HomeMy WebLinkAbout35741-ZTown of Soutbold Annex
54375 Main Road
Southold, New York 11971
5/12/2011
CERTIFICATE OF OCCUPANCY
No: 34952
THIS CERTIIqES that the building
Location of Property:
Date:
COMMERCIAL ALTERATION
5/12/2011
95 Love Lane, Mattituck, NY 11952,
SCTM #: 473889 Sec/Block/Lot: 141.-4-31.7
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
7/12/2010 pursuant to which Building Permit No. 35741
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:
m'mor alteration to an existing retail business 0Vlattituck Florist LLC) as applied for.
Lot No.
filed in this ofilced dated
dated 7/29/2010
The certificate is issued to
Mattimck Florist LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Signature
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. 35741 Z Date JULY 29, 2010
Permission is hereby granted to:
MATTITUCK FLORIST LLC
95 LOVE LA
M3kTTITUCK, NY
for :
MINOR ALTERATION TO AN EXISTING RETAIL BUSINESS AS APPLIED FOR
at premises located at
County T~x Map No. 473889 Section 141
pursuant to application dated JULY
Building Inspector to expire on JANUARY
95 LOVE LA
MATTITUCK
Block 0004 Lot No. 031.007
12, 2010 and approved by the
29, 2012.
Fee $ 250.00
COPY
Rev. 5/8/02
Form No. 6
TovsrN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NAY -5 20 ]
8LDG D[PI.
TOWN OF SOUIHOLD
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 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.
B. 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.
C. 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-existing Building:
Location of Property: .~----~
House No. Street
Date. /Tr'2q '~
(check one)
Hamlet
Owner or Owners of Property: ,~C~.~.Ocr'D~4C~::;~. ~ ff')~~'~
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. ~1-~-'~ [-~ I - '~ Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate: ~
Lot:
(check one
Applicant Signature
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [ ] RRE SAFETY INSPECTION
[ ] Rn~P,,~mST,~rr~ [ ]RREREmS'i'ANT~NE'rRA'nON
REMARKS: ~'~_.z_ .~"~
TOWN OF SOUTHOLD
BUILDING D~e~ARTMENT
TOWN HKLL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
BUILDING PERMIT APPLICATION ~ECI~_LIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey_
Check
Septic Form
N.Y.S.D.E.C.
Tmstees
PERMIT NO.
Examined 7'" / ~ ,20 / 0 Flood Permit
Storm-Water Assessment Form
Contact:
Approved V"-- ~)-'~ ,20 / 0 Mail to: ['~O Ct~),)(' '
Expiration [ -- ~P~'? ,20 ]Q"~
Building Inspector
h~~]~ICATION FOR BUILDING PERMIT
~~ ~ INSTRUCTIONS --- --
a. ~h~pphc~~y filled in by t~ewriter or in i~ ~d submitted to the Building hspector with 4
sets ofplm ~ to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and wate~ays.
c. ~e work covered by this application may not be commenced before issu~ce of Build~g Pe~it.
d. Upon approval of this application, the Building ~spector will issue a Building Pe~it to the applicant. Such a pemit
shall be kept on the premises available for inspection t~oughout the work.
e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Buil~ng Inspector
issues a Ce~ificate of Occupancy.
f. Evew building pe~it shall expire if the work authorized has not commenced within 12 motors after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other re~lations affecting the
prope~y have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pe~it for an
addition six months. ~ereaffer, a new pemit shall be required.
~PLICATION IS HE,BY M~E to the Building Dep~ment for the issuance of a Building Pemit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ordin~ces or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicam a~ees to comply with all applicable laws, ordinances, building code, housing code, and re~lations, ~d to a~it
authorized inspectors on premises and in building for necessa~ inspections.
' (Si~e o~applicant or name, if a co~oration)
(Mailing address of applicant) ~.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises JJIJq 77'[ 7'CtC/d ~_g g /[/ f 7'~ L ~- c_
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authori.zed.~ ~
(Name and title of corporate officer) ~--~-r · -- '
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
'¢'5" Z, o it u#
House Number Street
Hamlet
Lot 3/' 7
County Tax Map No. 1000 Section / ~/ Block O ~4
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed const~O~;
a. Existing use and occupancy /'~ ¢ ~',,q / t
b. Intended use and occupancy ~ ~ ?,'L, t_ fi,~ ~ F,~
3. Nature of work (check which applicable): New Building.
Repair ~ Removal Demolition
4. Estimated Cost
Addition
Othm' Work
Fee
Alteration
(Description)
(To be paid on filing this application)
.Number of dwelling units on each floor
5.If dwelling, number of dwelling units ~-~
If garage, number of cars
(~ If business, or occupancy, specify nature extent of each type of use.
commercial
mixed
and
7. Dimensions of existing structures, if any: Front ..~ ~, 6 ' Rear
Height ~ ~ /~,,m Number of Stories o,~ ~-
Dimensions of same structure with alterations or a~dditions: Front
Depth ~ 4 ~ ~ Height ~ ~ c Number
8. Di~e~sio~s of entire ~cw co~s~ctiom ~ront ~ ~ear i
Height ~' Number of Stories ~' ~
9. Size of lot: Front Rear
10. Date of Purchase _Iv ,~ ~' ,t~t2~IoName of Former Owner T
one or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES __
13. Will lot be re-graded? YES
14. Names of Owner of premises
Name of Architect /._ ~o,4
Name of Contractor
NO
__ NO X' Will excess fill be removed from premises? YES__ NO ,~'
Address ~C z~ee ~ PhoneNo. g~.~Fa~o
Ad.ess 21~t~dP~ ~d, PhoneNo a~/-~-Zq ,q
Address ~ S a q''~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__
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO ~'
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
· IF YES, PROVIDE A COPY.
