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42177-Z
gUFF66'i`ld, Town of Southold 6/28/2018 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39740 Date: 6/28/2018 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 2600 New Suffolk Ave, Mattituck SCTM#: 473889 See/Block/Lot: 115.-9-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/15/2017 ' pursuant to which Building Permit No. 42177 dated 11/27/2017 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: WINDOW ALTERATION IN MUDROOM OF AN EXISTING ONE FAMILY DWELLING PER HPC APPROVAL, AS APPLIED FOR The certificate is issued to Harper,Robert&Catherine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED tho ' egig-nature TOWN OF SOUTHOLD cP BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . 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#: 42177 Date: 11/27/2017 Permission is hereby granted to: Harper, Robert 2600 New Suffolk Ave PO BOX 1590 Mattituck, NY 11952 To: make alterations (mudroom) to an existing single family dwelling as applied for per Historic Preservation Commission approval. At premises located at: 2600 New Suffolk Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-9-3 Pursuant to application dated 9/15/2017 and approved by the Building Inspector. To expire on 5/29/2019. Fees: CO -ALTERATION TO DWELLING $50.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 Total: $250.00 CDBn nspector 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: L (check one) Location of Property: G� D� l eii C 1 House No. X Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block U 91 Lot V 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 Appl cant Signature /I i so o� * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. /] F NDATION 2ND [ ] I LATION AMING /STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: V" l © I DATE Yv g INSPECTOR A-WL FIELD INSPECTION REPORT7 DATE COMMENTS FOUNDATION(1ST) y ------------------------------------ FOUNDATION(2ND) On No ROUGH FRAMING& PLUMBING y 1 l `A1 INSULATION PER N.Y. H STATE ENERGY CODE 'a FINAL ADDITIONAL COMMENTS 1 O � Z d b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you ihave or need the following,before applying? TOWN HALL Board-of Health_ SOUTHOLD,NY 11971, 4 sets of Building Plans -- TEL: (631) 765-1802P.lanning-Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. — Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application_! Flood Permit Examined ,20 . Single&Separate_: 11 — Storm-Water Assessment Form Contact: Approved ,20 Mail to: �'r f Disapproved a/c Phone: 15 Expiration v� DC D , nspect SEP 1 5 2017 APPLICATION FOR BUILDING PERMIT p,MMDINGDEPT- j Date 9 �-� /,-/" 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 requited. 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 inspectio . c ( ignature app cant or name, if a corporation) (Mai mg Addr ss of applicar(t) State whetherr applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C/ Name of owner of premises (As on the tax roll or latIst 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 of land on hich proposed work will be done: 2� 00 K&A LAS ca G C House Number Street Hamlet County Tax Map No. 1000 Section � Lj Block Lot `" Subdivision Filed Map No. 1 - Lot 2. State existing use and occupancy of premisee nd inte a ded se d occupancy of proposed construction: a. Existing use and occupancy P69 �� b. Intended use and occupancy Ze61o 1 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other W rk ,G %� ��la�J � 4. Estimated Cost Fee t (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 I 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. &. s 1 7. Dimensions of existing structures, if any: Front Rear i Depth Height Number of Stories Dimensions of same structure{,With,;giteTdi;i ,fis or additions: Front � i Rear a Depth ` ,Hetgit '` Number of`Stories s 8. Dimensions of entire new construction: Front� Rear Depth Height Number of Stories" 9. Size of lot: Front Rear Depth 10. Date of Purchase A`dl e1!VV Name of Former Owner di DIT/`/S 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulatii n? YES NO 13. Will lot be re-graded? YES NO ill excess fill be removed fro premises?Y S NO 14. Names of Owner of premises �O- Address d1C 1# Phone No. Name of Architect Address t 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' NOZ�c * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO� * IF YES, D.E.C. PERMITS MAY BE REQUIRED. I 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 resp to this property? * YE * IF YES, PROVIDE A COPY. '74 STATE OF NEW YORK) SS: COUNTY OF_� being duly sworn, deposesand 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. J Sworn to before me this day of 20 Notary Public 'Signatureo pplic nt , I i FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: September 20, 2017 TO: Robert & Catherine Harper PO Box 1590 Mattituck,NY 11952 Please take notice that your application dated September 15, 2017: For permit to construct alterations (window replacement)to existing single-family dwelling at: Location of property: 2600 New Suffolk Avenue, Mattituck,NY County Tax Map No. 1000— Section 115 Block 9 Lot 3 Is returned herewith and disapproved on the following grounds: The proposed alterations, on this non-conforming 25,264.8 square foot lot in the Residential R-40 District, are not permitted without review and