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HomeMy WebLinkAbout31041-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30848 Date: 04/11/05 THIS CERTIFIES that the building DECK ADDITION Location of Property: 2200 CENTRAL DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 1 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 2005 pursuant to which Building Permit No. 31041-Z dated APRIL 6, 2005 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. The certificate is issued to TOM LEVIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 Form No.6 ,(, �' _ ' TOWN OF SOUTHOLD r ` � 5 _ � WILDING DEPARTMENT TOWN HALL 6 765-1802 { p G.G. CCP7 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOtJT"OLp 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 budding,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. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial $15.00 * as built" deck on street side Date. 04/06/2005 New Construction: * Old or Pre-existing Building: (check one) Location of Property: 2200 Central Drive, Mattituck House No. Street Hamlet Owner or Owners of Property: Tan Levin Suffolk County Tax Map No 1000,Section 106 Block 1 Lot 25 Subdivision Captain Kidd Estates Filed Map. 1672 Lot: 2 Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: x (check one) Fee Submitted: $ 25.00 �Applicant �Signature Co -?- 3o3 'f tr 3 / I 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY Q[ ] FIRE SAFETY INSPECTION -a REMARKS: " DATE '"/ �g 0 s INSPECTOR //¢ .040 TOWN OF SG4THOLD ; tOPERTY CORD CARD OWNtR STREET 02C) VILLAGE DISTRICT SUB. LOT 'jam 761.-1 ICU; (fe4PZ_7W d\/,e- /'l 6 TT, Tuc FORMER OWNER N E ACREAGE ye U;7a///c Lars / j _ S W TYPE OF BUILDING RES. �� O SEAS. VL. FARM COMM. IND. I CB. I MISC. Est. t. Value LAND IMP. TOTAL DATE REMARKS v d 3 ® L 9860 1440o /,Sa p d d „ L.� s%�/7s Seip NAM,L• T. L t vl& io /1, G EUNDL �-o�es. ef e) d 0� Y� �W ��L'd S-cd��✓e�`reu i airs a�eu, t3 3266 3 a0 6300 6 1);1741 AGE BUILDING CONDITION = a72o NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Y' 6 c 3 (76 40 —FM Farm Acre Value Per Acre Value FRONTAGE ON ROAD 16 Tillable 1 BULKHEAD Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Total All H- I I L li I ' 336 - —Basement 3 b Foundation Both ► • + ou vao��e = i �6 X ZQ = �� YOQS� Basement --- _ Floors .� F(a tfaK o — enrX 12 ' �36 j Ext. Walls — Yt Interior Finish_ Extension Fire Place Heat --I �fee,l F! .2 ECa y9�_c��►I --------- Porch Roof Type26 z 1 Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Sara9 e Driveway Dormer 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. 31041 Z Date APRIL 6, 2005 Permission is hereby granted to : TOM LEVIN 159W 88 ST NEW YORK,NY 10024 for CONSTRUCTION OF AN AS BUILT DECK ADDITION AS APPLIED FOR ADDITIONAL CERTIFICATIONS MAY BE REQUIRED. at premises located at 2200 CENTRAL DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0001 Lot No. 025 pursuant to application dated APRIL 6, 2005 and approved by the Building Inspector to expire on OCTOBER 6, 2006 . Fee $ 300 . 00 4n Authorized Signature ORIGINAL Rev. 5/8/02 FIELD INSPECTION REPORT DATE COMMENTS V`la FOUNDATION(1ST) - — ----- -- -- -- — — 14 FOUNDATION(2ND) m s U ---------- ROUGH FRAMING& m3 PLUMBING INSULATION PER N.Y. -- STATE ENERGY CODE — — FINAL -- --- - ADDITIONAL COMMENTS O �m O Y O m x b 'a -3 lk TOWN OF WTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of IIealth— SOUTHOLD,NY 11971 a sets of Building Plans___ TEL: (631)765-1802 Planning Board approval___ FAX: (631) 765-9502 Survey www,northrorlLnetlSouthold/ PERMIT NO. (O /2 Check___ Septic Form N.Y.S.D.E.C. _ Trustees _ F•,xamined � ,20� Contact: Approved_ 20__ Mail to:_ Disapproved a/c_ _ Phone: fS 7 r 16Expiation / 6 ,20 ni �� -- Liu APR B - 6 uildin InZa 1!