HomeMy WebLinkAbout33725-ZFORM NO · 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y·
CERTIFICATE OF OCCUPANCY
No: Z-33841
Date: 07/21/09
THIS CERTIFIES that the building SEASONAL PORCH ADDITION
Location of Property: 1305 BAYVIEW AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~ap No. 473889 Section 106 Block 6 Lot 20.4
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 3, 2008 pursuant to which
Building Permit No. 33725-Z dated MARCH 10, 2008
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 SEASONAL ENCLOSED SECOND STORY PORCH ADDITION TO AN EXISTING ONE FAMILY
DWFT.TJ~G AS APPI,IED FOR.
The certificate is issued to GERARD GOEHRINGER & WF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPRO%rAL
ELECTRICAL c~KTIFICATH NO.
pLUMBERS CERTIFICATION DA'r~u
N/A
N/A
N/A
~zed Signature
Rev. 1/81
Form No. 6
· TOWN OF SOUTHOLD ,
765-1802
6. Sub~t planning Bo~ ~pm~l of mm~et~ si~ p~
f~.
2. A p~ly ~mptet~'~p~cafion ~d ~m~t to ~t ai~ by ~ appli~t. ~ a Ce~ifi~te of O~cy is
deffi~ t~ Buil~g ~p~tor sh~[state ~e ~ona the~for in ~ting to ~e applie~t.
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with
C. Fees
L 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
Dato.
New Construction:, .tff~/~ 2~,.~) Old or Pre-existing Building:
Location of Property: //~O,~ :,~c~£~t~/~
: ,. ,- I-IouselqoI . / _~. street _
SUffolk County Tax Map N°' 1000, Section r/fl ~' ~ Blgk'
(check one)
Subdivision
?ermirNo. 357 z_C-
Health Dept. Approval:
Filod Map. Lot:
Underwriters Approvalz
- Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate: (check one)
>~ Applicant Signatur~ ./
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}
PEP~4IT NO. 33725 Z Date MARCH 10, 2008
Permission is hereby granted to:
GERARD & WF GOEHRINGER
PO BOX 812
MATTITUCK,NY 11952
for :
ADDITION OF AN ENCLOSED SEASONAL PORCH AS APPLIED FOR
at premises located at 1305 BAYVIEW AVE MATTITUCK
County Tax Map No. 473889 Section 106 Block 0006 Lot No. 020.004
pursuant to application dated MARCH 3, 2008 and approved by the
Building Inspector to expire on SEPTEMBER 10, ~ ~
0o.0o
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION ¶ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
~.,FI NAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
INSPECTOR ~"~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAIfl' PENETRATION
REMARKS:
DATE
FUEI,D lkNSPECTION REPORT I DATE
FOUNI)ATION (1ST)
FO[~DATION (2ND)
[NSL~A~ION PER N. Y.
STATE ENERGY CODE
TOWN OF SOUTHOLD
BUI'LDENG DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined g/0
Approved
Disapproved a/c
Expiration ,20
BUILDING PERMIT APPLICATION CHE~KLIST~
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
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Phone: ~' .~/0/
APPLICATION-- FOR BUILDING PERMIT
Date -~/2-V, 2001v''
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 code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
' / (Mailing add~s of applicant) /
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
f (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 LicenseNo.
Plumbers LicenseNo.
Electricians LicenseNo.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number / Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
Block .,, , .,.;
Filed Map'N0.
Lot ~ .~
Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy
b. Intended and occupancy
Nature of work (check which applicable): New Building ddition /~ Alteration
Repair Removal Demolition Other Work
Estimated Cost c)~ ,~-0"0 Fee
If dwelling, number of dwelling units
If garage, number of cars
(Description)
(To be paid on filing this application)
N umber of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front ~O 3~'~°' Rear dt~. ,In / _Depth
Height. 3 2~, Number of Stories
Z?'
Dimensions of same structure with alterations or additions: Front
Depth ~&n/z- Height
8. Dimensions of entire new construction: Front
Height / ~ ,x' Number of Stories
3~3 / Rear .'Z,
9. Size of lot: Front
10. Date of Purchase
Number of Stories
Rear /,,) ,/~
/~,7o° Name of Former Owner
11. Zone or use district in which premises are situated./"~',f.
Rear
_.4>,,,/)
Depth
/
D4th -o2~3 ~ ,q457
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
Name of Architect
Name of Contractor ~J
Add~. ss Phone No.
