HomeMy WebLinkAbout40865-Z �.,p�� F� ��a� Town of Southold 8/10/2016
� �„f"� P.O.Box 1179
� m 53095 Main Rd
p�jQ1 ,��0`s`� Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 38441 Date: 8/10/2016
THIS CERTIFIES that the building ACCESSORY
Location of Property: 12700 Sound Ave.,Mattituck -
SCTM#: 473889 SecBlock/Lot: 141.-4-32.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in tlus office dated
7/28/2016 pursuant to which Building Permit 1Vo. 40865 dated 7/28/2016
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:
ACCESSORY SHED AS APPLIED FOR
The certificate is issued to North Fork Community Theatre
. �
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL �
ELECTRICAL CERTIFICATE NO. ,
PLUMBERS CERTIFICATION DATED
.
Auth ed Signat e
1
�u�od�,co TOWN OF SOUTHOLD
��,,� �� BUILDING DEPARTMENT
� � ' TOWN CLERK'S OFFICE
o ,�, �� SOUTHOLD, NY
�,�1Q� � ��bp��
`�"�� 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#: 40865 Date: 7/28/2016
Permission is hereby granted to:
North Fork Community Theatre
PO BOX 86
Mattituck, NY 11952
To: Construction of accessory shed in the required rear yard as applied for.
Replaces BP# 38697
At premises located at:
12700 Sound Ave., Mattituck
SCTM # 473889
Sec/Block/Lot# 141.-4-32.4 -
Pursuant to application dated 7/28/2016 and approved by the Building Inspector.
To expire on 1/27/2018.
Fees: � '
PERMIT RENEWAL $98.00
Total: $98.00
ui spector
���u nlx TOWN OF SOUTHOLD
��, ��,� � BUILDING DEP�4RTMENT
� g. TOWfV CLERK'S OFFICE
�y • �� SOUTHOLD, NY
�r°� �° �� y
� BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AIVD SPECIFICATIONS
UNTIL FULL COMPLETION O,F THE WORK AUTHORIZED)
Permit#: 38697 Date: 3/4/2014
Permission is hereby granted to:
North Fork Community Theatre
PO BOX 86
Mattituck, NY 11952
To: Construction of accessory shed in the required rear yard as applied for.
At premises located at:
12700 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 141.-4-32.4
Pursuant to application dated 2/28/2014 and approved by the Building Inspector.
To expire on 9/3/2015.
Fees:
ACCESSORY $196.00
CO -ACCESSORY BUILDING $50.00
Total: $246.00
�
� Bui ing 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. �� . � C.� ��/ L
New Construction: Old or Pre-existing Building: (check one)
Location of Property: � ��d� Q L G� �� U 2p� �� �vl a�ffi��c.k. /V y ` 1 7J�
House No. Street Hamlet
Owner or Owners of Property: Q r `Y►'� �4 r k Go n�n�u n �� �2dt��'e
Suffolk County Tax Map No 1000, Section ��/ Block d � Lot �
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: $ � '�o
A li nt Signature
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�O��OF SO(/l�,Olo � - . .
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-- TOWN:-OF� SOUTHOLD BUILDING� DEP�. �
765-1�02
� IN.SPECTION �� � � �� . . ,
[ ] FOUNDATION�1 ST [ ] ROUGH PL�IMBING
[ ] FOUNDATION 2ND [ ] INS ATION �
[ ] FRAMING / STRAPPING [ INAL _
�- [. ] FIREPLACE & �NIMNEY . [ .] FIRE SAFETY INSPECTION �
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING �
REMARKS:
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DATE �C ( INSPECTOR - �
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TOWN OF SOI�THOLD BUILDING DEPT. _ �
765-1�02
� 1 NSPEC� ION - -
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2(dD [ ] IM LATION
[ ] FRAMING / STRAPPING [ FIIVAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE S�4FETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRIC�4L (FINAL.)
REMARKS: D!��► C. �.
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board ofHealth
SOUT'HOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 - Planning Board approval
FAX: (631) 765-9502 � Survey
SoutholdTown.NorthFork.net PERMIT NO.�:����i Check
� , . _ Septic Form
- N.Y.S.D.E.C.
