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Home My WebLink About32479-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32020 Date: 11/22/06 THIS CERTIFIES that the building DECK ADDITION Location of Property: 430 (HOUSE NO.) County Tax Map No. 473889 Section 107 MAYFLOWER RD (STREET) Block 8 MATTITUCK (HAMLET) Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 8, 2006 pursuant to which Building Permit No. 32479-Z dated NOVEMBER 8, 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" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GLENN GOLDSMITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~~ A thorized Signatu:e Rev. 1/81 20 Lc' Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 . 11'1->0 '7 -",(pU ~ Ii: . !.:.-.___....-- ~_.- . 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 2/10 of I % lead. S. 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 Planuing 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 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 I Date. 11/20 lOb New Construction: Old or Pre-existing Building: J' ( check one) Location of Property: 430 House No. Ma.y\'\ owe. Roan! Street ~H;tuc/::- Hamlet Owner or Owners of Property: G\eni'l a.ncl Ren""... G"lclsm;-I-l.. Suffolk County TllJ' Map No 1000, Section 107 Block g. Lot 28' Subdivision Filed Map. Lot: Permit No. 32479 Z Date of Permit. II//7/ot, Applicant: GLo"l'" G,.,/ds;"",' f~ Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: / (check one) Fee Submitted: $ 25 ad ~M:.713~ Co C 3:10:).'0 ~~{J( pp IC t Ignature 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. 32479 Z Date NOVEMBER 8, 2006 permission is hereby granted to: GLENN GOLDSMITH 430 MAYFLOWER RD MATTITUCK,NY 11952 for "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 430 MAYFLOWER RD MATTI TUCK County Tax Map No. 473889 Section 107 Block 0008 Lot No. 028 pursuant to application dated NOVEMBER 8, 2006 and approved by the Building Inspector to expire on MAY 8, 2008. Fee $ 300.00 4a~~j~ ~ / Aut orized Signature ORIGINAL Rev. 5/8/02 3 M71 z.. TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PlBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING pq FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ b~Q~ 14-- OK " DATE /1'-/7- o{, INSPECTOR ~. ~ . . .' , ~DINSPECTION REPORT I DATE i COMMENTS lJ,.; 'j..J ... -{:.l"'i FOUNDATION (1ST) --J~ -0.., -----,. ~.. ------------------------------------- - - ~<::: rg: FOUNDATION (2ND) ~~ ~ "- ~ :z 0 1---- <-{:.' VJ G", --------------...--. ----- -- w~ ROUGH FRAMING & ___no ~ - PLUMBING f------- ----- - 1------ ------ ~ CI --,--- l ~-----. ---- ---- -- -"~ :% -- - -----~- -------------- - ---- - _m____________ ~== ---- - -- ------------ --- u__________ - - -- ~ INSULATION PER N. Y. -- -------- -- l"'i .., STATE ENERGY CODE -- -- \ -- ? , ,- JJ-'I'1 ~()-6 '~~ ~: i'.f---) lA~ ~ '\ A-,tf)'/Y h -- -) ----- f----- .-.- ~ I -.,. -- FINAL f---- - -- - -- -- - ___n_ --------- -- - ----- ---------- -- ----- CJ:> ADDITIONAL COMMENTS t -- -'::E i:-~ J') - - ~ , ~ lJ\ ~ '\ ~ DQ.., , - -- 00 -- oC:z - == --.-. b l"'i b-~ --.