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Home My WebLink About31655-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31422 THIS CERTIFIES that the building ADDITION Date: 01/31/06 Location of Property: 2015 GABRIELLA CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.53 Subdivision Filed Map No. _ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 6, 2005 pursuant to which Building Permit No. 31655-Z dated DECEMBER 6, 2005 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 LISA JACKSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A A&ehorizedfSignature 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. 31655 Z Date DECEMBER 6, 2005 Permission is hereby granted to: LISA JACKSON PO BOX 476 MATTITUCK,NY 11952 for CONSTRUCT A DECK ADDITION TO AN EXSTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP24731. at premises located at 2015 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007.053 pursuant to application dated DECEMBER 6, 2005 and approved by the Building Inspector to expire on -"- Fee $ 150.00 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING I STRAPPING [INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: OkAz Co. DATE Di s D6 INSPECTOR !� Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with-fhe4following: A. 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 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, 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 1X Wo . New Construction: ,� Old or Pre-existing Builddi`ng: 1^ . (check one)' Location of Property: (� 004o � (_:� 1 �\ �f_/[j ! Tt 4 c House No. 71A �L Street �� Hamlet Owner or Owners of Property: Loa _ AC � ) j1 Suffolk County Tax Map No 1000, Section Block ( Lot —7. . %. - aao Subdivision Permit N44 V15 `j Date of Permit. 12-1 (D Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Ett Fee Submitted: $� _. aj � 31q as (2-e �(o9G,4_� Filed Map.441 06 q\\ L//o�� '� O Applicant: S S C. c C soinn Underwriters Approval: Final Certificate: Y 11 111[[ 1 IJATV VIIIIIIIIAT I gill I !;,r ----------- tllllt!ll PRAlift A lV - - - - - - - - - - - - - - - - - - - - - - - - - ---------------- twnitwmiti vnit u. y !:TATR 1'.Illrllt!Y 11 C01IR --..__-^------------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----------- -------- ------------------------------------------------------- ----------- AMItTlt)FIAI. It ------------------------------------------------------------------- 0 ronM NO. 1 TOWN OF SOUTIIOI.D 13UILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180.? Examined ........ 19 . (� Approved .......... /'}�:, 19tq. Permit Disapproved a/c .............................. .... .............J ........ �7 Fit FEB 1 3 APPLICA ION FOR BUILDING PERMIT INSTRUCTIONS 11CAR1) OF IIEALTII ........ J SETS OF PL.I.IS ........ SURVEY ................. CHECK .................. SEPTIC I -01M ............ 1:0TI1:7; S. 7 7.... CALL�9& •-- MAIL TO: Date . :`. ............ 197Q. a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with :ls of plans, accurate plot 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 street, areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli (tion. c. The work covered by this application may not be commenced before issuance of Building Permit. (t. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit all be kept on the premises available for inspection throughout the work. C., No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to ac rilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or !gulations, for the construction of.buildings, additions or alterations, or for removal or demolition, as herein described. to applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary inspections. .......lo*AV-rx �,r!q; 6o:. . (Sjgnature of applicant, or name, if a corporation) ..... o. �C.. ��C......................... . (Mailing address of applicant) ite whether applicant is owner lesseeage/n�t, architect, engineer, general contractor, electrician, plumber or builder. ( J le,)c l"Z� me ofo. of premises .......... '--0 .. .......................................................... ) n (as on the tax roll or latest deed) a c rpc)',Wioi/sjg�ralurc of duly authorized officer. , .............................. ( and title of corporate officer) Builder's License No . ......................... Plumber's License No . ........................ E'lectrician's License No . ...................... Other Trade's License No. 51-558 ... /Y -T ............. Location of land on which proposed work will be done . ................................:.... ............ . lS ...:?a, l i ........ ' , ... /1' ,�............................. . louse Number Slrc•t Ilamlet --7, S3 'ounty Tax Map No. 1000 Section :..:.. /P...... Block ....Q TLot ... . , , , . , .. , ubdivision 4 •�!�G�FJS -. ` ?ht .p ......... Filed Map No. ..: 1./. 