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Home My WebLink About23220-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25023 Date MAY 6, 1997 THIS CERTIFIES that the building ADDITION Location of Property 725 BENNETS POND LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 13 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 1, 1995 pursuant to which Building Permit No. 23220-Z dated JANUARY 17, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" The certificate is issued to JOHN L. & KATHLEEN D. MOORE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A BtAiding t4pector Rev. 1/81 FORM NO.S TOWN OF SOUTHOLD BUILDING DEPARTMENT TONM HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) G+ Date .. . ............................................ 19.1. ... NP 23220 Z Permission is hereb anted to: 4 G� ,. . .,..moo. to . .. ..... . �.Gg�j........��P.... > i!0 1 ' ..... � ....... ......... ...... y�.......................................... .................................................................................................................................................................. .................................................................................................................................................................. ........................................................................................................................................................I......... at premises located at... -- -;; .... ' . ... r'./a'. '.e................ 101-lie '0";"� ..... ............................................................................. County Tax Map No. 1000 Section ..... .. ......... Block......... ...... Lot No. .........41............ pursuant to application dated . �y ...................................... 19 .., and approved by the Building Inspector. Fee .... .. / . ............... wilding Inspector Rev. 6/30/80 TOWN OF SOU'THOLD 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings L�. and installations, a certificate of Code Compliance from archituct or ungLneer responsible for the building. 6. Submit Planning Board Apptuval 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 ortopographic 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. r Fees 1 . 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 - $5.00 over 5 years - $LO.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . NOYember.28, .1445. . . . . . . . ... . . . . . . . . . . . . New ConstructionX deck flS N ll� Or Pre-existing Building Location of Property. . . . . . . . . . . . Beonetts. Pond. Lane. ,. Mattituck. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. street Hamlet Onweror owners of Property. . , . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . W. . . . . . . . .Block. . J3. . . . . . . . . . . .Lot. . . .011 . . . . . . . . . . . . . . . subdivision. . Map, of, Bennet:ts, Pond. . . . . . . . . . . . .Filed Mup. . 5483. . . . . .Let . . . . . .4. . . . . . . . . . . . . . . PermitNo. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .ApplieanL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicat . . . . . . . . Fee submitted: $. 25.99. . . .GARY PLANNF.17OLSEN, tSQ. P.O. BOX 706 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CLITCHOGUE, L.I., N.Y. 11935 APPLICANT C°oSoa3 - IFLD INSPECTION REPORT DATE COMMENTS-------------- II jj 'ti ! II \ I `3 'OUNDATION ( IST) III li u II I I i�-IIi 1 'OIINDATION (2ND) II I II ij I Ii it S OUCH FRAMES ii II q �o PLUMBING ISI I q it i It it -- II H 4SDLATION PER N. T. a STATE ENERGYit a �I CODE u ii II jj u n n j t I FINAL u n 1 it07 n n _ ADD ITI0 S: a i I I � I > � I I - n i I I � I ,y GARY FLANNER OLSEN COUNSELLOR AT LAW P.O. BOX 706 • MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 11935 • PHONE 516-734-7666 FAX 516-734-7712 November 28, 1995 Re: Moore to Mendez Our File # 5978 Gentlemen: Enclosed please find the following: 1. Application for a Building Permit for deck. 2. Application for the Certificate of Occupancy for deck. 3. My attorney's check in the sum of $75.00 for the building permit fee. 4 . My attorney's check in the sum of $25.00 for the fee for the Certificate of Occupancy for the deck. This deck was built by Norman Reilly when the original house was constructed pursuant to Building Permit # 6219Z for which Certificate of Occupancy #5031 was issued on March 13, 1973. Even though the deck was constructed the same time the house was constructed, and was attached to the house when the final inspection was done for the issuance of a CO, apparently the deck was not reflected on the building plans thus necessitating this application. Very truly yours, G FLa N OLSEN GFO:lmk i Enclosures Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHII�MNE,,YY REMARKS: l��L�n •.�{.c �v —_ �� C oc DATE l ( YY INSPECTOR 16- F M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ V FINAL [ } FIREPLACE A CHIMNEY REMARKS: DATE*2-�' INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [c/]/FINAL�jtpt� � [ ] FIREPLACE A CHIMNEY REMARKS: Z), DATE _ INSPECTOR '�: G . ..z95aa95 S1L1.WpI'�tN • .,.10.E � - N�� froµ 1� Mnf�p, n 400 r �a1 OA �01 Is 4- 4� F s•' r Troll • r~ O r� ' fit00 opr req Poo ' 41 y / Gl;� � X191' �� U, �M� ►�f K 0�1 tWc- A'+ _ Ppb \,••r � � � r� ` � , t 1� Tr 4 r 3' 11411611 IZAIWNC SUPFoiZigp Sy e4")e4$ ((i1AFAl'r) LCfZpSSpIdt15 0,4 ftp �e- -- - - p�e'tlr�t 1 r� UnwlMrlooa olWtatbn er eddllMn t0 }file e+MroY It � rVal; ovonon 11701, of 1he Now YGA p1aW Vvaellen Low. Cap1e1 01 thio 1owoY +nap t1H 1loorWq tho Wd oury4w atiwnerL o.el or am"F44 fool shall Pal {aryl w1wo,w b h v Vol; Gvotaro•�%- a ew.,1460ano mureeNw h,~ thou& volt, r. ,/^ r '� ��6C.1 po,wn M• whom rho IurnY it r'nro+tA*rod on hl1 Inholf 'q0 t YAU I tilt• eamponY. YpVommMlol oil" and lendlno lnuUwllw hat"n,and w ohs ellhn000 of the,lond'% I41111WWn. ove Of e6010110n1 eao not IHneflle`Ie Is 4111" Inglilvi wbopuonl ewMt4 ns wa.