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Home My WebLink About24211-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25700 Date: 05/01/98 THIS CERTIFIES that the building ADDITION Location of Property: 3340 PARK AVE MATTITUCK (~OUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 8 Lot 21 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 23, 1997 pursuant to which Building Permit No. 24211-Z dated JUNE 23, 1997 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOUGLAS WILLIAM POLLOCK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Bui~ding-Inspec~r 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) N? 24Zll Z Do,. .................. ~..~. ....... . ,,~..~ Rev. 6130/80 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 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-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, A~dditi~ons_ 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 Buildlnm - $100.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy $50.00 5. Temporary Certificate of Occupancy-Residential $,l,5/00~,Co~mmercial $15.00 - .................. uate ......... ,-. ' x~ '/.~ ' :~.~_:Jzi .... l~ew Construction ........... Old Or Fro-existing Building ..... ~..e..q ~Xk/cK ../~.~ /~rrlr~Z, /u, ¥, .... Location of Property.... .............. · ................................... --' House No. Street Hamlet p~/~,zci~ fo~_~_ . .~ gbocU,-r.4,z.... .......~. L.k~..c.~ .... Onwer or Owners of Property ..................................... ' ' Tax Map No 1000, Sectton~ .............. B~ock .............. i.Lot ...................... County -- -- Filed Map Lot · Subdivi~i~n~. ................................................................... Permit NO ............ ~...Date Of Permit ................ Applicant. ~~ 9~/,~/1 .................. Underwriters Approval · · · Mealth Dept. Approval.......... .............. .. Planning Board Approval ...................... ! Fi~a% Ce .~ . .'.." Request for: Temporary Certificate'iiiiiillI..~?~ ~rtica~e~ i' Fee Submitted: $. · .~. ............... s¢3 f --- - ............. 'Jtllllh','l' I (HI ] Albert J. Krupski, President John Holzapfel, Vice President , Jim King Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 3~ 1997 Douglas Pollock 3340 Litchfield Port Washington, NY 11050 RE: SCTM %123-8-21 Dear Mr. Pollock: The following action was taken by the Southold Town Board of Trustees on Wednesday, May 28, 1997: RESOLVED that the Southold Town. Board of Trustees 9z~nts a waiver to remove existing deck and replace with approx. 20' X 20' deck with angled stairs as per plans dated April 22, 1997. Located 3340 Park Ave., Mattituck. If you have any questions, please do not hesitate to contact this office. Albert J. Krupski, Jr. President, Board of Trustees AJK:jmd 765-1802 BUILDING DEPT. INSPECTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE ~/~/~/ INSPECTOR~//~/~/~-~/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. 