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HomeMy WebLinkAbout33038-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33451 12/18/08 I~{IS CERTIFIES that the building ADDITION Location of Property: 520 PARK AVE EXT MATTITUCK (HOUSE NO.) (STREET) (H~_MLET) Cowry Tax ~ap No. 473889 Section 123 Block 8 I~t 28.4 Subdivision Filed t4ap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 10, 2007 pursuant to which Building Pez~t No. 33038-Z dated MAY 15, 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 UNHEATED ADDITION AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANN COLLIGAN of the aforesaid building. ( OWNER ) SUFFOL~ [~)~DEPA~TOF}~J~I~{;~PRO~i~L N/A EI~t-£KIC3~L C~TIFICAI~ NO. 125726H 11/20/08 PL~ ~TIFIC~%TION DA-r~4~ N/A ~/Aut '~~gnature Rev. 1/81 f~~, · Form No. 6 ~ ~'~i i! TOWN OF SOUTHOLD I _--- I/hit BUILDI[NG DEPARTMENT . ~~,v..~o, ?~_~AP_P. LICATION 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: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Healfl~ 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 April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of propm~,y showing all property lines, streets, building mid unusual natural or topographic features. 2. A properly completed application aud conseot to respect signed by the applicant. If'a Certificate of Occupancy is denied, the Building Inspector shall state the masons therefo~ in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $2500, Addi'tions to dwelling $25.00, Alterations to dwelling $25.00, Switmning pool $25.00, Accessory building $2500. Addihons to accessory building $25.00, Businesses $50.00 2. Certificate of Occupancy on Pre-existing Building - $10000 3. Copy of Certificate of Occupaucy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15 00, Conunercial $15.00 New Construction: Location of Property: .~ 2~ House No. Owner or Owners of Property: /~/¢L/,,a~ Suffolk Cdunty Tax Map No 1000, Section Subdivision melmitNo ~93 0I~ Health Dept. Approval: Old or Pre-existing Building: Street Date. ./ (check one) Hamlet Block ~'d~ Lot. Filed Map. Lot: Unde~avriters Approval: 1,,''~' Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ (check one) FROM : MarkScKwartz,AIA-Architec~ PHONE NO. : 6317342110 Nov. 19 2808 12:lTPM P2 Electrical lnst ection Certificate Electrical In.~ti~l Se~iee. Inc. Appli~,atio. Number 375 Dun~ Avenue 125725H Ea~tch~ue, ~w YO~ 11772 Issued To: Diane Jeffrey Street: 520 Park Avenue Extension Village; Mattiluok 8~tion: Block: Zip; 11952 Town: 8outhold Lot: Lic. tt conteactor: WM examJne~ end ~>u~d to be In ~mplemee wilh the ~a( ~ Oem~ t I ~ ' I P~I Ixi IMPloer ~ Indom ~'~ ~m~t I I ~Tub ~] RMId~I ~ ~ ~e [,..J A~Ic r~ 2~ Floor ~[ O~r 3 5 2 Meter Amps Please UG/OH .Jacu~l '/elevl$1on / atdp. ~aern~; OUter Equipment I-Co/SmoSe Combo Hugo $, Surdi President 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. 33038 Z Date MAY 15, 2007 Permission is hereby granted to: ANN COLLIGAN 829 CAMINO ROAD # 102 DELRAY BEACH,FL 33445 for : ADDITION TO ONE FAMILY DWELLING. THIS PERMIT REPLACES BP # 11148 at premises located at 520 PARK AVE EXT MATTITUCK County Tax Map No. 473889 Section 123 Block 0008 Lot No. 028.004 pursuant to application dated MAY 10, 2007 and approved by the Building Inspector to expire on NOVEMBER 15, 2008. Fees 200.00 ~Au~i/gna,t~~ . ORIGINAL Rev. 5/8/02 gOB.~g NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N~ Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 11148 Z Count~ Tax Map No. 1000 Section ........................ Block ...................... Lot No ......................... pu~on~ ~o ~pplie~ion doted ...................................................... 19. ., o~d opp~v~ by the B~ildl~ InspeCtor. Rev. 6/30/80 / FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 )isapproved a/c ........ ~. ................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building nspector, 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 ~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be commenced before issuance of Building Pe!mit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit ;hall 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 whatever until a Certificate of Occupancy ;hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, a~ad to ~dmit authorized inspectors, on premises and in buildings for necessa. ,.~..../f~..a.~...fly<q?..7..................~...,.~i~spectio . ..................... (Signature of applicant, or name, if a corporation) ... 7.0...7..-C./Y~.~ r~.¢. ~/....¢/~..., ~.o~ .~..~ (Mailing address-6f applicant) gtate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ ~-.. ~a*~,~........¢~.. ~~.~. ~ ............................................... qame of owner of premises .. f./~..YRS....~.. ~ ~./..~_~.~t~. ............................................. (as on the tax roll or latest deed) tf applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~.'~.~. ................ Plumber's License No...~ . i . .~...~. Electrician s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work~_~wfll b~ done .................................................. ................ 'C~reet ~ ' ' Hamlet House Number County Tax Map No. 1000 Section .............. Block Subdivision ..................................... Filed Map No ............... Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ ¥ ~ ~ (Description) /0 o. ec? t. Estimated Cost ......... ! ....................... Fee ........................... ~- ........... (to be paid on filing this application) ~. If dwelling, number of dwelling units ............... Number o f dwelling units on each floor ................ If garage, number of cars ........................................................................ L 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 ............................................. .,r. .......... Dimensions of same structure with alterations or additions: Front ................. Rear ....... ~'; '..' .... ~'.. Depth ...................... Height ...................... Number. of Stories ...................... t. Dimensions of entire new construction: Front .... ,/~ ........ Rear ..././~.... ~ .... Depth .../.(-~ .......... Height .~.. ~ ~ ?.%Number of Stories ...... /. ................................................. L Size of lot: Front ...... /..o.?_:: ........... Rear... ~...o. ............... Depth .../...-~..-~-. ............. ). Date of Purchase ............................. Name of Former Owner ............................. 1. Zone or use district in which premises are situated ..................................................... *.. Does proposed construction violate any zoning law, ordinance or regulation: ................................ t. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No ~. Name of Owner of premises . ~...~)..~:,.i-d,,.t.~./~:~.. Address ................... Phone No ................ Name of Architect .......................... Address ..... ;~ ............ Phone No ................ Name of Contractor . .~ Y~. (~.~q...Dc.,-~~. ......... Address .~.~. ?A .~..~.,tr~.][.°!~..'~. Phone No. V..6,..-c~.Z/.(-?...27... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from :operty lines. Give street and block number or description according to deed, and show street names and indicate whether terior or corner lot. rATE OF NEW YORK .... OUNTY OF__z .~°.'..t~rfl. c. [.~ ......z*'L ....... : .d.~. (~.~4 ,.~ .... y~T.....r/~( ~. ~ ..F. .