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Home My WebLink About30852-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30684 Date: 01/13/05 T~{IS CERTIFIES that the building ACCESSORY Location of Property: 3965 MILL LA (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 4 Lot 2.8 Subdivision Filed Map No. Lot No. MATTITUCK conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15~ 2004 pursuant to which Building Permit No. 30852-Z dated DECEMBER 15, 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 ACCESSORY TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to ARTHUR & LAURETTA J BAUER ( OWNER ) of the aforesaid building. SUFFOLK COU1FCYDEPARTMENTOF~E~J~T~APPROVAL N/A ELE~-I~ICAL CERTIFICATE NO. 70434C 12/11/02 PLDq~BERS CERTIFICATION DA'f~O N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30852 Z Date DECEMBER 15, 2004 Permission is hereby granted to: for : ARTHUR & LAURETTA J BAUER 3965 MILL LANE MATTITUCK,NY 11952 CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES 28793. at premises located at 3965 MILL LA County Tax Map No. 473889 Section 107 pursuant to application dated DECEMBER Building Inspector to expire on JUNE Fee $ 141.00 MATTITUCK Block 0004 Lot No. 002.008 15, 2004 and approved by the 15, 2006. / ~ Signature% ORIGINAL Rev. 5/8/02 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 fi.om Board of Fire Underwriters. 4. Sxvom 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: I. 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 d~velling $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. TemporaD, Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Const~ Old or Pre-existing Building: Location of Property: '~e] L~ ~l Lt._ House No. Street Owner or O,xqaers of Property: {~ff'rl4oC ~ /...o ~°~"~I'A ,~'- Suffolk Count)' Tax Map No 1000, Section Subdivision Permit No. ~O~ S ~,. ~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ e~5 ,~ Fried Map. -- Dat e o f Permit .~xo~$~,x.. 9[° Underwriters Approval: (check one) Hamlet Lot Lot: Applicant: bkOT '"-4 Final Certificate: (check one) Issue Date 12/11/2002 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 70434C East Patchogue, New York 11772 (631) 286-6642 Issued To: Mr & Mrs. Bauer Street: 3965 Mill Lane Villige: Mattituck Zip: Section: Block: Lot: 11952 Town: Southold Contractor: Double-Pole Electric Inc. Lic. # 3913-E Was examined and found to be in compliance with the Nafional Electrical Code. [] Commercial [] NV Defects [] Pool I~ 1st Floor [] Indoor [] Basement Hot Tub [] Residential [] Det. Garage ~ Attic X~ 2nd Floor [] Outdoor ~ Addition ~ Survey Switches Receptacles Fixtures GFI Heaters AJC Fans 6 4 9 2 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: 28793.2 Other Equipment Hugo S. Surdi President Rough Inspection: 12/10/2002 Inspector: Ed Scavelli Final Inspection: 12/10/2002 Inspector: Ed Scavelli manner. Inspectors may be identified by their credentials. BUILDING PERMIT APPLICATION ART AND LAURETTA BAUER 3965 MILL LANE MATTITUCK, NY 11952 SECTION 1000 SECTION 107 BLOCK 4 OCCUPANCY OR AP, PROVED AS NOTFJ) NOTIFY BUILDING DEPARTMENT AT 766-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIP, ED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING :~ INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION ~,HALL MEET THE REQU~REMENT~ OF THE N Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNDEI~Y:R!T£R$ C£RiIFIgAJL R£(~LJIRED LOT2.8 ART & LAURETTA BAUER- 3965 MIL1. LANE~ MATTITUCK~ NY 11957 MATERIALS AND SPECIFICATIONS LIST FOUNDATION: 3000PSI CONCRETE SLIT TRENCH, WALLS 8" MIN WIDTH FOOTINGS MIN. 8" X 16", 36" BELOW GRADE W/RR 10" TERMITE SHIELD UNDER FOAM SILL SEAL SILL: 2X6 CCA ANCHORED TO