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HomeMy WebLinkAbout37107-ZTown of Somhold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 4/9/2012 CERTIFICATE OF OCCUPANCY No: 35527 Date: 4/9/2012 THIS CERTIFIES that the building DECK Location of Property: 375 MILL ROAD MATTITUCK, SCTM #: 473889 Sec/Block/Lot: 113.-3-7.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/2/2012 pursuant to which Building Permit No. 37107 dated 4/2/2012 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: deck addition to an existing one family dwelling as applied for. The certificate is issued to PAUL & LILA DE LA FUENTE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED /~o~ed~igna re 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 #: 37107 Date: 4/2/2012 Permission is hereby granted to: PAUL & LILA DE LA FUENTE 135 WEST 70th STREET NEW YORK, NY 10023 To: CONSTUCT DECK ADDITION REPLACES EXPIRED B.P. # 18605 At premises located at: 375 MILL ROAD MATTITUCK SCTM # 473889 Sec/Block/Lot # 113.-3-7.3 Pursuant to application dated To expire on 10/2/2013. Fees: 111/1900 and approved by the Building Inspector. PERMIT RENEWAL $478.80 CO - ADDITION TO DWELLING $50.00 Total: $528.80 Building In~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO. 18605 Z ~to ........ ./~ ................................. County Tax Map No. 1000 Section ....... ~./.....~... ..... Block ....... ..~....~.. ..... Lot No .....~.~...,,~.. ........ pursuant to application dated ...... ./....~.../...~......~.. ............................. , 19...~..., and approved by the / Building Inspector. Rev. 6/30/80 For~n No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tbis 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 fi'om Board of Fire Underwriters. 4. Sworn statement frown plumber certifying thai the solder used in syste~n contains less than 2/10 of I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Co~npliance fi'om architect or engineer responsible for the building 6. Submit Planuing Board Approval of completed site plau requirements. Bo For existing buildings (prior to April 9, 1957) uon-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual uatural 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 applicaut. C. Fees t (ertificate of Occupaucy - New dwelliug $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $5000, Accessory building $50.00, Addi6ons 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 Updaled Ce~"tificate of Occupaucy $50.00 5. Temporary Certificate of Occupaucy Residential $15~00, Commercial $15.00 Date. New Construction: Location of Property: g 7,~ t/~ ! House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section SulSdivision Permit No. 3 Health Dept. Approval: Old or Pre-existing Building: Date of Permit. (check one) Street Hamlet Block ~ Lot 7/ --~ Filed Map. Lot: Underwriters Approval: Planniug Board Approval: Request for: Temporary Certificate Fee Submitted: $ Fiaa[ Certificate: ~ (check one) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST FOUNDATION 2ND FRAMING [ ] ROU~LBG. [ ] IN/StJLATION [ ]'~INAL REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] ROU~PLBG. [ ]~qSULATION [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~q [ ] ELECTRICAL (FINAL) REMARKS: ~ ~) DATE ~INSPECTOR FOUNDATZO:~ ~ ._~_(~.~) ?OUNDATIO:~ ( 2nd ) ROUGH FRAME & -PLUMBING iNSULATION PER N. STATE ENERGY CODE FI;~AL Y# ADDITIONAL COMME~;TS: $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Exanfined .... .~..~./..~'~..., 19~'.~. Approved ..~ 19cl ~. Permit No.]..~...O.I.c~..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH . oF PLANS' LZ.. 2 ' 3 SETS . . 