HomeMy WebLinkAbout33781-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34054 Date: 11/05/09
THIS UKK'rIFIES that the building FARM STORAGE BLDG
Location of Property: 4850 SOUND AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 121 Block 3 Lot 6
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 2, 2008 pursuant to which
Building Permit No. 33781-Z dated APRIL 2, 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 FARM STORAGE BUILDING (60' X 100') AS APPLIED FOR PER ZBA ~805, DATED
9/30/65.
The certificate is issued to FRANK & DONNA M SCAROLA
( OWN E R )
of the aforesaid building.
SUFFOLK COL~fYDEPARTbH~NTOFHKALTHA~PROVAL N/A
EI~C£KICAL C~KfIFICATH NO. 129241C 08/14/09
PLUMBERS CERTIFICATION DA'i'M N/A
Authorized Signature
Rev. 1/81
Form No. 6
TOWN 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 unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
Approval of electrical installatiun flora 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:
I. 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,
3.
4.
5.
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $.25
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. '/°/r'-7(//~'
New Construction:
Old or Pre-existing Building:
Location of Property:
House No.
Owner Or Owners of Prope~:
Suffolk County Tax Map No 1000, Section
(check one)
Street
Hamlet
Block '-~ Lot ~'
Subdivision
PcrmitNo. 52~"';ff-] g
Health Dept. Approval:
'Filed Map. Lot:
Date of Permit. ~/~-/t9 ~ Applicant:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~ ~)~
Final Certificate:
~'""~(check one)
Issue Date
8/14/2009
Electrical Inspection Certificate
Electrical Inspection Service, Inc. Application Number
375 Dunton Avenue 129241C
East Patchogue, NewYork 11772
(631) 286-6642
Issued To: Mr. Frank Scarola
Street: 4850 Sound Avenue
Village: Mattituck Zip:
Section: Block: Lot:
11952
Town: Southhold
Contractor: Bright Side Electrical Services Inc. (L) Lic. # 3681-E
Was examined and found to be in compliance with the National Electrical Code.
Commercial ~; NVDefects [~ Pool ~ lstFIoor [] Indoor [~ Basement ~ HotTub
Residential l Det. Garage i Attic ~ 2nd Floor I~ Outdoor ~ Addition ~ Survey
Switches Receptacles Fixtures GFI Heaters A/C Fans
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi
3 3O0 1 [~ /
Television CO Detector
Bldg. Permit:
Other Equipment
i~i*METER -A2'Potato
-100 amp Rt Disconnect/1-100 amp
ubpanel/1-100 amp Meter
Hugo So Surdi
President
Inspector:
John McMahon III
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
Ir, ept. eud3~ )0, IDGS
al,Gl, icatAoa vU:h ~ ~ ~
N~ rs.me~a, ~m"'d,~. -- get. nV t.o be ee~ of ~ ebod
Sovthold ~ B4~l~d o£ A~ea%e -~.
m. ~m % ~ ltofego e~ Jer.
~tO, O00 bulbole, it~r. Koo~ mM eaa~zemb
mo%4 a~ a~
SouthoLd Touu Bc~zd o~ Appoe~ -~0-
./
~ CHAJltleds Under your preeent ooed~ti~, you amy
at~o ]/4 of your ~op~
bo .bd~r feint (dSO*) by oao hludred feet. (LBO*). lbo Boird
finds that tho oa,S4f~cmnt &Leo bup mod gndlso ~ for
other fszum~s, tbuo tho ~d4&t&m8% atorego ImLLdlng bdmLug ·
mom& of ~he o~oL4mge Ix~t&dlng vi J3. be Lo~ed imQ, ou ground
Xeve,l..
feet ooUth of · %ino eoUm~LiWhod b~, ~ ~ Wou, hm'%r
%ine of tM %~mn~ bui%d%ng. ( wou~ of ,bo %mz~o tzeo em *bo
oes~ w~dm of ~ ~)
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 33781 Z Date APRIL 2, 2008
Permission is hereby granted to:
SOUND AVE CORP 4850
PO BOX 2711
AQUEBOGUE,NY 11931
for :
10o
CONSTRUCTION OF A FARM STORAGE BUILDING (60 X~) PER ZBA APPROVAL
(9/30/65) AS APPLIED FOR. THIS PERMIT RENEWS PERMIT #29928.
at premises located at
4850 SOUND AVE MATTITUCK
County Tax Map No. 473889 Section 121 Block 0003 Lot No. 006
pursuant to application dated APRIL
2, 2008 and approved by the
Building Inspector to expire on OCTOBER
Fee $ 150.00
2, 2009.