FOUNDATION BY ½' X 8" BOLTS WALL CONSTRUCTION: 2 X 4 x 8' 16" OC JACKS, PLATES AND NAILING TO CODE ALL SIDE WALL SHEATING: ½" CDX PLYWOOD 5/5 CERTAINTEED VINYL SIDING OVER TYVEK OR 15LB FELT WINDOW AND DOOR HEADERS - 2/2X8 LAMIN. OVERHEAD DOOR HEADER - 2 / 2 X 12 LAMIN. ROOF CONSTRUCTION: CEILING JOISTS - 2 X 12 16" OC RAFTERS - 2X6 16" OC (12' SPAN) COLLAR TIES - 2X4 4' OC RAFTER TO WALL HURRICANE TIES - 4' OC ROOF SHEATING - 4X8 ½ CDX PLYWOOD ROOFING - 245 LB ASPHALT ARCHET. SINGLE OVER 30LB FELT VENTING - GABLE END WINDOWS 2'X 3'6", CONTINUOUS RIDGE VENT WINDOWS: ANDERSEN DBL HUNG DOORS: ENTRY - 36" STANLEY OR COMP. STEEL OVERHEAD - 16' X 7' ALUMINUM OR VINYL ALL OTHER, NAILING~ MISC. /iS PER CODE. 765-1802 BUILDING DEPT. INSPECTION [:/]/'F~0UNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ..-. xz_./ REMARKS,,: DATE INSPECTOR .~"~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~'~ml'~ I~$PECTIO~ RF_~ORT DATE CO~ .,. ~ FO~DA~ON (1S~ ~ .. / ~ FO~A~ON (2~) ~ ~ ~ · RO~G~ ~G & ~ q pL~G ~ ~S~A~ON P~ N.Y. ~ STA~ ENERGY CODE ~D~ON~ CO~TS ~ TOWN OF SOUTROLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork, neffSouthold/ Approved ' C~/~-~ ,20__~ Disapproved a/c ] Expiration ,~/~'~9 ,20~'~ PERMIT NO. /g775- BUILDING PERMIT APPLICATIQN CHECKLIST Do you have or need the follow'ag, befo~re applying? Board of Health ~ sets of Building Plans Planning Board approval / Survey. Cheek i'D, Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~l~ldin~ ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ,200~'- a. This 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 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 shah 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 fi.om 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 Departmem 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,~o~g e.~de, and regulations, and to admit authorized inspectors on premises and in building for necessary inspeation~l_.~ ~~ -- (Sig~turo of applicant or name, ifa co~porafion) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elecWician, plumber or builder Name of owner of premises /~.,~oD-M oAo_ (As on the tax ~11 ~r 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 CountyTax Map No~.iO00 Section Subdivision ~/. , Ir (Name) Hamlet Block Filed Map No, 2. State e:~.isting'use and occupancy of premises and intended u~e and qqcupancy of proposed construction: a. Existing use and occupaney ~n~t~ ~¢-~m. l'x~e¢,n~ b. Intended use and occupancy ~--~T~o 3. Nature of work (check which applicable): New Building ,'~ Addition Alteration Repair Removal Demolition Other Work Estimated Cost If dwelling, number of dwelling units If garage, number of cars (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. DLmensions of existing structures, if any: Front Height Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front o) C] Rear c~ t~ .Depth Height I ~ ' kC)" Number of Stories I 9. Size of lot:Front e:~r~ Rear~'- ~o~S' .Depth. 10. Date of Purchase \o~q 5 Name of Former Owner'"'~, "~q Rear 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 NO,~. Will excess fill be removed fi:om premises? YES __ NO-k: 14. Names of Owner of pren~ises'~O~l t 0-~'T' Address Name of Architect -~th~ I ~ ,o--'F Address Name of Contractor ~o ail ~ ~, Address Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY%BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES ~ * 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) COUNTY OF'~~ .h~'"'~r'~ ~ ~.,~O.~ e Y"- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Heisthe Q(D~,'Z4~od~--0~ (~ox.~,_,~ ~ 'O7~, ) .a~l? ' (Contracto~gent, Corporate Offic~-~tc.) 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. '"' otary