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HomeMy WebLinkAbout33109-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33586 Date: 03/10/09 T~IS CERTIFIES that the building ACCESSORY Location of Propez~y: 765 WESTVIEW DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Ta3~ Map No. 473889 Section 139 Block 1 Lot 20.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 2007 pursuant to which Building Permit No. 33109-Z dated JUNE 6, 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 GAZEBO AS APPLIED FOR. The certificate is issued to ARTHUR & BETSY STRAUSS (OWNER) of the aforesaid building. SUFFOLK CO~N~I~fDEP;%RT~ENT OF f~A~TEAPPROV~J~ N/A ELEC~%RIC~_L CERTIFICA~ NO. 3015042 08/06/07 PLUMBERS um~TIFICATION DATED N/A Rev. 1/81 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by PLATINUM EAST ELECTRIC 1320 KENNEY'S RD SOUTHOLD, NY 11971, MR / MRS STRAUSS 765 WESTVIEW DR MATTITUCK, NY 11952 Located at 765 WESTVIEW DR MATTITUCK, NY 11952 Application Number: 3015042 Certificate Number: 3015042 Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises e ectrical system consisting of electrical devices and wiring, described be~ted in/on the premises at: Basement, First Floor, Second Flo~Attached Garage, Outside, Attic, Porch/Deck, 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 6th Day of August, 200'7. Name QTY Rate Rating Circuit Type Service Disconnect: I 300 cb Meters: 1 seal 3 of 3 This cer[ificate 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. 33109 Z Date JUNE 6, 2007 Permission is hereby granted to: A & B STRAUSS 765 WESTVIEW DR MATTITUCK, NY 11952 for : CONSTRUCTION OF AN ACCESSORY GAZEBO AS APPLIED FOR at premises located at 765 WESTVIEW DR MATTITUCK County Tax Map No. 473889 Section 139 Block 0001 Lot No. 020.001 pursuant to application dated MAY 23, 2007 and approved by the Building Inspector to expire on DECEMBER 6, 2008. Fee $ 100.00 -Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR FIELD I~S?ECTION REPORT I DATE I COMMENTS ~O,~AT~O~ ~ST~ FO~DATION (2~) ROUGH F~G & PL~G ~S~ATION PER N. Y. STATE ENERGY CODE F~ ~DITION~ COUNTS T W :C--hi: O N OF SOUTHOLDE~{ BUILDING DEPARTM~I ¥ Z a ~ icl TOWN HALL ~ SOUTHOLD. N ~ ~ Y 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~w. northfork.ne~Southol~ PE~IT 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 Survey_ Check Septic Form N.Y.S.D.E.C. / Trustees Examined ~ ,20 (9 ~ Contact: Approved ~/ 6,20 t")~ Mailto: Disapproved a/c Expiration bf~ , 20° ~' Butld:ng Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date I~ ~,x/ 7~- q ,20 O7 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 prc;perty 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. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCL;-'ANCY ('Signature of: applicant or name, if a corporation) (Mailin~ address of applicant) /~ State whether applicant is owner, lessee, agent, architect, engineer, general col0g_~Cr~.e-dectri-ci,~n-nlumber or builder (As on the tax rol~ If applicant is a co~oration, si~ature ofdul~authod~d ~fic~r FOLLOWIN¢ i:.: 5: ALL CO~*~t (Name and title of corpo~'f~L~r_~E; ~l ~.~.~_~?ME CODES OF k.~ ~o~K ~ k~ :. Builders License No. ~ ~: ~- ~ Plmb~s License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street FOR POURED C('' :-E'}E 2. ROUGH F,W',..,- : ! :.'!~ ,~ 3. INSULATION 4. FINAL - CO:?' ..,/riOi~ LI'JST SE COV'CLE'~ F , C ' ALL CON:ET~L":'~ , S-l,;' . MEET THE REQUIREME~TS (.: '~;: C05ES OF NEW YORK STATE. NCr R: ~ ;CNStBLE FOR DESIGN OR CO~S;RUOTiON ERRORS. Hamlet County Tax Map No. 1000 ~ection ~ ~ c~. OlD Subdivision (Name) Block CM..0~ Lot '2_{::h. I Filed Map No. 2. State existing use and occupancy of premises and intended use and occul~ahcy 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. Addition Alteration OtherWork i,7_'~ v'c' 0_=A:z~ ~ch / Estimated Cost ~ [~ If dwelling, number of dwelling units If garage, number of cars (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. ~tJ/tt~, 7. Dimensions of existing structures, if any: Front t,O/gk Rear Height ¢,t.)