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Home My WebLink About32158-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No, Z-32023 Date, 11/22/06 THIS CERTIFIES that the building DECK ADDITION Location of Property, 520 (HOUSE NO.) County Tax Map No. 473889 Section 108 GABRIELLA CT (STREET) Block 4 MATTI TUCK (HAMLET) Lot 7.23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 2006 pursuant to which Building Permit No. 32158-Z dated JUNE 26, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT S BOPP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A -7t)!~ thorized Signature Rev. 1/81 ~~~ -s~o cJJ~ ~ ~;11~_ i 19 c; 2--- 'JOV I e 2U" Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 huilding 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. Swom 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 certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plamling Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming nses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or (opographic J 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 $15.00 Date. . J~7 JO~ New Construction: ;x j:) I:> Location of Property: _.__ Old or Pre-cxisting Building: 0./-I51);;{;! L-(/f cr Street (check one) ,#J/f Ir;:;Fvc~ House No. Owner or Owners of Propelty: Suffolk County Taf- Map No 1000, Section __"/113'8<( ~ 0 l)6H<f' s () <) ff" Bamlel Block 000'( Lot C::>o 1{O),] Subdivision ~_______ _. _ Filed Map. _____._ __ 13)1: _ J'~ I 5' 'l___ Date of penl1it'JV~tf:l (,/0..1'_ Applicant_f Ua J rr r._$[JOPf'..._ Permit No. Health Dep!. Approval: Underwriters Approval: ~__ Planning Board Approval: Request for: Temporary Certificate Final Certificate: y (check one) Fee Submitted: $ ~~ature ~~'C .7 I? r; ? C () r 3-)0;<3 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. 32158 Z Date JUNE 26, 2006 Permission is hereby granted to: ROBERT S BOPP 175 MAPLE AVENUE MATTITUCK,NY 11952 for : CONSTRUCTION OF A DECK ADDITION WITHOUT HOT TUB AS APPLIED FOR. at premises located at 520 GABRIELLA CT MATTI TUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007.023 pursuant to application dated JUNE 20, 2006 and approved by the Building Inspector to expire on DECEMBER 26, 2007. Fee $ 150.00 Authorize 'gnature ORIGINAL Rev. 5/8/02 '3 J-/sr z.. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [X FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: \ ' )~ "~i~~ l4- ole ~Cot-O~ DATE 1I~/6- of, INSPECTOR ~$f~ .3 ?-15'l Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [)<f FRAMING I STRAPPIt~G [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~~_ J-~ ~ Gk" r~r>-o' DATE INSPECTOR ~ ~ ~ 'd--I S Y L TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION o FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: '~ ~, / a;t ~ " ok 'Y:J;5 ~40 7---;-'[-06 DATE INSPECTOR ~.~ . FIELD IN~PECTION REPORT I DATE COMMENTS -1 j' "r roL y, .L-- - ~ 0* h~1/ lU .. Ut'"J I . .t [I ~ P'''' ''-' _G: FOlJNDATION (1ST) vI= c<~ ~ "" ____________________________w_______ ,V, J J ",' 0:: FOUNDATION (2ND) ';. 0- en /II /7L ''''r'' l"l I f , , Z " If';:; 1- Js> ;(.. 7/~ ' - A-- /"\ u~ - ' - ~ ." y OK" , /L"/ '_ ~'tJ'" 17 c> '" ~ r-:\ .., ROUGH FRAMING & ~ ,gg ',\ l"l PLUMBING , , .., F' " '.. ',J .., -' (t, ';-- . ' ~) (\ -'t~ :::: t"' INSULATION PER N. y, l'!l STATE ENERGY CODE .., --:7 ? Il.-J [.,-- 'IA rC ,- r:;f .JI. L..... ~ \4 _L. i~ . H~' I rF 7.w,vU (1" ~ '6 '~L.' 7"# (~ ~ I V U ~ v '--" "j k FINAL ADDITIONAL COMMENTS 0) tr l...) t..~ '" ~ 0 /, ~ c-iii '::0 ~ - I'l e,i ~ f .. '0 - ,,- ::0 ". . /, ::l . . '-' '" ~ Z ;::: t'"J - ;.- ... ;;., -;::: -1- '=' l"l .. " II c~c .' '~-~=J.f=), 231 OWNER Eo bex-t s,'- fW\n I r k Py't ~ w+ J:;;;>LE 'Y;Jf/lUi""FJ el,r-- .. lA C\!CCiW'P( nn:\ \ fU t , lAND IMP, ;'~o \$cc, ,-, ',( y r~ 2100 / ,00 .~~-,- - L_ ./~ " .--' ...- , ,--_ r" -- -- '" / ~ '~ ,/1'1 TOWN OF SOUTH OLD PROPERTY RECORD CARD - ., STREET .. LOT 18 c.