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Home My WebLink About22853-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31940 Date: 10/23/06 THIS CERTIFIES that the building ADDITION Location of Property: 1150 (AKA) (HOUSE NO.) County Tax Map No. 473889 Section 33 42 SOUND RD. (STREET) Block i.-- GREENPORT (HAMLET) Lot 86 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 1995 pursuant to which Building Permit No. 22853-Z dated JUNE 26, 1995 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 CAROLE MAVITY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELKCTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~._- /'J 0' "::l_i (Q ,i i APPLICATION FOR CERTIFICATE OF OCCUPANCY I This application must be filled in by typewriter or ink and submitted to the Building Department with the following: ~I _....1 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 2/10 of I % 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: 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 Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. 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. /0,1 /, / I'> , New Construction: Location of Property: Jf:J- House No. Old or Pre-existing Building: :;.---- ~rllJ h-" Street (check one) dOAO ~-I- Hamlet/' Owner or Owners of Property: fJll roL-e_ Suffolk County Tal' Map No.1 000, Section . Subdivision fvlCl'V~ . lock . Lot Permit No. :2.2-&--53 Z Date ofPermil. Filed Map. Applicant: Lot: Health Depl. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~C 0 iJ Underwriters Approval: Final Certificate: (check one) ~.}\)ol c.Oc3rTlfO Applicant Signature & FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPA/lTMENI TOWN HAU SOUTHOLD. N.Y. BUILDING PERMIT N~ 22853 Z (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FUll COMPLETION OF THE WORK AUTHORIZED) Dale..........J~.~~............... 19~~ Permlsslon Is hereby granted 10: ~L1.i:"tf~......((?~....ttdA........ .e?f.~~....7?la?.:'J1...:~...................... /J' -J-.....cq~...../k.Y......II..?~.7...... to....~A-......~....~..:1t~...... ......,t;;:-t/..f'b/.V7.....~&r.jl./vP.+~...~('7.....d..~~....~.~ ....rIu....~.ad.-..........~...~~~..~.............................. .................................................................................................................................................................. ~~.~~~~I~~.;:~;:.~;...................................>;3]..................~;;;;;e~.......................................................................... ........................,..................................~~....A(~..v./................................... County Tax Map No. 1000 Secflon... ...... ....~..... Block ........Y...........?o. ...~~................ pursuant to appllcaflon dated ............. ... ...........tf............... 19...7.?......... and approved bylhe Rev. 6/30/80 Building Inspector. Fee $...7~.~..... ;22 ?53 ~ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE REMARKS: {t)lK,- DATE 1 1 ,/ ." FlEW INSPECTION REPORT DATE COMMENTS =========================W========r=====~================================================= ~ II .--------~-----~------------------------------------------------- II II' . ;--------il-------------------------- II II [----------il-------- R----------II ~ 1 FOUNDATION (2ND) r-------] =========================t========.