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HomeMy WebLinkAbout35577-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 12/21/2011 CERTIFICATE OF OCCUPANCY No: 35355 Date: 12/21/2011 Location of Property: SCTM #: 473889 Subdivision: THIS CERTIFIES that the building ACCESSORY 4 l 5 OLD FIELD CT MATTITUCK, Sec/Block/Lot: 120.-3-8.23 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/5/2010 pursuant to which Building Permit No. 35577 dated 5/24/2010 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 shed with screened porch as applied for. The certificate is issued to Calise, Marco & Calise, Noel (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. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35577 Z Date MAY 24, 2010 Permission is hereby granted to: MARCO V & NOEL CALISE PO BOX 4 LAUREL,NY 11948 for : ACCESSORY SHED WITH PORCH IN THE REAR YARD AS APPLIED FOR at premises located at 415 County Tax Map No. 473889 Section 120 pursuant to application dated MAY Building Inspector to expire on NOVEMBER OLD FIELD CT MATTITUCK Block 0003 Lot No. 008.023 5, 2010 and approved by the 24, 2011. Fee $ 100.00 / Authorlzed Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF 8OUTHOLD BUILDING DEPARTMENT TOWN HALL '/65-1802 APPLICATION FOR CERTIFICATE OF oCCLrp~Ncy This applioation must be filled in by typewriter or ink and submitted to the Building Department w!th the folio}ring: A, ]For new building or new use: 1. Final survey of property with accurate'location of all buildings, property lines, streets, and unusual natara} or · topographic featurds. 2. Final Approval from Health Dept. of water supply and sewerage-diSposal (8-9 form). 3. Approval of electrical installation from Board 6fFire Ut~derwfiters. · 4. 'Sw. om statement from plumiest certifying that tho solder used.in system contains less than 2/I 0 of 1% lead.. 5. Commercial building, ind. ustrial building, multiple residences and similar buildings and installations, a certificate of Code ComPliemce-from archit¢~ or engineer respomsi. 'hie for the building: .6. Submit planning Board Approval of completed site plan requirements_ B. For existing buildings (prior to April 9, 1957J non-conforming uses, or buildings and "pre-existing" I~tud uses." - 1. Accurate survey of property showing all property lines, streets, building and unusuM natumi or topographic features. ' 2. A properly c~mpleted 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. Certifica!e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, ~ Switaming po01 $50.00, ACCe~ssory building $50.00, Additions to aecessoty 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 Date. New Co~qtruction: Old or Pre--existing Building: ' (cheek one) House No_ Street · . - Hamlet 8uiTolk Co.unty Tax Map No 1000, Section Subdivision Filed Map. Lot: Applioant:. Undetwriter~ Approval: Permit No. Planning Board Approval: Date of Pcamit Request for: Temporary Certificate Foe Submitted: $ Final Certificate: (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROU/~H PLBG. [ ] FOUNDATION 2ND [ ]~LATION [ ] FRAMING/STRAPPING [~*']~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~/~ ~---_~/~ TOWN OF SOt~THO'LD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Exanfined ~/52-,~.'20 /O ! Approved -5~, 20/''~ Disapproved a/c PERMIT NO. ~ ~ 7' 7 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the lbllowing, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check V Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to:/V~a-r c ~ '~/. Phone: G '3 I ' yO ~'/- 0 0 S- ~' Expiration -~-~ ~. It ~ ~----"~// \// ~ Builc~ing Inspector Date 0~-/~ ,20 /O ~ ~t¢u. YS[?a~m ~ INSTRUCTIONS ~be completely filled in by t~ewriter 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 application may not be commenced belbre issuance of Building Pemit. d. Upon approval of this application, the Building Inspector will issue a Building Pennit 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 pa~ for any pu~ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. E Eve~ building pe~it shall expire if the work authorized has not commenced within 12 months aRer the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pe~it for an addition six months. Therea~er, a new pe~it shall be required. APPLICATION IS HEREBY M~E to the Building DepmXment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, SuflBlk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or lbr removal or demolition as heroin described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name. ifa co~oration) (Mailing address 4f applicant) State whether applicant is owner, lessee, agent, architect, engineer, genera contractor, electrician, plumber or builder Nameofownerofpremises /A'4o,~¢o V, 4-/k]0,~i (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. 1. Loc~tion of land on which propose, d wor,k., will be done: q/S- or,./ ?,'¢ I,/ House NumberStreet Hamlet County Tax Map No. 1000 Section / ~0 Block ~ Lot ~ g~ Subdivision F"~r-,,~v'e_~. o~l /Idc, l/-;~Ltac/< Filed Map No. Lot b. Intended use and occupancy a'/,,3/, ~,.m,'[j 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, nmnber et' dwelling units If garage, number of cars State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy ~Y[,q.)