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Home My WebLink About27747-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28480 Date: 05/31/02 T~IS CERTIFIES that the building ADDITION AND ALTERATION Location of Property: 605 SOUi%rDVIEW AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 94 Block 1 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAIqUARY 18, 2001 pursuant to which Building Permit No. 27747-Z dated OCTOBER 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 ADDITIONS AND ALTERATION TO AN EXISTING ONE FAMILY DWELLTNG AS APPLIED FOR. The certificate is issued to JANE P MASTER of the aforesaid building. (OWNER) suFFOLK COUNTYDEPARTMENTOF~RALT~IAPPROVAL ELEc-£RICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAT~U 04/24/02 N/A 1050022 05/09/02 WALTER H BERRY '~/or' e/d S~i nature 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. 27747 Z Date OCTOBER 1, 2001 Permission is hereby granted to: JANE P MASTER #I504 DENVER CO, 80203 for : ADDITION AND ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 605 County Tax Map No. 473889 Section 094 pursuant to application dated JANUARY Building Inspector. SOUNDVIEW AVE MATTITUCK Block 0001 Lot No. 004 18, 2001 and approved by the Fee $ 441.20 Authorized Signature COPY Rev. 2/19/98 Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OFO~'_ CCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For uew 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 fi'om Health Dept. of water supply and sewerage-disposal (S-9 form). 3. ApproPal of electrical installation ~om Board of Fire Unde~fiters. ' ~7,'~5~ . · . . - ~ , ~ g Y [~ ~ a 4. Sworn statement rom plumber cern in that the solder used m s stem co~ ~ s ess~ ~a~27 5. Co~nerc~al bmldmg, tndustnal building, multiple residences and s~lar b[a~hg~ and mstallahmm, a of Code Compli~ce from archtect or eng~eer res¢onsible for the buildin~ ~ ~ 6. Submt Plamg Bo~d Approval of completed site pl~ r~uirements. ~ ~ }(i:} M~ B.. For e~stlng buildings ~rior to April 9, 1957) non-conforming uses, or bull ing~ an~ -1. Accmate s~ey of prope~y showing all property lines, streets, b~ld~g md~~al:0~:f6O~ fea~res. 2. A properly ~mplet~ application ~d a consent to ~spect si~ed by ~e applic~t. If a Ceffificate of O~up~r is de~, the B~l~g ~pector s~H state ~e rmsons ~efor ~ wfit~g to the applic~t. 1 ....Ce~ficate of Occupancy- New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0( Swimming pool' $25.00, Accessory buildingS25.00, Additions to accessory building $25.00, Businesses $50.0~ 2. Certificate of Occupancy' on Pre-existiag Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Now Constm~ti°n: [,~ Old or Pre-existing Building: Uo ofh r ty: ' Honse No. Street Owner or Owners ofPmPeriY: .FIA.~ 1~3~ '~- Suffolk County Tax. Map No 1000, Section .~V Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fe~ Submitted: $ Date of Permit. (ohcck one) Block Filed Map. _ //~/~-~, Applicant: Underwriters Approval: Final Certificate: Lot Lot: j (checkone) Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 · Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/i0 of 1%' :~ Sworn to before me this ,/~fr," t/ day of ~ ~/ , 20 02-- (Plumber~ture) Commission Eq)ire~ SepL 30, Notary eubli~~, fff~.~County BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by DOROSKI ELEC. INC JANE MASTERS 425 MONSELL LANE 605 SOUNDVIEW AVENUE CUTCHOGUE, N.Y. 11935, MATTITUCK, NY 11952 Located at 605 SOUNDVIEW AVEIqUE MA'[TITUCK, NY 11952 Application Number: 1050022 Certificate Number: 1050022 Section: Block: Lot: Building Perm?t:27747 BDC: NS11 Described as a Residential occupancy, wherein the premiSgsete~trical system consisting electrical devices and described located in/on wiring, below, the premises at: Second Floor, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 9th Day of May, 2002. Name QTY Rat._._~e Rating Circuit Type Emergency Equipment Alarm and Sensor 1 0 Carbon Monoxide Sensor 4 0 Heat Wiring and Devices Receptacle 16 0 General Purpose Switch 8 0 General Purpose Fixture 20 0 Incandescent Receptacle 1 0 GFCI Dimmers 7 0 seal 1 of 1 may any way only by the presence of a raised seal at the location indicated. This certificate not be altered in and is validated BUILDING PERMIT REVIEW CHECK LIST APPLICANT NAME: SCTM#--- DISTRICT: 1,000 SECTION.'O~ PROJECT LOCATION STREET: DATE REVIEWED: DATE SUBMITTED ARCHITECT/ENGINEER: ~:b~o ( e_.c-t_e '"'~t,_-~: l~ S~GLE & SEP~TE CERT~ICATION-REQU~D: YES o~N~ NOTES: ZONING: PERMI~ATE AMOUNT: $ ~.00 COlOr. G: YES ZON~G DISTiCh80, AC, - o~ ~QU~D LOT S~E: SUBDIV. NAME: FAST TRACK: YES o( M~ ,;~, ,r~.