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Home My WebLink About36655-Z 4��SUFpalco Town of Southold Annex 10/4/2011 4�o Gyp 54375 Main Road y Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35224 Date: 10/4/2011 THIS CERTIFIES that the building OTHER Location of Property: 250 Naugles Dr. Mattituck, SCTM#: 473889 Sec/Block/Lot: 99.-5-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/24/2011 pursuant to which Building Permit No. 36655 dated 8/24/2011 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 tennis court as applied for The certificate is issued to Chatin LLC (OWNER) of the aforesaid building'. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au o ed ignat e sr TOWN OF SOUTHOLD O�gUFFO(,�c� BUILDING DEPARTMENT y 2 TOWN CLERK'S OFFICE oy � , 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#: 36655 Date: 8/24/2011 Permission is hereby granted to: Chatin LLC PO BOX 221 Mattituck, NY 11952 To: construct an accessory tennis court as applied for At premises located at: 250 Naugles Dr SCTM # 473889 Sec/Block/Lot# 99.-5-2 Pursuant to application dated 8/24/2011 and approved by the Building Inspector. To expire on 2/22/2013. Fees: ALTERATION OF ACCESSORY BUILDINGS $100.00 CO -ACCESSORY BUILDING $50.00 Total: ` $150.00 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 farm). 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 2110 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"laird 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$50.0a 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. r New Construction: V/ Old or Pre-existing Building: ' (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot �;Z'. Subdivision Filed Map. Lot:. Permit NQ. Date of Permit. Applicant; Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Y (check one) Pee Submitted $ � /�p� . Aoolicant Signature pF SO(/r�,ol cOUNi`1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING/STRAPPING [vj FINAL `%✓��S C -e�-- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) - REMARKS: CJ LID OLL DATE INSPECTOR ZIL ] FIELD INSPEG�ON}tEPORT DATE COMMENTS FOUNDATION(1ST) FOUNDATION(2ND) O . E? ROUGH FRAMINQ& H PLUMBING t� INSULATION PER N.Y. STATE ENERGY CODE • a O . FINAL ADDITIONAL COMMENTS to C_ rn C C.0 z TOWN OF SOUTHOLD * BUILDING PERMIT APPLICATION CHECKLV BUILDING DEPARTMENT Do you have or need the following,before applyin TOWN HALL Board of l4ealth SOUTHOLD, NY 11971 , 4 sets of Building Plans w TEL. (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey_-_-._•_ SoutholdTowvn.NorthFork.net PERMIT NO. � Check__ Septic Form_ N.Y.S.D.E.C. Trustees Flood Permit Examined , 20 I� Single&Separate . Storin-Water Assessment Form r Contact: Approved 20�! Mail to: _ Disapproved a/c _ _ Phone: Expiration Building Inspector APPLICATION FOR BUILDING PERMIT Date , 20._____-- 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 lion-nit for an addition six months. Thereafter, a new permit shall be required, APPLICATION IS I-IEMEBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building "Lone Ordinance of the Town of Southold, Suffolk County,Now 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, !loosing code, and regulations,and to admit authorized inspectors on premises and in >ang for asry infections, �� l�.AVlf F L rgnaturree of applicant or nanme, if a corporation) o . 1 e IT r"i(�A (v �(' K� Rl PIFA N.. , VIT�1�.. 1 I T C � i �i��\,8t d t e� �. all' gra.dressofapplicaut) Il7zo DATE (I B.P. # G�6 Sr State whether applicant is owner, lesse��a enty sarc;� trgt�,, gneer, geneial contra tor, electricia?YIE ber or builder Gen 1 C A(_CtL- Qr , 3c�t FEE:— I III gY _ G I�er _ n�nTiFY BI�TLGEi-='," - - 1�r. AaAnkeV;_•__._0.1A 1'A0 CLO C '6. 1�I A 8 AM TO 4 F Li ' t'F� THE Name of owner of premises (As on the tax roll or to N1 TION - TWC OUiREJ If applicant is a corporation, signature of duly authorized officer _ ke�,r, � keGl'on V.R' Ce✓4ura 'Tenni-S -TnC. FOR POURED CONC. - (Name and title of corporate officer) 2. ROUGH-FRAMIN^,PLU"�BlN;: Builders License No. 1966 _g3- 4� CHo^e Tw+qW,_ eMen4 L IcAlse4)STRAPPING. ELECTRICAL&Cr!1LKING Plumbers License No. 3. INSULATION Electricians License No. 4. FINAL-CONSTRUCTION &ELEC RICAL Other Trade's License No. _ MUST BE COMPLETE FOR C 0 ALL CONSTRUCTION SHALL MEET THE 1. Location of land on which proposed work will be done: REQ I�J RF ITS OF THE CODES OF NEW 2�y 14aoq l e S �r�ve _µm+k�ck s r-1�4�._.XO 4T-RE-BIRD _ _&FED------------------- House Number 1j