},_ ~,] )/ c~,.,~ [],',.,..) Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or rnixed occupancy, specify nature and extent of each type of use. 7. Dimensioos of existing structures, if any: Front Height Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth Height 8. Dimensions of entire new construction: Front ~ O Height / O ' Number of Stories 9. Size of lot: Front Rear Number of Stories Rear ~ I .Depth Depth Rear.~, Depth / 2 ' t 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 v 13. Will lot be re-graded? YES NO &/Will excess fill be removed from premises? YES__ NO v Phone No. l, gl- ?o'/- oogq 14. Names of Owner ofpremises/Vl~rc~, ~ /X'~o¢l &l,'i~Addressq'l£ old ~e/d Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet cfa 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 v,/ * 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 STATE OF NEW YORK) COUNTY OF~,~C~: A~ bTg'¢ c) ~ C&/,;.~''~- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE 0. BUNCh Notary Public.State of New for~ No. 0]8U6185050 (S)He is the n,,o,~,,~ ............. (Contractor, Agent, Corporate Officer, etc.) ¢0mm~i~n"~'ir~'~il 1"~,~. ~0 ] ~ 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 in the application filed therewith. Notary Public e of Appli&a'fit Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T,M, #: District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING~ DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~') for each Question is Required for a Complete Application) Yes No 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Fee of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') fee of a Wetland or Beach'~ Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sipped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? 1-71_/ Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodpla n of any Watercourse? [~ NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark In the Box, a Storm-Water, Grading, 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 classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT RequiredI Yes N._~o STATE OF NEW YORK, ,'f"X ~ · ~ COUNTY OF .~7~ ...~r...: ........... SS That I,. ............................................................................... being duly sworn, deposes and says that he/she is the aor, licant for Perm t (Name of individual signing Docurnen ) ~OlXl[xll[ L1. ~U ~JC~I N0tapj Public, State of New ¥or~ And that he/she is the No. 01BU6185050 ......................................................................................................... Oal ~fi~.i~ ~ffe~k ~eBntY..,.,~ ................ (Owner Contractor. Agen , Corporate Officer e~dd0mmissi0n Expires April 14, ~0 1 Owner sod/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 smtetnents contained in this application are true to the best of his knowledge and belief; :md that the work will be performed in the manner set forth in the applica~on filed herewith. Sworn to before lne this; ....................... ................... '. ............... i"' c: ....... .......... (Signature of J~'~lica nt ) FORM - 06/07 OWNER LAND TOWN OF SOUTHOLD PROPERTY RECORD CARD VILLAGE REMARKS STREET ACR. l~.sq ~UB. LOT 7-1 ,~¢~c', TYPE OF BLD. '~ ~i ~.'~ & PROP. TOTAL DATE t %&"'o 1,, FRONTAGE ON WAT£R FRONTAGE ON ROAD DEPTH BULKHEAD TILLABLE ~.~c~,OODLAND HOUSE/LOT TOTAL 12~.=~-8.23 10/05 COLOR TRIM Extension Extension Patio Woodsmve . ~Po~ ~ o 0 ~ ~ ~, 4, Rooms 1St Floor Garag~ Pool Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 November 21,2011 BUILDING DEPARTMENT TOWN OF' I51OUTHOLD Marco & Noel Calise PO Box 4 Laurel, NY 11948 Re: 415 Old Field Ct., Mattituck TO WHOM IT MAY CONCERN: The Following Item(s) 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. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 35577 - Accessory Shed with Porch TAX I.D. No. 1000-120-03-8.23 JOB No. FRMV-21 THE LOCATION OF WELLS, WATER SERVICE LINES SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND 0R DATA OBTAINED FROM OTHERS. ..... LOT 20 /- FE o.4' E FE ~.~' E FIlE ~ NO. 8808 9/1/89 CERT OF CORRECTION UBER 11854 PAGE 27 9/~/97 MBER 11866 PAGE 247 12/5/97 SURVEY OF: LOT 21 MAP OF FARMVEU ASSOCIATES MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 12/18/02 CERTIFIED ONLY TO: MARCO V. CAUSE AND NOEL CAUSE WACHOVIA MORTGAGE CORPORATION FIDELITY NATIONAL TITLE INSURANCE cOMPANY OF NFW YORK By DESTIN G. GRAF NY.S, LIC NO. 50067 DESTIN G. GRAF LAND SURVEYOR PO BOX 704 Rocky Poin(, N~v Yo~k, 11778 631-821-3442 SCALE: 1"=50' FRON'I- ELEk, P{FION (Pool APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT AT %,5-1~ 8 AU TO 4 PM FOR THE FOLL~NG INSPECTIONS 1. FO~ATION TWO REQUIRED FOR ~URED CONCRETE 2 =~,U~-FRJJiNG PLUMBING, : :;~PPING ELECTRICAL & CAU SE COMPLETE RgCTION E OF NEW TE RETAIN ~TORM WATE(~f~_ FF tlc \IATIF/kl PURSUANT TO CHAP~ ~uu ~' ~u~ ~ OF THE TOWN CODE. ~NLAWFL!' CERT! REAR ~T¢~. E LE VA-FION M ETTHEREQU Ri:,.;~:~ 0 , NE .' ',F.r';l. [E~ SIDE ELEVATION i...,'oo Screened Porch PLAN Shed SECTION Shed EXISTING PRE FAB-SHED Hrs. M, C. ALISE 415 OLDFIELD COURT HATTITUCK N.Y. 11952 C d