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Home My WebLink About36486-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 8/12/2011 No: 35137 Date: 8/12/2011 THIS CERTIFIES that the building DECK Location of Property: 145 Meday Ave, Mattituck, NY, SCTM #: 473889 Sec/Block/Lot: 113.-8-10 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/13/2011 pursuant to which Building Permit No. Lot No. filed in this officed dated 36486 dated 6/17/2011 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: Addition of an Accessory Structure; Wood Deck (Freestanding), 15' X 24', as applied for. The certificate is issued to Gopman, D'Vora & Maejima, Takashi (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36486 Date: 6/17/2011 Permission is hereby granted to: Gopman, D'Vora & Maejima, Takashi 35-24 78th St Jackson Heights, NY 11372 To: Addition of an Accessory Structure; Wood Deck (Freestanding), 15' X 24', as applied for. At premises located at: 145 Meday Ave, Mattituck, NY SCTM # 473889 Sec/Block/Lot # 113.-8-10 Pursuant to application dated To expire on 12/16/2012. Fees: 6/13/2011 and approved by the Building Inspector. CO - ACCESSORY BUILDING $50.00 ALTERATION OF ACCESSORY BUll.DINGS $253.60 Torah $303.60 Inspector 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 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: /ou~se~No j¢~ S~t ee~ Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ff~.~ q~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~"~ ~ Date of Permit. ~' -I 7' / [ Date. ~--'/~O/// Block Filed Map. Applicant: (check one) r*4 77-/77_ F'i/ Harold- ~ Underwriters Approval: Lot: Final Certificate: ~ //_7 (check, one) Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 F OU.DINSPECTION ATION 1ST [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL)~ [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ]ELECTRICAL (ROUGH) RE~RKS: ~._~-~ -~/~[ DATE ~~,~.// INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 //INSPECTION [//]/FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUG,//~I) [ ] ELECTRICAL (FINAL) REMARKS: ~./~' DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING ] FIREPLACE & CHIMNEY 765.1802 INSPECTION' ./ [ ] ROUGH PLBG. [ ] INSULATION [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ ~j~FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) REMARKS: iNSPECTOR ~ ~/~~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] RO~JGH PLBG. _ [ ]FOUNDATION 2ND [ ]l~U~, []FRAMING/STRAPPING [ ~]/FINJ~ ~/ ~~ [ ] FIREPLACE & CHIMNEY [ ] FIRE ~CTIO~// [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR TO~ OF SOUTHOLD 'BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net ,r--E~-app~ Dyed a/c - JUN 1 0 ~011 BLDG DEPT. TO'fiN OF SDUTHOLD 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_ Check Septic Form N.Y.S.D.E.C; Trustees Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,:ol/ 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 adjoining premises or public streets or areas, and waterways. c. The work covered by this applicatiou 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 amendmeuts or other regulations affecting tire property have been enacted iu the interirn, the Building Inspector may authorize, in writing, tire 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 ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, aud other applicable Laws, Ordinmrces or Regulations, for tire construction of buildings, additious, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing,qode, and/regulations, and to admit authorized inspectors on premises and in building for necessary inspections. /~~, ~-"'('~gnature of applicant or nam~t~ a corporation) (Mailing address of applicant) jr State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises D ~d~ ~ GO~t 'T~/~/ ~~/~ ~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Nme and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other rrade's License No. ~2-~'?'O / House Number on which propgsed work will be dpnl~: Street Hamlet County Tax Map No. 1000 Section q~r Block //_'22 Subdivision Filed Map No. Lot ~-/CD Lot State existing use and occupancy of premises ar)d intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ~r~__-~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost~ / ~--! OO O, ~) O 5. If dwelling, number of dwelling units .,}t,J/tt~- If garage, number of cars /X) Addition Other Work Fee Alteration (Description] (To be paid on filing this application) Number of dwelling units on each floor · " ' ~" ~ +' /K]/,~ If business, commermal or mixed occupancy, sp,.clfy nature ,~ ~d extent of each Ope of use. Dimensions of existing structures, if any: Front /~.]/,4-~ Rear _Depth Height Number of Stories ~ Dimensions of same structure with alterations or additions: Front /KJ//~r'- Rear Depth Height_ Number of Stories 8. Dimensions of entire new construction: Front ~ ITL Height ~ ! Number of Stories 9. Size of lot: Front ~5~0 t Rear ,-~O ! Rear Depth ~ ~ / Depth 10. Date of Purchase ame 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 NOi~ 13. Will lot be re-graded? YES NO~, Will excess fill be removed from premises? YES. 14. Names of Owner of premises~ms~~~ne No.'