HomeMy WebLinkAbout37683-Z Town of Southold Annex 9/21/2013
~ P.O. Box 1179
54375 Main Road
* Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36508 Date: 9/18/2013
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 36570 Route 25, Cutchogue,
SCTM 473889 Sec/Block/Lot: 97.-3-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/1 ]/2012 pursuant to which Building Permit No. 37683 dated 12/11/2012
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 one car garaee as anplied for.
Corrected 9/23/13 for aonlication date.
The certificate is issued to Mattituck 2012 LLC
-
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
~ _
Autho ~ a re
ta"~~4~ Town of Southold Annex 9/18/2013
P.O. Box 1179
54375 Main Road
Southold, New York 11971
it
CERTIFICATE OF OCCUPANCY
No: 36508 Date: 9/18/2013
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 36570 Route 25, Cutchogue,
SCTM 473889 Sec/Block/Lot: 97.-3-2
Subdivision: Filed Map No. Lot No.
conf su Bally to the Application for Building Permit heretofore filed in this officed dated
1/1/1900 pursuant to which Building Permit No. 37683 dated 12/11/2012
was issu , an conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
accessory one car ¢aza¢e as applied for.
The certificate is issued to Mattituck 2012 LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A o ed gnatur
.,G TOWN OF SOUTHOLD
BUILDING DEPARTMENT
9 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 37683 Date: 12/11/2012
Permission is hereby granted to:
BAILEY, JOHN G & WF
BAY AVE
CUTCHOGUE, NY 11935
To: CONSTRUCT ONE CAR GARAGE IN REAR YARD. REPLACES EXPIRED B.P. # 8578
At premises located at:
36570 MAIN ROAD/ROUTE 25 _
SCTM # 473889
Sec/Block/Lot # 97.-3-2
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 6/12/2014.
Fees:
PERMIT RENEWAL $5.00
CO -ACCESSORY BUILDING $50.00
Total: $55.00
Building Inspector
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(THIS PERMIT MUSE BE KEPT ON THE P'SfS UNTIL FULL
CQMPLETt4aM of THE WL3RK AtJ'T'FiOR12
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Peemi~iun fs hsnby praM~d tp
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of pr.mfss tocae.d at ..........~yl..~.....~ly it.%:.....l.~.a•~R.c~J....
purwa~t to oppttcatlon daA+d ...............:.~f'~Cl~~/ 1s,?.L,.., a+a ePVrov~d by the
Buitdlrp 1n~peetar.
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Form No. G
TOWN OF SOUTHOLD
BUILDING 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:
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 installation from Board of Fire Underwriters.
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 Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. 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. If a Certificate of Occupancy is
denied, [he Building Inspector shall state [he reasons therefor in writing [o the applicant.
C. Fees
L Certificate ofOccupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions [o accessory building $50.00, 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 j-
Date.
New Construction: ~ Old or Pre-existiOong Building: (check one)
Location of Property: ~ ~ 5 ILlIl~~9 02 J U~ ~3~t/.l~
House No. Street Hamlet
Owner or Owners of Property: /1 / a Y Q ~
Suffolk County Tax Map No 1000, Section 9 / Block ~ Lot a
Subdivision -y Filed Map. Lot:
Permit No.~ { ~j~ _ Date of Permit. ~p~ ' ~J'~ aZ Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: ~ (check one)
Fee Submitted: $ ~i_!-?cam
Applicant Signature
3 ~o~,~o~so~,~6
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] IN TION
[ ]FRAMING /STRAPPING [ FINAL
[ ]FIREPLACE & CNIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FlRE RESISTANT CONSTRUCTION [ ]FlRE RESISTANT PENETRATION
[ ]ELECTRICAL TROUGH) [ ] ELECTRN;AL (FINAL)
REMARKS~q:j
~l~fr'~f, ~~~iZi~- /~l~ ~'~'i -cam
Cry.
