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Home My WebLink About33563-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33037 THIS CERTIFIES that the building ACCESSORY Location of Property: 1700 ARBOR LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 121 Block 1 Lot 1.10 Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 2007 pursuant to which Building Permit No. 33563-Z dated DECEMBER 3, 2007 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 GARAGE AS APPLIED FOR. __ The certificate is issued to DAVID C & SUSANNE T MARTINEZ (OWNER) of the aforesaid building. Filed Map No. Lot No. Date- 05/21/08 SIIFFOLR CODNTY DEPARTMENT OF HHALTH APPROVAL HLSCTRICAL NO. 3060700 03/31/08 PLDMBSRS CERTIFICATION DATED N/A ~AUth rized Signature Rev. 1/81 ~o" ~ ~OP~ 6^~~ ng1•~~3 _._------~ Form No.6 I1 \(~./~\ ____ ...~ TOWN OF SOUTHOLD 1 . ''' ~ S '~ BUILDING DEPARTMENT ~~ ~ '' ~ TOWN HALL J 765-1802 - _ APPL CATION FOR CERTIFICATE OF OCCUPANCY This a`~p~ion 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 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 Apri19, 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. 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 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 Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. ~7~ New Construction _~ Old or Pre-existing Building: ~(chec ne) Location of Property: 1'"lp~ ~I-~-f bp`~ ~-QX1~ 1~Q~ 1 II~C~~ House No. Street Hamlet Owner or Owners of Property: 1 Suffolk County Tax Map No 1000, Section 1 [~ 1 Block ("~~ ~ ~ Lot Q t~ 1 . Q 1 ~ Subdivision Filed Map. Permit No. ~j~ ~ ~ ~ Date of Permit I~ 3 Applicant: Health Dept. Approval: Lot: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~~U~~ ~7y3 ~ y Final Certificate: (check one) Applicant Signature C ~ e INGA CONSULTING ENGINEERS Engineer Apri125, 2008 To Whom It May Concern: (860) 233991 139 WHPINEY STREET HARTFORD, CT 06105 Country Carpenters, my client, has informed me that a letter of clarification for the structural use of the jacks at the door openings has been requested. Please be advised that tbe jacks do not cazry any significant loads, and hence are not considered structural. The dead and snow loads from the roof are carried by the 6x8 beams to the 6x6 support post. If you have any finther questions, please do not hesitate to contact me. Sincerely yours, T. Inge P.E. (Owner) INGA CONSULTING ENGINEERS l ~ - _ `K ~ ~ -, ~~3~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET -NEW YORK, NY 10038 , r CERTIFIES THAT Upon the application of upon premises owned by SABAT ELECTRIC 50 PAT LANE MATTITUCK, NY 11952, Located at 1700 ARBOR LN MATTITUCK, NY 11952 Application Number: 3060700 Section: Block: Lot: DAVE MARTINEZ 1700 HARBOR LN MATTITUCK, NY 11952 Certificate Number: Building Permit: 3060700 BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Detached Gazage, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 31st Day of Mazch, 2008. `:~ Name QTY Rate Ratin Circuit Tv e Panels Wiring and Devices Outlet Fixture Outlet Receptacle Switch Dimmers Receptacle Receptacle Paddle Fan 1 100 14 14 0 Fixture 14 0 Incandescent 12 0 General Purpose 1S 0 General Purpose S 0 General Purpose 1 0 1 0 GFCI 2 0 20a Special 1 0 seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 33563 Z Permission