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Home My WebLink About31785-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31478 Date: 03/09/06 THIS c~KTIFIBS that the building ADDITION Location of Property: 545 GRETON CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 107 Block 2 Lot 3.9 Subdivision Filed Map NO. -- Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 6, 2006 pursuant to which BuildiI~3 Permit No. 31785-Z dated FEBRUARY 9, 2006 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 "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLIING AS APPLIED FOR. T~e certificate is issued to JACQUELINE REECE ( OWNER ) of the aforesaid building. SUFFOLK COLg~Y DEPARTMENT OF H]~;%LTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DI~£~O N/A N/A N/A Rev. 1/81 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 the following: go 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 o f 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. Bo 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. 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 New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section~/~ffYg~ Old or Pre-exist~ Building: Street (check one) ! Harriet Lot Subdivision eermitNo. ~/'~ ~-- 7~,DateofPennit. Health Dept. Approval: __ Planning Board Approval: _ Request for: Temporary Certificate Fee Submitted: $ ~, frO,..., Filed Map. Applicant: Underwriters Approval: Final Certificate: Lot: (check one) ~e 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. 31785 Z Date FEBRUARY 9, 2006 Permission is hereby granted to: EDWARD & JACQUELINE REECE PO BOX 15 LAUREL,NY 11948 for : AS BUILT DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 545 GRETON CT County Tax Map No. 473889 Section 107 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST Fee $ 300.00 Block 0002 6, 2006 and approved by the 9, 2007. ~ed Signature MATTITUCK Lot No. 003.009 ORIGINAL Rev. 5/8/02 TOWN OF $OUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY I ] FIRE SAFETY INSPECTION REMARKS: ~_~ ~ DATE ~"[l: File Edit View Toolbar Window Help I~.~':~'%%~=~=':''':'''''' ............... ~ so.~hol~ .~i.~ R~ce. Jacqueline Roll Year: ~'~'~ Ne~l Yf I Family Res 545 Gieton Ct -; I=h Parcel 1Q7.-2-3.9 :--; r~l Assessment ~ E y. emptI, s~, ~] Spec Dist( ~ p esciiption ' ~ Owner,s] ~ Images ~ Site (1) Res S~hool: Mattituck School Land AV' 1,600 T et. al AV: 6,200 Land Size: 0.92 ac[es Owner I Tax Bill MailingAddress 3rd PartyAddress I Bank t .................... Total 1 O~ers: To ope~ click the aomomiate ~ow I~iqht Click to ^ddL_ .,,,,,,".,.,,,~.;~,,.t,~~' "~'." First Name: Nil: J~.,Sr.. etc: ~acqueline 1 ....{ ................ Additional Address: Last blame / ~pany: Reece Attention To / In Ca e Of:, Sheet No; Po Box No: City/Town: TS ILaurel Cou.n!~y' end. e; ~l not 'USA" Prefix Di~: Btreel / Ru(aJ R,::a~te: St Suffix: Post Dir: UnltName: ur t No F---'qtl'-'-~_-J F-'-"-~ r ................ S I~,t e: Zic~ Code Bar Cd: Ownershlo; e.g ~ife Use O[~ner Type: ~ = Prima[~ ..... J Plints the screen ..~,.~.~.l~i.I, [ i r~ I_ 5~Bion A - [Z~ × 80] ~ Computink LaBerFk:he,,, InbOx - Microsoft ' ~ Rp5 Version '~- [Owm,, ii FIELD EN'SPECTION REPORT I DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAiVIING & PLUMBING ENSULATION PER N. Y. STATE ENERGY CODE COMMENTS FENAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.netJSouthoid/ Examined ..9/9 ,20 & Approved "~/ ,20 K Disapproved a/c Expiration ~'/$ ,20'~ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector Phone',~ ~ - / ~ g>~ APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20og a. This 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 scale. 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 waterways. 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 issue a Building Permit to the applicant. Such a permit 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for tbe construction of buildings, eddilions, or alterations or for removal or demolition as herein descffoed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agem, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~' S0t' C~ 0/3 L./eo./~ ~ C.~: (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Tmde's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision ~ e~7-o ~o t~T--~q-7-~ (Name~ Block ~ Lot Filed Map No. g~7-/~.3o Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~5/D~O C~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition /~ Alteration Other Work (Description) Fee Number of dwelling units on each floor (To be paid on filing this application) 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~'~. 3 Rear $~. J Height Number of Stories ~ Dimensions of same structure with alte.~r additions: Front Depth ~- /-/8. ~' r-./~ Height Number of Stories 8. Dimensions ofenti,e cons ction: Front Height Number of Stories 9. Sizeoflot:Front t'~/ Rear /~'fo~/ Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12..Do~s proposed construction violate any zoning law, ordinance or regulation? YES __ NO 13. Will lot be re-graded? YES NO ~/~gill excess fill be removed from premises? YES__ NO~ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a~ Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE .REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO ~,/ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO J 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) c~ SS:,. COUNTY oF ~---O ~ ~d ,~ C o ~ c~ c, ~ ~Mg duly sworn, de~ ~d ~ys ~t (s)he ~ ~e ~lic~t ~me of Mdivid~ si~ing ~n~t) a~ve ~e~ (S)He is the (Con~r, A~ng ~ Offi~r, ~c.) 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 b~lief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . of 20_0 No~ ~blie mndsslon Expires MarCh '-._.~_ _x~:~, ~ of Applicant