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Home My WebLink About34945-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34154 ~te: 01/04/10 THIS U~KTIFIES that the building ACCESSORY SHED Location of Property: 365 RACHAELS RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.45 Su]~division Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 19, 2009 pursuant to which Building Permit No. 34945-Z dated AUGUST 19, 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 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to SHAWN & CHRISTINA LOPER (OWNER) of the aforesaid building. SUFFOLK COUITFY DEPARTMENT OF HEALTH APPRO~-AL Z.R¢~rKIC~J~ u~aTIFICATE NO. I~L~ERS c~KTIFICATION DA'r~u N/A N/A N/A ~hor/ed ~gnature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DEC 3 0 BLDG. DEPT. TOWN OF SOUTHOLI) 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 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 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: 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 - Resideotial $15.00, Cmnmercial $15.00 Date. New Construction: /i~ Old or Pre-existing Building: Locationoferoperty: '~ff~_~"~ .~c~'~/'5 ,~-~' House No. Street OwnerorOwnersofProperty: ~r/~;~kJ/~/r ? /-,,O~ Suftblk County Tax Map No 1000, Section Subdivision PernlitNo. ~l'q +5" ~'' DateofPernfit. Health Dept. Approval: (check one) Block Lot Filed Map. Lot: ( ~ / I / ~ ~ Applicant: Underwriters Approval: Hamlet Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 'Z"ca t o o Final Certificate: ,~( (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~]ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34945 Z Date AUGUST 19, 2009 Permission is hereby granted to: SHAWN & CHRISTINA LOPER 365 RACHEALS ROAD MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY STORAGE BLDG.THIS PERMIT REPLACES EXPIRED BP# 32800 at premises located at 365 RACHAELS RD County Tax Map No. 473889 Section 108 Block pursuant to application dated AUGUST 19, 2009 Building Inspector to expire on FEBRUARY MATTITUCK 0004 Lot No. 007.045 and approved by the 19, 2011. Fee $ 184.20 Authorized Signa~re ORIGINAL Rev. 5/8/02 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. 32800 Z Date M31RCH 12, 2007 Permission is hereby granted to: SHAWN & CHRISTINA LOPER 365 RACHEALS ROAD MATTITUCK,NY 11952 for : CONSTRUCTION OF Aiq ACCESSORY STORAGE BLDG. THIS PERMIT REPLACES BP # 29182 at premises located at 365 RACHAELS RD MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007. 045 pursuant to application dated MARCH 4, 2007 and approved by the Building Inspector to expire on SEPTEMBER 12, 2008. Fee $ 184.20 ~~ ~ COPY Rev. 5/8/02 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. 29182 Z Date MARCH 3, 2003 Permission is hereby granted to: SHAWN & CHRISTINA LOPER 365 P_ACHEALS ROAD MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY STORAGE BUILDING. THIS PERMIT REPLACES BP#26531. at premises located at 365 RACHAELS RD County Tax Map No. 473889 Section 108 Block pursuant to application dated MARCH 3, 2003 Building Inspector to expire on SEPTEMBER 3, MATTITUCK 0004 Lot No. 007.045 and approved by the 2004. Fee $ 184.20 Authorized Signature ORIGINAL Rev. 5/8/02 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. 