~ ~sz. .
DATE ~ l~ INSPECTOR
3~~ d~ o~,~OF S0l/ly~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] RO GH PLBG.
[ ]FOUNDATION 2ND [ ] SU
[ ]FRAMING /STRAPPING [ FINA ~s ,
[ ]FIREPLACE & CHIMNEY [ ]FIRES ,1~ INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS: C-4
p
DATE D INSPECTOR
ros.~ xo. r ~
TOWN OF SOUTHOLD ~
BUILDING DEPARTMENT G
TOWN CLERK'S OFFICE ~ ~l
SOUTHOLD, N. Y. U-'
` 7~ 3~r~~~ T Q
Examined .......,1.1./..lv.~..l 19...../... ~ Application No. f~~..w!...7~1
Approved /`Irk. ~..f.. 19~R.. Permit No.~~~.-~~.....~..
Disapproved a/c
(Bui ing Inspector)
APPLICATION FOR BUILDING PERMIT I'.'~
Date .........../....rl~/....~~...., 19,~(~....,
INSTRUCTIONS p
a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plane, 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 of
areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application.
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 o Building Permit to the applicant. Such 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 whatever until o Certificate of Occupancy
shall have been granted by the Building Inspector. ~
APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of a 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 buildings for necessary insp~ec'tions. ~
..T .r~~~a~4~.~A.~:
(Sign tui of applicant, or name, if a corporation)
(Address of applicant) G
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
,7
Name of owner of premises ...~.(~I.Z.G~.,t..GL.... .:~.~/!:S~,LV.Q'fv.!!.C.' L.w!~j~.7~
If applicant is a corporate, signature of duly authorized officer. / Q
(Name and title of corporate officer) ~
Builder's License No.
Z
0
Plumber's License No . v1
Electrician's License No. ....,y1~L,~.,e~
D ~
Other Trade's License No
1. Location of land on which proposed work will be done. Mcp NgT' of Munici
Street and Number .~.,J~~.~Q......y].~/.Cl.Lrvw(...1(../~"~ ~rS.e~.
ity
2. State existing use and occupancy of premises and in`.ended use/land occupancy of proposed construction:
o. Exisiting use. and occupancy .......~.q.4„
b. Intended use and occupancy ...."'~.~••••~•7.~-~•••••~••••
/ V
rv
V
3. Nature of work (check which applicable): New Buildin ! Addition Alteration .
Repair Removal Demolitior...~~.. Other Work
~ (Description)
4. Estimated Cost .....:.......................~Q.~....-.......Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units ..........~~............Number of dwelling units on each floor
If garage, number of cars .................~"K,~..:.........................::...............................................................................
6. If business, commercial or mixed occupancy, specify n ~ure and extent of a ch type of use ..wr...~
7. Dimensions of,existing structures, if any: Front Rear ......Z,.~..~........... Depth
Height Number of Stories ........:Ck"?rL.~.........................................................................................
Dimensions of same structure with alterations or additions: Front Rear
Cepth Height ...........................7.Number of Stories
8. Dimensions of entire new construction: Front ......1.>~!......~............ Rear.::::::.1..+~.::..:~{:... Depth '(„'~f."..'7'......
Height .~BP.~l.~r.: Number of Stories .......C~'1G.
9. Size of lot: Front Rear Depth .~b• ",.,~...~..Q.........
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: .......1.~~;fl
13. Will lot be regraded .Will excess fill be removed from premises: )Yes ~4. No
14. Name of Owner.of premises ...~/•CsU••••~~?•.. Address~~,'f~~G....f`..:... Phone No
Nome of Architect Address Phone No.......................