NO ,X'
STATE OF NEW YORK)
COUNTY O~
~'~ C~' /'''& ,,~c.~ 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 alt 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. ~I, lrllE D. BUN¢I.t
Notmy Public, State of New York
No. 01BU6185050
Sworn to before me this
Notary Public
Qualified in Suffolk Coun~ ) ,,
Commission Expires April 14, 20/c~,
a. fl
BUILDING PERMIT EXAMINER CHECKI,I,qT
Applicantl ~~, ~-~-~
*Date Submitted:
Owner:
SCTM# 1000- 1¥'[ ~/' - 3/,7 Subdivision:
Property Address: ~,~- ~ ~
~/~-/0 Date Reviewed:
Estimated Cost: ~70 o,
Zone: ~'{~ Conforming? ~
city:/r/ ere COs?
Building Permits (Open/Expired): BP/~tt~, -Z / C/0 z-/~'9 7, Info: ~, BP
BP~-Z / ~0 Z- , Info: BP -Z / ~0 ~ , ~fo: BP
8~gle & Separate Seareh Required? Y or N Determination:
~Q. ~t Size: ACT. ~t Size:
~Q. Front ACT. Front ~Q Side A~. Side
~Q. Height. ACT. Height
water~ront? Y or N? 9
REQ. Lot Coy.
REQ. Rear
__-z / C/0 Z- , Inf0:
__-Z/C/0 Z- ,Info:_
If yes, water body:
ACT~ Lot Cov.
PROP. Rear
Panel# Flood Zone:
--. Bulkhead/Bluff Distance:
,ADDITIONAL APPROVALS REQUIRED
Suffolk County Health: Yor~- Ifyes,*Bed#: *Date: / / *Permit//'.'
- If no, certification required: Y or N Received: Y or N By:
NYS DEC: eRE-eEC 9nn$ Y oG- Date:
Southold Trustees: y ore- Date: __/
Southold ZBA: Y or~- Date: / /
Southold Planning: Y ore Date: /
Town Landmark 12 of A: Y o~DTE: __
Town Septic: Y
/ / Permit #:
/ Permit #:
Permit #:
/ Permit #:
/ /
or NJ Letter - Notes:
or NJ Letter - Notes:
- Notes:
- Notes:
*NYS CODE Compliance (page 2): Y or N
Notes:
Fee Structure: Calculation:
Foundation: SF 1. ( SF)- (
First Floor: SF
Second Floor: SF
Other: SF 2. ( SF)- (
Total: SF
.SF)= SF X $ =$
+ Initial Fee: $
+ Additional Fee ( ): $.
SF)= SF X $ =$
+ Initial Fee: $
+ Additional Fee ( ): $.
TOTAL: $ ~.~o , -
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (63 l) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 21, 2011
Mattituck Florist, LLC
PO Box 148
Mattituck, NY 11952
RE: 95 Love Lane, Mattituck
TWO WHOM IT MAY CONCERN:
Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of 50.00.
__ 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 Marshall.
__ Final Landmark Preservation approval.
BUILDING PERMIT: 35741-Z minor alteration
U
CD
Exist.
Shin
TO
ALL CONSTRUCTION SHALL
MEET THE REQUIREME?.!TS OF THE
CODESOFI,,~.,, ~ ..., ,,, ,,.. b.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED 'Al'CD GO~'~Ol I'lOi'4S Of
SO~qBOARD
· ~0~;,^,"4 '~L'?5~,..
] t~.EMOV~ EXISTINg, DO0
I
Exist.
,Prep. Area,
TO P4~MAIN
±~'-4 I/2"
N
FIRST FLOOR PLAN
SCALE: 1/4"=1'-0"
Total Proposed Altered S.F. = 0
Total Proposed Added S.F. = 0
~OLID BLOCK. IN~
TO BELOI~I, ~
FI FI F
UNDERWRITF. RS CI~JlJqC~l~
HALL LEGEND
I I
EXICTIN~, I~[ALL5
J J EXISTIN~ I~IALL5
FEE: ~O
NOTIFY ~ ~~ AT
76~-1~ 8~ TO4 ~ F~ THE
FOLLO~ ~~:
1. FOU~TI~ - ~ REQU~D
FOR ~ED C~I~
2 R~- ~, ~,
ST~PP~G, ELEC~ICAL ~ CAULKING
3. I~
4 FINAL- CONS~TI~
~UST ~6 F~O.O.
REQUIREMEN~
YORK STA~.
DESI~ ~ ~~ E~S.
NEI~I I'qAI_L~