HomeMy WebLinkAbout36829-Z oX�.. Town of Southold Annex
SUFFD(,�co� 4/7/2012
=o G� P.O.Box 1179
co $ 54375 Main Road
o � r Southold,New York 11971
44
CERTIFICATE OF OCCUPANCY
No: 35564 Date: 4/7/2012
THIS CERTIFIES that the building AS BUILT ADDITION
Location of Property: 1350 Central Drive, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 106,243
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/21/2011 pursuant to which Building Permit No. 36829 dated 11/21/2011
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:
'As Built'.Addition to a Single Family Dwelling
Front Porch Roof R X 12'), as applied for.
The certificate is issued to Cleary,John
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Au orized Signature
TOWN OF SOUTHOLD
�SVFFo���P� BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
SOUTHOLD, NY
t 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#: 36829 Date: 11/21/2011
Permission is hereby granted to:
Cleary, John
1350 Central Dr
Mattituck, NY 11952
To: 'As Built' Addition to a Single Family Dwelling;
Front Porch Roof(4' X 12% as applied for.
At premises located at:
1350 Central Drive, Mattituck
SCTM # 473889
Sec/Block/Lot# 106.-2-13
Pursuant to application dated 11/21/2011 and approved by the Building Inspector.
To expire on 5/22/2013.
Fees:
CO -ADDITION TO DWELLING $50.00
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $400.00
Total: $450.00
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'locatiod 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 7J10 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)lion-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 spmpleted 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_ Certifcaie of Occupancy-.New dwelling$50.00,Additions to dwelling$50:00, Alterations to dwelling$50-00,
t 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 o€Occupancy -.Residential $15.00,Commercial$15.00
Date- NU.'i a
New Construction: Old or Pre-existing Building: (check one)
Location of Property: -/3S`y
House No. Street Hamlet
Owner or Owners of Property: ; C L(=_aL )-,7
Suffolk Eounty Tax Map No'1000,Section f D Block Lot /3 1
Subdivision Filed Map.
Lot:
Permit No. Date of Permit. Applicant:
Heaith Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee.Submitted: $ S y
Applicai ienature
pF SO(/T�o� '
�ourm,N
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION .
[ ] FRAMING/STRAPPING KFINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
r
REMARKS:
DATE r INSPECTOR ✓�� r
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMEN71" 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. 36V91 Check
Septic Form
N.Y.S.D.E.C.
Trustees
_ ] Flood Permit
Examined 1 120 1 I Storm-Water Assessment Form
I I Contact:
Approved ` l 20 I I Mail to:
Phone:
Expiration — ,20 13 t
"LOG
Building Inspector
ATION FOR BUILDING PERMIT
DateZ / / , 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 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.
IA�7
ignature of applicant me,if 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 ax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name.andAitle;o:f,corporate officer)
Builders License:No '_`
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on whip proposed work will be done:
House Number Street Hamlet
1 1
County Tax Map No. 1000 Section t Block Lot (. 3
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 / 4.v1 e L/,v6
b. Intended use and occupancy -/19—
3. Nature of work (check which applicable): New Building Addition Alteration Z---'
,Repair Removal Demolition Other Work
a� (Description)
4. Estimated Colt (/ 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.
r;
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 Rear; Depth !
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated 12 ej c c( �.�•_�,�-
12. Does proposed construction violate any zoning law, ordinance.or regulation? YES.
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises, Address o3 U & rn (}Phone No. 6f:�S'e�=/o(, U
"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 0
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES O
* 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�j
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named, CONNIE D.BUNCH .
Notary Public,State of New York
(S)He is the No.01BU6185050
ffled in Suffolk Cot'OY
(Contractor, Agent, Corporate Officer, etc.) ua
Commission Expires April 14.