Name of Contractor Address Phone No.......................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions franc
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot. HiN ~ y0 n
lC
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N
w
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N
NI s4 /~c/ ~d A ~ ,
STATE OF NEW YORK,
COUNTY OF .....3u~Ol.k..........f S.S
.................~/.i~jr...E.,3{3,gr!'67,g.........................................being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ............................................................t@I38rit......................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or hove. 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
than the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
............12• da of . Me. .
v , y t 9...~
Notary Public, . ..............3uLSolk........... County
ignature of applicant)
ELIZPPETN ANN NEYILLE
ry{~I1kY PUBLIC, nSt Suflolk NCo,n yrM
No. 52~8125RSr n 3~1. 19
irrm E~~'~^~
FOB,M NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. T.
Examined ltd...., 19.7 Application No..Q..w~~...~P
Approved ......../../..(..~..~l...l....~., 19~. Permit No..~~~Q.....L.......
Disapproved a/c
(Bull mg Inspector)
APPLICATION FOR BUILDING PERMIT ~~j~
Date 19,~~>....
INSTRUCTIONS /
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 premises, relationship to adjoining premises or public streets o~
areas, and giving a detailed description of layout ofproperty must be drown on the diagram which is part of this application.
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 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 whatever until a Certificate of Occupancy
shall hove been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of o 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 oiterations, 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 buildings for necessary ins`pe~ctions.
X~.. . ?.\~e~~s~y,
(Sign ur f applicant, or Home, if a corporation)
~y1~..~..~...r-....~..~..:......~J..~..-7
(Address of applicont) C/`C^%
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ..L.~e~-~~/i,~Gt.-C~.~L.C.L..... ..~~!~..~~1!.V..~~::.~r.C~~.!~~
If applicont is a corporate, signature of duly authorized officer. \ D
(Nome and title of corporate officer)
Builder's License No.
Plumber's License No .
Electrician's License No. ....,..1lrr<' •1
Other Trade's License No
1. Location of land on which proposed work will be done. Map N t No
Street and Number ..~.J'.6.~7t~
Munici ity
2. State existing use and occupancy of premises and intended use and oc~cgupa~ncy of proposed construction:
o. Exisiting use and occupancy .....Cx/lr/..
b. Intended use and occupancy .~...:~...:~'G•5~~....~+C4~<.•••
L~
3. Nature of work (check which applicable): New Building ~ Addition Alteration
Repair Removal ..,.~..I. Demolition...L..,,. ,..G.... Other Work
~'~7 ~ ~ (Description)
4. Estimated Cost ..............................,(...Q..~....-.......Fee .~Q....-.........................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor
If garage, number of cars .................FP'kC.~--..:.........................................................................................................
6. If business, commercial or mixed occupancy, specify// na~re and extent7of ePch type of use
7. Dimensions of existing structures, if any: Front .......z..b............ Reor .......4r.4?... Depth .Z.~.......
Height Number of Stories .........C~/~..G...:.....................................................................................
Dimensions of same structure with alterations or additions: Front Rear
Cepth Height .........Number of Stories ~ ~
8. Dimensions of entire new construction: Front T Rear ........1.................. De th .L.rC.(...............
p P
Height Number of Stori s
/ ~r /
9. Size of lot: Front ................~ci..rlr....'......................... Rear ........b..d~.... Depth ..c~....
10. Date of Purchase ........................................................Name of Former Owner ...........r.-.~...................................
11. Zone or use district in which premises are situated
12. Does proposed construction violate ony zoning law, ordinance or regulation: a
13. Will lot be regraded .......N ~ Will excess fill be removed fro`m/ premises: )Yes No
14. Name of Owner of premises ..1..~/.C,.D....~,Q/..... Address,lY.O.~S.QA.,~T Phone No
Name or Architect Address Phone No.......................
Name of Contractor Address Phone No.......................
PLOT DIAGRAM
Locote clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate
.vhether interior or corner lot. H~ni. 3 ~ A
N ~
is r..
psi
C
~ It
~5
.c/l ~G i,u /Zd .o ~
SPATE OF NEW YORK t
COUNTY OF ......SU.f~`A.7.li.........fS.S
...................1Z1Cky...E«Ki.S.Ta7..2.........................................being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract')
above named.