Street DMPOR CONSTRUCTION ERRORS. County Tax Map No. 100.0 Section Qg_ S Lot Q 2- Subdivision Filed Map No. Lot _- �J r 2. State existing use and occupancy of premises ah�d intended use and occupanc of proposed construction: a. Existing use and occupancy_ xt w�l)t 2 5+V fQ. 61 b. Intended use and occupancy_f_QFOSe d -1k00# S �-F- 3. Nature of work (check which applicable): New Building_ -� Addition Alteration Repair _ Removal Demolitiox, _Other Work (Description) 4. Estimated Cost 3s 060 Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Nuzxtber of dwelling units on eaeh.fAoor µ If garage, number of cars 6. I;f 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 construction: Front /2d� Rear 66 Depth O Height O Number of Stories 6 IenAl.S CGur-i- on 9. Size of lot: Front Rear Depth 10. Date of Purchase Naine 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 me Haiti i eJ an d 14. Names of Owner of premises Maur a tMu+i'h Address 20 h&A&e.S tom.n ve. Phone No, Name of Architect T S 36rkl Address grgigi4 144'AA uk ALI&hone No 1- 4t ZZ l31 Name of Contractor kay„g I Address Sb Bronk Ave.,iweac hone No - gilz - o CcLpa 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 BE 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 witll respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF N1=W YORK) SS: COCJNTY OF ) KeJieJ kAeak%do being duly sworn, deposcs and says that(s)he is the applicant (Name of individual signing contract) above na.nwa, (S).He is the C,pyi4r'r.P4-or _._ --- ---- (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 tills 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 flied therewith. Sworia efore e tl's -~-- -dda of� UST- 2 ��. ose Marie E.Hodges //4 _ blic,State of New York Notary blic No.01H06142408 v- Signature of Applicant Qualified in Suffolk County Commission Expires March 20,2014 N SepI16 me, ast�rern e n-Is ,A' •Q, ST Z2 �' SURVEY OF PROPERTY 4-357' I.P ai 35 46 AT MATTITUCK ag . ---•-----..IMP _ TO WN OF SO UTHOLD (VACANT) SUFFOLK COUNTY, N. Y. 1000-99-05-02 SCALE- 1'=50' EL. To,4'NA UGLES APRIL 19, 2004 TEST HOLE DATA ROAD EL. 11.0' DEC. 9, 2004 (FNDTN• LOC.) NTEST Feb. Id" 2oas rev'S1.4 EL. f0.0'JIJ%4 4-12287 - R=1228. 72 ' L=94.27' r HOLE L10.0' DEC.8, 200 (FINAL) MIXED LOAM ► 2 L-2o1, R= 65 36 L=142.37 A1.i9. /2, 2dI( (ProQ. �enn1s cc�� '+�i 21 � EL. 11.11 .�. ------ 1.5' 0.51S i o EL. 10.7' PALE BROWN FINE TO COARSE SAND 0.7'W ELFCTR �\ I W WITH IOt'GRAVEL SW METER' ROCK WALL EL. 2.J' ------ 7.7' WATER /N PALE BROWN FINE TO COARSE I WELL Z SAND WITH 10%GRAVEL SW Q °- I WATER IN BROWN SILTY SAND SM y- W i WALL ------ 2 -- WATER /N BROWN SANDY CLAY Z I \ AND CLAYEY SAND SC & CL O cl- 1 (31 I \ \ ------ DECK 26' O 98.8' O WATER IN BROWN FINE TO COARSE SAND SWro O 32' O I I5.01 8.8 41.4' I 19, O 20 >{�fovn d' a (n 1 2 STY IR- . u Zo.4 GRADING PLAN (M.CHAR DEdc V 8•ASPHALT m 4' APPROVED P I _ FF. EL. 22' PIPE ' _47.3' CDC' I D Z iN 62.8' A. Z R° FINISHED GRADE EL. 20' I- DECK v m CONC. LE. Z PREP. u sf ro 19.5' I.E. tl.E. a ^� ° BRICK 1. ry 192' KT z P O 16.7' p m I O J' /� O L b2 STONE WALL n S ONE PROPOSED SEP77C SYSTEM e I RET. WALL I EL. 0' [11 LEACHING POOL 12' DEEP WITH 3' CLEAN B' DIAMETER w I I N NO m 00 SAND COLLAR. REMOVE MATERIAL DOWN SAND C� Ch�1r1 Lln }< 0 z W TO SAND SP AND BACKFILL WITH CLEAN SAND. & GARVEL I N rn to [11 1,000 GALLON SEPTIC TANK. EL. -16 v, Race .-. I �o - -- o a l am familiar with the STANDARDS FOR APPROVAL yr 2p 12a d - AND CONSTRUCT/ON OF SUBSURFACE SEWAGE v ram;, o Pfwp l� DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES O P and will abide by the conditions set forth therein and on the Goer permit to construct. SHED o_ 0 EL. 32 2 �SOF NiEjj/r The location of wells and cesspools shown hereon are SHED /2D' from field observations and or from data obtained from others, 30W '! N AO�AL) � �.��' �T2 p�'r Elevations referenced to an assumed datum. 235.60� (DEED) (DWELLING) ANY ALTERATION OR.AODI77ON TO THIS SURVEY IS A VIOLATION well ° EL• 31.3 •,}7'30"W (D OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. S78 r ' MON EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS 11 0.8N 0.5W USAK C - HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 0.41E � ) �E�T H 49618 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR JR & RO ECONI RVE WHOSE SIGNATURE APPEARS HEREON. °well �0FRANK HU pWELLIN (631) 7 —5020 65-1797 ( ■ =Monument N / P.D. BOX 909 AREA=72,340 SQ. FT. 12JO TRAVELER STREET - SOUTHOLD, N. Y. 11971 04—127