HomeMy WebLinkAbout39045-ZTown of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37488 Date:
THIS CERTIFIES that the building DECK
Location of Property:
SCTM #: 473889
Subdivision:
10945 Sound Ave, Mattituck,
Sec/Block/Lot: 141.-3-1.1
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
7/15/2014 pursuant to which Building Permit No.
3/31/2015
3/31/2015
Lot No.
filed in this office dated
39045 dated 7/23/2014
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:
deck addition on an existing one family dwelling and outdoor shower stall as applied for
The certificate is issued to King, Kevin & King, Lindsey
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A ed ignatu e
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 39045 Date: 7/23/2014
Permission is hereby granted to:
King, Kevin & King, Lindsey
1 Hanson PI Apt 21C
Brooklvn. NY 11243
To: Deck additions and outdoor shower as applied for.
At premises located at:
10945 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 141.-3-1.1
Pursuant to application dated 7/15/2014
To expire on 1/22/2016.
Fees:
and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ADDITION TO DWELLING
$388.80
$50.00
m_�_t_ mann nn
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 #: 39045 Date: 7/23/2014
Permission is hereby granted to:
King, Kevin & King, Lindsey
1 Hanson PI Apt 21C
Brooklvn. NY 11243
To: Deck additions and outdoor shower as applied for.
At premises located at:
10945 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 141.-3-1.1
Pursuant to application dated 7/15/2014
To expire on 1/22/2016.
Fees:
and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ADDITION TO DWELLING
$388.80
$50.00
m_�_t_ mann nn
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
4SV01" Date.
de& I &WAW -a*ft-
ew ion: Old or Pre-existing �check one)
Location of Property:
No.
Owner or Owners of Property:
Street
Hamlet
v
Suffolk County Tax Map No 1000, Section � i�%L�— _Block t2 Lot
Subdivision
Permit No. `� 1 ADate of Permit.
Health Dept. Approval: N rA,
Filed Map. _
Applicant:_
Underwriters Approval:
Planning Board Approval: �Itlk
Request for: Temporary Certificate Final Certificate
Fee Submitted: $
Lot:
(check one)
App icant Signature
�i6e� �"c6efetl� � SECT
PROFESSIONAL ENGINEER
1725 HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971
TEL: 631.765.2954 • FAX: 631.614.3516 • e-mail: joseph@fischetti.com
Date: 31 March 2015
Reference: BP 39045
Building Inspector
Southold Building Department
Main Road
Southold, NY 11971
Dear Sir,
MAR 31 2015 s
I inspected the footings and framing for the deck at 10945 Old Sound Avenue, Mattituck and to
the best of my knowledge the deck has been constructed in accordance with my plans
submitted and with New York State Building Codes.
D. -ti BOARD CERTIFIED IN STRUCTURAL ENGINEERING
/ Q o��pF SOUlyO
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTIO
] FOUNDATION 1 ST
] FOUNDATION 2ND
]
FRAMING/ STRAPPING
] FIREPLACE A CHIMNEY
] FIRE RESISTANT CONSTRUCTION
] ELECTRICAL (ROUGH)
] CODE VIOLATION
f ] ROU PwMsiNc
[
]I ULATION
[ FINAL
I
]FIRE SAFETY INSPECTION
C l
FIRE nESIsranr vENErnunoN
I l ELECTRICAL (FINAL)
[ ]CAULKING
DATE � °2� INSPECTOR
�o��OF SO�r�,olo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST
[ ] FOUNDATION 2ND
[ ]
FRAMING/ STRAPPING
[ ] FIREPLACE A CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ELECTRICAL (ROUGH)
[ ] CODE VIOLATION _
REMARKS: Cle� P -M ef, c
[ ]ROUGH PLUMBING
[ ] INO
[ IN L
[ ] FIRNSPECTION
C
]FIRE xESIs'raNr v¢nETnunoN
C 1 ELECTRICAL IFlwul
[ ]CAULKING
DATE Wf'r INSPECTOR
IC 1
IMULATION PER N. Y.
STATE ENEROY •r
IL
='lvA!M';;-A, AM�( VJWA/�9— K-ill ►iI
• ! a e .� `r a fir.
TOWN OF SOUTH'01Llilr` t;.,r
BUILDING DEPARTMM LLA �1,11
TOWN HALL
SOUTHOLD; NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502 ,3�o�S
SoutholdTown.NorthFork.net PERMIT NO.
Examined _,20
l
Approved 2 2 J , 20
Disapproved a/c
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: ��f VCUakfa*lw(/
Mail to:
i A-413.0
Phone:
Expiration , 20__L(..
Building ector
APPLICATION FOR BUILDING PERMIT
Date �, jVn 20
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 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 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.
