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Home My WebLink About31958-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY RO: Z-32820 Date: 01/04/08 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: 415 (HOUSE NO.) COUnty Tax Map Ro. 473889 Section 120 OLD FIELD CT (STREET) Block ~ MATTlTUCK (HAMLET) Lot 8.23 Subdivision Filed Map Ro. Lot Ro. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 28, 2006 pursuant to which Building Permit Ro. 31958-Z dated MAY 2, 2006 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 STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to MARCO & NOEL CALISE (OWNER) of the aforesaid building. SIlFFOLK COOIIITY DEPAR'l'MEI!iT OF HEALTH APPROVAL N/A N/A ELECTRICAL CERTIFICATE RO. PLUMBERS CERTIFICATION DATED N/A ~riZ~ Rev. 1/81 .J Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 .~ ~. 0.3"" 'f ~/n tf J/IJYf" :,)... " '. i ", I, JNI.... 1UUL Il_ l _ ___ I" L--2q':'::---,::~)c '::" """"." Ii \ APPLICATION FOR CERTIF1CATE OF OCCUPANCY This application must be filled in by typewriter or i~ and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of properiy 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 2/1 0 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-confol'ming nses, 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 IJ1spector shall state the reasons tllerefor in writing to the applicant. C. Fees I. 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 Celiificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: / Location of Property ~r S O/j House No. Owner or Owners of Property: M o...rCo Date. 1f~'J.b-c7 Old or Pre-existing Building: (;etJ V. (check one) )vf ().. ffdlAc. k Hamlet ct. Street C""I,'SrL Suffolk County Tax Map No 1000, Section / ;;20 Subdivision hr-fY\ve.u.. ...+ M..JJ.,'fu.c.k. Block '3 Filed Map. Lot ? a.j Lot: .M, dl V. Ca /;S-<- .31 ~ S~ Date of Pen nit. OS - 0;;;1- Ob Applicant: ;1vf a.. ((0 Pennit No. Health Dept. Approval Planning Board Approval. Underwnters Approval. Request for: Temporary Certificate Final Certificate: /- (check one) Fee Submitted $ g 5. 00 ~~.;,tOL ~. 13(,0.s LD -f:-' 3:).8 J.o 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. 31958 Z Date MAY 2, 2006 Permission is hereby granted to: MARCO & NOEL CALISE PO BOX 4 LAUREL,NY 11948 for : CONSTRUCTION OF AN ACCESSORY SHED AS APPLIED FOR at premises located at 415 OLD FIELD CT MATTI TUCK County Tax Map No. 473889 Section 120 Block 0003 Lot No. 008.023 pursuant to application dated APRIL 28, 2006 and approved by the Building Inspector to expire on NOVEMBER 2, 2007. Fee $ 75.00 i~'" '-. t!JL f Authorized Signature ORIGINAL Rev. 5/8/02 jI1.>r,? TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING M.. FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRucnoN [ ] FIRE RESISTANT PENETRATION REMARKS: ~ p~ . ~ ole:, ~ (J)--~.. IO~}D ~07 INSPECTOR ~~ DATE >. ' FIELD INSPECTION REPORT DATE COMMENTS . (JJ.." _i"I FOUNDATION (1ST) ~~ V\::l ~"" ------------------------------------ ~3> '00 FOUNDATION (2ND) C'~ . ...c~ - V\ '" .., ROUGH FRAMING & O~ ~i"I PLUMBING .' .., ~ Cc. . . p.., . p . "i>i INSULATIONPERN. Y. ~ .., STATE ENERGY CODE ~ ~ "I ~ . ,/ - . . :' 10 - ?II ~'7 r~ .::. tJ/\ /'A' fiR' R- . FINAL . ADDmONAL COMMENTS p . b . . to - :E f~ g '- _. ~ -.." ~ ~ l .., 4 0.... -.10 z -- == 2~ ---1-3' :;::,== eI i"I .." :-l TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802. FAX: (631) 765-9502 www. northfork.netJSoutholdl 'J I CfSft::- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health /4 sets of Building Plans ./ Planning B~pproval / Survey #Check qr Septic Form N.Y.S.D.E.C. Trustees Contact: J tanto: Mo.rco V. C../;JL f.o. ~." lJ., L"'Ar.I, Njl/qY.1 Phone: '31- \,01- OO~? PERMIT NO. 1(;: ~~: Examined Approved Disapproved ale . Expiration I 11/ ~ ( ,2oll c....... r I: 1'"1 I:; i i :~ f";' r, f. .' Ir:-- JL-. Building Inspector ,: JR 28 APPLICATION FOR BUILDING PERMIT , I L.__Y !~ 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 oflot and of buildings on premises, relationship to adjoining premises or public streets or treas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Pennit. d. Upon approval of this application, the Building Inspector will issue a Building Pennit to the applicant. Such a pennit 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 pennit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Pennit pursuant to the Building Zone Ordinance of the Town of South old, 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. Date 04-- Jf , 20....Q..L INSTRUCTIONS fo.go" Lf.L4u.r./ IV'; I/~(jf (Mailing address ot applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (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 b!l done: Ifl!