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40697-Z
oo�gUFFOI,q�oG� Town of Southold 4/30/2017 P.O.Box 1179 0 d' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38922 Date: 4/28/2017 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 1425 Central Dr, Mattituck SCTM#: 473889 Sec/Block/Lot: 106.-2-31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/10/2016 pursuant to which Building Permit No. 40697 dated 5/16/2016 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: covered front stoop as applied for. The certificate is issued to Frangas,Emanuel&Harriet of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ho d Signature 4�goFFOLK�oTOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o . SOUTHOLD, NY �aIh- 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#: 40697 Date: 5/16/2016 Permission is hereby granted to: Frangas, Emanuel 6 Alpine Dr. Syosset, NY 11791 To: construct a front stoop as applied for. At premises located at: 1425 Central Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 106.-2-31 Pursuant to application dated 5/10/2016 and approved by the Building Inspector. To expire on 11/15/2017. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $212.00 CO -ADDITION TO DWELLING $50.00 Tot 1: $262.00 Building Inspector foi m No 6 "rowN 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. C6py of-C6rtificate-of Ocdupancy-T 25 - 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. J 3- 9 New Construction: Old or Pre-existing Building: (check one) Location of Property: �ZJS (��?/ ( 11" la l Gf� House No. Street I I I,, Hamlet ,n Owner or Owners of Property: ` r -x)�� 1 rr �j Suffolk County Tax Map No 1000, Section I 0 �0 Block 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: l� (check one) p o Fee Submitted: $ �� *Dplicant Signature6 q� c�q-j- coum, �o�,�,oF souryO� TOWN OF SOUTHOLD BUILDING DEPT. 765-1502 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ,ELECTRICAL (FINAL) REMARKS: ` C o✓ Pr- DATE INSPECTOR SO(/lyo o�'Y�OUMV N� TOWN OF,SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION = [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: rPo��4 $ 11 <✓ OK Alv/ c u DAT EINSPECTOR 19. •• . t 1 won*MAt f. r. s 1 1 1 • WE]1-1110 LAr 1 Jfa � Swu'm'�1 �����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 Survey SoutholdTown.NorthFork.net PERMIT NO. 6 U6' Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form pp Contact: Approved l ,201 Mail to: Disapproved a/c Phone: Expiration 2 D Building p Ins ector � MAY " 3 ��� APPLICATION FOR BUILDING PERMIT UUMI)I1 G DEPT- Date , 20_ TOWN OF SOUTHOLD 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 applicant or name, i a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises (As on the tax A 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. LotucJatior�o land on which pr_o�pos i dcyvork•w,i11: e,,:d`nec!•ti•+ '�;j AA I__-�I • _ ' :� � / l 9 aZ House Number Street Hamlet County Tax Map No. 1000 Section I b Block Lot - 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 b. Intended use and occupancy" 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 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 t Dimensions of same structure with alterations or additions: Front i ; i ; near Depth Height Number of Stoi* a :: y,"!tri 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth rt . 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 MAYBE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. t . 16. Providesurvey, 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 OF3,RdU nry"' 1'r-E' F-r-av-i cA "being duly'sworn, deposes and says that(s)he is the applicant (Name of individual sig g`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 TRACEY L. DWYER o before me this, / NOTARY PUBLIC,STATE OF NEW YORK —,day of 20 �� NO.01DW63069o0 QUALIFIED IN'SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,26/8 I Notary Public Signature,of Applicant Cyr A Scott A. Russell :���; (� � S`7C'(0IKIAWA�C'IEJE� SUPERVISOR N[ANA\(G IEI\�411EN F SOUTHOLD TOWN HALL-P.O.Box 1179 /a Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 lO� w��♦a� a CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF `g'lH[lE FOLLOWING: (CHECK ALL THAT APPLY) Yes No ❑0 