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of souryOlo Town of Southold * P.O. Box 1179 0 53095 Main Rd UK%a�'� Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45755 Date: 11/14/2024 THIS CERTIFIES that the building Location of Property: 2200 Central Dr Mattituck, NY 11952 Sec/Block/Lot: 106.4-25 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: Pursuant to which Building Permit No. and dated: 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: seasonal two story single family dwelling (1 kitchen, 2 bedrooms, 1/2 bathroom, laundry room) with deck, covered deck, outdoor shower, covered wood walkway to seasonal one story addition (sleeping quarters only with bedroom and upper level full bathroom and bedroom). This Certificate of Occupancy replaces CO #Z-792 issued 7/22/1960. The certificate is issued to: Vicki Haupt Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: )thriz d ignature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ..z...�9P........ Date .... ... ......................�,�.... -22........... 19.60- THIS' a CERTIFIES that the building located at , � .. -Gentvo ...Drive........................ Street iVIap NB. ..K�.{�E�..,Estlock No. =. ...........Lot No. ...2...........Matt•�.:tt'i k2.....11,i.Y.......... ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... ........ .IviR ... .23......... ., 196iD., pursuant to which Building Permit No. .Z..1.090........ dated ..............May.....2.3...............1 19.60., 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 •3?•:LV-a-te--on--e...f 1- d Ilin ........... ................................................... This certificate is issued to ....TOM.....LeV- •.••••••..;•.{ d'wa('r-) (owner, lessee or tenant) of the aforesaid building. .: ............:............ ............... Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL. FULL COMPLETION OF THE WORK AUTHORIZED) ill® 1090 •Z Date Permission is hereby granted-to: R'13gene lC3,1:•tc31; .-A/tI.....T .. •li-tU............................... ................................................ t4 .. .. ••�xe•• . .. �+ .3 . .... .:t� i. .. i... r ..s� ..................... at premises located at JA-yt., 2..... ................................................................. ....... ............................campA.Arivilo.........Hatatmki.....&XI....... .......................... ................................................................................................................................................................. pursubnt•:to applicotign dated ..........................MY....2-3.....................1 ...., and approved by the Building Inspector- Fee $10,00........... " .:................... Building..Inspector........I............... r� SURVEY OF LOT 2 MAP OF CAPTAIN KIDD ESTATES AT MATTITUCK INLET a ��>� w E FILED.lANJARY I°,1949, MAP NJ.1672 51TUATE: MATTITUGK TOWN: SOUTHOLD SUFFOLK COUNTY,NY SURVEYED 03-02-2CO5 / SUFFOLK LOUNTY TAX^ j 1000-106-1-25 MRIUMDW. I v ae.x�p ' B��®NeL®alH�nk CMV YofN 74t1elvwrmm I O�mpcay°thew YaY lop J / s ° N '+r -116 DIV rr + I 1 �•I re , I I \ NOTES• ■ MO`,M=NT FOI;ND n\ \k / •��—..........�C.w ELEVATIONS REFEREN'LE ra1FPOLK LOI,NTT TOPO MAPS �,)f:�. � •'7/ � -.%.�M::•_+ a..'] AREA=56,1%sf or 124 1. 1 JOHN C.EHLERS LAND SURVEYOR GRAPHIC SCALE I'=30' ~•+ nPN,pR l 6PAS —SfRPFC N.Y.S.LIC NO.SO7A2 1 RMMMAD.N.Y.11901 369-8288 Fa 369-8287 RRR11Np aerverWROM05-12B.pm SOOIhp� # TOWN OF SO'UTHOLD BUILDING DEPT. pay 0 NiV N�o 631-765-1802 -I NSPECTIO.N [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ]. FOUNDATION 2ND [ ] INSULATION/CAULKING . [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE4 CHIMNEY [ ] FIRE SAFETY-INSPECTION' [ ]- -FIRE RESISTANT CONSTRUCTION. [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL) [ ] CODE VIOLATION [ 'PRE C/O [ ] RENTAL REMARKS: 4iovkm J�v �'o 4!&�6 0 . P-1) �24 DATE �� INSPECTOR i FIELD INSPECTION REPORT DATE COMMENTS V`1a FOUNDATION(IST) -- -- ---- ------- =a FOUNDATION(2ND) -- -m s. �O dpq ROUGH FRAMING& -- � PLUMBING --- r� INSULATION PER N.Y. STATE ENERGY CODE -- FINAL --- ADDITIONAL COMMENTS -- — p -- 0 m rA-- — -- — v' m -- b A 'TOWN OF S6UTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Iiealthi SOUTHOLD,NY 11971 d sets of Building Plans TEL:(631.)765-1802 Planting Board approval FAX:(631)765-9502 Survey www.northfork.net/Southold/ PERMIT NO. (O �� Check!