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HomeMy WebLinkAbout39741-Z �\pg11FFOt,fcOG Town of Southold 2/14/2018 3� y P.O.Box 1179 o - o _ g 53095 Main Rd 4,j 0� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39508 Date: 2/14/2018 THIS CERTIFIES that the building DECK Location of Property: 1525 Birds Eye Rd, Orient SCTM#: 473889 See/Block/Lot: 17.-24.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/25/2015 pursuant to which Building Permit No. 39741 dated 5/7/2015 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(REPLACEMENT IN-KIND)TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Matassoni,William&Valentine,Pamela of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED e t ed Signature gUfFO(�c TOWN OF SOUTHOLD BUILDING DEPARTMENT y, z; TOWN CLERK'S OFFICE oy_• a� 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#: 39741 Date: 5/7/2015 Permission is hereby granted to: Matassoni, William &Valentine, Pamela 78 Logan Rd New Canaan, CT 06840 To: Deck repair as applied for per Trustees. At premises located at: 1525 Birds Eye Rd SCTM # 473889 Sec/Block/Lot# 17.-2-1.2 Pursuant to application dated 3/25/2015 and approved by the Building Inspector. To expire on 11/5/2016. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $483.20 CO -ALTERATION TO D LING $50.00 Total: $533.20 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$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: ip PR_Ds E i_=A) House No. Street t Hamlet Owner or Owners of Property: �r h Am M�,'(�F} S Se to I �"'0AIA l F I-A V,q Suffolk County Tax Map No 1000, Section f _ Block Lot Subdivision nAM Filed Map. Lot: Permit No. M. /�/ Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: v (check one) Fee Submitted:$ 5� Applicant S'gnature OF SOUTyo �y�OUM'1,0� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRIC (FINAL) REMARKS: . 61 Ryv DATE Y111 7101 INSPECTOR \--%ctL I ' f • . 1 r • ' FIELD INSPV,�DEPORT DATA COMMENTS , . . .pro FOUI D,AtION(1sT) • r ........p.�............ .... FOUNDATION(2ND) ROUGH FRAZYZWQ& PLUMMING I INSULATION PElt N.Y. �H STATE ENERGY CbD- FINAL y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL , , ,,.r;: , ; ,'r," "c., , i- >r; -1.Bpard,c�filealth,, SOUTHOLD,NY 11971 TEL: (651)765-1802 '- - Planning Board approval FAX: (631) 765-9502 x ) .SII?Vey}',=> SoutholdTown.NorthFork.net PERMIT NO.--'`3� -�� _ Check ,+Septic;Fo _...__ Trustees C.O._Application 1i F_loodPemiif�``'t" Examined,, i;20�t, - (, <,rl r Single&Separate - '';Storm fWatierlAssessment Fomil' i) i i - - -Contact: Approved It ,20 Mail to: -�, K �!^ ,/U ,l,.,T iE':r„ �+) 7) _`!' ')(i+, 1i'.)Eil t' � `J it`. 1=. ,,. , ,c•.,� ,. ._, Disapproved a/c Z. Phoitei,If rt';' Expiration ing �i AAa Z 5 „ZOOS - PPLICATION FOR BUILDING.PERMITro,,r, Date- - 20� 1n.=,;t,;c1i S�U1FIOlD _....._: _.___ •,r.l',�iINS.�'RU�TZQNS-.._- ._ _. . ..__s_'__.'�._. , , a. This application MqS"T be-cotn�lgtet�y fillad iin•by,;typewriter ar'in is*.,and submittedlto the Ruilding,Inspector with ,4 sets of plans, accurate plot plan to scale.l~ee according fo schedule. ' - b. Plot plan showing location of lot and of buildings on premises,rlelationsip totadjoilning premises,or public streets;or areas, and waterways:-- c. The work covered by this application{may not be commenced before issuance of Building Permit. 11 *10 rr c' d. Upon approval'of this-applilohtiori',the Building ar pecior will issue`a'Building Nermrt o' the'applicahr.Such a perinit shall be kept on the premises available for inspection throughout the work. e.No buildirig.shall�6e occoied*or`�tse'd'in whole or irr pa for•anypurpose what so-ever'until the'Building-Inspector' issues a Certificate of Occupancy. - �•�_ f.