HomeMy WebLinkAbout39919-Z -:rte
Fa(,fc Town of Southold 10/3/2016
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P.O.Box 1179
a' T 53095 Main Rd
X41, �Aao�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38555 Date: 10/3/2016
THIS CERTIFIES that the building DECK
Location of Property: 695 Howard Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-9-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/24/2015 pursuant to which Building Permit No. 39919 dated 7/6/2015
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 to an existing one family dwelling as applied for.
The certificate is issued to Eshelman,Thomas&Eshelman,Nancy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
d
Author&K§ignature
guFEot� 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#: 39919 Date: 7/6/2015
Permission is hereby granted to:
Eshelman, Thomas & Eshelman, Nancy
2203 Delancey PI
Philadelphia, PA 19103
To: Construct a deck addition to the existing single-family dwelling as applied for.
At premises located at:
695 Howard Ave,Mattituck
SCTM # 473889
Sec/Block/Lot# 113.-9-3
Pursuant to application dated 6/24/2015 and approved by the Building Inspector.
To expire on 1/4/2017.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $582.80
CO -ADDITION TO DWELLING $50.00
Total: $632.80
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.
New Construction: Old or Pre-existing Building: (check one)"^�
Location of Property: �°) 5- tt�—e.rK �v � !Ul h,4 r ,
House No. Street Hamlet
Owner or Owners of Property: -A o w 5 SSI��, I k h – 'N w V\4r-�2 E S
Suffolk County Tax Map No 1000, Section ! 1 �3 Block C/ Lot
Subdivision Filed Map. Lot:
Permit No. L)G/ I Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ S �'
pplicant ignature
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOU ATION 1 ST [ ] ROUGH PLUMBING
[ ] F UNDATION 2ND [ ] INSULATION
[ FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE'& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION _ [ ] CAULKING
REMARKS:
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DATE 5 INSPECTOR
r3f 3 0
cou
TOWN -OF-SOUTHOLD BUILDING-DEPT.
765-1802
'INSPECTION- - -
FOUNDATION:-IST ROUG ��UMBING
] FOUNDATION 2ND IN LATION
FRAMING /STRAPPING INAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION CAULKING
REMARKS:
7;2;
DATE / �CINSPECTOR
t O��OF SOUry�l
Comm,
TOWN .OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTIO
a
[ ] FOUNDATION 1 ST [ ] ROU PLUMBING
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ]
FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE A'CHIMNEY [ ] FIRE SAFETY-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
b14�,
DATE INSPECTOR
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iNsUL,ATION PEA N.Y.
STATE ENERGY COD3
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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 of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. 3ffi L_ 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 ,20
,I B ' di ector
i I LLJI
4APPLICATION FOR BUILDING PERMIT
JUN 2
Date , 20 /r
51.DG DEPT INSTRUCTIONS
r0'";:lir ;OUT40LD
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 app ' ant or name,,if a c `poration)
( ailing addresslof applicant) /N;
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ®,y,41Y
(As on the tax roll or atest 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 f lan on which propose work will be done: 'VIA
4�
�� M,41 all \
House Number Street f t'pp Hamlet
County Tax Map No. 1000 Section Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and int iRded use anA occ pancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy , .G
3. Nature of work(check which applicable):New Building Addition Alteration L."'
Repair Removal Demolition Other Work bnLi
(Description)
4. Estimated Cost C�S. a v'r 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 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 construuc on. Front �0`� Rear Depth
Height Number of Stories ''``
9. Size of lot: Front 0� Rear /� 2' Depth '`7 2,
10. Date of Purchase Name of Former Owner 1�7 • J"'l
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 ���,��f• 114-T Phone No.