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) oove named. :e is the ......................................................................................... (Contractor, agent, corporate officer, etc;) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ,ork will be performed in the manner set forth in the application filed therewith. worn to before me this Quslifi.d in Suffolk Coutty \ . (Signature of applicant) Commission Expires March 3 10hl0hl0hl0hl0hl0h~~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY Q.ODE FINAL ADDI ONAL COMMENTS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~/FINAL [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ REMARKS: ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~U~-ATION [ ]FRAMING/STRAPPING [/]'~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~2~. ~ DATE INSPECTOR Mark K. Schwartz, AIA - Architect, PLLC P.O. Box 933 Clltchogue, New Y~k 11935 Phone: (631) 734 - 4185 Fax: (631) 734 -2110 September 16, 2008 Southold Town Building Department Main Road - Town Hall Southold, New York 11971 Re: Colligan House 520 Park Avenue East Mattituck, New York Bldg Pernut #~___~2 _ To Whom This May Concern: I have been to the site and inspected the as-built conditions of the addition and deck connection at the aforementioned property. To the best of my knowledge, the addition has been built as per approved plans and meets the code requirements when built in 1981. Please call this office if you have any questions or require additional information. Very truly yours, Mark Schwartz ColliganBldgDeptl.doc 1~ -/.~s-/'. 4£. ;OWN OF SOUTHOLD PROPERTY RL~CC~iD CARD OWNER 0 FORMER OWNER N 0'/~_ ~- S LAND -- IMP. TOTAL DATE Tillable Woodland M~ldowland Hour~ Plol Totol W CO '/v~vL REMARKS VILLAGE CB. MICS. D~ST.i SUB. ACR °:3°0 I TYPE OF BUILDING Mkt. ~alue FRONTAGE ON WATER LOT FRONTAGE ON ROAD DEPTH BULKHEAD M. elde. Extemion Extension COLOR PoJ'ch.~c~ ///[/K"'~O : ..,,~'~o Foundation Basement Ext. Walls TRIM L.,U I-~,. i --r ~- - Both / Floors Interior Finish Breezeway a'el'al Place Roof Heat Z/e . Rooms 1st Floor Recreation Room Rooms 2nd Floor FIN. B Drivewoy ;¢lic st t¢ Gi ¢nts, 3nc. ¢hc ¢altor MAIN ROAD and MARLENE LANE P.O. BOX 786 MATTITUCK, NEW YO R K 11952 516 - 298-8000 SHORT FORMAZt~ISAL OF REAL ZROP]~TY (Improvements only) For: Frederick Colli~an E~ Al. TO WHO~[ IT ~!&Y CONCERN: ROBERT A. CELIC, being duly sworn deposes and says: I am a resident of Mattituck, Suffolk County, State of New York and am a duly licensed real estate broker holding license No. 2341~52 for the current year. I am President of Celic Estate Agents, Inc. which is engaged in the real estate business with office in Mattituck, New York. During the past fifteen years, I have purchased, subdivided, managed and sold real property in the townships of Riverhead, Southold and Southampton, New York, and have negotiated sales of real property as broker, including acreage, shorefront, residential, rental, industrial and commercial properties. I am a memger of the New York State Society of Real Estate Appraisers, National Institute of Farm and Land Brokers, ]~nternational Real Estate Federation, New York State Association of Realtors, National Association of Realtors, Suffolk County Real Estate Board and Eastern Suffolk Board of Realtors. By reason of my experience, I am thoroughly acquainted with the market value of agricultural/residential zoned properties located at Mattituck, New Yor~. This value analysis is being made as of ~arch 30, 1981. Property Description Suffolk County Tax P~p: District 1000, Page 123, Block 8, Lot 28.4 Approximate Land Area: 18,383 square feet (A/R zoned) Improvements One story wood frame structure with three bedrooms, one full bath and open Livi~ng/Dining/Kitchen area. Subject dwelling is positioned on locust posts. Hot and cold water is supplied from private community source. Sewage is disposed