* ~/ .--) WHERE ACTUAL LOT SIZE FRO ACTUAL LOT SIZE: ~' REQUIRED IRED REQUIRED " FRONT: PO 'PROPOSED: /,,~)' SIDE YD: /5~- '/~z'' PROPOSED: /~ '/.3~ 'REAR: fro 'PROPOSED: LOT COVERAGE: ALLOWED: ~ % EXISTING: sf % NEW: sf % TOTAL: sf CORNER? YES o WAT ER FRONT? R NO DESCRIPTION: LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN. 1997 100-25. Merger. (A nonconforming at any time after July 1, 1983.) SQl DESCRIPTION:~ ACC OR N/D: PROJECT AGENCY PERMITS REQUIRED FOR REVIEW NEEDED_ TOWN SPETIC PERMIT: YES ;-~(1~ (-- SUFFOLK COUNTY HEALTH DEPT: YES o N~Q3)(BED #): DTE: / / PERMIT #:R10- NEW YORK STATE DEC: PRE-.PC 9/1'75 YES or SOUTHOLD TOWN TRUSTEES: YES or~ TOWN ZONING BOARD APPROVAL: YES of..~ TOWN PLAN. BOARD APPROVAL: YES FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: / ~.,~ FLOOD ZONE: .~' , NYS ENERGY'(4~-~ ORNO · w'/ EGRESS' VENT' LIGHT' NOTES:? ? -- " FEE STRUCTURE: FOUNDATION: vm~ PLUUR : / ~, 9~' SECOND FLR : ~/ ~ SF INIT OTHER TOTAL TOTAL: .2.-~_~ ~, ~ SF ~ A FEE FEE FEE TOT( ~ SF)- ( ~'/~ SF)= /(--~ SF X $ V.z,, / g~ /,,,...,,./ /,,/,/~., '-/ ,.~,..~. R 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY I NSPECTOR/~ ~~-.- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~.N,.~JLATION [ ] FRAMING [,/] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR FIgLI) 'iNsPgCTION REPORT ' DATE CONI, I~S [~rI~I)ATIO~ (IST)' FRAME . PLDMBING INSOLATION PI~R N. Y. ST.A,Tli E~aG~ CODE FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHQLD, NY 11971 TEL.'.' '~65-1802 BUILDING PERMIT APPLICATION CHECKLIST: Do you have or need the following, before applying?: Exa. mined ' ". Apprpved '. Disapproved'a/c PERMIT NO. ,,2- ,,9 · ""~ Board of Health? 3 sets of Building Plans Survey. Check Septic Form N.Y.S.D.E.C. Trustees ........... Building Ins. pector APPLICATION FOR BUILDING PERMIT i " :. Date INSTRUCTIONS ,20 a. T. hi.s application ·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 sale. Fee according to schedule.. b. Plot plan showing-location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and gi¥ing a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. · d. U15on approval of this application, the Building Inspectoi' will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout, the work. e. N9 building shall be occupied or used in whole or in'part for any purpose whatever until a Certificate of Occupancy shall, have been granted by the Building Inspector. :' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the . :Building Zone Ordinance 6f the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulayions~ [or the constrtiction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply .~ith all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized ihspectors on p?emises and in building for necessary inslSections. , .. (~g t~ure-of applican~er name, if a corporation) (Mailing addrisi ~f applicani) Staie whet[er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nam.'.eofowflerofpremiSes ,~'j~,,~,,t-'- If applican~ is a corporation, signature of duly authorized .officer (Name and title of corporate officer) (as on the tax roll or latest deed) "Builders ~ieense No. Pluhabers License No. .