/¢ ~5 ' N~e of Architect -- Addr~ .7~~/~n~o Nme ofContractor~G~ ~ ~2~ess' ~q t~ eh~ No. 15 a. Is this prope~y within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland7 * YES ___ NO ~ * 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~_ · 1F YES, PROVIDE A COPY. STATE OF NEW YORK) SS: ~ame of individual signing contrac~ above named, (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perfo~ or bave perlBrmed the said work and to ma~~ication; that all statements contained in tiffs application are true to the best of bis knowledge and bdief; erformed in the manner set fo~h in the a lication filed therewith P PP ' ~m~ ~t~ ~,~'~ Sworn to before me this /~)YM day of ~-~_ t_)\-h k) 20\~ · x / N~;~ry~ic - - - -~i~ature of~App~cant~ ~,, "'" ' 3 6 g6 BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted: Date Reviewed: Applicant: Architect/Engineer: SCTM# 1000 -- Subdivision: Owner: Estimated Cost: Zone: Conforming? Property Address: City: Pre COs? Building Permits (Open/Expired): BP__-Z / C/0 Z- , Info: BP__-Z / C/0 Z- , Info: BP -Z / C/0 Z- Single & Separate Search Required? Y or N Determination: 1LEQ. Lot Size: ACT. Lot Size: REQ. Front ACT. Front REQ Side ACT. Side REQ. Height. ACT. Height Project Description: ~ ff-~ Waterfront? Y or N? If yes, water body: Panel# BP__ -Z / CIO Z- , Info: , Info:. BP__-Z / C/0 Z- , Info: _. ~Q. ~t Coy. ACT: ~t cov. ~Q. Re~ PROP. Re~ R~. ~oXH 51~5 A CT Flood Zone: Bul~ead~luff Distance: ADDITIONAL APPROVALS REQUIRED fLa~/S(q-) $1~'w~'l)., £e,~k[b SurVey oR 51TE Ptolg Suffolk County Health: Y or N- If yes, *Bed#: *Date: / / *Permit#i Town Septic: Y- N - If no, certification required: Y or N Received: Y or N By: NYS DEC: rar.-nEcgmTs Y or N - Date: / / Permit #: or NJ Letter- Notes: Southold Trustees: Y or N- Date: / Permit #: or NJ Letter - Notes: Southold ZBA: Y or N- Date: / / Permit #: - Notes: Southold Planning: Y or N - Date: :/ Town Landmark C of A: Y or N DTE: Notes: Permit #: / t I/~BIL t TY - Notes: *NYS CODE ~_ompliance (page 2): ¥ or N ~t,lole. l~ /~ ~. lV L.¢ C o ~4 pE'N.g 4 T- i O A/ Fee Structure: Calculation: Foundation: SF First Floor: _.~ ~7 ~ SF Second Floor: SF Other: SF Total: SF C~ oF o AS + Initi~-I Fe~: $ ~/ ~ ~-; o 0 + Additional Fee ( ): $ SF X $. --$ + Initial Fee: $ ~ + Additional Fee ( ): $ BUILT FEE ~e-- TOTAL:$ v'q''-~-3,~0 NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: Weathering: Severe__ .'Fr°st Depth: 36" __ Design Temp: 11 __ · Ice Shield Underlay: YES . USF-JOCCUPANCY CLASSIFICATION: HEIGHT/FIRE ARBA: ·., TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEEREDfpREscRI]?T1VE FULL FRAdvlING DESIGN ELEMENTS: Y/N Wind ~peed~ 120MPH__ Seismic Design Category." B , Termite: M~H Decay: Flo~d Hazards: HEADERS: Y/N WALL sTUDs: Y/N CEILING JOISTS: Y/lq FLOOR JOISTS: Y/N LU~BER SPECIES AND GRADE: Y/N GLRDERS: Y/N ROOF 1LAFTERS: WINDOW AND DOOR SCHEDULE: -NIISSLE TEST REQUIREMENTS: Y/N EGPdgSS 5.7 S.F.: Y/N LIGHT 8%: Y/N ~rENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y~I LOCATION OF FIILE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERT~ICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPEe~. I.~CATIOe: S.C.T.M. THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A rust,ct 'secaen mock tm C=K ~ ,rmu BY A D~,iufl ~R~FE~.~iONAL IN THE ~ATE OF N~ YO~ SCOPEOFWO~ - PRO~S~ CONS~U~ON 1'1'~ / WO~MS~$~ ] Y~ No a. ~at~To~l~aof~Pm~pa~? I ~ll~is~je~Re~in~S~WaterR~ an~or G~ D~an~ ~r ~e pm~ ~O~ Sile Impmvemen~ and ~e ~anent ~on of ~ns~ ~ imp~ious suda~s.) (s,~.,~) 2 Does the Site Plan an~ Su~y Sh~ NI ~s~ PRO~E B~ PRO~ D~IIION ~ ~ ~ ~ Dmina~ ~ Indi~fl~ S~e & L~fion? ~ls Item shell indue all ~ Grade Chang~ a~ S~s ~m~ing Su~ace Water FI~. ~~/~ ~ 1~/~, ~1 3 DoestheSitePranan~orSu~yd~ee~n consol site erosion and sto~ water dlscha~es. This ftem must be maintained ~hout ~e Entire Constm~n Period. 4 wi, ~is Project R~uire any L~d Filling, Grading ~ 5 Will ~is ~li~tion R~uim Land Dis~ing Activities (5,000 S.F.) Square Feet ~ Ground Sudan? 6 Is ~ere a Natural Water Coume Running ~mugh the Site? ts ~is Proje~ within ~e Tmste~ juHsdic~n STATE OF N~ YO~ ~. , ~ ~, ~cr ~or repr¢scnadv¢ of ~¢ ~)er or O~cm, ~d is duly auto'cd m ~o~ or hav¢ ~do~cd ~¢ s~d work ~d to ~ ~c ~rk ~1] ~ p~do~¢d in ~e m~ner set fo~ ~ ~ app~cadon 5lcd hcr~.~ Swomto~foreme~is. / / ~ /~ ~ N P ' FORM - O6/IO (~ Q~a ~kCo~nty \ Commlsslm E~ ~s 05110/'2014 APPROVED AS NOTED NOT)FY BUILDING DEPARTMENT AT 705-1802 8 AIVl TO 4 PM FOR THE FOLLOWING INSPECTIONS: FOUNDATION ~ TWO REQUIRED FOR POURED CONCRETE 2 ROUGH-FRAMING, PLUMBING, STRAPPING ELECTRICAL & CAULKING 3 INSULATION 4 FINAL- CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C.C. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. - ::]/ // ___ _ ff ¢ ?,,- __~ L~ 7 ~ ,'Ld /5