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Home My WebLink About23103-zFORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 23103 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date Permission Is hereby granted to: /..., . / ....~.,.z..~ ....... ~~ .......................... ~.../.~ ~ ............. ~:..~....~ ....... ~.....~cc_ ,~,,,~/,~ .... ~~.~ ............. ~ ............... ~......~ ~~ ,o ....... ~~.~......~.~ ....... ~.....~ ....... ~.~ ................................ ....... ~~. ........ ~~ ........ ~ ........ ~~....:~...~. OounlyTaxMapNo. 1000 Seotion../.,~...2 .......... Block ...... ,,,O,.,,,~,,. .......... LotNo ...... ~...~.. ........... dated ................... ..~.~./.¢~., ........................ 1 9.....~..~, and approved bytbe pursuant to application Building Inspector, Fee ~....~..:.~ .... Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24686 Date OCTOBER 15, 1996 THIS CERTIFIES that the building Location of Property 3350 GRAND A~E. House No. County Tax Map No. 1000 Section 107 Subdivision NEW DWELLING MATTITUCK~ N.Y. Street Hamlet Block 2 Lot 4.2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NO%~MBMR 2, 1995 ~ursuant to which Building Permit No. 23103-Z dated NOVE~BER 2, 1995 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 ONE FAMILY DWELLING WITH CO~ERED FRONT PORCH AS APPLIED FOR. The certificate is issued to JESSE GAPFGA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0120-SEPT. 19, 1996 UNDERWRITERS CERTIFICATE NO. H-050621 - JUNE 26, 1996 PLUMBERS CERTIFICATION DATED SEPT. 30, 1996-JESSE GAFFGA Rev. 1/81 Inspector AP. ~_CA~_ON FOR CERTIFICATE OF OCCUPANCY A.~'~his application must be filled ie by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: !. Final survey of property with accurate location of ~al! buildings, property lines, streets, and unusual naturai or topographic features. 2. Final Approval from Eealth DepT. of water supply and sewerage-disposal{S-9 form). Approval of electrical installation from Board of Fire Unden~riters. 4. Sworn statement from plumber certifying that. the solder used in system contains less than 2/!0 of !% lead. 5. Commercial building~ industrial bui!dkng~ mulnip!e residences and similar buildings and-installations, a cer{ificaca of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval ~f completed site plan requirements. For existing buildings (prior Co April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. g properly completed applicatio~ and a consen5 to inspect signed by ~he applicant. If a Certificane of Occupancy is denied, the Building Inspecsor shall scare ~he raisons therefor in ~ri[ing to :he applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling S25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building s25.00. Businesses S50.00. 2. Certificate of Occupancy on Pre-existing Bui!dinm - $100.00 3. Copy of Certificate of Occupancy - ...25C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $!5.00~ Commercial $15.00 Date¢ · New Construction ........... Old Or Pre-existing Building ................. Location or Property ..................................................... u>~. ................. ~ouse No. Street ~amiat Onwer or Owners of ProperCy..~..~....~.~..f~.~ ............................................ County Tax Map No ~000, Seccion..~..C).~ ....... Block... ~ ..... Loc ~-~. 7_.- Subdivision .................................... Filed ~ap ............ Lot ...................... Permit No. ~ ~ I0~_~ .Date Of Permit. I1'~ .Applican~. ~ea!th Deot. ADoroval. ? ' ~ s~ ~- Approval ......................... Planning Board Approval ........................ Car~izzca~e ........... Final Carzicgca ........... Raques~ for: Temporary -'" - Fee Submitted: Town Hall, 53095 Main Road P, O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 · Telephone (516) 765-1802 THE NEW YORK BOARD OF FIRE UNDERWRITERS I 8~59131 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NY 10038 Date Ji.l]~lE 2~-~ Application~o, onfile 1J.~7396/96 M ~621 THIS CERTIFIES THAT o~y the electrical ~uipment ~ ~scrib~ be~w a~ mt~uc~ by t~ appl~ant ~med on the a~ve apphcat~on number m the prem~es of JESSE GAPFGA, 3350 GRI~ND AVENUE, MATTITUCK, N.Y. in the following locatlon; ~ B~ement ~ Ist n. ~ 2nd Fl. OUT Section Bilk JUNE 2~, 1996 and found to be in compliance with the N~onal Electdcal Code. FIXTURE OTHER APPARATUS: FIXTURES 40 20 24 FURNACE MOTORS FUTURE APPLIANCE FEEDERS S Lot EXHAUST FANS D:.¥.,¥1~S OF CC CON?~ 2/0 NO OF HI.LEG OF HI-LEG NO OF NEUTRALS J A.W O. O~ NEUTRAL i I 2/0 PADDLE ~AN-- 1 %~]LL PUMP'- 1 MOTORS:i-F H,P. ,I'-1 SMOKE DETECTOR: *-4 JESSE J. .,A~FGA P. O. BOX 124 CUTCH]GUE, NY, 11935 GENERAL MANAGER Per 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlals. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERT[F[CATE NUST NOT BE ALTERED IN ANY MANNER. JOYCE M. WIM(INS Notary Public, State of New York No. 4952246, Suffolk CounJy..., ;erin Expires June 12, 011(;11 FR^HF, & tl.qULATI()tl l~l~,ll N. ¥. ,qTA'FE CODE F ! ['IAI, 765-1802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL []FIREPLACE&CHIMNEY R£MARK~S: /~Z~~t~, ~--~qZ_ /// ./ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ] F/OI]NDATION 1ST [ FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY .EMA.KS:. . ~~~ ] ROUGH PLBG. ] INSULATION ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [,~OUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ~RAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: .~ ~/~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ] ROUGH PLBG. [ ] FIREPLACE & CHIMNEY REMARKS: [ ] INSULATION [~FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [~~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR 765-J.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ . ]R~H PLBG. FOUNDATION 2ND [ P"] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~-*~~c.~~ DATE 1995 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT,. TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..... ,/. ~/~..~. ..... ,19 .~. ~.'"'~ Approved ....... ./g/(r..d-7 ..... 19~. Per,nit No. Disapprove( a/c ................................ j.. :. - BOAgD 0P HEALIIt ......... l, Cr ......... : ...... :.. CALL . . · · HAIL TO: ~ ctor) ,-. APRLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This apl~lication 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 sdhedule. b. Plot plan showing location of lot and of buildings on premises, relatignship to adjoining premises or public st?eets or areas, and giving a detailed description of layout of property muJt be drawn on the diagram which is part of this appli- cation. e. 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 i~sued a Building Permit to the applicant. Such permit shail 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 Occupancy shail have been granted bY tile 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 South~ld, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for tile construction of buildings, additions or alterations, or for removal or demolition, as herein describbd. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspeet6rs on premises and in building for necessary~p,s..~ ~, (Mailing addre~ of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. ..... · C~. :,.e. ,~... %eo¢ ~.L.c.~. '~" '~'9" ~'~ .~.4.re,~.,%... 9 ~ o~.~.%..¢0~:~ .o\..~... ................... Name of owner of premises · .~'~..~-~b~...'~..C.?.~..~. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authoriied 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... ~ ix~,,~., hW-~. ..... t?'~..x~. > .&-?c.\.~-:..: ................ Itouse Number Street Hamlet Co.'nty :ax m No. 1000 Sect,on .......... B,oc ..... Subdivision.. ~..~ .~.~.o*,.~... ~-~r'v~.~e~L4 ~ ......... '. Filed Map No ............... Lot ...... : ........ (Name) g use and occupancy of premises and intended use and occupancy of proposed construction: .g use aud occupancy Y t~Ct,~ ]---O '~- ' ,ded use and occupancy .. J'..(~T¢e:!.~ ...... · 3. Nature of work (check which aplilicable): New Building .. ' .~.ddition ..... Alteration .......... Repair ~ ............ RemoVal .............. Demolition . Other Work Q . . ipti ) 4. Estimated est .... I . (to be paid on filing this application) 5. If dwellingI number of dwelling uuits ..... Il Number of dwe ling units on each floor·. .............. · If garage, number of cars '. ..... i ......... '. , .............. 6. ~.bus,n.ess, co.!nmerc,al or mi.xedloccupancy' specify nature and extent of.each type of use ....... 7. rqmensions os existing structuresl if any' Front , , : R~ '.~ ......... ; ' ' · · .. ....... war., ,. ............ ~epth ............... Height Number of Stories Dimensions of shine structure with alterations or additions: Front ................. Rear .................. ~Depth .... ' ................... Height ~ ' ' · Number of ~qtnri~ ' ' L'nnens~ons,.,ofentirenewconstrubtion Front,~.g', Rear '~ Height .dk~. ......... Numb'er of Stories .... ~../?,. P ........ 9, Size of 10t: Front ,, ~ ~g,~ ~ 2'~ i' ......... ' .....~. ......;.'_' · · .~ .... : .......... Zone or use district in which premises are situated ............. ' ......... ' . '. .12. Does proposed construction violaie any zoning law ordinance or raoulaHc~n',' ] 'x~ ........................ 13, Wm ~O[ ne regraoan /,,-, ......... Will exces ..... · ' I ....... S IIU oe remoyea ~rom premises: Yes 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 bu ldmgs, Whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block n6mber or description according to deed, and show street names and indicate Whether interior or corner lot. iTATE OF NEW YORK, -'OUNTY OF. 5~.,,i~ol [¢ .... S.S ........ '~"~-' · ~' ~.. ......... q ................ being duly sworn, deposes and says that he is the applicant ~ (Name of individual signing ?ontract) bove named. les the . . ................................ ontractor, agent, cor'porate officer, etc.) f said 6wner or owners, and is duly a¢thorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this'application are flue to the best of his knowledge and belief; and that the ,ork will be performed in the manner se! fprth in the application filed therewith. worn to before me this i .................. day of ........... ,19 ota~z~?uhh¢ .......... ~_~. ).,g( .i ......... County Notsry Pu§lic, gtate of I~w York (.J (../ ' (Signature of applican~ No. §2-8121850, Suffolk Cou. r~ty/ Te 'm E×p ro.