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Home My WebLink About37249-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 6/1/2012 CERTIFICATE OF OCCUPANCY No: 35728 Date: 6/1/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: SHED 1840 STANLEY ROAD MATTITUCK, Sec/Block/Lot: 106.-7-40 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fried in this officed dated 4/14/2010 pursuant to which Building Permit No. 37249 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: accessory shed 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 Aorized SignatUre 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 #: 37249 Date: 5/2412012 Permission is hereby granted to: VICTOR & LYUDMILA MOUZYKIN 1840 STANLEY ROAD MATTITUCK, NY 11952 To: CONSTRUCTION OF AN ACCESSORY SHED IN THE REAR YARD AS APPLIED FOR. REPLACES EXPIRED B.P. # 35502 At premises located at: 1840 STANLEY ROAD MATTITUCK SCTM # 473889 Sec/Block/Lot # 106.-7-40 Pursuant to application dated To expire on 11124/2013. Fees: 4/14/2010 and approved by the Building Inspector. PERMIT RENEWAL CO - ACCESSORY BUILDING Total: ~lli ~r $50.00 $50.00 $100.00 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIIJ~ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEI~24IT NO. 35502 Z Date APRIL 23, 2010 Permission is hereby granted to: V & L MOUZYKIN 1840 STANLEY RD MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY SHED IN THE REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 106 pursuant to application dated APRIL Building Inspector to exq~ire on OCTOBER 1840 ST~NLEY RD MATTITUCK Block 0007 Lot No. 040 14, 2010 and approved by the 23, 2011. Fee $ 100.00 ! Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUP&Ncy 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 wit-h accUrate'location of all buildings, property lines, streets, and unusual natural, or topographic features. 2. Final Approval from Health Dopt. o f water supply and sewerage-disposal (8-9 form). 3.. Approval of electrical instalIation from Board 0fFire Underwriters. 4. 'Sw. om statement from plumber certifying that tho solder used in system eontaius less than 2/10 of 1% lead. 5. Commemial building, industrial building, multiple residences and similar buildings and installations, a certificate of code Compliance'from amhiteet or engineer responsible for the 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 unusuM natural or topographic features. 2. A properly ~,~mpleted application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ~ C. Fees 1. C~:ificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmilig pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~ ~_ certificate of 0ccupancy on Pre-existing Building - $100.00 3. Copy of Certificate of.Occupancy - $:25 . 4. UpdatedCertificateofOccupancy- $50.00 ' 5. T~emporary Ceaificate o~/O~cupancy - Residential $15_00, Commercial $15.00 Date. Hew Construction: V Old or Pre-existing Building: (check one) LocationofProperty: taCO ~ }~ '~ House No. -.J Street Hamlet Suffolk C. o~nty Tax Map No 1000, Section Sub&ivision Pennit blo. 7 Date of Permit. ~- - 2'~t' ~ ~ Health Dept. Approval: Block Filed Map. Applicant. Undenmiters Approval: Lot ~ Planning Board Approval: Lot: Request for: Temporary Certificate Foe Submitted: $ Final Certificate: (check one) Applicant Signaturer TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [~,,FINAL [ ] FIRE SAFETY INSPECTION REMARKS: ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) DATE '~-- '~ c, --/~', INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. north fork. net/Southold/ Examined .~/~..~,.~ . 20 d ~ Approved ~¢) ~20 ;~ Disapproved ~c Expiration / ~)/9~ . APR 14 BLDG. DEPT. TOWN OF SOUTHOLB PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, betbre applying9 Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form NYSDE.C Trustees ( ontact: Mail to: Victor Mouzykin 1840 Stanely Rd, MatUtuck NY -4-/5- 5-/ m mg nspector APPLICATION FOR BUILDING PERMIT Date April 12 ,20 10 INSTRUCTIONS 3[ be completely filled in by typewriter or ill illk 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 pren,scs, relatinnship to adjoining premises or public streets or areas, and waterv*ays c The work covered by this application may not be commenced bel0re issuance of Building Permit d Upon approval of this application, the Building inspector will issue a Building Permit to thc applicant Such a pemm shall be kept on fl~e premises available lbr inspection throughout the work. e No building shall be occupied or used in whole or m part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy £ Every building permit shall expire if the work authorized has not commenced witbin 12 months after the date of ~ssuance or has not been completed within 18 months from such date ]f no zonim~g amendments or other regulations affecting the properly have been enacted in thc interim, the Building Inspector may authorize, m writing the extension of the permit for an addition six months. Thereafter, a new pemut shall be required APPLICATION IS HEREBY MADE to the Building Department lbr the issuance of a Building Permit pursuant to the Building Zone Ordinance o£the Fown of Southold, Sufl'olk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buddings additions, or alterations or for rea,oval 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 cmporatimrt 1840 Stanely Road, Mattituck, NY (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, gener~d contractor electrician, plumber or builder Owner Nameofownerofpremises Victor& Lyudrnila Mouzykin (As on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer (Name and title ofcorporatc officer) Builders LicenseNo. Plumbers License No. ElectriciansLicenseNo. Other Trade's License No. I. Location