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Home My WebLink About32140-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-31628 Date: 06/22/06 THIS CERTIFIES that the building ALTERATIONS Location of Property: 1500 GRAND (HOUSE NO.) County Tax Map No. 473889 Section 107 AVE (STREET) Block 3 MATTITUCK (HAMLET) Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 2006 pursuant to which Building Permit No. 32140-Z dated JUNE 20, 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" ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to PAUL T COLEMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A "- ~&~ thorize Slgnature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 'S-rro'in "-::1 r; I-\! " 1,'\.1 22 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must bc filled in by typewr;ter or ink and submitted to the Building DCji'lrTllie'ilt with the follnwing:-'--' A. For new building or new use: I. Final survey of propeliy with accurate location of all buildings, propeliy lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fonn). 3. Approval of electrical iustallation from Board of Fire Underwriters. 4. Swom statement from plumber certifying that the solder used in system conlains less than 2/10 of I % lead 5. Conunercial building, industrial building, multiple residences and similar buildings and installations, a celiificate 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, 01' buildings aud "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 (0 inspect signed by the applicant. If a Celiificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in wJiting to the applicant. C. Fees 1. Certificate of Occupancy .. New dwelling $25.00, Additions to dwelling $25.00, Alterations tu dwelling $25.0(), Swimming pool $25.00, Accessory building $25.00, Additiuns to accessory building $25.00, Ousincsses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy ofCeltificate of Occupancy - $.25 4. Updated Celiificate of Occupancy - $50.00 5. Temporary Celiificatc of Occupancy - ResidentIal $15.00, Commercial :tIS.OO Date. ~06 Old or Pre-exisling Building: ---L (check one) - ----.---------.- ~~4,u~E._ ~_mToclc-~___ House No. Street Hamlcl Owner or Owners of Property: ~ ~ L ~L 12.&.<1 ~ Suffolk County Tax Map No 1000, Section / 0 ? Block 0 3> Lot r') (3 Subdivision 15Uf'-"'/rl75 5/(7:1. fllk. _ k-/fA"J_;#!(/'1TflT FiledMapCC:s Lot:~3__~. PennitNo. ,32 (4-0 Z DateofPermit._~LZ4/0c:;:, APPlicant:--.&p~_~i.-'i.,#'74A5_~~4.-U-7. /1-rfF'U , Health Dept. Approval: ~_~_______ Underwriters Approval: ~~ ,,_ Planning Board Approval: ;lJ~ '_ / Request for: Temporary Certificate Final Certificate: ~_. (check one) New Construction: Location of Property: /5- 0'-zJ Fee Submitted: $ {AJ -2.:- 'I D'4 ) ~'r ~ -=3, l\").~ !1.tt- -10'1')\ ~ 4/~_ t/ . Applicant 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. 32140 Z Date JUNE 20, 2006 Permission is hereby granted to: PAUL THOMAS COLEMAN PO BOX 1612 MATTITUCK,NY 11952 for : AS BUILT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1500 GRAND AVE MATTI TUCK County Tax Map No. 473889 Section 107 Block 0003 Lot No. 013 pursuant to application dated JUNE 16, 2006 and approved by the Building Inspector to expire on DECEMBER 20, 2007. Fee $ 300.00 ORIGINAL Rev. 5/8/02 . I TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.ne Southoldl 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. YS.D.E.C Trustees Contact: Mailto:4"~~r(,Q. 57>2n-s, Examined PERMIT NO. 3, d-.' Y 0 Approved Disapproved ale 20 .0 '- ,20~ ,20 Phone: 7((,5--'5-"fJ- Expiration p- --' -:--, r-'\~ '- , . ,- JUri I 6 ' APPLICATION FOR BUILDING PERMIT I Date .