into on-site cesspools. No insulation is found. A wood burning stove provides the only supply of heating output~ Subject home is approximately 840 square feet in living area. Exterior fasade displays rolled-asphalt siding and split-sheet asphalt roof. General condition of dwelling: Good to Excellent. Page 2 Other Improvements Redwood deck approximately 150 square feet in area. Fiberglass-panelled covered patio roof approximately 170 feet in area. square I value this property (improvements only), as of March 30, 1981, as follows: LAND HOUSE OTHER INPROVEEENTS TOTAL APPRAISED VALUE (no - no estimate - $22,680 1,000 land) $23~680 STATEMenT OF ACKNOWLEDGE~iE~: I do not have any interest of a personal nature in the structure appraised herein. Registration #31CE0292423 sworn to before me this 31 da~ of ~~ , ~l 0~- to0o, 3et,+./2B, ~t~-. a,~ R=L E~i' t i. tx_' d,' L/ Application Received ic) Disapproval Issued 19 Permit # I 19 FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT In the Town of Southold Type of Development Proposed:j-Hew Structure (including storage tanks~-~ Addition and/or Alteration~Flood. Proof Below Base Flood Elevation~ Other (specify) ..... Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement feet (b) In a V Zone, bottom of lowest structural me¼ber inches feet inches FIRM--Flood Insurance Rate Map, Owner of Premises Zone designations Location of Property: County Tax Map No., District, 1000, Section Subdivision Pe__rmission to be ~ranted: /_-~0wner as above I IUnder Contract] I Lesseel IContractor Block Filed Map # INew Owner Lot( 7. Approval from other(s) before Permit is issued: DEC -~ WETLANDS (Town Board) HEALTH SERVICE BUILDING PERMIT ZBA PLANNING BOARD I, .... ~r_' the applicant, am the Owner[~, Co- Ownerl--'], New 0wnerl[]]l, Under Con~ract[-~, Lesseel~, Agentl--i, Con- tractor F~, and agree to comply w~th all applicable section'--of the Code of the Town of Southold; County, and State and to admit authorized in- spectors to premises authorized to perform or have performed the said work and to make and file this application, that all statements contain- ed in this application arc true to the best of my knowledge and belief and that the work will be performed in the mannerset forth in the application filed therewith. STATE OF NEW YORK COUNTY OF SS si~na6~$ SWORN TO TRIS DAY OF 19 ~-gt'ary Pub~li c Applicant s mailing address and phone # if not given above: 4/80 O££p HOL£ NOTE: I. ELEVATIONS SHOWN HEREON ARE REFERENCED TO N.G.V.D. {M.S.L. 2.FIRM BOUNDRY ZONE V 4 BASE FLOOD ELEVATION = 8.0 :~. 6 -'STAKE SET S. 79° 39 s :1'5 pF. CONtC NOTE~ I, LOT,, NUMBERS REFER TO ~UBDIVISION MAP OF MARRATOOKA POINT F LED N THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAR, Icj, 1927 AS FILE NO, 2, ,T, HE LOCATION OF TI;IE LIN ES OF LOTS 6 ~7 'MARRATOOKA POINT ARE APPROXIMATE. Young Sc Young, Land Surveyors 400 Ostrander Avenue, Riverhead~ New York I190! 5~6-727-2303 Alde~ ri. Young, Professional Engineer & L~d $~veyor Howard ~. Young, La~d S~eyor Thom~ C. ~olpert, Profes~o~al Kenneth F. Ab~zzo, SUFFOLK COUNTY DEPARTMENT OF H-ALTH SERVICES CERTIPICATiON 'l AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WiLL A[d~DE [dY THE CONDITIONS SET FORTH THEREIN AND ON THE PERMIT TO D©NSTROCT." SURVEY FOR: FREDERICK W. COLLIGAN At: MATTITUCK Town of: SOUTHOLD Suffolk County, New York Suff. Co. Tax Map: ~ I_ooo 123 _ I 8 28.4 DATE :AUG. 5, 1993 SCALE :1"= 30' JOB NO. :93- 0472 SHEET NO.:I OF 1 10.0' WOOD DECK ~. BEDROOM w/ ~ FULL BATH 16.4' WOOD DECK 14.4' WOOD DECK ~[~ 14.1' COVERED ~. PATIO 10.0' 34.7' BUNGALOW HOUSE 9.00'~ 21.6' WOOD DECK WOOD DECK 6.2' 0040'0" X,X] 152.21' 46.7' ~ 3 SITE PLAN SCALE: 1/8" = 1'-0" [~CTM # 1000-123-08-28.4 REVISION8 < PENNY LUMBER Phone 477.0400 Main Road GREENPORT, N.Y. 1194.4