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Home My WebLink About25770-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector ~ Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26577 Date: 07/20/99 THIS CERTIFIES that the building ADDITION Location of Property: 4210 OLE JULE LA MATTITUCH (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 4 Lot 28 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 1999 pursuant to which Building Permit No. 25770-Z dated JUNE 2, 1999 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 TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ERIC & MARIE MUNTER ( OWNER ) of the aforesaid building. EUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A 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. 25770 Z Date JUNE 2~ 1999 Permission is hereby granted to: ERIC & MARIE MUNTER EAST NORWICH~NY 11732 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. at premises located at 4210 County Tax Map No. 473889 Section 122 pursuant to application dated APRIL Building Inspector. OLE JULE LA MATTITUCK Block 0004 Lot No. 028 19 1999 and approved by the Fee $ 75.00 Authorized' Signa~f~e ORIGINAL Rev. 2/19/98 BUILDING DEPARTMENT ~ ~- -- ~PLICATION ~R CERTIFICATE OF occ0P~FY This application must be filled in by t~ewriter OR ink and ~ubm~~ild~ inspector with the following: for new building or new use: 1. Final su~ey of .property with accurate location of all buildings, property line streets, and ~nusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~ 3. Approval of electrical ~stailation from Board of Fire Unde~iters. 4. Sworn statement from plumber certify~g that the solder used in syst~ contains less than 2/10 of 1% lead. 5. Co~ercial building, ~dustrial building, multiple residences and s~ilar build and installations, a certifi~te of Code Compliance from architect or engineer responsible for the buildi~. 6. Sub~t Plann~g Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings ~pre-existing" land uses: 1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the appiica 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, Sw~ming pool $25.00, Accessory building $25.0£ Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 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 ..... ~.~.t-~ ...................... oeation of e.operty .... ..... ....... ............. House No. Street Hamlet Onwer O f operty · or wners o Pr ' · ' County Tax M~p No I000, Section.... '~ .... .....Block........-......bOO ~ .Lot...~'~Jf ......... Subdivision .................................... Filed Map ............ Lot ................ Health Dept. Approval ........................... Underwriters Approval ................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fe~ Submitted: $ .... .~' .~. ~ .O. ? .................. ,.~ ~ ~- .... ...................... Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax(516) 765-1823 Telephone(516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD July 6, 1999 Eric & Marie ~unter 46 Auburn East Norwich, NY 11732 To Whom This ~ay Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupandy/is not on file. (Enclosed) XX No Underwriters Certificate on file./ The check is (not on fite.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25770-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BUILDING PERMIT REVIEW CHECK LIST Architect/Engineer: SCTM#: District: 1.000 Section: /~2.,2~ Block: .~ Lot: Subdivision Name: ! Project Description: {Side Y*rd~.~ ~. Proposed I [Rear Yard ~ · Proposed AGENCY PERMITS REOUIRED FOR REVIEW Suffolk County Health Dept. New York State D, E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes; N,~ NO YES Permit Number New York State Department of Environmental Conservation Division of Compliance Services Rm 121, Building 40-SUNY Stony Brook, New York 11790-2356 Telephone {516) ~.?~.~0365 Facsimile (516) ~.~?.-0360 John P. Cahill Commissioner April 13, 1999 Eric and Marie Muntner 46 Auburn Lane East Norwich, N.Y. 11732 Re: 1-4738-02247/00001 4210 Ole Jule Lane Mattituck, N.Y. 11952 SCTM %1000-122-4-28 Dear Eric and Marie Muntner: Based on the information submitted for your proposal to: Construct a new wood deck according to the survey prepared by Rampart Surveying on 12/14/98 and last revised on 3/20/99. Location:4210 Ole Jule Lane Tax Map Number: 1000-122-4-28 the New York State Department of Environmental Conservation has determined that: The project, according to the Tidal Wetlands Land Use Regulations Requirements 6 NYCRR Part 661.5(b) (50), is an exempt activity. Therefore, no permit is.required under the Tidal wetlands Act (Article 25 of the Environmental Conservation Law). Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not3~-~you of the responsibility- of obtaining any necessary perm~ts~~or aDpbovals from other agencies. ~OV~~ ~.ru~ ~epu ty Regional Permit Administrator CC: BMHP File F1LE~ 1%~4p~,c~1' ,~,JRVE"~I P.C 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMII~IG [ ] FINAL [ ] FIREPL~,C~ & CHIMNEY REMARKS !~~~'-~// PNDAT ION (]ST) I UGH FRAME & PLUMBING ~SULATION PER N.Y. [ STATE ENERGY ~ CODE , ADDITIONAL COI~IENTS: .FOllli NO. ~ OF S01ITIt0LD BUILDING DEPART~IEh'T SOIITItOLD, N.Y. 11971 ~L: 765-1802 aoAgo oF agaL~ ............... 3 SETS O~ PLA~S ,</ ....... ' ...... s~ .~ ..................... SEPTIC ~0~ ................... NOTIFY: c,~.~...~ a .~/.. 57..?.c.l.. ltilL TO: ................... 5 . T~3OLB ~_j INSTRUCTIOHS a. This applicatim 3 ~Cs of pl~, ~ plot p~ ~ ~. F~ ~i~ to ~e. b. ~ot pl~ ~ l~a of lot ~ of ~ldi~ ~ p~, ~laci~ip ~ ~joini~ ~s or ~lic c. ~ ~ ~ ~ ~is ~li~tim ~ m~ b ~ ~fo~ i~ o[ ~ildi~ ~t. d. ~ ~ of e. ~ ~ldi~ ~1~ ~ ~ of ~i~. ~ ~li~ (F~iling a of applie~t) I I '7 3 ~ and title of corporate officer) 3. Fatore of ~ork (check v~dch applicable): ~ Building .......... ~klitiun .......... Alteretiee .......... Repair ............ P~a~al ............. Ilemlitiun ............ Other Rork ..... · ............................. ,(l~acripti~) 4. gstitmted Cost . .~f ~ .Q.O.~ . lee ...................... (to be paid on filing this applica~iun) 5. If d~elling, t~a~ber of d~elling units ............ Number of d~elling units un each floor ................ If garage, maber of cars ...................................... 6. If business, ~erelal or mlzed occupaney, specify nstura and extent of each type of use ...................... ?. Dimensions of ex/sting structures, if any: Front ................ Rear ...... ~., ....... Depth ...... , .......... lleight ...................................... ..... lx~mber of Stories .... Oimensions of sam structure ~ith alterations or additiorm: Front ............... Rear ........ /. ..... Depth .................... Beight ................... . lx~ber of Stories ..... ....... . 8. Dimensions of entire ne~ cunstractiun: l~ont ................ Rear ............... Depth .............. Beight ..................... lx~m~be of Stories ......... 9. Size of lot: Fr~at .................... P~ar .................... I)epth I I. Zone or uae district in ffnich ~iaes are situated .............................................................. 12. BUes proposed c~mtrectlun vlolate any zoning la~, ordinance or regulatiun: ........................ 13. Will lot be regraded .................... I/ill ea~ens fill be ~ved [mm premises:. YES ~ of Architect .................................... Mdrens .............................. Phone lxb ........... 15. is tills property ~rlthin 360 feet of a tidal ~etland? * YgS..........~ NO ....~.. .... PLOT DIAGRAH [~ate clearly and distinctly all l~ildinga, ffaetber mdsting or proposed, and indicate all set-back dlraensions f-ran p, ot,erty lines. Give street and block ra~ber or deacriptiun according to deed, and ~ street n~es and indicate dnether iuterlor or coreer lot. ~rA1F. OF ~i.~ YO~K, ~ ,SS .......................................................... being duly ~oorn, deposes and says that he is tim applicant (l~vce of individual signing contract) above na~ed, Ile is lite ................................................................................................... (Contractor, agent, corporate officer, etc.) of said rx~uer or (xmers, and is duty authorized to perfom or have parfoumd the nsid *a>rk and to make and file this application; that all stat~nents eantaieed in this application are true to the best of his kee~ledg~ and I~tiefl ard that ti~ turk rill be parfotar~l in ti*e meuner ~t forth in the application flied th~re~rlth. F~orn to before me this ....... /.a.?5. ..... of .... lqotary Public ............ JOAN MOGfL Notary Pubhc, State of N~w York No. 01 MO502406 ~ Qualihed in Nassau County Commission Expires Feb. 22, 1'~ (Signature of Applicant) '" ' -1 OCCUPANCY OR . ..... - WITHOUT CERTIFICATE OF OCCUPANCY