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HomeMy WebLinkAbout34053-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34624 Date: 10/25/10 THIS c~KTIFIES that the building ACCESSORY SHED Location of Property: 1020 MEDAY AVE (HOUSE NO.) County Tax Map No. 473889 Section 113 Subdivision MATTITUCK (STREET) (HAMLET) Block 11 Lot 5 Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 3, 2008 pursuant to which Building Permit NO. 34053-Z dated JULY 10, 2008 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 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to JOSEPH FALJ~BELLA JR (OWNER) of the aforesaid building. SUFFOLK COUB~I"fDEP~RT~NTOFHEALTHAPPROFAL E~.RC£KICAL C~K'fIFICATE NO. PLU~ERS CERTIFICATION DA'r~u N/A N/A N/A ~/o r i-z/S ig~iur e Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PER~IT NO. 34053 Z Date JULY 10, 2008 Permission is hereby granted to: JOSEPH FALABELLA 99 SHERADEN AVE 1ST FLOOR STATEN ISLAND,NY 10314 for : ACCESSORY SHED IN THE REAR YARD AS APPLIED FOR at premises located at County Tax ~4ap No. 473889 Section 113 pursuant to application dated JULY Building Inspector to expire on JANUARY 1020 MEDAY AVE MATTITUCK Block 0011 ~ot No. 005 3, 2008 and approved by the 10, 2010. Fee $ 100.00 Authorized Signature COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OO L _ .. TOWr'©F This application must be filled in by typewriter or ink and submitted to the Building Department ao 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 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 from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Bo 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. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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: Old or~Pre~-~nCBuilding: Date. (check one) Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No3 ~gP~',~, -'~. Date of Permit. Street Hamlet l&,_ Block Il Lot ~ Filed Map. Lot: Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: (check one) /)~pplicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~.ATtON [ ] FRAMING / STRAPPING [ j~"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTAI~I'_ CONSTRUCTION [ ] FIRE RESISTANI' PENETRATION REMARKS:~/~ /'~/'~'~'~ ~//~,f/~,~_ //~,.~ DAT,~ INS.ECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH P~. [ ] FOUNDATION 2ND [ ] INS~J~ATION [ ] FRAMING / STRAPPING [ p,,]~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARK~ DATE TOWN OF SOUTHOLD , BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ,20 Approved ,20__ Disapproved a/c Expiration 20__ BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the follto~ving, before applying'? B,~dofHealth gJ/~ '~4 sets. of Building Plans ~/L'FI/~'/,-~?_ ela~illg Board approval N.Y.S.D.E.C. T ustees Fslto°mld .Pew a~i:gsA/~s e s sment Fomf,.. Building Inspector Contact: Mail to: ¢¢ ~5'/2~/~/Z//_)LZ'ff,fl//~. Phone: C/~~ ~'~ APPLICATION FOR BUILDING PERMIT Date N,4~.~ ~ ,20 0~5'* INSTRUCTIONS 0 {~ a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 adj dining 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 : (Signature of applicant or name, ifa co4oration) (Mailing address.of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder APPROVED AS NOTED PC/I..) ezz : Name of owner of premises NJ' ~h/ : -'~'~ (As on the tax roll or lates~ed) : ' -T Ai If applicant is a co~oration, si~ature of duly authorized officer 765-1802 FOLLOWING,,, ' I ~b 1. FOUNDATION- (Name and tideofco~orate offi , ~ ~' Y OR FOR POURED C~,~.-:,.: ' 2. ROUGH . FRA~ZNG & PLUMBING Buildc~s~icc~scNo. I Iq~ j J Jk/J ~ ~,.'~UL 3. INSULATICN Plumbers LicenseNo. a::~:: ~ ~n 4. FINAL - C0~;S- ' 'Ti0N MUST cthcia. ic . No. C rt - ':- C.0. 5 t,/ ALL CONSTRUe-? h SHALL ME~ THE Ot~erTmdds~ic~seNo. ~E ~ , , . L,t , ~l ~ ~-~ ~ ~ ~ ~ ~'~ / REQUIREMENi50F~HE CODESOFNEW ]. ~ocafio~ o~]~d o~ w~ic~ pm~os~ work will b~ do~e: , YORK STATE. NC~ R~?SFOt,~SiBLE FOR IWe. ¢¢//, ~c-~ DESIGN O~TRUCT~ON ERRORS. House Number /Street Hamlet County Tax Map No. 1000 Section //~ Block // Lot Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use an~occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Estimated Cost If dwelling, number of dwelling units If garage, number of cars Addition Alteration Demolition Other Work Fee (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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES NO Y~ 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 * 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 V/ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. 