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Home My WebLink About37002-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 4/27/2012 No: 35564 Date: 4/27/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: WINDOWS 3650 Ole Jule Ln, Mattituck, Sec/Block/Lot: 122.-4-23 Filed Map No. conforms substantially to the Application for Building Permit heretofore 2/14/2012 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: replacement of one window as applied for. Lot No. filed in this officed dated 37002 dated 2/16/2012 The certificate is issued to Munier, Robert S C & Munier, Jan C P (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut h~,6zec[/Sign~ure J 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 #: 37002 Permission is hereby granted to: To; Date: 2/16/2012 Munier, Robert S C & Munier, Jan C P 114 Old Coach Rd Basking Ridge, NJ 07920 replace an existing window as applied for At premises located at: 3650 Ole Jule Ln, Mattituck SCTM # 473889 Sec/Block/Lot # 122.-4-23 Pursuant to application dated To expireon 8/17/2013. Fees: 211412012 and approved bythe Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $200.00 $50.00 $250.00 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 tile Building Department with the following: A. For new building or new use: I. 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 Underwriters. 4. Sworn statement from plumber certifying that tile solder used in system contains less than 2/I 0 of I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for tile building 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusua{ natural or topographic features. 2. A properly completed application and consent to inspect sigued by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state tile reasons therefor in wriling to the applicant C. Fees I Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessoly building $50.00, Additions to accessory buildiag $50.00, Businesses $50.00. 2. Certificate of Occupancy oil 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, Cmnmercial $15.00 New Construction: Old or Pre-ex/sting Buildingj. Locatiou of Property: ,3 ~ ~ ; House No. Stt~t OWner or Owners of Property: Suffolk Coun~ T~ Map No 1000, Section /d ~ ' Subdivision ;¢rmitNo. S 7oo Health Dept. Approval: Planning Board Approval: OateofPermit. ~-/("" /2 _ (check one) B lock ~' Filed Map. Applicant: Underwriters Approval: Hamlet Lot: Request for: Temporary Certificate Fee Submitted: $ ~--tQ , ~'rO Final Certificate: (check one) Apphcant S~gnature/ ~.,,7 0o9--- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] RO/UGH PLBG. [ ] F/.OU'NDATION 2ND [i,,~]/1NSULATION [~/'] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FI/RE'SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ P.j'FIRE RESISTANT PENETRATION [ [ ] ELECTRICAL (~GH) [ ] ELECT/...q~I~CAL (F!NAL) REM/~RKS: ,~w~~ ~, ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] IN~I~-ATION [/~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) REMARKS: ] ELECTR~AL (FINAL) DATE TOWN OF SO~THOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Exam ired Approved Disapproved a/c Expiration ~/] (,. 2 0/,,~. PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health fi~.~) ~c. 4 sets of Building Plans Planning Board approval ~p~. Sorvey t~; ~ Check Septic Form ~0 ~ N.Y.S.D.E.C. ~ ~ C.O. Application' ~ ~' Flood Permit ~ ~ ~ Single & Separate ~~ ~ ~ ~ S toTm-Water Assessment Form Building Inspector APPLICATION FOR BUILDING PERMIT Date ~ -/</ ,20 /2_.._ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or mmk and submitted to the Building Inspector with 4 sels of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing Iocatioa of lot and of buildings on premises, relationsbip to adjoining premises or public streets or areas, and waterways. c. The work covered by Ibis application may not be commenced bcfbre issuance of Building Permit. d. Upon approval of Ibis application, the Bnilding Inspector will issne a Bnilding Permit to the applicant. Sucb a permit shall be kcpt on the premises available for inspection throughout the xvork. e. No building shall be occupied or ased in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. L Every building permit shall expire if the work aathorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months fi'om such date. If no zoning amendments or other regulations affecting the property have been enacted in tbe interim, the Building Inspector 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 the Building Departmenl lbr the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold. Suffolk Cotmty, Ne~ York. and other applicable Laws, Ordinances or Regulations, for the constrnctioa 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 code, and regnlations, and to admit attthorized inspectors on premises and in building for necessmT inspections. (Signatur~'applicantlor name, fa corporation) "P,o,tk-, 9-c-& (Mailing address of applicant) applicant is owner, lessee, agent, architect, engineer, g~eral contrac~o) electrician, plumber or builder State whether Nameofownerofpremises '~ok ¢~-t~m I/Vl~,vt;¢~- fAs 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. ,_.