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HomeMy WebLinkAbout38796-Z Town of Southold Annex 5/8/2014 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36896 Date: 5/8/2014 THIS CERTIFIES that the building ACCESSORY Location of Property: 1455 Factory Ave, Mattituck, SCTM#: 473889 Sec/Block/Lot: 122.-2-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/21/2014 pursuant to which Building Permit No. 38796 dated 4/21/2014 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: accessM garage/storage building as applied for. The certificate is issued to Williams, Shawn&Williams,Dawn (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au e ignature TOWN OF SOUTHOLD ** 41v 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 #: 38796 Date: 4/21/2014 Permission is hereby granted to: Williams, Shawn & Williams, Dawn 405 South Dr Mattituck, NY 11952 To: build new accessory building (storage). Replaces 8707. At premises located at: 1455 Factory Ave, Mattituck SCTM #473889 Sec/Block/Lot# 122.-2-16 Pursuant to application dated 4/21/2014 and approved by the Building Inspector. To expire on 10/21/2015. Fees: PERMIT RENEWAL $5.00 CO -RESIDENTIAL $50.00 Total: $55.00 uilding Inspec o TOW14,9F SOUTHOLD NUIU104 DEFART~ . 'tom! ClflkK+S OFF{CSE 3El1�1''I<'�f�l4D, It Y. tt N ome PERMIT (THIS PERMIT MUST BE .KEPT ON THE PREMISES UNTIL FULL COMPLETION`OF THE WORK AUTHORIZfD) N9. 9707 Z Date ............................U. X......6..........., I9. . .. Permission•is Eby granted to: Jades, ..... ........................................ .........Faca :: ............... ................. ............... ..:......................... ........... ro ......................................................uld xsexaccessory buildtx� .. . ........................................................................... .................... ..................................... ............... ........................................................... ............... at promises located at ....:�1,��...�I1k�:�4�I!..AT#........................................................:... ........................... Mattituak ;' .. ................................................................................... . ......................................................................... .................................................................................................................................................................. pursuant to application dated ..........................I.li i.3[.. ....6.........., 19.46., and approved.by the Building Inspector. 10.00 .. ..... ............ ........... ,:: ....:... ...:::...... Building inspeapt 1 Form No.6 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 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.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$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 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property:Y� 11AJ5"5_ P70, 4:�o-e — YV-Y,,�� c_ House No. Street Hamlet Owner or Owners of Property: 5V Suffolk County Tax Map No 1000, Section Block © Lot l Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ !SID Applicant Signature FIELD Il+r . N SORT DATE CONMIENTS FOUNDA"ON(1sT) s� FOUNDATION(ZND) •UI ROUGH FRAMINr& " \ PLUMING INSULATION PEA N.Y. H STATE ENERGY CODE FINAL o rn O. I � FORK No. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 6...... 19 Examined ....... 19 Application No. ...... .......... Approved ......Ir .. .. a Permit No. .. ...2......... Disapproveda/c ...... ........... .................................. ......................... ............. ............................................. ....... .............. ........ ................... ........ ............. .........I......... ............ (Building Inspector) APPLICATION FOR BUILDING Z Date ....... ................. 1934. ..... 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 or areas,and giving a detailed description of layout of property 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 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 port for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the i�suance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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 inspections. .10e .... ... ..... ......... .................................. icant, or name, if a corporation) gn6tiur�e�ofi�op�plhc�, . ......................... ...........?I........I................... ..................... (Add ess of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, .............I.................I....I........... ....4!��...............................I........................................ ...........................................I.... Name of owner of premises.... ....................................................................................... If applicant is a corporate, signature of duly authorized officer. ............ ...'-' **'***-'—*"'"'*'"'""'"*,-e-ri.... and title of corporoteoffic Builder's License No. .............Wr............................•....... Plumber's License No. ................................................ Electrician's License No. ............................................ Other Trade's License No. .............................................. 1. Location of land on which proposed work will be done. Map No.: .............. ...................�ot Nd( . .................... 5 er P" Street and Number .......7...... 2. State existing use and occupancy of premises and intended use and.occupancy of proposed construction: a. Exisiting use and occupancy .... • .................................................. b. Intended use and occupancy ....... ....... ........z?5� I 6�p.