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r�uFFO( Town of Southold Annex 10/3/2012 ,�©�Q c�Gy� P.O.Box 1179 � x 54375 Main Road o • ;1 Southold,New York 11971 o CERTIFICATE OF OCCUPANCY No: 35984 Date: 10/3/2012 THIS CERTIFIES that the building DECK Location of Property: 1165 Saltaire Way,Mattituck, SCTM#: 473889 Sec/Block/Lot: 100.4-24 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed.dated 7/25/2012 pursuant to which Building Permit No. .37427 dated 8/7/2012 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 with outdoor cooking area to an existing one family dwelling as applied for per ZBA#6572 dated 7/19/12. The certificate is issued to Ziegler,Brian&Megan (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37427 9/25/12 PLUMBERS CERTIFICATION DATED Auth jd. ignat re TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o f SOUTHOLD, NY ��y�ol Sao 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#: 37427 Date: 8/7/2012 Permission is hereby granted to: Ziegler, Brian & Megan 150 W End Ave Qy� IF New York, NY 10023 To: construction of a deck addition to an existing dwelling per ZBA decision #6572 as applied for At premises located at: 1165 Saltaire Way, Mattituck SCTM # 473889 Sec/Block/Lot# 100.-1-24 Pursuant to application dated 7/25/2012 and approved by the Building Inspector. To expire on 2/6/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $682.00 CO-ALTERATION TO DWELLING $50.00 Total: $732.00 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 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-conformirtg 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 I. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool $25.00,Accessory building$25.00,Additions to accessory building$25.00,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$15.00 Date. 4 I ��t 1 Z New Construction: -� Old or Pre-existing Building: (check one) Location of Property: I IG'S _�1_-tAME l_(A_l 1"1A�7(1�1L1� House No. Street Hamlet Owner or Owners of Property: giC i P,—( -7-1 F_C 1-r F Suffolk County Tax Map No 1000,Section l yy Block ( Lot Z4 Subdivision SJSL(' t rw— t� Filed Map. Lot: Z<o Permit No, 1 Date of Permit. "$ ' 1 Z Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate "Final.Certificate: (check one) Fee Submitted: $ •60I�4 Applicant Signature so�ryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • o roger.richert(cD-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Brian Zieglar Address: 1165 Saltaire Way City: Mattituck St: NY Zip: 11952 Building Permit* 37427 Section: 100 Block: 1 Lot: 24 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Grey Goose Electric Corp License No: 35471-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches H. Twist Lock Exit Fixtures TVSS Other Equipment: outdoor cooking area (deck) Notes: Inspector Signature: Date: Sept 25 2012 81-Cert Electrical Compliance Form.xls �o�Of SOpr�,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 "SPECTION. [ FO DATION 1ST [ ] ROUGH PLBQ [ ] UNDATION 2ND [ ] INSULATION. [ FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION. [ -] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ` IV DATE INSPECTOR h�� Olo • ao cou TOWN. OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FO NDATION 1 ST [ ] ROUGH PL13G. [ IF UNDATION 2ND [ ] INSULATION 1 ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: s c DATE 1 INSPECTOR °f so�ryolo • ao coUMY,N TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION : [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING/STRAPPING I NA [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION. [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: fr ch s y DATE INSPECTOR c K2- ,moo �o cOOHi`I,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU N [ ] FRAMING/STRAPPING [ INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)- REMARKS: 2L-L LZ r a DATE INSPECTOR FIELD INSPE ON REPORT D TE 7 YEWS FOUNDATION(IST) t � --- --------......---i-- FOUNDATION(2ND) J t� z ROUGH FRAMING PLUMBING r,• ' � 1 iol INSULATION PER N.Y. H STATE ENERGY CODE ' 4 FINAL /6 w ADD. IONAL COMMENTS O Z m a TO,WrOF 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. .37q..7 Check Septic Form N.Y.S.D.E.C. Trustees �, / Flood Permit Examined / ,20 Storm-Water Assessment Form Contact: Approved ,20 �' Mail to: Disapproved a/c II Phone: 51;_0 Expiration ,20 1-7— Building Inspector WU APPLICATION FOR BUILDING PERMIT APR 3 0 2012 Date 20 1 4 -3d INSTRUCTIONS BLDG.DEPT. a. Thi applie' iWQ"l mpletely 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 of 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. (Sig ature Tf applicant or name,if a corporation) Ir �l u (Mailing address of 77c liant) 1 ('J(O State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises —62�Ptit _L f G tFFnt.. (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. V O Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: (((.4 !!S- 6L-, &MC Hb cr r TyL✓z- House Number Street Hamlet County Tax Map No. 1000 Section Block / Lot Z Subdivision -<d C X, fW_X;�-IJ6�� Filed Map No. 4C,oS2_ Lot Z� 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy J b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition y Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost CSoo • 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 1•Z ^Rear 4b•2. Depth * •Z Height Number of Stories / %2 Dimensions of same structure with alterations or additions: Front 4¢6 .'Z Rear -<o•2 Depth 40.2 Height l)&fl-, Number of Stories ( tz 8. Dimensions of entire new construction: Front Rear fib•3 Depth 35 . 7 Height Z! '` Number of Stories 1. 9. Size of lot: Front ivo Rear I Depth Zoo. 2 3 10. Date of Purchase S 5 1 1 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 _ UG"i UAyphone No. Name of Architect TDI&.4-n S 01 1-4 F 2 Address_9Z4 z.o Phone No Sic. 731•SS'04. Name of Contractor Li •O e-c ce.•)G Address 3,Z I_ 1 2�'��c.+s•-e_ Phone No...-c-Am— sl4 —0& e�. 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 with respect to this property? * YES NO * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OFS.6ic� .� Ge4.a-',.75 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Gam- (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 ?2�,n day of 20 �dsE� 0'_9 Siguaere of Applicant c� stiayex�r� - FORM NO. 3 NOTICE OF DISAPPROVAL DATE: May 3, 2012 Amended: June 18 2012 To: Eagle Design Enterprises for Brian Ziegler 924 Newbridge Road North Bellmore, NY 11710 Please take notice that your application dated April 30, 2012 For construction of a deck addition at Location of property 1165 Saltaire Way, Mattituck,NY County Tax Map No. 1000—.Section 100 Block 1 Lot 24 Is returned herewith and disapproved on the following grounds: The deck addition on this.non-conforming 20,274 sq.ft. lot, is not permitted pursuant to Article XXIII Section 280-124 which states; "This section is