=====~================================================= I II II If--------il Ii II ,-------1 . >>--------{I-------------- II II --------~ I II --______11 II ========================= ========i====~~=============================T=================== I I' f:=--=~ II --------~ 1------- ~-- ~ II ------------=---------==-l~--=~-~- =---=- ------------ --------- -1--- ~--:-~~~- ~ - --~ ~--------~ ~--------~ L______~ n II =========================1========1================ FOUNUATlON ( 1ST) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAl, ===================================== ADDITIONAL COMMENTS: "d ~ t'l ~ U\ H ~ H "" ~~t :z: ~ 0 ~ tIl ~ H , ~ H ~ ~,~ ~ ~ ==========================================================================================- Si .~. ~ ~~ !~ t::J" ~~ f ~ (/?JjJ -J"J- f- t b OWNER () ~-re>-- J JJ..lL.. ~/~: c __ / / - FORMER OWNER :ES.-____-~~~ ) &0 ~~.-' n./t_n ~~~. I ) ,,'2 (1 -;---1 / I 0 0 I I ..~nj --I I L~~_. ~n_1 un _nl AGE NEW FARM NORMAL Acre iIIable "Iaadland .Aeadawland ,;;:~~~+- \wi TOWN OF SOUTHOLD PROPERTY RECORD CARD '~2~7t-22- STREET 1/ SO ~~(i" \ N C) \A/, "'r"\ y,. lot. S- ./y , -(j I f: (. (i I I :1/ /1 ! /) J, \..! I FARM i COMM. VL. TOTAL (~ 0 () }300v/ nn___~~_~ VILLAGE DIST. SUB. LOT () /1(' , /btr' " I '/i.c~" -r /0 Dn c ~ -0' ACR. JJfM nGf\L/'I' Co. "'- ,0'11 ;:rOo "f d ,.e. TYPE OF BUILDING CB, MICS. Mkt. Value DATE REMARKS (P1l.-q;,1.& -I ~beY 23':>:3 r,,;28Q .. R<< 5,'S'~ fl-k I ~~ft / / . 11;:;.,110 , I BUILDING CONDITION BELOW Value Per Acre ABOVE Value FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD 'J ,(' '/-:'\ r 0 (J _ (./I --..' (Wt1. ILl/ f ,)..rr'V DOCK r---' , ) ; / COLOR t (" ) TRIM / (1 ; . \ , ., ,1 -- '.j ( - . <.:.l-:._, '- ,., I- .- - . ,- -;;:;;;:: .. '.~ , I ~- .,- -, , . . . ..F.~' . .. !'.. , ,. , :l. , .. . .. l.t) . . - , -- , P .1 IV - - - - . , f-- 1-. i- t-- , , " . --T- '- - >. ..~ . . , . ...... . . IV .~ " f . ..;:, - I I . . ,., . h '., I jq.y- V- I' I M. Bldg. II -.; /1,1 -:; I.. fl a .-1 y </ ./ ! . . 10 ~ ~ '. Extension /.J " I , , . .v 1-1 Extension IgoO), ,.""'1 y~ 50 'j ') 'l . .. ~l \ I. i-' :, I a Extension ...I I, Foundation ~v, (jIo~' ~ Both. I Dinette Porch Basement \/I...() Floors 11 L (. K. Porch . Ext. Walls r (.I ~ h,..I" j Interior Fii1ish LR. Breezeway Fire Place ". ' Heat DR. ) [.<1 ),( 0 Garage Type Roof Rooms 1st Floor BR. Patio ", Recreation Room . Rooms 2nd Floor . FIN. B I . O. B. I Dorrper Driveway Total I /I 13 r/ " , r ~ """ >>J 2 6 I9Qi /~ NSTRUCTlON MUST FOR c.o. SHALL" IIEEI' ENTI Off""",,, .. ..~av REBflC.1UI · IiOIt . IQR8 ; o iE I iE I IS . ~ i F ) i ~ J ~ tf/ t c ~ ~J .2l! . g 8. 5'80 ~.t.E ( " ~~/~ 'f ( t, c/Ir k If. 0 . 0 . 0 1 f f c.c..\\ ~1 1" " ~""9-l It ~ " Qblrf ~ ~~. ," , ')- (i l ~ ," k. ~ " ~ 5 ~ "l: 7(-,c Y S'Tkc6.MR "'U/Ct~ .. <> ~ , u ~ f~/d~~f' PilI!- t- ~~~~ \' r/ ~'1 ((1" (f,fr (' ftr 'l+ ( (t .)0 ( d (r , )-" '- \}..\ \ #0 TI}T(l-c/W TO ~iV"~~t.ot.l ~ ~ U ~ ~ v ~ :::I ~ ~ I\l ..., <:l '0 ~ ~ Ii!( ~ ~ (r f/NC {i'f I'.ALOfl/ (d(A~'1 FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 ~ ('" TEL.: 765.1802 Examincd.. ~!?:...., 19~ ~ . ~ Approved .JIkM>.? . . . ., Ill. Permit No.r/l~?5:?3 T Disapproved alc 80A~0 Of HEALTH ......... J SETS Of PLA~S .......... SURVEy.................. ell E C J\: .................. ~ .. .. .. .. .. .. .. .. .. SEPTIC FORM _............ r:01'IFY: CALL ~.................. HAIL TO: .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. - .. .. .. .. .. .. .. .. .. .. .. .. ............ JUri:' 6 /995 H(B2tt~H LICATION FOR BUILDING PERMIT , . . , Date . . .. . . . ; . . . . . . . . . ., 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submit(ed 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 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 shall have been granted by the Building Inspector. APPLICATION IS HERE~Y 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. '. . . Jd. F'" . ". . . . o! f. J.t ,t;,f!.( 1. . . #~. ./..-:'o/.Rq <(If"'~(.r .-:~~r (Signature of applicant, or name, if a corporation) ..:< r.r.r!:. .~t1.r.":'. .~~.. .(JtR(~~T.. /~{~... (Mailing address of applicant) 11'1 J") State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... ..#:<.(~I?I:4.............."............ ........ ............... ............................. N~e of owner of premises .... 9.m. . . ~/I.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) B' 'Id ' L' N I. "2 0 7 7 /II Ul er S Icense 0.... .~....... ........... Plumber's License No. ..... .'. . . . . . . '.' . . . . . . . . . Electrician's License No. ...................... Other Trade's License No. ..................... - . I. Location of land on which proposed work will bc'done. ................................................. .... /1p.C?,................. .~9.~~P... .1l~AP............. .C!~~~~f'.P;7:....~..... ..... .... House Number . Street . . 1i~mlet . . County Tax Map No. 1000 Scction .;. :3.3........ ~.. Block... .If.........:... Lot. .9/.............. Subdivision. . .. . . . . . . . . . . . . . .', . . . . . . . . . . . . . . . . .. Filed Map No. .............. Lot............... . (Name) .' .,. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...:........ .... . . . . . .. .. . . . . . .. . ..~ AI 11tI1IU .. .. . .. . .. .. . . .. . ... . .~~N . . r -.e .:xaI'I YflA1eIlI b. Intended use and occupancy .... .Ptf.Cc;-. . .., . .. " . " . . " '~i~u~''''''IOHt...oIIt.. ........ ....... . . . er rt-...3111'1t1f . - . ............ ,3. Nature of work (check which apPlicable): New Building. '" . . . . . . Addition... . ., . ... Alteration ....... ~. Repair .............. Removal . . . . . . . . . . . . .. Demolition ............... Other Work. . ./J1fC-h-. . . . . , . '.E . .. " (Description) . '(,;1000' '4. EstImated Cost. . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . . . . . . .. Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . P ~~. . . . .. Number of dwelling units on each floor. . q~~. . . . . . . . . , . If garage, number of cars ........................ '. . . . . . . . . . . . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed OCCupancy, specify nature and extent of.each type of use . . . . . . . . . . . . . . . . . . . . . 7 D' . /.. t' t t 'f F t " . " R -'1. r D th Sa r . ImenSlOns 0 eXls 109 s rue ures, I any: ron .. """ . . . . . . . . " ear.. 'i':'!'. . . . . . . . . . ep . . . . . . . . . . . . . . . Height . .I.r.:.......... Number of Stories .. . "Ntt;-.................'...... ...... ...........",......... Dun' . f . t t 'th It t' dd't' F t ~ 1 ' R ~? enslOns 0 same s rue ure WI a era IOns or a I Ions: ron ..0(: . . . . . . . . . . . . . car. . . . . . . . . . . . . . . . . . Depth. . . -'.