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Home My WebLink About35520-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34396 Date: 06/10/10 THIS CERTIFIES that the building ACCESSORY CARPORT Location of Pr~ert¥: 1120 NEW SUFFOLK AVE (HOUSE NO.) County TaxMap No. 473889 Section 114 Subdivision MATTITUCK (STREET) (HAMLET) Block 12 Lot 17.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 21, 2010 pursuant to which Building Permit No. 35520-Z dated APRIL 29, 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 "AS BUILT" ACCESSORY CARPORT AS APPLIED FOR. · ~ne certificate is issued to ADDY FAMILY 2009 IRREV TRST (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPART~TT OF HEALTH;EPPRO~r~EL BLEt-r~IC3%L CERTIFICATE NO. ~L~ERS CERTIFICATION DA'r~u N/A N/A /~/o/d Si/ature Rev. 1/81 20]0 BLDG. DEPT. TOWN OF SOUTHOLD 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 accorate location of all buildings, pmparty 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 o f electrical installation from Board o f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains tess than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and Simila~ 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 pmpeI~y showing all property line~, streets, building and unusual naturat 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. Te. m£o_.ragy. C, e~.rtifieate o1' Occupancy - Residential $15.00, Commercial $15.00 -New ConStruction: Old or pre-existing Building: V {check one) LocationofPrcperty: II~_-O N~W ~I)PFOLI< AM /4U MATTIT06 --.. House No. Owner or Owners of Property: ~ Suffolk County Tax Map No 1000, Section Street Hamlet T OST 114-*i.k1'2.Lot 17, I Subdivision , -mit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Date of Permit. Filed Map. . Lot: Applicant: ~'q~ ~N,[4~ Underwriters Approval: Final Certificate: ~/ (check one) Fee Submitted: 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. 35520 Z Date APRIL 29, 2010 Permission is hereby granted to: for : ADDY FAMILY TRUST 1120 NEW SUFFOLK AVE MATTITUCK,NY 11952 "AS BUILT" ACCESSORY CAR PORT AS APPLIED FOR at premises located at 1120 County Tax Map No. 473889 Section 114 pursuant to application dated APRIL Building Inspector to expire on OCTOBER NEW SUFFOLK AVE MATTITUCK Block 0012 Lot No. 017.001 21, 2010 and approved by the 29, 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 [ ] IN~.~U~ATION [ ] FRAMING/STRAPPING [ i/]~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTAI~CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS. ~)~-~,-,', ~ ~¥.~ ~ /~~* DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~IJL~ [ ] FRAMING/STRAPPING [//]'FINAI~ / [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY I.SI'ECTION [ ] FIRE RESISTANI'CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS: INSPECTOR TOWN OF SOUTHOLD '~OPERTY RECORD CARD OWNER FORMER O~t NER~ R~S. ~/q LAND Tfllable ' 2 T illabl~. 3 Woodland SWamplond Brush[and House Plot TOTAL 13 ~0 /6' ~ o SEAS. IMP. FARM BELOW Value~ Per Acre .~' a z) / BUILDING CONDIT[ON NORMAL VILLAGE -TYPE OF BUILDING LOT ABOVE COM/vL IND. CB. J MISC. J . DATE REMARKS ~xtens~on. F:xtenslon Extension PoRc~ '~',~'~/ ~' : ~'.o0 Porch Breezewe, Garage . Foundation ~ / ~_ .~ / Basement Ex't, Walls Fire Place Patio /~/' Driveway Porch L l I'Fioors Interior Finish Hea~ Attic Roams 1st Floor R~oms 2.nd Floor , . To w.n of Southold Erosioni edimentat,on & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M, #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A District Section Block Lot STORM-WATER~ GRADING, DRAINAGE AND EROSION CONTROL PLAN C~=KIt~'IED BY A ~-~i',.~H PROFESSIONAL IN THE STATE OF NEW YORK, Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes N._.2o 1 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? ,TbJ,.3_ Item shall include all Proposed Grade Ch~Qges and ~;Iopes Controlling Surfapa ~aterFIo~., Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? 5 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a. Wet~and or Beach? 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? 7 Will Driveways, Parking Areas or other Impervious Surfacas be Sloped to Direct Storm. Water R~n_Off into and/or in the direction of a Town right-of-way? 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year FIoodp a n of any Watercourse? NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm.Water, Grading, Drataage & Erosion Control Plan ts NOT Requlredl STATE OF NEW YORK, cou rr OF -SV C 'O [ ss That I, .~.~.........~......~.......~. ~ .................. being duly sworn, deposes and says that he/she is the applicant for eemfit, (Name of individual signing Document) And that he/she is the .t~..~..l~.{~~...~ ........................................................................................ (Owner, contmcto, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed 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 beliefi and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; .. d Notary Pu bl~~ ~ ./....t~..~....~1.....~...~..P.~.lJg,. Sl~t e .of. Nero .york .... ' ' NO. 01F06177911 . ~ll~d In Suffolk Coun~ FORM - 06/07 ~ml~on Expires November 19, 2011 NAY t 8 2010 BLOG. DEPT. TOWN OF SOUTHOLD ~T c~ Wc~C~ F~T -k [ QO~ ~ ~10'~~ -ro-rAU ~ 2X6 ACQ SILL PLATE 5/¢" DTA. ANCHOR BOLTS ~24"0C w/WASHERS ~ NUTS COP-R-TEX TERMITE SHIELD FOAM SILL SEAL EXISTING FLOOR SYSTEM 2X6 STUD WALL ON $" BLOCK FOUNDATION TO REPLACE EXISTING FOUNDATION DAMPPROOF -- EXT. 4"CONC. SLAB CROSS SECTION SCALE: 1/2" = l'-O" EXISTING R£PL/~/EXISTING FOUNDATION PLAN SCALE: 1/4" = 1'-0' : ,'I ,!mP!.L ; ':, ,,,OF'I'HE CERTIFICATION OF NAILING & CONNECTIONS REQUIRED, NeW ~UFP'OkK- AVE. ~,ODTH ~L.E. VATIOIq AL.L. II (-n'¢ FCC. v klO TH ¢-L V TION 4.D,~+. +i -T¢IZF-Aot;1~ To PP.~F_.9'F I~0N- OFF. To roN~P ~ WA"n~.. pOH12 ~ ALL CONSTRUCTION SHALL MEET THE REQUIREL'iENTS OF THE OODES OF NEW YORK STATE. US% P" I IIqLAWFUL WITil" ',SERTIFICATE Or L/,?v" ' ' RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. Copyright 2010 by Robed W. Brenner, Architect. These drawings are an instrument of service and are the propedy of the Architect. Infringements will be prosecuted. It is a violation of the law for any person, unless acting under the direction of Robed W. Brenner, Archilect, to alter any item on this document in any way. ROBERT W. BRENNER, ARCHITECT We,.~'THAMP'TOk. I/ MY IIq77f 516.998.8039 ~Y.I ~TI NIE~ P~Wlkl~ N/x-r TITUCF.,, ~4Y' Revisions Drawing Title Drawing No Date 4-,1~,10 Scale A~ tqOTBp OF1