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
(Lt�� day of 201 )
QL
Notary Public Signature of Ap ant
r
Date i Z c<
File#
It 9 ;-0
TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM
Location of Complaint: �� 7 A � SCTM#
Property Owner: C <_ N Phone
Address: 5
NATURE OF COMPLAINT:
ACTION TAKEN:
did [Q_
Optional:
Complainant: By Phone Mail In Person
Address Phone:
Report Taken By: Date
Date Referred to Code Enforcement:
CODE ENFORCEMENT REPORT
SITE INSPECTION REPORT/DATE:
ACTION/DATE:
ado ,Town of Southold
Erosion, Sedimentation .& Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A.
N( t� 3 STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN
Lo et section �t CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No
a. What is the Total Area of the Project Parcels? 1 Will this Project Retain Ali Storm-Water Run-0ff
(Include Total Area of all Parcels located within Generated by a Two(2")Inch Rainfall on Site?
the Scope of Work for Proposed Construction)
(S.F.i Aces) (This item will Include all run-off created by site �❑
b. .What is the Total Area of Land Clearing clearing and/or construction activities as well as all
and/or Ground Disturbance for the proposed Site Improvements and the Permanent creation of
construction activity? impervious surfaces.)
(S.F./Acres)
PROVIDE BRIEF PROJECT D ditie]DESCRIPTION (Provide Adnal Pages as Needed) 2 Does the Site Plan and/or Survey Show All Proposed
Drainage Structures Indicating Size&Location?This
Item shall include all Proposed Grade Changes and
^ (� Slopes Controlling Surface Water Flow.
0-0 w S T/La c �LvN r/.d i 0 v ems-
� r 3 Does the Site Plan and/or Survey describe the erosion ❑
and sediment control practices that will be used to
control site erosion and storm water discharges. This
item must be maintained throughout the Entire
Construction Period.
4 Will this Project Require any Land Filling,Grading or
Excavation where there is a change to the Natural
Existing Grade Involving more than 200 Cubic Yards _of Material within any Parcel?
i
rj Will this Application Require Land Disturbing Activities
Encompassing an Area in Excess of Five Thousand Fl.
!�
(5,000 S.F.)Square Feet of Ground Surface?
6 Is there a Natural Water Course Running through the
Site? 'is this Project within the Trustees jurisdiction M —
General DEC SWPPP Requirements: or within One Hundred(100')feet of a Welland or
Submission of a SWPPP is required for all Construction activities involving soil Beach?
disturbances of one(1)or more acres; including disturbances of less than one acre that
'T Will there be Site preparation on Existing Grade Slopes /
are'part of a larger common plan that will ultimately disturb one or more acres of land; Which Exceed Fifteen(15)feet of Vertical Rise to
including Construction activities involving soil'dfsturbances of less than one(1)acre where . One Hundred(100')of Horizontal Distance? El
—
the DEC has determined that a SPDES permit is required for storm water discharges.
(SWPPP's Shall meet the Minimum.Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas Or other Impervious
for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off
1,The SWPPP shall be prepared prior to the submittal of the Not.The NOI shall be into and/or in the direction of a Town right-of-way?
submitted to the Department prior to the commencement of construction activity.
2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this,Project Require the Placement of Material, /
required,post-consWction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any
constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right:-of-Way or Road-Shoulder
compliance with the terms and conditions of this permit In addition,the SWPPP shall Area?(Yids Item will NOT Include the Installation of Driveway Aprons.)
identify potential sources of pollution which may reasonably be expected to affect the
quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark
3.All SWPPPs that require the postconstruction storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.&1 Acre in area,
component shall be prepared by a qualified Design Pmfessfonal Licensed in New York a Storm Water,Grading,Drainage&Erosion Control Plan is Required by the Town of
'that is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit
(NOTE A Check Mark(,J)and/or Answer for each Question is Required for a Complete Appliadcn)
STATE OF NEW YORY, CONNIE la.BUNCH
COUNTY OF............................:..............SS Notary Public,State of New YorkNo.01BU81W=
ff Quall1w in Suffolk Corm
That I, � ` ........................being duly sworn,deposes'and says di Dhlt�li�Sf�Nfr libtt rill
ty
(NameW l��of individual signing Document)
Andthat he/she is the ......................................................................................:.............................................................................