~/v-,.v . , ' ' N
A d d'z:e s s/'/n',~¢~) ./'~'~'~,~/~ h o n e o
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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.
NO
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
· IF YES, PROVIDE A COPY.
NO /'"'"
STATE OF NEW YORK)
SS:
~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual~gning contract) ~tb~ve named,
(S)He is the ~t, ff//,//r~ /~, ~-/,, ~Z"~,~...
(Contractffif, 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. ...,... ~.._.---
Comm~s~on mxplresl] ~
Signature of Applicatfi~ '
O Tow____ n _o_f $outhold
E.~:~T:7:CA~;,l~::~atlon & Storm-Water Run-off A.SES8MENT FORM
Item Number:
2
3
4
5
6
7
8
THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
.~ ///~ ~ ~,.~ sTORM-WATER, GRADING DRAINAOE AND EROSION CONTROL PLAN
District Section Block Lot ' CERTIFIED BY A DES ON PROFESSIONAL IN THE STATE OF NEW YORK.
(NOTE: A Check Mark (~) for each Question is Required for a Complete Application)
Will this Project Retain All Storm-Water Run-Off Generated by a Two (2'r) Inch Rainfall on Site?
(This ilem will include all run-off created by site clearing and/or conslruction activities as well as all Site
Improvements and the permanenl creation of impervious surfaces.)
Does the Site Plan and/or Survey Show All Proposed Drainage Slructures Indicating Size & Location?
This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Wated:lowl
Will this Project Require any Land Filling, Grading or Excavation where Ihero Is a change to the Natural
Existing Grade Involving more than 200 Cubic Yards of Maledal within any Parcel?
Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of
Five Thousand ($,000) Square Feet of Ground Surface?
Is there a Natural Water Course Running Ihrough the Site?
Is lhls Project within the Tmslees jurisdiction or wHhin One Hundred (100') feet of a Wetland or Beach?
Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vedical Rise to
One Hundred (100'} of Horizontal Distance?
9
Will Driveways, Rarking Areas or other impervious Surfaces be Sloped to Direct Storm-Water Run-Off
into and/er in the direction of a Town dghHof-way?
Will this Project Require the Placemerd of Material, Removal of Vegetation and/or tile Construction of
any item Within the Town R g -o -Way or Road Shoulder Area?
(This item will NOT include the Installation of Driveway Aprons.)
Will U/is Projecl Require Site Preparation wiPgn lhe One Hundred (100) Year Floodplain of any Watercourse?
Yes No
NOTE: If Any Answer to Questiolls One through Nine is Answered with a Check Mark in the Box, aStorm-Water, Grading,
Drainage & Erosion Control Plan is Required and Must be Submilled for Review Prior to Issuance of Any Building Pemlit!
EXEMPTION: Ye~s
Does this project meet tile minimum standards for classification as an Agricultural Project?
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Required[
No
STATE OF NFZ~/YORK,
make a~d lile d~s applicaaon; that MI statemenLs conctined m this applit alion a~e
fl~a[ fl~e work will be performed in d~e m~me~ 5el frnth m d~e application filed
Sworn to be[o~c mc this;
FOR -
C0mmis]on expires Il
TOWN OF SOUTHOLD PI~OPERTY ~ECORD CARD
DWNER STREET /'~.: ,.- VILLAGE DIST. SUB.
:ORMER OWNER N E ~ACR' I ~,~
S W ~PE OF BUILDING
~ND IMP. TOTAL DATE R~RKS
to,~o / 4x~'~' ~ / ~'~17Y ~,/~,..; ~...~, ~.~ ~,~. ?~,. ~ ..
,. I~' - · ~ ~ . '
' ~._ , ~ ~
eadowBnd DEPTH
~use Plot BULKH~D
~tal
COLOR
TRIM
Extortion
Exten~lo~
Breezeway
Garage~~
o.
Tota¢/O~
Foundation f? (~, Both
.5O
/2-
loC)
Basement
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
/"v//
2"& IIi
Floors
Interior Finish
Heat
Rooms ]st Floor
Rooms 2nd Floor
Driveway
Dinette
K.
LR.
DR.
BR.
