HomeMy WebLinkAbout35602-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
5/22/2012
No: 35706 Date: 5/22/2012
THIS CERTIFIES that the building DECK
Location of Property: 272 Park Ave, Mattituck,
SCTM #: 473889 Sec/Block/Lot:
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this otticed dated
123.-7-6
6/2/2010 pursuant to which Building Permit No. 35602 dated 6/2/2010
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:
deck addition to an existing one family dwelling as applied for.
The certificate is issued to
MelvynMorris&Mary Eisenstein
(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.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35602 Z
Date JUNE 2, 2010
Permission is hereby granted to:
for :
MELVYN & MARY MORRIS
272 P~K AVENUE
MATTITUCK, NY 11952
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. REPLACES EXPIRED
BP # 26578
at premises located at 272 PARK AVE MATTITUCK
County Tax Map No. 473889 Section 123 Block 0007 Lot No. 006
pursuant to application dated JUNE 2, 2010_~n~ ~proved, J~'~
Building Inspector to expire on DECEMBER 2/~, 2011.
Fees 75.00 / ~i /
~ -~3~ e d Sit ture
ORIGINAL
Rev. 5/8/02
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.
26578 Z Date JUNE 14~ 2000
Permission is
hereby granted to:
MELVYN MORRIS
272 PARK AVENUE
MATTITUCK~NY 11952
for :
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR.
at premises located at 272
County Tax Map No. 473889 Section
pursuant to application dated MAY
Building Inspector.
PARK AVE MATTITUCK
123 Block 0007 Lot No. 006
12~ 2000 and approved by the
Fee $ 75.00
Authorized Signature
Rev. 2/19/98
ORIGINAL
Form No, 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ttALL
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 fearn res.
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 frown plumber certifying that the solder used in system contains less than 2/10 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 the building.
6. Submit Planuing Board Approval of completed site plan requiremeuts.
For existiug bui!dings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showiug all property lines, streets, building and unusual natm'al or topographic
features.
A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor iu writing to tim applicant.
C. Fees
I. Certificate of Occupancy New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $5000, Accessory building $50.00, Additions to accessory building $50.00~ Businesses $5000
2. Certificate of Occnpancy on Pre-existiug Building- $100.00
3 Copy of Certificate of Occupancy - $.25
' 4 Updated Certificate of Occupancy $50.00
5. Temporary Certificate of Occupancy - Residential $1500, Commercial $15.00
Date.
New Construction:
Location of Property: -~- ~-? ~
House No.
Owner or Owners of Propel~y:
Suffolk County Tax Map No 1000, Sectiou
SulSdivision
Permit No. ,7-)~-~ (O ~ ~'- Date of Permit.
Health Dept· Approval:
Old or Pre-existing Building:
Street
5
Filed Map.
Applicant:
Underwriters Approval:
(check one)
Hamlet
Lot
Lot:
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate: --_ (check one)
~ Applicant Signature
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS: _ ~
[ ] ROUGH PLBG_~
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN.~I~.ATION
[]FRAMING/STRAPPING [~~
[]FIREPLACE&CHIMNEY [ ] FIRE ~SAFETY INSPECTION
DATE ~ / 0 INSPECTOR
FIELD IN,~CTION REPORT ~DATE ~ COHlqENTS
FOUNDATION (IST)
FOUNDAT I ON
ROHGU
PLYING {I II
INS~TION PER N.Y. II H
STA~ E~R~
CODE Il II
FORN NO. ['
TOI~N OF SOUTNOLD
BUILDING DEPART}lENT
TO}/N HALL
SOUTHOLD, N.Y. 1197[
TEL: 765- 1802
~,,;~iand .... ql/~... ....... ,20..o9.
Di sappro~ed a/c ..................................
BOARD OF HEALTB ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK
SEPTIC FORB ...................
NOTIFY:
CALL . Y. ?.0. .....
HAIL ~ .-.-.. ~ ...............
m .........
INSTRUCTIONS
APPLICATION FOR BUILDING PERI~IT.
a. rhis -a~plicati~ ms~.;-i~ --~ letely filled in by typa~riter or in ink and v~,-itted to the Building Inspector
3 sets 6f plan~, accurate plot plan to scale. Fee according to schedule.
b. Plot pla shoaing locatim of lot and of buildings m premises, relatio~mhip to adjoining premises or public
streets or areas, and giving a detailed description of layaut of property -*:-t be dre~n on the dingr~ vhich is part of
this application.
c. ~he ~ork covered by this al~lication may not be ~mmnced before i~suance of Building Pemit.
d. ~ approval of this application, the Building Inspactor ~rill i~ue a l~xildlng Penult to the al~licant. Such
pamit shall be kept an the premises available for irmpaction throughout the ~rk.
e. NO building shall be occupied or ~ in t~hole or in part for ~y purpo~ ~/nate~er until a Certificate of
Occupancy shall have been granted by the Building Inzt~ctor.
