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HomeMy WebLinkAbout35523-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34386 Date: 06/04/10 THIS CERTIFIES that the building DECK Location of Property: 755 LUPTON PT RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 115 Block 11 Lot 4.1 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 2010 pursuant to which Building Permit No. 35523-Z dated MAY 3, 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 REPLACEMENT OF AN EXISTING DECK ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICH3~EL & PETER DROBET (OWNER) of the aforesaid building. SUFFOLK COUNtrY DEPAR~I~ENT OF H]~LTH APPRO~-AL ELECT~IC3~L CERTIFICATE NO. PLIERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 Form No. 6 TOVqN 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, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewernge4isposal (8-9 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. 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 buildin~gs 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. Ifa 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 Certifieate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certifieate of Ocenpancy - Residential $15.00, Commercial $15.00 Date. (~ /I ] Z D ' O New Construction: Old or Pre-existing Building: /ff (check one) LocationofPropony: '"1 ~ '~ t-.-o~'q'btO'~ House No. Street Owner or Owners of Property: ' ~'[tg.a ~_ 1~ "'~'-U~'~"~ ~! ' Suffolk County Tax Map No 1000, Section Subdivision PerimtNo. 35~ '2~ 'DateofPermit. ~./,g /rD Block II Lot Filed Map. Lot: Applicant: t~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ o o Underwriters Approval: Final Certificate: Y (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. 35523 Z Date MAY 3, 2010 Permission is hereby granted to: JACK & DOROTHY S DROBET PO BOX 965 MATTITUCK, NY 11952 for : RECONSTRUCT DECK ADDITION AS APPLIED FOR. THIS PERMIT REPLACES 33523. at premises located at County Tax Map No. 473889 Section 115 pursuant to application dated MAY Building Inspector to expire on NOVEMBER 755 LUPTON PT RD MATTITUCK Block 0011 Lot No. 004.001 3, 2010 and approved by the 3, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33523 Z Date NOVEMBER 14, 2007 Permission is hereby granted to: JACK & DOROTHY S DROBET PO BOX ~6~ ~ MATTITUCK,NY 11952 for : RECONSTRUCT A DECK ADDITION AS APPLIED FOR.REPLACES EXPIRED BP # 22282 at premises located at County Tax Map No. 473889 Section 115 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 755 LUPTON PT RD MATTITUCK Block 0011 Lot No. 004.001 14, 2007 and approved by the 14, 2009. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO,$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAIL $OUTHOI.D, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: "~, ..... .~...... ~..~.~.,..-.. ...................................... ...... ~....~........h,..:_...m....: ........................ ~ .... ~'~"~'~ ......... ~.t: ....... ~',~ ...... ,o ...... a~...~.~-..m.~ ................ ~ ........... ...~....~ .......... ~/.~.~.~.~ .......................... ............. ~ .............. ~~a. ......... ~..~..~. .......................................................................... i CounlyTax Map No. 1000 Secflon......~.~,..~... ........ Block ....... ,,//,,~.. ............. Lot No. ..~,,,~,, ............. Building Inspector. ~,, ~.....~.:~ .... and approved by the Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~]/FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR ~-~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [~FINAL /~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR ~'~ DATE Date: To: Re: JAMES J. DEERKOSKI P.E. 260Deer Drive Mattituck, NY 11952 (631) 774 7355 May 5, 2010 Town of Southold Building Dept Deck Certification Drobet Mattituck, NY Permit# 33523 To Whom It May Concern: This is to certify that an inspection was performed at the above mentioned deck, and the work was done as per plan, and meets all state and local codes at the time of construction (Sept 1994). If you have any questions, please do not hesitate to contact me. Thank You. ~~erely, OU~;DA'TION (1st) OUNDATIO~'! (2nd) OUGH FRAME & -PLUMBING iNSULATIOn'; PER N. Y. STATE E}~ERGY CODE Fi;;AL ;%DDITION~'L COMME~TS: Disapprovedl a/c ...... ~. ?: ............ ............... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1 '1971 TEL.: 765-180:a .~-3 SITS OF PL,X;~S ........ ./, SURVEY ' ............. SEPTIC CALL ~ ..... HAIL TO: .- (Building Inspector) APPLICATION FOR BUILDING'PERMIT Date ' · ..; ........... 