Name of Architect/ ct l�x Address -f-7 7 Phone No 63e- '-77-7%%
Name of Contractor,'—"4,s AddressoS_0_6, ,rZ,.,, A Phone 4/
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO t/
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES r' 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 t
L day 20
CONNIE D.BUNCH
Notary Public •Notary Public,$tete of York Sign bre of Applicant
No.01 BUS185050
AuaMW In Suffolk County
�/�1
Commission Expires ItiprN 14,e� (�
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9 1� .. , 7.67ACK Wlyl'g7J.?N77^7G!7�rQTg ..f
3 TRUSTEES
.3, BOARD OF SOUTHOLD TOWN TR y �
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SOUTHOLD,NEW YORK
ti.
DATE: APRIL 22, 2015 J
PERMIT N0. 8591
ISSUED TO: THOMAS & NANCY ESHELMAN }
PROPERTY ADDRESS: 695 HOWARD AVENUE,MATTITUCK t^
SCTM# 113-9-3
AUTHORIZATION _
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 22,2015,and in
application fee in the sum of$250.00 paid by Thomas&Nancy Eshelman and subject to the
consideration of app1' h
�
Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits
the following:
s Wetland Permit to construct a 4' x+/-120' walkway using thru-now decking with 4"x4"
diameter piles following existing path through wetlands; remove existing 41x32' fixed dock and
construct new 4'x79' fixed dock with the first'(2)sets of piles to be 6" diameter and remaining '
1; piles on fixed dock to be 8" diameter at 9' finished grade using thru-now decking; 3-pile bent at
most seaward end of dock; 'install a 3'x16' removable aluminum ramp; install an 8'wide at
ramp end by 4'wide by 16' long with a 2'x2' at 45 degree corner brace"L"shaped floating
dock using composite lumber; install (2) 12"diameter piles to secure floating dock; and to
onstruct a new 1,045sq.ft. attached deck to dwelling; and as depicted on the site plan prepared '
by Michael Kimack,last dated April 23,201.5 and stamped approved on May 7,2015; and as k '
t , also depicted on the site plan prepared by Charles M.Thomas,Architect,last dated December r
A "
1,2014 and stamp approved on April 22,2015.
1N WITNESS WHEREOF,the said Board of Trustees het-91k,causes its Corporate Seal to be affixed, �Y
and these presents to be subscribed by a majority of the said Board of this date. r'
• /' - `r�i - wxvTauxtczsa'N.,1. - -rNeettwsav+Tc •a�z�a�ztameaz6�iw��ss�axrgv"F�` avxU }wvf vnteSXv:�u3�114 /% , ��
%T. f( i7kGPdf81 :�C'��-+ `A o �•,J `C..u% ���` ,.`F' \u�,,.J '.;S J .
John M.Bredemeyer III,President O��QF SU(/T�o. Town Hall Annex
Michael J.Domino,Vice-President 54375 Route 25
P.O.Box 1179
Glenn Goldsmith Southold,New York 11971
A.Nicholas Krupski G ® Q Telephone(631) 765-1892
Charles J.Sanders '`O Fax(631) 765-6641
I�COUNT`1,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1278C Date: September 30,2016
TRIS CERTIFIES that the construction of a 4'x+/- 120' walkway using thru-flow decking
with 4"x4"diameter piles followingexisting xistingpath through wetlands;remove existing 4'x32' fixed dock
and construct new 4'x79' fixed dock with the first(2) sets of piles to be 6"diameter and remaining piles
on fixed dock to be 8"diameter at 9' finished grade using thru-flow decking; 3-pile bent at most seaward
end of dock install a 3'x16' removable aluminum ram
p• install an 8' wide at ramp end by�6' wide by 18'
in length with a 2'x2' at-45 degree corner brace"L"shaped floating dock using composite:lumbefon the
decking, install(2) 12"diameter piles to secure floating dock; and to construct a new 1.045'sa: ft.
