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Home My WebLink About37247-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 6/1/2012 CERTIFICATE OF OCCUPANCY No: 35727 Date: 6/1/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: DECK 1840 STANLEY ROAD MATTITUCK, Sec/Block/Lot: 106.-7-40 Filed Map No. Lot No. conforms substantially to the Application for Building penmt heretofore filed in this officed dated 6/4/2009 pursuant to which Building Permit No. 37247 dated 5/24/2012 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 VICTOR & LYUDMILA MOUZYKIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIHCATION DATED 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 #: 37247 Date: 5/24/2012 Permission is hereby granted to: VICTOR & LYUDMILA MOUZYKIN 1840 STANLEY ROAD MATTITUCK, NY 11952 To: CONSTRUCTION OF A DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR.REPLACES EXPIRED B.P. 34792 At premises located at: 1840 STANLEY ROAD MATTITUCK SCTM # 473889 Sec/Block/Lot # 106.-7-40 Pursuant to application dated To expire on 11/24/2013. Fees: 6~4~2009 and approved by the Building Inspector. PERMIT RENEWAL $200.00 CO - ADDITION TO DWELLING $50.00 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Mall Southold, N.Y. BUILDING PERMIT (THIS pERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTMORIZED) PERMIT NO. 34792 Z Date JUNE 17, 2009 Permission is hereby granted to: VICTOR MOUZYKIN 1840 STAIqLEY RD MATTITUCK, NY 11952 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 106 pursuant to application dated JUNE Building Inspector to exl~ire on DECEMBER 1840 STANLEY RD MATTITUCK Block 0007 Lot No. 040 4, 2009 a~ld approved by the 17, 2010. Fee $ 200.00 Authorized Signature coPY Rev. 5/8/02 Form No. 6 TO~ OF $OU~HOL]D BUILDING DEPARTMENT TOWN HALL 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: 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 D~pt. of water supply and sewerage-disposal (S-9 form). 3..Approval of electrical installation from Board 6f Fire Underwriters. 4.Sw. orn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance'from a~hitect or engineer responsible for the building= .6.Submit Planning Board Approval of completed site plan reqniremems. For existing buildings (prior to April 9, 1957) don-conforming useS, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly ~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. Fee~ 1. C~rtifieaie of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~. ~. Certificate of Oeeupancy on Pre-existing Building - $100.00 3. Copy of Certificate ofOeeupancy - $:25 . 4. Updated CertificateofOccupancy- $50.00 ' 5. Tempo?ary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: (check one) ~' ' Street House No. Own6r or Owners o~'Property: Suffolk Copnty Tax Map No 1000, Section Subdivision PemaitNo. '-~"l '?,~.~ DateofPermit. %.2~[ I'Z~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Hamlet Bioek . Filed Map. Applicant:.. Underwriter~ ~ ~/ Final Certificate: (check one) Lot qO ' Lot: Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR ~m~D rsS~CnO~ ~oar ] rATE [ CO~S FOUNDATION (1ST) ~,,~ FOUNDATION (2ND) ROUGH FRAMING & ~, PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net Examined Approved Disapproved a/c '; 7 Expiration / ~f~', 20/(7 sets PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: ~ee according to schedule. Building Inspector PLACATION FOR BUILDING INSTRUCTIONS qetely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit 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 part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after 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 permit for an addition six months. Thereafter, a new permit shall be required. 