HomeMy WebLinkAbout32033-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31672
Date: 07/12/06
THIS CERTIFIES that the building ACCESSORY
(STREET)
Block 4
MATTITUCK
(HAMLET)
Location of Property: 2615 BAY AVE
(HOUSE NO.)
County Tax Map No. 473889 Section 144
Lot 7
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 23, 2006 pursuant to which
Building Permit No. 32033-Z
dated
MAY 23, 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 ACCESSORY STORAGE SHED WITH ATTACHED DECKS AS APPLIED FOR.
The certificate is issued to MURRAY & CAROLINE BOWYER GREENFIELD
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~rize~
Rev. 1/81
Form No.6
BJ~~g~~~~~~i~T F-'
TOWN HALL \ '. 0 ~
765-1802 ,~ . jUL 1 i 0 .
APPLICATION FOR CERTIFICATE OF occm ANCV\"" L~",~,:'~'~SD~~:'CL~~
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This application must be filled in by typewriter or ink and submitted to the Building DepartMent with the following:
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A. For new bl}llding or new use:
I. 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 (8-9 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 ceriificate
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 hlspector 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. '7/6 / p6
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New Constmction: V Old or Pre,existing Building:
. J _. '2..6 I S f3A~ ~\I~
Location of Property: , (2' .1..1, L.<JNS ~A'_c-' I ICuUHr:I.I.~ ~6
House Nt). / Street
( check one)
tvIA-ri"j'T"'lJck'
Hamlet
Owner or Owners of Property: M~ ~~~8U;;> / rAJ2.t>l...4;tJr;
I D()6
Suffolk County Tax Map No 1000, Section ~ 73~.& q BlOCK t{-
Bo~'7~ ~m.J~IR.b
foP 7
Subdivision
Filed Map.
Lot:
Permit No. :3> '2.. 6 3 J.. --z.. Date of Permit. {1z.3 / () 6 Applicant: .M~~ 't ~--svv l=in...~
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Health Dept. Approval: Underwriters ApprovaL
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate: ./'
(check one)
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Fee Submitted: $ kL
~105~.J
c:ot:~r~71-
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.
32033 Z
Date MAY
23, 2006
Permission is hereby granted to:
MURRAY GREENFIELD
1 SALT LA/ROCHELLE PL
MATTITUCK,NY 11952
for :
CONSTRUCT ACCESSORY SHED WITH DECKS AS APPLIED FOR. THIS PERMIT
REPLACES BP d 1:11,<1-..
at premises located at
2615 BAY AVE
MATTITUCK
County Tax Map No. 473889 Section 144
Block 0004
Lot No. 007
pursuant to application dated MAY 23, 2006 and approved by the
Building Inspector to expire on NOVEMBER 23, 2007.
Fee $
75.00
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ORIGINAL
Rev. 5/8/02
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING ~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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INSPECTOR ffi-. ~
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FOUNDATION
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ROUGH FRAME &
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INSULATION PER N. Y.
STATE ENERGY
CODE
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FINAL
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ADDITIONAL COMMENTS:
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New York State Department of Environmental Conservation
Building 4O-SUNY, Stony Brook, New York 11794
Regulatory Affairs (516) 751-7900
NO PERMIT NECESSARY - TIDAL WETLANDS ACT
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Thom.. C. Jorllng
Commissioner
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Date: tlr::l ?J99 I
Application No. /-,/"J?}?~00'Z6'7;:'c1(;'<Z/-e
Location: ! ilfU j~~
17/ attLU'i
Dear ~. ~
~:V:A- b;'); ;'.'l"')='.'",'~;::=~
~ tf~ W,rY' 7h~ 'dV~ k~
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Based on the information you have submitted, the New York State
Department of Environmental Conservation has determined that the project
is listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations)
as a use not requiring a permit or notification letter of approval.
Therefore, no permit is required under the Tidal Wetlands Act (Article 25
of the Environmental Conservation Law).
. Please note that any additional work. or modification to the project
as described, may require author~zation by this Department. Please con-
tact this office if such are contemplated.
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Please be further advised that this letter does not relieve you of
the responsibility of obtaining any necessary permits or approvals from
other agencies. .
Very truly yours.
