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HomeMy WebLinkAbout35714-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 7/31/2011 CERTIFICATE OF OCCUPANCY No: 35099 Date: 7/31/201 l THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: RESIDENTIAL ADDITION 400 Ole Jule Lane, Mattituck, Sec/Block/Lot: 114.-12-13.1 Filed Map No. conforms substantially to the Application for Building Permit heretofore 7/1/2010 pursuant to which Building Permit No. 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: roof over deck with stairs on an existing one family dwelling as applied for. Lot No. filed in this officed dated 35714 dated 7/16/2010 The certificate is issued to Myers, William & Myers, Marie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35714 Z Date JULY 16, 2010 Permission is hereby granted to: WILLIAM & MARIE MYERS 400 OLE JULE LA MATTITUCK,NY 11952 for : CONSTRUCTION OF A ROOF OVER DECK WITH STAIRS AS APPLIED FOR PER TRUSTEES APPROVAL at premises located at County Tax Map No. 473889 Section 114 pursuant to application dated JULY Building Inspector to expire on JANUARY 400 OLE JULE LA MATTITUCK Block 0012 Lot No. 013.001 1, 2010 and approved by the 16, 2012. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF $OU~HOLD 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 f A. For new building or new use: 1. Final surveY 0fproperty with accurate location of all buildings~ property lines, streets, and unusual natur~ topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S_9 form). 3. Approval of eleetrieal iustallation from Board of Fire Underwriters. 4. Sworn statement from Number 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:unusuM 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 po01 $50.00, Accessory building $50.00, Additions to aecessory building $50.00, Businesses $50.06. 2. Ceytifieate of Occupancy on Pre.existing Building - $ t00.00 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 Old or Pre-existing Building: New Construction: Location of Property: ~O House No. Owner or Owners of Property: ~ County Tax Map No 1000, Section 8ubdivisi0n (check one) Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ..~0 '~ co Street Hamlet .Date of Permit. 0'oL~ lO, ,~/~q~.pplicant: Filed M~p. L~t: Underwriters Approval: Final Certificate: _ ~../'"'~check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG.  [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCllON [ ] RRE RESlSl'ANT I~F. NETRATION REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~/P~BG. [ ] FOUNDATION 2ND [ ] IN/SU'LATION [ ] FRAMING/STRAPPING [~,,]'J:INAL [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ REMARKS: ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPA~l~TMENT TOWN HALE SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ///! , 20 Approved ¢~, 20 Disapproved a/c PERMIT NO. 3 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans )/~ Planning Board approval Survey 7'~ Check /gcc-5 Septic Form N.Y.S.D.E.C. Trustees /l~ Flood Permit Storm-Water Assessment Form ~ ~z~.~C ° nt ~'~ oze-. ,ze /wvrr '/ Phone: ~/& ~ -ff~ Expiration /,//~ ,20 /? ~ r~ a n, ~,-:-'. , Building Inspector 11~51 ~,k~/IC/TION/I' FOR BUILDING PERMIT ~ ~/ ,,t( I 20~0 /~// Date ~ ,20/0 ~ / INSTRUCTIONS .... ~q~~letcly filled in by typewriter or in sets oY plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oKlot and o~buildings on premises, relationship to adjoining premises or punic streets or areas, and wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval ogthis application, thc Building ~spector will issue a Building Pe~it to the applicant. Such a permit ~hall ~e kept on the premises availaNe for inspection throughout the work. c. No building shall be occupied or used in whole or in pa~ ~br any pu~ose what so ever until the Building Inspector issues a Ce~ificate o~ Occupancy. E Eve~ building pe~it ~hall expire igthe work authohzed has not cmnmenced within issuance or has not been completed within I 8 months groin such date. ffno zoning mnendments or other regulations affecting the property have been enacted in the interim, the ~uilding Inspector may authohzc, in writing, the extension of the pe~it got an addition six months. Thereafter, a new p¢~fit shall De required. APPLICATION IS HEREBY M~H to thc Building Dcpamnent gor the issuance of a ~uilding Pc~it pursuant to the Building Zone Ordinance ogthe Town og Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, f~r the const~ction of buildings, additions, or alterations or for removal or demolition as herein described. Thc applicant agrees to comply with all applicaNe laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building ~or nccessa~ inspections. ( 'g tue of applicant q~tname, ifa corporation) ,3E tS UNLAWFUL IT CERTIFICATE , t I*.,;~..