attached
I
attached deck to dwelling• install a water line and power underground from the dwelling to the',Afv A
and the dock using Dark Sky compliant lighting;
At 695 Howard Avenue,Mattituck
Suffolk County Tax Map#1000-113-9-3
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated January 20,2015,pursuant to which Trustees Wetland Permit#8591
Dated April 22,2015,was issued and Amended on February 17,2016 and Amended
again on August 17,2016 and conforms to all of the requirements and conditions of the
applicable provisions of law. The project for which this certificate is being issued is for the
construction of a 4'x+/- 120' walkway using thru-flow decking with 4"x4"diameter piles following
existing path through wetlands;remove existing 4'x32' fixed dock and construct new 4'x79' fixed dock
with the first(2) sets of piles to be 6"diameter and remaining piles on fixed dock to be 8"diameter at 9'
finished grade using thru-flow decking; 3-pile bent at most seaward end of dock; install a 3'x16'
removable aluminum ramp' install an 8' wide at ramp end by 6' wide by 18' in length with a 2'x2' at 45
degree corner brace"L"shaped floating dock using_composite lumber on the decking; install(2) 12"
diameter piles to secure floating dock; and to construct a new 1,045 sq ft attached deck to dwelling;
install a water line and power underground from the dwelling to the walkway and the dock using,l)
Sky compliant li hg ting.
The certificate is issued to THOMAS &NANCY ESHELMAN owners of the
aforesaid property.
WL
ew—
Le
Authorized Signature
1
Scott A., Russell 0" ST 1KIM[WA'7C']EIK
SUPERVISORI��l[Aks NAG IEIWIENT
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 r Town of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES 'I7EIIS PROJECT INVOLVE ANY OF THE E 1FO L1LOWING:
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.
El 3"B' . Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑[r C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
LI M D. Site preparation within 100„feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑WE. 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 Date
L f Dmtnct
NAME. /I J a�
no Section Block Lot
FOR BUILDING DEPf111?'E�•IE.N"f [,SF ONLY
Contact Information
re,pbonr Numbcri
- - - - - - - - - - - - - - - - - - Reviewed By
Date
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — —
�[ Approved for processing Building Permit
�� `J �`� �•r� �" /� ' �” Stormwater Management Control Plan Not Required
— — — — — — — — — — — — — — — —
❑ Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review.)
FORM " SMCP-TOS MAY 2014
SCTM #
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB LOY
ACR.
REMARKS
TYPE OF BLD.
PROP. CLASS
LAND IMP, TOTAL DATE
773P 30
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-71
FRONTAGE ON WATER HOUSE/LOT
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BULKHEAD
I TOTAL
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TQWN OF SOUTHOLD- PROPERTY RECORD CARD
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OWNER STREET VILLAGE DIST.1 SUB. .Om$
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SOUTyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 d'f
Com,
November 24, 2015
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Thomas & Nancy Eshelman
2203 Delancy PI .
Philadelphia, PA 19103
Re: 695 Howard Ave,Mattituck
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT - 39919 — Deck Addition
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WOOD STEPS TO GRADE
NUMBER OF STEPS TO BE EXISTING
DETERMINED ON SITE WALIL TO REAMIN
DATE: 12/01/14
DECK FRAM I N G P L A N PROJECT No.
12» 5'-5- 12" DRAWING BY. F.S.
SCALE: 1/4" = 1'-0" �'-5" CHK No.
DWG No.
W-FO-0-11-FO-0-1
1 OF 1
THESE DRAWINGS AND ACCOMPANYING SPECIFICATIONS, .AS INSTRUMENTS OF SERVICE, ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECT AND THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR WHICH THEY WERE PREPARED, REUSE, REPRODUCTION OR PUBLICATION BY ANY METHOD, IN WHiOLE OR IN PART, IS PROHIBITED EXCEPT BY WRITTEN PERMISSION FROM THE ARCHITECT, TITLE TO THESE PLANS SHALL REMAIN WITH THE ARCHITECT.VISUAL CONTACT WITH THEM SHALL CONSTITUTE PRIMA FACIE EVIDENCE OF ACCEPTANCE OF THESE RESTRICTIONS.