~
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c ~ ~",,-t Pe \ '1' tC-- -b-iJ vvL
Deputy Regional ~ Administrator
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FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N.Y. 11!J71
TEL.; 765.1802
BO'\!;D Of HE.\l.rn .........
] SETS Of PLANS ..........
SURVEy...................
CIICCK ....................
SEPTIC rort~1 ..............
Exami
"O-'Ff' ,q(/fi!.h
"cij:i.D'. ~/t?:~71.?...
/Mt;rL TO:
.... -.......................................
Disapproved alc
... ... ... ... ... ... ~ ... ... ... ... ... ... ... ... ... ... ... ... .
.. .... .......... ....... ..... ...... ...
....................................~~...
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......, '([i~ir~~" 't~~
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APPLICATION FOR BUILDING PERMIT
Date ...Lf.i..~.C?........199.1
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector. with 3
,ts 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
r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
Jlion.
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
Iall 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 whatever until a Certificate of Occupancy
Iall 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
uHding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
.egulations, for the construction of bu;ldings, additions or alterations, or for removal or demolition, as herein described.
he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
'mi< ""ori,,, m,,,ctO"" "=',,,~d m b'''''''f''''~'~", ."'~:~ Ji." '~"v?~," .,...:......
--. (Slgna# of apPlrnt, or name, If a f'rporallOn)
. '" j t..'th~. .S.c.~':c~.. .It.-.I..:. . h..'P:,.:.J.c...k....I! ~?1-
(Mailing address of applicant)
tate whether 0Plican:r's owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
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.. ...... ... ... ........ ....... ....... ......... ....... ......... .., '" ............ ...............
ame of owner of premises ...... ll.f/.r.t:'! l' > . 8f:t<;.,.;E~.!{e. icrt.' ;o'li ~; i;t~~; d~~d)' . . . . . . . . . . . . . . . . . . . . . . . .
. applicant is a corporation, signature of duly authorized officer.
. ...... ..... ..... -... ..... ... ................
(Name and title of corporate officer)
Builder's License No. .... J:-l. J:: . . . 1}..1 ~S .0: .6. ~ . .
Plum ber's License No. ........................
Electrician's License No. ......................
Other Trade's License No. .....................
Location of land on which pro~ will be done. .................................................
.~.~.'j ~~ .~~. .:~~T. tic. J. :'."................ kd+,*~)<'..................
House Number Street Hamlet
County Tax Map No. 1000 Section... 1. 4:1J.. .. .. . . .. Block... U-.. .. .. ....... Lot.. 7.. ... .........
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot...............
(Name)
State.existing use and occupancy of premises :n1 intended use and OCCUpancy of proposed construction:
a. EXlstmo" use and occupancy ~ ~d'~~""r" . '" MJD.J1IllAO
......... '-: ru ..... ......"'6tllIlf.,bfldlllt.,.............
. - 1l1" .".....0101
b. Intended Use and OCCUpancy ....... S. f~St.'}e.-. .. " . . . . . . . . '" ~1IP'.-:\,\.,.a.<1ii;:"I1fIIIt4t.. . . . . .. . "
(j _..r ~ _.'J M.qxll nNlIi-":)
3. Nature of work (check which applicable): New BUilding..~.. " Addition..... ..... Alteration ..........
Repair .............. Removal . . . . . . . . . . . . " Demolition .............. Other Work. . . . . . . . . . . . . . .
If '.. .. ' (Description)
4. Estimated Cost. . . . . . . .. . .. . .l. C9:41). '. v.t? . .. .. . . .. . Fee . . . .. .. . . .. . . . . . .l~. 4'. '.). -: . (~. . . . . .. . . .
(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. . . . . . . . . . . . . . . Rear .............. Depth...............
Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . .. . . .
Dimensions of same structure with alterations or additions: Front ................. Rear..................
Depth. . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . " . . . . . . . NUlll ber of Stories. . . . . . . . . . . . . . . . . . . . . .
8. Dimensions of entire new eonstruction: Front. . . . .{.!. ';~ P. ': . .. Rear . . . . U. -: .0. ':. . . . . Depth ... J .'f.: '7 Cl. :'. . . .
Height ..... 10. . . . . . . . Number of Stories. . . . . . . . J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size oflot: Front. . . . . . . . . . . . . . . . . . . . .. Rear...................... Depth ......................
10. Date of Purchase ............................. Name of Former Owner .............................
11. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . .
12. D?es proposed construction violate any zoning law, ordina~ce or reg, ulation: ..............,...... ',' . ',' . . . .~
13. Will lot be regraded ........ N.'O. . ':' . . '({ T/l' . . WIll excesS'1i1 ge rFmoved from premIses: Yes ~
14. Name of Owner ofprenrises ,~Pit~'1'8~"'^ :~tq.. Address .I. J.~. t./..."fi.<. 1.-.::,........... P1}.9n,e No. ?: ?f: 9.'1/.,.....
Name of Architect .. ,j,"1'; . . ~ ~ . ,;~,. . . . Kq .;;-: . . AddressW /)"S.f: .N~.hf~~~"1f.H,'ttrIe No. 1-/).1. ~>.".9.: 1.~~ J.
Name of Contractor.. .L,G.t~.c..., . f....ff. . ... . . .. " Address . {.).Q.lf.S'N'10 .4..{. ^'TfII~No. .:h 'f5;-? ?77.. "
L5. Is this property within 300 feet of a tidal wetland? *Yes..~.... No.........
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
aroperty lines. Give street and block number or description according to deed, and show street names and indicate Whether
,nterior or corner lot.
{J~f, C. L~
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of'
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'ATE OF N~~~ (k: S.S
JU~F......... '[Qt.
. >-.....J.O h.,1(). . . . . . . , . . .\?~(\ , . . .. . . . . . . . . . .. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
ave named.
is the. . . . . . . . . . . . . . . . . . . . . . . . . G~~ir;~: ;~~~t', ~~~~~;a~~ ~'ffi~~;, 'e't~.)' . . . . . . . . . . . . . . . . . . . . . . . . . . .
said Owner or owners, and is duly authorized to perform or have perfonned the said work and to make and file this
'lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
rk will be performed in the manner set forth in the application filed therewith.
am to before me this
.....2i:\~~....,.. .. .. ... '.. '" ..... .. .~.. .. . .. .
No. ~ (') .., ...--' (Signature of applicant)
~ In 8uffa11l= -, ~
Ct...LIlI..lon IIIplrw DlIolmW 1'_
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
1];
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OWNER STREET VILLAGE DIST. SUB. LOT / tP7;; /T (',.(
h\l\(((l\f Green-he IA -t- wf, Bo (-/ M A /1/ IUC.K c; ALl DP. /"\. ."I-"-~ -DD,
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{10l4MER, ~WNER ,*,,,,,1. N u E ACR. I (,
, Olr fa 0 nlC, ,7..rf
J"':' l..)en"'T''V'D~, '--L/ S W TYPE OF BUILDING ;< ;<2 'bJ J11'}Jl-c
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RES, :{ ,/ 0 SEAS. VL. FARM COMM. CB. MISe. Mkt. Value
LAND IMP, TOTAL DATE REMARKS
./ :3 C ') .3 '70 (', -5.' :' , I.' .S ;1 ( r ( ;-/':"'~.3
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/ (CO !) Co .'-"') '-17 c-a j ",,' . " /10</ b /0/17 ..)DLf) ~5 000 [S'T E, 'DEMETlfloU It. ? ~IN.f/1ol-/f;i/ '/ It'
1"' ','
J j DO d.:-/OO ,S-'70') 9/./ /7LJ 17/::;'5/9(> )-11111 D t.j't';\, - fvjDr1-tfjOMcr<' +0 6ret'r\-b"( Icl ".;r.4!';}(Pd.iVOD
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
-
FARM Acre Value Per Value
Acre
Tillable 1
Tillable 2
Tillable 3
.-
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD /6 (J (f f~ ;- I~ S'O
House Plat DEPTH --;;t-V <::'1
BULKHEAD
Total DOCK
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Extension /fx j 7..3/ ,i? S'S' Basement ,L , , Floors 011 " K.
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Extension .3.<2 ~ Ext. Walls WdVJ ,f,,' " ." Interior Finish LR,
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Type Roof \) c:;.,<:J eLf Roams 1st Floor BR.
Parch 1/ \' / '7 Ii? 7 .2oD ,17'1 Recreation Roam Rooms 2nd Floor FIN. B,
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7 Y // , '17 1.00 77
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ARCHITECTS .
Mlllbum, -.looMlt 07041
PLANNERS
(Zl1) 3711-1331
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