-\ C:"'__'/ .......j , ""~;;.,,.. '-_ ,-._-.1 ,,\e-'lf'1'912 j'\' 1< .Ii \ ""'",'q 7 ' " -'-r -'.--' I ~.?O VillAGE OI9Y 'sus'-- -- ~~_.. 'l fLi.s In. .\ /\ , . II ' (;/i1..)(,(:' {) , ' ACR. 1"" f (t '! (i\i. REMARKS , I \-:) '~V '~ TYPE OF BlD. l \).-"11(11 _ Li 1~I~o'6DI-1\\ lOfft, +z) F Lf))/C',rn i51:;~(~~;! PROP. ClA$\~ S 'I;'" ,. t1 I \ C;:: .:::J ') )..b k,' I / .$\\ vi':') '-f /,97 Lo!' :,/:.1,1)(");;'<' ('C;Y1~J (')Ii~ .f..:a,on' I" !lu)p/linc (,J/Gcn.-:;c,( TOTAL DATE fch/Q,-LlI'(;!,,{,1,!(;).-ELEf'v2IJ,&r<.JTD kl.rJ,.e.4wr-.:tI~C,:.m[) j 2__,:x,~:) " t:. ,'", \</ ~ > .'-' ,', >'_ J,"I ""-"~.'<"") ~_ -({"-'s "j ,t,;',-i'.; __ _ ,-;: Cr 1/, '3 \qf, ,/3JD7,-L1dd3If.;n~~11 f+e'. *wf' fu &ft;- :t(;;g9,oco Jt,oo ./ ,,>/~J9IA' I ___.__ d_ n_ . , / FRONTAGE ON WATER TillABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/lOT --,- ------- ---..-.- --. TOTAL Gr fulli_,_ ;~ ~'/~ f -eP M. Bldg. 3&12.& ~ 93& 1tJ-~ 3'1'13 Foundation VI',":r"f~1> I.. I~ l.,','I..:) - "JB? Extension , Basement Extension Ext. Walls Extension Fi re Place Patio Porch Dormer Deck ~- Breezeway ([ /2'1-= 38'1 I. ,0 '70 Driveway O.B. C,:,ur"""'r ';J Pool ""';. 3 Co 79 $-.. $'"00 7.r66 '7/18 .t5/<..e / Gv~,A: /"4!,;"" i i i I e. J.- I:z. rl yz, ..... f>.& I . 1 PC Bath C8 I'c.. fULL CRAWL Floors SLAB () U. Interior Finish Heat Wood stove Dinette Kit. L.R. D.R BR FUll k'le. Fin. B Attic Rooms 1st Floor Rooms 2nd Floor ~ 6IV'''(:' {AI' :EMr......~ &Q ",fIve -/00;;' ;> 3~o-.j S:2 {r6 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health >~ sets of Building Plans ,.,/ Planning BOl\Jd approval "Survey /' Check~ ; S~3 Septic Form N.Y.S.D.E.C. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthold/ PERMIT NO. , '" c:::- Examined Approved __ Dlsappro\ ed a c ,20 ,20 c... (;;, Trustees Contact: Mail to: Expiration '2/C ,20 ;;r 7 Phone J. q g - } Cc 0 ! _/ 20 APPLICATION FOR BUILDING PERMIT Date ;J)O/OG 20 0 (, '- 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 ar~;lS, and waterways, c, The work covered by this application may not be commenced before issuance of Building Permit. It d, Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a pennit 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections, //~/~ (Signature of pplicant or name, if a corporation) SJ,.:) (,/1 en:; G- u'4 C'I ,f11IJ1rz7CA.K IV..';! (Mailing address of applicant) 1/ tfS-.2.... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~ 001if:75 , G oPf (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, 1, Location of land on which proposed work will be done: ,'J";], () {,Af5((Z,(:fU4 cr House Number Street 1111JJ7Zrl/ct: Hamlet County Tax Map No, 1000 Section Subdivision i O:t Block Filed Map No, 1 Lof Lot 1,13 (Name) fr A ff Rf fU 1/1 E(L- 1/1 S 0 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work O!i&/< 4. Estimated Cost (Description) 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. 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 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size ofIot: Front Rear Depth 10. Date of Purchase Name of Former Owner , II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NoL 13. Will lot be re-graded? YES_NO A Will excess fill be removed from premises? YES _ NOX i 14. Names of Owner of premises 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 L * 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----'t- * 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) c~ cl-I' ~: COBNTY OF:-:D.~ \" \) 'r... . , \ <(,-,\::0..",-", ~; '-\:"),0\2\) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contrad) above named, (S)He is the ~n-"'\. (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~his_ -.0 '-' day of:'>,~ / / ~ 20 6)c , c" ',....J < '. \ '-- .".. '" . ~'--_\.'-'>-__L.::Y--- ,~~ Notary Public -~~APPlicant BARBARA ANN RUDDER Notary Public, State o! New York No. 4655ilO, Qualified In Suffolk CountYt)Q"O Commlulon Expires April t4,_