The URL can be used to link to this page

Home My WebLink About35144-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34104 Date: 12/16/09 I~{IS CERTIFIES that the building ACCESSORY SHED Location of Property: 495 BENNETTS POND LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) C~nty Tax Map No. 473889 Section 113 Block 13 Lot 13 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 30, 2009 pursuant to which Building permit No. 35144-Z dated NOVEMBER 9, 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 "AS BUILT" ACCESSORY SHED AS APPLIED FOR. The certificate is issued to JAMES H & LEILJk M MCKAY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPA~T~T OF HEALTH APPRO%rAL EI~CT~ICA~ U~aTIFICATE NO. l~LUt~ERS c~KTIFICATION DA'£~U N/A N/A N/A 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 all buildings, pmperty lines, streets, and tmusual natural or topographic features. 2. Final Approval frcm 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 frcm architect or engineer responsible for the building. 6. Submit Planning Board Approval of Completed site plan reqmrements. 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, Alteratious 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: /qLocation of Property: Date. Old or Pre-existing Building: /¢ ?s- I-Iou~e No. ' Street ¥(OwnerorOwnersofProperty: \l~.SL~.t¢,5" ~ I-~.~A ~uffo~ Co~tyT~ Map No 1000, S~tion /~ ~ Subdivision '~Permit No. '~ f / ~ Health Dept. Approval: Date of Permit. Filed Map. Lot: Applicant: Undertwiters Approval: Planning Board Approval: Request for: Temporm-y Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature 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. 35144 Z Date NOVEMBER 9, 2009 Permission is hereby granted to: JAMES H & LEILA M MCKAY 495 BENNETTS POND LA MATTITUCK,NY 11952 for : AS BUILT ACCY SHED IN THE REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 113 pursuant to application dated OCTOBER Building Inspector to expire on MAY 495 BENNETTS POND LA MATTITUCK Block 0013 Lot No. 013 30, 2009 and approved by the 9, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~,,,FINAL [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION REMARKS: ~ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING i~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR F, ,:I ,O I~$PEcTioN P,.~PORT DATEI COMMENTS FOUNDATION (1ST) FO~ATION (2~) PL~G ~$~ON PER N. Y. STA~ E~RGY CODE ~D~ION~ COUNTS TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved adc Expiration O Iq , 20 BtDG. DEPT. ?OWN OF SOUTHOLD PERMIT NO. Building Inspector BUILDING P CHECKLIST Do you have or need the following, before applying'? Board of Health Planning Board approval "--4 Survey Check t~,'~iDiD , Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: APPLICATION FOR BUILDING PERMIT Date Mail to: Phone:gq'~ 5q }q INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in sets of plans, accurate plot plan to scale. Fee according to schedule. /d- 7o ,20o ink and submitted to the Building Inspector with 4 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 inspectorsonpremisesandinbuildingfornecessaryinspections. ,~.,~ ~~ o~oratl CERT!F!CATION OF h on) NAILING & CONN EC ;1ONS RETAIN STORM WATER RUNOFF /~_;S~n~//o /)~7~t ~ REQUIRED. PURSUANT TO CHAPTER 236 OF THE TOWN CODE. (Mailing ad~lre~s o f'applicant) State whether applicant is o~v~qL:rE~ii~it'~!:iS~i~?r, general contractor, electrician, plumber or builder Name of owner of premises ,~,- ~e£ ~. . / If a plicant isa comoration, signature or duly utho,i ed officer (Name and title of corporate officer) Builders License No. ' - Plumbers License No. Electricians License No. . ~.. f't ,'- NOTIFY B."JZb,i'i ~ D;:F/,,RTbIENT AT 765-I802 8AM 10 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDAUON - TWO RFQUtRED . !' ( , 2. i.¥U:;',il FFLqi, i!A'3 & PLUk,:-3[NG : iNSULATiON Other Trade's License No. V 1. Location of land on which proposed work wtll:b~ don~:/,' . --,', House Number Street ',--:~amle¢ · 't¢~ ....... ~olSLE FOR DESIGH C~4 C~,:>, ,UC ON ERRORS. Coun,yT=M , o.,O00 ec,on //7 ,ock Subdivision Filed Map No.. Lot State existing use and occupancy of premi, ses an/d inte~ted use. and occupancy of proposed construction: a. Existing use and occupancy s'/ b. Intended use and occupancy Nature of work (check which applicable): New Building. c// Addition Repair Removal Other Work Demolition Estimated Cost ~5'-b o -- Fee If dwelling, number of dwelling units If garage, number of cars 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. 7. Dimensions of~existing structures, if any: Front__ _Rear Height Number of Stories __ __Depth __ Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories 8. Dimensions of entire new construction: Front /D 'f~' Rear / O fT~,~ Height ~ fY, Number of Stories / 9. Size oflot: Front /2.f- /~' Rear /2J'- d~¢- Depth ~,~ / O ~. lO. Dateot'Purchase //7/ Name ofFormer Owner /Ld°-vt-e- Rear Depth / 7_.-/~/,'; 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V// 13. Will lot be re-graded? YES NO V/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. l 6. 