_ Septic Form N.Y.S.D.E.C. / Trustees Exmnihed � 6 20� Contact: Approved 20 Mail to: Disapproved a/c Phone:Del rS 7 6xpualion /6 6 ,207 L!U f APR ' 6 Btildiq In ct raw!u_ �l.p APPLICATION FOR BUILDING PERMIT Date April 6 20 05_ INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building inspector with 3 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,mid waterways. c.The work covered by this application may not be commenced before issuance of Building Pennit. d.Upon approval of this application,the Building Inspector will issue a Building Pennit to the applicant.Such a permit shalt 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 dale 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,die 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,(lousing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or narne,if a corporation-n PO Box 1181, Cutchogue, NY 11935 (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder attorney for owner Name of owner of premises Tom Levin \ (As on the tax roll or latest deed) if applicant is a corporation,signature of drily 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 which proposed work will be done: _ 2200 Central Drive, Mattituck House Number Street Hamlet County Tax Map No. 1000 Section 106 Block 1 Lot 25 Subdivision_ Captain Kidd Estates Filed Map No. 1672 Lot 2 (Name) , d J �. �,, TOWN OF SG�TH.OLD pOPERTY OWNER STREET VILLAGE DISTRICT �. , . SUB. LOT � ,FORMER OWNERf ! N. E ACREAGE _ 1=s-• :r�"t t�',✓t c h � �r s. �.V'tiY7 - ,1, `?",�: I { S t W TYPE OF BUILDING J RES. ,� SEAS` VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value _ t �' LAND IMP. TOTAL DATE REMARKS ALI- g ° As t (-�5 c - 2 6�� / c •S•/ 7a". S'o 44)t"I l�to[L`l e'; v//v /0 P ?,U/V,D L i c 0 r's, p 5,6 J/. Ifrf ('-�`� ! elli VdTs ar-E'ya'�; .Z { � �GE 7 C BUILDINGCCONDITIO �'I20 NEW NORMAL BELOW ABOVE FRONTAGE ON WATER' Farm Acre Value Per.Acre Value FRONTAGE ON ROAD Tillable- . 1 BULKHEAD - Tillable. . 2 j' Tillable 3a�" �� ' Plft i21 i(i if 3 1 f, �i�?�.o":o Woodland_ to � P 3)0 q. as 6t.1 1 i tied. . Swampland Brushland I ! House Plot - Total k " _:b ° � '` i �} -' .�__..—1,�f'.aU --_.----._r._a ...�.._-__�_. I_.."-a...-,5 �.--. _._...__-.__.--_._._ ._.-----•---....—�_—.��__.—_ ____._--._, f•-_._ 1---._.—..".__—•__ ---.,�.,_.• �' t�+�� `'•`` *,:�.,�:�„ :fix, r' .�,i• � - ���U'/�/:�, {� "`� ,� LJ .•q'"{ -_!P�'--- —,°-- Icy( if 106.4-25 1/06 , . i =e' L �` t �, ~-,= Found(ati z: � Bath _ on ittob,__ (t xtenipri rry/ '� y�y? Basement Floors � / 4 n — F t ns}ori ! ' ,0 Ext. Walls rc (,;at Interior Finish I Extension ace Fire Place {} _ Heat ler C tej ,� S oar 9' 1 s�r Porch Roof Type IS Porch Rooms 1st Floor Breezeway }; ; g a� Patio Rooms 2nd Floor E :Garage ° � � Driveway 4 Dormer B. -- _ ._--- e ISM it � u LOCATION: Ce4e% t*-'zv / SCTM#:1000- SUBDIVISION: MAP#: ,� ' LOT(S):� y� NAME OF OWNER(S): [ ( t p OCCUPANCY TYPE: � h �� , 7tPAPA#IV YX00UJ �v�1 w ADMITTED BY: Bp/ �z j4&0- MPANIED BY: KEY AVAILABLE: SOURCE OF REQUEST: DATE: (. TYPE OF CONSTRUCTION: #STORIES: v # EXITS: FOUNDATION CIA ;Lb BASEMENT: CRAW CE: #OF BEDROOMS '� 70,00, 11QR ` 3RD FLQiR/ BATHROOM(S): ©ram (9ltor-`` T RO UTILITY ROOM: PORCH,TYP : on A*; DECK,TYPE:VjfA n AW(j PATIO,TYPE: BREEZEWAY: FIREPLACE: GARAGE DOMESTIC HOT WATER: nL TYPE HEATER: -8Z A/C. TYPE HEAT: WARM AIR: HOT WATER: #OF KITCHENS: OQQi kin Q/ FINISHED BASEMENT: VWV"-It Mn Lh�v fe: bhiv��•lewD✓ QrC . oq,m�v 4 t LOCATION: DESCRIPTION: ARTICLE/SECTION: 1 !r you it t Nwf&- OVW -OW 1V f DKOO C,W REMARKS: oer INSPECTORS. 1 J DATE: TIME START: TIME END: FO~iV~ ~0. 4 TOWN OF SOUTHOLD I~UIL DII~I'G DEPARTMENT TOWH CLERK'S OFFICE SOUTI{OLD, 1~', Y. C~RT1FICATE OF OCCUPANCY No. "Z"qga' ........ Date ........................... ~.....~ ........... 19.60. THIS Ct~RTIFIES that the building located a~ .~/~...d~i-~I~..-D~'~V~ ........................ Street Ma~.~...~.~..?t~oc~ No. ~ ............. ~ot ~'o....a .......... ~t.~k,......~,,.Z, ...................... conforms sabstantially to the Application for BuiIding Permit heretofore filed in this office dated ................. Ma~.....2.~ ............ ~960.. pursuant to which Building Permit No..~...~0~0'"':" ~lated .............. ~&y'.....2~ ................ 19.60., 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 .................. ta~.l:.va.'oe., on~...~.am~ ~ky...d~¢ot.t ~kng ..................................................................................... This certificate is issued to ...~Ol~.....~V.i~ .......... :.-(...O'~fle]~.~' ........................................................... (owner, lessee or tenant) of the aforesaid building. ......... ~..~.-. ............. ?: :..~.. ................ Building ~nspeetor ~ FORM NO, 2 TOWN OF 5OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 1090 Z Date .......................... ;~a~..