> Old (;dJ Ct. . )v1.o.+t.+v..ck House Number Street' Hamlet County Tax Map No. 1000 Section I 'J 0 Subdivision F(),('I'rII/<'t.<. "j. ,.cr;;:H;t-.uk (Name) Block 0 3 Filed Map No. Lot ~. ~H Lot "-'; , 'fl",-,' '!'!' j;H., r'd.\',;, 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 3. Nature of work (check which applicable): New Building / Repair Removal Demolition 4. EstimatedCost /3,'1IS".00 Addition Other Work Alteration (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (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. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories I 8. Dimensions of entire new construction: Front I ~ Height 'f I Number of Stories Rear / W' Depth 10' 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner , II. Zone or use district in which premises are situated 12. Does proposed construction violate any zouing law, ordinance or regulation? YES_NO / 13. Will lot be re-graded? YES_ NO/ Will excess fill be removed from premises? YES_ NO./ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. Phone No Phone No. 15 a. Is this property within 100 feet ofa 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) ~S: COUNTY OF }C- 'f'r'.o.,vC-O ~~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~\.0~ (Contractor, Agent, Corpomte 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 tqp~fore m~~ <. fj..q:+-'. dayo 't'"~~ ~ 20~ ~0> ~..- ~~ Notary Public BARBARA ANN RUDDER HOlary Public, Slale of Hew York No. 4855805 Qualili,dln Sullolk Coun~"'\D OO"'"'".~" ..,IIU 1.,"1 '.,- JOB No. FRMV-21 THE LOCATION OF WELLS, WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS. ~A ,-0 r .' c; j r-SUFFOl,K CGUNTYDm'A!nMENTOFHEALTIISER;;;~E,S--i : I At"PRUV!~.1, or' CffH3TIUJefED ~;vnHK9 f,OR .": . A ~1r.iC;Lg ~~/.MLL'V E1.SD)F,i\~C);. .'.'1. r.~kJr\7? /.Jlo-Or-Ol""-" :.:: I !)["'''',::.,.v.,.U i 2lI!!3...:LS.I:<ENo.,.1..'-:..___. C)fo..> i f"be- :,I~V,io,0,r: ():,~:p02n' n;i::: ~;!~.t:::;.' '['><ili":if':s c\: I.::::; 'nc:::.tlori hs;ve b,-eeT1 co S"";)'a;~,;~~';/':',;,~~.C,!:;';~j;:'~;:~~.~~;!~.~2~;~'1:~,'"'~ tound to ~ '..,',;-.__ <.i" t". I... .s_':~~:/!,'~:~~:'-;' ,W':~~ ',~~-; ~t./:~,~"~:~,T~~;-""."" 1.1l."'eA".., ,\. CO,:.: "". .. .L.. t.~,,;\;:l om,,;: of '1Ya'f~j(J W.slcw(,lm' M~na;,;emCl1t 6', ..', ' ~l.'~,.::.. .. ',,-.;'.\'" ..U ~ ~ - ~ !:)'I> ,\'8 .,~ .b<'ll K b~ ~"3 <S7' 'Srb. Dl1t~~ ..., ~G '" ~ WELL \ \ \ \ ,-0-<'<;' \ \ \ '?P '" ()G ~ ,,,&' <$,?>G ($'i <:,1 \ \ ~E>\ _/ ,-0 \,./ ,-o-<.E> . Un8uthorIzed eneratfon or ICIdltion to thlli documentla a violation of Section 7209 oflhe_Y""'_~L.aw. Certllc8Uons Indiclded hereon ,heN run only to the person for MIom ilia prepared and on his behd'to the TIUe CClfrlpMy,GovemmenteI Agency and lending Instltutloos hted hereon. Copjea of thll document not burk1g the profeulonar. Inked naI or embo..ed aNI ahaIl not be considered. VIIIcI true copy. The oIrsets I or dlrnertalonl J Ihown hereon from structures to the property lines are for 8 specfftc purpose and use Ind therefore are not Intended to guide the erection of fences. retaining walls. pools, patios, planthg areas, 8dd1llon to bulkllng., or aly olheI" con_. The existence of right of ways andIoreasements of record, If any, not shown are not guaranteed. CERTIFIED ONLY TO: MARCO V. CALISE AND NOEL CALISE WACHOVIA MORTGAGE CORPORATION FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK By DESTIN G. GRAF N.Y.S. Lie NO. 50067 12/()-OI- 013D TAX 1.0. No. 1000-120-03-8.23 ~\ \~ ~ "'1~ ~t., ~V ~O ~<> '10~.:{,. QCP ~ ((\~\; "I",,,,,,~ 0\"'0 '?"'S /''''390.00' .57' LOT 20 25.7' FEO.4'E '" '" ::? w " ffi u. " z .... z B ~ io co to ;:l; ~... o " ~ .,. . '" VI FE 0.3' E ,-0-<.<;1 , , FILE MAP No. 8808 9/1/89 CERT OF CORRECTION L1SER 11854 PAGE Xl 9/26/97 L1SER 11866 PAGE 247 12/5197 SURVEY OF: LOT 21 MAP OF FARMVEU ASSOCIATES MATTITUCK, TOWN OF SOUTHOLO SUFFOLK COUNTY. NEW YORK SURVEY DATE: 12/18/02 SCALE: 1 "=50' DESTIN G. GRAF LAND SURVEYOR PO BOX 704 Rocky Point, New Yorl<. 11778 631-821-3442