approval by the Southold Town Landmarks Preservation Commission, because the property is listed on either the Southold Town,New York State and/or the National Registers of Historic places and requires review by the Southold Town Landmarks Preservation Commission. If the requirements of the town code, pertaining to Landmarks (Local Law No.22) are met, a Certificate of Appropriateness (C of A)will be issued. The C of A is required before a Building Permit will be approved. Information about the requirements for applying for a C of A is available at the information counter in the Building Department. Author' gnature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Landmark \, -4 y� Q _ , James Garretson,Chairperson y • �� Town Hall Annex Anne Surchin,Vice Chair 'f1Q1 �•�0 54375 Route 25 Donald Feiler PO Box 1179 James Grathwohl Southold,NY 11971 Robert Harper Fax(631)765=9502 Gary Parker Telephone: (63 1)765`-1802 Edward Webb www.southoldtownny.gov Damon Rallis,Administrative Assistant Town of Southold Historic Preservation Commission November 21,2017 RESOLUTION #11.21.17.1 Certificate of Appropriateness RE: 2600 New Suffolk Avenue,Mattituck,SCTM# 1000-115.-9-3 Owner: Catherine and Robert Harper RESOLUTION: WHEREAS,_ 2600 New Suffolk Avenue,Mattituck,NY is on the Town of Southold,New York State and National Registers of Historic Places, and i WHEREAS, as set forth in Section 56-7(b) of the Town Law(Landmarks Preservation Code) of the Town of Southold, all proposals for material change/alteration must be reviewed and granted a Certificate of Appropriateness by the Southold Town! Landmarks Preservation Commission prior to the issuance of a Building Permit, and, WHEREAS, the applicant submitted a proposal outlining the scope of work,which include_d alterations to an existing dwelling on a landmarked property,and, WHEREAS, the applicant presented commissioners with an outline of the project during a pre- submission conference on October 17,2017, and, WHEREAS, a public hearing was held on November 21,2017,where the applicant's architect submitted final drawings of the scope of work and outlined the project for the commission, and, WHEREAS, Commissioner Harper(owner/applicant)and Commissioner Surchin recused themselves from the hearing, deliberation, and vote because of their involvement in the project. NOW THEREFORE BE IT RESOLVED,that the Southold Town Historic Preservation Commission determines that the proposed work detailed in the above referenced application meets the criteria for approval under Section 170-8 (A) of the Southold Town Code and, BE IT FURTHER RESOLVED,that the Commission approves the request for a Certificate of Appropriateness. MOVER: Commissioner Grathwohl SECONDER: Commissioner Webb AYES: Parker,Feiler, Garretson RECUSALS: Harper, Surchin RESULT:Passed Please note that any deviation from the approved plans referenced above may require further review from the commission. r Signed: Damon Peter Rallis,Application Coordinator for the historic Preservation Commission Date: o � W 'xr James Garretson,Chairperson Town Hall Annex Anne Surchin,Vice Chair 54375 Route 25 Donald Feiler PO Box 1179 James Grathwohl Southold,NY 11971 Robert Harper Fax(631)765-9502 Gary Parker Telephone: (631)765-1802 Edward Webb www.southoldtovmny.gov Damon Rallis,Administrative Assistant CERTIFICATE OF COMPLETION June 27, 2018 Robert and Catherine Harper 2600 New Suffolk Avenue Mattituck, NY 11952 This letter is to certify that you have completed your project to the satisfaction of the Southold Town Landmarks Preservation Commission in accordance with your Certificate of Appropriateness, issued on November 21, 2017. Should you have any s, feel free to contact me at the number above. Sin ely v er Rallis Application Coord' or Southold Town L dmar s reservation Commission r t- 't Scott A. Russell SUPERVISOR � J i �vl[A�NAGIENUEN T SOUTHOLD TOWN HALL-P_O.Box 1179 53095 Main Road-SOUTHOLD,NEWYORK 11971Town own of Southold CHAPTER 236 - STORIMIWA.TER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES ` HIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No ❑[4 A_ Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface- : ❑ B_ Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ 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. ❑( E. Site preparation within the one-hundred-year floodplain as depicted ------ --=-------=---------_..--en==�'l�d�--Map=-off any=w-at-arc-�u.-r-se_----------------------...----_._---_. _ _ 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.C.T.M. #: 1000 Date. APPLICANT- (Pro rty Owner,DesignnPP ofes5,onal,Agent.Contractor,other) District NAME C� /11 /G�/` L W-0Section Block Lot 1 C)R I�L-ILUi�G DEP_1RTI%NT�iSE U��LY . Contact Infor tore / � t/ Tarynnr��nn,Y Reviewed By: Date: Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — ✓� ❑ Approved for processing Building Permit. Stormwater Management Control Plan Not Required. UG ❑ Stormwater Management Control Plan ib Required (Forward to Engineering Department for Review.) FORM SMCP - TOS MAY 2014 UjFf:QLD 11 DQE w 5 f j ^ AREA a 2!5 , M93 sq t wv. 0 5a75 acre S FfR`T NA710N 'IDE MECLIRIIYTI*rlf IkG3 AkAKTY 1;0 D ROBERT HAMP€h SURVEY OF PROPERTY CA;HERFNE HARPER M A 1"T I TUCTOWN OF SOUTHOLD K O3 S LIC. 40 411'3438 MAR ! , 19$9 rI±•.11d z {I1€ a P 0. 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