intended to provide minimum standards for granting of a building permit for the principal buildings of lots which are recognized by the town under 280-9, are nonconforming &have not merged pursuant to 280-10." On lots between 20,000 sq. ft. and 39,999 sq. ft.,the required side yard setback is 15'. The site plan indicates a side yard setback of 10.5' &33.7' combined.. r Authorized Signature Amended: to clarify setback requirements. BOARD MEMBERS �F SOUj Southold Town Hall 1,1 ;Leslie Kanes Weisman,Chairperson �* y0 53095 Main Road -P.O.Box 1179 !� Southold,NY 11971-0959 James Dinizio,Jr. Office Location: Gerard P. Goehringer G Q Town Annex/First Floor,Capital One Bank George Horning 0 ,^,aa�� 54375 Main Road(at Youngs Avenue) Ken Schneider I�COUmv ,'' Southold,NY 11971 http://southoldtown.northfork.net IJ ' ZONING BOARD OF APPEALS 2 4 2012 TOWN OF SOUTHOLD -- Tel.(631)765-1809 -Fax(631)765-9064 0 DEPT, IOUTN0 0 INGS,DELIBERATIONS AND DETERMINATION MEETING OF DULY 19,2012 ZBA FILE: 6572 NAME OF APPLICANT:Brian Ziegler PROPERTY LOCATION: 1165 Saltaire Way,Mattituck,NY SCTM#1000-100-1-24 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: Subject property is a non-conforming 20,273.9 sq. ft. lot located in a R-40 zone. It is improved with a one story dwelling, attached deck and accessory shed. It has 100.00 feet of frontage on Saltaire Way, 204.23 feet along the southern property line, 100.05 feet along the western property and 201.25 feet along the northern property line as shown on the survey prepared by Island Wide Surveyors dated May 17,2012. BASIS OF APPLICATION: Request for Variance from Article XXIII Section 280-124 and the Building i Inspector's May 3, 2012 Notice of Disapproval based on an application for building permit for a deck addition to existing single family dwelling at: 1)less than the code required minimum side yard setback of 15 feet; 2) less than i the total combined side yards of 35 feet. RELIEF REQUESTED: The applicant requests variances to construct a proposed deck addition having a side yard setback of 10.5 feet, where the code requires 15 feet and a combined side yard setback of 33.7', where the code requires 35 feet. ADDITIONAL INFORMATION: The applicant has an existing rear deck which is to be completely removed and a new larger deck is being proposed. i AMENDED APPLICATION: During the hearing,the applicant was asked to bring the plan into more conformity with the code. The applicant on July 13, 2012 submitted a plan increasing the side yard setback to 12 feet which eliminated the need for a combined side yard setback variance and brought the plan into more conformity with the codes. FINDINGS OF FACT/REASONS FOR BOARD ACTION: j The Zoning Board of Appeals held a public hearing on this application on July 5, 2012, at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and � I Page 2 of 3—July 19,2012 ZBA File#6572-Ziegler CTM: 1000-100-1-24 I surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 4267-b(3)(b)(1). Grant of alternative relief will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. Deck additions are characteristic of residential neighborhoods and the proposed amended location will not be visible from neighboring properties due to dense vegetation at the adjoining property lines. 2. Town Law V67-b(3)(b)(2). The benefit sought by the applicant can be achieved by some method, feasible for the applicant to pursue, other than an area variance. The applicant could construct a deck addition without the need of a variance. 