HomeMy WebLinkAbout38693-Z -i"` fFOl,tc.rig Town of Southold Annex 10/10/2014
�;=�o� 0 .4 P.O.Box 1179
.�t.
54375 Main Road
c► aF'; Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37123 Date: 10/10/2014
THIS CERTIFIES that the building SHED
Location of Property: 950 Red Fox Rd, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 106.-1-23.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/3/2014 pursuant to which Building Permit No. 38693 dated 3/3/2014
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:
accessorstege building as applied for.
The certificate is issued to Wills,Frank
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
/' orizkSignafure
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#: 38693 Date: 3/3/2014
Permission is hereby granted to:
Wills, Frank
Red Fox Rd
PO BOX 371
Mattituck, NY 11952
To: construct accessory storage building. Replaces BP 10985.
At premises located at:
950 Red Fox Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 106.-1-23.1
Pursuant to application dated 3/3/2014 and approved by the Building Inspector.
To expire on 9/2/2015.
Fees:
PERMIT RENEWAL $5.00
Total: $5.00
Building Inspector
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT'
TOWN HALL
SOUTH'OLD, N, Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N� 10985 Z Date ......../........ 19. .
Permission is hereby granted to:
........... ......64.. 1A...................
...........r ...... ..7...t.........................................
......... `7 !.lu. , .-... ✓..:.�.::..........
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to .... ......./.SI.CC. S.�iG.ra
...........
....................
..................................::................................ ..........................................................
at premises located at zAv ..... iS�/. .f?
........................................................................................................,l. -?.�.dl1%TT. ., .::. !. :......
.................................................................................................................................................................
County Tax Map No. 1000 Section ..... ...... Block ..U.1............. Lot No.Q.?w-Xv:.".Q...Z.?
pursuant to application dated 19.a�-)., and approved by the
Building Inspector.
Fee $.. G7.. .....
........ ' .• . ...................4
. . .......
uild g Inspecor
Rev. 6/30/80
Form No.6 1
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
Dai. Q`�. '6Y f `�
New Construction: Old or Pre-existing Building: (check one)
Location ofPrope C� S �E'c R � n
G>
House No. Street Hamlet
Owner or Owners ofProppe- : O -{;-Je- cl(- r=��1 �C G,�rd_:5 j :;rte,• Ale, '�, �X c� —1
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Pem�it No 1I � a) 3 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
f
Applicant Signature
l
3 GJ �pF s0
�yoouim,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INS ATION
[ ]
FRAMING / STRAPPING [ INAL 4, (_�
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPE6TION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ CAULKING
REMARKS:
DA INSPECTOR
FIELD IXSPE PION JDATEll COMMENTS
1 .
H
FOUNDATION (1st) o'er
i
FOUNDATION (2nd) N
2.
ROUGH FRAME & o
PLUMBING �\
0
3• c+ ,
("
m
INSULATION PER N.Y. `+
STATE ENERGY
CODE
UU
— C
C+ �1
FINAL
"
ADDITIONAL COMMENTS:
�
W
C+
Ili,
0
CD
N
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FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
G TEL.: 765-1802
Examin . . . . ., 19 � Application No. .�� . . . . . . .
��
Approve � C.: . . . . . . ., 19� Permit No. .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . .
(Buil ing nspector)
APPLICATION FOR BUILDING PERMIT
Date
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 appli-
cation.
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 have been granted by the Building Inspector.
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 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 inspections.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant) \V\52-
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . . . . . . . . . . . . )v`C-V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . r-�cti..�.�,L �r \ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. . . . . ... 4- .r . . . . . . . . . . .
Plumber's License No.
Electrician's License No. . . !UQ!La . . . . . . .
Other Trade's License No. --. . . . . . . . . . . . . . . . . 1
1. Location of land on which proposed work will be done. v' . ?� � . . r�O. . . . . . . . . . . . . . . . . . . . . . .
ks
House Number �,,��,p �� Street Hamlet
County Tax Map No. 1000 Section . . . .rte, . . . . . . . . . . . Block . . . aJ . . . . . . . . . . . Lot . . . . .
Subdivision . . . . . . . . . . . . . . . . .(Name) . . . . . . . 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 . . . q.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy V . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New Building . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . .
Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
7ff (Description)
-onw
4. Estimated Cost .A . soc7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
5. If dwelling,number of dwelling units . . . . .... . . . . . . Number of dwelling units on each floor . . :77 . . . . . . . . . .
If garage,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 same structure with alterations or additiront Rear
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . Q Number of Stories . . . . . . . .
8. Dimensions of entire new construction: Front . . -... . . . . . . Rear . . . . . . . . . Depth . . . . . . . . .
Height .a+. .�k. . . . . . . . . Number of Stories . . . . S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front . Vr;.c. 'Vk . . . . . . . . . . Rear . . . . . . . . . . . . Depth
10. Date of Purchase . . . . . . . . . . Name of Former Owner iS. . N?. . . . . . . . . . . . . . .
11. Zone or use district in which premises are situated . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . . . . . . Will excess fill b r=oe €rom premises: Yes No14. Name of Owner of premises "�Q� �. _ "S. . . . Address: Z� Wi Phone No. .