~=PLIC_~gI(I~ IS ~ ~ to the Building Department for ttm ismumce of a Building Pemit puranast to the
Building Zor~ Ordinance of tl~ Toga of Southold, ~uffolk Coanty, ~ York, and otl~r applicable I~, Otxlinances or
Regulatitms, for the constructian of buildings, additions or alterations, or for L~tal or ~lition, as herein
ascribed. The applicant agrees to comply vith all applicable la~s, ordinancea, building code, housing code, and
(Bailing mid,ese of applicator)
State ~bether applicant is amer, lessee, agent, ard~itect, engineer, l~eseral eontrantor, electrician, plt~ber or builde~
0 c~.o
£'z..l/ '.~ ~ ~ ~¢1 .....................
Name of o~ner of premise~J~.~. ..... ~..~...~.'.,.C.)~.t'~.~....A...~..t~.~. ..... ./..3.<5../?..4./. .... ~ ......
(as on the tax roll or latest deed)
If applicator is a corporation, signature of cl~ly authorized officer.
'and title of corporate officer)
Builders License No .... $..~..~./'
Plumbers License No ...... ~ ..................
Electricians License No ......................
Other Trade's License No...'~. .................
|. Locatio~ of land on vtaich proposed ~ork will be do~e ..............................................................
FIc~se Nuxt~r Street Bander
T=Bap NO. tlon ........ BIo ......
Su~ivisiofl ......................... Filed Hap No ........... Lot
(mine)
2. State existing use and oc,~ .-~y of premises and intended use and occapaney of proposed eonstrtmtion:
a. Existing use and occul~~ ..... e..~..G..(..-f.~...l.../q.?../. ..... .~..(<~...Q.~..~../....~. .......................
OoT oo ,..
b. Intended use m~l o~eupan~ ....... /~... ~ ..... ./~ ........................................................
I~ture of ~ork (d~ck ~d,idt applicable): ~ Building .......... /~lition .......... Alteration ..........
Repair ............ I~n~al .----........ l~,~,lition . Other Dork
Es~i~mt~ ~s .~ ............. f~ ..............................................
(to ~ ~id ~ fili~ this a~li~ti~)
If ~lli~, ~r of ~lli~ ~mits...../ .... ... ~r of ~lling {mits m e~ fl~r ................
If ~r~e, ~r of ~rs ......................................
If ~i~ss, ~i~rcial or ~ ~, ~i~ ~re ~ ~tent of ead~ ~ of ~ ......................
Dl~nsi~s of ~isti~ st~s, if ~: ~t...6..{.. ~ar ..~,~'.'.. ~pth
iff/ ..............................
l~i~t ......................... ~r of Stories ../ ..................
Di~i~ of ~ st~e ~th alterati:~ or ~iti~s'. ~t ........ ~ ~
~h .... ).{ ............. ~i~t ' ' · I .............
..... J-.~f .......... ~r of Stories ...............
Di~nsi~ of entire ~ ~st~ti~: ~t ................ ~ar ............... ~p~ ..............
tbi~t ................. ~r of Stories .....................
....................................
Si~ of lot: ~t ~3~.W? .... ~ar ~, ~7 ~pth .t ...................
~t~ or ~,~,~ .l~] U~.?.? ........ ~ o~ vo~ ~. ~!.C~.a..Z~ ~'. ~ ...........
~ or ~ district in ~i~ ptuai~S m si~t~ ..............................................................
~s ~ ~t~ti~ violate a~ ~i~ 1~, o~i~e or ~lati~: ........................
gill lot ~ ~ ~ O gill m~ fill ~ ~ f,u. ~s:
~ of ~dt~t .................................... ~ .............................. ~ ~ ..............
or ...................... ' ............................... ..............
Is this p~r~thin ~ f~t of a till ~tl~ * ~ .......... ~ ~.; .....
PLOT DIAGRAH
Dacate clearly and dlstinetl) all buildinga, ~l~ffer ca~istlng or'~, ~ ~te ail ~t-~ di,ensi~s
~ ~r~ li~s. Gi~ st~t ~ bl~ ~r ~ ~ripti~ ~c~i~ to ~, ~ ~ strut ~s ~1 i~icat~
I~t~r interior or ~r lot. ~;9~ I
~ ~f~ ~ ~- -,,
-
IA]F. OF
~ ~ .~.~?.F..F?..c.r.. ..........
........ ~" ~ ........................................... I~.,~ duly s~0or~, deposed and say,/that he is the applicant
x~a~e of individual signing contract)
Js the ...................................................................................................
(Contractor, agent, corporate officer, etc.)
said o,n~er or o~n~.r,% and is ~ly ~O~ri~ to ~rfo~ or h~ ~rfo~ O~ ~id ~ ~ to m~ aM file this
~lication; that all star--ts c~taiM in ~is a~licati~ a~ t~ to ~ ~st of his ~1~ and ~lief~ a~
~at the ~ ~ill I~ ~rfo~ in tl~ m~r ~t forth in ~e a~li~ti~ fil~ t~.
~om to before me this
....
(Signat~ of ^ppticant)
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New' York 11971-0959
Fax (631) 765-9502
Telephone (63 I) 765- 1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
February 19, 2003
Melvyn Morris
272 Park Avenue
Mattituck, NY 11952
To Whom It May Concern:
It has come to our attention that building permit #26578Z, for additions to a single family
dwelling at 272 Park Avenue, Mattituck, Suffolk County Tax Map Number 1000-123-
7-6, has expired and you are in violation of Southold Town Code.