`ljv„ery_bittilding perm ittshall_expire if the w�rlc a�itltorized has_.t�if'CQzntziexic d�ithia42'months after;the hate of issuance or has not been completed'wit1iin 18 months-from such�datb.AIf no zoning amenc(inents}or_other regulations,affeetinp the property have be&U enacted in the,interim,the-Building,Ins)ector-may',authorize,.in writing,;the extension of the.perrrtit;forran addition six months. Thereafter, a new permit shall be required. u APPLICATION IS,HEIZEBY MA•DE,to the,puilding D,eparhr}e�nt fvr.the issuance o f,a,Bilding Permit.pprsuant;tothe, BuildingZone Ordinance of the Town of Southold-Suffolk County New,York,and other;applicaple Laws,Ordirianees ort Y z>t„ 3 Regulations,for the construction of buildings,additions,or alteritionstor fort removal,or-demolition as herein described. The Y applicant agrees to comply with all applicable laws, ordinances','buildifig,code,hoes ng pode, a>d regujations, and-to,adm�t, authorized inspectors on premises and in building for necessary inspections. ,,; •- ."{�i t iii,,, .,• , ;, 1 . , ,' r' ;i'I( t i�, (Signa re of applic t or name,if a corporation) :r'1 ai !i+r (Mailing=addr'ess of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises � ��/ �G✓i -f� ��f , P7444 E V ;�Ey� �•� (As on'th)e�fax roll or latest deed)' If applicant is a corporation, signature of duly authorized officer " (Name and title of corporate officer) Builders License No. / 3 1 !�( f-/ I Plumbers License-No. n ,. Electricians License.No: Other Trade's License No. 1. Location of land on which proposed work will be done: /5-Z. - b�2v s � /� PA , Q2"w. House Number Street Hamlet County Tax Map No. 1000 ' Section Block d 2 Lot �• Subdivision AM Filed Map No. Lot 2. State existing use and occupancy of pre es and int nded 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 Y Removal Demolition Other Work (Description) 4. Estimated CosAr,�` � 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 st c urf es, if any: Front ©( Rear �p r Depth / Height ZZ Number of Stories h Dimensions of same structure with alterations or additions: Front -Rear Depth - umb V Stories 8. Dimensions of entir ew construction: Front Rear Depth { , U'� Height Number of tories 9. Size of lot: Front / 3 6 Rear / Depth 10. Date of Purchase �� !�— Name of Former Owner:9. Ana,a E r7- 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 y ��ss� 7g L,11 14.Names of Owner of premises Address "�- Phone No.�I = 76)—6C Name of Architect /t)�� Address O b%CfI Phone No Name of Contractor Address Phone No. dC E— G 9 19C 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES r/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 v-'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 \) f g Ii-�A being duly sworn, deposes and says that(s)he is the applicant (Name of indi 'dual signing contract) above named, (S)He is the A �tv (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 day of 20 Notary Public Signature of Applicant 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) 765-1502 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3� �� 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 C C In pe _ A, 2 2015 PPLICATION FOR BUILDING PERMIT ei no, ORT Date ,j , 20 1�,i,,or sour io n 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. Ct (Signa re of applic t or name,if a corporation) 1�2 1 Y�X qn ( ,� (Mailing address of applicant) 1(rf 3c, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises �� ��/ `R'I �/°I/�16:5 ®�� , rig}dI/1 gl�� OAL��_r) juE (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. / �L !�( 14 Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: /521'�_ b i/z_>n ; E c/ P--Q . House Number Street Hamlet County Tax Map No. 1000 Section Block d 2— Lot /. Z } e_ 1 i E SOUL' John M. Bredemeyer III, President XQ Town Hall Annex Michael J. Domino,Vice-President 54375 Main Road P.O. Box 1179 James F. King, Trustee Southold,New York 11971-0959 Dave Bergen,Trustee Q Telephone (631) 765-1892 Charles J.Sanders,Trustee 11 7C®UNN,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8581A Date of Receipt of Application: March 27, 2015 Applicant: William Matassoni SCTM#: 17-2-1.2 Project Location: 1525 Birds Eye Road, Orient Date of Resolution/Issuance: April 22, 2015 Date of Expiration: April 22, 2017 Reviewed by: Board of Trustees Project Description: To replace in-place the existing irregularly shaped deck attached to dwelling including the +/-236sq.ft. on-grade decking off of deck. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Gary Parker, last dated March 25, 2015, and stamped approved on April 22, 2015. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. John M. Bredemeyer III President, Board of Trustees John M.Bredemeyer III,President o�*OF sov�yol Town Hall Annex Michael J.Domino,Vice-President h O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® Telephone(631)765-1892 Charles J.SandersO Fax(631)765-6641 �yc0UNr1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1300C Date:January 3,2017 THIS CERTIFIES that =lace in-place of the existing,irremularly shaued deck attached to dwelling including the+/-236 sq ft on-Wade decking off of deck: At 1525 Birds Eye Road. Orient Suffolk County Tax Map#1000-17-2-1.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 27, 2015 pursuant to which Trustees Administrative Permit#8581A Dated April 22,2015,was issued 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 replace in-place of the existing_irre ug irregularly shaped deck attached to dwelling including the+/-236 sg. ft. on-grade decking off of deck. The certificate is issued to WILLIAM MATASSONI owner of the aforesaid property. Authorized Signature �5ul��f�� ��[�(0 JRJWWA IE]R� - Scott A. Russell �� � � � SUPERVISOR - 1\M[A\I�A(G 1E1\\41E1�T SOUTHOLD TOWN HALL-P.O.Box 1179 vp 53095 Main Road-SOUTHOLD,NEW YORK 11971 't' O`er Town of,Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) Y DOES THIS PROJECT INVOLVE ANY OF THE (FOLLOWING: 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. ❑Ej13. Excavation or filling involving more than 200 cubic yards of material ❑dwithin any parcel or any contiguous area. ; c. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. E D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑[;�E. Site preparation within the one-hundred-year floodplain as depicted - ; - -- - - —on FIRM-Flap--of-a-ny-watercourse-.-- -- -- ❑E1F. 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. 'P: 1 OOO Date Dutr,ct NAME: _nA woo I Section Block Lot FOR BUILDING DEPARTMENT USE- ONLY ► Contact Information: � / �� / �� Reviewed By: - - - - - - - - - - - - - - - - - - Date: Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — MApproved for processing Building Permit. Stormwater Management Control Plan Not Required. ® Stormwater Management Control Plan is Required (Forward to Engineering Department for Review.) FORM * SMCP-TOS MAY 2014 w � � w P1000069 P1000071 Aw A � C• 4 ,{ n Mfi s ��,,,� � �,y., � •,fir ;q� P1000084 P1000085 39 ,-) `) TOWN OF SOUTHOL® PROPERTY---PEC®R® CAR® OWNER STREET l �S VILLAGE DIST. SUB. 'LOT ' ' r_ , t �, t1`�/Gt� �j-er�t ' ( ro FORMER,OWN�,R'� - G N E ' ` I` ACR. / --' s �evO�f'/ , LGt�'i W t'1 z- 1,3 TYP OF BUILDING RES. ! a SEAS. VL. FARM COMM. CB. MICS. Mkt. Value �- LAND IMP. TOTAL DATE REMARKS �[�� � '�_.�d� '' 14l ;`7 r�C:� � l� 1=�=I��^��.�_b 1p'�i ,f-• 1����Ut�S�t� t,�„�f ... �..���'�3�'� �-�C��i' �, 11' '006 t It y ,,z ef' V 0'2 ks '+a t`�— -zi'7 1 L fe'..r i-r�.r� � l�,t. _ - • 6670, R70 - '� fll7� �-� �� e 6 ' AZ 15,'0C&! ., _ 2� it ,.• � ., Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total a+ ay4�si��lbyEi c<,r *� A4 S 1' 4 f --j,- 01 Ml _ 1 . ■■Ml Ml 01 ■■■ ■■■■■■■ 01 ■e■�'■■■Oe■ d ■■ ■■■■■■■■■■■ ■■e e■■ OWN Ml ■■ecce■■=.' RU■ ■■:■e■e■■■ ■ No Ml ■■■■■ ■■■■■■ ME ME ■■■■■■ r ■■■■■■■■■■■■■■■ No ■■■■■e■■■■■ee■ee ■■■■■■e■■■■ i S r E �ODES OF F� �6 ODES C,v: ., _ .r.� TO _ I EIA rAN +� � �s O SOUjN,OtDTO � F . moi I�s B.P. , � ®ATE• US 1 ELS 3� FEE _ PY. - - NOTIFY BUILDiNO DLP AR T NTENT AT y id.Y S 765-1302 8 AIA TO 4 PM FOR THE 1. FOUNDATION - TWO REQUIRED 2. ROUG, - i-hwaimrd Ft-Jk1K a-c- St 3. INSULATION ''ti'�E'• --=---- 4. FIi1\'AL - CONSTRUCTION MUST /V1� `"ovr1LL CONSTRUCTION SHALL. MEET THE i REQUIREMENTS OF THE CODES OF NEW Z. 3 YORK STATE. •NOT RESPONSIBLE FOR - nr..in-r r n n o RA�� 'rip • - r - ---% TA 5 &A.),Z rm* love -• !�f - 62- -1. 2- ---- --mow�- - - - � -- - - --__- - =