-Eldctriciar~,s License No. Other Tra'de's License Location of land on w~ch proposed work will be don: House Number Street Hamlet County Tax Map No. 1000 Section Cpc)Q/ Block O,' Lot Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and oc. cupancy of proposed construction: a. Existing use and occupancy '~.g ~,~_. ~,,O ~ b. Intended use an~ occupancy "'~_at~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~)i" Fee 5. If dwelling, number of dwelling units If garage, number of cars Alteration (Description) (to be paid on filing this application) Number of dwelling units on each floor o If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height. ! If'~ Number of Stories Dimensions of same structure with alterations or additions: Front Depth ,.~ ' ¥ ~ Height .t'~ g' ' 'Number of Stories Dimensions of entire new construction: Front Height / "2 ~ Number of Stories 9. Sizeoflot: Front 10. Date of Purchase ! ~ c3 ~" Rear $0 ' q ~t Depth Rear Depth Rear Depth Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded 14. Names of Owner ofpr~mises Name of Architect _/'~.,o,~; Name of Contractor ~,~t Will excess' fill be removed from premises: Address 2~ddo$l. d0, qo~o6 Phone No. Address ~'ota444~tD Phone No Address )104 ~cg~, Zt~r? Phone No. 15. Is this property within 300 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, indicate scope of project, to scale, with distances to property lines. 17. If elevation at any point on property is at 10 feet of below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY 0~~ ' ~*t.4 ~~ being duly sworn, deposes and says that (s)he is the applicant 0xla~e of individual ~igning contract) above named, (S)He is the f'J a~ - ~' (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith.' Sworn to before me this ('~ ' ( ~ No]9522~, Su~lk ~un~ LONG /SLA/VD SOUND //~' 101. E ~ ~ ~ ' t BO~o~ ~ BLUFF ~ TOP OF BLUFF (APPROX.) Mc/AUGHI/N .558.97' N 61' 51' W ~ 110.00' SOUND V/£kl/ Guarantees indicated here on shall run only to the persan for whom the sUrVey i~ ~rzpcred, and on his behalf to the SURVEy OF DESCRIBED PROPER TY SITUATE MA TTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N. TM I000-094-01-04 GUARANTEED TO JANE p. MASTER FIDELITy NA TfONAL ?7~LE INS. TOH~V OF SOUTHOI. D SURVEYED FOR JANE P. MASTER [/naufhorlzecf alteration or addlt~on to thh survey is a v~olation of Section 7209 o~ the New York Stqte EdUCation Law. Cop;es of this survey map not bearing the Land Surveyors embossed seal shall not be considered to be a valld true COpy. MA TT/TUCK SHORES ASSOC. AVE. SURVEYED 5 APRIL, 1999 SCALE I '=50' AREA = 38.024.20SF OR 0.87J ACRES SURVEYEO BY STA~ P. . 516-- /NYS t LONC /SLAND SOUND EL TOP OF BULKflEAD= 11. 08 30 50 66-- N 85° 00' 03" E 101.51' BULKHEAD W 1.0' CORNER H,I'~,L. FACE' END BLKHD TOP OF McLA UCHLIN 558.97' 62 BRICK FRAA~E DECK W/RAILING 66 MA TTI TUCK SHORES ASSOC. \. E O. 5' N 67<.51, W liD. Ob" cIw SOUND SUR VE Y OF DESCRIBED PROPER TY SI TUA TE SURVEYED 5 APRIL, 1999 SCALE 1"=50' MA TTITUCK, TOWN OF SOUTHOLD AREA = .~8, o24..2OSF OR SUFFOLK COUNTY, N. Y. o. sz~ ACRES ELEV. SOURCE EAST END TOPO MAPS AS F/LED IN SCDPW YAPHANK N. Y. TM 1000-094--01-04 GUARANTEED TO JANE P. MASTER FIDELITY NATIONAL TITLE INS, TOWN OF SOUTHQLD SURVEYED FOR JANE P. MASTER 1. 26 FEB., 2001 ADDED ELEVATIONS SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK, NY 11956 51 - 7J4- 5835 L YOR NYS LIC~. NO. 4~/7J / ~ 9R 7~5 COASTAL LONC /SLAND SOUND N 65' 00' 0,3" E EL ro~ OF 101.51' BULKHEAD~ 1 I. OB BULKHEAD ~ CORNER H.~.t. FACE W 1,0' ~ END BLKHD 50 66 TOP OF WOODDECK HAZARD · 66 BRICK McLA UCHLIN 62 FRAME FF El, :69. DECK W/RAILINC U~'E ¢' 1.¢' ',,'o,.,-/, / N/F ~,.,.,., MA TTI TUCK SHORES ASSOC. E 0.5' r'" 558.97' N 67%51' W SOUND CM VIEW AVE. 5M,~RCH O! ADD COASTAL EROSIOIV N.~Z.~RDLINE AS PER TOWN TRUSTEES M,4P SURVEY OF DE$CR/BED PROPER TY SI TUA TE MA TTI TUCK, TO WN OF SOU THOLD SUFFOLK COUNTY, N.Y. SURVEYED 5 APRIL, 1999 SCALE I"=50' AREA = 58,024.205F OR 0.87,3 ACRES ELEV. SOURCE EAST END TOPO MAPS AS F/LED IN SCDPW YAPHANK N. Y. TM 1000-094-01-04 GUARANTEED TO JANE P. MASTER FIDELITY NA~ONAL ~TLE INS. TOWN OF SOUTHOLD SURVEYED FOR JANE P. MASTER 1. 26 FEB., 2001 ADDED ELEVATIONS SURVEYED BY STANLEY LL ISAKSEH, JR. P.O. BOX 294 / NYS LIC. 'NO. #1q~273 99R785