19... ' INSTRUCTIONS a. This 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 sfi'eets or areas, and giving a detailed description of layout of property must be drawn on the diag~m which is part of this appli- cation. · 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 issued a Building Permit to the applicant. Such 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 paxt 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 South01d, ·Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the consn-action 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 re,,ulations admit authorized inspectom on premises and in building for necessary ins~ections~ . ~, d~-y~_fj = , and to /,CSignature of applicant, or name, ff a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai ·contractor, electrician, plumber or builder. Name of owner of premises ' ' (as on the' ' ........ · ) If applicant is a corporation, signature of duly authorized officer.' ; ' (Name and title of corPorate officer) Builder's License No .... ' Plumber s License No .... : Electrician's License No ....................... Other Trade's License No. . ...... Location ofland on which proposed work will bc done.. ~...~.Z~.:, .~., ~rZ.-~f. · .~,'.~..~,, ~ ................ ........' House Number Street Hamlet Coun Tax Map No. ection ck ' . Lot. ~ ............. Subdivision ........ . ............................ '. Filed Map No. (Name) .............. Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing Use and occupancy '3. Nature of work (check which applicable): New Building .......... Addition Alteration · (Description) 4. ~Estimated Cost . ~'~''' ' ' Fee ..................................... 5. (to be paid on filing this application) If dwelling, number o£ dwelling un ts .......... Number of · · ' 6.' If garage, number of cars ... · -. dwclhng umts on each floor .... · . y: rr. om .... : .......... Rear Depth ............ Height .............. Number of Storms ........ ..................... Dimensions of shine striicture with alterations or a'Jditions: Front · · · Depth .... 2 ............... Height . ' ................ Rear ........ 8. ''' ' .................. ;.-NumberofStories .... ' i.:~'~''' I0. 1 1. c e off Owner ~ 12. Does t . proposed construction violate any zoning law, ordinance or regulation: 13. Will 10t be regraded ; Will excess fill be removed from prem es: 14. Name of Ownerofpremises .. Yes No Name of Architect .... ' ........ , · · · ~.. · · · Address ................... Phone No.. Name of Contractor ............. Address ................... Phone No ........... ...................... Address · · · Phone No.. ' .... 15.' I.s this property within 300 feet of a tidal wetland? *Yes ........ No ..... · If yes,'Southold Town Trustees Permit may be required. '''' .... PLOT DIAG ILA_M ' Locate clearly and distinctly all buildings, Whether existing or proposed, and. indicate all set-back dimensions frr~m property lines. Give street and block number or deScription according to deed, and show street names and indicate whether interior or corner lot. !TATEOFNEW¥OPK '~' SS ' · · act)' being duly sworn, deposes and says that he is the applicant (C ............. ' ....... ontractor, agent, Corporate officer, etcl) ....... said Owner or Owners, and is duly autllorized to perform or have perfomned the said work and to make and file this ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork w/ll be performed in thc manner set Tort ~ in the a plication fil, , yom to before me this . P ed therext:th. ' N0 ~250' g' S ,t.0 k C0,,~ ~ PP ) Tram 1 lall Annux 54375 Main Road P.O. Box 117!} Southold, N Y 11971-0959 Telelihonc (631) 765-1802 Fax (631 ) 765-9502 1~,1 qLDIN(; I)I.;PARTMENT TOWN' OF SOUTHOLD May 13, 2010 Jack Drobet Mattituck, NY ~ ~952 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 35523-Z deck Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York I 1971-0959 Fax (631) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 30th, 2007 Jack Drobet P.O. Box 965 Mattituck, N.Y. 11952 RE: 755 Lupton Pt. Rd. (deck addition) SCTM: 115 1141 Dear Mr. Drobet, Please be advised that your Building Permit #22282 issued August 26th, 1994 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 200.00; 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. TOWN OF SOUTHOLD PROPERTY RECORD CARD /._.,,OWNER FORMER OWNER STREET ~'~.~...~ - VILLAGE DISTRICT .... ACREAGE TYPE OF BUILDING LOT RES. LAND AGE NEW · Farm SEAS. IMP. VL. TOTAL FARM DATE BUILDING CONDITION NORMAL Ac re BELOW Value Per Acre COMM. lIND. ICB. j MISC. REMARKS ABOVE Value Tillable Tillable 2 Tillable 3 Woodland Swampland Br~shland House Plot Total Extension Basement F~' / / Floors Extension Ext. Wails /.~,~,:~, Interior Finish Extension Fire Place ~1'~ Hea,t Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor G~rage Driveway , Ch OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY NOTIFY SUILDING DEPARTMENT AT . _. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPEC~TIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST EE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION ~, ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSIRUCllON ERROR~ 11