HomeMy WebLinkAbout37814-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
4/26/2013
CERTIFICATE OF OCCUPANCY
No: 36212
Date:
4/26/2013
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
RESIDENTIAL ADDITION
2405 Deep Hole Dr, Mattituck,
Sec/Block/Lot: 115.-14-13
Filed Map No.
Lot No.
conforms substantially to the Application for Build'rog Permit heretofore filed in this officed dated
2/11/2013 pursuant to which Building Permit No. 37814 dated 2/15/2013
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:
covered front entry addition as applied for.
The certificate is issued to
Endres, Richard & Endres, Constance
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
///A~h~d Si~ature /
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 #: 37814
Permission is hereby granted to:
Endres, Richard & Endres, Constance
Date: 2/15/2013
To:
2405 Deep Hole Dr
Mattituck, NY 11952
construct covered front entry as applied for
At premises located at:
2405 Deep Hole Dr, Mattituck
SCTM # 473889
Sec/Block/Lot # 115.-14-13
Pursuant to application dated
To expire on 8/17/2014.
Fees:
2/11/2013 and approved bythe Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ADDITION TO DWELLING
Total:
$210.80
$50.00
$260.80
Building Inspector
Forra No. 6
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This appllc~tion must be filled in by typewriter or ink and submitted to the Building Department w~th the following:
A. For new building or new.use:
1. Final survey of property with accurate location of all bnildings, property lines, streets, and unusual naturat 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 Of Fire Underwriters.
' 4. Sw~rnstatementfromp~umber~ertifyingthatthes~~d~rusedinsystemc~ntains~e~sthan2/~~~f~%~ead.
5. Commemial 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses~
1. Aeeorate survey of property showing all property lin~, streets, building and- unusual natumi 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. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building 5;50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3_ Copy of Certificate of Occupancy - $_25
Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Old or Pre~existing Building: (check one)
New Construction:
Location of Property:
- Owner or Owners of Property:
· Suffolk Copnty Tax Map No 1000, Section
Subdivision
House No. Street
mo k /.7'
DateofPermit. ~-/5' /3
Peamit No. ~ 7~)/
Healfl~ I~t. Approval:
Planning Board Approval:
Request for. Temporary Cenifieate
Fee Submitted: $
Hamlet
/
Filed Map. Lot:
Applicant:.
Applicant Signature
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH~)L~G.
[ ] FOUNDATION 2ND [ ] IN~SOLATION
[ ] FRAMING/STRAPPING [~"FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: ~r-'-~
TOWN OF SOUTHOLD BUILDING DEPT.
765-18O2
TOWN OF SOUT
BUILDING DEPA
TOWN HALL
SOUTHOLD, NY
TEL: (631) 765-18 !:~ ~'~T.
FAX: (631) 765-95 )__2__ T¢'! 57 '~ !T:q0! ~
SoutholdTown. NorthFork.net
PERMIT NO.
Examined
Approved
Disapproved a/c
Expiration
tS, 20
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:
Mail to:"'~-'¢:~4
Phone: ~?-~slg '.~b ~
.~B~ctor
APPLICATION FOR BUILDING PERMIT
Date ~-- - ~ ,201 5
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 co~nmenced 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 ora 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
Name of owner of premises .k~.l ~\4~,(k~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. '<~t"2, 2~cl --Jc~
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section } ~ '~ B16ck I A,
Subdivision Filed Map No.
Lot I ~
Lot
2. State existing use and occupancy of premises and intended use and occ~q,hl~ a f ~osed construction:
a. Existing use and occupancy .~_ ~o~.t..~ 5::~-~.~[-.~,
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building. Addition
Repair Removal Demolition Other Work
4. Estimated Cost ~Or..ro 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, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front ~-~ Rear
Height ~/~ t Number of Stories
Depth '~(:>'
Rear
Dimensions of same structure with alteratio,~s, or additions: Front
Depth. '7~-(:~' Height [ ~
8. Dimensions of entire new construction: Front -'r
Height Number of Stories
9. Size oflot: Front ~k..D,~ ,(..>' Rear
Number of Stories
Rear ~,,)~ Depth
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 J
13. Will lot be re-graded? YES NO ~ill excess fill be removed from premises? YES__ NO ~
14. Names of Owner ofpremises'-C-~,u
Name o f Architect"D~:~
Name of Contractor
Address ~,4oI; O ~41'~ Phone No. I~(,=:O ~'~.1-5
Address W~&s ~m ~o, ~*~hone No~q ~ - ~ 4~3
Address~,~l ~WxX~hone No. ~q~- ~O~O
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE R~QUIRED.