- R>; ----------- _u l"'i ... ~ PERMIT NO. 8) f7CJ:e BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health - 4 sets of Building Plans Planning Board approval "A Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502u--' www.northfork.net/Southoldl NOV.' 200S ',! Examined Approved Disapproved ale ,20fJl_ ,2Q~ Mail to: Expiration 5{f f 20. 0E '- Phone: 7br;- Ibt?O Building Inspector APPLICATION FOR BUILDING PERMIT ,20_ Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink: and submitted to the Building Inspector with 4 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 ha~ 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 Ja)nths. Thereafter, a new permit shall be required. APPLICA nON 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, housing code, and regulations, and to admit authorized inspectors pn premises and in building for necessary inspections. r ~ ~~'<AX (Signature of applicant or name, if a corporation) f-I\o,jt'low.,.. ~J. Mo,\\;\-uc\:: . t-J1 (Mailing address of applicant) 11'\'52 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 430 (s2 o ""'C\ e( Name of owner of premises ---.GJenf\ Go Ids(V); +1.., , Renee GoIJSM; tL, (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate o~r) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location ofland on which proposed work will be done: /0 430 Mo.~.f'Il'>we~ ~oo.J House Number treet Mo. Hi + uc.k Hamlet County Tax Map No. 1000 Section Subdivision 107 Block 0 Filed Map No. .~.. . Lot ci--B" Lot (Name) 2. State existing use and occupancy of premises and intended use and occu.J?ancy of proposed construction: a. Existing use and occupancy r .- b. Intended use and occupancy ) I J ,'~_Ic- v4J<-i 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition p Other Work Alteration (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, 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 ~ ~5~~ (l)imensions of same structure with alterations or additions: Front I Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth no. Date of Purchase 8/2 \ /06 Name of Former Owner \Jo.~ry Ben~o-I"\ ;n I 1. Zone or use district in which premises are situated 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 NO - - -----..-:--- 14. Names of Owner of premises -6 Name of Architect Name of Contractor Address Address Address . Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO -U * 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 o~'\)~fOU- ) G\ ~\^n ClDI.l.s W\;~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the In>> JI\QN (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, 20L /' ~~ ~' ~-q- G Si ature of Applicant MELANIE OOROSKl NOTARY PUBLIC, State of NewVotlt No. 01004634670 Qualified in Suffolk CounlY~:\ '\ \) Commission Expires Seplemb8130~ z. ~< <!i ~ .0:: o V .-t I ". . :z: -~ - , -- -- " .' 'r~'~""-: ...": . '':':'.' , " ," I . k_- """ :. c"':. '- .,.-: ,;:i. '. '':''~'.('~ ",.. .; ...' t I ....... I t .1 I I I ! !--";!' .1 t " J I , f I 1 I ., J: :L .', ".. ~4 t . '. 1 <& .~'" " '. ',. .', _~ n~n.~ . "'<:,; ~.f~.;:.~'.~: . ~:f:. \ 'Y.'~ ;~~ :....: r'~ 'fi ~ I I " , , , -T -jf- -.':;' r- I \ , , I .' .>-> -cq L ~3."'OT:i.J.-'v'w - '.r-' .":....-:....~ . ~.....:.~ ......:...''''f......... r.:.,,' .~..I -,.r ~'~ ~. - - -1<" ::;~:; ,.," ':'~\ii I',' .;,. ...... [.:;'\ . . ~. ....,=;-. .' "i.:~~j i <:/3 I :;'.~;'Y~, -.'~ ".~'~:- 7; . ~ . ,,* .,' .',~tt :.f L 'J lr. : ~- o. -~ <, . .