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Home My WebLink About31912-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 10/03/06 No: Z-31892 THIS CERTIFIBS that the building ADDITION (STREET) Block 4 MATTI TUCK (HAMLET) Location of Property: 100 MILL RD (HOUSE NO.) County Tax Map No. 473889 Section 113 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 2006 pursuant to which Building Permit No. 31912-Z dated APRIL 17, 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAUL KATZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DBPARTMENT OF HEALTH APPROVAL N/A BLECTRICAL CERTIl."ICATB NO. 111139C 09/11/06 PLUMBERS CERTIFICATION DATED N/A ~~ Authorized Signature Rev. 1/81 r ~ _M ~ ~ f 0 ::' r t"- I', "n \ ! r I ,L'--''--.- " i. I ". ' II II 08T 12 ~m': I ,I , I \: \,:,";O;~ ~ TQY_d~_.2;1UTHQUL_ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 u_ . n . t2 q '6 - 1'73 q ;}!;2 - (gC(j- 0031 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 (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 2/1 0 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certi ficate 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: I. 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 Occupatlcy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees New Construction: I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning 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, comm:::l $15;: /& 'J.,., If} f:, / / ' Old or Pre-existing Building: (check one) (Of) w.l1lLt.-. House No. P f} vI---. , . Location of Property: Rn Street 1'111-r f / 1'v c..;( . Hamlet AOc..J(5~ t( Suffolk County Tax Map No 1000, Section J(flr2.... I ( 3 Block e../I ~/i C'VV Lot ~ Owner or Owners of Property: Subdivision Date of Permit. Filed Map. () tfifJJi Applicant: f Ilvt., nderwriters Approval: Lot: Permit No. 3 /1/ 1-.. J['rl r L. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate --- Fee Submitted: $ 2. 'J ---- Final Certificate: (check one) ~~.lIO ~C( CO-c3/'O~ ~ rpou1l(~ Applicant Signatur James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765.6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0157C Date September 21. 2006 THIS CERTIFIES that the fover on east side of dwelling At 100 Mill Rd.. Mattituck Suffolk County Tax Map # 113-4-2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 3/20/06 pursuant to which Trustees Permit # 6309A Dated 3/22/06 Was issued, and conforms to all ofthe requirements and conditions ofthe applicable provisions of law. The project for which this certificate is being issued is for a fover on the east side ofthe dwelling The certificate is issued to PAUL KATZ owner ofthe aforesaid property. r~~ Authorized 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. 31912 Z Date APRIL 17, 2006 permission is hereby granted to: PAUL KATZ 100 MILL ROAD MATTITUCK,NY 11952 for : ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 100 MILL RD MATTI TUCK County Tax Map No. 473889 Section 113 Block 0004 Lot No. 002 pursuant to application dated MARCH 27, 2006 and approved by the Building Inspector to expire on OCTOBER 17, 2007. Fee $ 150.00 I~ ili / Authorized Signature ORIGINAL Rev. 5/8/02 3/ ( 11-2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING WINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTI N REMARKS: ~ r~ (/\~ ~oK.. C~~.~~ Q ,--If'.- (J' DATE I I INSPECTOR ~ ~ . , 3/7/:1- ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [~NDATION 1ST [] ROUGH PLBG. [v( .yUNDATION 2ND [] INSULATION [ vrFRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION a e- ..or~ - h --a/~.-- .~ '6)A. ~ t)~" /~ :v~ _~ ~ ~~~j . DATE rn.;, f ,2co~ INSPECTOR ~4 FIELD INSPECTION REPORT DATE~ COMMENTS ~/I1"'~ /.~ ~ ,. ~- , ~./, . vi ;:; . , ~,~ r 'd ~ p~ /~ ,..z... ~ ~ I.~ ~ ~'P;' ..-' .~ ':..d'..- i:;. - L . <v ~ IV v ~ E;:\ " FOUNDATION (1ST) q, 1<1--t Ih -c::' / J!' .. _ ~Ir , ~ 'A ....h.~ ' W ~V~l'v?A'-'6' ~ V {j D> ?-~ -Q",i:'l Z !:l 8 31J - .., ~ ~ r3~ t"" I-I!Ol '- .., f ~ ~ ...., " ~ ~L" lS'- FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDmONAL COMMENTS ~ ,,' "\5 l\cud ~ ~,('^ rl', o.AC 0 -C.:-w --v-~ <+-M~ Q~.Ik-, ^ I~ J '-' 0 ". ~/"",- J (7 ~.-Q 4tl.~ Ill. dJ -a.. tun-. ~ j" /'. "",=:>0 . t ~ VOl I (J , 11 Of ) ~L/)h h. .J? /1~' ... /JUJ/;U r / r ft,---- 1/ , -i:'l "- 9 ~ =:i~ I .., o .... --.l~ " ::= ~~ tt: .., rr ; i:'l .. :-l TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. ,:J/9/ric:C- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans r Planning ~approval Survey Check~ f I:J.- Septic Form . N.Y.S.D.E.C. Trustees Contact: ~.