of land on which proposed work will be done: 1840 Stanelv Road Mattituck House Number Street tlamlet County Tax Map No. 1000 Section 106 Block 7 Lot 40 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Storage Shed 3. Natureofwork(checkwhichapplicable):NewBuiIding ¢' Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units n/a Number of dwelling units on each floor n/a If garage, number of cars n/a 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. n/a 7. Dimensions ofexisting structures, ifany:Front n/a Rear n/a _Depth n/a Height n/a Number of Stories n/a 10. Date of Purchase n/a Name of Former Owner n/a 11. Zone or use district in which premises are situated R-40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES Dimensions of same structure with alterations or additions: Front n/a Rear n/a Depth_ n/a Height_ n/a Number of Stories n/a Dimensions ofentire new construction: Front 12' Rear 12' Depth 16' Height 12'-8" Number of Stories 1 Sizeoflot: Front 121.25' Rear 121.25' Depth 165' NO ~ 13. Will lot be re-graded? YES NO ~' Will excess fill be removed frotn premises? YES NO 14. Names of Owner of premises victor Mouz'/kin __Address 1840 Stanely Rd, Mattituck Phone No. Name of Architect Nernschick Silverman Architects Address 160 Main St, suite 200 Sayville Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 Ii:et ora tidal wetland or a freshwater wetland'} *YES NO ~' * 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. 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 ti:et or below, must provide topograpbicaI data on survey. STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Victor Mouzykin being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Owner (Contractor, Agent, Corporate Officer, etc) 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 Sworn to before me th~s ~ .~ lq dayof 'Tgq~X~ 2010 Notar~ Public Signature of ACplicant VICKI TOTH Notary Public, State of New York No. 01T06190696 Qualified in Soffolk Coun~ Commission Expires July 28, Southold Town Building Department P.O. Box 1179 54375 Main Road Sonthold, New York 11971 (631) 765-1802 Parcel ID: 106.-7-40 Permit #: 34792 Permit Date: 6/17/2009 Expiration Date: 12/17/2010 BUILDING PERMIT RENEWAL LETTER Dated: 5/16/2012 Applicant: Location: Work Description: VICTOR & LYUDMILA MOUZYKIN 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 PERMlT. 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. All 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. Tow____ n o_ f Southold Erosion, Sed,mentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A District Section Block Lot STORM-WATER~ GRADING, DRAINAGE AND EROSION CONTROL PLAN GE~TiFIED BY A DESIGN PROFBSSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~#) for each Question is Required for a Complete Applicaiion) 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.) 2 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! -- 3 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 Matedal within any Parcel? L~U -- 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Sudaca? ~ -- 5 Is there a Natural Water Course Running through the Site? is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? L~ -- 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? L~J -- 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off r~ into and/or in the direction of a Town fight-of-way? ~ -- 8 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? L.~ -- (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodp a 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 Permitl EXEMPTION: Yes No 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 Requiredl s rxr NEw That I ......... -L .~-.--.0-~-..--.-.-~-..~.-~..~....~......~..3,....Y~...... being duly swom, deposes va~d says that he/she is the applicant for Permit, (Name of individual signing Document) ~d that he/she is the .................................. ~...~ ................................................................................................... (Owner, Contractor, Agent, Corporate Officer, etc,) Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the said work and to ~nake 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 herewith. Sworn to before me this; TOWN OWNER TREET ] C../~ C.~ 0 FORMER OWNER. ' zi'?fJ, O-K"~rz-,"~-~- N / LAND J AGE NEY/ PARM TillabJe Weodlond IMP. NORMAL Acre TOTAL BUILDING CONDITION OF SOUTHOLD PROPERTY RECORD CARD DATE .L/2 U BELOW ABOVE VoJue Volue Per Acre Hod~e Plot VILLAGE W D,s~i suB. ,OT/(~ ACR. , d TYPE OF BUILDING CObrA. CB. MIC5. Mkt. Value RE.MARKS FRONTAGE ON WATER FRONTAGE ON ROAD Meodowland DEPTH ' .ti~ l~O0 7~d' ~/ol BULKHEAD DOCK R Extension Extension Extension 106.-?-40 9t08 Porch Breezeway I Fire Place Foundation Basement Ext. Wa s Patio Recreation Room g.B. Dormer Total sat.~ Floors ~ Dinette Interior Fihish ~//~. Rooms 1st Floor Drivewoy. R°°ms 2nd Floor 1~~IFIN~ B i /flAX, HE/6NT /¢' /2'-D" ~ 51T~= INt=Ot~ATION lOT () £) ~. () () ( 2xb ?J ~ lb" o,¢. ... 2x~ ?J ~16~ o.¢..,.. () () ( 5 ?I'~'20"~ ~- } 121.25' ~ ..... ~ ALLCONST,' ' iv] ~ ET THE REC', '-- '~ HE C S 0 ' A E. ~ TANLEY ~OAD , IJSE IS Lkx. AW , .., '* "~ CERT" .,. 'VITHG;'T ' ' ~51Dl~ TO~ ~ ~i' q~,,,...~ ,~ ~ t, THE ~ ~Ou12? EL~ ~OW27 ~ ~VIDONS/~MISDONS: DRAWING TITLE O[ It~E '~b,, ,. ~ - ~ ~e = //4 = I'~' ~ %~E = I/4 = I~" I CAD FLE NAME ~ b PROJECT TffLE DATE NSA PROJECT .emschickSilverman*rchiteotsP.C. ~ 0;2~% ~ 2~ ?~C= -- ,~A-- ~:C ~ AZ PPOPO%PACC~,O~Y~PUCTURE Oa,09,,O " thebu~m~8ofARCHITECTURE" ~ ~ ~ ~ ~ : ]840~A~L~ROAP SCALE, DRAWING NO V : ~ MA~[TUCR, ~Y 430 Green Way, Cutchogue, New York 11935 ~ DIST~CT SECTION ~OCK' LOT D~AWN BY Phone: 631-734-7007 Fax: 631-734-7~7 ~ http ://e. n s-a rch. co~ ~ ~ ~ co,~, ~ ~ ~w~, ~cts ~c 1000 10~ 7 40