-t :Z ," j:;~"" ,.... ,;I .y :.~ :~}.,:~~' .'~' .J.... :,g ~ .b~4'i . .- ,-:'~l .~ ;'F~.. ...~ lj"....i! !~.,j!"- ....~ ~ . I .. ,_ .' .>~. ~:.'r.:). ~~~~j1f: ~-- '4- -:~t~ ~~ :......'):,tI~ .:~; ~ .;~.~ . '""'1;' ~.:r~~~:~~~ . . .'9IrtJ. .#"~""'1:!' . '.. . '!'l. "'"~ :4 ~.t! '. ,tit"" ~v.-:t "~.:' ~: -,~ A'!~~ : 11 ',~" I , -, '. , \.1, I/>- ,. '"' '" 2 <> uO;j -~ f_.J /-- (1 - c OWNER G eJ\f'I 4- TOWN OF SOUTHOL COMM. IND.! CARD --/. DISTRICT SUB. LOT ]) J": \',1 r' is .~ C> ..-- -.. ~ Y3 TYPE OF BUILDING Itd; ~ A- <..-1.-"-<...-- CB. I MISC. I ' " /1/." '. STREET t./-.. ~ 0 VILLAGE LL II 'I tV r VL 1"1 ~YI;'UwEf,' N E. P: Calff?/G S .8a J1 ~on FARM n D \. -/'---- /')'Ii!i I . l ,t l {L i (f.,,,/c FORMER .9WNER ,lj) J' ().m,'(I ~ W+ ,- J,-~}I N D L ~S. ;;,1J:;) SEAS. E " Z',:L",;es.)/ W);J.t.,t LAND IMP. TOTAL DATE REMARKS 3:3 4</ CJ SC7 0 S' ,I "'~_ 1/<: L/ (;) c.; (~ ~ (" () GOO ') -.,:'.> Pf>d ,z.J1. r:/r,.,"/ ;( .~- c:; c >wi 3 SoLD 1/33 (}(Jt1. TD, LIILLA wI 13,r' /o1jO! a/I. I. <:IwelX" :"C, ff /,,,,,'" .....' -.' t (. o AGE NEW 60 '/'/vtll I Farm Acre Value Per Acre 3Jt./05 eV / J!~/' " ... G/ I 4- fi laces. BP# /<f1D/.. ~ (~~ 'illob,le 1 ,DCO 'illable 2 'jllable. 3 ~oodland ,wampland :rushl9nd ;ause Plot 'atal I /!~ (I.- , () I - -- ...... J ,11 -~ I I 0 L~ .;, V , ~ !.I ........ .- l(1h G V c@Ih M. Bldg. l U / , ... 32 'lie. i Foundation i c. ' ) Bath ! , I " ' ,j I:.' / '1.'" /L,/)(/f~..25.2.. <>" , (: \ i \ Floors ,'fd Exte~sA'n J-- 75' Basement \ ' , " , , .,-.... Extension Ext. Walls U.~/tp , , Interior Finish o;f t< Jl, Extension Fire Place ./ ) Heat P +I Ii .~- Attic l\, " . \ Porch D~,' , I II?:I -j' ',' ~ . f Porch Rooms 1 st Floor ;. ?. tI) - ' ....,. ,,\ Breezeway Patio Rooms 2nd Floor Ga rage / 2- \-; J.... (I - ;J...r~> J- , ,\ Driveway .:.::{/ , c' .' - , , 75~,qC spoT ;;<ou , . . B. kia/4o, ----. i?' J 6 r. '1503 r..-- ~ ,.. ';'; 5/4Xb DECK ;,. -' 2XlI PT OJ 1i>1b"OC o I '" , , , : lI"CONC. : PIER , CROSS SECTION SCALE: 1/4" = 1'-0" S) . .~ ." '.. .~ '" ..' .. 4; REAR ELEVATION OCCUPA~CV OR USE IS UNLAWFUL WITHOUT CERTIFICAT OF OCCUPANCY :":PB'2':Q AS tM-E: 1/4" = 1'-0" DC#. SP' 3~ f?9-c: FEE'_~, s._ .-f~ ~;O' 'ING ~ ~ A TO , \' ;:OR THE FOL,v' ""ci INSPECTk ,; 1. F.... ..- .' . , - TWO PSCU'lED f- -:.:u CONCSF-'" 2. ~ '., FFi~"',G & >-L'-'~ ~::,G 3. Ih:5ULP" 4. FINA: 'GTION '. JST BE CC ." 0...., C.O. ALL CCJCT - ,HAlL fJ.EET THE REQUF ~N:' ,rlE CODE~ 14ffi ) YORi< ~>iE. I..JT~~ESPONSI cE ~EBUILT PRIOR 2003 DESI'_,4 OR CONS .' ",N R<1IN"\ . "p~' DECK GOLDSMITH, MAYFLOWER ROAD, MATTITUCK, NY 1 Ob2 SCALE cto er 2,2006 1/4" = 1'0" PG. JD '" I .. - I r I I - 1 1+'-0" FLOOR PLAN SCALE: 1/4" = 1'-0' , o I '" 1 '" I .. - '" -' - '" , ;... '" , ;... '" -' - , , , -~---Er- , : 4'-g" , , , , , , , , , , , , , , ~\I"\.'t>,~.Co<"'\c...,'V..c?r: ~Q ~l Bi:L...ovJ E:,I4-Ai>t:1 - ~ 3 =2xi PT"'GiRoER-e- - t- - - - Er- 1 5'-0" 2'-0" - ~ -372x'g-PT GIRDER 5'-4" 2'-0" 2'-0" 5'-0" , , , , , , , , , , , , , I 5'-0" 2'-0" 5' 0" , , ----C:>_ - - - -;B- -~-- -Er- - --.;::::;> 3 - 2Xg PT GIRDER , , , 1 1+'-0" <>__mh_j FOUNDATION PLAN SCALE: 1/4" = 1'-0' 2'-0" EX. FOUNDATION ------.J 2'-0" ( PREBUILT PRIOR 2003 ) DECK GOLDSMITH, MAYFLOWER ROAD, MATTITUCK, NY 2 SCALE 1/4" 1 '0" PG. October 22,2006 = JD