HomeMy WebLinkAbout28119-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28835 Date: 08/29/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3805 CR 48 MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 141 Block 2 Lot 20
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 8, 2002 pursuant to which
Building Permit No. 28119-Z dated FEBRUARY 28, 2002
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 ACCESSORY SHED AS APPLIED FOR.
The certificate is issued to PARASKEVI KONTOVEROS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
i
u or'zed WgInature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28119 Z Date FEBRUARY 28 , 2002
Permission is hereby granted to:
PARASKEVI KONTOVEROS
1095 WESTPHALIA AVENUE
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN ACCESSORY 151X 18 ' SHED IN THE REQUIRED
REAR YARD AS APPLIED FOR
at premises located at 3805 CR 48 MATTITUCK
County Tax Map No. 473889 Section 141 Block 0002 Lot No. 020
pursuant to application dated FEBRUARY 8, 2002 and approved by the
Building Inspector.
Fee $ 75 . 00
Authorized Signature
COPY
Rev. 2/19/98
Form No.6 `� 6 o 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCIS-_ C��1p
I{
This application must be filled in by typewriter or ink and submitted to the Building Departmerit'with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines, strees, ar�Cl unusual.nafural or"`
i
topographic features. T
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 a 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$25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building$25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy- $25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential $15.00, Commercial$15.00
Date.�� h
New Construction: Old or Pre-existing Building:(check one)
Location of Property: D 9 S (.!/e
House No. �- Street Hamlet
Owner or Owners of Property: ajag" ,; r2•a �tys,, , S
-Suffolk-County-'Ia 1 o 1000,Sort-*.
Subdivision Filed Map. Lot:
Permit No. �j Date of Permit. ?Q Z7Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate_ Final Certificate: (check one)
Fee Submitted: $ ,o
(� c, cop �ICY Applicant li �ur 7f�t�Pxzt, �fro r�,cls;Jr'
cant Signature
B tJ1 LD 1 G P E T'R IT_REA EW_1 t-1�t�l—Y � --�-
Applicant/ Date
Owners Name: �y y pros Reviewed:
Architect/ _ Date
Engineer: Submitted:
SCTM #:
District: I Mo Scc�on: (4I Block: a Loc
Project Subdivision
Location: 3 G� C �S 7"V�� ( , Name:
Sin&le &, separate Required
cenlfication: (Yes /No)
Req. Req.
7oniag UistricC ♦'� Q (I,ol size: �8,d�7fl mi
3 i (Lot coverage ��ProlxiscJ� l
Req. - Req. t i
(Front Yard - Proposed: I- {�GirWo4id ..� Proposed: J [Rear Yar Proposed'
Project Description: e [v t:dC. !g X I
AGENC E�� RMITS Permit
RM IRED FOR REVIEW N.A. NO YES Nurnber
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation??? n 9
Flood Zone: t roc a W I
Notes.., N�
, 5
�r w
,
x
-- , ' '
x6 Lmax(
�-X G
J sr re e, 6 a -w h
I � j
i
I
i
� r
i
8 Fee
i
i
i
� r
f
3 �� I
I
f
I
ww �
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOU ATION IST [ ] ROUGH PLBG.
[ ] FUNDATION 2ND [ ] INSULATION
[ FRAMING L l FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
� os T/o2r
Lv _-
DATE �U� INSPECTO
M-1802
IN;UILDING DEPT.
SPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ]
"DATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE /&/CHIMNEY
REMARKS: rLe
W � c
DATE �y INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE C) -"NSPECTOR
X65.1802
BUILDING DEPT.
NSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
( ] FRAMING [ ] FINAL i
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE 3loel,7/ INSPECTOR ��v�
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
►3
------------------------------------
C
FOUNDATION(2ND)
z
O
Mee
y
ROUGH FRAMING& rr
PLUMBING
r
r
INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
0
O
Z
m
c
b
� y
O �
z
x
a
r
x
d
b
y
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 —3 sets of Building Plans
TEL: 765-1802 --•Survey,
PERMIT NO. �'�'l��Z Check
Septic Form
N.Y.S.D.E.C.
Examined � ,20o;L, Contact:Trustees
Approved J /�)-� ,20 c9a Mail to:
Disapproved a/c
Phone& S
,
Building4upsebvP,�15- ,
t
e�oG.oEPT. APPLICATION FOR BUILDING PERMIT
Jr'N F S t1TH�lD .•
Date / 20 0 2
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Insp-ector-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 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 a Certificate of Occupancy
is issued 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 building for necessary inspections.
