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HomeMy WebLinkAbout40750-Z Q:s.,0 tD(�c0- Town of Southold 6/30/2016 / A , P.O.Box 1179 1 cf, 53095 Main Rd N Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 38372 Date: 6/30/2016 THIS CERTIFIES that the building SHED Location of Property: 355 Willis Creek Dr, Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-17-17.16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/26/2016 pursuant to which Building Permit No. 40750 dated 6/6/2016 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: "AS BUILT"ADDITION TO AN EXISTING ACCESSORY SHED AS APPLIED FOR The certificate is issued to Francica,Joseph&Carin of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED e Autho (Si Signature Y tm ' ,s�F of ��co TOWN OF SOUTHOLD : BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy 5 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#: 40750 Date: 6/6/2016 Permission is hereby granted to: Francica, Joseph & Carin 355 Willis Creek Dr Mattituck, NY 11952 To: legalize an "as built" addition to an accessory shed as applied for. At premises located at: 355 Willis Creek Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-17-17.16 Pursuant to application dated 5/26/2016 and approved by the Building Inspector. To expire on 12/6/2017. Fees: AS BUILT-ACCESSORY $280.00 CO -ACCES. •RY BUILDING $50.00 OilTotal: $330.00 ,411111111 Building Inspector 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$15.00 Date. -`oZ //4 New Construction: Old or Pre-existing Building: (check one) V V f Location of Property: 355— I /I,$ are•ek. 1/14 O I/ L itC k. House No. Street /� Hamlet Owner or Owners of Property: �ps-e pY I +-rain ain GI La- 4 earl'h -i-rctrr? Suffolk County Tax Map No 1000, Section 115 Block 17 Lot / Subdivision j, c�V Filed Map. Lot: Permit No. 1716V 7 5Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ VU od • Appl ant Signature \, hO��OF SO�T�o4 \ # #�, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION: . [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING /STRAPPING [VIFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: cwgr-i a O• DATE P / ' INSPECTOR -444* 1,11LLOP DI'mze,TToN1 '0re5 AAS' CO RITS • 1 1 • ,d 0 FOUND,.''XON(1ST) i • igt . . , _ v‘4 FOUND PaTIQN(2NI)) NNE •. •••• z ROUGH FRAMING.& , . . ' . . PLUIVA3 NG —„ .:-._ . , . -- • . ' F • INSULATION PE1�N.Y. -t •, :` )– STATE STATE ENERGY CODE , . < . . . • - ! a e1 . = ' ,--71 -t FINAL 111111111111111111 ' t (? 10' / ' I .n. c �, 'ter. ..� • +0 • • . • • m • • • .. • �, -# r . • • . I . 0 ' V 2 • . . . . .. a, . . . . , . . , , • . . . . , . , . . 6-%. . . , ' ► , y c 1 v Z _y i �y y'' \” I. J _ - '• • - • • • •• M�i 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 Az5�-- Survey SoutholdTown.NorthFork.net PERMIT NO. v Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form I1 Contact: Approved 20 Mail to: Disapprov-d a/c Phone: 6,1/--c7 ?,?"---/,%5 Expiration _ ,20 . a V 41". n ector ECSC D,'I'LICATION FOR B DING PERMIT MAY 262016 Date , 20 INSTRUCTIONS a.T �Pa ti $? .•1��1' Uw l ompletely sets of filled in by typewriter or in,ink and submitted . e Building Inspector with 4 plans., . . • . an o sca e.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. fla c !Li/1_, o Al A 1.A/ A Aiy .(Signatu - of applicant or name,if a corporation) W5 Wi I(1.9 Geek b , AL-Fh-hac k (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Der Name of owner of premises Seph tan cam'ca. cl efxr i v\ 0A.. Frau()Ct c_o. (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 proposed work will be done: 356 v\fc t 1 i s Cire e k b r . nil o -Fi-like House Number Street Hamlet County Tax Map No. 1000 Section 1 (5 Block [7 Lot ( 7, 1 (a 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 5 h ed b. Intended use and occupancy S h e d 3. Nature of work(check which applicable):New Building Addition AlterationS�-e- Repair Removal Demolition Other Work10/47./W-4- (Descriptio 1 .y (Descriptio 4. Estimated Cost 44 I, 6-or).00 