~ October 31, 19 ~ / / aA O0 ~ ~;~ ~ ~1 ~ ~ C'~' t 1 ~- MONUMENT FOUND ~- STAKE SET ~ ~ ~ ~ ~ .,~,~l~G~ ~ ~~ ~ ~, LOT NUMBERS SHO~ HEREON REFER TO SUBDI~SION MAP - -- ~ ~ ~0~- ~ ~ ~ , "GREGORY SIMONELLI" FILED IN THE OFFICE OF THE CLERK ~ ~ ~ ~ ' ' ~ OF SUFFOLK COUNTY ON SEPT. 20. 1995 AS MAP NO. g745. ~TmenT OF ~eAuTH servicEs cErT~FIcAT~ON SURVEY FOR: S,WA,,OIS~OSALSYST,MS~O~SIN,L,~A. ILY~,,IO,N~,SAND.LLA,[D,,~TH, CON,ITIONS JESSE d GAFFGA A..,,,~.,',,,,.~,u.,, JENNIFER a. KRUSE ~,,~,c.,~: At: MATTITUCK Town of: SOUTHOLD sme~A~,[ss: Suffolk County. New York TELEPHONE NUMBER: Surf. Co. Tox Mop: ~ 1000 i 107 ~ 2 i P/O 4 CERTIFIED TO: JENNIFER A, KRUSE 400 Os~e~ A~e~e, ~e~e~, ~e~ ~J~ FIRST~AMERIC~'TI,TLE INSURANCE COMPANY OF NEW YORK Alden W. Young, P.E & L.S. (1908-1994) ~~ DATE :OCT, 5, 1995 Howawd W. Young, Land S~eyor e e Thomas C. Wolpert, Professional Engineer°'~' [)~T. 0~ SCALE :1"= 60' :-- . r JOB NO, :95-0868 ~ John Sehnu~,LandSu~eyor ~~'-~':"~'...---- --': c SHEET NO. :1 OF l(GAg50868,DWG ~ 0 ~orrOer\'Y or /x. P°\¥o ~°~o~ ~o~mer\Y nox~ or ~ $?-oo~s Lot. ~ Lot 2 SY' ~'~ 56700 ~"" ' '50" 'g k_ok. 3 NOTE: t. I= MONUMENT FOUND A= STAKE SET 2, LOT NUMBERS SHO'¢~ HEREON REFER TO SUBDIVISION MAP - "GREGORY SIMONELLI" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUWfY ON SEPT. 20, 1995 AS MAP ilO, 9?43. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION "1 AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE APPLICANT'S SIGNATURE: APPLICANT: STREET ADDRESS: CITY: STATE: ZiP CODE: TELEPHONE NUMBER: Young & Young, Land Surveyors 400 Ostrander Avenue, Riverhead, New York 11901 516-727-2303 Alden W. Young, P.E & L.S. (fgos-f994) Howard ~. Young, Land Surveyor Thomas C. Wolpert, Professional Engineer Kenneth F. Abruzzo, Land Surveyor John Sehnurr, Land Surveyor SURVEY FOR: JESSE J. OAFFGA & JENNIFER A. KRUSE At: MATTITUCK Town of: SOUTHOLD Suffolk County, New York Surf. Co. Tax Map: ~ 1000 ~ 107 , 2 ~ P/O 4 District Section Block Lot CERTIFIED TO: JESSE J. GAFFGA , JENNIFE~R, A, ~ t'(RUSE % AMERICAN T['CI:E iNSURANCE COMPANY OF NEW YORK FIRS, T. NOV. 27, 1995 DATE :OCT. 5, 1995 SCALE : 1"-- 60' JOB NO. : 95-0868 > '~ -- ~ ~: .'~ SHEET NO,:I OF 1 "?,-Z- ...'"' (GAO50868.DWG) nO~N or ,So'ar, oo'~ or /x, Lot 2 S.F. /xreo ~ 56700 O 0 20.00' ~ormer\¥ now or ~A. S'~°~$ s~ePben NOTE: 1. · = MONUMENT FOUND · = STAKE FOUND 2. LOT NUMBERS SHOWN HEREON REFER TO SUBDIVISION MAP - "GREGORY SIMONELLI" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON SEPT. 20, 1995 AS MAP NO. 9743. 3. ELEVATIONS SHOWN HEREON ARE FROM TOPOGRAPHICAL MAPS PREPARED BY US REFERENCED TO MEAN SEA LEVEL DATUM AND ARE SUBJECT TO FIELD VERIFICATION, Lo~ 3 \ ~ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION "1 AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND ~LL ABIDE BY THE CONDITIONS SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT," APPLICANT'S SIGNATURE: APPLICANT: STREET ADDRESS: CITY: STATE: ZIP COBE: TELEPHONE NUMBER: SURVEY FOR: Young & Young, Land Surveyors 400 Ostrander Avenue, Riverhead, New York 1190! 516-727-2303 Alden W. Young, P.E Sc £.S. (1908-1994) Howard W. Young, £and Surveyor T&ov~s C, WeeperS, Frofes~on~ Engineer Kenneth F. Ab~zzo, Land Su~eyor John Schnu~, Land Su~eyor JESSE J. GAFFGA & JENNIFER A. KRUSE At: MATTITUCK Town of: SOUTHOLD Suffolk County, New York Surf. Co. Tax Mop: ~ 100o ~ 107 4.2 CERTIFIED TO: JESSE J, GAFFOA JENNIFER A. KRL!SE / FIRST At~'c;RICAN ;T?E INSURANCE COMPANY OF NEW YORk ~~ ~ JUNE 25, 1996 .,,~ NOV. 27, 1995 DATE :OCT. 5, 1995 SCALE :1"= 60' JO~ NO. ;95-0§§8 SHEET NO.:I OF 1 _._J (GA950868.DWG) OlsLrict Sectio~ Block Lot