FIN. B
TOWN
OF $OUTHOLD
PROPERTY RECORD C
OWN ER
FORME~R OWNER
RES..3-//
LAND
Tillabie
SEAS.
IMP.
VL.
TOTAL
,TREET
VILLAGE
FARM
] CO 'MM. CB. MICS.
DATE [ REMARKS
LOT
DIST.SUB.
? '~ ~,
ACR,.!
TYPE OF BUILDING
FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
DEPTH
Meadowk~d ~
House Plot BULKHEAD
Total
,P C'/'. 57
COLOR TRIM
M. Bldg.
Extension
Extension
Extension
Porch
106.-6-20.4 2/06
Basement
Both
Floors
Fire Place
Type Roof
Recreation Room
Dormer
Porch Ext. Walls Interior Finish
Breezeway ~eot
Garage Rooms 1st Floor
Patio Rooms 2nd Floor
Driveway
inette
LR.
DR.
BR.
FIN. B
Total
2/28/08
I Gerard P. Goehringer, residing at 1305 Bayview Ave. Mattituck do hereby
State, "that I constructed the first story of the addition in 1985 and I received
a CO from the Southold Town Building Dept. after completing this first story
room on the rear of my dwelling."
The nature of the new Building Permit is to enclose the second story of this
1985 addition. The purpose of this construction is to eliminate the only flat
roof on my home. Also, to create a seasonal porch on the proposed second
story, as shown in the plans submitted.
Please note that the porch will be of single wall construction, with studs
showing on the interior walls. The second story addition will have no heat
no air conditioning, no insulation, no interior walls, and no electricity.
The porch will have windows, as indicated on the plan to prevent water from
entering the porch, and a door to allow access out of the addition.
,,/..~/'Gerard P. Goehringer
Sworn to before me
/ Zon
DIAI~IE$. BISHOP
Notary I~li~c,,~{~9~[l~w York
O. ql ~0
~o~lslOn gxpges II~
SU~",/EY OF: P[P-.OPEt~.TY
(includinq p/o lots
I'4AP OF-SHORE
51P JANUAt~"r' 5, Iql4 FILE No.
SITUATE: 1HATTITUOK
TOI/',IN: SOUTFtOLP
SUF:F:OLK. "oOUNT¥ NY'
SURVEYED oq-lq-OI
AI~IENIPEO 11-14-OI,
1:2-1~-OI
SeT# I001D-106-6-16.2
TO:
~EP-.A~,I~ P. ~OFHI~.IN~ER
E~ARI~ARA J. ~OEHI~IN~E~
S83°51 'I5"E-~'
40.00'
P/O
LOT
21.
P/~
LOT
2~
~/0
LOT
22
N
NOTE.~:
· MONUMENT
: 50,Iq8 SF 01~ 1.15 ACRES
®P-.APHIC SCALE I"=~0'__
LOT
22
P/O
LOT
P/O
LOT
Iq
JOHN C.
6EASTMAIN STREET
RIVERHEAD, N.Y. 11901
369-8288 Fmc369-8287
LAND SURVEYOR
N.Y.S. LIC. NO. 50202
REF.-Wrtp serx;er\dXPROO\01-274b.pro ~
CERTIFICATION OF
NAILING & CONNECTIONS
REQUIRED.
APP~OyED AS NOTED
DATE: ~//0/~ B.P. it
PEE:~~ Zoo--' ""
BY:
NOTIFY BUILDING DEPARTMENT AT
765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION: TWO REQUIRED
FOR POORED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.C.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT R£S?O~31GLE FOR.
DESIGN OR CONSTRUCTION ERRORS.
COMPLY wr]-H ' i" '-
?,L.~ bODES Oh
NEW ...... oT '.~ .'~'~ I..ODcS
AR P~?" t;~:-:- ;, ," - -' '*'":' OF
V'v!THOUT CERTIFICATE
OF OCCUPANCY
//
?: F-t /
L_I L_t
PROPOSED ADDITION
,,,,-.,.:T , t,E REOUi:iSviE',:S OF THE
CODES OF" ',-':' '
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
: /.¢1-
1000-106-6-~
GOEHRINGER RESIDENCE
BAY VIEW AVE.
MATTITUCK NY A-1
CHORNO AssOCIATES
... architects.
SOUTHOLD, NEW YORK