b. Is this property within 300 feet ora tidal wetland? * YES NO ~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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 pro¥ide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO ~
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
--~"~<:~e~,.~ ,~ ~"~, ~gJ ~"Mt.~..rv.~ 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 author/zed to perform or have performed the said work and to make and file this application;
that all statements contained in this application are tree 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.
?°~, t° be f°~ea~n;;hi~e [0( U¢?¥ ~
Mr. Richard Endres
2405 Deep Hole Dr.
Mattimck, NY 11952
Date: April 16, 2012
To Whom It May Concern:
I, Mr. Richard Endres, hereby authorize Mr. Thomas M. Ludlow to act on my behalf in all matters concerning
the permitting of my project located at 2405 Deep Hole Dr., Mattimck, NY 11952. The tax map number for this
residence isl000-115-14-13. Please direct any questions or correspondence pertaining to the project toward Mr.
Ludlow at 105 Ole Jule Ln., Mattituck, NY 11952-Telephone (631) 298-5080.
Sincerely,~~__~,~/~~ -
-, TOWN OF $OUTHOLD PROPERTY RECORD CARD ~0 /~/' ~'-~
w~ . STRE~ 7~/~5 v,:~ - D,S'r su~. ~.OT
N ~ ~ ~ ~PE OF BUILDIN~ ~/~
~RMER OWN~
~ND
IMP.
TOTAL
DATE
REMARKS
,R~ Acre 'Value Per ~alu~ ' '
3ble ]
]ble 2
~ble 3
,dland
~pland FRONTAGE ON WATER
,~1o~ DEPTH /
BULKH~D
I ] DOCK '
115.~14-13 2/05
, Bide. '; 6 k' ~'~ z / () ~ 63 Foundation J~,~¢,~¢( ,2- Dinette
. , ~ ,- Basement Floors K.
tension I ~ / :~ ." 6- .
" ~ '"' '-~"' ' ~ Interior Finish LR.
tension t~ Ext. Walls g( ¢
:tension ~z ~ ~ ~ FirePlace ~O~ Heat Oil ~ ~ ~{~ DR.
g Type Roof : Rooms 1st Floor BR.
,rch Recreation Room ~ --~ / Rooms 2nd Floor FIN. B.
~ (I) ;~ ~00 Dormer
reezeway I~ ~ ~ ~ = ~0 '~G [ ~ ~I~ Driveway
,.B.
MAP Of' ~
DEEP HOLE CREEK EST. J'.:'"-F?~?~? TOWN OF SOUTHOLD
FM# 4256 ~/28/~5 I , o.2
LOT 4 N 8J~_20' 40" W /,,-CHAIN UNC F£NCE
£ND FE S 1.8"
STOCKADE
O'
N 0°4'
IF 0.8~
95.00'
KERRIGAN
/ROGERS
STK
TAX MAP NO.
I000-115-14-13
22.0'
WOO1 DECK
$8.7'
GARAGE
14.1'
S 83' 20' 40" E
DEEP
I STORY
WOOD FRAME
RES.
J 12.0' OVERHANG
'l 1.5'
~' CHIMNEY
MA TT/TUCK,
16.2'
$.9' 40.2'
105.00' m
HOLE DRIVE
SURVEY OF
DESCRIBED PROPERTY
SITUATE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
LOT
STOCKADE
FENCE
W 0.$'
S 0.0'
DALY
SURVEYED 6 OCT. 1998
SCALE 1"=20'
AREA= 14,999.706 SF
OR
0.344 ACRES
GUARANTEED TO
PATRICIA ENDRES - HICKEY
TOWN OF' SOUTHOLD
SURVEYED FOR : PATRICM ENDRES - HICKEY
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. 80X 294
NEW?,~.U~F.F~.K, NY 11956
NYS LIC, NO~ 4~275 ~8R_747