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises \J't('~3( q {/Dd~[fi.l[ifm,~ (As on the tax roll or laOtOdeed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders LicenseNo. Plumbers LicenseNo. Electricians License No. Other Trade'sLicenseNo. Location %f l~and on which proposed work will be flone: House Numar S~et ~ Hamlet Block 7 Filed Map No. County Tax Map No. 1000 Section t0¢ Lot Cd~) Subdivision Lot 2. State existing use and occupancy of premises and intended use and a. Existing use and occupancy ~oi rl~lC d~flA[ ~ b. Intended use and occupancy ¢al~.. ¢/O~J~x- occupan, cy of proposed construction: 3. Nature of work (cheek which applicable): New Building D.~.a.-- Addition Repair Removal Demolition Other Work 4. Estimated Cost ~/' {a ~ Fee 5. If dwelling, number of dwelling units If garage, number of cars Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commemial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~/~ / Rear ,~-~t .Depth Height Number of Stories / ..~.: ............ ur, 5 tl :4 Dimensions of same structure with alterations or additions: Front ! [ { ~7 ........ReaV Depth Height Number elf ~[~,ries 8. Dimensions of entire new construction' Front Rear c~' '~7~ Depth He,ght x ~-0 Numbero, Sto,.s '/ ...... '.. · / -- . 5/ [- -/ ~,.~: 9. Sizeoflot:Fmnt /o~/.o?~ Rear /&7/.~ Depth t4~'5 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? YES NO ~ 13. Will lot be re-graded? YES__ NO ~ Will excess fill be removed from premises? YES __ NO-3<57 14. Names of Owner omemi s PhoneSo. NameofArchitect ~.~lq/~ }~'~,{f~gev~e.:~ c~ i Address ~Ld4q'h)O/tS~- Name of Contractor t~u4Le )/' Address 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ..~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY l~E REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES NO_~2 * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Phone No 7 ?~' 7~aS5 Phone 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 NO.Z~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) s: p0~-~(A~I ~Oq~( being duly sworn, d~oses ~,1 says that (s)he is the applic~t ~me of ~ivid~ si~hg con~act) a~ve nmed, 0 (Con~tor, Ag~L Co~mte Officer, etc.) ..... Oual~ in S~lk ~ · ., .Comm~sion[~ir~ ~pdl of said owner or owners, ~d is duly au~ofi~d to p~om or have ~ffomed me sine wor~ ~oto m~e ~d~s ~plication; that all smtemen~ contained in t~s application ~e ~e to ~e best of his ~owledge peffomed in the m~er set foah in the applimtion filed the~wi~. Swfl[n~t9 before me thig_.' day of 20 C> Notary Public f Applid/ant TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER FORMER OWNER s~s. b VL. STREET I ~ cf O. / N S FARM VI LLAGE W COMM. CB, MICS. DIS'r, SUB. LOq ACR. i~l TYPE OF BUILDING Mkt. Value LAND IMP. TOTAL DATE REMARKS AGE NEW FARM NORMAL Acre BUILDING CONDITION BELOW Value Per Acre ABOVE Vc~lue Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot .~6' I~00 ~,~, ~l BULKHEAD Total DOCK 106.-7-40 9/08 Extension Extension Extension Porch Breezeway Foundation 3asement Ext. Wails Fire Place Bath Floors Interior Fihish Heat Dinette K. LR. DR, Garage P~ooms 1st Floor Type Roof Recreation Room Dorme~ Patio Rooms 2nd Floor O. B, Driveway Total ~Jog Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM THE FOi.£OWiNO ACTION8 IMA¥ REQUIRE THE 80B~41~SION OF · STORM-WATER, GRADING~ DRAINAGE AND EROSION CONTROL PI-AH C~:~r I I~',ED BY A ~'~iGN PROFESSIONAL IN THE STATE OF NEW YOR~. It_~era Number: (NOTE: A Check Mark (4) for each Question is Required for a Complete Application) Yes No 1 2 3 4 5 6 7 8 9 ~l ~ Project Ret~ AU Storm-Water Run-Off Generated by a Two (2"} Inch Rainfall o~ Si{e? X" (This item will include all mn-off created by site cleadng and/cr ognstmcfiou scarifies as well as alt Site /__~ improvements and the permanent creation of impervious suriaces.) Does the Site Plan and/or Survey Show Alt Proposed Drainage Stmetcres Indicating Size & Location? This Item shall include all Preposed Grade Changes and Slopes Controlling Surface WaterFIow! W/il (his Proiect Require any Land Filling, Grad(hg or Excavation where them is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the TnJstees jurisdiction or within One Hundred (100') feet 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 Hodzontal Distance? W/il Driveways, Parking Areas or ether Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? 