'FORM NO. I SURVEY ~ · ' TOWN OF SOUTHOLD CHECK ~-'-~-'~[~[~2 ~- ' BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY INSTRUCTIONS CALL MAIL 7d:''.~''~ii~ ..... BLDG. DEPT. TOWN OF SOUTF~OLO a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~hall 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 whatever until a Certificate of Occupancy §hail have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing co~, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections.,~',_ ~t~/,/" ............. I..':~'..' · · · 'q ~ ~.-: ~d .............. (Signature of applicant, or name, if a corporation) . .'7~..~.: ~. ~:...~..o..-t .q~...... ~ ...~l.. l.~ .~.: ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................................... ...................... Name of owner of premises .....~. ~"lw'...~..A~..,.x/b......~..t~..~....~..~..4*...F'.~..~:~.~?...~..~..~. ........................ (as on the tax roll or latest deed)/~ applicant is a corporation(s(s(s(~ture of duly authorized officer. If (Name and title of corporate officer) ALL CONTRACTOR'S ~UST BE SIL~, OLK COUNTY LICENSED Builder's License No../..c~:r.~.:.~._~ .. Plumber's License No .......... ~ ~ ........... Electrician's License No ....... .~...~. ........... Other Trade's License No ...... .~. ~. ............ Location of land on which proposed work will be done...~..~..~....~. '.~7..~'...~t~'~....~??..-~'....~'X~.....1~...*~. ........... ...................................................... .~..4.-y..~.: .-t e .~..~......¢.%.. ~ ............. House Number Street Hamlet County Tax Map No. 1000 Section .... ~! .~.: ..~? ....... Block ...o..%.... ~ ......... Lot..~.~..~... ?. ?.~ ...... Subdivision Filed Map No. ~ Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................ '.~..'T .............................................. b. Intended use and occupancy ~ ~ ~ 3. Nature of work (check which applicable): New Building ' Addition .......... Alteration .......... Repair Removal 0 Demolition Other Work 1~, o '-t ,~ ,o, ,.~ ~.,.~ ............................................... ~,. (DescriplionD 4. Estimated Cost .................................... Fee ...................................... · (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .~ ......... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories . .... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ....~;/.~[.,,, .'[}~ ........ Height ...................... Number of Stories ...................... 8. Dimensions of e-ntire~new construction Front .......... ..... Rear ............... Depth ............... Height ............... Number of Stories ...... . . . 9. Size of lot: Front ...... ."~..'~..~.. ~ ....... I~e~. i i i .t-l~--i 51 i i i i i i i i i 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: ...~.? ........................... [ 3. Will lot be regraded ..... .~,,~. .................... Will excess fill~e removed from premises: Yes I4. Name of Owner of premises//A,,~...a~...~.a: ~.~-~.-[ .~. Address ~ ~..¥2r.".(?..~..~ '. .... Phone No. ~ ?..: .~..~.."(I... Name of Architect . .,.-~--.--.~. ..... Address ................... Phone No ................ ........................~ ~".~'"~ '-'~ ~* ~-~-~'~ Address~.~. I ~:~.x. ~?.-*. :~. r.'"... Phone No.-[..%'~'.: ."~..~.'~.... Name of Contractor [5. Is this property located within 300 feet of a tidal wetland? *Yes ..... C~ ..... *if yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. 3TATE OF NEW YORK, S.S JOUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. te is the ............... : .......... ............................................................... (Contractor, agent, corporate officer, etc.) )f said owner or owners, mid is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed therewith. ;worn to before me this ............... .