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Home My WebLink About27039-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27538 Date: 02/02/01 T~IS CERTIFIES that the building ADDITION Location of Property: 1140 BAY AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 143 Block 3 S~bdivision Filed Map No. __ Lot No. __ MATT/LAUREL (HAMLET) Lot 19 conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29, 2001 pursuant to which Building Permit No. 27039-Z dated FEBRUARY 1, 2001 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 ROOF OVER TO EXISTING SINGLE FAMILY DWELLING "AS BUILT", AS APPLIED FOR. The certificate is issued to MARTIN L GRIFFIN (OWNER) of the aforesaid building. SUFFOLK COUNTSf DEPARTMENT OF ~F~%LTH ~_PPROVAL ELECTRICAL CERTIFICATE NO. pLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27039 Z Date FEBRUARY 1, 2001 Permission is hereby granted to: MARTIN L GRIFFIN 1140 BAY AVENUE MATTITUCK,NY 11952 for : DECK ADDITION WITH ROOF OVER TO EXISTING SINGLE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. at premises located at 1140 County Tax Map No. 473889 Section 143 pursuant to application dated JANUARY Building Inspector. BAY AVE MATT/LJ~UREL Block 0003 Lot No. 019 29, 2001 and approved by the Fee $ 75.00 /~/~(~nature Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 o{ 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 a 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, ~wimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ 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....~..~ ......... Location of Property ...... 1.~,~.. ............ ,--~..~..~.~.,~..: ........... ~.~..-~'.~.~ ........ House No. Street Hamlet Onwer or O ers of · ....... County Tax Map No 1000, Sectio ' ' Lot Subdivision .................................. · . Filed Map ............ Lot ...................... Permit No ................ Date Of Permit .......... Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ \ . Temporary Certificate ........... Final Certicate..~.. .... Request for: Fee Submitted: $ ....... ~..~...'~. ............ ,\ BUILDING DEPARTMENT . 'it'.~; ~ Do you have or need the following, before app y ns TOWNHALL ; [I '" ;,I ? o ?fill It'l;~i TEL 765-1802 , ~ < ~ ~. ~ S~ev Septic Fo~ N.Y.S.D.E.C: Contact: Examined ,20.__ Approved .,.20__ Disapproved a/c Mail to: BufMing Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This applicati?n MUST ba completely filled in by typewriter or.in ink and submitted t3~t~e Building Inspector with 3 sets of plans, iceEfate plpt.~lan tb'~scale. Fee, according to schedule: "' b. Plot plan showing location of lot and of bujlding~ Ori'premises, relationship to adjoirfinglpremises or public streets or areas, and waterwawq4 x ~.; '. ~ ~ / i' c The wSrk covered by thzs appl cation may not be commenced before issuance of Building Permit. d. Upon app]~oval of this appliqatioln, the Building Ins~pector will issue a Building Permit to the applicant. Such a permit shall be~'kept on the premises availabl~'~dr/iffsp~ctidn througho.ut the work. e. No building shall' be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issued by the BuildingXln/slS~ctor. .; lx APPLICATION IS HEREBY MADE to the BuildiBg Depm tment for the issuanc& cfa Bui ding Permit pursuant to the Building Zohe Ordinance of the Town of Southold, Suffolk Cohnty New, York,, and (¢t~er applicable Laws Ordinances or Regula,tions for,the cbngtruction of buildings 'additiohs ?6~"dlterations o/~f61' )'e~c~{,hl '61' [l~h~blition as here n described The apphcagt, agr¢{s,to co, reply wtth all apphcable laws, or&nonces, building code, housthg dodo, and i:'~gula~nons and to admit authdri~6~t inspectors' on premises and in building for necessa~ry inspections· ' ' (Signatx~e~f applicant or n~me, ii a corporation) P.0. toot (Mailifig address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 o,3 . (as on the tax roll or latdst 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 which~proposed work=~il! b~ ~one: ltoco &Cc :.'