+tor CL{'VAYIpN1 AtiE PQF[f16'NClliO TO AN A28VMKD DATUM BURVi'Y FOR atNarrr'1► POND" JVff1Y L .t•JK ct n. cir .^rt ��+v rVt %,;r 1`�.6 pwrp , rrrsv ..,•• •••••AT MArrs'fucK GUARANTR#O rat TOWN OF SOUTrfOLO NORTH FORKIIANK wTR1f �fIoMY4 r ' $UFFOtK COUNTY , ►q �' THE TITLE GUAAAN-f9g, JOHN L., 1R,fp KaATML[RN 41MR.1''» r'. so flora Nov. arelora WESTPHALZA RfJAD LOT NO. 4 BENNE"I'T'S POND FILED JUNE I2,1970 MAP NO.5413 MATTITiJCK TOWN OF SOUTHOLD SUFFOLK COUNTY.NEW YORK Lot 3 1 IN. = 30 FT_ NOVEMBER 17.L995 w f • u Y a ,��sPE sa� E 209-Do, h � N y i 4 GUARANTEED TO: S Ce W LUIS J.MENDEZ 3 z2z TERESE.L_BRADY—MENDEZ C6 2 = FIDELITY NATIONAL TITLE c n INSURANCE COMPANY TTILE NO. S 20I4S22 SUFFOLK COUNTY NATIONAL BANK W til Z S W L Z¢o o h 6 Of New Y yLi � 262• � •"'! II N } i ,z3 116' NIF Haines /" Z V-7 PON ax+ INtN rwE y Ira. 3"" p4 S 58.54'50" W 209.08' L suss '• PAUL T.CAriALiZO.SURVEYOR NIF Bennett HAMPTON BAYS.NEW YORK i BOARD OF HEALTH FORM NO. 1 0 SETS OF PLANS . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORK . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 7651802 NDT I FY ; CALL . . . . . . . . . . . . . . . Examinedj . . . . . . . . . . . . .. 197. PIALL TO : V/,A . . 1,/, . . . . . . .. 19 '�I'ennit No. /. 31;Z1�2.O . . . . . . . . . . . . . . . . nisapproved a/c (Bui mg I ector) APPLICATION FOBUILDING PERMIT Date . . . .Nov: .28 . . . . . . .. 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wi sets of plans, accurate plat 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 st, or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this al cation. 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 issued a Building Permit to the applicant. Such Pe 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 whatever until a Certificate of Occup.- shall have been granted by the Building Inspector. APPLICATION IS HEREBY NfADE to the Building Department for the issuanc Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, th r applicable Laws, Ordinance Reeulations, for the construction of buildings, additions or alterations, Rant, o•i•,dentolition, as herein descril The applicant agrees to comply with all applicable laws, ordinances, buiu mg code, -regulations, an( admit authorized inspectors on pr,:mises and in building for necessary insp `. . . . . . . . . . . Gary IT Ler Oor name, if corporation) sen as Attorneyor John, L.. Moore,_ Jr.. and Kathleen D. Moore . . . . . . . . . . . (Nlailing address of applicant) P. 0. Box 706, Cutchogue, NY 11935 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil, Attorney for owner . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . .john L.. Moore,, Jr., and. Kathleen. D.. . . . .Moo.re. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. .Bennetts Pond Lane, Matti tuck, NY Bennetts Pond Lane Matti tuck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . Ilouse Number Street Ilamlet County Tax Nfap No. 1000 Section . . 113. . . . . . . . . . . . . Block . .13. . . . . . . . . . . . . . . Lot 011. . . . . . . . , . . . . Subdivision . Map. of. Bennetts. Pond. . .. . . . . . . . . . . . . . riled Map No. •5483 . . _ . . . . . . Lot . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancyDeck. as.bui 1 t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . Deck as built Deck as built 3. Nature of work (check which applicable): New Building X . . . . . . . . . Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost . . . . $200:00 - (Description) . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, 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 I lciglit . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . Rear Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . " . Noijiber of Stories . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . • . . . . . Rear Depth . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . �. Size of lot: 1-ront . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . .! . . . . . . . . . . . . . . . . . . . . .. ` 10. Date of Purchase . . . . . . . . . . . . . . .'. . . . . Deptthh . . . . . . . . . . . . . . . . . . . . . . . . . . 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: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: • Yes No Name14. Nae of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . • . • • • . . . . Name of Contractor . Address . . . . . . . . . . . . . Phone No. 15. Is this property within 300 feet of a tidal wetland? *Yes. *If yes, Southold Town Trustees Permit may be required. 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 number or description according to deed, and show street names and indicate whether interior or corner lot. See annexed survey with location and dimensions of deck as built. This deck was constructed at the same time the original house was built but apparently was now shown on the building plans. The house was built pursuant to building permit # 6219Z. - K � - 9 9d. sy M er s� R L Y a t w LUa TATE OF NEW YORK, OUNTY OF .$VFFQLK . • . . . . . . _ S-s Gary .Fl anner. Olsen•,_ Esp.. • • _ • i • • • . . . . . . being duly sworn, deposes and says that he is the applicant (Dame of individual signing contract) love named. z- istile . . . . Attorney for John L. Moore, Jr. and Kathleen D. Moore (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowdge nd belief;and that the irk will be performed in the manner set forth in the application filed therewith. -orn to before me this . . . . . . . . 28th. . . . . . ... . .day of. . . .November . . . . . . . . ., 19 95. airy Public, . . . , . , . . .Suffolk County LORRAINE KLOER . . . . . . . . . . . . . . . Y. . Rotary Public,o* 82837State New York (Signature of applicant) No.4828373 Qualified in Suffolk County Commission Expires Nov.30.199,t'�j