HomeMy WebLinkAbout37487-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
11/9/2012
CERTIFICATE OF OCCUPANCY
No: 36045
Date:
11/9/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ADDITION/ALTERATION
560 Deer Dr, Mattituck,
Sec/Block/Lot: 114.-10-4
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/20/2012 pursuant to which Building Permit No. 37487 dated 8/30/2012
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:
"as built" alteration to enclose existing breezeway and landing addition to an exisiting one family dwelling as applied for.
The certificate is issued to
Brinkmann, Keith & Brinkmann, Laura
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION 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 #: 37487
Date: 8/30/2012
Permission is hereby granted to:
Brinkmann, Keith & Brinkmann, Laura
560 Deer Dr
Mattituck, NY 11952
To:
construct "As Built" alteration to an existing dwelling & construct landing as applied for
At premises located at:
560 Deer Dr, Mattituck
SCTM # 473889
Sec/Block/Lot # 114.-10-4
Pursuant to application dated
To expire on 3/1/2014.
Fees:
8/20/2012
and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ADDITION TO DWELLING
Total:
$556.00
$50.00
$606.00
Building Inspector
Form No. 6
TOWN OF SOUTHOLD
RI?Il ,DING 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:
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 Underwhters.
4. Sworn 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 architect 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 unusual natural or topographic
features.
2. 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 in writing to the applicant.
C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on 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, Commercial $15.00
New Construction:
Location of Property:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Old or Pre-existing Building: ~(~ (check one)
Stxeet
Block
Permit No.
Health Dept. Approval:
Filed Map.
Date of Permit. Applicant:
Underwriters Approval:
Planning Board Approval:
Hamlet
Lot
Lot:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate:
(check one)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
['] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ p'~OUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
REMARKS:[ ] ELECTRICAL (R~/)~._~ [ '~'~'-~] ELECTRICAL (FINAL)
DATE INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
] FRAMING / STRAPPING
[ ] ROUGH~L~BG.
[ ] IN~I~CATION
[~INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST [ ] ROUGH~LBG.
]FOUNDATION 2ND [ ] 1~18~~
] FRAMING/STRAPPING Ii/]FINaL /~
] FIREPLACE & CHIMNEY [ ] FIRL=~4FETY INSPECTION
FiRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
[ ] FiRE RESISTANT CONSTRUCTION
[ ] ELECTRICAL (ROUGH)
REMARKS:
DATE
INSPECTOR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined '~],3~O ., 20
Approved ~Y/~ 0,20. f ~
Disapproved a/c
' :' ' ~ Building Inspector
BU1LDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying7
Board of Health
4 sets of Budding Plans
Planning Bo~d approval
Survey.
Check
Septic Form
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
~ filled in by typewriter or in ink and submitted to the Building Inspector with 4
to schedule.
location of lot and of buildings on premises, relationship to adjoining premises or public streets or
area.s, 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 wilI 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 pan 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 Couniy, New York, and other applicable Laws, Ord~mances 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, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~t~/~ ~-~qr I ~]
(As on the tax roll or latest deed)
If applicant is a corporation, signature o£duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Locafion..qf land on which,p.~oposed work will be done:
House Number Stxeet
Hamlet
CountyTaxMapNo.,000 Seedon I[¢ Block ID Lot f
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
b. Intended use and
3. Nature of work (check which applicable): New Building. Addition Alteration
Repair Removal Demolition Other Work ~ J ~ [ J~' --
(D-e~cription)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling anits 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 ofexistin~strucjau-es, if any: Front ~> ~] ~- ~ ~ Rear (~ ~] '-q"
Height oQ ¢ '- ~'~ ~ ~'/,_ Number of Stories'
Dimensions of same structure with alterations or additions: Front (~ ,~. 4~ ~
Depth r~ ~'- 0 Height ~ 5 '- ~ ~ ~ f- Number of Stories
8. Dimensions of entire lle',~ construction: Front q I,. q" Rear
Height $~ ~- ~ ~'[~ Number of Stories )
9. Size of lot: Front I ~'OO'- 0 Rear I~O.~' Depth
Depth
I 0. Date of Purchase Name of Former Owner
I 1. Zone or use district in which premises are situated ~--~ ~0
12. Does proposed construction violate any zoning law, ordinance or regulation? YES
13. Will lot be re-graded? YES NO ~ Will excess fill be removed from premises? YES
14. NamesofOwnerofpremises ~:~f'tl~.l~--~k~.~.-~,Address ~&,J(dflJfl2O~c~ PhoneNo.
NameofArchitect '~L~.~:>~_~[ Address IU~.~fl](~- PhoneNo
Name of Contractor ~1~ }'~)~ ~"~ ' Address Phone No.
Rear
_Depth
N0X
NO.X:
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 BE REQUIRED.
b. Is this property within 300 feet of a 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 poim on property is at 10 feet or below, must provide topographical data on survey.
l 8. Are there any covenants and restrictions with respect to this property? * YES NO~
· IF YES, PROVIDE A COPY.