. House Number Street County Tax Map No. 1000 Section. [IJff~.~90' Subdivision ame) Hamlet ;k..: , ' ',,,.~;'.~ Block ~,~.'00 Lot 8lq. ~00 Filed Map No. Lot ' State e~st!ng, use and o.eeupaney . -. ofpr~mises and intended use and occupancy of proposed construction: a. existing use and occupancy ~..t~r, fma¢~ ¢x ~,,.s ~el, enc~e / 6 ,¢,0~.~1 ¢. b. lntendeduseandoccup cy,.,,+'h roof Nature of work (check which ap: Repair Removal Estimated Cost 4~ ,,.~, OOO l£dwelling, number of dwelling If garage, number of cars If business, commercial or mixed[ occupancy, specify nature Dimensions of ~xisting structures! if any: Front Height ~umber of Stories ~licable): New Building Addition_ _Demolition Other Work mits Alteration (Description) (to be paid on filing this application) _Number of dwelling units on each floor and extent of each type of use. Rear ~menslons of same structure!w~th alterat OhS or additions: Front Depth Height. , ! 'Dimensions of entire new construtction: Front Height o~ ~' {~ a I , Number of Stones Size of lot: Front "~-~ ! .Depth Rear o Number of Stories Rear I~Cr ~'! Depth 1 4' Names ° f Owner ° f~remises~[~¥'}"'4', ,~I~¢:t ~1 Address NameofArchitect J.)o~.l~,[~ q. ~¢_,t lo~. Address. 1,4A~['..,,~'tx,t42, PhoneNo Name of Contractor ~'~ ¢' Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO , · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE 'REQuII~ED 6. Provide survey, to sct~le, ' I . w l~h accurate foundatm¢, p an and distances to property lines. 7. If elevation at any point on propert TATE OF NEW YORK) O ,. n SS: (~UNTY OF.~r~) o ,, (Name of individual signing contract ' is at 10 feet or below, must provide topographical data on survey. being duly sworn, deposes and says that (s)he is the applicant above named, (Contractolr, Agent, Corporate Officer, etc.) said owner or owners, and is duly autho] ized to perform or have performed the said work and to make and file this application; ~at all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the ap >lication flied therewith. worn to. before me th;s i x::~°{~-~ taY of ~¢~b----.~x~ 20_O) '- Not , bfi¢ Not~/public, 8ta~e el Now YO~ ~. 4799955 ' O, Date of Purchase I, Zone or use district in which premises are situated L 2. Does proposed construction violatp any zoning law, ordinance or regulation: 3. Will lot be re-graded ~ ~Will excess fill be removed from premises: YES S.C.T.M. NO, DISTRICT: 1000 SECllON: 143 BLOCK: ;T LOT(S): 19 ROAD LAND N/F OF NANCY ,,INCOLN (DEED 497.4'7 3%o' N' 71'00'00" E 497.46' ' l . 46.2' I 209.7' '. 113.5' -- ' .mc.. t.~ I~ INGROUND PO0]~ ~- - ~ ~. 35.0' ~ FE. 7.6'E ~ $ 71'00'00" 1F i 494.70' LAND N/F OF GERTR JDE E. KOOP AREA:- $7,20,6 S.F. OR 0.85 ACRES £~V,~OND,~U~: UNAUTHORIZED ~TERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COP/ES OF THIS SURVEY MAP NOT. BEARING THE LAND SURVEY~'S EMBOSSED SEAl_ SHALL NOT BE CONEIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPAI~ED AND ~1 HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AC~CNCY AND LENDING INSTITUTION USTED HERE.ON, iAND TO THE AS.~C.N£ES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT THE OFTSETS~OI~ DIIdEN$1ONS SHOHfV HEREON FROM THE PROPERTY UNES TO THE STRUCTURES ARE FOR A ~PECIFIC PURPOSE AND uSE THEREFONE THEY ARE NOT JNTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCE~, ADDITIONAL S~IC~URE$ OR AND OTHER IMPROVEMENT.~ EASEMENTS AND/OR SUBEURFAOE STRUC-TURgS RECORDED ~ UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: 'DESCRIBED PROPERTY CERTIFIED TO: MARTIN L. GRIFFIN; MARY T. ~: , GRIFFtN; ~" MAP OF: FILED: ~ S1TUATED AT:~', rMAT~ITUCK . , ~.~ - ,~,~~" ,~r ..-.-.Calverton, New York~ 11933 ~~ "' nL[ ~ 20-2~' SC~L£: 1"=40' ~^~: FEB. 28,2000 -