In order to rectify this matter, the following is required:
1.)
2.)
Immediate renewal of permit number 26578-Z: Please submit a
check for $150.00, made payable to the Town of Southold, noting the
original permit number on the check.
Final Inspection Required: Once you have renewed the above
referenced permit, it is your obligation to schedule a final inspection.
Certificate of Occupancy required for the expired permit: Once
you have passed the above referenced inspection, you may apply for a
certificate of occupancy.
Without a certificate of occupancy from this office, any use of your property is a
violation of Soathold Town Code (45-15) and New York State law. If you have any
questions, please feel free to call this office at (631) 765-1802 between the hours of 8:00
a.m. and 4:00 p.m.
Aut~J~{zed Signature
CC:CFile
Town Hall. 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
February 28th 2007
Melvyn Morris
272 Park Avenue
Mattituck, N.Y. 11952
RE: 272 Park Ave (deck addition)
SCTM: 123 7 6
NOTICE
Dear Mr. Morris,
Please be advised that your Building Permit #26578 issued June 14th, 2000 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $75.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILD1NG DEPT.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December 14th, 2007
Melvyn Morris & Mary Eisenstein
272 Park Avenue
Mattituck, N.Y, 11952
FINAL NOTICE
RE: 272 Park Avenue (Deck Addition)
SCTM # 123.-7-6
Dear Mr. Morris & Ms. Eisenstein,
Please be advised that your Building Permit # 26578 issued Junel4th, 2000 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $75.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
Town 1 lall Annex
5137,; M;tin Road
I:',O. Box II7P
Southold, NY 11971 09,';9
Tcltl)honc (631) 76.5-1802
l:ax (631) 76,5-9,502
B1 YlLDIN(; 1)EPARTMI~;NT
TOWN OF $OUTHOLD
June 16, 2010
Melvyn Morris
272 Park Avenue
Mattituck, NY 11952
TO WHOM IT MAY CONCERN:
The following items are needed to complete your Certificate of Occupancy:
"x,J~ Application of Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
X'XJ A fee of $25.00.
__ Final Health Department approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
__ Trustees Certificate of Compliance.
__ Final Planning Board approval.
__ Final Fire Inspection from Fire Marshal.
__ Final Inspection from the Building Dept.
__ Final Landmark Preservation approval.
Building Permit: 35602-7 deck
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971 0959
Telephone (631 ) 765-1802
Fax (63 l) 765 -9502
September 19, 2011
Melvyn Morris
272 Park Ave
Mattituck, NY 11952
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 $25.00.
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: 35602- Deck
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold~ NY I 1971-0959
TeLephone (631 ) 765-1802
Fax (631) 765-9502
April 30, 2012
BUILDING DEPARTMENT
TOWN OF 8OUTItOLD
Melvyn Morris
272 Park Ave
Mattituck, NY 11952
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
~/' Application for Certificate of Occupancy. (Enclosed)
__ Electrical Underwriters Certificate. (contact your electrician)
~ A fee of $25.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Tow. Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1936)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT ' 35602 - Deck
- ,~3-'~-~ TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET '~._'~ ~_' VILE&GE DIST. SUB.
Fd~E~ OWNER N E R.
~:~/~ S~S. VL FARM COMM. CB. MISC. Mkt. Value
~ND IMP. TOTAL DATE REMARKS
~0~// ' '
AGE BUILDING CONDITI~ .. ~-
N~ NOeL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable 3
W~la~
~ N~uewam-t-n4 FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD /~ ~ ~ /~ ~ o ~
House Plot DEPTH ~ ~
BULKH~D
· ot~ DOCK
Extension
Porch
Porch
Breezeway
Foundation
:. Walls
'~ Fire Place
Type Roof
Floors
nterior Finish
i 2nd Floor
Heat (~, ~ '~, ~ !' ~--
Rooms 1st Floor
aa B.
Total -
C
CON~'AY
MAP OF PROPERTY
:Su rzv~,(~g. -rpq
$CALE-50"I'
!,Otc $...
~= PlONUMEN?
" A
APPROVED AS NOTED
DATE' ~B P. #~
NOT,..u,u~,.O DE.*~T. aT AT
765-1802 9 AM TO 4 !~1 FOR THE
FOLLOWING INSPECTIONS:
1 FOUNDATION - TWO REQUIRED
FOR ~
2 ROUGH - FF~MING & PLUMelNG
3, INSULATION
4, FINAL - CONS"rRUCTION MUST
BE COMPLETE FOR C.O,
At~ g()NSTRLJCTION SHALL MEET
.gU'T~"~E F,:}..~ : ;.FNTS OF THE N.Y.
STAiE ' ": ~;!~JCrlON & ENERGY
COT)i!: ~" ::£ SPONSIBLE FOR
~3' ~.~l~t~! F~uCTION ERRORS
7~'~*~CCUPANCY OR
USE IS UN~WFUL
~O[,~CCUPANCY