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Home My WebLink About31634-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 05/03/07 No: Z-32333 THIS CERTIFIES that the building ACCESSORY HORSE BARN Location of Property: 4250 BERGEN (HOUSE NO.) County Tax Map No. 473889 Section 113 AVE (STREET) Block 7 MATTI TUCK (HAMLET) Lot 1. 1 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 28, 2005 pursuant to which Building Permit No. 31634-Z dated NOVEMBER 29, 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 ACCESSORY UNHEATED HORSE BARN IN THE REAR YARD AS APPLIED FOR. The certificate is issued to BENNETT BROKAW (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 7293 10/09/06 PLUMBERS CERTIFICATION DATED N/A ~~.- Authorized Signature Rev. 1/81 _SJG-~Lf/- '3/35 \'::82U'! Form No.6 TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL 765-1802 l 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: I. 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 I % 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 I. Certificate of Occupancy - New dwelli $25.00 ditions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building 5.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy ofCertiticate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date. 4fl:J'j4/ J ;)-007 New Construction: L Old or Pre-existing Building: (check one)t/- Location of Property: ~..:::bd &-~/l() /1 t/R _1J11'//;(~ ~ ouse No. Street Haml Owner or Owners of Property: ;8JJ ,-j1.(! /I 8{! /J It At( J Suffolk County Tax Map No 1000, Section II '3 Block 7 Lot / I I Subdivision Filed Map. Lot: Permit No. Oateofpermit. Applicant: ~(J1J? # 4.ptJ!,,,f'dI Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: / Fee Submitted: $ 2. ~ g~. 7JtJ.5 7 cot: 3~3 33 Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street + Center Moriches, New York 11934 + Tel: 631-878-3500 + Fax: 631-878-3764 Application: 7293 Date: I 0/9/06 Issued to: Browkaw Address: 4250 Bergen Ave Village: Mattituck Introduced By:: Kruse Electric License#: 1964-E was examined and approved up to the above date and was in compliance with the NEe Attic 1 st Roor [8] 2nd floor Hct Tub f>ddition[8] Residential [8] Fbd [)Jl Garage Baserrent Comrercial Switches Receptacles Fixtures G.F.1. Well Pump 7 4 14 Fans Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Furnace Oil Gas Heat Zones Whirlpool Smoke Detectors Carbon Monoxide Bell Transformers Meter Amps Phase Motors 300AUG Other Equipm ent: l",,,, Barn Ai&.wuAJ'fIfitif ~y~ lno_ &> 7~~~ This certificate must not be altered In any manner Permit#:31634 Section: Block: Lot: 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. 31634 Z Date NOVEMBER 29, 2005 permission is hereby granted to: CHUDIAK (B BROKAW) 4250 BERGEN AVE MATTITUCK,NY 11952 for : CONSTRUCTION OF AN UNHEATED HORSE BARN IN THE REAR YARD AS APPLIED FOR at premises located at 4250 BERGEN AVE MATTI TUCK County Tax Map No. 473889 Section 113 Block 0007 Lot No. 001.001 pursuant to application dated NOVEMBER 28, 2005 and approved by the Building Inspector to expire on MAY 29, 2007. Fee $ 448.50 t~ CJL. I Authorized Signature ORIGINAL Rev. 5/8/02 NICHOLAS A. VERO, ARCHITECT Architects and Professional Engineers August 29, 2006 Town of South old Building Department Reference: Building Permit No. 316342 4250 Bergen Avenue Mattituck, New York 11952 To Whom It May Concern, Please be advised that I have inspected the above referenced site with regard to the changes to the structure and hereby certify that the 3x12 floor joists and power beams used in place of the structure specified on the approved plans meets all of the requirements as set forth in the New York Sate Building Code. Also note that the operable attic storage door has been raised so that the height of the sill is 3' -I" above / ______ finished floor and therefore is not required to have a railing, ~ If there are any questions or if additional information is required, please contact our office, Very Truly Yours NICHOLAS A. VERa, ARCHITECT ~~ Nicholas A. Vero s'p-i-I 2 0(" "" J ..- L..__.._.~-. 120 MILL ROAD . WESTHAMPTON BEACH, NEW YORK 11978 . 631-288-1404 FAX 631-288-0549 nveroarch@aol.com NICHOLAS A. VERa, ARCHITECT dIN Architects and Professional Engineers March 24, 2006 Town of Southold Building Department Reference: Building Permit No. 316342 4250 Bergen Avenue Mattituck, New York 11952 To Whom It May Concern, Please be advised that I have inspected the above referenced site with regard to the installed framing strapping and hereby certify that the strapping meets all of the requirements as set forth in the New York Sate Building Code. If there are any questions or if additional information is required, please contact our office. \ 120 MILL ROAD' WESTHAMPTON BEACH, NEW YORK 1197B . 