ture
Rev. 5/8/02
ORIGINAL
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. 29928 Z
Date DECEMBER 9, 2003
Permission is hereby granted to:
SOUND AVENUE LLC 4850
51 MAIN STREET
SOUTHAMPTON,NY 11968
for :
CONSTRUCT 60'X 100' FARM STORAGE BUILDING AS APPROVED BY
ZBA APPROVAL DATED 9/30/65. (THIS REPLACES BP #2891Z DATED 10/08/65)
at premises located at 4850 SOUND AVE MATTITUCK
County Tax Map No. 473889 Section 121 Block 0003 Lot No. 006
pursuant to application dated DECEMBE__R 1__, 200__3 a~.d~_a_p~roved by the
Building Inspeiill i° expire °n J~>//~///' '"'~Fee $ 0
Rev. 5/8/02
ORIGINAL
FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 2891 z
Permission is hereby granted to:
to... ~J~J.. ~..~.~1 .. JJ.~.ll~e.. ~ ....... J~J~.. ~...]J~.. ~ .J..J......J~...JJ~...~. ........
at premises located at ................. .J~....Jl~.~J~ .......................................................................
pursuant to application d~ted .............................. ~J~Jl~ ....... ~ ........... 19....1~ and approved by the
Building Inspector
Building Inspector ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-18O2
INSPECTION
] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ~"'~INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~ ~
DATE
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:' //'~c.../)('~ /~'/~,,,, . ~'~:.~.~f:-- ~:
~ , /__ .., //-
FOUNDATION (1ST)
FOL~X~DATION (2ND)
ROUGH F~G & ~ ~
PL~G
INSk~AT/ON PERN. Y.
STATE ENERGY CODE
~DITION~ CO~S
TOWN OF SOUTHOLD
BUILblNG DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Exan~ned ,20__
Approved ,20
Disapproved a/c
Expiration ,20
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Datel2-~ I ~ ,200~
INSTRUCTIONS
a. Tiffs application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector 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 or
areas, and waterways.
c. The work covered by tiffs 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 regulation~tomdrrltF"~
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
(Mmhng address of' apphcant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises4~<~(~ ~0~'O Aqr L~--~
(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.
Location of land on which proposed work will be done: ~--~/~
House Number Street
Hamlet
County Tax Map No. 1000
Subdivision
(Name)
Section ! 2~ i Block .~ Lot ~
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 [',3,-O- ~qS~otZ%~
b. Intended use and occupancy_
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
{~escription)
4. EstimatedCost Fee~/~O~ P-..~- t~SCL~ ~'3
5. If dwelling, number of dwelling units
If garage, number of cars
(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. M -C. /Sic,v, ~c-5-$
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
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Sizeoflot: Front I ~7, Rear
10. Date of Purchase
Name of Former Owner
Rear
Depth3~:~,5'
.Depth
11. Zone or use district in which premises are situated A ¢~ ~r~' lc /
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
* IF 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.
STATE OF NEW YORK)
SS:
COUNTY OF )
~ ~'~ OJ4KVIYP ~Et ~ -/? being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the Ac~i~x3T'
(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
f,~--- day of ~ 20 c9 ~
I Notary ~rublic ~
' S igna~'fi'~e of Applic~ll ~ /
Notaw Public, State of New York
FORM 1~
NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
E . . ? 19..C...C
xammea ........... ~ ........... .4. ............. ,
Approved .......... ~......~... ....... , 19.~.J..~.. Permit No. '~......~....?...J..~..
Disapproved o/c .................................
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and giving o detailed description of layout of property must be drawn on the diagram which is part of this application.
c. The work covered by this application may not be commenced before issucnce of Building Permit.
d. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall 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
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 oil applicable laws, ordinances, building code and regulations.
.......... ~. · 8~,.t~:m..Fl'm~Jla .l~tt~e~bnt ors
(Signature of applicant, or nome, if o corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engi'neer, general contractor, electrician, plumber or builder.
Name of owner of premises ..JJ~,,~L~O.].~...~j~.,iIl~%~ .............................................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done..Mop No.: ...ll~m~,. ........................... Lot No.: .......... ~ ......
Street and Number .-Si~....~llIBll~..~P~..'...~lJt~tt.~'tlJ~ ...................................................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..(JJ~..~J~JJ~,~l~Jl~.)...];~J~tw~.~d.~.-.ll.~:JI, Q~ ........................................
b. Intended use and occupancy ...... Jllil~...MJJ.~JJ.--l~..&dd-~.j;.~.~Jl~,..~J~..JJti~.~d.~l~J ..........................
3. Nature of work (check which applicable): Building ..~.~ .... Addition .................. Alteration ..................
Repair .................. Removal .................. D~molitian .................. Other Work (Describe) ........................................
4. Estimated Cost ............................................................ Fee ............ .~.O~00 .................................................................
(to be paid on filing this application)
.5. If dwelling, number of dwelling units ......... ~ ......... Number of dwelling units on each floor ............................
If garage, number of cars .................................................................................. : ..........................................................
6. 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 .................................................................................................................
Dimensions of same structure with alterations or additions: Front .................................... Rear ............................
Depth ................................ Height ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................
Height .................... Number of Stories ......................................................................................................................
9. Size of lot: Front ...... .~.~'~I .............. Rear .............. .~'. ............. Depth '"~l/"'3~ii~"~"WJ
10. Date of Purchase ........................................................ Name of Former Owner .......... U~I['I~}]I:~I:I~ ........................
11. Zone or use district in which premises are situated ....,~m..~:[~. .............................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ........... ~ .........................................
13. Name of Owner of premises .l~'~,,~]:~...~lll~;.ll~t~[...Address ........ i~ll~e,~..~lllp,~ .............. Phone No .....................
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor .................................................... Address ............................................ Phone No .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW YORK, } S S
COUNTY OF IgM~'~]~ ............... ~ ' '
....................... ]~ll~.o]gd..,ll~IJBI]~.~ ..................................... being duly sworn, deposes and says that he is the applicant
(Name of individual sigmng application)
above named. 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 to before me this
............... ~ ...... day of .....................~1~,,¢~', 19.~.
Notary Public, . ........................................................... County (Signature of applica
JUDITH T. 8OKEN
Nolary Public, State of New York
NO, 52-0344963, Suffolk County
SOUND
AREA= 2.2170 ACRES
~1 ¥0R$
(516) 502 0
34655 MAIN ROAD
$OUTHOLD, N. Y. 1197!
Prepared in accordance with the minimum
~tandards for fitle surveys a~ established by
the L I. A. L S. and approved and adapted
for .uch u~e by The New Yerk ,~ete ~en~
Title A~mc/~tion,
SURVEY FOR
RANDALL J. FEINBERG
AT MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y,
I000 ' 121 - 03 - 06
SCALE 1" = 60'
OCT. II, 1985
N.Y.S'. LIC. NO. 496 8
ENGINEERS, P. C.
CERTIFIED TO:
TICOR TITLE GUARANTEE
RANDALL d. FEINBERG
85 - 355
AREA = 2.2/70 ACRES
SOunD
~.0O,
Prepared in accordance with the minimum
*tandard, for title *u~ey~ a~ e~tabli,hed b~
C/~e LLA. L$. and
for ~uch ule by approved and adopte
Title A~ociation. The New York State L~._
SURVEY FOR
RANDALL j. FEINBERG
AT MATTITUCK
TOWN OF ~OUTHOLD
SUFFOLK COUNTY, N.Y.
I000 -~ 121 - O~ - 06
$CALE '1" = 60'
OCT. II, 1985
N.Y.S. LIC. NO. 49618
VEYOR$
(516) 765 - 50PO
54655 MAIN ROAD
SOUTHOLD, N. Y, 11971
8~ ENGINEER$~ p. C.
CERTIFIED TO:
TICOR TITLE GUARANTEE
RANDALL J. FEINBERG
TOWN OF SOUTHOLD pROPERT3/ILRECORD CARD
-.-~.~f',~..~'t~ ,~8.~...~:~n~,~ ~, S W ~PE OF BUILDING
K ·
lES. ~7 S~S. VL FARM :COMM~ ~B. MISC; Mkt. Value '~j
~ND IMP. TOTAL DATE REMARKS
/ / / ~, ~
AGE BUILDING CONDITION ~ - L~~ - ~i~,~,~, E~ ~.~ ~/~:~[t F,~,;~tf.~*-'~ r~.Oc/r)
~ARM Acr~ Volue Per Val~e ~ ~ ~ ~ ~
/
~oo~,on~ ~1~ I~ ~ ~ r~ ~ s~z ~ ~/~
wampland FRONTAGE ON WATER
~r~hland FRONTAGE ON ROAD /~ ~ ' f ~ ~ ,/'~ 20
louse Plot DEPTH ~'~
BULKH~D
'otal ~ ~ DOCK
121.-3-6 1/06
Bldg.
':xtension
~tension
[xtension
~orch
~orch
Breezeway
~arage
Patio
Total
indation
Basement
Ext. Walls
Fire Place
Type Roof
~j~creation Room
)ormer
Driveway
Bath
Floors
Interior
Finish
dear
Rooms 1st Floor
Rooms 2nd Floor
inette
LR.
FIN. B.
BR.