2ND [ ]~NDATION [~LATION [l,/] FRAMING [~/'] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~~ ~-~- DATE ~///~/~///~ ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~I~AL PROPERTY TOWN OF SUFFOLK $.C.T.M. # AREA -- 9.757 LOCATED AT MATTIT, U~Oi~ $OUTHOLD COUNTY, NEW YORK I000-I~3-08-~1 ' '~ "' = 0.~4 ACRES"' % PARK AVENUE ~"'~'"' , N ~4'IB'OO"E ~ 17, 00' N 55'42' 00" W 33, 53' STOCKADE FENCE S 55'42' 00" E 50.00' LAND N/F M.O. DANKS FR. POLE HOOD SHED- PUMP HSE. STEPS LW/E BLDG N W E S SC:ALE: !"=30' LAND N/F F.A. ~ B.H. ROSS TY qOTE: SEE DEED OF LIBER 6771 ::'AGE 01 FOR EASEMENT FROM SOUTHERLY PROPERTY LINE TO ~ECONIC BAY FOR ACCESS TO ~ECONIC BAY, STAKE LAND N/F F.A. ROSS STAKE AUGUST L 1994 CERTIFIED TO: DOUGLAS WILLIAM POLLOCK ~ARCIA GLENN POLLOCK COMMONWEALTH LAND TITLE 6352 GREAT (PEGONIG INS, PECONIG BAY BA Y) SURVEYED BY: FRANK J, BARYLSKI N.Y.S. Lto. No. 44Eg4 BRIDGEHAMPTON AND SAYVILLEo NE~ YORK AUGUST 1. 1994 .~,~,~ut.A$ & MARC;IA .. ,,,c~ ¥ I,OGATED AT MATTITUGK TOWN Ol" ~-;OUTHOLD .SUI;'t"OI,K COUNTY. NEW YORK S.C.T.M. # IOOO-lZ3-08-~.I AREA = 9,757 BF. = O.~gd ACRES '" N ,]4'18' O0"E .>..~,~, ~ 7. oo' N 55'42' 00" W_ .- I.AND N/F M.O. DANKS NOIE: SEE DEED OF LIBER 6771 P.A~E 01 FOR FASEMENT F'ROH SOLITHERLY PROPERTY LINE TO PECONIE BAY FOR ACCESS lO PECONIC BAY. POLLOOK ~ LAND N/F F.A. a B.H ROSS LAND N/F F,A. ROSS STAKE GERT I F II!;I) TO. DOUGLAS WI LI.I AM I~Ol..I..OCl( MARCIA GLENN POi,I.OCK ¢;OMMONWE^I/I'II I,^ND 'tITLE Gl?ICA T I~t~'CONI(7 f?A Y (I~t','C, ONIC [3A Y) ?).:) SURVEYED BY: FRANK J. BARYLSKI N.Y.S. Lie. No. 44~g4 BRIDGEHAMPTON AN~ FOIltl NO. I 'l'Ott~ OF !iOUTIIIII.II IIII 1 I.D 1 ~G IW.I~^WH'II~HT 'l'OltN II^IA, !iOIITIIOI,I)~ H.¥. I1~!1 TEl,: 765-11102,~ IH)^I{I) OF IIE^I,TII ............... · ,~ ,~F,'I'S OF PI.AN!I ............... IJIIVE¥ ........................ .,,/"CIIEC K ......................... ,qEPTI C FOI~H ................... I HWI'IilICT ! b. PIo~ plo. ~c~h~ I<ma~l~ o~ lot a,~l of I~Hldi.gs <.~ pr~.ises, relationship Lo mljoinl.~ pr~,dseo or la,hlic thh~ nl~d ~ c. 'lhe ~rk ~r~l by this nll~llcatiat ,'~y s~)t Im co~umtmed I~fo~e tsmm,me o[ ~dldl~ Permit. d. Illxm o~fll of this flpl)lJcnci~h the I~dhli.l~ lnslmctor ~ill ismm fl l~tildJn~ Pemi~ Lo the al~licmd:. Such AULq,I(~'I'I~ lY I~IQ[ITY ~lC I'o the Ik~Jl<l[.lt Ihl~rl.ne.l: for the i~mim~:e o[ n I~llhlJn~ PemJC I~lramnC to Lhe Ik~ildln8 ~am Or(lirm.~e o~ tim '1'o~ o~ ~tlmld, alffolk (~,,ity, ~ York. ntKI other al~lJcnble l~s, Or(li~mes or I~l~uloci~m, for tl~ camtnatl~ o[ I~lildin6s, ~kliti~ms or alleratlons, or for ~lova[ or ~ol il. lon. as herein .' (~i I i,,~ ~Kllhe.o of appl icaut) .... ~.~a~.~ ..................................................................................................... ,,,~ ,,~ ,~ {,~ ,,~,~ ..... ~e~....~....~.~.~L~ ....... ~.S. ??.~ .~ ............................ (aa <.l the t t roll or hlte~r deed) If .l~dlcant 1~ ~ corlx~a~lon~ ~lp~tu~ o~ dul~ a.thoriz~d officer. (Ha,~: m~l tit. lc of corlx)~'ate o[£1cer) 3;I '11 '(Il · 6 '11 'f.