The URL can be used to link to this page

Home My WebLink About39356-Z Town of Southold Annex s S� -f 11/24/2014 �o ' P.O.Box 1179 54375 Main Road • ;; Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37287 Date: 11/24/2014 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 3835 Deep Hole Dr, Mattituck, SCTM#: 473889 Sec/Block/Lot: 115.-16-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/31/2014 pursuant to which Building Permit No. 39356 dated 11/10/2014 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: bilco door addition to an existing one familv dwelling as applied for The certificate is issued to Lucarelli,Christopher&Lucarelli,Karly (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED th riz Signature TOWN OF SOUTHOLD Fats BUILDING DEPARTMENT T TOWN CLERK'S OFFICE SOUTHOLD, NY -I.. 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#: 39356 Date: 11/10/2014 Permission is hereby granted to: Lucarelli, Christopher & Lucarelli, Karly 3835 Deep Hole Dr Mattituck, NY 11952 To: Bilco door (foundation) addition to an existing single family dwelling as applied for. At premises located at: 3835 Deep Hole Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-16-21 Pursuant to application dated 10/31/2014 and approved by the Building Inspector.. To expire on 5/11/2016. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ADDITION TO DWELLING $50.00 Total: $250.00 Buildin nspector 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: I. 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: 3 8 3 (y q Aunt,(' o 1�a A,4 r-�—r-TUC, House No. Street Hamlet Owner or Owners of Property: L'��S��QI�C� �Q�L `UG9LZ_C55C Suffolk County Tax Map No 1000, Section / Block A Lot a? 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: $ Sb Applicant Signature FIELD]N' C=ON RVORT DATE COMMENTS FOUNDA11014(1ST) • r, FOUNDATION'(SND) t4 ROUGH F .AAM Cr& y PLUMING t� INSULATION PEI,N.Y. y STATE ENERGY CiDDE FINAL ADD. ' o rn TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 3`�2 Survey SoutholdTown.NorthFork.net PERMIT NO. 1 J Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contact: Approved 20 Mail to: Disapproved a/c Phone: Expiration 2Q_� i ftHtr ng APPLICATION FOR BUILDIN�PE MIT u- I — i Date i�6 1� 20 _J 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 Buildin0iispector 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 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. C (Signature of applicant or name,if a corporation) 1g35_ 066P NdLc QQ. /0A7-f, L1ck (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (�„J J ck Name of owner of premisesk � (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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which roposed work will be done: 353 QFs(� P611C DRQ 3_1/c House Number Street Hamlet County Tax Map No. 1000 Section /S Block �l Lot Subdivision 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 S o r� �CS NTN L �/'2lfATE QW�G Z�6 b. Intended use and occupancy 5A/V) WZ'r�J �Z->'�OrJ DC &ZLGD Ooor2 /314SEME�.�S CJ E4 3. Nature of work(check which applicable):New Building Addition Alteration/< Repair Removal Demolition Other Work / l 4. Estimated Costy Fee 55 C0 (Description) (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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. --� 7. Dimensions of existing structures, if any: Front 60 Rear (�y Depth 'SO Height '�20 Number of Stories Dimensions of same structure with alterations or additions:-front v Rear Z j Depth 30 Height 2 Number of Stories 8. Dimensions of entire new construction: Front Rear Depth 3d Height Number of Stories po 9. Size of lot: Front 110 Rear 11 l Depth 0U 10. Date of Purchase k2011 Name of Former Owner 11. Zone or use district in which premises are situated 1 Do(( 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO -'/- Will excess fill be removed from premises? YES NO 14. Names of Owner of premisesC,AA%51446 ILC06rAddress 3$35 D6�0N0LC 0l2 Phone No. T/-a9 -7v a7 Name of Architect Address Phone No Name of Contractor Address Phone 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 REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NOS * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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 provide 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 ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is theC�Whr-K- (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 20-/ Notary Public CONNIE D. BUNCH Signature of Applicant Notary Public,State of Now Yorl; No.01 BU6185050 Qualified in Suffolk County Commission Expires Ap it 14,2P.L Scott A. Russell°�u � STO][Zl�WWA\TlE K SUPERVISOR AW A,N A,( I E AW 1 E N SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 'iff�O r Town of So u th o l d d � CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑® A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑g] B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑b D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑E� E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 ate: 1+p p DJisU'ict n, NAME: l7F vrNFi� -vCl� �iLCy I J J Section Block Lot :"" FOR BUILDING- I?I "f O. 1 t Contact Information, Reviewed By: — — — — — — — — — — — — — — — — — — Date: /L' Property Address / Location of Construction Work: — - - — — — — — — — — — — — Approved for processing Building PVrmit. Stormwater Management Control Plan Not Required. ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM 4 SMCP -TOS MAY 2014 r v ex LL d L --- N•s (�0!FY BUI S - NT f.l I FOLLOYI NG 1 Op F0,o POl Fu \ i 3. iv L'LA-Ti 0 N L � G. FIN G� , 71 °,UST BE My FL, -TF V r� � (�� ALL CONST !J� I{C`� L VE.-! T,:E 1.;4 1 J V t i t i 4.CODES o~ NS ,.,N 4 �G `f YORK sT^:T�. r s .�laLt7 FOR C�ESlGN OF I COi'STi U� lO�, RROFs- RETAIN STORM WATER RUNOFF 44 PURSUANT TO CHAPTER 236 OF THE TOWN CODE. s of NEw y 3 J l�Pp�HO�E� 0 C l — C � T SOU r cl: Lai NFOAI o 7 ��SSI