631-2BB-1404 FAX 631-2BB-0549 nveroarch@aol.com 3>/b3f"Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [;X FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: _ ~. r:- ~~ L-LO, /f/~ ~~~ ~~ DATE 1'-/ S---- () G INSPECTOR *,~ 3)~31 2- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION 9<f FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: A -tr :A- ;J~;;--> ~~-c./~ ' ,. DATE /1--H- OS INSPECTOR ~ ~ 3/~3if z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION N' FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 1f:f~)~ DATE 3 - ~7-oG INSPECTOR~ ~ FIELD INSPEC1'ION REPORT DATE COMMENTS IV'~Jt".( 1<; J~ Y. II, tJK /1/&1 V u v FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING d(J f4r A..1 L/.i UJ "'Cl ~ l"l ., ~ ~ , '"' f~ AlIA.- / ' IJ'~ ~ C .,0 rr -" ~. ~ E, ~. ~ ./ .3 "'>-1.... ,," q-,A ~ ~ ,,0. ,~. ." JJ, ()- , I.A ,..p,rl U 1f... n -J- '''h 1 ,n Y /...2f VVP~""" · ~ -.l-.A. . Cl'.,,1)OA '\ ./'<;~(/~ ,:' 'iT '/"'" c 'I-' ,J\ r en ~ "" 1::] l"l r"" Lf' J :i.> Ii ~ ~ "" INSULATION PER N, Y. -" STATE ENERGY CODE r f ~ ~ C. /"'~' r j./ ",.0, ./. ~. ::E.C. f'Z~ // "m Y"-i;k / Ii/I ~ JI1W-"-v"v L _ ()J ;:0 tV LJ /~. ( C A~. 17~ /? 7[ '';~~~..,. ;:> t..-" , .~.' S- /) . . cf< . "'::;; ..J;:: j r'Jlf AJ0 {",A;t. AL; ~.~ '..s; A K'II () fr ~,f ,c? '" l"l <( -J.Sf-of.? /i.k. V If If ~ '.AR. r. v /7p ".i- ci " ~ LJ. ~ ~ ,'"' e:J k_~.k. ''7v> <J.;< ~ ," ::l ~~ FINAL --- I I //11/(" - 1/"1 ~ GJ...}f;'..~'(" J-' . V .J/.~. M. ~~ ~ 01< . .. p f}" J.-';; ~ · rb~ ~'- ..f'\.,UL'cR...d!:h. v J / U :/ (/ ~, p "_ r r. "" , ADDITIONAL COMMENTS ~ /7 O.M'. .J c;Jv--g/ / ,jf;31t ~... . I I' A .tJ,/>/ u (/ = l"l 2=,~ 1-= t::1 l"l "'Cl :-l TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL~ SOUTHOLI), NY 11971 TEL: (63i' 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthold/ PERMIT NO. 3/63 y-C.- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health .... 4 sets of Building Plans Planning Board approval - Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: /J (1 < ,1 (fi ,j.....{..... ~ Examined ~ ,20m - . - ,200 ')- . I Approved Disapproved ale Expiration -':J020~ / !CJi,L , Building Inspector Phone:~1 - <.. 'f?''fj ~ s 41 1~' I , APPLICATION FOR BUILDING PERMIT \ Date\\ClV Z Z ,2~ INSTRUCTIONS a. This'application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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, housing c e, and re 0 s, and to admit authorized inspectors on premises and in building for necessary inspections. /.SlY!" .:{-? Y A./ 4/3 1\/ ~ //1' 7'? (Mailing address of app leant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~U/#'.c{ Name of owner of premises 6r/y"N'E,f/ g~~tA./ (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 ofland on which proposed work '3cJO House Number Street Hamlet (Name) Lot Lot 1/ / . " County Tax Map No. 1000 Section Subdivision 1/3 Block ()7 Filed Map No. ... . - 2. State existing use and occupancy of premises and intended use and occupancy of proposed construotion: a. Existinguseandoccupancy J r4tAd1 Hc>v~.( .,IfNI) t'7-4ILAi-e b. Intended use and occupancy i-I <:) t86 Bf}A.) AJ -/ . I 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration 4. Estimated Cost 2- ~ O(xJ 5. If dwelling, number of dwelling units If garage, number of cars (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. ; ~'I I'~' -/ ~ 7. Dimensions of existing stJUctures, if any: Fronr<t J, Rear : - C Depth ~ Height 2..' .'- V' ~ r Number of Stories . Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories ... . ;? ~. 1/ Lf,$2.' d 8. DImenSIOns of entire new constructIOn: Front 4-,)., - l; Rear<.....~ Depth Height ;) IFf Number of Stories ~ 9. Size oflot: Front!J:J.),/ - t$ J.. Rear?J J '3 -g .3 Depth C6.5 10. Date ofPurchas~M4IleL Z/ ..;2~fFormer OwnerLl)<)6' ~ uJlC<: /...IJlINfb ---r1,) V<s! Rear J{, J 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NOJ 13. Will lot be re-graded? YES_NO LWill excess fill be removed from premises? YES_NO_ ~ ~aa" 'I 14.NamesofOwnerofpremises~~ . ~dress.~"yA Nt; l~oneNOfg;' ~~ Z'iSf, NameofArchitectN'/CIr J/..eAJO Addressl'!~~""~ Phone No t:l "IoJ./ Name of Contractor 6.12~ ~ Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO 1/ * 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~q fi'C/J/dE If!' &o;f;,-1A/' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Ht?1f(6 CUA/IV'Lr,{. (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ma e and file this application; that all statements contained in this application are true to the best of his knowledge a belief; and t t the work will be performed in the maMer set forth in the application filed therewith. Sworn t~Lbefore me this 1 n..: dayof ~ O\)OMhlV \iIA ~ r~ ~ru'X) lCA' , ot Public MELANIE DDRDSKI NOTARY PUBLIC, State of New""'" No, 01004634B70 Qualified in Suffolk County / Commission Expires Septembel30.+d) 10 20 0 {'