A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑[A B. Excavation or filling involving more than 200 cubic yards of material ,,�/ within any parcel or any contiguous area. ❑�d C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑ . Site preparation within the one-hundred-year f loodplain as depicted - -en-FIRN- Map-of any wat-e-r-cou-r - -- - - ❑ 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. S APPLICANT: (Property Owner,Design Professional,Agent.Contractor,Other) .C.T.M. #: p00Date '0 NAME: Tw, i ISe�i4 Block Lot _` 6iyoeior1 �J FOR BUILDING DEPAPTNIIINT LS L oNL=' Contact Information. Reviewed By: Date: Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — Approved for processing Building Permit- Stormwater Management Control Plan Not Required ® Stormwater Management Control Plan i�,Required (Forward to Engineering Department for Review) FORM SMCP -TOS MAY 2014 TOWWW SOUTHOLD lik"OPERTY RECORD CARD, OWNER STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER N E ACREAGE 7, -5/5 a 2-7 6jT tS W TYPE OF BUILDING ob 1t t RES. SEAS, VL. FARM comm. I IND. I CB. I misc. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 7 Zf-"111&4 0 (91 IV- ItY4-6,00 JX0 1)3'7G L? AP -1 -2 VV O 2R F ONTAGE ON WATER AeFeVal% 'Ue,4 FRONTAGE ON ROAD /00 ?tbl�,r 11 V 1% 0&-OL- U V la Z'd TiIJQL�3 1-2- Woodland Swampland Brushland House Plot Tota I t��.a�`�; i ��� {` •j c ¢ 'R+jib ��' �� ■■■■■„■_■_■_i■.■■�■■■■■■■ N. ..: ■■■■■1©4SEEN■■■nNONE MEMMI■ 1 MUSHIMMMMMEM mommmusaw m■iiimi MEMOME::5:II ■■ ■■■■�i■■■■■■n ■■■■ SLAB � :. _ . • J • Scott A. Russell Y � �T�O�]KIM[WA�T]EIK SUPERVISOR CIO M A NA\(G(EI\�I[]E1��C' SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 01 Town of So u th o l d Ja CHAPTER 236 - STORNIWATER MANAGEMENT 'WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) ]DOES THIS PROJECT INVOLVE ANY OF THE (FOLLOWING: (CHECK ALL THAT APPLY) Yes No ❑FA A. CIearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surf ace. ❑[A B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑DIC. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑d . Site preparation within the one-hundred-year f loodplain as depicted - -en-FIRM— -Map-of-any water-caursE: - - -- ❑ 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. S APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) .C.T.M. ": DOOO Date Fn n! oi NAME- q S Block Lot _ll Ggnmu'a �f/^ ` ' i OR $t�ILUi G DLP:'�RT Ii-NT l SL Oi�LY Contact Information. JGICp z(S/ 7crynonc hamn.J Reviewed By: 1( Date: Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — iJ Approved for processing Building Permit. 1 % �A� j/► 'r�� �)� 1 _ _ A Stormwater Management Control Plan Not Required. �T(�`�'`-I-I �t � N �� � ��-- ® Stormwater Management Control Plan is Required ( (Forward to Engineering Department for Review) FORM 0 SMCP-TOS MAY 2014 APPROVEM AS NOTED C0iviPL`rr VvITFI .ALL CODES OF DAT B.P.# IVEW YORK STA E & TOWN CODES _ , ..._ _ l z . _ . FE . BY: ZSR AS REQUIRED AN �' OF h _" MOTIF E3U(LDIf�iG mDFA;RTMNT. -19WN ZBA_ 765-1802 8 AM TO 4 PM FOR THE gBARD FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED S ��� d ;A USTEES FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUINIBING - — i 3. INSULATION r 4. FINAL - CONSTRUCTION MUST } BE COMPLETE FOR C.O. OCCUPANCY OR ALL CONSTRUCTION SHALL MEET T IE REQUIREMENTS OF THE CODES OF N W USE IS UNLAWFUL STATE. NOT RESPONSIBLE FIR DESIGN OR CONS-1 RUCTION ERROR; WITHOUT CERTIFICATE > I OF OCCUPANCY( voVD w j ,Z 14 \40e i € �` 'ry-m (Fad,� F I I , ('noes A0"ol _..... �._.� ..._ _ _ . ..a._... .._.._ _.e._ . .. _....-._. . .�._..._.0 _ 9109 s a AN ccC3 �1G�D�la� Homeowner Mannie Frangas 1425 Central Dr Mattituck, NY 11952 j alexander Home Improvement corp. 900 Front St Uniondale NY 11553 Details Plans for portico to be build on the property mention above dimension of the new portico to be buil 6'along the existing front wall of the house and 5' going out. we will buil the new portico using new 2x8' rafter, 1/2" plywood sheathing, new gaf shingles, 2 new columns 6x8", new pvc railings, new vinyl soffit on he insidE jF 1/2" plywood sheathing with new asphalt roo 2x8" Rafter to be used to be used r Existing Vinyl siding 6x8 Columns to be install Pvc Railings to be install _ r OD MAY 1 2016 BIDING DEPT OW1,1®F SOUTHOLI)