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 wilhin the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mad(In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Rev ew Pr or to ssuance of Any Building Permit! EXEMPTION: Does this project meet the minimum standan:ls for classificefion as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Watar, Grading, Drainage & Erosion Contret plan is NOT Required) No STATE OF NEW VOl~, ~ COUNTY OF ...~..~..L..I.~ ............... SS That I ........ ~[~/~1...'~/.-~...~.....(~....'1......~.~ C ......................... be~ duly sworn, d~)oses md ~ ~at h~she is ~e appG~t for Peri.t, (N~e o[ ~div~ual s~t) ~NNIE D. BUN~ - , N~blic ~N~ And d~at he/she is ~e ~i.~ .~ ........... ~ N0 01~U6185050 .. ........ '%~m,,i~i0n ~irm ap~l 14, 20~ Owner and/or represen~five of die O*vner of O~mer's, ~d is duly aud]orked to pe~orm or have pedbrmed ~e s~d work ad to m~e ~d file ~s appli~on; ~at ~1 smtemena con'ned in ~ app~afion ~e ~e to ~e b~t of~ ~owledge ~d belief; · at ~e work will be pe~om]ed in die m~ner set for~ in ~e applicagon filed here~. Sworn to before me this; No uhlic: ................................... Z? ............. FORM - 06~07 Southold Town Building Department P.O. Box 1179 54375 Main Road Southold, New York 11971 (631) 765-1802 Parcel 1D: 106.-7-40 Permit #: 34792 Permit Date: 6/17/2009 Expiration Date: 12/17/2010 BUILDING PERMIT RENEWAL LETTER Applicant: Location: Work Description: Dated: 5/16/2012 VICTOR & LYUDMILA MOUZYK1N 1840 STANLEY ROAD MATTITUCK DECK CONSTRUCTION OF A DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR. A FEE OF $200.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Address: VICTOR & LYUDMILA MOUZYKIN 1840 STANLEY ROAD MATTITUCK, NY 11952 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. AH work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. ~RIO-OT-OOS§LOT g E ~ LOT Iff ~ BLOCK: 7 LOT(S): LOT 8 121.25' LOT 17 24 g'-~ ~ ~.~, STANLEY (5o') ROAD 121.25' NT)dS9'20"E OUZYKI N DRCK 0 0 II 24'-9 1/2" SITR PLAN Informat;~on t;aken from survey prepared by Kennet;h M. Woychuk, Land 5urveylneJ ¢ Design MaH:~tuck, New York ejuarant;eed ~co V~c~:or ¢ Ludmd~a Mouzykm SCTM #: I OOO- I 0G-7-40 surveyed May 7, 2007 Pro?edcy Areas: Lot: 20,OOGs.L Existing House (w~th stoop ¢ e~arage): 1540s.f. Ex~stmg Lot Coverage: Proposed New Deck: 892s.f. Total Area (ex~stmg ¢ new): 1982s.f. To~;ai Lot; Coverage: 9. ALL CONSTdU'TF~I SHALL MEET THE REQU. 'C OF THE OODE8 OF NEv~ '~ ut ,,, oTATE. APPROVED ~, ~ NOTED DATE. NOTIFY BUll, ' 765-I802 FOLLOWINC ' OCCUPAN 3V r, ,, USE IS UN, ,', ,',' WITHO[ ~T r' OF OCt PAGE: I 2 I .25' 57 I dZg'20"W ~" X 6" DECK 50ARD5 DOWN EXISTING blOUSE DECK, ?LAN SCALE: ¼"- I' O" 2 EXISTING CO NCi~ETE E ¢" = I LO" SCALE: 4 DECK SECTION SCALE: ¼"= I'0" PAGE- 3 WIND LOAD ?ATH CONNECTION AND CONSTRUCTION DETAIL DP-.AWING5 4' MAX 5TAI~ RAILING IIAN DRAIL CONNFCTION 4 MAX POST TO DECK CONNECTION ?ODT TO GIRD~R/HEAOER CONNECTION UDE MIN (2) I/2" DIA. GALV BOLT5 WITH WASHEI~5 AND NUT5 GI~DER/IflEADER TO ?ODT/COLUMN CONNECTION DTRINGEI~ TO D~C~/poI~CH CONNECTION UN DISTURBED 50IL CONC pIER FOOTING DECK 4~ PORCH NOTES: CLIMATIC ¢ GEOGRAPHIC DESIGN CRITERIA NAILING SCHEDULE PEP, FAGE 4