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HomeMy WebLinkAbout35544-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34356 Date: 05/20/10 T~IS CERTIFIES that the building ADDITIONS Location of property: 1605 MARYS RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 139 Block 4 subdivision Filed Map No. ~ot No. MATTITUCK Lot 4 ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 2010 pursuant to which Building Peri,it No. 35544-Z dated ~L~Y 11, 2010 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 ONE CAR GARAGE ADDITION WITH LIVING SPACE ABOVE TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROGER F & LINDA A RICHERT (OWNER) of the aforesaid building. S~FOLKC~)I~YDEPART~T OF }~AL~{~PRO%5~L N/A ELEt-rKICAL CERTIFICATE NO. 2039650 04/05/05 PLUMBERS CERTIFICATION DA'r~u N/A n~tu~ 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, propcu-ty 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 fi.om 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 propetty lines, streets, building and unusual natural or topographic features. 2. A proper!y completed application and consent to inspect signed by the applicant. If a Certifieate of Oecupancy 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 Certifieate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: Old or Pre-existing Building: Aer' (check one) House No. oWner or Owners of Property: ~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. '~'~ qr~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date of Permit. Street Hamlet Bleck Lo' Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS - ~ ' q BUREAU OF ELECTRICITY I 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT /~0-) ~ Upon the application of upon premises owned by BRIAN BROOKS ELEC. INC. ROGER RICHERT BOX 1001,455 BEEBE DR. 1605 MARYS ST. CUTCHOGUE, NY 11935, MA'UrlTUCK, NY 11952 Located at 1605 MARYS ST. MATTITUCK, NY 11952 Application Number: 2039650 Certificate Number: 2039650 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wirmg, oescribed below, located in/on the premises at: Basement, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the Day of 5th April, 2005. Name QTY Rate Rating Circuit Type Miscellaneous service only Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: i 200 cb Meters: 1 1 seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FORM 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. 35544 Z Date M3~Y 11, 2010 Permission is hereby granted to: ROGER F & LINDA A RICHERT 1605 MARY'S RD MATTITUCK, NY 11952 for : CONSTRUCT A ONE CAR GARAGE W/HABITABLE SPACE ABOVE AS APPLIED FOR PER DEC PERMIT # 1-4738-01335/00001 TRUSTEE WAIVER 9/21/95 REPLACES EXP 23695 at premises located at 1605 MARYS RD MATTITUCK County Tax Map No. 473889 Section 139 Block 0004 Lot No. 004 pursuant to application dated MAY 11, 2010 and approved by the Building Inspector to expire on NOVEMBER 11, 2011. Fee $ 75.00 ~ut~d Signature ORIGINAL Rev. 5/8/02 1~ NO. · TOWN OF SOUTHOLD EUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23695 Z Permission is hereby granted ~ . , ..... ~.~:.~...~.~,..~.'...'-. ......... .... ../.~.~ ..~ ...,~-~,...~......~ ................... , ..... ,o .(~.~ ~..~....,~..........,~...~...... ~....~ .........~.../)z....... ,,/.,,/.,,/.,,/.,,/~.~..~... .....