4>1? .... Lot ..... ........ (N:nnc) late existing use and occupancy of premises and inlendcd use and occupancy of proposed construction: "•klin,: use and occupancy �1�L.)f, ,- S t �• �..;'., •. - ...,. .,.t . . . ... . . . . . . . ... .�. . . . . /... .,.,(.,. . . ,ded use and occupancy ,.«.., .....4s�J- - • v:Y1 ..... -3. Nature of work (check which applicable): New Building .......... Addition .. . • .. Alteration ........ Repair .............. Removal ........ • • • • • . Demolition ....:......... Other Work ............ . pCdri (Description) 4. Estimated Cost ..... ...... ......... r........... l cc ..... /.: , ................ I ....... (lo be paid on filing this application) 5. If (IwcIIino, number of (IweIIim; units ............... tdomher of dv:cllint; unils on each floor ............. . ifgarage, number of cars . •....................................... . . . G. If business, eonunercitd or mixed occupancy, specifv ❑attire anll extent of earl, tvne of use .................... 7. Dimensions of existing souctures, if any: Font . _ ....... Rear ...... _ _ Depth ........ .._,-._ . Ileighl ............... Nullifier of Stories ........ ........................................... DirrtcnsionS of Sime struclu c with alterations or additions: Front ................. Rear ................ Depth ....................... Height ...................... Number of Slims ...........: r ....... B. Dimensions of entire new construction: Front ..o?0 ......... Rcar ..'Z;40......... Depth . J(0 . . . . . Ileight ............... Number of Stories ......... . .. r 9. Size of lot: Front .. 57. X533 .... Rear .: ��Q:.62........ .. Ucpth ..�ll.J............ . 10. Ualc of Purchase q � "I r , { of ,� , , , • , . ; . Name of Fanner Owner fl/ety . ��/ • • • • • • • .... . �..... ./ 11. Zone or use district in which premises are situated ..QFS? . .. .1.....' ................ . 12. Does proposed constructiol.;elate any zoning law, ordinance or regulation: ..�0..................... . 13. Will lot be rcrradcd ............................. Will excess fill be removed from premises: 1'cs 1d H. Nanc of Owner of premises L0013WXI i1 ....... Address to U)Q q-4 Jr)Q fk4 Phone No.- :� : 1K,(R Z.:. . Name of Architect ... r\��., Address .. p�,� I'ho No.....: +.:... NantcofContractor .lJDn• t CC' U fY�ii�lj �1.�-.,?Y!..... .. Ad(Iress'.Y{.��....!`!�r�Ls..... I L5..' Is this property within 300 feet of a tidal wetland? 'ryes.,...... No... ..... *If yes, Southold Town Trustees Permit may be required. PLOT DIAG RAM Locate clearly and distinctly all buildings,'wltetlier.cxisting or•proposed, aritLindicate all set -back dunensions fror verty lines. Give streebanO.block number or,descliption according to decd, aril show street names amt indicate whethc or or corner lot:' I 50 ' fa 2 LDS' a (DZ 1107 Elm q(„sjb t9f L � A Id C I� I n e ..'r LN P% ATG or NI:)',' }` MI.. I O' ........I....Sej . ...... R.......(...Ol�.. Irciu!; duly ndeposes eposes amt says that he is flee applicant (Name of individual signing conUacl) We named. isthe .:..................................:!... - .....................................,;i,,... (Contrct(;r,;lrent,�Pd1porale officer, etc.) said owner or owners, and is duly anlhorr/.e(I to perTMnn or have performed Ole said worl; and to makc.and file tliis'• %lication; Ilial all stalcincrtts con)aincd in this application arc. true to IIIc best of his knowledge and belief; and that the 1: will be performed in the manner set forth in the application filed lhe(ewilh. rrn to before me this at), Public, . 19Oc . Cowily ........... • . ....... - • (Signature of I rli^ant) N SCDHS Ref. # R10-. 97 - 0016 \ a AREA = 40,006 sq. ft. ADD1110NALLY TO COMOLY WITH SHAD LAW THE TERM ALTERED aY' OF �TMR SURVEYOR'S 94P L TERMS SUCO YORSAS WSPECT� AND BROUGHT -TO -DATE' ARE NOT N cowLUNc£ WITH Tiff' LAW. /5P SURVEY OF LOT 7 "EL IJAHS LANE ESTATES, SECT. 3 FRED OCT. 6, 1996 NO. 9912 AT MA TTI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000- 108-04-P/07.1 Scale: 1" = 40' Dec. 4, 1996 Mar. 25,1997 (foundation loc.). May /3, 1997 (Final) I am familiar with the STANDARDS FOR APPROVAL The locations of wells and cesspools AND CONSTRUCTION OF SUBSURFACE SEWAGE shown hereon ore from field observolions DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and or from data obtained from others, and will abide by the conditions set forth Ibereln and on the permit to construct. ELEVATIONS ARE REFERENCED TO AN ASSUMED DA rLM. NO. 49618 STREET 11971 96-317 7 Ito x 20 ce cra.r lec k wo h 4?-" K, 31n roil; ?5 oiI;?5 r C1OMP—AI R CT' W, 20 _ 1f��PirS I OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY V44 aum oAT� s 473/ :E 0.1�i 2. ram i OOINr*Yf.710M int iEao�r CA ALL COMMAMM SWAL Hilt THE in M.x TAlMMOIenow CODER Mor alNoul s !Ol DEMON at CONIMOO M1 � L41" NY' 40 pass Cone ncr < 51y )( q x 10 - 06