(Signature of applic or name, if a corporation)
92t2p SS
s� c
ailing address of ap i )
State whether applicant is owner, lessee, 01 architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As on a tax
If appli/nt ' u4on, ijzna du au hmri zed officer
ame and title of
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
latest deed)
I ivuac 114 U111L)v1 Ou VURC' �I Hamlet
County Tax Map No. 1000 Section !! Block D Lot Cz
Subdivision Filed Map No. Lot
!�WE
JUL 14 2014
BLDG. DEPT. '
TOWN OF SOUTHOLD
4
Scott A. Russell ,�Z"'N'
STO�]E�l��l WATER,
SUPERVISOR � �T ( � �T
2 I��1[A\I� A\ G ]EI��1[]E1� IC'
SOUTHOLD TOWN HALL - P. O. Box 1179
53095 Main Road- SOUTHOLD, NEW YORK 11971 O Town of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
DOES THIS PROJECT INVOLVE
(r NFCK All. THAT A
A Clearing grubbing grading or atri
ANY OF THE FOLLOWING:
PPI.
piling of land which affects more
than 5,000 square feet of ground surface.
ElLP B. Excavation or f illing involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ [p D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
EI [� 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 a-nswered 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 wit your Building Permit Application.
-------------
APPLICANT: (Property Owner, Desi Professional, /e t, Contractor, Other)
NAME: CC//
Contact Information �� , •
tre r+w�eut
-� r
I I , T. if 1i/ I �I
FORM " SMCP - TOS MAY 2014
S.C.T.M. *: 1000 Data
District
Section Block Lot
" FOR BUILDING DEPARTNIE USE ONLY
Reviewed By:
Date: :z-14"-14
----------------
Approved for processing Building Permit.
Stormwater Management Control Plan Not Required.
aStormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
. ; TOWN OF SOU'THOLD PROPERTY CARD
VILLAGE
DIST.
.SUB,— LOT
OWNER
STREET C -5
C
ky
r.
`'
FORMER 00 %Kwh,
: i
-_.• .c.'_
E
P. '�' ciao; �,
ACR.. .
W
TYPE OF BUILDING -r
ZES.j
�9EA5.
VL. -
FARM
COMM. CB. MISC. Mkt. Value
LAND
IMP.
OTAL
DATE
REMARKS
o
q -es,
' T�r
�.I! 7q Jo 7a-. bee -S1 ` a k kip,.p 4 - — -Yat a
JIAW
�t E
���
G D -1 _ 3 f� - - 1�' .p ki1r'DD- 1 r-
0-10 z I — j ge-��?
jL1
FARM
Acre
Value Per,
1 -
I
�
� r Jv
Tillable. i
- . 6-711
Tillable 2
2�
Tillable 3
Woodland
$ '' ! 07 -7-3 i6m,
Swampland
FRUITAGE ON WATER
Brushland
FRONTAGE ON ROAD
:..,�
House Plot
DEPTH '3
'
BULKHEAD
Total
DOCK'"'
I I I I L I I
i
141-3-1.1
2104
EI
Ate. Bldg. 2� ?t Z( � �E d i�
� � g �
, Foundation
, C
Both
Dinette
Extension
Basement
Floors
0 U
K -
Extension
Ext- WoUs
*t ��
Interior Finish
��?
LR-
ExtensionI
Fire Place
�
Heat
�W Q
DR -
Type Roof
Rooms Ist Floor
BR.'.
Porch 2
.��C�
Recreation Room
Rooms 2nd Floor
FIN. 8.
Pc+i3 k� =
L
Dormer
y dare _Drivewayf..
GQrage
Patio
O. B. S.r,.� ;��� ' ;
i C! -
Totai
Total
i/
7' ?
Tarte! �'sse
i (LA
f•
(p �!: �f � �/ � �'
119.wr .i�f lfJf f.•'r., 4 f'. OJ ��+ .,
_
Jj
SURVEY OF PROPERTY
SITUATE
MATTITUCK
TOWN OF SOUTHOLD
i SUFFOLK COUNTY, NEW YORK
now or formerty
P. grippe
N 86"53'10" g
`f .------- 200.00'
0 40'
SCTM# 1000-141-3-1.1
AREA= 36,199 Sq.ft.
0.83 Acres.
■ = concrete monument found
r
-pipe found
20
til
�
N�
N
? 1
fa
i
I $ 3
` �AbI 1.3'w m
i rued t / K
j Inett fence _ 4.8''� 08,w
Pietro" 11.7'
Ck stockade lance
ji�0to ,z. 4 ' ...
K
(emove
rfeMe'
12.5' wood dock
4
coWei _
Pickett lence
,i. d '•�
159' stneksdd tante
2 story frame house `�
W I j 2.9 e d garage
� W
Iii V Rickett
35. ( W
OW Porch Vi
_j
�f
stone driveway cs 1000 -+/-
S
000 -+/-S 8.3e.3 '30" W+ -i 120.00'6 f
wow.