~...,,'J~......,~,:~....~ .......... ~£ ........ ~.~.~..~......,'~:....~.~....,..~..../.~.~.2.~z-~/..~,~-/,~o/ at premises located at ....../...~..~ .......... Building Inspector. Rev. 6/30/80 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971-0959 BUILDING DEPARTMENT TOWN OF 8OUTItOLD Fax (631) 765-9502 Telephone (631 ) 765- 1802 December 19th, 2006 Roger F. Richert 1605 Mary's Road Mattituck, N.Y. 11952 RE: 1605 Mary's Road (garage with habitable space) SCTM# 139 4 4 Dear Mr. Richert, Please be advised that your Building Permit #23695 issued September 24th, 1996 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDiNG DEPT. FOR~ 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. 35544 Z Date MAY 11, 2010 Permission is hereby granted to: ROGER F & LINDA A RICHERT 1605 MARY'S RD MATTITUCK,NY 11952 for : CONSTRUCT A ONE CAR GARAGE W/HABITABLE SPACE ABOVE AS APPLIED FOR PER DEC PERMIT # 1-4738-01335/00001 TRUSTEE WAIVER 9/21/95 REPLACES EXP 23695 at premises located at 1605 MARYS RD MATTITUCK County Tax Map No. 473889 Section 139 Block 0004 Lot No. 004 pursuant to application dated MAY 11, 2010 and approved by the Building Inspector to expire on NOVEMBER 11, 2011. Fee $ 75.00 Authorized Signature ORIGINAL Rev. 5/8/02 765-1802 BUILDING DEPT. INSPECTION [ v] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL []FIREPLACE&CHIMNEY DATE 7GS.~802 BUILDING DEPT. INSPECTION FOUNDATION 'IST [ ] ROUGH PLBG. [ ] lr~IDATION ZND £ ] INSULATION [./]'FRAMING [ ] FINAL DA'~ INSPECTOR 765-Z802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION _ [ ] FRAMING [)]~ ] FIREPLACE & CHIMNEY DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION l ST [ ] ROUGHPLBG. [ ] FOUNDATION 2ND [ ] I~'~ [ ] FRAMING/STRAPPING [i/'~FIN~I. ?/~ ~/~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFE'rY INSPECTION [ ]FIRERESISTAWrCONSTRUCllON [ ]FIRERESISTANTPENETRATlON REMARKS: DATE ~ INSPECTOR Al)l) I T I ONAI. [;Dtltll;.N'l'!;: FORH NO. I 'l'O14N OF SOWIqlOI,D BHII,DI NG I)EPARTHIr~NT TOWN IIAIA, SOUTIIOLD, N.Y. 1197l TEl,: 765-1802 I IISTItUCT IONS BOAIII) ()IF IIEAI,TII ............... 3 SETS OF PI.AN$ ............... $URYEY ........................ CIIECK ......................... SEPTIC FORtt ................... ~OT 1 Ir Y: ~ ..... HA 11, 1'0: .................... Date ................ ,19 .... a. 'lhis applicaticm mint I~ completely filled in by type~qriter or in ink m~l mflznitt~ to tl~e ~nihling Ins~ctor x*ilh 3 ~ts of plus, ~m~rate plot plan to ~ale. F~ acconling t:o scl~hlle. b. Plot plan ~i~ hmatim of lot mgl of I~fildi~s ~ praises, relati(mship to ~tjoini~ pr~nises or ~l~lic si:reeLs or areas, a~l givi~ a c~tail~l c~scril)t:i~m of la~xJt of pro. try mint Im {Irm~ m tile diagr~ Mfidl is imrL of tffis alq)licat i~. c. '11~ ~k c~ I~ this a~licati¢~ ~'W m~t I~ cm~v~l I~fore is~m~e o[ ~ildi~ Pemlt. d. XJ~ a~al of this n~licatim~, vl)e Ihfildi~ lnsl~ctor uill ism~ a lkfilding Pe~it to Vl~e a~llcan~. ~lch ~mdt ~mll I~ kept m~ tl~ pr~i~s ~ailable for insi~cti¢~ thr~x~lt the e. ~) I~fildi~ ~mll I~ ~oq)i~l or u~l in M~le or in l~rt: for any ~lr~se ~mt~er until a (~rl:ificate (k~q~n~:y ~mll. h~e I~n grnnt~l 1~ tl~ Iknilding ]ns~c[or. AI~].I(~'I'I~ IS 1~[~ ~ to tl~ ~fihli~ I~l~rtn~nt for the is~m~e of a Ikdlding Pe~it ~mn~ to live Ihfihli~ ~ O~lilm~e of flw 1'~ o[ ~tl~ld, ~fffolk (~mty, ~ Yo~k, taxi other a~llcable ~gulatiom~ for tl~ m~stn~ti~ o[ Ixfihli~s, ~llti¢~s or alterati~m~ or fl)r r~at or ~lition, as I~reln ~scril~. 