+.~.. ... . . .. . . . . .. Height.. Ir.'. . : . . ... .. . . . . . ,.. Number of Stories. . ./t-Y,l; .....: .'........ . 8. Dimensions of entire new construction: Front. . .o-q ~ . . . . . . . ... Rear.. r:. . . . . . . . . . . Depth . .(;;J ~ . . . . . . . . . . Height " .l':..... . . . . . Number of Stories. ... q,~!-. . . . '" . . . . . . . ... ..... . . ... . . .. . .. . " .... ...... . . 9. Size of lot: Front. . . ~ ~ ~ .1" . . . . . . . . .,~ .. Rear.... ~.I.o. :". . ; . . . . : . .. Depth .. /. zr("~~'~ . . . . . . . . . . . 10. Date of Purchase ................... .'. . . .. '" .J"ame of Former Owner .............._.............. II. Zone or use district in which premises are situated. . ..t'1fJI1'.'.1"-P.1<;-. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will let be regraded .... .N.o-. .... ....... . . . . . " . . Will excess fill be removed from premises: Yes dj;) ,14. Name of Owner of premises " . 9.7T.o. . ."'. (I,{" .i[!'.. . . Address ;.'lz"llZ"f/~-l'oW #'~. Phone No. ...........;.., Name of Architect .......................'.... Address . . . . . . . . . . . . . . . . . . . Phone No. ....... . . . '" . . . Name of Contractor .411. . hf/(f. . . . . . . . . . . . . . . Address ;'t.J.V:s./!v!~.Rf'. .#.R."!":-r: . Phone No. J:rr.- 1.S:~ ? : . . . . 15.' 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 property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. , . " 'f)~ Jn~ ~t; ~ . , t ~ \ ..,I-' q '12 \' ,'t,. \ ~ ~ I P I :5T<~I( fie. $" ",gilt. t.I '/ /'IlrJ.f ~ ~ ~ ~ o '-. h <'\ ~ t> '- '" "0. " ..0 1-7 Vb --Y Loir /M!~ " 'TM",~tJ "t bWPP V' <'/J "-If O<lJV.R;(. . (j f J'''' ~ l> ... h "'6 STATEOFNEW~~l\L S.S COUNTY OF . . . . . . . . . . . . . . . .. ' . . .<Sh~.I.f.eLf . F fi.e h C. . . . . . . . . . . . . . . " . . . . . . .. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) . lbove named. :"h' '~ . .e IS t e . .t. . .. . . . " . . . . . . . .. . . '" . .. '" . . . '" ... . . . . . . . . . . .. '" '" " ... . . . . .. . .'..... . . . .... . . ' ,. ntractor, agent, corporate officer, etc.) .', If said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 'pplication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed therewith. ' ;wom to before me this .............2.~.... . .'!~.. ......, 19~~ ' So~\.\o- County , U ' , .: .~.a~.. . J.~ .1P1!!cr.-:. ..:.... j' -...... 0 ' (Signature of apphcant) , 'otary Public, 1------- ! , ~... 49~' I I I I I , ! I I I 0 I < I I 0 I I C:! 1 0 Z ~ ~ MAP -' N,62 28' 40" E. '> 1---'-'" ~21o 11"<0 or- ! {'J (\J i-"-- 2 ' . >. ,__,._____._.___..._v~ .._._._~_.__. __ . _. __~_"~_'___'_"__'__'_'__'____'______'~ ----,'-. lU Q.- BURNER v 2 w . tLl . ' - '. 51 -. 'j , 1.....----.--.-.......-. !' 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",aP no\. b68\Y1G CopieSot\h~~ke6sea\~ \h8 .net su seal sl'lall no\ b8 co ......... "",_. \0 be a va\\d \ reG" &halt run G a,.ntees jndiea\::':om me r,UrvQ lJ ~~ b8h8\t\oth8 on\y to and on tl\S ~ end \Sprepared. QO'i8IT1J1\8l'1l3' an4 \it\6 colTlpa~'/' ~ he(8OC\ instl- \end\ng,lnstitu'l.\OC'lot\h8~~ lottle assi9n~eesare no\~"':'-.Ant. \ll\iOfl.Gllara~ itu\iOfl$01'~.-_. to additiOOS\\Ost ~lS, , . SCALE-20:! --_.----- --- AR.EA:3532 Sf: O,MONUMENT AS ~~l~yEYE.D MAY 30, i99,? 120DEQ1Ck. VAN TUYL PC . .- ~'.. ~J..-...-. - , '. Lie LAND ;!Jr.~\jE,{OQS ':;,RE'U"CJ('\ZT N.Y. - '. -_..- J