SO UYVD A VEi , UE
SURVEYED: OCTOBER 24, 2011
JOHN GALLACHER
LAND SURVEYOR
59 FLORENCE DRIVE
MANORVILLE N.Y. 11949
(831) - 874.0400
GENERAL NOTES:
• DRAWINGS ARE FOR ILLUSTRATIVE PURPOSES ONLY- CONTRACTOR SHALL VERIFY
ALL DIMENSIONS AND ALL CONDITIONS AT THE SITE, IF DISCREPANCIES OR
INCONSISTENCY EXIST, SURVEYED UNES, EASMENTS, BURIED UNFORSEENS;
CONTRACTOR MUST NOTIFY Q DESIGN GROUP IMMEDIATELY AND/OR
' TIIROtIGHOITT THE PROJEC'1'.
• CONTRACTOR SHALL GUARANTEE ALL WORK AND IS RESPONSIBLE FOR ALL WORK
TO BE OF GOOD QUALITY FREE FROM FAULTS AND DEFECTS FOR A PERIOD OF AT
LEAST 1 YEAR FROM COMPLETION. CONTRACTOR IS RESPONSIBLE FOR
CORRECTIONS TO PLAN THAT ARE NECESSARY, AND CLEARED BY Q.D.G ; WORK IS
TO BE COMPLETED IN THE BEST STANDARDS OF BUILDING PRACTICE.
• ALL CONTRACTORS ARE TO CLEAN UP THEIR WORK AREA DAILY AND POLICE THE
SITE OF ANY GARBAGE AND DEBRIS REGARDLESS OF OWNERSHIP. AND TO
CONTINUE. TO MAINTAIN A PROFESSIONAL LOOK TO THEIR TRUCKS, STAGED AREAS
AND PERSONAL SELF. LAIIORS SHOULD BE UNIFORMED AND MUSIC SHALT. BE KEPT
TO A MINIMUM. SMOKING WILL BE PROHIBITTED UNLESS CLEARED WITH Q.D.G•.
• NO WORK SHALL COMMENCE WITHOUT THE OBTAINMENT AND SUCUREMENT OF
A BUILDING PERMIT. ALL WORK IS TO BE PERFORMED WITH ALL STATE,
MUNICIPAL AND LOCAL ZONING AND BUILDING CODES.. DAYS AND TIMES
HOURS OF OPERTAION SHALL BE CODE.
Q DESIGN GROUP IS NOT RESONSI BLE FOR THE WORK OF THE INDIVIDUAL
CONTRACTORS THAT ARE BUILDING FROM PLANTS THAT ARE PROVIDED OR
DRAWN. PLANS ARE PROPERTY OF Q DESIGN GROUP AND THEIR USE WITHOUT
WRITTEN CONSENT IS PROH11311ED
• ALL UTILI'T'IES ARE TO BE LOCATED AND PROTECTED AND SUCH NEED TO BE
PHONED IN AND MARKED BY THE CONTRACTOR'S EXCAVATING ON SITE OR
Ctl'1'I'ING WITH UTILITIES OVERT IFAD. IF PRIVATE MARKOUTS ARE PREFERRED FOR
THE WORK HIRED, THE CONTRACTOR WILL CONTACT' Q.D.G.
COV�=LY VlI j H hltt.-. €S'UF APPROVED AS NICTED
NES 3 t A I L& TOWN CODES DATE: Z I P,.P. # .?g01A5
AS REQUIRED A4 -r_ "'�'T'nr`►c F` s�
FEE:_ BY: _
Uii NOTIF=Y BL'ILDi NG DEPARTMENT AT
7u 1 _i 107 7 1,1r 765-1802 8 AM TO 4 PM FOR TI
FOLLOWING INSPECTIONS:
SDI; u�i n Ti_. AV 7R! ICT cS 1. FOUNDATION - TWO REQUIRED
A G FOR POURED CONCRETE
--- -- '' 2. ROUGH - FRA".iINU & PLUMIBING•
3. INSULATION
4. FINAL - CONSTRUCTION MUST
OCCUPANCY OR BE COMPLETE FOR C.O.
PLUMBER 'ERTIFICATION ALL CONSTRUCTION SHALL MEET THE
ON LEAD CC NTENT BEFORE USE IS UNLAWFUL REQUIREMENTS OF THE CODES OF NaV'
CERTIFICAT OF OCCUPANCY (� YORK STATE. NOT RESPONSIBLE FOR
WITHOUT CE"IFICAT
SOLDER U QED IN WATER DESIGN OR CONSTRUCTION ERRORS.
SUPPLYS STEM CANNOT OF OCCUPANCY .
EXCEED 2/i 0 OF 1 q LEAD. RETAIN STORM WATER RUNOFF PLUMBING
PURSUANT TO CHAPTER 236 ALL PLUMBING WASTE
OF THE TOWN CODE. & WATER LINES -NEED
TESTING BEFORE COVERING
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