~. ...... day of...~/:~ ............. 19.7.~ ....... ..... Hil.[~ I~ ~ }'0[ ............ ~ .... : .......................... ~ 4707878. ,~m'fol~ ~ ~t (Signature of applicant) T~m f.x~e~ ll~rch ~ Examined . ./.~ .~.~. ......... 19 ~. Approved.././~./ ........ , 1~9~. Permit No. ~t.~:~.~. ?. · .'~..~/ Disapproved a/c ..................................... (Wuildin~nspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY . $OUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 MAIL TO: INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. · c. The work covered by tins application may not be commenced before issuance of Building Permit. . d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the B~/ilding Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, houain/~-~d~and regulations, and to admit authorized inspectors on premises and in building for necessary inspection~ _ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder· ..... ....................... Name of owner of premises . .~..Iw...4t..~..~....e....47.. ! .~,.. ~ ~ ~ ~ ~ ................................. (as on the tax roll or latest deed) If applicant is a corporation, sig~'~ of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S ~I~ST BE S~FFOLK COUNTY LICENSED Builder's I,icense No.. ~o~4~_~... ~k'~..~_~.. ..... Plumber's License No ...... .O..~. ............... Electrician's License No .... ~ .if. ............... Other Trade's License No....~...~. .............. ~.7C[ LZ'~ .~... 1. Location of land on which proposed work will be done~ ........... .~Q - · · (-q~).Q~-. -~' ~.~ /~ A'T "f,-~ ~c ,.~. ~..~: .... House Number Street Hamlet County Tax Map No. 1000 Section ....I .~.'l~....~ 9 ...... Block ...0...~... ?.? ....... Lot. ?..~.-]..: .9 .~..~. ..... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and inte/l~ed use and occupancy of proposed construction: a. Extstmg use and occupancy I. .'~2 . . .~. .~ . .'!~. .~c"~. . .................. ~ . . . . . :.i'~.. .,,?~ ............ b. Intended use and occupancy .. !.. · · -ff~. · .'?.~. · .il.(w. ~ .................. ~.:.,-.~;;~i1~.~3 ............. 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alterj~n .......... Repair .............. Removal ........ Demolition Other Work~.~--- ~%. ...... ~ (Description) 4. Estimated Cost ..... .~.....a--~.....: ..................... Fee ...................................... · (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... I ........ Number of dwelling units on each floor... ~ ............ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ............... ;.. q~ ..................................... 9. Size oflot: Front ..-~."~.~ ~ Rear ...... .~.'~..%..- Depth -d-.°~.'~. '~ ........ 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: . .~..o. .......................... 13. Will lot be regraded .... ~.~; .... ~ · .~..~.~ ........ Will ex?ss fil~l)e rem. Qved from premises: Yes._ 14. Name of Owner of premisesX..P~. ~..o~..f..~..~.~...I.? Address .e~. !~.~ .~ .~..~..~,~"r' Phone No 'Z~.~ .~- '~'~ .'-J Name of Architect . ~ ...... ~ .............. Address ................. Name of Contractor i(-..~..~. ~ ~ .~ .~.~. ~ ..... Address,~..~' ~.~:'.~. i~. 97.~.,.~.~.9.. Phone No .... _. ........... · Phone No."l .~.~. ? .~. ~.-I..~' .... 15. Is this property located within 300 feet of a tidal wetland9. *Yes ..... ~ ..... · If yes, Southold Tom Trustees Perm±t maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ,roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. 