The URL can be used to link to this page

Home My WebLink About36655-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 10/4/2011 CERTIFICATE OF OCCUPANCY No: 35224 Date: 10/4/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: OTHER 250 Naugles Dr. Mattituck, Sec/Block/Lot: 99.-5-2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/24/2011 pursuant to which Building Permit No. 36655 dated 8/24/2011 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: accessory tennis court as applied for The certificate is issued to Chatin LLC (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 #: 36655 Permission is hereby granted to: Chatin LLC PO BOX 221 Mattituck, NY 11952 Date: 8/2412011 To: construct an accessory tennis court as applied for At premises located at: 250 Naugles Dr SCTM # 473889 Sec/Block/Lot # 99.-5-2 Pursuant to application dated To expire on 2/22/2013. Fees: 812412011 and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS CO - ACCESSORY BUILDING Total: $100.00 $50.00 $150.00 Building Inspector I~orm No. 6 TOWN OF SOUTHOLD BUILDI~G DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OccUPANcy This application must be filled in by typewriter or ink and submitted to thc Building Department with the following: A. For new building or new use: 1. Final survey 9f 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 iustallation from Board 0f Fire Underwriters. 4.Sworn statement from plumber certifying that the solder used in system Contains less than 2/I 0 of 1% lead. 5. COmmercial building, industrial building, multiple reaidenoea and similar buildings and installations, a certificate of Code Compliance from architect or engineer respousible for the building. 6,Submit Planning Board Approval of completed site plan requiremenls. B. For existing buildings (prior to April 9, 1957)' non-conforming useS, or buildings and "pre--existing" land uses: 1. Accurat~ survey ~f pr~p~rty sh~wing a~ pr~perty ~ine~ streets~ bui~ding and unusua~ natura~ ~r t~p~graphic features. 2. A properly completed appl;ication 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 accessory building $50.00, Businesses $50.00: 2. Ceytificate 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 0fOccupancy - Residential $15.00, Commercial $15.00 New Construction: v,/ Old or Pre-existing Building: House No. Owner or Owners of Property: C~g~FT. Suffolk County Tax Map No 1000, Section .. G~5~ Subdivision Peamit NO. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ _~5'"~) - 25~/~I~0 · Date of Permit. Date. Street , Block .~ Filed Map... Applicant: Undera, riter~ Approval: Final Certificate: / (check one) Hamlet (check one) At~Dlicant Sit, nature TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] i//NSU~LATiON FRAMING/STRAPPiNG [/]'FINAL ~/~' ~ FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) · ',~ ~s~,~;~0~ ~,,:o~ RT D,~ comvn~s FOUNDATION (1ST) ~o~o~ (2~ ROUGH ~G & ~8~ON ~ N. Y. STA~ E~ CODE ~D~ON~ CO~S ~'o TOWN OF SOUTHOLD 1~ UILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765*9502 SoutholdTown.NorthFork.nct Examined ~/~ ,20 /[ Approved ___~, 20J~ Disapproved a~c BUILDING PERMIT APPLICATION CHECKLI1 Do you have or need the following, before applyin Board of 14ealth 4 sets of Building Plans Planning Board approval Survey_ Check Flood P~rmit Singl~ & S*parate Mail to: · Building Inspector APPLICATION FOR BUILDING PER1VIIT INSTRUCTIONS Date ,20 ..... a. This application MUST be completely f~lled in by typewriter or in ink and subnli~tcd to thc Building h]spootor with 4 set~ of plans, accuraY* plot plan to scale. Foe according to scbodulo, b. Pict plal~ showing location of lot and of buildings on premises, relationship to adjoining promises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Pe~it, d, Upon approval of this application, the Building Inspector will /ssu~ a Building Permit to the applicant. Such a permit shall be kept on the promises available for inspection throughout the work, e, No building shall be occupied or used in whole or in peg for any purpose what so ever until the Building Inspector issues a C*~ifi~te of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months aRer issuance or h~ not b~en completed within 18 months from such date. If no zoning amendments or other regulations afl. ting the prope:~ have been enacted in the Interim, the Building Inspector may authorize, in writing, the extension of~= p~nnit for an addition six months. Thermador, a new permit shall be required, APPLICATION IS I-IEREBY MADE to the Building D~pamnent for the i~suance cfa Building Permit pursuant to the Building Zone Ordinance of ~he Town of Southold, Suffolk CounW, New York, and other applicable ~ws, Ordinano~ or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition a~ he.in described, The applicant a~ees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorlz0d insp*ctor$ on premises mad in building for nocessa~ in*poctions, ~ ~ * ~ ~ ~ t~ ~ [ M I hi h ] ~ l /gna~re of applicant or nam*, if a co~oration) ,, ......... State whether applicant ts o n ~ '. ~{ ~ nt, ~arch~gtneer, general conWagtor} ~leetricia~pl~ber 0r builder (As ~, th~ tax roU or Uf~,~,~,, -¢,,, - ........... ~,~ - ~vvt If applicant is a corporation, signature of duly authorized officer FOR POURED CON¢ 2. ROUGH - FRAMI~ 9~ PLU'~BIN, ~c and title of co~orate officer) ttt~ .~TRAPPiNG.~ Builders License No, 1~0 ~- ~ (~g ~.~en4 L 3 [NSU~TION ELECTR,CAL Plumbers License Electriei~s License No, 4 FINAL - CONSTRUCTION g ELEC qICAL Other Tr&de's License No. MUST BE COMPLETE FOR ~ 0 ALL CONSTRUCTION SHALL MEET THE ~. Location of lm~d.on which proposed wort( w~ll be don~: REOrienTS OF THE CODES OF NEW &SO ~aoql¢$ ~¢,ve ~ucb ~ ¢.~. ~0~¢ m*~.8.5~ ................ House ~umber ~ Street ~ 6ON$~TION ERRORS. Coun~ Tax Map No, IOOO Section ~ qq .... mo& Lot Subdivision Filed Map No, Lot b. Intended use and occupancy '-~¢l}~..O~e ~ 'l"~elO/{- 3 Nature of work (check which mpplicabl*): New Bu[lding~ ~ ~epair Removal Demolitlo~ 4. Estimated Cost_~ ~, 000 Fee State existing use amd occupancy of premises an~ intelded use and occupancy of proposed constrttction: a. Exlstlng use and occupancy _~-_.~_lt~4~v~a _~. ¢lhna 2 s+~/ Addition O thcl' Work Alteration (Desctfption) If dwelling, number of dwelling units If garage, number o~ cars (To be paid on filing this application) Nmnber of dwelling units on each floor__ 6. I£ business, eommergial or mixed occupancy, specify nattLre and extent of each type of use. 7. Dimensions of existing structures, if an)': Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height. Number of Stories 8. Dimensions of entire new construction: Front [ 25t R.car ~/~ ~ Depth Height 0 Number of Stories ¢ '~¢mth_q r20o~-4- 9 Size of'lot: Front Rear Depth 10. Date of Purchase Name of Forlller Owner I 1. Zone or use district in which premises are situated 12. Does proposed construction violate amy zoning law, ordinance or regulation? YES NO / 13. Will lot be re-graded? YES NO Will excess fill be removed fi'om ~remises? YES __ NO__ ~r ~l~;~0 ~,~cJ · 14. N~es of Ownerofpremises ~oed ¢~41~ Address2~ ~ ~V~. PhoneNo. Nme of Architect T~ ~ ~gi Address ' · hone No ~l- ~ gg Nme of Contractor k,~,. X a,Xl;~ Address ~hone N~~ 15 a. Is this prop~y ~thin 100 feet of a tidal wetland or a l~eshwater wetl~d? *YES NO ~ · IF YES, SOUTHOLD TOWN TR~TEES & D.E.C. PERMITS MAY B~ ~QUI~D, b. Is this prope~y ~thin 300 i~et cfa tidal wed~d? * YES NO · IF YES, D.E.C. PE~ITS MAY BE ~QUIRED. l 6. Provide s~ey, to scale, w[~ accurate foundation plan and distances to property lines, 17. ~f elevgtion at ~y point on pl~pe~y is at ] 0 feet or below, musl provid~ topo~aphicE data on survey, 18. Are there ~y covenants ~d restrictions with respect to this property? * YE~ NO~ · IF YES, PROVIDE A COPY, STATE OF NEW YOP-~) SS: COUNTY OF JJ'-(~/i~.0 '% 1.