~/,p/S' - ~ Plumbers License No. /qo~- ,/V.e¢,.~-~ Electricians License No. Other Trade's l.icense No. l. Location of land on which proposed work will be done: I louse Number Street County Tax Map No. 1000 Section /~ 7_.. Ilalnlet / Block Lot ~---~ Subdivision Filed Map No. Lot .__: ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy I ~ ~t~7 ~_~5~ . b. Intended use and occupancy / ~'-r~ m~ (~ ~ ~ / 3. Nature of work (check which applicable): New Building. Addition Alteration Repair Removal Demolition Other Work Estimated Cost t/~ ~ ' / o ~ o Fee If dwelling, number of dxvelling units If garage, number of cars (Description) (To be paid on filing this application) Number of dwelling units on each floor 7. Dimensions of existing structures, if any: Front .5-5' Rear Height_ Number of Stories If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of same structure with alterations or additions: Front Depth Z ~, Height Dimensions of entire new construction: Front ~a '~l¢(~- Height Number of Stories 9. Size of lot: Front / O~ ~ Rear / 5-.._~ / .Depth 10. Date of Purchase c~ O O '~ Name of Former O~vner ~--, Depth Rear Number of Stories / ~'R~ a~r~° ~ Depth 11. Zone or use district in xvhich 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__ NO 14. Names of Owner of premises ~, ~4~n [ c~ Name of Architect ...... Name of Contractor ~t ~o a~ 15 a. Is this property within 100 feet ora 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 ora tidal wetland? * YES )~ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Address .S65 o o/e..]-o..~ ~./t._Phone Address Phone Address ¥! ¢~ g v e-~(~o-~qa~,/~holle NO 16. Provide survey, to scale, xvith accnrate 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 ou survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO ~/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) ,m - S: COUNTY 0 F~h' ./¢0 .~)~)~'1.,¢~0t ~/'~X'~.X_~ heing duly sworn, deposes and says that (s)be is the applicant (Name of individual signing confract) above named, (S)He is the ~'~~~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to pertbrm or bave performed the said work and to make and file tiffs application: tbat 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 tberexvith. Sworn to before me tiffs ~'-~ //~t' day of ~'~ Notary Public Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FOR M PROPERLY LOCATION: $.C.LI~-~ THE FOLLOWING ACTIONS MAy REQUIRE WHE SUBM~UlON OF A /CC~ I/-" ~/ (.~.~ ~flm-WATERp GRADING, DRAINAGE AMD EROSION CONTROL PLAN SCOPEOFWORK - PROPOSED CONSTRUCTION fjTEM# / WORKASSESSMENT' [ Yes No (Include T°ta' 'N'ea °f all Pamels I°cated within '~' ~ ' ~ ' ~'~ I Will this Pr°~ect Retain Ail ~t°nn'Wa~r ~mO~ Ihe Scope of Work f~ Proposed Coflsbucflon} Generated by a Two (2") Inch Rainfall 0~1 ~ite? construction activity? impervious surfaces.} Dminage S~uctures Indlcatthg Size & Loca~o~? This / D ~ Will this Application Req~Jire Land Disturbing ActivilJes r~ Site? Is this Projec~ within the Trustees jurisdiction SWPPP' Sh"l' me't th' Minimum R.utrements of the 8PD" Ge.--' Permit 8 Will Driveways, Pa~ing Amas or other impervisus D ,/ STATE OF NEW YORK, ~) ,~ / ~/,.. / O,~qer and/or representative of the O~,ner or OWners, and is duly anthorized to perform or have performed the said work and to make and file this application; that all statement~ conta~ed in this applicar;on are true to the best of his knowledge :u~d belief; and that the work ~til] be performed in the mannex set forth in the application filed here~4th. Sworn to befor~e thls; ~ / SURVET OF PROPER'F'K 51'f'IJATE: HATTITIJOK TOHN, SUFFOLK COblNT'r', N'r' .SUR~ 12/14/0-/ SUFFOLK COUN'r'f TAX I000- 122- 4- N E ROBI~.T $. C. IV~,,tN~ JAN C. P. MUNIF, R W~s.~ FAROO BAN~, N. A. 8'~qAR'I a'l'rdl~ ]blSURANCI~ COI~,~ANY -~os'~ 1,221' +- f.o Kcous Road - NOTES, · f"iONUMENT FOUN~ · STAKE FOUNP AREA = 22,.3~3 5.F. OR O.5136 ACRE e, RAPHI C. SC, ALE I"= JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\\Compaqservcfipros\07~07-236.pro 30 CW14-CW14-CW14 6,~,~ B^Y WINDOW 6'~'" REPLACE EX BILCO GC TO REVIEW EOUNDAflON ~ REPAIR AS REQUIRED F REAR ELEVATION SCALE: 1/4" = 1'-0" APPROVEDA$ NO~ED ,4,,/ DATE ~..//~//,.Z B j~ #. ~Z_~.~ -- UPA" ' ) 'UNLAWFUL t(): tT OERTIFIOATE PANGY M r, H Design Services www.mchdesianser~ices.com hone: ~31 ) 298-2250 mail: Z DRAWN BY: MH ]ANUARY 26, 2012 SCALE: 1/4" = 1'-0" SHEET