~/ (Mailing address of applicant) ,,- ©CC;':PAN. CY State whether applicant is owner, lessee, agent, architd6t; engineer, general contractor, electrician, plumber or builder APPROVED AS NOTED Name of owner of premises &J/Zz,/tCa ~ ~.4,~e- A4~eq2S DATE' (As on the,tax roil or latest c~) If applicant is a corporation, signature of/~L~:~{i)~i$/:i~'~'~5~c~ (LL ' NOTIFY BUILDING DEPARTMENT AT MppTTHEREQU ::: :,OFTHE {j765-1802 8 AM TO 4 PM FOR THE -- VFOLLo~N6 INSPECTIONS: (Name and title of corporate offigt~l~Es OF NEC; t O::iK STATE, 1. FOUNDATION - TWO REQUIRED Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: olE ~-o,~ L/hoe- House Number Street County Tax Map No. 1000 Section Subdivision FOR POURED CONCRETE 2. ROUGH- FRAMING, PLUMBING, STRAPPING, ELECTRICAL & CAULKING 3. INSULATION 4. FINAL- CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR CO ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW Hamlett~o,,o- ,., ........................ Block /2- Lot / , / ~'~ Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy o f proposed constmr, tion: a. Existing use and occupancy 12.~'~l~/rrT/FL ~C~K. b. Intended use and occupancy .%/+r/,/v 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost '~/5'-'00 ~ 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height Number of Stories r Rear {O ' _Depth /2- / Dimensions of same structure with alterations or additions: Front Depth /2- / Height 7 / Dimensions of entire new construction: Front /0 / Rear Number of Stories ow-e_ Height Number of Stories 9. Size of lot: Front '~1~,~ Rear Z~t', ~ Depth 10. Date of Purchase ~, [ZOo'7 Name of Former Owner leo~//4Lb Rear /¢ r _Depth 1 1. Zone or use district in which premises are situated /¢- ¢'O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES NO I,'~fCill excess fill be removed from premises? YES NO__ 14. Names of Owner of premises ¢O/Zzt,fcf -tt144~,e- ,WoerAddress ffccc~o o'tzca~/tc*rr~r~-Phone No. iT& - SF/~ -5-I¢¢-O Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES / NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ufa tidal wetland? * YES__ NO * 1F 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 __ · lF YES, PROVIDE A COPY. STATE OF NEW YORK) COU~4TY OF ~L''c'~£/L' ) NO ~' [,LI/LLt'/¢-~ /14 ~/c~eJ' . being duly swum, deposes and says that (s)he is the applicant (Name of individtlal signklg con~act) above named, (S)He is the , ~Contractor, Agent, Co~orate Officer, etc.) of said ?wner or owners, and is duly authorized to peffo~ or have perfumed the said work and to make and file this application; that all statements contained in this application are tree to the best of his ~owledge and belief; and that the work will be perfumed in the manner Set fo~h jn th~pplication filed therewith. / p~ ¢ ~ N6taW Pubhc No. 01AO6046191 Signature ufA Ouallfiod In Suffolk Oounty Oommission Expires August 7, 20 /O Jill M. Doherty, President James F. I~ing~ Vice-President Dave Bergen Bob Ghos/o, Jr. John Bredemeyer Town Hall Annex 54375 MAin Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fsx (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7320A Date of Receipt of Applica0on: May 12, 2010 Applicant: William & Marie Myers SCTI~f: 114-12-13.1 Project Location: 400 Ole Jule Lane, Ma~{dck Date of Resolution/Issuance: June 16, 2010 Date of Expiration: June 16, 2012 Reviewed by: Board of Trustees Project Description: To construct a roof over the existing 12'x14' deck, construct a fence around the existing 40'x120' garden area, and to install paver bricks from the deck to the driveway. Findings: The project mccts all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Soulhold Town Code. The issuance of an Administrative Pemlit allows for the operations as indicated on the site plan prepared by Wilflam & Marie Myers, received on May 21, 2010, and stamped approved on June 18, 2010. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not n'~.ct the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Soulhold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Ji . Doherty, t Board of Trustees JMD:eac Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0664C Date July 5, 20! 1 THIS CERTIFIES that the roof over existing 12'X 14' deck, fence around existing 40'X 120' garden area~ and paver bricks from the deck to the driveway At 400 Ole Jule Lane, Mattituck Suffolk Coun~ Tax Map #114-12-13.1 Conforms to the applieafiun for a Trustees Permit heretofore fded in this office Dated 5/12/10 pursuant to which Trustees Wetlud Permit #7320A dated 6/16/10 was issued ~md conforms to ~ll of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is be'rog issued is for Thc roof over existing 12'X 14' deck, fence around existing 40'X 120' garden are~ and paver bricks from the deck to the driveway. The certificate is issued to _WILLIAM & MARIE MYERS owners of the_aforesaid property. Authorized Signature Town of Southoid ~rosion, Sedan & S---~o~ ASSESSMENT FORM ',~.~.cKo* LO,~,A~TION: . ~.C.T.M.~/~ / _~ FOLLOWING A~QNS ~Y ~QUI~ THE 8UBMI8SION OF A Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No 1 Will this Project Retain AIl storm'water Run-Off Generated by a Two (2-) inch Rainfall o~ Site? (This item will include all mn-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 andl°r Survey Show AIl Proposed Drainage Structures indicating Size & Location? 'l~his Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowi 3 Will this Project Require any Land Filling, Grading or Excavation where there isa change to the Natural E~ ~-~ Existing Grade Involving moro 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 Prelect within the T~stees jurisdiction or withln On; Hundrad (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 Surfaces be Sloped to Direct Storm-Water Run-Off E~ 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 E~ 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 Hundrod (100) Year Floodplain of any Wateroourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In the Box, a Storm-Water, Gredthg, 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 ciassiticafion as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm.Water, Gradthg, Drainage & Erosion Control Plan is NOT Requiredt Yes No STATE OF NEW YORK, COUNTY O~ ........ ~.~.c.~. ................ SS L c)~ ~/~A' ~ V~o · That I, ........................................ ~ ................................. being duly sworn, deposes and says that he/she is the applicant for Permit, (Nama of Indivl4ual *~nlnfl Document) And that hedshe is the .......................... ~....~...;U ~ (O~mer, Contmclor. Agent, Coqmmle 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 know{edge and beliel} and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; .............................. 2~ ........... Y ;~ "-....~,'-~ .................................. ,20 ..... ............................ Ou~,tisd in Su.otU C,~ ' ................... i[~;;i;;'~~ ................. Tc..'m,. ~:~.::;. P.'.:'.g'.'ct * 2r31~ '3z0.4 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971 0959 Telephone(631)765 1802 Fax(631)765-9502 BUILDING DEPARTMENT TOWN OFSOUTHOLD July 15, 2011 William & Marie Myers 400 Cie Jule Lane Mattituck, NY 11952 Re: 400 Cie dule Lane, Mattituck TWO WHOM IT MAY CONCERN: The 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: 35714 - Roof over deck with stairs AREA OF PONO = 0.383 Acre .~ AREA OF ~S : 1.41 Acres TOTA~ ~A 1,7~3 $CflH$ R~t # R10-9~-0170 N/OF I~EWSUFRXKAVE I.A~ OF COLOft ~ PONO ./ i / J fen Io, n~ ~llit tl~ STA,YflAROS FOR ,4PPRO¥,~L Af~) COItgTRUCFIO?t OF EL4~.S'L~ACE 5ErIAGE ~'RP05~- $¥$~,t$ FOR 5h~G.E F'AI,~.y RE.g~t~C~S pern~l lo consir~d. SURVEY OF PROPERTY A T MA TT/TUCK TOWN OF SOUTHOLD , N K · SUFFOLK COUNTy N.Y. I000-I14-1~-13.1 u.4a ~ t, ooe ~ 4~¢ 5~ 1999 fB.O. IL ielol ~PT. 13~ I~ I~, ~. ra~ I , NOV. 30~1999 I ~r ll~d m~ ] JA~ I0, ~0~ ~ i P. O. 80X % ¢ -~ 5 - iFg? 2 lZ