He is the .............................................................~QX1SJ1t......................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or hove 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
thar the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
............12~h.. day of .........................N.[a;Y............, 19....7.E
Nota Public .....e~L1~~0~~5........... Coun
ry , H d.........
l/Xd/a't/1/ 4 ignature of applicanfl
ELIZABETH ANN NEVILLE
NOTARY PUBLIC. State of New Yurk
No. 52.8125850. Surralk Cou tyo
term Ewirea March 30, 19~
~ ~
OWN OF S4UTHt~LD Y RECt~RD CARD .
~n;~~ 7- 3- t~
OW/NERD mf ~ 2 STREET 6 57 VILLAGE DISTRICT SUB. LOT
FORMER OWNER N E ACREAGE
~a<~, fed e o.~s .
G- r ~1a ` ~P S ~ W_ TYPE OF BUILDING }„2~~~
V' /J ~
RES. a SEAS. VL. FARM COM/~A. fND. CB. I MISC.
LAND IMP. TOTAL DATE REMARKS Q/ 2 ~ ~ ~ 7~d Z
D Q 0 00/ ,/~q, /C / Spa ?e ac d)`~Le 9= /F-e/I~u~ '/d e 7`~:~ drs~
~JD ~ ~ ~V ~ ~Q 6 fi0 ~Q. ~A*/~~ / n d. T/ V•V'. 3/~? t ~~C
~;tr'O / ~'o'G y~ o LY 6 S /z 7G ~D. ~r'~ 2 G ~ C ~
lad zzeo x'960
AGE BUILDING CONDITION
NEW NORMAL ~ BELOW ABOVE ~°Gti/ ~ ~ r ~ ~
Farm Acre Value Per Acre Value 6 ~ ~ r ~ ~ • _ ~ ~
Tillable 1
Tillable 2 _
v
Tilloble 3 I ~1~~ ~G~(ti ~
Woodland ~ ~1 s ~ ~
h GI
Swgmpland ~~~„(~,i ? SP,
Brushland .
_ ~
House Plot ^ ~ ~ 1
Toto I
~ ~
m (oil - ego - `6~0~'
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- ;
V
- I~ 6
+1
~.r -w•
l
M. Bldg. Nj ~ y 3 p ~ ~ Foundation Bath
Extension / ~ 3(00 Basement ~f,~` Floors ot~
Extension ~ 6' Ext. Walls ~j~ ~ Interior Finish
Extension ~ „ /J - Fire Place ~ Heat
D ~ Porch b ~_p',~ Attic -
Porch Rooms }st Floor
Breezeway Patio Rooms 2nd Floor
Garage ~ ~
Z 1 ~ L 73 z 7, j Driveway
0. B.
z23 3 ?
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SURVEY OF PROPERTY
~ AT CUTCHOGUE
• TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000-97-03-02
NOVEMBER 1, 2012
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CERTIFIED T0:
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MATTITUCK 2012, LLC E ~o , r
FIDELITY NATIONAL TITLE INSURANCE COMPANY , ,
. ~~s5%`-f~)~'.'fNO. 49618
ANY ALTERATION OR A00/T)ON TO 7HlS SURVEY /S A V/OLAAON ECON/C VEYORS, P. C.
OF SECTION 72090E THE NEA' YORX STATE EDUCATION LAW. (631) 765-5020 FAX (631) 765-1797
EXCEPT AS PER SECTJ[NJ 7209-SUBy71VISiON 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR 7NlS MAP AND COPIES 7HER£OF ONLY /F P. O. BOX 909
SAID MAP OR COF~AES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR • =MONUMENT 1230 TRAVELER STREET
WHOSE SIGNATURE APPEARS HEREON. •=PIPE SOUTHOLD, N. Y. 11971 12-274