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Home My WebLink About31827-ZFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31481 Date: 03/13/06 THIS CERTIFIES that the building ADDITION Location of Property: 165 FREEMAN AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 139 Block 3 Lot 36 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 7, 2006 pursuant to which Building Permit No. 31827-Z dated MARCH 7, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES T & JANET T ANDERSON ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUq~BERS CERTIFICATION DA'£~3 N/A N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ]4PPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to tile Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and nnusuaI natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9/bm0. 3. Approval of electrical installation kom Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of t % 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 sigued 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, Swinnning 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 $15.1)0, Commercial $15.00 Date. New Construction: Location of Property: House No. Old or Pre-existing Building: Street 4 Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No.. Health Dept. Approval: (check one) Block _('5~ t~ Filed Map. Date of Perlnit. ,.~/7~/~ (o__ Applicant:~7] _ Underxwiters Approval: Hamlet Lot Lot: Planmng Board Approval: _ Request for: Temporary Certificate Fee Submitted: $ ~ - Oo c o '2_ Final Certificate: )(~ (check one) licant Signature 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. 31827 Z Date MARCH 7, 2006 Permission is hereby granted to: JAMES T 7 JANET T ANDERSON PO BOX 741 MATTITUCK,NY 11952 for CONSTRUCT AN ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES 17370. at premises located at 165 FREENL~NAVE MATTITUCK County Tax Map No. 473889 Section 139 Block 0003 Lot No. 036 pursuant to application dated MARCH 7, 2006 and approved by the Building Fee $ Inspector to expire on SEPTEMBER 7 o.oo /,/-I Si ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG, ]FOUNDATION 2ND [ ] INSULATI/~N ~ ]FRAMING/STRAPPING [~ FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR~m'~ yiELD 1. FOUNDATION { 1st) FOUNDATION ( 2nd / ROUGH FRAME & PLUMBING o INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~.o~ '59 NOTE ' r, · MONUMENT FOUN0 · · NONUMENT PI, ACED SU~DI¥1SION MAP FILED IN THE OJrFICE OF THE CLERK OF SUFFOL. K COI.,INTY ON dUNE 24.,1929 AS MAP N0.577 SURVEY FOR JAMES ANDERSON 8 JANET ANDERSON PART. OF LOTS 41R,42,"MAP OF GARDEN HEIGHTS" MAT,'['I TUCK TOWN OF SOUTHOLD SUFF. CO., N.Y. SUARAN'rEEo TO, SCALE: I"= 40' NOV. 22, 1968 NOV. G, 1969 FARMERS HOME ADMINISTRATION HOME TJTLF. DIVISION QF CHICAGO TITLE INSURANCF. COMPANY PROFES~I~ AND /ANO S UR VEYOR. N.Y. $.L"1 C. *RIVERHEAO, N.Y. TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 Examined ......... 19 Approved 5..~..~..O. ..... ,19(~.ff..PermitN.o~.?..~..7.°./ Disapproved a/c ..................................... ...... APPLICATION FOR BUILDING PERMIT BLDG. DEPT. 1'OWN OF SOUTHOLD Date .................. , 19... INSTRUCTIONS 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 permit shall be kept on tlie 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 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 of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 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 necessa~ions,,. A . ,~ //to~gnature of applicant, or if a corporation) .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . O ./~.ff..-:5...'~..../q.'q..~....~..~.~.c. lr'....~.,..../4~...~..~...? ......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED 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 .................................................. ........................... .......... ............. House Number Street Hamlet County Tax Map No. I000 Section .... ./.~..? .......... Block ...~. ............. Lot..~..~. .............. Subdivision..~./O....~..~..~.f51...~.~t.~.~.r.~ ......... Filed Map No...~..77. ........ Lot .'~?..~..~ ....... (Name) 2. State existing nse and occupancy of premises and intended use and occnpancy of proposed construction: a. Existing use and ~ccupancy .... .~..~.'a.t.°/..~.~.(..~- .... '7....~.~.*.,./.¥ ........... b. Intended use and occupancy /~9~: :~ t <~/~ ~ ¢ e - /~¥ ~, t7 / 3. Nature of work (check which applicable): New Building .......... Addition ....~ ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... .:~.~../. (Descriplion) 4. Estimated Cost ... ~..O.O. ......................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... ./ ......... Number of dwelling units on each floor.. ?. ............ If garage, 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 . . ~.O..~ ........ Rear . . ~..O: ........ Depth . . .-~.~. 5 ......... Height ... /3 ~ ........ Number of Stories ....... /. ................................................ Dirfi%ngions of same structure with alterations or additions: Front ...~.o.t. .......... Rear ....~9..~. ........... Depth . . ~..~[ .~. ............... Height . . . ./~..~ ............... Number of Stories .. t .................. 8. Dimensions of entire new construction: Front . .. s~.~l .~ ....... Rear . ,,gO..~ ......... Depth . ~.O.~. ......... Height . . . ./~.. '8' ' '~1~' Number of Stories ....... ! ................................................. 9. Sizeoflot: Front ..~.~..'o · Rear leo · Depth 1~,7. to 10. Date of Purchase ...... .~$~. ~ ./. ~?~;.~. ........... Name of Former Owner ............................. 1 1. Zone or use district in whicfl/~ prelnises are situated .................................................... 1 2. Does proposed constructxon wo"l'~ate any zoning law, ordinance or regulatmn: . -/~/o ............................ 13. Will lot be regraded ...... Ate ................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit may be required. PLO]' 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. STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ......................................................................................... (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 ............... ...... day of.. ~...v~. ............. Notaryeublic ...... ~.~:...'.~.-i./c)~..~..Pfd,..x~ County ~ ~- /,'/'ii ,.n ..~, / " .... l~.t~'. .·.'.~. . . i . . .-<. . .'. .'~ ....................... ~ YOStl~, ~t~ ~ N~ , (Signature of applicant) Term Expires March 30,19,-~-.,,/ ! ! IZ X qo ' FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 July 22, 1988 P. O. Box 741 165 Freeman Road ~ _ Mattituck, New York 11952 The following action was taken by the Board of Town Trustees during their regular meeting held on July 21, 1988 regarding your request to construct an addition to your residence. RESOLVED that the Town Trustees Waiver the need of a wetland permit for James Anderson to construct an addition to his residence on property located at 165 Freeman Road, Mattituck. Please be advised that this determination is not a determination for any other department or agency which may have jurisdiction in this matter. Kindly remit the required $25.00 fee for this waiver at this time. Very truly yours, ,.~ Board of Town Trustees FAK:ip cc: Bldg. Dept./ Board of Appeals D.E.C., Stony Brook file