 2 �;%v ".S"Z fttft ing)nsp ctor APPLICATION FOR BUILDING PERMIT Date -21 y 2 / ')0? INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with sets of plans; accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location 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 tl 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. A.PPLI'CATION IS HEREBY MADE to the Building Department fqr the is 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 cod lations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signatur applicant or name, if a corporation) 1a 7 /s? o SL (Mailing address(of applicant) .A�y. X(9 if 9' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises c (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. 1 . Location of land on which proposed work will be done: 1-72 House Number Street Hamlet County Tax Map No. 1000 Section f!� Block ''` { Lot Subdivision Filed Map No. T 99 Lot 2 _ (Name) ...... 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 ".s1Af,G,,r 6-,r7W,P Afe k *oA,rnwv 3. Nature of work (check which applicable): New Building Addition t,� Alteration Repair Removal Demolition Other Work y (Description) 4. Estimated Cost 1.Sc cro Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, numbgr 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 2e'l Rear Depth �G Height /6' Number of Stories Dimensions of same structure with alterations or additions: Front 2 a Rear 2� Depth _3� Height /e Number of Stories / 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 7T2 Rear. _Depth -12C21 10. Date of Purchase ZZ2 G' Name of Former Owner o / l- /A,4 d' Q4re'o sex r /r7 et-rif fe4 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NOill excess fill be removed frornpGremises? YES NO � G v � '� � 7 14. Names of O ner of premises �7 i.�.�, cr Address � • /� hone No. 9/7" Name of Ak&oe!� Z_0Address Zo 71' '*— �'h19 Phone No —10 S'z �d 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 NAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES C/ 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. STATE OF NEW YORK) SS. COUNTY OF� ` /_F. being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 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 day of o � 20o4 i Notary Public Signature of Applicant ANNA CARLINO Notary Public,State of New York No. O1 CA6018746 Qualified In Suffolk County Commission Expires January 19,20 S!Z_ 5URVEY OF PART OF LOT -2 N MAS' OF OLD MILL HAVEN GO. FILED OCTOBER 2, IG25 FILE No. 'ICG W ' SITUATE: MRTTITUGK E TOINhI: 5OUTHOLD 5UFFOLK GOUHTY, W g SURVEYED OG-2G-2004 SUFFOLK COUNTY TAX # I I 1000-GG-3-IG I I I 1 I I I i CERTH;gEDTO: Np�N of 3I I dot 2 EI Df% ,9',0/Jl��•✓ p/ A �o •� I ND1tEwlowxEx , ;;� O l�i , , 41 _ I \ 011, 182, ,N3p• `� concrgtk cu' / t (31 0 104- • all I 11N o G q� �l owete I �/p $� Frit 9 J of °F� ° GO e a a — J 2 i Con °4;y p dock 4 _ /---,----- to (:J�ck I I I ts Noll A I I I I o„� \ T I I I I s �a55 bb,t rf" \ I N%0 r� Cy / I / b utAV10 s, drNe�"09 onc concrete c st e / I 6 I I FI /ole �r oQ debris �'' (pre for ourve _ � tle ine throucyh 9u � AM j �-�/".^�"r'^ /S86ff30o �\e — x 11 /I Woo�eal I I , N / SOvth / trregNiar I curve I Lc7gO�, Pv -—� Z 1P� it Lot I NOTE5: MONUMENT FOUND - •5 mep b�Yg IYw•oe bd fvvw r1 f.d b o - w..rand sml.�eea Lo.• yw DEED REFERENCE LIBER 6582 PAGE OG _ _= \ •raP.e..al,ICP a aaa+marw d b.„oYd w. ti.,.l ..a�.a ELEVATION5 SHOWN REFERENCE NOVO IG2G DATUM , 3{ -^^y � rd- 41=7= ••� qc��dy ,Q rug for Line Surv+y.aeopl.a $ � ID. .. } �l�w"5..��•sPle�If�tIA�!�MG�P� ! f b IlC 7rw^lar dCn tlr wrvsy b prepare4 FIRM FLOOD ZONES REFERENCE MAP 3610360143 6 DATED MAY 4, IGGB AREA = 1"7,124 9f or 0.41 acres JOHN C. EHLERS LAND SURVEYOR GRAPHIC SCALE I"— 30' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.—\\Hp serverVAPROS\04-278.pro 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DK sem^ C, O_ DATE - INSPECTOR_�C�Z�" - v F cew y _ IIIIIIIIIII `' .. _yv im f,; lip, k ig ik 44