3. Town Law§267-b(3)(b)(3). The variance granted herein, of alternative relief for a 12.foot side yard setback, is mathematically substantial, representing 19% relief from the code. However, the substantiality is mitigated when considering the alternative relief has eliminated the need to request a combined side yard setback variance. 4. Town Law V67-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant will comply with Chapter 236 of the Town Code's storm water management requirements and the Town's drainage code. 5. Town Law 4267-b(3)(b)(5). The difficulty has been self-created. The applicant's desire to construct a deck addition in a nonconforming location has created the difficulty. 6. Town Law �267-b. Grant of alternative relief for a 12 foot side yard setback is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a deck addition, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. 1 RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under j New York Town Law 267-13, motion was offered by Member Schneider, seconded by Member Goehringer, and duly carried,to DENY as applied for, and GRANT ALTERNATIVE RELIEF as follows: minimum side yard shall be 12 feet, as shown on the revised survey dated July 10, 2012'and architectural plans prepared by Dennis T. Oliver, Architect dated 7/10/12 drawing #120406 three pages. CONDITIONS: 1. The Deck addition shall remain open to the sky That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s) granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are !. expressly addressed in this action. I Page 3 of 3—July 19,2012 ZBA File46572-Ziegler CT1VI:1000-100-1-24 { The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of C nonconformity. Vote of the Board: Ayes:Members Weisman(Chairperson), Goehringer,Dinizio,Schneider,Horning. This Resolution was duly adopted(5-0). Les ie Kanes Weisman, Chairperson Approved for filing /�x /2012 i i i i I f. I 00-25-12; 13:08 17183812266 # 1I 2 Torun HaH Annex � Tekphonc(6311)7765.1802 U375 Main Road "��11V P.O.Box 1179 ro�er.rich®r� WR0E .r X us Southold,NY 11971-0959 13UM,VIIVG 17EPARTMYNT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL, INSPECTION REQUESTED BY: Date:Company.Name: Gre Goose Electrp G Co Name: !j+c.Je I oVe'fs k I_icense.No.: .35421 ME Address: 70- 70 $3`d s�re e Glyn N ll3$.S Phone No.: o Fr c� : 'lix 391 22(6o c1:LL = 4 6 36 935 JOBSITE INFORMATION: (*Indicates required information) 'Name: :R> r i a✓l z i e A I a r _ *Address: 1145 Sot I-Fairet WeLAA Ma 44 i*Uak N t1952Y *Cross Street: 5 o u n a y 1 e *Phone No.: 917 6 9 I 16. 19 Permit No.: _ 147 3 S8 9 . Tax Map District: 1000 Section: Ipo Block: I Lot: 2.y *BRIEF DESCRIPTION OF WORK(Please Print Clearly) -Proy;d e- rer—e +a cles For an n%A.d oo r � Q i s and t'..,,.,,,..,_� (Pleaae Circle All That Apply) 'is job ready for inspection: YES I NO Rough In Final *Do you need a Tamp Certiffeatee YES /(ff) Temp Information(if needed.) *Service Size: 1 Phase 3Phase 100 160 200 300 360 400 Other *New Service: . Re-connect Underground Number of platers Change of Service Overhead Additional Information: PAYII/IENT_Q_U.E WITH APPLICATION G10H1190S JO NMOl r AOIS � (0i 1 �.hoquest far rn�ectiar or ou bur �n '� EAGLE DESIGN ASSOCIATES 924 NEWBRIDGE RD. NORTH BELLMORE NEW YORK 11710 Phone 516-731-5506 Fax 516-826-6368 D E C E W E July 23, 2012 Town of Southold