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Home My WebLink About37667-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 4/5/2013 CERTIFICATE OF OCCUPANCY No: 36189 Date: 4/5/2013 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: RESIDENTIAL ALTERATION 165 Freeman Ave, Mattituck, See/Block/Lot: 139.-3-36 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/3/2012 pursuant to which Building Permit No. 37667 dated 12/3/2012 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: open porch repair hi place in kind as applied for. The certificate is issued to Shapiro, Ronald & Shapiro, Cornelia (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 #: 37667 Date: 12/3/2012 Permission is hereby granted to: Shapiro, Ronald & Shapiro, Cornelia PO BOX 1576 Mattituck, NY 11952 To: repair an open porch in place in kind as applied for At premises located at: 165 Freeman Ave SCTM # 473889 Sec/Block/Lot # 139.-3-36 Pursuant to application dated To expire on 6/4/2014. Fees: 12/3/2012 and approved by the Building Inspector. SiNGLE FAMILY DWELLiNG - ADDITION OR ALTERATION CO - ALTERATION TO DWELLiNG Total: $256.00 $50.00 $306.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPANcy This appli~tion 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 features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical ins,,tallation fxom Board Of Fire Underwriters. 4. 8w.om statement from plumber, certifying that the solder used in system contains leas than 2/10 of 1% lead.. 5. Commercial building, industrial building, multiple re-sideae~ and similar buildings and installations, a certificate of Code Compliance' from architect or engineer responsible tbr 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 c-gmpleted application and con,sent 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. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmitig pool $50.00, Accessory building $50.00, Additions to accessory building $5000, Businesses 2. Certificate of Occupancy ou Pre-ex/sting Building $100.00 3 Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Cerlificate of Occupancy - Residential $15 00, Comn, ercial $15.00 New Construction: ~ Location of Property: } ~.~ House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. '.~"~ ~Qo. Health Dept. Approval: Planning Board Approval: Old or P/e-existing Building: Street Filed Map. _ Date of Permit. Applicant: (check one) Hamlet Lo, Lot: Underwriters Approval: Request for: Temporary Certificate Final Certificate: (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F/oI~DATION-- 2ND [ ] INSULATION [J~FRAMING/STRAPPING [ ] FINAL [ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR~~,~,~/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] ~SULATION [ ~ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~.' E.~. INSPECTOR~~ TOWN OF*SOUTHOL~) BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/S outhold] Examined Approved Disapproved aJc Expkafion PERMIT NO. ~ 7~ ~ ,7 Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'?. Board of Health 4 sets of Building Plans Planning Board appmval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. 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 o~f 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. Thc 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. ~ State ', lesse, (Signature of applicant or name, ifa corporation) (Mail~g ad,ess of applic~t) agent, ~chitect, engineer, general contractor, electfici~, ?lmber or builder Name of owner of premises (As on the tax roll or latest deed) If applic~t is a co~oration, silage of duly authorized officer ~me ~d title of co,orate officer) Builders License No. Plumbers LicenseNo. Electricians LicenseNo. Other Trade's License No. Location of land on which proposed work will be done: House'lqumber Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block ~ Filed Map No. Lot Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ltOg&_E FT~oa~c~Y, ¢-~S"/Ot==r,.XC~" ,~, b. Intended use and occupancy ¢Sit,3cq..e_ ~3~b'Y~(t..,~ ¢.C¢%tC>~:xqCE. t.