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HomeMy WebLinkAbout34348-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~d~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33987 Rte: 10/05/09 THIS CERTIFIES that the building DECK ADDITION MATTITUCK Location of Property: 2995 REEVE RD (HOUSE NO.) (STREET) (HANLET) County Ta~ ~ap No. 473889 Section 99 Block 3 Lot 4.17 Filed Map No. __ Lot No. __ Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 4, 2008 pursuant to which Building Permit No. 34348-Z dated DECEMBER 15, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SUSAN TSAVARIS of the aforesaid building. (OWNER) SuF~OI~K COI~q~f DEPAR~T OF ~J~TH ~J~PRO~I~L EI~EC~RICAL CERTIFIC3~ NO. I~L~S CERTIFICJ~TION DA'£K43 N/A N/A N/A o~zed Signature Rev. 1/81 Form No. 6 TovvrN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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 ail buildings, property lines, streets, and unnsual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewemge4isposal (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. For existing buildings (prior to April 9, 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. 2. 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 New ConstrUction: Location of Property: 2(5~ ~ ~ House No. Old or Pre-existing Building: Street Owner or Owners Suffolk County Tax Map No 1000, Section Subdivision Permit No.3~ ~L Health Dept. Approval: Date of Permit. (check one) Block ~ Lot Filed Map. Lot: Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,._~_~, Final Certificate: (check one) A~plicant Signature FOE/4 NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34348 Z Date DECEMBER 15, 2008 Permission is hereby granted to: SUSAN TSAVARIS PO BOX 345 EAST MARION,NY 11939 for : "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 099 pursuant to application dated DECEMBER Building Inspector to ex~pire on JUNE 2995 REEVE RD MATTITUCK Block 0003 Lot No. 004.017 4, 2008 and approved by the 15, 2010. Fee $ 675.20 Adtho~ized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY ROUGH PLBG. ,]~ULATION FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ ~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved Disapproved a/c /¢5-, 20 0~> Expiration ,20 PERMIT NO. .~{ ,Tq/~ 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 Cl I0~i~ i05 ~ O5'qMOJ. Flood Permit "-"--"1 t Storm-Water Assessment Form. Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,2oOg 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, Suflblk 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 address of applicant) ,/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~-~' ~ 4 P '~ % 4 V ~ ~ t % (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 License No. Electricians LicenseNo. Other Trade's License No. Location of land on which proposed work will be done: ~ House Number - S~tr~et -- / [ County Tax Map No. 1000 Section ~f Block Subdivision Hamlet Lot f.//? Filed Map No. Lot 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. Estimated Cost 5. if dwelling, number of dwelling units If garage, number of cars Fee actition ~g/,Alteration Other Work (Description) (To be paid on filing this application) Number ofdwelliffg 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 Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase Rear Name of Former Owner 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 Name of Architect Name of Contractor Address Phone No. Address Phone No 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__ * 1F 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 · IF YES, PROVIDE A COPY. NO STATE OF NEW YOI?oK) '~ ~ ~ [ % ICY 0 '~-~(-Y being duly sworn, deposes and says that (s)he is the applicant '" (Name 'of ihdividual signing contract) above named, (S)Heisthe c'~)~,,) /(~t/' (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. Sworn½e[before me this day of ~ff) ~2,('~ 20 ~'~ ~}.,//~--'/~A.,r.~ Nota Public No ut~uoz~uo~o - ,,' - - ~ · ry Qualified in Suffolk Count'//r '> Signature oz Applicant Commission F. x0ires July 28, 20 ~ ~-- TOWN OF SOUTHOLD P PE RECORD CARD OWNER STREETc:~/~~' VIL~ GE DIST. SUB. LOT I 7 ~RMER OWNER N E ~(,~., ~ ~f~ S W '",. cODE DATE OF CONSTRUCTION ~NO I~. TOTAL DATE R~RKS ' // ' , . .~ 700 ?loo 7~oo,/ ~/, ~ Tilloble FRONTAGE ON WATER w~lo~ F~O~TA~ ON ~OAD ~ PI~ ~ BULKH~D To~l Ex~ensio~ 99.-3-4.17 9/08 Extension .-Extension 'Porch . Deck 5'[0~' Breezewa¥ Garage Foundation Bath Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 26, 2008 Susan Tsavaris PO Box 345 East Marion, NY 11939 RE: 2995 Reeve Road, Mattituck Dear Ms. Tsavaris: Please be advised that we were notified that your existing deck has been repaired and made larger without first obtaining a Building Permit. According to the Code of the Town of Southold, a Building Permit is required before any construction begins. I've enclosed a Building Permit application for your convenience. Thank you for you anticipated compliance. Respectfully, Southold Town Building Dept. George Gillen Building Permit Examiner GG /cb (Cert. Mail) Tow n o__f $outhold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FOSM PROPERTY LOCATION: S.C.T,M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF ~, Item Number: 1 2 3 4 5 6 7 8 (NOTE: A Check Mark (,~) for each Queslion is Required for a Complete Application) Will this Project Retain All Storm-Water Run-Off Generated by a Two 12") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or conslruction activities as well as all Sile Improvements and the permanent creation of impervious sudaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Wated=low! ~ STORM-WATER~ GRADING, DRAINAGE AND EROSION CONTROL Pi iH BlockLo[ CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW Y0~'~. Will this Project Require any Land Filling, Grading or Excavation where there is a change to Ihe Natural Existing Grade involving more than 200 Cubic Yards o Matedal within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess Five Thousand (5,000) Square Fee o Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred 1100' feet Gl a Wetland or Beach? Will there be Site preparation on Exisling Grade Slopes which Exceed Fi~een 1/5) feet of Vedica[ Rise 1o One Hundred (00') of Honzontar Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped Io Dilect Storm-Water Run-O~ into and/or in the direction of a Town hght of way? Yes Wiii this Project Require the PlacerTlent of Material, Removal Gl Vegetation and/or tho Construction of any llem Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the instagation of Driveway Aprons,} 9 Will this PIoject Require Site Preparalion wilhin lhe One Hundred 100 Year Floodplain of any Wa efcourse? E~ NOTE: If Any Answer to Questions One through Nine is Answeredwilh a Check Mark in the Box, aStorm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Pan'nit! EXEMPTION: Ye~s Does INs project meet Ihe minimum standards for classification as an Agricultural Project? Note: If YouA~sweredYestothisQuestion,aStorm-Water,Grading'Drainage&ErosionControlPlanisNOTRequired~ STATE OF NE~~ YORK, That I h u15 swou~, deposes a~cl says daat he/she is d~e appliclmt fei Pe~ tn~L Owner and/or represen~ve of ~le Owner of Owner's, m~d is duty au~orized to l)erform or have performed fl~e smd work m~d to m~e mod file this application; d~at MI smtemen~ contained in d~is applicaSon are ~e to d~e best of his ~owledge ~d beliefi ~at dm work will be performed m fl~e m~mer set ford~ in ~e applicaaon filed herewi~. Sworn to DEPT. OF ~ ~EAtTH SERVICES (si APPLICANT I A v'A :R. '-' ~I~TING TO REMAIN _ - ...... BE COMPLEiE :'-~ C.O, REQUIREMENTS OF THE CODESOFNBW voR~< SLATE. NOT RESPONSBLE FOR DECK PLAN OCCUPANCY OR SCALE: ~"= ILO,, USF IS UNLAWFUL MEET THE OODE8 OF NEW YOFIK M'ATE, ~ - TQ ~,EMAIN III m III III ,~"~"~°~*°~~,,~o~o,~ ~ 2" X ~" AGO D.J, 2' 0~ X 2'-0" X I OUTLINE Off D~CK ABOVe, ~ Ill ~ Ill Ill [11 CONTINUOUSLY AROUND / _ FOOTING ~ F~ME F~N ~oo~,,,~,~ ~ ~,,,~.~.,~,o.o _~ oo,~,,~o~,,o.,~ 5CALE: *~ov. POST5 fALL) / ~ ,¢~ F q 5GALE: ~"= ILO" WIND LOAD PATH CONNECTION AND CON..STfEUCTION DETAIL DIEAWING~ USE Tlfl~ FOLLOWING USF METAL CONNECTOR~ OR APPROVED ~QUAL5 FOR PROPER WIND AESISTANT CONSTRUCTION. FOLLOW MANUPACTU~'~ ~COMMENDED INSTAL~TION INSTRUCTION5 TO ACHIEVE M~IMUM UPLI~ LOAD CAFACI~. DTAIRT~D POST/COLUMN ~ o ~ ~ B~CE TUBE DECK ¢ PORCH NOTES: NAILING 5CHEDULENAiL NAIL mt ....... L~w,b ......... I/2"41axT"lona ...... ~lLwllh~,har~a~n.~s, CLIMATIC ¢ GEOG~PHIC DESIGN CRITERIA a~¢~ ~ a~CO~O~ NTGd25~ I O"E I &5.01 INFORMATION TAKEN FROM SURVEY DATED AUGUST I G, 199 I AMENDED APRIL 13, 1993 PREPARED DY RODERICK VAN TUYL, ?,C. LICENSED LAND SURVEYOP,.5 CERTIFIED TO ANTONIOS SAVOPOULO5 MATTITUCK, NEW YORK PROPERTY AREAS: LOT: EXISTING HOUSE: PROPOSED DECK: TOTAL AREAS: TOTAL LOT COVERAGE: 23, 125,392 2145 sq,~. I 194 ~q.P;. 3339 ~q.fl;, 4.4% SITE PLAN SCALE:323 ,, _ I-'0" 57Gd25' I O"W 185 .O' Z Zza'~ PAGE; 4