3TATE OF NEW YORK, S.S $OUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. ~Ie is the ......................................................................................... (Contractor, agent, corporate officer, etc.) 3f said owner or owners, ~and is duly authorized to perform or have p~rformed fhe said work and to make and file this xpplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the sork will be p.erformed in the manner set forth in the application filed therewith gworn to before me 'this ' ' ........ ~:~ .¥. ........... day of. ~..'.'.'.'.'.'.'.':~....~..~.~..~..c.~ ...... , 19 qotaryPubhc, .~x/~e,4~/.~,~...~'.,~...~7. unty (Signature of applicant) TOWN OF_SOUTHOLD PROPERTY ~ECORD CARD OWNER ,,:, STREET VILLAGE DIST. SUB.' LOT ~ ~ RES. ~to S~S. VL FARM CO~. CB. MICS. Mkt. Value ~ND IMP. TOTAL DATE R~RKS . , ~ ' , ' / ' ~ ~ ' I . l. ~ I , Tillable FRONTAGE ON WATER W~land FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKH~D Total Extensi~ Extension Porch Porch Breezeway Garage Patio 7o1£ 77 · Total COLOR Foundation Basement Ext. Walls Fire Place Bath Floors Type Roof Recreation Interior Finish Driveway Rooms Ist Floor Heat Dormer J To~m 1 lall Amwx 54375 Main Road P.O. Box 1179 Telephlmc (631) 76,%1802 Fax (631 ) B[II1J)ING 1)EPAllTM ILNT TOWN OF $OUTHOLD FI~ST NOTT. CE August 27th, 2010 Paul & ilo belofuente 135 West 70th Street New York, N.Y. 10023 RE: 375 Mill Rd. (bECK AbbZl-l:ON) SCTM #1000-113.-3-7.3 Dear Mr. & Mrs. belafuente, Please be advised that your Building Permit # 18605 issued October 26th, 1989 has expired. According to the (2ode of the Town of Southold, a Certificate of Occupancy must be issued before use of the structure. To renew your Building Permit, please submit a fee of $200.00. At that time, we can schedule an inspection by one of our Building Inspectors. Enclosed for your convenience is o copy of the referenced Building Permit. If you hove any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT SURVEYED FOR:- LOCATED AT j~'.~:~';7-/'7'~_.~'~y~ LOT MAP OF .~).E_~C~:>/Z~'Z~ SCALE1" -- ~-(~' SUFFOLK CO. TAX MAP DATA:- DIST. /(:~)~:)(~ ', SEC. BLK. (:~),,~. C~:~ om-~rs mOM ST,UCrURS 'JO RELATIVE BOUNDRY UNES, ON SURVEY, ARE FOR A SPECiRC USE ONLY, AND sHOULD NOT BE USED FOR CONSTRUCTION OF FENCES OR. OTHER. STRUCTURES. ~SE IS UNb~WFUL F/)THOUT CERTIFICATE~ OCCUPANCY i · CO. CLK. NO. I FILE NO. //, ~:~ SUFFOLK COUNTY N.Y. FILED :/ SURVEYED ~'/Z:::~. '~ I~BY WILLIAM R. SIMMONS JR. P/O BOX 377 JAMESPORT. L. 1., N.Y. 11947 PAGE ~ GRID ~ DRAWN BY~ ROMEO BUILDERS, INC. BOX ~,11 (s16) 76s-~Ts SOUTHOLD, NEW YORK 11971 "~ JUL3 1/990 DESIGN RESIDENTIAL CONSTRUCTION CABINET WORK APPRQVED AS NOTED FEE: ""~)' '-" ,. BY:--"~' ~'' &-'-- NOTIFY BUILDING DEPARTMFr'? ~'~' 76S-1B02 S AM TO 4 PM FQ[~ ;HE FOLLOWING INSPECTIONS 1. FOUNDATION ~ TWO RE©U!PEr', FOR POURED CONCRETE 2. ROUGH - FRAMING E PLUM~['~' ~ 3. INSULATION 4. FINAL CONSTRUCTION MUST 8E COMPLETE FOR CC AI~L CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ELEVATION PLAN I{ {, I/~tI! II II It II PLAN F.J('ISf. HOUSE i DECK FRAMING PLAN ¸ti ~,,,~,F,IRST FL:OCR PLAN I I itl L_L. L__l l-_j i'll J I I II fl l -ELEvATiON.; (~) ,, ~ELEVATION J r .ELEVATION ilrl DET_A__Ik_ J'T'1 ' oET_~AII'~ [] ,DETAIL., [~"~' i"DE~.~IL'~' ~ EL~VATIQN [] DETAIL J~] · DECK FRAMING DETAILS . HANDRAIL DETAILS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY AP, PROVED AS #OTED / DATE:/~ ~-..~--.~ R.P, # NOTIFY BUILDING DEPARTI~T AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - ~NOREQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALl. MEET THE REQUIREMENT~ OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBI~E FOR DESIGN OR CONSTRUCTION ERRORS DATE REVISION TRUE NORTH © PLAN NORTH SITE PLAN RESIDENCE OF- MR. & MRS. P. de la FUENTE MILL ROAD, MATTITUCK, NEW YORK · t~ BEESTON & PATTERSON, INC. EXTERIOR DECK 4 ',