~/' 3. Nature of wo..r.k (check which applicable): New Building. RepairWr Removal Demolition 4. Estimated Cost 5. Ifdwelling, number of dwelling units /KJ/6~ If garage, number of cars p,J ~--- Fee Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor P,J,~ If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front ('2.-O Height ~ L q. ~, Number of Stories Dimensions of same structure with alterations or additions: Front Depth .--/I_~o Height ~ I-r;~., t 8. Dimensions of entire new construction: Front Height ~ L ~ It Number of Stories 9. Size oflot: Front tfX)~D'U Rear {0 Number of Stories Rear ~(Z) ~ (. Depth 1¢-/,-12- .Depth Rear · .D~pth ~ L iD '{ -m i-/4,o4 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__ 14. Names of Owner of premises Name of Architect Name of Contractor I?:~0, Ctt¢'¢ NO t"/"Will excess fill be removed from premises? YES__ NO __ 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 REQUIRE~. b. Is this property within 300 feet of a tidal wetland? *YES NO. ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Address Phone No. Address Phone No Address I>O ~o~' ('ct"/ PhoneNo. "7,...=:,4--~4~- 1'6. 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. STATE OF NEW YORK) SS: COUNTY OF ) ?~[2~ -,~;:)d T'~::~ ~>',D ¢.O.--'~t being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 this , ~ C) ~ffth day of IX3 C>/Og'vla,~[ 20 J~. Notary Public CONNIE D. BUNCH Notary Public, State of New York No. 01BU6185050 r~.~a! fled ~ Suffolk County C:*'' ~i',~:'.ign Expires April 14 TOWN OF SOUTHOLD PROPERTY RECORD CARD FORMER oW-~E R N S FARM VILLAGE IMP.' TOTAL DATE REMARKS DIST. SUB. £ ACR', ~ ~ r LOT,_T,_T,_T,_T,_T,_T~ Z.// ¥ Woodland Meadowland House Plot BULKHEAD Total ~,* v ~ -~ DOCK BUILDING CONDITION NORMAL BELOW Acre Value Per Acre NEW ABQVE FARM Value Tillable AGE FRONTAGE ON WATER FRONTAGE ON ROAD. DEPTH W TYPE OF BUILDING COMM. CB. MIC$. Mkt. Value ~/' o'~/,--./~ L'"' 'u~"'*"~-'''' ' ~' COLOR TRIM Extension Extension Extension Porch Porc~ Breezeway Foundation , Basemen;c .. Ex,: w°,,,/~;? Fire Place / Garage - Type Roof Potio Recreoti6n Room Total Dormer Both - F. IOors Inferior Fi'nish Heat/~ ~' ~ ~ Roqms 2nd Floor grivewoy BR. Town Hall Annex 54375 Main Road P.O. Box I 179 Southold, NY 11971 0959 Telephone (631) 765 1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 26, 2013 Ronald Shapiro PO Box 1576 Mattituck, NY 11952 Re: 165 Freeman Ave, Mattituck TO WHOM IT MAY CONCERN: The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: v/'//Application for Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 411184) __ Trustees Certificate of Compliance. (Town Trustees # 7§5-1892) __ Final Planning Board Approval. (Planning # 765-'1938) __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. __ Final inspection by Building Dept BUILDING PERMIT: 37667 - Porch Repair EXIST. FRN~ING EXISTING HOUSE NO CHANGES NEW ASPfGa~T SHINGLE ROOF REPLACE DAMAGED 2X6 Q 16' DC RAF'I'~.S REPLACE DAMAGED 4X4 ~ WI NEW BOLT PO~TS TO EXIST. MASONRY ALL 0NSTRUCT REC IIRE~ENT~ YO~ :STATE, N( DE8 3N OR CON EXISTING MASONRY PATIO - NO CHN¢GES - NEW 2-2X8 HEADER ON NEW 4 X 4 POSTS BOLTED TO MASONRY. TO REPLACE PORCH D~ IN APPROVED AS NOTED _~-~.... ~v~.,..-.~._. _ ...... NO~tF---Y BUILDNG C4zPARTMENT 8 ~ TO ~ ~:M FO~, OF THE CODES 0F ~T RESPONSIBLE FOR TRUCTION ERRORS SHAPIRO RESIDENCE PORCH REPLACEMENT ENVIRONMENT EAST INC. <~,~ L~ ic~ 11.16.12 1/4'= 1"0' 20' ~o~ l ~'-~ ?..0,o' I~. ~0, 17---