-.~3 ............ 19.60.. Permission is hereby granted.to: at premises located at ~o~..~.....~l~.t.tl~.~,d~..~.~a.~e ................................................................ ,. ................................ . .......... ~lent~'a~L.,~l~e~ ......... ~a~t~Ltu~k~.....~,~ ................ pu~'subnt:to applicatiqn dated ............. ~ ............ ~.....~ ..................... lg~...., and approved by the Building Inspector.. .'~. Fee $t0.,.O0 ........... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined ...... ~.....~.......~...~.., 19...~..O. Approved ............................ .~.~....., 19 ........ Permit No. O Disapproved a/c ..... ~ ........ ...~..,---- ---'~=...........~: ...... Application No....l..~...]....O. .............. (Building I~spector) APPLICATION FOR BUILDING PERMIT Date ........................... .~.......2.,~ ............ , 19.5.0.... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. ,! · b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this location. 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 permit shall be kept on the premises ava.ilabte for inspection throughout the progress of the work. e. No building shall be occupied or used in whole, or in part for any purpose whatever until o Certificate of Occupancy shall have been granted by the Building Inspector. 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 and regulations. ............................................................. (Signature of applicant, or name, if a corporation) New Suffolk (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................... g..g..~%~.~ g..t gr. .................................................................................................................................................... Name of owner of premises ........ ~.o...m.......~..e..¥.~..~. ..................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: .....Q~D.i~...~:~.c],..~...~..s..t.. ........ Lot No:....2. ............... Street and Number ..... ~,e=l;~,~,q.....~.;z.Y.e ............ ~::~q,.t.t~,.~.g,~;~.~ ....... ~.,.~. ............................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ............ ~.~..c..~..~...~...~.~..~.~ .......................................................................................... b. Intended use and occupancy ..... .o..~...~i~..~.~..Z.~...~..~..~...Z.~..~.[ .............................................................................. 3. Nature of work (check which applicable): New Bu ding ..... ~ ....... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .....~.~..g..Q...~),fl~,~. ............................. Fee ~...0..,..0..0.. ............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units...°..~..,e. ................. 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 ............................ 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 ..2.~ ..................... Rear .~.~ ...................... Depth .~_,~,~.0.......~..g.~..e.r 23 23 42 l~wer Height ............................ Number of Stories ................................ g. Size of lot: Front ....'1 2.0. ................ Rear ..... ~.0 .................. Depth ..~'6..~..~....~..~'1 .... 10. Date of Purchase ................. .Z..~..0. ............................. Name of Former Owner ....... ~.~...~......~..S..~ ............................. 11. Zone or use district in which premises are situated ................ !!A!! .............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... ~.o. ............................................ 13. Name of Owner of premlses....~.o..~....~..e..M.$..~.. .............. Address .......................................... Phone NO ..................... Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor ...~:.~.q:R.~ft~, ............................. Address .......................................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. ~ L , I , ~ O u /V~ r~ STATE OF NEW YORK ) S.S. COUNTY OF ~.'.~:~'.o.~Y,, ......... ) ................................... ~.lJ~e..~OZ'.'bO~ .............................. being duly sworn, deposes and says that he is the applicant (Name Of individual signing application) above named. He is the .......................... C~.+,~..~ctz:~. ....................................................................................................... (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 statemen~ contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the magner set forth in the application filed therewith. of applicant)