_ APPLICATION FOR BUILDING PERMIT - Date April 6 20 05 INSTRUCTIONS 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 Pemut. d. Upon approval of this application. die Building Inspector will issue a Building Permit to the applicant. Such a permit small 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 die property have been enacted in the interim,die 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 Pennit 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 code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or-- r�i"mee,if a corporation \ PO Box 1181 , Cutchogue, NY 11935 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder attorney for owner Name of owner of premises Tom Levin (As on the tax roll or latest deed) If applicant is a corporation, signature of drily 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 _ 2200 Central Drive, Mattituck House Nwnber Street Hamlet County Tai Map No. 1000 Section 106 Block 1 Lot 25 Subdivision Captain Kidd Estates Filed Map No. 1672 Lot 2 (Name) See Eileen Santora & Joseph Fischetti, PE plans & certification submitted herewith. A 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction 1. ESIStltlg use and OCCupBttC}' Private one-family dwelling b. Intended use and occupancy Private one-family dwelling "as built" deck on street side 3. Nature of work (check which applicable): New Building Addition x 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. Dimbttsions 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 7'8" x 15'10" as built deck on street side 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 120.00' Rear 78.12' Depth 594.88' or 560.82' 10. Date of Purchase 1980 Name of Former Owner Freundlich & others 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO x 13. Will lot be re-graded? YES_NO x Will excess fill be removed from premises? YES_NOx 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. STATE OF NEW YORK) SS COUNTY OF Suffol Deborah Doty being duly sworn,deposes and says that(s)he is tate applicant (Naive of individual signing contract)above named, (S)Heisthe attorney (Contractor,Agent,Corporate Officer,etc.) of said owner or owners, and is duly authorized to perforat 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 perforated in the manner set forth in die application filed therewith. Sworn to before me this day of A�20 OS l o4 p Signanrre of Applicant SUSAN J, NAQY Notary Public State of New York No.4896735 Ouallfted In Suffolk County Commission Expires May 2007 � w ACE Eileen Santora • Residential Designer doesph Fieahoul, FE 631'734-2794 • Cuuhogue, NY 1725 HoOwP R*pd • vowthoW, NY 11871 631.765-2564 aa��zr�c cee�ficRr�u mays-e — ALL CONSTRUCTION SHALL M ET THE CODES OF NEW YOR 5 ATSH APPROVED AS NOTED DATE:__: � B.P.11 FEE:' Qd_ BY: %�P�. 1 NOTIUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED 1 FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 1 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW i' YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. d ' I 'I j �� L !ha :.l YkF ai-I".D I � I I I I JYII I ... "r r C j Frr,Is `' > � !Z P � COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF jc -I �G L1 . 1i4 __. SOLTHOLOTOWN ZBA 16 SOL'- _ . �„ ,PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y.S.DEC i L�`--- -- — T ;,4 ,,- --- . _ ,. . -- _ - -- - _1 OCCUPANCY OR USE IS UNLAWFUL �� YouRt?,r� coL Lze �x,ntil �u�� WITHOUT CERTIFICATE OF OCCUPANCY pF NEK,y 'Il-_f gti� F OH,c �9 a, FLOOD ZONE N =7 !' L 2' f" J�_. '- COMPLY WITH CHAPTER '46" O x•. 052 ` I:: rl4" = I ''-I;`h FLOOD DAMAGE PREVENTION �QFESSrO SOUTHOLD TOWN CODE. L.L-VIN 15 C-)f–Ck� °LAS �Ui Ll"u INTI bAPPRGVEG GY' SCALE' � _ ICU GRA WN EY �:>2T. DATE A`Ir; I- � " REVISED DRAWING NUMBER I SURVEY OF LOT 2ry MAP OF CAPTAIN KIDD ESTATES d , , AT MATTITUCK INLET ,���ti WE FILED JANUARY 19, 1949, MAP No. 1612 SITUATE: MATTITUCK TOWN: SOUTHOLD �Oj SUFFOLK COUNTY, NY V0 SURVEYED 03-02-2005 SUFFOLK COUNTY TAX # 1000-106-1-25 ria CERT=TO: Vick P.Hmpt ]Bndgehawptm NaVINNd Rnk Q odetity yMNNaI'BSNe UNeurtmw �paay NfNew YNc➢c -e v fp � o _ .30— o Vy � — Tdy '0 � F —SO- i O 1J \ - — —Go `�Qt O�hOe i u + S \ 111 I \ l 1 _ ut N a 1 I I I I r I I I 1 I r I I I II 1 of e 1 ten 6 mm I + P SS - ,_- - _ - NOTES MONUMENT FOUND ELEVATIONS REFERENGE SUFFOLK COUNTY TOPO MAPS AREA = 56,156 sf or 129 acres r ".11' /A JOHN C. E]HLERS LAND SURVEYOR 61RAPHIC SCALE 1,, 30' �:, r T.k4� '� 1 6EAST MAIN STREET N.Y.S.LIC.NO.30202 rQj RIVERHEAD,N.Y. 11901 369-8288 Fan 369-8287 REF;\\EIp server\d\PROS\OS-128.pm