(Owner,Contractor,Agent,Corporate Officer,eta)
Owner and/or representative of the 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 herewith.
Sworn to before me this;
...............................................day of........................................... ,20..... j
NotaryPublic: ..........................................................................................
(Signature pliant)
FORM - 06/10
B. P. # -�?> (g d7
BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted: r j � I I Date Reviewed. I
Applicant: 9� Owner:
Aychit,&4/Engineer: c- /yt _ Estimated Cost: �b• bo
SCTM# 1000- Subdivision: Zone: Conforming?
Property Address: 3-570 b City:, ����i�-- pre COs?
Building Permits (Open/Expired): BP -Z/C/o Z- ,Info: BP -Z/C/o Z- ,Info:
BP -Z/C/o Z- , Info: BP -Z/C/0 Z- Info: BP -Z/C/0 Z- ,Info:
Single& Separate Search Required? Y org)Deterriiination:
REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. ACT: Lot Cov.
REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear PROP. Rear
REQ. Height. ACT. Height
Project Descri tion: oN--.
(� r
Waterfront. Y o N?
If yes, water body: Panel# Flood Zone: Bulkhead/Bluff Distance:
ADDITIONAL APPROVALS REQUIRED
Suffolk County Health: Y orc)- If yes, *Bed#: *Date:_/_/_ *Permit#: Town Septic: Y or 11
- If no, certification required: Y or N Received: Y or N By:
NYS DEC: PRE-DEC 9/1/75 Y O Date: _/ / Permit#: or NJ Letter-Notes:
Southold Trustees: Y or6 - Date: _/ /_ Permit#: or NJ Letter-Notes:
Southold ZBA: Y orrl�T - Date: _/ ! Permit#: -Notes:
Southold Planning: Y o* - Date: '/ /_ Permit#: -Notes:
Town Landmark C of A: Y o&
TE: / /_ *NYS CODE Compliance (page 2): Y or N
Notes: ivy P-4 &AL I�E� C-a/x 4(p II
a
Fee Structure: Calculation:
Foundation: SF 1. ( SF)- SF X _
First Floor: SF + Initial Fee: $ pro ® � o O
Second Floor: SF +Additional Fee ( : $
Other: SF 2. ( SF)- NSF)= SF X $ =$
Total: SF + Initial Fee: $ P-ov-
+Additional Fee , e
TOTAL: ��--
NEW YORK STATE CODE COMPLIANCE CHECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load:20 Wind Speed: 120MPH Seismic Design Category:B
Weathering: Severe Frost Depth: 36" Termite: M-H Decay: S-M
Design Temp: 11 -Ice Shield Underlay:YES_ Flood.Hazards:
USE/OCCUPANCY CLASSIFICATION:
HEIGHT/FIlZE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE
FULL FRAMING DESIGN ELEMENTS: YIN
HEADERS: Y/N WALL STUDS: Y/N G11 DERS: YIN
CEILING JOISTS: Y/N FLOOR JOISTS:Y/N ROOF RA-F TERS: YIN
LUMBER SPECIES AND GRADE: Y/N
WINDOW AND DOOR SCHEDULE:
-MISSLE TEST REQUIREMENTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%: Y/N
`TENT 4%: Y/N
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RISER DIAGRAM: Y/N
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
t
CERTIFICATION: Y/N
ENERGY CALCS: Y/N
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
pF SO(/jyol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
y�OUNT`I,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
John Cleary
1350 Central Drive
Mattituck,NY 11952
December 15, 2010
Re: 1350 Central Drive
SCTM# 1000-106.-2-13
Violation
To Whom It May Concern:
Following a recent complaint and subsequent investigation, it appears that construction has
occurred on your property without a building permit from the Town of Southold.