CONNIE D. BUNCH
STATE OF NEW YORK) Notary Public, State of New York
SS: No. 01 BU6185050
Qualified in Suffolk County
COUNTY,~OF )f..., Commission Expires Apr l 14~ ~ (~{~
~ 0~. ~1 6o/~ I all. A/V~r dbeing duly sworn, deposes and says that (s)he is the applicant
(Name of individu~]' signing cont?act) above name .
(S)He is the 1~ ~. S 1 ~
(Contractor, Agent, Corporlffe 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 thia
Notary Pub lc
James F. King, President
Bob Gh~sio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Town Hall Annax
54375 Main Road
P.O. Box 1179
Southold, New York ! 1971~959
Telephone (631) 765-1592
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
August16,2012
Ms. Nancy Dwyer
Nancy Dwyer Design Consulting
PO Box 632
Southold, NY 11971
RE:
KEITH & LAURA BRINKMAN
560 DEER DRIVE, MATTITUCK
SCTM# 114-10-4
Dear Ms. Dwyer:
The Southold Town Board of Trustees reviewed the site plan last dated June 4, 2012,
and determined the proposal to create a new extedor stair and landing at existing rear
sliding doors is out of the Wetland jurisdiction under Chapter 275 of the Town Wetland
Code and Chapter 111 of the Town Code.
Therefore, in accordance with the current Wetlands Code (Chapter 275) and the
Coastal Erosion Hazard Area (Chapter 111 ) no permit is required. Please be advised,
however, that no construction, sedimentation, or disturbance of any kind may take place
seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of
the coastal erosion hazard area as indicated above, or within 100' landward from the
top of the bluff, without further authorization from the Southold Town Board of Trustees
pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility
to ensure that all necessary precautions are taken to prevent any sedimentation or other
alteration or disturbance to the ground surface or vegetation within Tidal Wetlands
jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such
precautions may include maintaining adequate work area between the tidal wetland
jurisdictional boundary and the coastal erosion hazard area and your project or erecting
a temporary fence, barrier, or hay bale berm.
This determination is not a determination from any other agency.
2
If you have any fudher questions please do not hesitate to call.
Sincerely,
James F. King, President
Board of Trustees
JFK:amn
BI ,I IKMAN BESlDENCE
FRONT ELEVATION
I~EDUILD 5TAh~-.5 TO GRADE
EXISTING HOUSE 'xx --
5TRUCTUR~ TO REMAIN,
'~ALL AREAS
x,
BACK ELEVATION
5CALE: ~"= ILO''
i DEPARTMENT AT
TO 4 PM FOR THE
; INSPECTIONS:
WO REQUIRED
POURED CONCRETE
PLUMBING,
ELECTRICAL & CAULKING
· CONSTRUCTION & ELECTRICAL
T BE COMPLETE FOR C,O.
~1 SHALL MEET THE
IEMENTS OF THE CODES OF NEW
K STATE, NOT RESPONSIBLE FOR
OR CONSTRUCTION ERRORS,
USE IS UNLAWFUl,.
,/VITkh.~b r
Z Z~
PAGE:
WALL L~GEND: ~ < u z
~' ,'~" ,I, WALLTO I~MAIN Z
~ISTING ~TCHEN I a ~
TO ~MAIN I ~ ~-~ ~
~ ,
MUD~OOM ~ ~ ~JSTING GAUGE ~
U.TO ~ ~ ~ ~
ENTRY STO0~ ~ ~
~ISTING DIN~N~ ~OOM ~XlSTrNG ~ i I
fflR~T ffLO0~ ~LAN ~_ ~
SCALE: ~"= J'-O" ~ ~
~z~
I
z
~OUNDATION PLAN ~ - ~
~CALE: ~'= IuO'' ~
z z ~
3
GENERAL NOTE:
ELECTRICAL NOTE:
...... ~HEN DOOR Il ~[STJNG 5~B $ B~CK I ~ ~ .......
FOOTING5 TO REMAIN
NAILING 5CHEDULE
TO JOIST 2 ~d COMMON END NAIL
DECE
F~OST LINE DE~H 3LO"
CLIMATIC AND GEOGRAPHIC
WEATH fiRING SEVERE
FROST LINE DEPTH 3'-0"
TERMITE M O D E RAT 4T~ H,~EAM~--.~
DECAY SLIGHT TO
WINTER DESIGN TEMP, I I
'ICE SHIELD UNDER- A5 PER MAt
~ENT REQUI~D 5PECIEICAT
I
SIT~
- k -
~ 6
survey prepared by
Rodenck VanTuy], ~nd Surveyors
Qreenpor~, New York
da~ed June 7, ~ 987
~ISTING RRTAINING ~
WALL TO RR~AIN ~ /
'APPROX LOCATi~
$ ANGL~
~" ~15TtN~; SOL, PENCE
~~ PATIO )k G~DE TO
~ ~R~MAIN ~ STEFB TO G~DR
3 r-o" ~iSTiNG HOUSE,
~ GA~G~ $ BREEZEWAY
I TO ~MAIN
[
DEER DRIVE 45o05,20 1300'