'll~ a~licant a~r~s to crawly with all n~licable l~s~ ordhm~es, ~e~dati~m, m~l to ~it mntlx)rlz~l inSl~Ctors ~ l~ises mxl in .:~>..-~..~.'... (fii~mture of a[~licant, or m~, if a corl~rat:i¢~O (Fhil itql aklress of a~licant) ............ ~.~.~ ............................................. ~ .... (as a~ tl~ taz roll or latest dml) l[ aloft icant is a co~rarim, si~ture o[ duly ~zl:l~rlz~l of[leer. title of coq~orate officer) Ikfihlers [.icense ~) .......................... I'h~l~ers License No .......................... Electricimm License ~...; .................. Other '1¥~1e~$ License Ilo ..................... ~._ · ./~0~ ,., - , , ~ /- ............ ........................................ ...................... .... ...... .............. 4 .... .......... ~lxlivisi~a~ ...................................... Filed t~p I~o ................ lot ............... (~) a. F, xlstilv~ use aml ocoq~, ................ t. ...................................................... I). lntei~lc~l u.~ atxl ocolpancy ....... ~..~.'~ ............................................................ I. l~lh.e ol ta.k (d.tck tJ,ids iq~plicnhle): Nt~ Ik~ihti.g . ~klitio~ ~Allmntion II. I'].OT I) [ ^CRAI, I hx:.le clea~ ly n~xl dial:inclly all I~Hhlil~.% Nl~elher exisl:i.8 or prOl~m~l, m~l i,~licate all set-I~:k di,,e(mio.s f... InOl~ly li~s. Cive si:i'll: alii bh~k ~dmr or ~sc~ipti~ m:cotdinB In i~ed. a,~l ~c~ street ~.,es m~l ir~lic, le APPROVED AS NOTED FEEl W:' 765-1802 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1,FOUNDATION o T~O REOUIRED FOR POURED CONCR~E 2.RO~H - FRAMING & PLUMBING 3.INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPL~E FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODE~. NOT RESPONSIBLE FOR DESIGN OR ~NSTRU~ON ERRORS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. PROVIDE ~/4 HR. FIRE RATED SEPARATION TO PART. 7]7.3 (f) (]) OF N.Y. STATE BUILDING CODE. CLAIRE L. GLEW Notary Public. State of New York No. 4879505 Qualified in Suffolk County ~ (I Commission Expires December 8, 19-~-~ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-47'38-01335/00001 FACILITY/PROGRAM NUMBER(S) TYPE OF PERMIT B New PERMIT C~x~servat i on Law Renewal D Modification D Permit to Construct EFFECTIVE DATE June 3, 1~6 EXPIRATION DATE(S) June 30, 1999 Permit to Operate Article 15, Title 5; Protection of Waters Article 15, Title 15: Water Supply Article 15, Title 15: Water Transport Article 15, Title 15: Long island Wells Article 15, Title 27: Wild, Scenic and Recreational Rivers Other: 6NYCRR 608: Water Quality Certification Article 17, Titles 7, 8: SPDES Article 19: Air Pollution Control Article 23, Title 27: Mined Land Reclamation Article 24: Freshwater Wetlands Article 25: Tidal Wet[ands Article 27, Title 7; 6NYCRR 360: Solid Waste Management Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management Article 34: Coastal Erosion Management Article 36: Floodplain Management p1657X Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO Roger and Linda Richert TELEPHONE NUMBER (516) 298-4073 ~)DRESS OF PERMITTEE 1605 Marys Road, Mattituck, New York 11952 CONTACT PERSON FOR PERMITTED NORK TELEPHONE NUMBER Don Bracken Jr., DrackenbuiLt Homes Inc., 1305 Jasmine Lane, $outho[d, New York 11971 (516) 765-4755 NAME AND ADDRESS OF PROJECT/FACILITY Richert Property, 1605 Marys Road LOCATION OF PROJECT/FACILITY Mattituck COUNTY TOWN Suffolk SouthoLd WATERCOURSE NYTM COORDINATES Construction of a garage with living spece to an existing single family dwelling. AIl work shall be in accordance with the attached NYSDEC Approved plans by Linda Richert dated April 26, 1996. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of this permit. P RMIT ADMINISTR TOR: .Chc. r'.;.;. T_ ~'m~m_'l:z~ '~, ADDRESS BLdg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 DATE June 6, 1996 Page 1 of 5 Albert J. Krupsld, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel Town Hail 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 21, 1995 Donald G. Bracken, Jr. Brackenbuilt Homes Inc. 1305 Jasmine Lane Southold, NY 11971 RE: Roger Richert SCTM #1000-139-4-4 Dear Mr. Bracken: The Board reviewed the above referenced file and approved the following; Resolved that the Southold Town Board of Trustees grants a waiver to construct a 14' X 22' addition as per plans. There shal be a row of haybales between the driveway and the marsh during construction. If you have any further questions, please do not hesitate to contact this office. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:jmd cc: Bldg. Dept. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 27, 1995 Brackenbuilt Homes, Inc. 1305 Jasmine Lane Southold, N.Y. 11971 Re: Building Permit Application for Roger Richert Premises: 1605 Marys Rd., Mattituck, N.Y. Suff. Co. Tax Map #1000-139-4-4 Gentlemen: In order to issue a Building Permit for your proposed construction for buildings located on lots adjacent to tidal water bodies, fresh water wetlands, we will need a waiver of jurisdiction or a permit from the DEC and/or the Southold Town Trustees. Very truly yours, $OUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher Sr. Building Inspector Phone numbers: DEC - 444-0360 TRUSTEES : 765-1892 TOWN OF SOUTHOLD' PROPERTY RECORD CARD FORMER Oy4NER ~,'~/~,rJ- N E ACR. ,' S W TYPE OF BUILDING RES- ~_~ SEAS. VL. .~-" FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION //~0/7~ SoLD ~oo, ~,L~'~' ~o ~oqr~ ~ ~.~J~-~ /~f FARM Acre Value Per Value Tillable 1 I /~/~t7 ~IL'/ ~, ~X~Xo Tillable 3 ~'~/~ ~,,~ , Woodland 'l/~k~ [~,~ ~4~. ~r~ /~ Swampland FRONTAGE ON WATER /7~ Brushland ROAD e'~ Hou,~ ~ot D~*H ~ y. /g~ ~/~ Total DOCK M. Bldg, Extension Extension Extension Breezeway Foundation Basement Ext. Walls Fire Place Typo Roof Bath Floors Interior Finish Heat Rooms 1st Floor Dinette LR. DR. BR. Recreation Roor Rooms 2nd Floor FIN. B. Dormer Driveway Garage Patio O.B. Total REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: ROGER S. RICHERT ~,~ MATTITUCK $ouTFC'R ~0 A C.K TOWN OF SOUTHOLD ~%M '. 4~.+'~ / / SCALE: l,, :4O, jDATE' APR 26,,983 ~295 NOTE: · = MONUMENT F/LED IN THE OFF/CE OF THE CLERK OF SUFFOLK' T._~ L::izi - ' ' - a~'J cesspools PROVIDE OPENINGS FOR EMERGENCY ESCAPE REQUIRED BY PART. 714 N.Y. STATE B~ILDI~G CO~ P~o~m~ ~ ~. n~ USE IS UNLAWFUL ~l~ SEPA~ATm. m ~lT~m IT OERTIFIOATE ~PA)I, 117.~ (I) (1) OF ~ )' OF O0~UPANOY , N.Y. STATE BUILDING CODE. ~'coNcRETE ~b~[ .....