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 NO p// · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF~bl fgl d)S: Jo.~ ~',~,,q ~q ~J~/~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, 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 belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~,) dayof ~a I~./ (,_.,/Notary Public 20 ~~lc, state o~ N~, ¥ot~/v/ ' No. 01 JU60594C 3 Signature of Applicant Joseph Falabella 99 Sheraden Ave. 1s~ floor Staten Island, NY 10314 Town of Southold Building Dept. PO Box 1179 Southold, NY 11971 To Whom It May Concern: Re: Permit 34053 Z - Accessory Shed in the rear yard, 1020 Meday Ave., Mattimck Permit 35005 Z - Reconstruction of a single family dwelling, 1020 Meday Ave., Mattituck Permit 34053 Z will expire January 10, 2010. Please give me a six month extension for this permit. ~incerely your~ ~abella Joseph Falabella 99 Sheraden Ave. Staten Island, NY 10314 September 2, 2010 Building Department Town of Southold 54375 Main Rd. Southold, NY 11971 Re: 1020 Meday Ave., Mattituck Reconstruct Dwelling Permit No~ 35005 & aec shed pemait no. 34053Z To Whom It May Concern: Effective immediately, please remove Jim Naples, his employees, and sub-eontactors from acting as my agent. Thank you for your cooperation in this matter. Sincerely yours, 8EP , 3 27!0 BLDG. DEPt TOWN OF SOUIHOL(} Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY~j~ ric~tt LOCATION:/.// ~fi #: t Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL pLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW yORK. Item Number: (NOTE: A Check Mark (,~) for each Question is Required for a Complete Application) Yes No 1 2 3 4 5 6 7 8 9 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.) 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 Controlling Surface WaterFIow! Wil~ this Project Require any Land Filling, Grading or Excavation where there is a change to the Naturat Existing Grade involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? 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 Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') 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 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.) Will this Project Require Site Preparation within the One Hund ed (100) Year F oodpla 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: 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, Drainage & Erosion Control Plan is NOT Requiredl Yes No STATE OF ~Z,¥V YORK,~-.. , ~-L/Fr (Name of individual signing Document) And that fie/sba is d~c ................................................................. ~.~.~,~ ........................ ................................................. (Owner, Contractor, Agent Co~orate Officer, otc) Owner and/or reI)l-esentafivc of file Ou~mr of Owner's, and is duly aufl~orized to pefforul or bare l)elforlned the smd work ~(1 to make ~md file this application; that ;dl statements contained in this applicagon are true to the best of bis ~mwledge and belief; and that the work ~,411 be performed in tim manner set Iurd~ in dxe application filed herewith. Sworn to before me this; .............. .~.~.) ..................... day ot ...... ..?....~...!..."/. ....................... Notary Public: ........... j~ .............. NOTARY P-UEILIC, State of New York No. u~ JU6OS'~4OO FORM- ~6/07 Qualified In Suffolk County Commission Expires May29, 20 ! TOWN OF SOUTHOLD ~OPERTY RECORD CARD OWNER FORMER OWNER - I N LAND AGE NEW Farm SEAS. NORMAL Acre VL. Tillable 1 Tillable 2 Tillable 3 Woodland "~' Swampland Brushland House Plot Toro I TOTAL FARM DATE BUILDt~IG CONDITION BELOW ABOVE VILLAGE DISTRICT SUB. LOT ~ ,~ ~f 3 ? E ACR~GE W ~P[ OF REMARKS Value Per Acre Value Extension f Basement I / V ~ Floors Extension Ext. Walls :~ ~ Interior Finish ~tension Fire Place ~/~L He~ Porch J Attic Porch Rooms 1st Flor Breezewa' Patio Rooms 2nd Floor Garage Driveway Tram I lall Annex 1375 Main Road P.O. Box 117!t Sindllold, NY 11971-0939 TeleI)honc (631) 763-1802 l~ax (631) 765-9502 B1 IILDING 1)EP,\I,ITMF, NT TOWN OF SOUTHOLD October 7, 2010 Joseph Falabella 99 Sheraden Ave, 1st Floor Staten Island, NY 10314 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. (Town Trustees #765-1892) Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 34053-Z shed ,~: KIONUI~E~IT Survey of Lots 38 & 59 TOLLEWOOD M(]ttituck Town of Southold Suff. Co.,NY. Scole, I"= 50' Oct. 6, 1953 GUARANTEED TO HOME.TITLE GUAHANTY LAND SURVEYOR,, N,Y.'~. LIC, NO. 12fl45 R~VERHEAO. N,Y.