JUL 2 4 2012 53095 Main Road Southold, N Y 11971 BLDG.DEPT. TOWN OF SOUTHOLD Attention: Building Department Re: 1165 Saltaire Way Mattituck, N Y 11952 To whom it may concern, Attached are plans and new surveys which reflect the Board of Appeals decision for the above property. The Board of Appeals has not issued the decision yet but I am submitting these plans in the hopes of getting this application in the lineup so that when the BZA issues its decision there will be a minimum delay in obtaining the approval for the plans. Please advise this office if you require any additional information. Sinc y Dennis Oliver so�ryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road 411 Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1 97 1-0959 COU BUILDING DEPARTMENT TOWN OF SOUTHOLD -� I September 17, 2012 4E Brian & Megan Ziegler 150 West End Ave, Apt 7A New York, NY 10023 N Re: 1165 Saltaire Way, Mattituck U I, I TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning #765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 37427 — Deck Addition CONSENT TO INSPECTION �g P� l Ii=CG I- j� ,the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (are)the owner(s) of the premises in the Town of Southold, located at . 1165 SaL-taiZe WAq MA-j'ri-rAcr, - , which is shown and designated on the Suffolk County Tax Map as District 1000, Section ,Block ; Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned„in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. .t E Dated: igna e) t„3 Z 1me. (Print Name) (Signature) (Print Name) RECF-WED may All 50AR.,p of CIO 04 h 30,o�1 ZONING INFORMATION.I . FERlITTED EXISTIWG PROPOSED os .. ljC, -i►h1 Id. G OT SIM . R T YA r YQ " I A Y SURVEY NO. 12-11749 DI5T: 1000 SECTION: 100 BLOCK: ITAX LOT: 24 MAP OF PROPERTY TITLE NO. 51TuATE AT I I (/ THE OFFSETS OR DIMENSIONS SHOWN HEREON. _ M A T T I V T `./ K FROM THE PROPERTY LINES TO THE STRUCTURES. I�� / AVE - TOWN OF SOUTHOLD ARE FOR A SPECIFIC. PURPOSE AND USE: V,1�/ THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES. ADDITIONAL STRUCTURES U N SUFFOLK COUNTY] N.Y. OR ANY OTHER IMPROVEMENT 5 O ��j _ Q• � °2�2 LOT NUMBER5: ti z � • +I cti +1 +I t1 N = cV Q UNAUTHORIZED ALTERATION OR ADDITION TO THIS Q N NILI N SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW w miv O N YORK STATE EDUCATION LAW. w t j w N 73 0OO'30" E w 20 1•25' 0 COPIES OF THIS SURVEY MAP NOT BEARING THE LAND MONUMENT CHAIN LINK FENC O' SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT FOUND BE CONSIDERED TO BE A VALID TRUE COPY. FE:O'-I O°± STOCKADE O o� FENCE F MONUMENT N�w CD O FOUND GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHED:8'-22'E. S pE 0.�37'-9• O PLAT W SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE TITLE _ 7'-1 N7'-4° �0 HOWER ON r O COMPANY,GOVERNMENTAL AGENCY AND LENDING IN- cc O O V a; b. CHIM. '� 3 G7-9" 5TITUTION LISTED HEREON,AND TO THE ASSIGNEES OF O U O uj - U o 3d_I• o m THE LENDING INSTITUTION. GUARANTEES OR CERTIFI- Z O 5'-5•C9 W �' O CATIONS ARE NOT TRANSFERABLE TO ADDITIONAL IN- tu @ b qJ O 3 5TITUTION5 OR SUBSEQUENT OWNERS. 