is hereby granted to: Date DECEMBER 3, 2007 DAVID C MARTINEZ PO BOX 1583 MATTITUCK,NY 11952 for CONSTRUCTION OF AN ACCESSORY STORAGE GARAGE AS APPLIED FOR. MAINTAIN REQUIRED 25 FOOT SETBACK. at premises located at 1700 ARBOR LA County Tax Map No. 473889 Section 121 Block 0001 pursuant to application dated NOVEMBER 19, 2007 and Building Inspector to expire on JUNE / j, 2009 Fee $ 437.60 MATTITUCK Lot No. 001.010 ed by e S gnature ORIGINAL Rev. 5/8/02 33s~3 z TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: .~ ~~-o~-`. -~ -~-~ ~, DATE ~ ~ ~3 - a g INSPECTOR r1 // ~ ~ J V J~ .~"'.___... TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] F [ ]INSULATION [ RAMING / STRAPPIN [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FlRE RE~~I;~~CONSTRUCTION [ ]FlRE ^RE,SISTANT PENETRATION n r u w e tee/ .K~../i. i~,~er ~~ ~77~~.~f f ' ~ / i DATE ~ ~ '~`~ ,`~~ ~ INSPECTOR ~~ / ," ~3s~3 z TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 INSPECTION (FOUNDATION 1ST [/ ]FOUNDATION 2ND2ND [ ]FRAMING /STRAPPING [ ] FIREPLACE A CHIMNEY [ ]FIRE RESISTANT CONST1iUC1'ION ~ ROUGH PLBG. ~ INSULATION ~ FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: ~ n ~ _ ~~ ' ~-'f ' 0 7 ~~'c~~ DATE INSPECTOR FIELD INSPECTION REPORT DATE I COMMENTS ~ l~ ~ J ~ FOUNDATION (1ST) W y I FOUNDATION 2ND +n~ ~~ ( ) z 1 c 0 ~ J .~a~ y ~ ~ ~t ROUGH FRAMING & PLUMBING ~ ~ y 1 ----- ----- x -- - INSUL - -- y ATION PER N. Y. STATE ENERGY CODE _ ~3 0 ~ a ~- - , , ~ -vee / - ~ - a 8 ~ FINAL __ , ~- ADDITIO COMMENTS i i N ~ zz V ^' ~. ~ ~ • ~ s~ y 0 z Z~ .~ x d b y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST SOUTHOLD, NY 11971 TEL: (631) 76_°p1802 FAX: (631) 765-9502 .~3~6~j-~ SoutholdTown.NorthFork.net PERMIT NO. Examined ,20 Approved , 20 Disapproved a/c Expiration , 20 Do you have or need the following, before applying? Boazd of Health 4 sets of Building Plans Planning Board approval Survey _ Check Septic Form N.Y.S.D.E.C. Trustees Storm-Water Assessment Form Contact: Mail tn: ~i3/- PG ~/- y7ys ~ APPLICATION FOR BUILDING PERMIT ' ~ ~ Date /liv,~~.~,2 /~i >20~ ~' ~~ INSTRUCTIONS ~.a a. This, application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, acctnate 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 Pennit. 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. £ 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~~ (Signatwe of applicant or name, if a corporation) Pv 1Sox ls~, ."'19rr,~r,~cx nl/ ns~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises J~/aJ )~ ~ 5 tL2/~~~L~ /y1A~T ~z-~Z (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 proposed work will be done: l7GO A2/~o2 LAn~L~ M~77-~ruci House Number Street Hamlet County Tax Map No. 1000 Section 1 a ! Block a ~a / Lot ~JO / . y /o Subdivision ~ NoR~~ s/t iT}i ''; k~ Aars~,c' Filed Map No. /dd'o',(o., ., Lot s (N~e) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S wGr r~ f.Ai+'~ r c y }/orYr[: 3. b. Intended use and occupancy 5 %~/tAGrr GAhAG~ ~ Nature of work (check which applicable): New Building 1/ Addition Repair Removal Demolition Other Work_ 4. Estimated Cost ~ 5 a c~ ~ o Fee (Description) (To be paid on filing this application) 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. N~,i¢ 7. Dimensions 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 8. Dimensions of entire new construction: Front °/ Rear N ~' ~ Depth Height ao ' G ' Number of Stories I 9. Size of lot: Front 3 ~ 3 • ~ 8 Rear ~ 7 S Depth ~S ~ 9 ~ 10. Date of Purchase / ~I 5 ~ Name of Former Owner % /fORn/TGn/ SM ~ rh/ 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 from premises? YES_ NO / 14. Names of Owner of premises~~ ~'~ C- ~/Li /e/C7 Sddress l7~° ~Ql~~ L~~f Phone No. ~ 3~- ~ s B - ~/ ~ ~ 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. 