-1(./ AI C / 5~ ,20~ INSTRUCTIONS -a.This application MUST be compietely 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. Ifno 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 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 necessary inspections. (Signature of applicant or name, if a corporation) ~4AtJ'!;rr A. -5'7/?';~4 P';;,.6c;L 14--tZ-, 5cor#cJt.~ A/<j Ity?( (Mailing atldress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ;<!f1C"'~c..T - A<?R-<./;- flv'c... Co'--tE/k4-v (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer Name of owner of premises (Name and title of corporate officer) ::vI! Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. /1 /1 /I If I. Location ofland on which proposed work will be done: /:5 -tJ'1; c::3;-/V/lA/, Ave:.- House Number Street ,/?!4 7Tc 7 t..J ctL--- Hamlet County Tax Map No. 1000 Section I i:J 7 Block 0 Subdivision f5O/?N~ -:f~5. A'.('. ,j"'k-" /1fdTTi 711'iled Map No. (Name) / 3 Lot ~?.,- Lot O(~ t% . 313 . , 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy '5> AJ ~ { r p"" ht r-"'- '7' p.e:v ~?<:..- /" J.y ,/ b. Intended use and occupancy '5 /I ~ €- 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work 4~- , Alteration 80a r (Description) 4. Estimated Cost ;V~. Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) <:5 ,t/ Ii:... Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 7 C Height .::! Z4' Number of Stories Rear "/c.- I?' Depth 38 Dimensions of same structure with alterations or additions: Front z({; Depth 3 'S Height 2; ~ + Number of Stories Rear I yz..- 18 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front &0 Rear &;0 Depth 110 10. Date of Purchase Name of Farmer Owner I I. Zone or use district in which premises are situated p - 4--0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO /' 13. Will lot be re-graded? YES _ NO ~ill excess fill be removed from premises? YES_NO PM /J'IArt/rp,?1<- 14. Names of Owner of premises -eve Ct7<"-'C"4A1' Address 1~-t7<J4f,H"'O ,4"""", Phone No. :?7''ir- 1''(>1 Name of Architect 5/kA'..v~ Address '-,wv<..~... ~,-; -ir~2~0 7/r. r~5J Name of Contractor /t9 M Address ni;ne "No. 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? .YES_NO / · 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.e. PERMITS MAY BE REQUIRED. 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. Sr/Z4.ve:;: being duly sworn, deposes and says that (s)he is the applicant of individual signmg contract) above named, (S)Hc is the A /Z "'- LI /7C c- {- .A <? ~-d ;;- (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perfonll or have perfonlled 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 perfonlled in the manner set forth in the application filed therewith. Sworn to before me this -?'I I~ I/' / {q 711 day of v VI"!:. ~/f~, Notary Pulfuc Barbara A. Strang NOTARY PUBLIC, New York No. 4730095 Qualified - Suffolk County Gomm. Expires July 31 ,?c:ot. 20tJ h ,~~ Signature of Applicant OWNER LAND . IMP. ~.o '300 3. ~o ,I <'J.."ec"() -' ( foo- :J..1 0 () AGE NEW FARM NORMAL Acre Tillable Woodland Meadowland House Plot T otcH-.. ...... TOWN OF SOUTH OLD PROPERTY RECORD CARD - - / ~ VILLAGE DIST. SUB. LOT c.. ? DESC.RII.3EP ACR. I 0.15 TYPE OF En,JJLDING E I W ~~J .ft u..a.. FARM COMM. CB. MICS. Mkt. Value h':;J1""~~ ~ --. ~..- ,. DATE $r:P~OOO r);. BUILDING CONDITION BELOW ABOVE Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD (g. J ~ 60' {) o .... DOCK - - COLOR 11)-&~ TRIM ~- /:: ~/..... /,/ ZCC/ ,I /' , , , i , I - -1 , -".