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