(Signature of applicant or name,if a corporation)
/n 9
(Mail' g' g address of
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises PgSA"g,e,"I' �l�1-OV C-ib S
(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. r
Electricians License No.
Dther Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot 2 (�
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:-
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building�C`� Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost( 0 p Fee (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 (S FT Rear Depth / QT
Height /2 TT Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
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 re-graded Will excess fill be removed from premises: YES NO
14. Names of Owner of premises. i0/�0 L6& S Address /09�,: "hOhone No. 9 c/y
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15. Is this property within 100 feet of a tidal wetland? *YES NO '
• IF YES, SOUTHOLD TOWN TRUSTEES 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.
STATE OF NEW YORK)
SS:
COUNTY OF )
-Paint � S being duly sworn, deposes and says that(s)he is the applicant
(Name of individu 1 signing contract) above named,
(S)He is the t,U e,
- (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 p
4ofP!ubhc�
�(�-. 20 0�,
eSignator of Applicant
JOYCE M.WILKINS
Notary Public,State of New York
No.4962246,Suffolk County
Term Expires June 12, go o 3
1� 7te t:�•. • •� � ,r
IF 4
Ail
00
4'KKKKY00
n 0'■
ly 7
in
'DLLmz
9L
R J
NOTE
:h �( n'II ` y yc cD�' ■ = MONUMENT
oR. ELEVATIONS ARE REFEF
�a ASSUMED DATUM.
\ / 5
4x' ■^ r THE LOCATION Or WELLS AND CESS1
y / y• b.;, \ / •" •)� 4110:7:1 (:L.^,Ci.'/ rl�� FSCif f'ILI.PF.
,O
• ,f�� \� \i. `' ;! II` .\\ . �/� . REVISION= .. Y(]U
400 OSTRANDER
OCT. 7, 1974
'
OCT. 9 1974
O ALDEN W. YOUNG
s. � i •� � �/ PROFESSIONAL ENGINEER AND
\w7' <I+' LAND SURVEYORO
. N.Y S LIC. N . 11
�o.,�
0 /0 '
�G SURVEY FOR:
�o �.•\ \. � J �� FARMVIEW BUIL.
01-
J'
C'osho.� / . e �� Ar MATTITUCK
' Ov TOWN OF
• /� , �� SOUTHCLD
• /'" "� SUFFOLK CO., N.Y.
SCALE: !° 301 DATE
..1
- - - - - - - - - - - - - -
TYPICAL FRAME ROOF
#225 ASPHALT SHINGLES i 2x6 EI.00R JOISTS @ 6"n r
6 112" ROOFING PLYWOOD
2x8 RIDGEBOARD o
y. 2x6 RAFTERS @ 16"ox 1ST FLOOR LAYOUT `°
2x4 COLLAR TIES @ 48"o c.wl
SCALE 1/4"= 1'-0"
v
TYPICAL 2x4 SDG EXTERIOR WALL-NO INSUL:
VINYL SIDING
0 7/16" PLYWOOD SHEATHINGLI
2x4 STUDS @ 16"0 c
8'-0"
— _ —
TYPICAL CONCRETE PIER
ANCHOR BOLTS TO HAVE MINIMUM
—2-2X6 BEAMS S"SIDECOVER AND ANCHORED DEPTH OF 4"
10"dia. REINF. CONCRETE PIER
CROSS SECTION
SCALE 114" = V-0"
APPROVED AS NOTED
_ DATE• a a O-;r /nz� n/,,
FEE`. 7,--
NOTIFY
SNOTIFY BUILDING DEPARTMENT AT
755.1882 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
8, INSULATION
4, FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET OCCUPANCY ��
THE REQUIREMENTS OF THE N.Y.
LJ LJ LJ U LJ LJ STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR USE IS UNL.AWFUL
DESIGN OR CONSTRUCTION ERRORS WITHOUT CERTIFIC; E
FRONT ELEVATION SIDE ELEVATION UNDERWRITERS CERTIFICATE OF OCCUPANCY
SCALE: vfi" = V-6" REQUIRED
15' x18' SHED
SCALE 114" = 1' 0" APPROVED DRAWN BY MCH
DATE February 25, 2001REVISED :FCR
DRAWING NUMBER 6 2002