18. Are there any covenants and restrictions with respect to this property? *YES NO / * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF SF'~~ ~G ) ~~ i,J C _ ,~~/1 % ~~G Z- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the C~ w NL~ 2 (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 work will be performed in the manner set forth in the application filed therewith. Swom before met s d ~~ v12 (2P~~ 20~ "Notary Public U ~,. PENNY BEQELL ~ryN~o O1§E6~099317 ~ Qualified in SuHdk Coup Coaunission Expiros Sept. 29, ~/ lX--~~~ Signature of Applicant Alteration Town of Southold Erosion, Sedimentation t& Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: District Seetlon Black Lot Item Number: (NOTE: A Check Mark (.~) for each Question is Required for a Complete Application) Yes No ---------------------------------------------------- Will this Project Retain All Storm-Water Run-Off Genereted by a Two (2") Inch Rainfall on Site? ~ ^ (This Item will include all mn-off created by site cleadng and/or conslmction activities as well as all Site Improvements and the permanent creation of Impervious surfaces.) 2 Does the Site Plan end/or Survey Show All Proposed Drainage Structures Indicating Size & Location? r This Item shall include ell Proposed Grade Changes and Slopes Controlling Surface Wetetflowl $ Will this.Project Require any Land Filling, Grading or Excavation where there Is a change to the Natural ^ JL Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? Q. Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of ^ / ]L Five Thousand (5,000) Square Feet of Ground Sudace? - rj Is there a Natural Water Course Running through fhe Site? ' ^ Is this Project within the Trustees jurisdiction or within One Hundred (100 ) feet of a Wetland or Beach? s Will there be Site preparetion on Existing Gmde Slopes which Exceed Fifteen (15) feet of Vertical Rise to ^ ,/ One Hundred (100') of Hodzontal Distance? 7 Will Ddveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off ^ , / ~c into and/or in the direction of a Town dghtof-way) $ Will this Project Require the Placement of Material, Removal of Vegetation and/or the Constmction of ^ _ / any Item Within the Town Right-of-Way or Road Shoulder Area? J~ (This Item will NOT Include the installation of Driveway Aprons.) 9 Will this Project Require Sile Preparation within the One Hundred (100) Year Floodplain of any Watercourse? ^ NOTE: If Any Answer to Oueslions One through Nine is Answered with a Check Mark in the Box, a Storm•Water, Grading, Drainage 8 Erosion Control Plan fs Required and Must be Submitted for Review Prior to Issuance of Any Building Permill ---------------------------------------------------- EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agdculturel Protect? Note: If You Answered Yes to this Question, aStorm-Water, Grading, Drainage & Erosion Control Plan is NOT Required) _ _ ---------------------------------------------------- STATE OF NEW YORK, COU\NTY OF ...~.!L!=F~L /~ ............... SS That I, ....1i. Ht!.(.~.....~'.:., ~ A/L,T!~!%.~ ................ being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing Dowment) And that he/she is the ...............Q W N~.2......................................................................................................... (Owner, Contractor, Agent, Coryomte OfFicer, etc.) Owner and/or representative of dte Owner of Owner's, and is duly authorized to perfornt or have performed the said work and to make and file ttds application; that all statements contained in this application are We to the best of his knowledge and belief; and that the work will be performed in dte manner set forth in the application filed herewith. Sworn [o befo~rje me this; ~ p ................/.../........... ........ day of . /~/,~... , 20. Notary Public: .... ................. ....... ~ r~u4~k'~'~~ .............. .............,............................ PIIbIIC Staf9 0{' Na~ YOrk (SlgneNre of ApplMant) do O1~FSrwgalf FORM - 06/07 Oualifred in Suffolk un Commission Expires Sept 29, ~ ( , 33sG3~ ,,y1 F' ~y ~5 nj1 L~ ~'~ . !" u :-- ~'} JAN 2 2 t_~ L! , L_ 1:7 N _ ' ,i ~J of ~ ~ Sib \N`Str S N° 9a36 5~` F'~\e E Sv fok c°~rty / R=685.00 L=47.75' ~ -ELECmic eox EDGE OF PAVEMENt \ ~\ ELECTRIC METER \~\ ~~~ ~L\ ~~G .~ 9 ~P~M~Nt D(tP~NPGF- Lot 5 Young & Young 400 Ostrander Avenue, Riverhead, New York 11901 631-727-2303 Howard W. Young, Land Surveyor Thomas C. Nolpert, Professional Engineer Robert C. Tast, Architect Douglas E. Adams, Professional Engineer AREA = 5.0022 ACRES ~ - ~i9. ~ O~ ~- O ~ A~ O G6 F S3 d , O~ .~ sod ~ ~~. O' c~: `Dye Lss LO \i9~ ~ ~ ~ ~ / \ ~ / / " 11 8'~9 V` A~ • \\\ ~ °, (nrtno~ ' ~` s \ h~~ UNDEk CANSIRUCTION - :J 1 o~~ As, r0 Q + C s, l ~, w. ' i / 6 ) e o ry6 iy ~ 1 ~ Za2 / o\~ e~~ ~t ~ `o~ 'i ? ~ \ ~~c?' ~~ g0 i 9 e~ s_ ~ ~ - ~. ~ ` 5 ~ ' ~ \ ; ~ pt ~ 1 \ ~ `~ ~ \~ ~ - N~s~O~ Sect~o 9a~6 1 ~~~ ~ WEILANOS - v / GOJ~~ J • OC ~ / .. '\ ~ ~k " `~ E{o ~ , y. , SS \ . ma , y ~ \ ~ ~ - ~ ~ p : MON.NSNT SET ~ MONAEM POUND Q • STAKE SET . • STAKE POUND L a LHIMI~Y RO ROOF OVER 5 • STOOP GE CELLAR ENTRANLE • SUBDIVISION MAP - "THORTON SMITH, SECTION 2" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAY 23, 199'f AS FILE NO. 10006 SURVEYOR'S GERTIPIGATION • WE HEREBY CERTIFY TO DAVID C. MARTINEZ Sc 5UZANNE J. MARTINEZ THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE O FOR LAND SURVEYS ADOPTED BY THE NEW ASSOCIATION OF PROFESSIONAL LAND SU SURVEY POR D,4~ID G. M~RTIN~Z ~ SUZ>4NNE J. MARTINEZ LOT NO. 5 "THORNTON SMITH, SECTION 2" At Mattftuck, Town of Southold Suffolk Gounty, New York Gounty Tax Map District 100 sa~ccoD 121 elock OI Lat L10 '° ~~ I HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893 ~~g ~~~o ~~~~ ~~a ae~~ '£~` ~y~~ ~~~~ s ~~€~ ZZ€>Kj~F i3U~ SY~~ f t ~ 3g ~' ~~ °g~ oq~$ ;~a~ =gy3 ~a~~ €a~m kj~~ ~~W ~~~~ a~~~ e~ ~~~ ~~m~ €~eg ~~:5 ~~~ F~~ ~w~g 2 SXX s ~ FOUNDATION LOCATION SURVEY ~ FOUNDATION LOCATION FOR 6ARA6E FINAL SURVEY FOUNDATION LOCATION ADD SANITARY AND WELL LOCATION MAP PREPARED SCALE: I"=100' Jos No. aool3-0010 DW6. 980805_fl m a JAN. 18, 2008 MAY 03, 2000 OCT. 14, 1999 JAN. 27, 1999 DEG. 28, 1998 ~L &~`,~5 €-fib k~~a ~~n~< a ~ h "' ~~~ ~_