• Trustees ,
� � � Flood Permit
Examined ,20 Storm-Water Assessment Form
Contact:
Approved ,20 Mail to: �� ��
Disapproved a/c ' �CJI 7�17 k- �y j�7.�p�
Phone: �, �� �,j 't' �,,.,,�o� I
Expiration ,2�0�� •
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. . � � l� � � }; � Bui ding Inspectar
�� ��`�__------�
j PLICATION FOR BUILDING PERMIT
F E B 2 $ 2014 � �""�b � �� 2o L
�� Date , �
INSTRUCTIONS
BLDG DEPT
T�is-a�pl;cation� letely 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.
£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.
O r'� �O r- '�— �O�M �M• ' �`�,�'�P
(Signature of applicant or name,if a corporat' n)
� �JO�C � (� /Y1 �`�I �c� �/ �°
(Mailing a dress of applicant)
. I �,��
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
C�v��n e�'
Name of owner of premises r� ��3 c' � �(�(tl��l v n 4 �r �
� (As on the tax roll or latest deed)
If ap ' ant is a corp tion, ign ture of ly authorized officer
reS�''o�
(Name 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: � .
o�, - o u� � �� �,t-hr�"c-l< � ,__
House Number Street ' Hamlet •
County Tax Map No. 1000 Section � �'� � Block (�, � ffL 3- 3'i•,',+f•L;ot � I
Subdivision Filed Map No.� • • � ' -���' �a � Lot
. . .,�,W s^_ ;t4- a, . ,. .
. ; r� � . „ � � � -
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 worlc(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work (v �c esso���
(Description
4. Estimated Cost �D , � �0 • d � 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. C.4�M�e('G�` q 1
7. Dimensions of existing structures, if any: Front Rear Depth
Height 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? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO
14. Names of Owner of premises Address Phone No.
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,�E_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 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 the
(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 thi p
� ' day of �!�F�t�\l� 0�
�
� � ����
�
Notary Public CONNIE D.BUNChi 'g a e of Applicant
iVotary P�blic,5tete of New York
f�o.01�U61�50
Que�lified in Su(foik County
Commiasion Expires April 14,2���
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� SURVEY OF PROPERTY �
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MATTITUCK . �� 51GN
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TOWN 0F S0UTH0LD � o��, 0p" E �68• FCON� MON•
SUFFOLK COUNTY, NEW YORK A-V�1� �„� P�� N 7� 47 .32' � cn
S.C. TAX No. 1000- 141 -04-26 s�tJ1�� ��E�F ppV�� � 4� p0UN0
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SEPTEMBER 17, 2012 MAP w, �'° 45 � � � � z (�
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AREA = 17,964 sq. ft.
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t h a n T a f t C o r w i n I I �G�N W�TME NEW YORK STAiE
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L a n d S u r v e y o r �P�6 OF 7HI5 SURVEY MAP N0T BFMING � �n
7HE IAND SURVEYOR'S INKED SEAL OR
EMBOSSm SEAL SHALL NOT BE CONSIDERm i O» \AI
TO BE A VM1D TRUE COPY. ' Vr
CERIIFlG110N5 INDICATED HEREON SHNl RUN L(') �/O O O O N�p�F
SUccpso�TO: SfaN�Y J. Isakaen, J�. LS. ONLY TO THE PERSON FOR WHOY 7HE SUfNEY /
Joseph A Ingegno LS. �PREPARED,AND ON HIS BEHALF m THE .7 UCK Cx
FNDIN�G�INSif(Uit0��5 ED rHEREO�N,M!D D } S �!A E�A CKUR
TiUe Surveys—Su6divisions — Site Plans — Conshuction Layout 1�'+� N
TO THE ASSIGNEtS OF 7HE LENOING INSII—
PHONE (631)727-2090 Fax (631)727-1727 ��•��FlGTIONS ARE NO�TRMJSfE72ABLE � PRESBY
OFFlCES LOCATID AT MAILING ADDRESS THE EXISTENCE OF RIGNT OF WAYS
1586 Main Road P.O. Box 16 AND/OR EASEMENTS OF RECORD, IF
Jamesport, New York 11947 Jamespart, New York 11947 �Y, NOT SHOWN ARE NOT GUARAHiEED.