26531 Z Date MAY 26~ 2000 Permission is hereby granted to: SHAWN & CHRISTINA LOPER BROOKHAVEN~NY 11719 for : CONSTRUCTION OF AN ACCESSORY STORAGE BUILDING. at premises located at 365 RACHAELS RD MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007.045 pursuant to application dated MARCH 30~ 2000 and approved by the Building Inspector. Fee $ 119.60 Authorized Signatu~re Rev. 2/19/98 ORIGINAL 765-X802 BUILDING DEPT. INSPECTION [ ] F'~~ouNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY . DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLB~G,~ [ ] FOUNDATION 2ND [ ] INS~H~TION [ ] FRAMING/STRAPPING [/,'~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] ~RE RESISTANT PENEllMTIOfl REMARKS.~ ~~ ~ INSULATION PER N. Y. STATE ENERGY CODE FORt/ 1/0. ! TOI/1/ OF SOUTHOLD BUILDING DEPART}fl/NT TOi/N HALL SOUTHOLB, N.Y. 1197 [ ~L: 765-1802 ' ~r~...~..~-~..., ~ Pe~t ......... ~'ol~l~'t7 .... ~ i :: '~ ":'571'CL~ J INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CBRCK ......................... SEPTIC FORH ................... NOTIFY: CALL .................. It/ilL TO: .................... Date ................ ,20 .... a. 'Ibis application ~nt he cc~pletely filled in by typewriter or in ink and stlnitted to the Building Inspector vii 3 sets of plans, accurate plot plas to scale. Fee ---~rding to schedule. b. Plot pla ahoaing location of lot and of buildings ca premises, relaticoship to adjoining praises or lmblic streets or areas, and giving a detailed descriptim of layout of property ~ast he drmm on the dingrma ~/aich is pert of this application. c. The ~ork covered by this application my not be ceenenced before ism of Building Permit. d. Upco ~vL~tal of this application, the Building Inspector will issue a Building Pemit to the applicant. Such pemit shall he kept on the pregises available /or inspection throughout the ~ork. e. 1/o building shall he occupied or used in ~/~ole or in part /or any purpose daatever tmtil a Certificate of Occupancy shall have heca granted by the Building Inspector. APPLICATI(I/ IS ~ ~ to the Building Bulmrt'~nt for the issuance of a Building Permit pursmmt to the Building Z~me Ordinance of the To~n of ~outhold, Suf/olk Coun~ ~ York, fred other appllcable La~s, Ordinances or Pegulaticos, for the construction of buildings, additions or alterations, or for resnoval or a~,mlition, as herein described, lhe applic~t agrees to cc~ply vith all appliceble la~s, ordinances, building code, housing code, and regulations, and to ~it acthorized inspectors on v,~ises and ia building for necessary inspections. ....... ....... (Sil~mtore of applicant, or n~, if a corpo ' ) (Bailing ~4~eas State ~sether applicant is o~er, lessee, ngent, ard~itect, engineer, general c~tractor, electricias, plunher or builder ........... (as on the tax toll or latest deed) If applicator is a corporation, signature of duly aathorized officer. (N,~e and title of corporate officor) ' Builders Licor~ kb .......................... Plm~ers Lie~e Ro .......................... Electricians License kb ...................... Other Trade'sLicet~seNo .... ~ ~.C)}...(i;i.'.h"~'"[.~. ..~..d I. Locatice of land on .ich ~ ~ ~';; ~ ~me ..... 5.~. ...................... ..' 5 oc &d. ................... ...................... , .......................................... tkmse Ii.her Street . l~nlet c~mt~ Taz ~ kb. 1000 Section....\.O..~. Btoe~ .... ~ ......... l~t ....... .~.:tl.! ..~. Subdivisio~ ...................................... Filed ~ kb ................ l~t ............... (~) 2. State existing use and oco .mmaCy of pr~aises and intended use and occupancy of proposed constructico: a. Existing use an~ occup~mcy ............................................................................. %+orqe .S hEaL b. Intea~i~ use and occupency ......... ~3-. · · · · 3. K~ture of ~ork (check ~4dch applicable): ~ Building~'~ t~klition .......... Alteration Repair ............ Re,oval............. l~lition ............ Other ~ork . 4. Estimated Co~ .. . fee · ",' (to be paid c~ filing this application) 5. If d~elling, r~ber of d~elllng ~mits ............ Ix~nber of d~lling mits oo each floor ................ If garage, n~ber of ca~:s. .................. : .... 6. If hosiness, ~mmrclai or mi~d occupancy, ~9oclfy,~al~ure and eXtent of each ~ nf ,~ ,. Dimeasions of st s, if ..... ....... ................. Ileight ......................... lq~ber of Stories ~ ............... Dimensions of sam structure ~ith alterations or additions: Front ............... Rear ............... P, eptt~ .................... Beight .................... Ix~nber of Stories ............... 8. Di~nensions of entire ~ coostroction: Front ....~....~... ..... l~ear ..~..~.~'. ..... Depth .............. Deight ......................... lqu~ber of Stories . J ................... ~. si~ of ~ot.- ~.t .................... ~ .................... Depth....................~10 I0. l~te of Purchase ..................... lk~m of Former O~ner ........................................ I I. Zone or use district ia ~hlch preraiees are situated .............................................................. 12. Dees proposed construction violate ar~ zoning 1~, ordln~see or regulation: ........................ I]. ~/ill lot be regraded .................... ~/ill e~eess fill be removed fram premises: ' ~ of Architect .................................... ~ddress .............................. Pbooe 1~ ............ ~ of Contractor . .................................. /~ddress ............................... R~ee ~o ............ 15. Is this property ~rithin 300 feet of a tidal ~etland? ~ Y~ .......... l~O ~.~... PLOT I)IAGI~H Locate clearly and distinctly ail buildings, ~hetber eXisting or proposed, and indicate ail set-back dimensions fr~ property lines. Give street and block number or description according to deed, and sho~ street mines and indicate x~eether interior or corner lot. ~FKIE OF bl~'~/Y(~, .~ COUIqlY ~ ....................... I~{ ~ bei~ duly ~m, ~s ~ ~ys tht ~ is tim. a~li~nt (~ of i~ivi~l si~ing c~tract) Ih is the ..~ (~tractor, ~nt, co.rate officer, etc.) of ~id ~r or ~rs, ~ is'~ly ~tbri~ to ~rfo~ or h~ ~r[o~ ~ ~id ~ ~i to ~ a~ file this a~licati~; that ali stat~nts c~tai~ that the ~rk will be ~rfo~ in tbe ~r ~t f~rth in ~e ~licati~ f~l~ ~. ~ to ~fore ~ this ...... ~ ..... 28' $$' 47"~ LOT 4 /1 LOT 3 / PROPER TY / "~ AT MATTITUCK / ,Co TOWN OF SOUTHOLD / ~ SUFFOLK COUNTY, NK / ~' ~000 - 108 - 04 - P/07.2 Scge I" = 40' Oct. 13, 1988 Sept. I, 1989 (founU loc.) PAU£ DAVIS Jr. ' PECONIC ' $ORVEYORS, P.C. t5167 i'D5 - 50~0 P.O. 80X 909 NO. 496 tB O==~NER STREET, ~ ~::;~ --VILLAGE ........ b~T: SUB. LOT FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL Extension Extension Patio Deck Breezewa Garage Pool Foundation Basement Ext. Walls Fire Place Dormer Driveway Bath Floors Interior Finish Heat Woodstove Attic Rooms 1st Floor Rooms 2nd Floor COLOR TRIM Dinette Kit. L.R. D.R. BR. Fin. B. SIDE ELEVRTION FOUNBRTION PLRN FRONT ELEVRTiON RERR ELEVRT[ON ~1 l SEC R-R ~.~.F.x, I~,o~ SEC B-B GENERAL NOTES DESIGN DATA (MATERIALS) ARCH DATA I I ARCH ANCHORAGE LEGAL NOTE APPROVED AS NOTED NOTIFY BUILDING DEPAI~'MEI~r AT ?E5-1802 9 AM TO 4 PM FOR THE FO~OWING INSPECTIONS: 1, FOUNDATION · TWO REQUIRED ~R POURED CONCRETE · ROUGH - FRAMING & PLUMBING [ INSU~TION · FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O, ~LL CONSTRUCTION SHALL MEET ~E REQUIREMENTS OF THE NY. STATE CONSTRUCTION & ENERGY CODE~. NOT RESPONSlRLE Fr~R D~IGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY