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Home My WebLink About36475-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 11/2/2011 CERTIFICATE OF OCCUPANCY No: 35269 Date: 11/2/2011 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 825 Brower Rd, Mattituck, SCTM #: 473889 Sec/Block/Lot: 139.-1-6 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/6/2011 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: accessory two car garage as applied for. Lot No. filed in this ofliced dated 36475 dated 6/13/2011 The certificate is issued to Motl, Robert & Motl Jr, Robert (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36475 10/17/11 rizp~f Signa~ture 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 #: 36475 Date: 6/13/2011 Permission is hereby granted to: Motl, Robert & Motl Jr, Robert 825 Brower Rd Mattituck, NY 11952 To: construct a detached two car garage as applied for At premises located at: 825 Brower Rd, Mattituck SCTM # 473889 Sec/Block/Lot # 139.-1-6 Pursuant to application dated To expire on 12/12/2012. Fees: 6/6/2011 and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS CO - ACCESSORY BUILDING Total: $349.60 $50.00 $399.60 Building 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 Underwritem. 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. F~r existing bui~dings (pri~r t~ April 9~ ~957) n~n-c~nf~rming uses~ ~r bui~dings 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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 Owner or Owners of Property: Suffolk County Tax Map No 1000, Section / Subdivision Permit No. C~/o q 7,D~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ :J"O, t,ro/~? Date of Permit. Date. ~ - /:3~ I / (check one) Hamlet Block / Lot Filed Map. Lot: 3 -// Applicant: Underwriters Approval: Final Certificate: ~ (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 119714)959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 ro.qer, richert~town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION issued To: Robert Motl Address: 825 Brower Rd City: Mattituck St: NY Zip: 11952 Building Permit #: 36475 Section: 139 Block: 1 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Klein Electric Inc LicenseNo: 4423-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commerical Outdoor 1st F~oor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: detached garage Ceiling Fixtures ]~] HiD Fixtures Wall Fixtures 131 Smoke Detectors Recessed FixturesR CO Detectors Fluorescent Fixture ].~ Pumps Emergency Fixtures].~ Time Clocks Exit Fixtures ~ TVSS Inspector Signature: Date: Oct 17 2011 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~ FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FmmRmSTmn'COmTR~nO. [ ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION FIRE IIESI~'ANT PENETRATION REMARKS: DATE 7'- ~'~11 INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-18O2 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] F.F.~NDATION 2ND [ ]INSULATION [,/] FRAMING/STRAPPING [ ]FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS://~.~ ~-/~/~"/~~_.~ DATE INSPECTOR INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [~.ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) /~.~LECTRICAL (FINAL) REMARKS: DATE~--~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ]FOUNDATION 1ST [ ] ROUGH PLBG. ]FOUNDATION 2ND [ ] INSULATION ]FRAMING / STRAPPING [ ~ FINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~_~ ~ .- DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-180:2 FAX: (631) 765-950:2 SoutholdTown.NorthFork. net Examined ~//I,~ ,20 t/ Approved Disapproved a/c ExI ~ ~ JUN -5 2011 PERMIT NO. ,~rp75 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: Phone: uilding Inspector APPLICATION FOR BUILDING PERMIT / BLOC, DEP( Date ~/~,~ ,20 [J TO~" 0r $0 OLD INSTRUCTIONS a. This application MUST be completely filled in by typewriter or iu 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 application may not be commenced before issumlce 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 iu whole or in part for any purpose what so ever until the Building Inspector issnes a Certificate of Occnpaucy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuauce or has not been completed withiu 18 months from such date. If uo zoning ameudments or other regulations affecting the property have been enacted in the interim, tile Building luspector 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 tile Building Department for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Towu of Southold, Suffolk County, New York, and other applicable Laws, Ordinmlces or Regulations, for the construction of buildings, additions, or alterations or fol' removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildiug code, housiug code, and regulations, and to admit authorized inspectors ou premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) ' (Mailing address of ~plic~nt) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed_wprk will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~Sq Block ~ . Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises,and i,nte.nded use and occupancy of proposed construction: a. Existing use and occupancy ¢5 d¢.4tal b. Intended use and occupancy ~¢~; dCtl -~;d 4. Estimated Cost ~ [4£00. O0 5. If dwelling, number of dwelling units If garage, number of cars Nature of work (check which applicable): New Building~Addition Alteration Repair Removal Demolition ~J 'Other Work (Description) Fee (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 oe2.~ ~ Rear t~2..5" _Depth Height 16 ' Number of Stories I Dimensions of same structure with alterations or additions: Front Depth Height 8. Dimensions of entire new construction: Front Height I~'~ Number of Stories 9. Size of lot: Front ~001 Rear Number of Stories Rear ZH ~ Depth Depth Rear 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 ~ Will excess fill be removed from premises? YES X NO 14. Names of Owner of premises ]~o~¢r~c ~o'~] Address Phone No. 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 of a tidal wetland? * YES__ NO ~ · IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to sca}e, 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. ! 8. Are there any covenants and restrictions with respect to this property? * YES __ · IF YES, PROVIDE A COPY. NO × STATE OF NEW YORK) SS: COUNTY OF ) ~---~ ldO4 2.~- ~'~:)'bl. ;~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ('012~. ,~'-~7~2~7~1 ~ ~4'%~ (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 ill the application filed therewith. SwornAtYb~eore m~.th~ - , 20. , ~ No/au Pu~icx ~ - - ' Commtssmn ~p~res O~t zO ] CYNTHI^ ~. CUS^TI ~ Signature of Applicant Town H~ll Annex $4375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 763-180') ~x(631}7 - 5 ro,qor, richert~,{own.sou~(~.n¥.us BUI~ING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) (*Indicates required information) ooo Section: 13 B oc : Lot: / J ,~ (Please Circle NI That Apply) *Is job ready for inspection: *Do you need a Tamp Certificate: Tamp Information (If needed} *Service Size: I Phase *New Service: Re-connect Additional Information: ~/NO YES/(~) d Rough In Final 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION , % 82.Request for Inspection Form Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOOATION: S.C.T~d.~. THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~?~t~ 17 I~ a~hLk ~ STORM-WATER, GRADING, DRAINAGE AND ER~ION CONTROL PLAN set.r, L~ GK~ ~,r,~:u BY A [$iGi~ pROFEREIONAL IN THE STATE OF NEW YORK, a. Whatlsl~ TolalAmaoftheProjectParcels? (thclude Total Atea of all Parcels incated within ~t~,~/0.~. 1 WiUthisPr°jectRetainNISts~n-WaterRu~-Off the Scope of Work for Pmp~ed ConslmcCon) Genemtsd by a Two (2) Indn RaJnfafl on Site? , ' · (s.R/Am~) (This item ~nn'll inclede al~ runoff created by site I~/I b. What b the Tota~ Ama of Lasd Ctuaflng clea~ng and/or construc~n activities as well as a# and/or Gn~nd DisluCoance for the proposed Site Improvements and ~ p~rmanent creation of constmca~ acavity* Z'I00 / O. 0 ~ ~ imperils surfaces.) 2Does the Site Plan and/or Survey Show NI Proposud PROVIDI~. BRI~,,/t PROJECT DE,SCRIF~ON (~ov,~ ~ #~ Drainage Siructul~s thdkmtJng Size & Loca~on? This 1~. Item shall include all Proposed Grade Changes end 6o. o 2 car aaraae },al. ' SiopesCoofrollingSurfaceWaturFIow. ,j ,4 3 Does the Site Pizn andlor Survey describe the erosion ~l /""OO{~Y'/ [0~' ~:~:e~-~ ~'00.~"~_ ~-~/"~7~ and sedlment control practices that wB be used to 40 .o ,-. arv rd. ncce , toa l conffolsReerasionandstormwalerdlscharges. This item must be maintained thmughaut the Entire ,/ , I ' ' Construction Pedod. ; ~ x] Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matsdal within any Pamel? 5 Wilt this Application Require Land Disturbing Activities r~l Encompassing an Area in Excess of Five Thousand~l (5.000 S.F.) Square Feet of Ground Surface? -- 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction Genen~ DEC SWPPP Requirements: or within One Hundred (100') feet of a WeOand or 2. The b~/PPP sh~l de.elbe the etoalo~ and sediment ceotr~ gracl~es and where 9 Will this Project Require the Placement of Material. refund, p~t.cor~m~:l~ stom~ watsr managerne~t pmc~ces 6act wlti ~ used ~md/or Removal of Vegetstinn and/or tho Cooslruction of any [~ ~a~:l~l to ~ th* I~lut~n~ In ~to~ ~t~' o'~h~ ~1 to ~m Item ~Rhin th~ Town Rl§ht-of-W~ or Road Shauld~r STATE OF NEW YORK, COUNTY OF ........................................... SS (Hinge of hxlh~dual signing I~t ) , , Owner e, nd/or represcnl~dv¢ of the Owner or Owners, ~d is duly anthorizcd [o pe~orm or have p¢lformcd the s~id work and to maJ~ and file tl~s application; ~ ail sl~tements conlai~ed in this appllc~don ~L~ Izue to [he best of bls ~owled~ and I~lle~ [hat the work will I~ performed ii] the manaer set £oith i~ the applica6on filed here~[h. Notary Public: ........... ' FORM - 06110 "3. 9]CtJBlO0[ 37 Commission Expires Oct 20/[ N SURVEY OF PROPERTY A T MA TTITUCK TO'tN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-139-01-06 SCALE: 1'--20' JULY 7, 2011 AREA-,14,888 80. FT. · =MONUMENT ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBD/~dSION 2. ALL CERTIFICA lIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL¥ IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. Woff D~'~D ¢51) 765-5020 FAX ~(651) ~65-1797 P.O. BOX 909 12~0 TRA ~LER S~EET SOU~O~D, ~.~ .¢~ 1_1--]40 ~ 71'42140~ Pi 8-CAR GARAGE · ROAD ~^y 31 2011 AF ~ROVED AS NOTED I' ;"rlFY ~ i~ING DEPARTMEN~ ',T ' , ~802 .M TO 4 PM FOR IrtE F ;: LOWII', ~ ~NSPECTIONS: 1. i PUNDA 7~ON - TWO REQUIRED ELECTRICAL INSPECTION REQUIREp IT IH A VIOLATION OF THE L~W FOR ANY P~RSON, I~[,. L~:SS ACTING UNDER THE ," ~C ~'lO~',l OF ;', UCENSED :': <? FTACl; TO ALT~ ANY ~ ~ TH~S ~f~,WING IN 24' J 4' J GENERAL NOTE~: ar~T IS A VIOLATION OF THE LAW FOR ANY p~RSON, ~.m~m ~~ ~"m.'~-"~LESS ACTIN~ U,.:DER ~qECTION OF ;~ LICENSED ~r mc ~CHITECT, TO ALTER ANY ITeM ON THIS D~AWtNG IN LAYOUT PLAN WFST F- EVATIBN ( I } 30X42 DOt, DL[ ,~UNG WINDOW ¸26' EAST FI EVATI-BN IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT, TO ALTER ANY ITEM ON THIS DRAWING IN ANY WAY. ANY A,~THORIZED /~LTERATION MUST BE NOTED, SEALED, AND DESCRIBED IN ACCORDANCE WITH THE LAW. ELEVATION..~ E ~ iN NBRTH El EVATION 24' SFIUTH El EVA TIq ~'~A VIOL~,TION OF THE LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF ~ LICENSED AqCH[TECT, TO ALTER ANY ITEM ON THIS DRAWING IN ANY WAY. ANY A :THORIZED ALTERATION MUST BE NOTED, SEALED, AND DESCRIBED iN ACCORDANCE WiTH THE LAW. ELEVATION~ N ¢ STBRASE SECT]-F1K STBRAGE · @ PULL DOWN ¢ .... ~'F-r-'TTFII'xl A;::) ~ IT IS A V!OLATJON OF THE LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT, TO ALTER ANY ITEE3 ON THIS DRAWING IN ~NY WAY. ANY ~, THOR~ZED ~L'FEPAT~ON ~UST B~ : f,c'~h~:j ~.; ~' ACCORDANCE .~ECTION~