-~._..'j-. , y I. ':.'\ ';,., /- / ;/ , " "/ ,/ , -----" . H ____" -- ,j -.A ----. M. Bldg. ",! I \/ / (,,7,c ~ -(v /t 9 rJ / p- I,':' .~ ,'p . v Extension 17.L II V 1"7 0 . If? 7 '-de> 37'1 Extension Extension I' Foundation PI c:-;~, C; Both J Dinette Porch , , Basement .1J-~ Iv (; IV-t Floors FlA'. K. u \ Porch Ext. Walls ;[L/ ! I Interior Finish /it Ie( t. LR. / /j..,<., Breezeway Fire Place a-1~ Heat j/ ( DR. /'1" / Garage Type Roof (; ,Iio Rooms 1 st Floor BR. ~) I, ,,/:-1 , Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Ed 4 t Jf,:n-'<lQe J;(-t>e/ S'o Dormer Driveway " Total . 12.J / ~ , Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765.5455 Fax (631) 765-5490 June 15, 2006 Mr. Damon Rallis, Permits Examiner Southold Town Building Department Main Road Southold, NY 11971 Re: Premises, 1500 Grand Ave. Mattituck, NY SCTM # 1000-107-03-013 Dear Damon, I have personally visited the above referenced premises and reviewed the 12' by 18' ell on the East side of the residence with the following findings. Based upon my observations, it appears the roof structure of this element was constructed at the same time as the original house, (late 1940's) most likely as a screen porch. At a later date, (late 1960's+-) it appears a concrete block foundation was placed under the perimeter of this porch and the floor structure was replaced. It also appears that at the same time the exterior walls were enclosed with knee walls and windows, although the roof structure appears original. Based upon the above noted observations and subsequent assessments, it is my opinion that the ell, as it exists today, is in compliance with the New York State Building Code (NYCRR) that was in effect at the time the improvements were made. I have enclosed a copy of the "as built" conditions for your records. If you have any questions, please feel free to contact my office. Garrett A. Strang, Architect. n'--:-i-. 2"~ //~- N/F HALLOCK '-" N 7B'27' 40"[ '" 5.6' 17.6' 2 7.7' ~ G) ~ , ~ CONe ::D '-.J STOOP '" N J> 0 "'ONE AND ONE en ::;:: Z RESIDENCE 0 6.4' 38.3' J> OJ EARTH DRIVEWAY < 0 0 r1l 0 Z CONe M 7B'27'40"W OWN LINK FTNCE C S "'. -., N/F KEMPSKI r1l~ '" tv CD PRIVATE ROAD GUARANTEES INDICATeO HERE ON SHALL RUN ONLYTO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF 10 7HE nnE COMPANY, GOVERNMENTAL AGENCY, LENOING INS1rrUT1ON, IF USTED HEREON, AND TO THE ASSIGNEES OF THE LENDING 1NS1TTUTfON. GUARANTEESARE NOTTRANSFERABLE TO ADDfT1ONAJ..INSTTTU11ONS OR SUBSEQUENT OWNERS. UNAUTHORIZED AL TCRAT10N OR ADDfTION TO THIS SURVEY /SA V1Ol.AnDNOF SECT10N 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAPNOTBEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOTBE CONSIDERED TO BE A VALID TRUE COPY. 110.00' PIPE U1 ~ . ~ 0 ^ ~ ~ z c '-.J c ",- z c ~ 0 ~ ~ fT1- ~ c " c N/F HALLOCK c z 0 ~ 2 OJ ROOF OVER 0 PARTIAL 0 ENCLOSURE 0 2.7' PIPE --y CONe MON N 110.00' "'. '! 1. 21 APRIL 06 RfVJSE TO READ ONE AND ONE HAlF STORY RESIDENCE JV SURVEY OF PART OF LOT .3B IN MAP OF BUILDING SITES OF MR. JOHN MUTT/IT SITUATE MA IT/TUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: JENNIFER BARDSLEY FM# 665 DATE FILED DEC 5, 1914 TM# /000-107-03-013 GUARANTEED TO: JENNIFER BARDSLEY FIRST AMERICAN TITLE INS. CO. AMERICA'S MORTGAGE OUTSOURCE PROGRAM WELLS FARGO BANK SURVEYED: 21 FEBRUARY 2006 SCALE 1 "= 20' AREA = 6,600 SF OR 0.151 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SU FOLK. N.Y. 11956 631-7 "1--5835