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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front (02 ' Rear 1,2 ' Depth 8- Height ci ` Number of Stories I Dimensions of same structure with alterations or additions: Front I Rear c>/ Depth S' 4 10 ' Height at ' Number of Stories I 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 4 00 Rear oA 90 ,`l( Depth I 54 c 6 5' 10.Date of Purchase 8' /,)._e,0 4 Name of Former Owner V1.0 fa-- 11. a,11.Zone or use district in which premises are situated A - 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 premisesd()5 kl ran CI, ca-Address 355 W1 1 Ifs CreekPhone No.63I-0198—136,5 Name of Architect ,V A' 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 NO * 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 VNO * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) fr C/p, -P.oG) -1y— .h CI LGv being duly sworn,deposes and says that(s)he is the applicant (Nam of individual signing contract)above named, (S)He is the (Q 0.77 LQ)L_ (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 o� i ;a day of/I�� 20 J . (4)„, ... • .„„„., ,A, Notary Public CON 0 rk ` gnature of Applicant Notary Public,State of . No.01BU61: ' Qualified In Suffolk County Commission Expires April 14,2�. O I. l ; 1 '7' ._ ci 1 C, TOWN OF SOUTHOLD PROPERTY RECORD CARD ttiA Ap 2 I STREET97:5: VILLAGE DIST. SUB. LOT ,fin se-ph .S .4 Cup 1'n r-Y\ , - rrrt n r .r. , \Al\LL\ S CC2,C�‘C._, 1�2, M A CTC---ikic.I Ci` 1.{-{ f?Pn%.�A .�.c.r gr Al�'i�`7'I`7,Iae FORMER OWNER N E ACR. NC_OrN f'0{0 =LJ -r' Vi.014 4 LL>f S W TYPE OF BUILDING RES. z O SEAS. VL.�a I , FARM COMM. LAND IMP. TOTAL DATE REMARKS •„ s�, -v f mac. 1 k l 4 i! Y Pr-L. l 0 7 3-- y o:r o /; / /- �. .1 f 6.(I>� 1'`^ f J r eG� 'iC ` ��..J f����in/.J-'7 ���V � to, ()Do ! %. .:r, '':.E.\1 I ca)a 11/1 lei 5/69\C/C--L71646r.1307-r;c00- i'67 4-(-I— TH fol ! `--GrC_ - 2j / // �. /ao �2! q �, ` a51.3y , 14/Pf/ C _ N. R...() �i. / '- f1 / � . ..�� ���_E- 4r I tj,C,�f� i `�'' G�� 6 Ctlo`-i'�'LIo�3'fF� 0l�`t' ' V �%�IGl.�"� T© I"�(ht"f�'lL'_l� 4a1�1- �1 Io'l.�.,D!'Jf� 1 1 gdQ7 /u 500 P4-- Ll 30 017 /�.pla_oo0 l g o /o,000 /1, 6'00 I Sr 0/ - / 7O() 'f 7,?/, 7O/;f ` /'7//f1 -St 0 0 U -/4 o{� �1i -- lDb00 1 /i3 I 9/a7/13-SC 1.4/ 2, 9/4in — - • FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT 1 TOTAL �® F,,�.�'- 1V,V, ''!'y-yx''.,'.4:..,v , '."'-'74', ',1'',1-, 4F.` t.,,E._-r .:'rr t",;,1 d ,u y,: 'ix`'tii,•` ''•ti f yv."•s • ..+ ' a{'µ " t , 8 --ti i<`: a:t; { t< +.g`.d,s,:s-, .,pas_.•'. t r ,h ry a $ 4":J.t...'r.i, , c r7':�ak` S'.a.d. ^'g _ ^� ,a� ;' ,� r,r �.a COLOR s x : .d� t;g' A -,s.F tel; � ' _ - aa- i `S} t� , ''x'ap .+ ,1.M.'M.ao`�: �: ;, .s'„-. .;4,-,•• i a ,r -4: "•,, 'l }w /,.?/c" v.r �7 k&F.^'h. :^� C 4}�' •ge.�:.. +t .° T'he. k "R ,' 'eq _ ( w F f ,', 1"-1- ,x-soot .f.- `'ii,,_!4L. vR` .„-:,...tC j ,.' 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Z 4') Porch Dormer Fin. B. :A''T• 9 -- fay 7- Deck 2-a.,-. 9' — lac' Attic 0 4'- - Rooms 1st Floor BeA I Breezeway .3/17,7 Garage 26,9d � cer4 N Driveway Rooms 2nd Floor O.B. Pool 4C A.T' 4 /C- 99 `8 '`-.,- -�L,� SURVEY OF �, 44,�, • LOT 19 F MAP OF r , I HARBOR VIEW AT MA T TI TUC ' ` __ FW9 AUGUST xt eV FIE HO 8377 r,, 3 ; 1 AT MA TTITUCK rO .,1.. etre. "4 U a .„ p.,b, vete,- / TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y 1 N a:'15' >07 a MOO' ;x . ,. 1000 115 - 17 - 1716 et K. ei1. Scale 1" . 40' I C'S v, April 18, 1988 OO I `g OC r. 12, 1999 1 pop. hs1, sill 5411, I Q I Ct. I,1999!Ind. loc 1 F . AUG. 28, 2000 I Rad 1 LLiu 7 U _�J t ,ev r. 7 2000(,.}.,-„...) w 21 1 �l! 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NOT RESFONSI3L FOR DESIGN OR CONST'r3UCTI0f� ER ORS. bAddition d- .6\ Original o0 . r-`r PA I CY O i; QC' IS UNLAWFUL co- F-- RETAIN STORM WATER CHAPTERCERTIFICATE PURSUANT TOC �T UT OF THE TOWN CODE. OF OCCUPANCY `— _. �— 1 22' COMPLY Y ':`-,': i--I ALI COI-WS OF NEW YO:1K STATE , TO` 'JN CODES �- S REQUIRED f>e, �ti1,�� , , r J� SouTr,�I f '= ==----- IrlTerni nl h si SOV,T r OAR ..........._______ SCii T iFS Shed ,. _ ra5/ Page:4