('~,~ Number of Stories Dimensions of same structure with alterations or additions: Front Depth VD [~ Height t,o ('~, Number of Stories 10. Date of Purchase Dimensions of entire new construction: Front I'Z* ~ V'e_' o6~', Rear Height ~ [ItN Number of Stories ~t~/t~ Sizeoflot: Front q%7q Rear /.Sq. a~' Rear Depth Name of Former Owner 1 I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES NO i,,~ill excess fill be removed from premises? YES NO t,,,/ 14. Names of Owner ofpremises~Address ~',,~ ~t,,,,~?r~ to{ Phone No. Name of Architect Address Phone No Name of Contractor/,/~,~,~.lp,~s t,~_.%,~c Address ~hone No.~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~/'~O * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS M/AY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distanCbs't0 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 i/-- · IF YES, PROVIDE A COPY. STATE OF NEW YORK) CO TY or&XCe : · ~1~ ¢~ "u-I kO~e~-Jc°w~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above name& :~ (S)He is the (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 tree 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 to before me this ,(y~d..~.-I"C--day of M ~ 20 o '"[ Nota~.l~ No. O~ ~Ot ~ Si-g~ature of Applican( Erosion, Sedimentation and Storm-water Eun-off Control Plan ASSESSMENT FOEM Yes No EXEMPTIONS: A. Does this project meet the mini~num standards for classification as an Agricultural Project. - ~,~1 Note: If you answered Yes to any of the above, a Storm.water, Grading, Drainage & Erosion Control Plan is not required. ACTIONS REQUIRING THE SUBMISSION OF A STORM~WATER~ GRADING~ DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (,/) for each question is required for complete application) Will this project retain all Storm-Water Run-off generated on Site? (This will include all mn-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Will this project require any land tilling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? Is there a Natural Water course running through the site or is this project within One hundred (100) feet'of wetlands or a beach? Yes No Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundred (100) feet of horizontal distance? Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? work sill be performed in the manner set forth in the application filed herewith. Sworn to before me this; .......... ................... ,Oy ..................... 20.0.7 Notary Pubhc(J.~ .K,<~A~xc .....NOT/*R¥ $~ffi.tO. 8~I~.~.N~ Y~ ~' (S~t~}~' o; X;~licant) ............. 7. Will this application require the placement of material, removal of vegetation and/or the .construction of any item within the Town Right-of-Way or road shoulder area? (lhis item does not include the installation of driveway aprons.) . Will there be site preparation within the one hundred (100) year floodplain of any watercourse? 8. Note: If any answer to questions ~ne through eight is answered with a check mark In the Box, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit, STATE OF NEW YORK, ~ ff'f \COUNTY OF l~ .......... SS ........... be dnlyswom, a pose, and says that e she is the applicant Pe=t, ~Nan~e of individual {igning Document) And that He'he is the...' .......................... (Owner, Convractor, Agent, Cmporate Officer, etc.) Owner and/or representative of the Owner or Owner's, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belier; and that the The locations o! wells and cesspools shown hereon are from field observe/lens and or from dda ofitdne, from other$. DwE;LLiNG Oi~IVE~ ~ 18 C.P. SCDHS REF. # R/0-05-005/ BRoWERY RD,_._. ANY AL TERA T/ON DI~ ADDITION TO THIS SURVEY OF SECT/ON XH09 OF THE NEW ¥O~K STATE EDUCA770N S~/O ~P ~ C~ 8~ THE ~ ~L WHOSE ~ TURE APP~$ H~E~ ADDITJ~LL Y TO C~L Y MTH ~ ~ I om f~m#lar with Ihe STANDARDS FOR APPROVAL AND CONSTRUCT/ON OF SUBSURFACE'SEWAgE DISPOSAL SYSTEMS FOR SINGLE FAME_ Y RE$1DETqCE$ end w/I~ abide by /he condllons sel forlh Ihere~ eil?l ~f ~f~e permil 1o condrud. ."'J'"'"' -' SURVEY OF PROPERTY ~°~"~? . A T MA TT/T~ICN i ... .~- TOWN ,OF SOUTHOLD ~ -- SUFFOLK CO~NTY,.N K · ,o' ~' 1000 - 139 - 01 ~ 20. 1 SCALE.. 1" = 40' MARCH. 5, 2003 APRIL 16~ 20Q$ ~ TOFO. -~, /~ , ~ ,-_~ Od/: I!, 200q (c~tlflC~tlon~ 7° FLOOD ZONES FROM FIRM ~6103C0481 G 514198 Dork brown loom OL Brown olffy PoI~ brown fine lo coerse SW Pole ~rown 8ne lo medium SP Woler In pole s~l SP CERTIFIED TO' NORTH FORK BANK SOUTHOLD~ ~.Y.& LIC. NO. 49618 ER'QS,P.C, Y'FAX (631) 765 - 1797 STREET ~ N.Y. 11971 AREA = 50,176 sq. ft to tie line ELEVATIONS & CONTOUR LINES ARE RE~ERENCED TO N.G. V.D. FLOAT 03- 127 "'