~'20~ ,200~ Examined Approved Disapproved ale Mail to: Phone:C~I-d75- )~J) "Wi (,;/- 765- 50'8"8' - av~ Expiration tal7 ,204 I , ~ I Building Inspector wa21 .-; ~ -.-~" ' .- ;_.!:...:-J1-D APPLICATION FOR BUILDING PERMIT I L._-' , Date fl)flvch . ~ ') ,/ , ,20~ INSTRUCTIONS a. This application MUST be completely f1lled in by typewriter or in ink and submitted to the Building Inspector with 4 sets o{plans, accurate plot plan to scale. Fee according to schedule. . b. Plot plan showing location oflot 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 South old, 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, ho . g 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, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises P t!J v l. K Ili Z L 0 JI 5~ Ct1 It 5F~ (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 Trade's License No. ~ ? Y SJ.)-rJ- . 1. Location of land on which proposed work will be done: loo 11h/l Ri. House Number Street County Tax Map NO.1 000 Section Subdivision /13 !M~fI,~k J/vlc Hamlet Tl>A;l<lATl AOtIIJ Iho! w~" 12 !It,Bt2 ~':,~B!otI Block Lf ("",,', ,~ ,. . lIW Filed Map No. __ ,0: ,1J1SM ~ noizzllTImoO (Name) I 1. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ ~ <.(d - /'(85 , b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work ./ ~Iteration (Description) 4. Estimated Cost ~ /'00. .......- 5. If dwelling, number of dwelling units If garage, number of cars - Fee (To be paid on filing this application) 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 Height Number of Stories Rear Depth :2 ( ,. Dimensions of same structure with alterations or additions: Front J 4 6 Depth l.H Height:J 6' Number of Stories . . (I, Rear 7''';S;- C ;J 8. Dimensions of entire new construction: Front Height I tJ ( Number of Stories Rear ~ Depth 4'[6" 9. Size oflot: Front 'J q ') -10. Date ofPurchase.sD..h_~ / -g 7 Rear dq 7. ~ "W"'5 Depth 1'67 ./... I () ${ .,).7 NameofFormerOwner 114wJtJ_ /lo.,3.cttf A. I . . II. Zone or use district in which premises are situated 11 "'"' Lf 0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO /' 13. Will lot be re-graded? YES_NO / Will excess fill be removed from premises? YES Zo_ ).UJ/ )t' ~ 14. Names of Owner of premises PAJI. /(,4 TJ... L1Mlf,.lAddress / v v "11, 1'1/ '-i- 4) Phone No.t. ''1[ 1. q 1 ? 1 '3 7 Name of Architect ' Address' Phone No Name of Contractor Cj,,,,,<(~) ~oAwdl Addresst;1, fJyi..f/ PhoneNo.6117~5'~"fR S .ehWfu(- ,,",-y. ~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES L- 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.C. 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. STATE OF NEW YORK) SS: COUNTY OF ~Z- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the C'tY~.4I/.{oV (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 J, dayoflh~~~ 200 <.... ~~~ >J.rc;7~ Notary Public NolIIy'=, ~','tbdl, No.~~il.l! ConlJll't.e*l~tIIIdl'1b~ () V07 \ "'" James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6309A Date of Receipt of Application: March 20, 2006 Applicant/Agent: Charles Farrell Owner: Paul Katz SCTM#: 113-4.2 Project Location: 100 Mill Road, Mattituck Date of Resolutionllssuance: March 22, 2006 Date of Expiration: March 22, 2008 Reviewed by: Board of Trustees Project Description: Construct a 4'6" x 10' foyer on the east side of the existing dwelling as depicted on the plans drawn by John Ehlers 8/18/2005 and revised by Charles Farrell on 3/27/06. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth by the Board of Trustees. Special Conditions: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth by the Board of Trustees, a Wetland Permit will be required. This is not a determination from any other agency. ~6<~ James F. King, Vice-President Board of Trustees I II SURVEY OF PROPERTY , SIlVA TE: MA TTI11JC,K I TOHN: SOUTHOLD I SUFFOLK COUNT1", NY I SURVEYED 08-18-2005 I ! SUFFOLK COUNTY TAX II I 1000-113-4-2 USKlll'UllJ TO: PAUL KATZ NOTE5, . o ZQn~ X Zone AE ME-II) .... .... , a :0 Cl. (\:z aO :0:>: Cl.o \J" ;u\i' \1\" a3 -\1\ J:" .z o ~ a ~ cS <.) i .... ------- ...... , , , ~ Cl. \1l ~ ill :Y "" o \'l> i-.l -! ~ D '" ~ MONUMENT FOUND PIPE FOUND ~ Yvest ~ ELEVATION5 REFERENCE N.o.VD'2q FLOOD ZONE5 A5 ANNOTATED FROM FIRM MAP No. 3blOSG0481 6 DATED MAY 4, Iqq8 AREA = 41,3Q2 5.F. OR 0.Q5O AC.RE GRAPHIC SCALE ~. 1"= 30' I Mil1l , " , , , , , , , , , ~ .... .... .... .... .... , "- " ., .... ~ ~ a rOnch .-4.__ . Roadl -~--------r-----~- - ______,___~~~_: ~i044'QO"E , , , , , , , , , , " , "- "- ~ Of ~ , , , , , , " I'" .... \. \ ' \ 1<1' I ' / .../0"'- ~ ...... ............... c.~,. ~'T,"'-,.,: : 2"1i.00' , l.2:.:...:.i 'r, , , , ,. 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