3 TO E c LQ GUARANTEED TO :- CEIVED Z In a u lo'-I j a STONE WALL 4 _ Cx/ ZBA FINAL MAP 1.LOT AREA = k N Q W m- SEE DECISION ZOIZ Ln 20,273.875G50. FT. OR � �z GRAVEL DRIVEWAY w¢ I I o'-o• N p m 0.4G54 ACRE(S) W p o Z GARAGE Q ��AI��F�PPEALS O BELOW PROPOSED DIC:_VISION: o w 3d-3;• J Gf3�04" J U LY I O, ) 2 N cm , I LL 1(j PICKET FENCE MONUMENT ��� • �' '�, Q s 204.23' I! I Z 3 73-0030" W FOUND U I ti N +I o'-z•s.eo'-14•w. = � LAND �/EYDRS +I S '` /a/E �v PROFESSInfV�1i+ URVEYOR5 o m I99 IAFAYEITE DRIB;' YOS5ET, N.Y. 1 1791 LL_ PHONE: I-SGG-808-5800 FAX: 51 G-49G-1792 RECORDS OF WALTER I.BROWN,GUSTAVE A.ROUWER #ROBERT A.HAYNE5 DRAFTED BY:- R.A.J. 05-18-1 2 100.05' 1 -011 1-911 1-111 1_I11 1-411 1-011 IIII -' 9 2-2"x 10"CONE, 2-2"x 10"GOW, n�CK - _ A,A TO L3� PA15�r) Mol 12.0' FWOV� �X15VN6 2-2"x 10"CONf. n�CK I•I�.o' � o / "x 4" WOOt7 p05T ov" Via ` 12'' 0 CONC, Kl TO P3 AffA TO P3 pA15N2 a� ne,3' o � ' �'1 3f , 12��P P3 LOW G � N I6.0' 24.0' 12.0' ' 2-Tx 10"CONE. c 2-2"x 10"CONf. 2-2"x 10"GOW. v O � 29.16' 40 2' O 2-2"x 10''CONS. 2-2"x 10"CANE, 2.2"x 10"COW. C - co N � - N � N 2" x 8" NAI P\WITH TACO CONN�CTOp5 I P6 q 1301 f1 19 TO HOU5� WITH 2" 0 I AG af5 @ 24" N O.C. 5TAGGAkV TOP & 60TTOM� — —2-2"x 10"cm, — —� — — — — — — 2-2'P x 10"GONE, — 242.91' —_ l 100.0' 516' 5&-'AI f\� WAY - -2 2'x 10"CONf 61► O 2 2"x 10" N 11 SigPLAN iII - 20 ' -0 ' ' CJ AA If 15 A VIOLATION OF THE LAW 1`01?ANY 1`1�601\1,nE55 P011\16 IJNP7� THE PlffG 10N OF A LICeN5FP AP.CHISCf, fO ALT�P AN ITEM IN ANYWAY Of COVE M C&CIAVON5 HOH Ake 1866 Pq905aftP n�CK M\ A `'4 Obi 1205 P1065cft t E Ic UNLAWFIU— 6 LOf M\ A 20214 RETAIN STORM WATER RUNOFF ELECTRICAL RETAIN ►� CHAPTER 236 INSPECTION REQUIRED OF THE TOWN CODE. 1205,106 1866 P490 - �01 P59656ft APLOVED AS NOTED PLUMBING DATE � &R# �0l1 3 � � P596/ 202�� r I PI . I�� �OTCOV� � ALL PLUMBING WASTE&WATER LINES NEED FEE°— ®Y TESTING BEFORE COVERING NOTIFY BUILDING DEPARTMENT AT 70150802 E AM TO 4 PM FOR THE F0i=LOWINA INSPECTIONS! PLUMBER CERTIFICATIONI 9` FOUNPATION-TWO !`REQUIRED FOR POURED CONCRETE ON LEAD CONTENT BEFORE t RQUGH=MAW%PLUMBING, CERTIFICATE OF OCCUPANCY ITRAPPINO,ELECTRICAL S CAULKING 1 INSULATION SOLDER USED IN WATER 4. FINAL,CONSTRUCTION i ELECTRICAL SUPPLY SYSTEM CANNOT MUST EE COVI=ETE FOR C,.O.. I P�AN I I - I � I I EXCEED 2/10 OF 1% LEAD. ALLO E UC�N LL MtXTTHE I` I I 0 NTS OF THE CODES OR NEW STATt NOT RESFOMSaE FOR "on CO 4mxTION Erpm, 1110112 �P&I P�51GN A550CIAT�5 924 N�VVV ZZ kOAP N01:M PAL. IMOk�, NY 11110 PHONE # (516) 731-5506 FAX # ( 5I6) 826-6368 1165 5&TAIIFY, WAY GAF MAT11T•UCK, NY 11952 PAf npAVJING # 5c&L 5H��f # I p 1 r;!j 4116112 1204106 NOT�n 10r 2 ,+� �'F NU\'�' 1II-Oil n�CK O , co u� 36" H16H LING WTH 411 x 4" WOOF ot p055 AN 2" x 2" 5pl MAX 71 4" AyAI�I , O O " x 6" OOP PACKING OM 2" 6" PACK J01 1"5 @ 16" OC � o 90 AA W4GL P�516N A550CIAt5 924 NSW PIPG� SOAP N" MLM0II�, NY 11110 PHM # (516) 1�1-5506 FAX # (516) 826-6�68 �rE 1165 5AL1'AI, WAY a MAT1IfXK, NY 11952 ..- PA1� Pf?AWNG # SCALD Sftf #—I 27 44' tom OF NE 4116112 120406 NOTWP 1 2 OF 2 G va 4a v a O 0 Q =-`11y 36" HIGH pALIN6 WTIH 2" x 2" d o o d p Q 5pINn1,�5 MAX 4" mpff q �jp4 p oa a G� 5i x 6" WOOP P�MN6 OVVp 2" x 8" PACK J0155 @ 16" OC nl3 � 2 - 2" x 10'' 'r•. P5w•.• 1 •f•• r 4" x 4" WOOn POST OV�p 12'' 0 CONCFM plop TO[3� 1-011 Mp Mow G pM 2" x 8" NA L. E W TH TACO COW CTO 5 LPOOLSP TO HOUSE P\16Hf FL�VAfION 1 / 4 ( I 1 O1 I WITH2 I.AGC301 T5 @ 16 , 12 MAXIMUMMOM COC?N�t?5 I1 _ 5�CTIONA-A I �- _ II ,oII 0 va da �a �o0 h od d rir s G Q I P\�AP\ �L�VATION I 4 I 1 ,01 1110112 W[I M516N A550CIM5 924 NSW PW6� I?OA17 NOM MWOP\C, NY 11110 p ,r PHONr # C 516) 151-5506 FAX # (916) 826-068 W c 1165 5MAM WAY - MAT11fta, NY 11952 rq o}` 64& x roe nAT� PrAWN6 # SCAX SHOT # r of NE`N 4116112 120406 NOT�P 2 OF 2