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HomeMy WebLinkAbout31427-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA/qCY No: Z-31166 Date: 09/23/05 THIS CERTIFIES that the building Location of Property: 1345 RUTH RD (HOUSE NO.) County Tax Map No. 473889 Section 106 ACCESSORY MATTITUCK (STREET) (HAMLET) Block 7 Lot 13 Su~divislon Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 2~ 2005 purs,,~nt to which Building Permit No. 31427-Z dated SEPTEMBER 2f 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" ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to CELIA MOISA of the aforesaid building. (OWNER) suFfOLK COUNTY DEPARTM~Tr OF WR~LTH APPROVAL ELBC£~ICAL C~U(TIFICATE NO. PLI~ERS C~TIFICATION DA'£~ N/A N/A Authorized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 qB- APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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. Commemial building, industrial building, multiple residences m~d similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plarafing Board Approval of completed site plan requirements. 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. 1. Certificate of Occnpancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accesso~' 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 Certiticate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00. Commercial $15.00 New Construction: Location of Property: House No. Owner or Owners of Property: __ C~ 2-/~q Suffolk Count), Tax Map No 1000, Section Subdivision Permit No. Date of Permit. ..... Id' ~'~ Old or vre-extsttng t~m ~ng: ___ Street o/sA / 0 (/7 ' Block (check one) Filed Map _Applicant: Hamlet Lot: F- Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: ~// (check one) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31427 Z Date SEPTEMBER 2, 2005 Permission is hereby granted to: CELIA MOISA 1345 RUTH RD MATTITUCK,NY 11952 for : "AS BUILT" ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 1345 RUTH RD County Tax Map No. 473889 Section 106 Block pursuant to application dated SEPTEMBER 2, 2005 Building Inspector to expire on MARCH 2, MATTITUCK 0007 Lot No. 013 and approved by the 2007. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG, [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING ~ FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 August 25, 2005 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Road Southold~ NY 11971 Re: Residential Garage Edward Moisa 1~7~Ruth Road Mattituck, NY 11952 Lot No. 200 Captain Kidd Estates TO WHOM IT MAY CONCERN: I have inspected the site on August 20, 2005 and took measurements shown on the attached plans of the above mentioned garage dated 8/22/05. The garage was built some 40 years ago. It is in shape, well maintained with no structural defects. I hereby certify that this structure meets the New York State Building Code and the Southold Town Building Code of that period. Sincerely, FIELD INSPECTION REPORT [ DATE I COMMENTS FOL~NDATION (1ST) .~ ~ FOUNDATION (2ND) ( 30 ROUGH FRAMING & ,.~ PLU3IBING ~ ~$ULATION PER N.Y. q STATE ENERGY CODE ~ ~D~ON~ CO~ENTS ~ TOWN OFSOUTHOLD rt! ''~' -" BUILDING DEPAR~TMENT ' ~ ' ' TOWN HALL ~ ,. SOUTItOLD, NY 11971 . ,9'.~ TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.negdSouthold/ Examined Approved Disapproved a:c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Sup,'ey Check Septic Form N.Y.S.D.E.C. Trustees C°ntact:Mail to: ~¢'o lq, ~~ Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ] ,2o Off' a.X'Tigis.>~pl~ti°n__~ MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with4 sets o~l?la~curate plot plan to scale. Fee according to schedule. ~. 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 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,~ousing code, and ~gulatio_ns., and to admit auth°rized inspect°rs °n premises and in building f°r necessary inspecti°ns' / ~4~,_ ~/~/~Lj].~':/~~ i--/] (Sig~ture °f a~plicant or name, ifa corporation) (Mailing addres~ of ~pplicant) -- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises O~'/--/t~} A~ ~) [St~' (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 ltroposed wodq will bq done: · House Number Street Hamlet County Tax Map No. 1000 Section L~-7 5~2~(~ Block /Ob. Subdivision Filed Map No. (Name) 2. State existing use and occupancy of premises,.a~d intend_ed use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy · ~-· ~'~'J'Y Addition 3. Nature of work (check which applicable):,~ ~unding v © Repair Removal Demolition Other Work 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Alteration (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. Dimensions of existing structures, if any: Front ] ~ Rear ! ~ .Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height 9. Sizeoflot: Front 10. Date of Purchase Number of Stories Rear .Depth Rear [00. c/"7_.,/' Depth /55' Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot he re-graded? YES__ NO ~/Will excess fill be removed from premises? YES 14. NamesofOwnerofpremisesO~'L/g /y~5,~, Address/3q5- ~'~[~c~ /Y}~'~ho~ne ~g. Name of Architect Address Phone No Name of Contractor Address Phone No. NO J 15 a. Is this property within 100 feet of a tidal wetland or a freshwater xvetland? *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 NO __ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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 0 .F~ ~,/)tJd- S)S: ~3~-~OI4 I C~ V ! bOt,3~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the OI~N et' (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 performed in the manner set forth in the application filed therewith. Signature of Applicant  vill be / PIPE RUTH N 77'26'00"E FRAME GARA< FtOAD 100.00' CONC STOOP STEPS ~ CONCRETE ONESTORY RES~ENCE CONC S 82'40'50~ , :- mON, MAPLoT 0F2 SUNSET KNOLLS SE TWO, FM~5448, LOT CONCRETE PIPE LOT 201 FILED oppR 09, 1970 FM# 1672 DATE FILED JAN. 19, 1949 TM# 1000-106-07-013 MAP SURVEY OF LOT 200 OF CAPTAIN KIDD ESTATES SITUATE SURVEYED: 17 AUGUST 2005 SCALE 1"= 20' AREA = 14,9i6 S.F. OR 0.342 ACRES MAI-FITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: MICHAEL & THEANA IORDANO GEORGE LAZARIDES SURVEYED BY GUARANTEED TO: MICHAEL IORDANO THEANA IORDANO GEORGE LAZARIDES ADVANTAGE TITLE INS. CO. STANLEY d. lSAt<SEN, JR. P.O. BOX 294 NEW .,,~UFFOLK. N.Y. 1 1956 651 -~r754-5855 NYS Li~. No. 4927.~ 05R1'