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Home My WebLink About32779-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32247 Date: 03/15/07 THIS CERTIFIES that the building DECK ADDITION Location of Property: 355 (HOUSE NO.) County Tax Map No. 473889 Section 115 DEEP HOLE DR (STREET) Block 13 MATTITUCK (HAMLET) Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2, 2007 pursuant to which Building Permit No. 32779-Z dated MARCH 5, 2007 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 DAWN L BLANGIARDO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~. Authorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION I.'OR 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: 1. 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 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 nses, or buildings and "pre-existing" land uses: l. 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 stale 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-exrsting Builclmg - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.0() 5. Temporary Certificate of Occupancy, Rcsidenl ial $15.00, Commercial $15.00 Date. 3 - 13 - 0.7 Location of Propcrty: . Old or Pre-existing Building: X 3$"5" _____()-e~ld/e- {);lVC,n___ House No. Street 8 J~YI,/IIfi"J 0 1/6'.__ Block New Construction: (check one) /IIl~.j,,~ k Hamiel Owner or Owners of Property: -&..w.n..._ Suffolk County Tax Map No 1000, Section /3 Lot _ 03 Subdivision 32. 77 , Date of Permit. nn_ Filed Map. ~___ Lot: ___on 3-5-07 Applicant BfJI//evlf..J P/lfinnll'.:::' Pennit No. Health Dept. Approval: __,,___ , Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate _ ___ Final Certificate: '. X (check one) Fee Submitted: $ --.25. (J () ~. 711qo (0 c 32,:2. tf 7 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. 32779 Z Date MARCH 5, 2007 Permission is hereby granted to: DAWN L BLANGIARDO 355 DEEPHOLE DR MATTITUCK,NY 11952 for : AS BUILT DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 355 DEEP HOLE DR MATTI TUCK County Tax Map No. 473889 Section 115 Block 0013 Lot No. 003 pursuant to application dated MARCH 2, 2007 and approved by the Building Inspector to expire on SEPTEMBER 5, 2008. Fee $ 400.00 ORIGINAL Rev. 5/8/02 :3 ')--~7 7 2- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING P1 FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS: ~ ~ / ~ ~ c&dL. ~~ l4- oK A Od 7 Jt'._~~~ DATE Y-r~ ~ 7 INSPECTOR ~ ~ . . FIELD INSPECTION REPORT DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL . '- ^ I ~~ --01"1 ,c" - ,I) 11 L '" · .. D J\/ith ADDITIONAL COMMENTS COMMENTS I /)k ~. t;u., -.UN \ '/l '_p.. ,..;tj;zJ:i ~L', / ",. . . . J l}J ~~ .,J~ -.!)=i 1'\1"" r~~ ~~[ .~ Z .~ :-' -~ llJ ~'" v\., t , ~ ~i ..., , ~I- ~~ r ~ 'v1 S> ::> -f. ~ ~ ?--gj "" t/ .J)~ . "" /A- I ~ .., o ::3 C<lZ ~ L-.~ =--'" "'k::: -Ptj !'; '" ~ 600 - WNER -/J-3 o TOWN OF SOUTHOLD PROPERTY RECORD CARD o /1~ 2- 2- C) STREET055 VILLAGE DIST. ,wg,.- LOT :S. .2/CJ LAND I R tJ al .~. I. 3A'!'- TYPE OF BUILDING /I ~.~ -'- MISC. Mkt. Value .t'/ .' -?"i" ." <,,It.' r~(( /V'frd I BUILDING CONDITI NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre 'iIIable 1 'i1lable 2 iIIable 3 Voodland .wamplond irushlond iause Plot -..-.. ~ ...... rotdl'"- - .. ~ ..... ~.......... f '1{ 4...,(.tf -;c. .1 0 J / N.C. d/r/t rcJiEcKHf -;:; fl, C'a MIS KEY v wr. /- ' , . jp '. ~f:.c.a-Ic..( A~LAY A, <2"m6i:ct ;) m,~k~l /(61.-I-D 0.jml~Ic.(2"'r N)e... <. 0 .~ ,-IVC- :5teJ(~wf iD &c,f1j"ardf)-~~[){)() o(chl dect. acid i ti on , f CD 2-~o'1\')d- FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD <80" S-o DOCK 115.-13-3 ,i - )LOR ri;f ~. / 11M , / ,:;(L./ f S" l'~ D ''r ~ 4- , ~ I' P< Y< h . f. - M. Bldg. Lf Z. Extension Both I Dinette asement Floors 00-1< K. Ext. Walls Interior Finish ~ LR. " ,,<..-1<- Fire Place Heat Bt3f.1.w DR. 0 ype Roof Rooms 1 st Floor BR. 3 Recreation Room Rooms 2nd Floor FIN. B. Dormer Driveway Extension Extension It...... ~. 06" ~.G)'/6>< Porch C6" eD 6>< Ol... :::: ';i,porch ~o t"-\ s:2... 3t?3a -----;.,,:-;L. ~'. -~, ~_c~_'_' ~"""",~._---'~-'-" TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~ALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthold/ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: PERMITNO.Y1?1? Examined 5'-- j< I ,20 ~- Approved ,20_ Mail to: Expiration ,20 Disapproved aJ c Phone: MAR _ 2 ? APPLICATION FOR BUILDING PERMIT Date fe! ,it? 2007 '- 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 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. $2,P'fS- /YI~1n If), C,.-iJqji/<- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Ape-nf Name of owner of premises Dawn 8/ tIIfn '7/#fl'dd (As on thel'ax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location ofland on which proposed work will be done: 3:;-$" D'H;J /11/" tJrJl/e. House Number Stree{ IYJ",'}l/yc/r Hamlet County Tax Map No. 1000 Section lIS- Subdivision Block J 3 Filed Map No. Lot 3 Lot (Name) . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy I? t: ~ I d I!rI C <. b. Intended use and occupancy t( ~5/) enCe... 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work L~'yA /17..1.0,., (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units IV / j} If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 7. Dimensions of existing ructures, if any: Front ~ (, If Height +- ~ Number of Stories Rear ~6',tf IV/Ii Depth 2. t! 6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use. I Dimensions of same structure with alterations or a~ditions: Front 5"6, If Depth if I, t Height + /- (S- Pr Number of Stories J ~ar 5'1, 4- 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front It) 0 10. Date of Purchase l/tJ~ Rear I tJ tJ Depth I 5"0 Com 1 ~kev r Name of Former Owner 11. Zone or use district in which premises are situated (<,-4-0 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_ NO )( 14. Names of Owner of premises PIAn..",,"/) Name of Architect . Name of Contractor Address J~~ Address Address Pe-e, /1,/<. P" 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 ~ * 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 ) /("ler I- t.t;h n <-r f- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the .4 ~ '(/11 r (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 ~ if ~FE~ Not ic JOHN E. STuMPf ,'OTi\AY PUBLIC. Stale d Now Yor' No.01ST8152561 QuaIlftod In - Coo.r1ly L ' wml1i88lon ExpIres september 18 - ':"\ %/u 20 CJ .:f- Prtr"ltsthe screeli ;~ji<: start l':!l ~ SessIon A R [24 K 80] 1 r!l Inbox - MICrosoft Out." 11 Search Resul~s. Lase", (] RPS Version 4 R [SIte,,,