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 YO]ZK) cou T s: ~ av'v~¢% f~ C ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) ~ove named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have pedbrmed 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 ~7--~C9 dayof ~ F~ Signature of ApplicaJ W DE) ENNF, TT'S POND LANE ~'"~ N29°22'50"W 1125.00' 38.74' [~.o. PO~CH ~ZS' 40.52' 32,62',' - FRAME ~ 0 38.74' ".65' :~ 39.92' FRAME , 23.8' ] I 4'H. CHAIN LINK FENCE ~ 3' GATE IN GROUND [ ~ ' ' WIRE 39'9' [ 10.2TM F~ 4'H. CHAIN LINK FENCETM 829°22'50"E 121.65' SUR~ FOR LOCATION: BENNE~S POND ~NE, MA~ITUCK ~ r~frss~n~[ ~NA~S~DAT TO~ OF SOU~OLD c~N~, ~Y~ SUFFOLK C0UN~, N~ YORK -u~f~ ~.~m~m~. H0~BROOK, NEW YORK 11741 JOB ~1 ~230 Scale: 1' = 2~ 718-486-~08 631 -~-5317 . Town _of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FOR,',' PROI'~:KI Y LOCATION: S.C.T.M. ~ THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF /soo /3 _/3 Dls~ct 8e~n Bl~ ~ ' fl PROF~SIONAL IN ~E STATE OF N~ YO~. It~ Num~ (flO~: A C~ ~a~ (~) f~ ea~ Qu~fl~ Is R~ui~ f~ a ~m~ts ~tion) Yee 1 2 3 4 5 6 7 8 9 Will this Project Retain AJI Storn~W~ter Run. Off Generated by a Two (2') Inch Rain~all on Site? (This item will include all mn-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent crea~on of Irnpan4ees 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 Contmlting Surface WaterFIowl -- Will this Project Require any Land Filling, Grading or Excevatio~ where there is a change to the Natural r~ Existing Grade Involving more than 200 Cubic Yards of Material with n any Parcel? Will this Application Require Land Disturbing Ac0v~ies Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? -- Is there a Natural Water Coume Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (1003 feet of a Wetland or Beach? Will them be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred 1100') 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 right-of-way? ' Will this Project Require the Placement of Matodal, Removal of Vegeiation and/or the Constr{Jction of any Item Within the Town Right-of-Way or Road Shoolder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine ts Answered with a Check Mark in the Bex, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submlffed for Review Prior to Issuance of Any Building Permiti EXEMPTION: Yes No Does [his project meet the minimum standards for ctsssiflcaiton as en Agdcultoral Project? Note: If You Answered Yes to this Question, a Storm-Watar, Grading, Drainage & Erosion Control Plan Is NOT Requlredl Z __ STATE OF NEW YORK, r, ~- ~d ~at he/she is ~e ................................................ ~. Owner an~or mpresena~ve of ~e Owner of Owner's, ~d is duly auto.ed to perform or have performed ~e s~d work ~d to n~e ~d file ~is application; ~at ~l s~t~en~ con.ned in ~is appli~fion am ~e to ~e best of~s ~owled~ ~d belief; ~d · ~t ~e work will ~ performed in ~e m~ner set fo~ in ~e application filed he~wi~. Sworn to before me ~s; ............................................... day o£ ........... - ................................. ,20...~... c~ Notary Public: ..................~.~. ~5~.,.~_~_~ ......... FORM - 06/07 (,_%0' WIDE) BENNETT'S POND LANE N29°22'50"W 125.00' ~ x'2 ['-rj ~"- i2&.7 [ r 40.52' : ; 38.74' [~.o. Po~c~ ~ , ~ ~ 32.62' ', ~ ' ~ ~ 38.74' ~ ' 39.92' ~ , ~ 4'H. CHAIN LINK FENCE q ~ ~ 11,4' IN GROUND [ ' ~ ~ r 0 S29°22'50"E 121.65' BENN~S POND ~E, ~ITUCK '~ ~ ~NNE~S~D AT TOWN OF SOUTHO~ ~r~na[ NO~S: SCT~: 100~113.00-13.0~ ~ ~ N.Y.S. 5 CIRCLEDALE ~NE -~al~.~.r~u~,~. Date CSu~eF AUGUST 6,2009 HOEBROOK, NEW YORK ~1741 718-~6-5~8 631-5~-5317 C:\Docum~nb5 and 5¢tibn~Js~Al\Local 58btm~js\Tem?orary Intcrne~ Fdcm\Contcnt.l~5\2D2PIV45\Og¢230-ESennetmPondLanc-2009-O~5-O7(OlS-OG-2009).dwcj (235.951d~) Unauthehzed alteration or addition to this document is a violation of Section 7209 of the New York Slate Education Law. Certification Indicated hereon shall mn only to the person for whom it is prepared and on his behalf to the Tifa Company, Governmental Agency and Lending Institution listed hereon, and to the succossom and assignees of lending Institution. Certifications are not transferable to additional insA'utions or subeequent ewnem. Copies of this drawing net bearing the professionar's inked seal or embossed seal shall not be considered a valid true copy. The offsets (or dimensions) shown hereon from structures to the properly lines are for a specific purpose and use and therefore are not intended to guide the erection of fences, retaining watis, pools, palfos, planting areas, addition to buildings or any other conslmction. NNNNNTT'S POND N29o22'50"W .3. 38.74' 38.74' IR.o. 12.5' 32.62' ~ STORY ,--] FRAME 44.85' FRAME ~. DECK 23.8' .2. 4'H. CHAIN GAT~~-~'ii~v~ E PATI0/~ '-~-'-'/ IN GROUND LINK FENCE 3' GATE 0 125 40.52' .00' 42,4.7 1_' 0 39.92' .1. 11.4' 11.6' ~ 4'H. CHAIN LINK FENCE $29o22'50"E "MAP OF BENNETPS POND AT MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK" FILED JUNE 12, 1970 MAP NO. 5483 NOTES: - Non-visible easements, recorded or unrecorded are not show~. - Underground foundations or substructures not visible are not shown, SURVEY FOR LOCATION: BENNET'S POND LANE, MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SCTM#: 1000-113.00-13.00- Date of Survey: AUGUST 6, 2009 JOB #: 09-230 Scale: 1" = 20' 5 CIRCLEDALE LANE HOI'BROOK, NEW YORK 11741 718-486-5408 631-585-5317