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Home My WebLink About34709-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34042 Rte: 10/27/09 T~IS u~TIFIES that the building GARAGE ADDITION Location of Property: 330 EAST LEGION AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) Cowry Tax b~ap No. 473889 Section 143 Block 4 Lot 7 subdivision FiledMap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 2009 purs~nt to which Building Permit No. 34709-Z dated MAY 26, 2009 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 TWO CAR GARAGE ADDITION WITH UNFINISHED ATTIC SPACE TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JERYL A MORRIS & MARILYI~ S SCHEIDT (OWNER) of the aforesaid building. S~FFOLK COUNTY DBPART~ENT OF H]~ALTHAPPRO%rAL N/A ~Cl~IC3~L C]~I~TIFIC]%~ NO. 10748 06/28/09 PL~S CERTIFIC3%TION Ik%'r~ N/A ~uthorized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDLNG DEPARTMENT TOWN HALL 765-1802 BLDG~ DEPt. APPLICATION FOR CERTIFICATE OF OCCUPANC ~O~N OF sOUTHOt~} 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: l. 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 cectificatc of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of Completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: ]- Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features 2. A properly completed application and consem 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: ~ C~ HOuse No. Owner or Owners of Property: t~ o C ¢ C~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. ,_~ t~ "3- (5) ~ Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ 2-~ - Date. ///4 7 Old or Pre-existing Building: < (check one) Street Hamlet Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature + SUFFOLK INSPECIORS.~nc 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough in Inspection Date: Application No.: LIPA Solar App No.: Suffolk County Tax Hap No.: Platinum East Electric Znc 3uly 28~2009 10748 None Certificate No.: 10748 Final Inspection Date: 3uly 28,2009 Building Permit No.: None This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: I~larilynne Scheidt Site Location; t4arilynne Scheidt, 330 East Legion Ave, t4attituck, NY 11952 Owner's Address (if different): ~ Indoor [i~! Outdoor /ii~ Renovation [] Survey [] Residential [] Commercial ["Addition Single Phase Three Phase Main Panel Heat Hot Water AC Cond [] Basement [] Service ~ Shed [] First Floor E~ Pool [] Hottub [] Second Floor ~-1 Attic ~] Garage Other: INVENTORY Duplex Recpt 5 Ceiling Fixture 6 HID Fixtures GFCI Recpt 2 Wall Fixture 3 Smoke Single Recpt Recessed Fixture CO Detect Range Recpt Flourescent Pumps Dp/er Recpt Emergency Time Clock Twist Lock Exit Fixtures TVSS Electric Heat Pool Luminaire Exhaust Fan Other Equipment: Appliances Switches Heat Pump ~.!! The electrical work and/or equipment described above were inspected and appear to be in compliance ~w th local, state and national electrical code requirements and this office. Applicant: Platinum East Electric Inc License No.: 34091-ME Date Of Certificate: Aug 19,2009 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PEP34IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34709 Z Date MAY 26, 2009 Permission is hereby granted to: M & J MORRIS 330 EAST LEGION AVENUE MATTITUCK,NY 11952 for : TWO CAR GAR-AGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 143 pursuant to application dated MAY Building Inspector to expire on NOVEMBER 330 EAST LEGION AVE MATTITUCK Block 0004 Lot No. 007 8, 2009 and approved by the 26, 2010. Fee $ 200.00 /~Au t~z~ Signature ORIGINAL Rev. 5/8/02 7__ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION ~ FINAL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: . DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~..FOUNDATION 1ST [ ] FOUNDATION 2ND ] FRAMING / STRAPPING [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ o~, INSPECTOR DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ~,N~ FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAI~I' PENETRATION REMARKS: INSPECTOR FIELD INSPECTION REPORT i DATE [ COMMENTS FOUNDATION (2~) ROUGH ~G & PL~G ~S~ATION PER N, Y, STATE ENERGY CODE ~D~ION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENt. TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SouthoidTown.NorthFork.net Examined Approved Disapproved a/c Expiration a. T] I//)-~ ,20/~ 8 BLDG. DEPI. PERMIT 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 Storm-Water Assessment Form Contact: Mail to: '~t~n,O bm. 6_q 7. / Wt, A'-TF1TOC. Phone: Building Inspector ATION FOR BUILDING PERMIT Date INSTRUCTIONS IVC, Y ., 2ooq 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 ~lan 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 co~'~using code, and r~gulations, and to admit authorized inspectors on premises and in building for necessary inspections~___~0 -~ ' i-,-~ (Signature of applicant or name, ifa corporation) · ' (Mai~ing address'of applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~/[/kl~l/~ff.J So 5CHE.,OT ~ J~:eyt.. (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: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Blook dltC!:~ N'~ ~,~ Lot Filed Map No. Lot o07 2. State existing use and occupancy of premises and intended use and occupancy ofpr~osed construction: a. Existing use and occupancy ~1~(o ~ ~a")'31 t-ha ]~;~4~lb-J~ b. Intended use and occupancy ~/Xa/~---- 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ~-~/(3-b"'O . Fee 5. If dwelling, numberofdwellingunits -' If garage, number of cars ~- Addition Other Work Alteration (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. --~ Dimensions of existing structures, if any: Front 9-0' Rear ~ ~ Depth ,~ c~ Height 7-7- ~ Number of Stories Dimensions of same structure with alterations or additions: Front ~ ~ ',1 , ~ ' ear Depth 6'~-' Height Z.-3 ' Number 6f stories ' 1)'z' 8. Dimensions of entire new construction: Front ~ ¢- ~ ' · Rear ~ 4. el DePth Height ~-'~ Number of Stories I 9. Size oflot: Front ~' Rear ~- ' .Depth ~.-~- ' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ Zi-O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO V/ 13. Will lot be re-graded?.YES__ NO 7 Will excess fill be removed from premises? YES v/ NO__ 14. NamesofOwnerofpremises..m~¥,~x rvazra~s ^ooress Oq, a'rl-lTcxTvr.~ PhoneNo. Z.c[0 ~-/'Z~D Name of Architect ~')l~Nt:~t2 ~'ttx-Wk Address ('r/~t~ ¢,a~ B'w,qIcr,a:~ Phone No 'ZYl~ 4i~:m~'S-~ Name of Contractor Pv~-,t~O~ ,4 r~ 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. 9:~ __ 18. Are there any covenants and restrictions with respect to this property. YES NO v/ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY 01~1t ff~lL s)s: ~ lX°t:~'Y) ~1 b~0'~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (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 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. Sworn.t~,b~fore me this ,~ .... d- V / No. 0 fBE6099317 Qualified in Stlffolk. C~unty. q ~-Signature of Applicant Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMI881ON OF A STORM-WATERT GRADING, DRAINAGE AND EROSION CONTROL pLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YOEK. Item Number: (NOTE: A Check Mark (~) for eaBh Question is Required for a Complete Application) Yes No 1 2 $ 4 5 6 7 8 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces,) 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 Sudace WaterFIow! Will this Project Require any Land Filling, Grading or Excavation where thera is a change to the Natural Existing Grade nvo v ng more than 200 Cubic Yards of Matedal within any Pamel? Will this Application Require Land Dislurbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (1 Off) feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15)feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town fight-of-way? Will this Project 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? (This item witi NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year F oodplain of any Watercoume? E~-- ~ NOTE: If Any Answer to Questions One through Nine 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 Permitl EXEMPTION: Yes No Does this project meet lhe 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! -- X STATE OF NEW YORK, ~ ,",J~_ cOUNTY oF .E.r&% ............... ss That I, ...~...~...~ ......... ~)..,~..,~ ......... being duly sworn, de'poses and says that he/she is the applkant for Pennik (Name of individual s~gning Documenl) And that he/she is the ......... ~.!.~,.(~..'.[-... ............................................................................................................... (Owner, Contractor, Agen{, Corporate Officer, etc) Owner and/or representative of the Owner of Owner%, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in th/s application are true to the best of his knowledge and belief; and th,a,t the work will be performed in the manner set forth in the application filed here~dth. S.om to bef~3~ this; ..................... ..~.,':,,.:.:......~ ....... day of ......... ~ ................ 20.O.q Notary Public l/~ ~ BE~EU ~ ~- ~--'~-'~ ............ ' (Signalure of Applicanl) . Qualified in Suffolk Count~ FORM - 06/07 ~mmission Expires Sept. 29,~9~ I t OWNER ), ~...,. ,/,_ ? TOWN OF SOUTHOLD STRE AGE NEW NORMAL Form Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland - House Plot TOtals...~ P~OPERTY RECORD CARD VILLAGE /'/ -ACREAGE /,,% j ~74. ,~ S -/~-~ , 25o BUILDING FARM TOTAL DATE BUILDING CONDITION COMM. IND. CB. REMARKS /~/,' "~ ~¢ /; C,~, ,.~ MISC. Est. Mkt. Value Value Per Acre BELOW ABOVE FRONTAGE ON WATER Value FRONTAGE ON ROAD ~(~ BULKHEAD DOCK 143.-4-7 3/06 Foundation C~., ,t~r.~.x"~ Both Basement ~ ~ Floors .~d I~ ~nterior Finish Fire Place ~//'~ H,e~t Porch Roof Type Porch Roo~ ,st Floor Patio Rooms 2nd Floor Driveway Dormer M. BldgL.~ ExtensiOn Extension ~:oundation Basement Ext. Wal~ Fire Place Both Floors -Interior Finish H,eot M. Bldg. Exten~n '.=,5?-'0~,.o0 Foundation Basement Ext. Wal~ Bath Floors .Interior Finish' SURVEY OF DESCRIBED PROPERTY SITUATE MA'I-rlTUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: MARILYN S. SCHEIDT JERYL A. MORRIS TM# 1000- 143-04-007 POURED FOUNDATION WOOD FRAME GUARANTEED TO: MARILYN S SCHEIDT JEERYL A. MORRIS SURVEYED: 27 APRIL 2009 SCALE 1"= 20' AREA = 7,80? S.F OR 0.179 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK. N.Y. 11956 '-'~NYS U~/~/~ :4,g 273 09R1719 SURVEY OF DESCRIBED P~OPER'TY SITUATE MATTITUCK, TOWN OF SOUTHOLD SUFFOLK' COUNTY, N.Y. SURVEYED FOR: MARILYN S. SCHEIDT JERYL A. MORRIS 1000 143 04 007 GUARANTEED TO: MARILYN S, SCH£1DT JEERYL A. MORRIS WOOD FRAME RESIDENCE 2.9' ~ L~ PERCENTAGE OF LOT COVERAGE ~ 4'-~ CHAIN LINK FENCE Z 945 SF 593 $ F SURVEYED: 27 APRIL 2009 /CALF 1"= 20' AREA = 7,801 SF OR 0 ? 79 ACRES SURVEYED By STANLEY J. ISAXSEN, JR. ~.0. BOX 294 NEW SUI~FOL.K. N.Y. 11956 WALL F~SHING A~m4 .... m,~ ,~ ~.,~,,, .~,* .m~,: ~'~ ......... .. ~ : v,~ h APPROVED AS NOTED WITHOUT CERTIFICATF FEE'.~ .~:- o occ**.c, ~ 2- k:,]GH - FRAMING & PLUMDNG A::xxx ...... /// : % ~ ALL C~ /// % % ---~ ~ ~ RE~UIREM' NTS OF THE CODES OF NEW ] ' i . '" %~ P IRSUAM TO CHAPTER ~,,