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),0�� o�� 765-1802 8 A�r1 TO 4 P�1 FOR TFIE
FOLLOWING IN�PEC"fIONS:
1. FOUNDATIO I - TWO REQUIREC
FOR POURE CONCRETE
e.8 2. ROUGH - F AMING & PLUME3ING
Z''' cYJ 3. IPdSULATION
� 4. FINAL - COP'STRUCTION MUST
cA BE CO�IPLE fE FOR C.O.
M ALL CONSTRU TION SHALL MEET THE
� REQUIREMENT OF THE CODES OF hIE1N
M YORK STATE. NOT RESPONSIB�E FOR
D�SIGN OR NSTRUCTION ERRORS.
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iVY Shed Co. Phone: 631-765-3090
1 Pauls Lane, Peconic, NY 11958 Email: NYShedCo@gmail.com
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Name: Date:
Address:
Phone#:(H) ��)
QTY. Description Price Amount
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STANDARD �EATURES �� �
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, 225 li�. 20 Year gu�rantee „ „
as�hal't self-sealing shingtes 'j:>" C.D.X. 2 x 4 • �Q�b(� gusseted �oof
�" {itrerr�nny c7n in your choice af 6 colors Plywoo� roor trLSs��fiar unmat�`�ed
'l `ou� si;�e5 �limina�es sheathulg strength @ 24 o.c.
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cclge or painted vnntilutir�n
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2 Alurninum Jalousie
w�n�ews �;itr screen, �
& shutters, or choose " �Ji K��n� dx�c� stud
a�tional windo��s. �g'/z" �va11�
C.11atorn placu�ment at ' Galv.
r�:� additicn�l c;��arg�. ' Hurricane
Reinfiorced Doublo Doors
Latex!ac,yfic ext�rior pain � painted on both sides ' Full 2x4 sil�lS �Typ.)
with 2x4 framing
in your cf�oice o� 13 colors pIa�es on a!I
or clear-sea4�d ' PRESSURE TREATEO B.C, PRES�URC TREATED four si�es �
, �, 5 ply pfywood filoor, secured 2x4 flo�r jc�istG i Fs" C�.C; �w
5/8" T 1-11 �ir Sidi►tg pr CnOose with ring shank nails PRESSURE Tf�EA�ED 4x4
Optional Horizonta� Wood Siding ,�acks & headers in �I! door foundation bearns
or vinyi Siding fr�minq ta meet all State and
�COTC: Si-t1�D IS 'l�0 BE TIED DOWN TO GALVANIZED STEEL "IRON ROOT" DOUB�E �TEA.D , bOUBI,E I-IELIX EARTH
. -�NC110RS �1T t1LL CORNCRS OF rOUR C�RNERS, AS MANUrACTUR�D BY TIE DOWN �NGIN�ERING Ur ATLAN'1'A,
CTrUItGIA, ATTACHED TO BUTTOM UF FOOTINGS &PERIMETER TIMBER SUPPORT TIMBERS. DETATLS APPLY Z'O ALL
au�r�r T ir� -rn �� r�r �ca�Tn� uv �(1 1�T T 111�Tl:
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irdhouse I�in�dom Phone: 631-7�5-3090
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Email: birdhousekin�dom@aol.com
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T111 Prices ��xa `� -
Ranch Nassau Suffolk Colonial Barn Mini Barn
8x8 $1,815.00 $1,895.00 $2,015.00 N/A $1,525.00
8x10 $2,065.00 $2,155.00 $2,225.00 $2,395.00 $1,780.00
8x12 $2,285.00 $2,385.00 $2,495.00 $2,660.00 $2,020.00
8x14 $2,479.00 $2,586.00 $2,745.00 $2,899.00 $2,199.00
8x16 $2,710.00 $2,825.00 $3,095.00 $3,175.00 $2,460.00
10x10 $2,425.00 $2,525.00 $2,700.00 $2,750.00 $2,120.00
10x12 . $2,685.00 $2,799.00 $2,955.00 $3,025.00 $2,360.00
10x14 $2,950.00 $3075.00 $3,195.00 $3,295.00 $2,600.00
10x16 $3,225.00 $3,360.00 $3,465.00 $3,550.00 $2,825.00
10x18 $3,565.00 $3,715.00 $4,020.00 $3,895.00 N/A
10x20 $3955.00 $4,125.00 $4,625.00 $4,095.00 N/A
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