Name of Architect . . . . . . . � .W��LS . . Address . . . . . . Phone No. . . . . . .
Name of Contractor . . . . . . �.X 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.
Ica posc`�
T.
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STATE OF NEW O K
COUNTY OF S'S
. . . . . . . . . . . . . . . . . . . . . . . .... . .
being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
Heis the . . . .0 . . . . . . . .4�a6llw. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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 (� ,
. . . . . . . ' . . . . . . . .day of. ;-� . . . . . .. 19
Notary Public, Jul T.Ttk� . . . County
Notary Public, State of New York -^c. .V.". ". .Y:��':.�I1 A .
No. 52-0344963 Suffolk County/
Commission Expires March 30,19.7-/
0,19.-/ (Signature of applicant)
I
TOWN OF SOUTHOLD PROPERTY RECORD CARDS -
/oI
OWNER STREETq,,_50�5 0 VILLAGE DIST.j SUB. LOT
RMER OWNER ACR. ..
�4
S W �, , TYPE OF BUILDING
.6114
RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TO AL DATE REMARKS
/goo /30 ! /Z/741 5, 5 R
9 —��-'
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD Z3 0
Meadowland DEPTH O
House Plot BULKHEAD
Total
"...............
COLOR TRIM
I
I
M. Bldg.
Extension
I
Extension
Extension
Foundation Bath Dinette
Porch Basement Floors K.
Porch Ext. Walls Interior Finish LR.
Breezeway lFire Place Heat DR.
Garage Type Roof Rooms Ist Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B.
O, B. Dormer Driveway
Total
TOWN OF SOUTHOLD PROPERTY RECORD CARD
1611C- 6bl - 1-;�3 0 - 0
OWNER STRE'E'T VILLAGE DIST. SUB. LOT
Yah /C Gl/i��%S ?Y d �iPr ` • �'I') c7 7 i 7
FORMER OWNER N / E ACR.
, l 0 1 O i y r fc u v_�
a
S W
' / TYPE OF gUILDING
.ES. 21U SEAS. VL. FARM COMM. CB. MICS. Mkt. Value —
LAND IMP. TOTAL DATE REMARKS l
7` t�E'.a j311 t7 O 6
/s
t?�'ego 0 3 o
Tillable FRONTAGE ON WATER
vVoodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total
, l
COLOR TRIM
M B-Idg.
Extension
Extension
Extension
Foundation Bath Dinette
Porch Basement Floors K.
Porch Ext. Walls Interior Finish LR.
Breezeway Fire Place Heat DR.
Garage Type Roof Rooms 1st Floor BR.
Patio Recreation Room. Rooms 2nd Floor FIN. B
O, B. Dormer Driveway
Total
—.- "
TOWN OF .SOUTHOLD OPERTY RECORD CARD
}
Doo ._ �0 6 � �, �
OWNER STREET VILLAGE DIST. -StH3-. LOT
FORMER OWNER N E ACR.
t:.t' � �•-•-� �Gt.<� `.� /�;�<�^�� ,-- 1, I �<tcf e� sur�
S W TYPE OF BUILDING
Y !
/
:ES. S. VL. FARM COMM. CB. MISC. Mkt. Value 3w
LAND IMP. TOTAL DATE REMARKS
/ y�v� � �.J J-0 V NSP Aw/..
,F 9/a Z $V r L D Nt w 0"e,
t r
r ,
Gd b0 dQo
i6 OAOGEi LDIN CITOND
33a�
NEW NORMAL BELOW ABOVE
FAM Acre Value Per Value
Acrer
-illoble 1
"illoble 2
'illoble 3
Voodlond
wampland FRONTAGE ON WATER Z
rushland FRONTAGE ON ROAD
louse Plot DEPTH
BULKHEAD
otaI DOCK
!1
MENNEN 1
N.�3 0.1 F_
30.00
0
.a
0 3
=0
-00 -ci
00 ir o
, t -
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O
A42-
R AS NOTED
DATE: B.PBY :FEEENT AT
NOTIFY BUILDING CEPA
765-18%";2 9 1 ?A TO A. PM FOR THE � G
FOLIO ,nn,G INF.PI=CTIONS:
1. FO_I n-TION - Tb"/O REQUIRED
y
Fnn PC-Un,-D CONCRETE2.
POtiC'-1 - FLAMING & PLUMBING ; •
3.
4. FINAL -
Cra rc,. UCTlON MUST
BE �•,t,� r F_0R C. 0. I
ALL COP,i�,T^UCTION SHALL MEET , I
THE REC't!I^,EM7NTS .OF THE N. Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR .
DESIGN OR CONSTRUCTION ERRORS..
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