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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'