~¢O.[~ t~t'h being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above nanlcd, (S)He is the (Contractor, Agent, Corporate Ot-~fcer, etc.) of said owner or owners, and is duly authorized to perforrn or ]lave performed the said work and to make and file this application; that all statements contained in this application are true to tb~ b~st of his knowledge and bell*f; and that the work will be performed in the manner s*t fo~h in th~ application filed therewith. Comm~n ~ M~ ~, ~ New York State Insurance Fund Worl~ersr Compensation & Disability Benefits Specialists Since 1914 199 CHURCH STREET, NEW YORK, N.Y. 10007-1100 Phone: (888) 997-3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 112319295 CENTURY TENNISINC C/OMICHAEL HEALION 56BROOKAVE DEER PARK NY 11729 POLICYHOLDER CENTURY TENNIS INC CIO MICHAEL HEALION 56 BROOK AVE DEER PARK NY 11729 CERTIFICATE HOLDER TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD NY 11971 POLICY NUMBER CERTIFK;ATE NUMBER I PERIOD COVERED BY THIS cERTIFICATE ~ DATE Z 1302 850-? _ ~ 547556 I 0110112011T001/01i2012 8/17/2011 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1302 850-1 UNTIL 01/01/2012, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 01/01/2012 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. U-26.3 NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www, nysif, com/cert/certval.asp or by calling (888) 875-5790 VALIDATION NUMBER: 584732360 · This certifies that the bearer is duly licensed by the County of Suffolk Cli ITord Coleman SUFFOLK COUNTY DEPARTMENT OF COI~elME R AFFAIRS HOM~ROVEMENT CONTRACTOR LICENSE MICHAEL J HEALION CENTURY TENNIS INC 12683-H o8/ol ~x.~,~ o*,~ 08/01/2013 TOWN OF SOUTHOLD i~ROPERTY RECORD CARD VILLAGE DISTRICT SUB. AC/~REAGE TYPE OF BUlL.DING LOT OWNER (q~j~/~ STREET '~-,-~O , FORMER OWNER CJ S RES, LAND t700 i& ./'y ~ AGE NEW Tillable 1 Tillable 2 Tillable. 3 Woodland Swampland Brushland House Plat IMP. NOP, A,~L Acre I VL FAR~, TOTAL DATE BUILDING CONDITION BELOW Value Per Acre ABOVE Value DOCK Tot~l REMARKS ~ension Basement f~ / ,) Floors ~e~ion ~t. Wails Interior Finish ~e~i~ Fire Place ~t ~~ ~ ~ Pomh R~f Type ~ Po~ ~.~ R~ 1st Flor reez~ ~ ~ ~ Patio ~ ~e ~ ~ivew~ Dormer TEST HOLE DA TA GRADING PLAN PROPOSED SEP77C SYSTEM [1] LEACH/NO POOL 12 DEEP WITH 3 CLEAN- I$' O/,~£~RF~L' o' SAND COLLAR. REMOVE MAWR/AL DOWN TO SAND SP AND BACKFILL ~TH CLEAN SAN6 [1] 1,000 GALLON SEPTIC TANK. .- P=122~ ?2' L ~201. (VAOANT) £,. ,~,. NA UG£E$ ROAD EL. 11,0' TEST L=14.2.57' EL. ~o. 0' ----------'~ EL. 10,7' SURVEY OF PROPERTY A T MA TTITUCK TO'TN OF $OUTHOLD SUFFOLK COUNTY, N.Y. 1000-9~-05-02 SCAL~: 1'--50' APRIL 19, 2004 DEC. 9, 2004 (FNDTN. LOC.) DEC. 8, ~005 (FINAL) 3TONE ~ALL t5' Z z rq I om fomil/or with the STANDARDS FOR APPROVAL AND CONSTRUCT/ON OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES Grid w/II ob/de by the conditions se~ forth therein ond on the permit to construct. The Iocotion of wells ond cesspools shown hereon ore from field observot/ons ond or from doto ohio/ned from o~hers. Elevot/ons referenced to on ossumed dotum. ANY ALTERATION OR ADDI170N TO THIS SURVEY IS A V~OLA~70N OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAFZ EXCEPT AS PER SEC~70N 7209-SUBDIP1SION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COP/ES 8EAR THE I~PRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. · =Monument AREA=72,340 SQ. FT. ?f O ,"' 2,:t5. ~) N/O/F- FRANK HusAK, JR ~ ROBERT HusAK (DWELL NC,) (DWELLING) (~31) P.O. BOX 909 12J0 TRAVELER STREET SOUTHOLD, N.Y. 11971 797 04 -127