Pursuant to Chapter 144-8(A)(1) of the Southold Town Code,
"No person, firm or corporation shall commence the erection, construction, enlargement,
alteration, removal, improvement, demolition, conversion or change in the nature of the
occupancy of any building or structure, or cause the same to be done,without first
obtaining a separate building permit from the Building Inspector for each such building
or structure."
Please contact me at(631)765-1802,between the hours of 8:00 a.m. and 4:00 p.m., to discuss the
matter.
esp tfully Yours,
Da ' , n spe r
Sou old B ing D artment
oo°o
3
�°°5
-evaf Fit Town of Southold Annex 10/14/2011
Gy 54375 Main Road
a„ Southold,New York 11971
f
COMPLAINT
To: Cleary, John Complaint#: 2011-171
1350 Central Dr SCTM#: 106.-2-13
Mattituck,NY 11952 Follow-up Inspection Date: 11/4/2011
Location: 1350 Central Dr
PLEASE TAKE NOTICE, a complaint has been registered against the location described above,in that the above named
individual(s) did commit or permit to occur the following offense:
Building department reports that property owner was never issued a building permit for"as built"work.
This condition constitutes a violation of:
TOWN OF SOUTHOLD CODE
144-8(A)(1)
To Resolve: Property owner has ten days to bring in requested plans and obtain building permit.
When on 10/14/2011,I did observe the following:
This property will be re-inspected for compliance on: 11/4/2011 i
i;
Damon Rallis
gO pt4.� Town of Southold Annex 10/14/2011
54375 Main Road,
C2 x Southold,New York 11971
NOTICE OF VIOLATION - ORDER TO REMEDY
ISSUED TO: (Owner of Record)
Cleary, John
1350 Central Dr
Mattituck,NY 11952
RETURN DATE: 11/4/2011
REFERENCE NO.: 2011-171
Regarding: 1350 Central Dr
SCTM#: 106.-2-13
PLEASE TAKE NOTICE THAT the property described above, including any improvements thereon, which is owned, occupied or
operated by you or in which you have an interest, is in violation of the Town Code of the Town of Southold and/or the Uniform
Fire Prevention and Building Code as specified in the attached"MEMORANDUM OF VIOLATIONS".
YOU ARE THEREFORE ORDERED AND DIRECTED to correct and comply with the law and to remedy these violations on or
before the RETURN DATE noted above.
If you contend that there is no violation, you must notify the below code enforcement official in writing before the RETURN
DATE noted above. This notice must stipulate the-specific reason you believe the conditions noted on the attached
MEMORANDUM OF VIOLATIONS is not in violation of applicable codes,rules or regulations.
Your failure to correct these violations within the time noted above, and to comply with the applicable provisions of law may
constitute an offense punishable by a fine or imprisonment or both.
For the purposes of applying the penalties described in this order,your-first violation shall be deemed to have occurred as of the
ISSUE DATE noted above.
Should you haygAnyquestions, plea ntact me at(631) 65-6620.
Damon Rallis
Town of Southold Annex 10/14/2011
54375 Main Road
m Southold,New York 11971
MEMORANDUM OF VIOLATION(s)
ISSUE DATE: 10/14/2011
REGARDING: 1350 Central Dr
S EC-LOT-BLK: 106.-2-13
ISSUED TO: Cleary, John
1350 Central Dr
Mattituck
LAW TYPE: TOWN OF SOUTHOLD CODE
SECTION: 144-8(A)(1)
DESCRIPTION: No person, firm or corporation shall commence the erection, construction, enlargement, alteration,removal,
improvement, demolition, conversion or change in the nature of the occupancy of any building or structure, or
cause the same to be done, without first obtaining a separate building permit from the Building Inspector for
each such building or structure.
'OBSERVED:
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ALL CONSTRUCTION SMALL MMEET THE
REQ�IR�MEf TS OF THE CODES OF NE I I I I �-�Ku
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