(F....................................... 3. Nature of work (check which applicable): New Building-....X........... Addition .................. Alteration .............. .. Repair .................. Removal .................. Demolition.................... Other Work ................................................•... (Description) 4. Estimated Cost .... �aoo:o o fee .. .�o:o a .............. .............................................(Description) ....................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......:7 ..............Number of dwelling units on each floor .....-.................. Ifgarage, number of cars............................. . ........................................................................................................... 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 ................................ Depth .................... Height ........................ Number of Stories ......................................................................................... ........................ Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ............................... 8. Dimensions of entire new construction: Front ......°2�!....................Rear.... .............Depth....J-�............. Height .../.3........... Number of Stories ....... .... ............... 9. Size of lot: Front r 7 L t z.�� 'S ......1.:3r..�......................................... Rear ................ .........:............. Depth�:............�.f........... 10. Date of Purchase ......l.q..r.(......................................Name of Former Owner ....^ '. .5!..T........................ 11. Zone or use district in which premises are situated ..... ..c:S.................................................................................... 12. Does proposed construction violate any zoning low, ordinance or regulation: ...e)(0.............................................. 13. Will lot be regraded• .....A................. Will excess fill be removed from premises: ( ) Yes (A No M. Name of Owner of premises .. 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 from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. Feller, fgtk De#raoGG- .. o "3"""V6 TO B£ft`1T' \� 1`-^r 7L—R/op- Lo—V H '6 lvokrrYi Ton1 -14" FA-cToRI-41✓,. 10f7-Tr%o c k A 1/ 3 wk NIAP r a °o 79 P Ci �vvS� STATE OF NEW YOR 1 �i4c7oRr r4flE COUNTY OF ..SU fQ�Z{.............f S S ............................James... ....Bn..ranka............................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the ....................................................o4=r........................................................................................... ...................... (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 thar the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...6.t 1............. day of ...........Ju1.y......................... 19%6.... Notary Public, ....... ...................SUtfralk..r.. County /7 !Si nature of o licant RIjAKTH ANN 14EVILLE .NVAWY FU811C. Slate of'*w Y00 1�► !2.8125850, Suflolk 6116 farm Expires March 30. 19?R TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET/tkfa; VILLAGE DISTRICT SUB. LOT aiP /11 tq T Ll -1--Li -FORMER OWN Q1ry1QS rdln Q k5f IN /'/ `yam E ACREAGE �'l { J CdrvS �, rrd�njc� S W _ TYPE OF BUILDING f j _,4e04 E D/Nf�A \AJATSd� �SoH os`=WoR«lr�9 %o�/ RES. v �0 SEAS. VL. FARM COMM. ( IND. ( CB. I MISC. LAND IMP. TOTAL DATE REMARKS B 7 D X Z ZS'' Soo D X 36 3 ,� /GG, 0 a o a 3 `%' D to �� �i.3/ `,•-�� a� 7il �� s C � N %e �.E, lNKA �U v 316 .3 77 91617 &D. 707 z 0,8. �FC 60. �d "? : `` -r/0 N AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 _L 1 263-7 _6 r jy1 Q Tillable 2 1 7_7 j1—L 6 / - ` Tillable 3 Woodland Swampland Brush-land 'House Plat Total 4/ '5 r/- r-7 M. Bldg. Foundation Both Extension Basement Floors A/4:-- Extension "7 Ext. Walls nterior Finish -7 .5' 1) Extension Y A 13 z /0 IIJ4 Fire Place Heo.t 0 Porch Attic Porch Rooms Ist Floor 6 ,/ S, Z I S*O Ar a Breezewo� 341 Patio Rooms 2nd Floor Garage C- 171? 7 Driveway o. B. S'O 6.1 SURVEY OF PROPERTY �o <�pgT SITUATE Q. MATTITUCK 00,�°' TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 0/y cj S.C. TAX No. 1000- 122-02- 16 � EC1Eg 2 SCALE 1 "=30' $o�[AS PggA gAEg �5� ��� JUNE 14,201 1 T ° y AREA = 27,552 sq. ft. 0.633 ac. \ o4 0. - �� NOTE: DEED REFERENCES ARE TO DEED LIBER 7588 PAGE 167. o p N 6 ono s 3 go 0- 53 / N�140 L0 LONEY `scP�p. c�1 r 6 PREPARED IN ACCORDANCE WITH THE MINIMUM .613 $O 6 \ STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND APPROVED AND ADOPTED UCH���� E°M°N• sag \ . Q�GVa TIITTLESA SOCIATI BY THE NEW YORK STATE LAND 65610+ w �� coN° �OF o� \ N�o ,CEO EWY OF N 6�e O \yon � !moo y�P r CD'Q \ F \ 1P * Z Q 570 \ F��c6 N.Y.S. Lic. No. 50467 oy�FO�� NG O�� ,C `'� tITAgL I UNAUTHORIZED ALTERATION OR ADDITION t SECTION 7209 OF THE NEW YORK STATE Nathan Taft Corwin "' 91G .��0 F� // Io�F A��PgE TO THIS SURVEY IS A VIOLATION OF 9��n� �GN spa O 4 `�° 9CF ry � ZYIYs � EDUCATION LAW. Land Surveyor COPIES OF THIS SURVEY MAP NOT BEARING 200 n y O 6z ++ L p2�E�IC EMBOSSED SEAL SHALL INOT DBEECONS CONSIDERED 9lF'9� a+ �j n,OQ J0 D TO BE A VALID TRUE COPY. 10 CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S. �F0, G . 6J ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. yJ`G 0 F •0. C) IS PREPARED, AND ON HIS BEHALF TO THE ° 0'f'= F`O J F TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSTITUTION LISTED HEREON, AND ppf� TO THE ASSIGNEES OF THE LENDING INSTI- PHONF (RR1)797-?nan Fm (R.-W797-1797