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