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Home My WebLink About32754-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32285 Date: 04/10/07 THIS CERTIFIES that the building ACCESSORY Location of Property: 105 MILL RD (HOUSE NO.) County Tax Map No. 473889 Section 113 (STREET) Block 3 MATTI TUCK (HAMLET) Lot 7.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 21, 2007 pursuant to which Building Permit No. 32754-Z dated FEBRUARY 26, 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" ACCESSORY OUTSIDE SHOWER AS APPLIED FOR. The certificate is issued to JACQUELINE ENTENMANN (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 03/30/07 ELECTRICAL CERTIFICATE NO. 07-2076 03/29/07 GARY STAHL PLUMBERS CERTIFICATION DATED ~ed~ ~ Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This ap'plication 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. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of I % lead. 5. Commercial building, industtial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plmming 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 propeliy 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 1. Celiiflcate 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 - $] 00.00 3. Copy OfCcliificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 , T'm,o,,,y C'"'70'""""'" ~ ',,,dffi"" "'.00. comm,::':' $"1/ ., fa 7 New Construction: Old or Pre-existing Building: (check one) Location ofPropCl1y: 50 '1$li'~~ I/). HOlisc No. Street Hamlet _--r:A rJ..- /~ ...J':::::;r;f 1"'l<L-}" 1'-1.1 A JI' I) Owner or Owners of Property: ~~v I:LL~'~f!..!. Suffolk County Tax l'vlap No ] 000, Section --L13 Block.5 Lot -.:-2 ,Z-.. Subdivision Permit No. U 7,4 - :"h-ate of Permit. 'i Health Dept. Approval: . Filed Map. Lot: . Applicant: I..J1f' ~ Underwriters Approval: Pla,ming Board Approval: Request for: Temporary Certificate Final Cel1ilicate: (check one) Fee SubmiUed: $ ~J~3tf?-- CO-2;3.:2,)8.5 / FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32286 Date: 04/10/07 THIS CERTIFIES that the building ADDITION Location of Property: 105 MILL RD (HOUSE NO.) County Tax Map No. 473889 Section 113 (STREET) Block 3 MATTI TUCK (HAMLET) Lot 7. 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 21, 2007 pursuant to which Building Permit No. 32754-Z dated FEBRUARY 26, 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 WITH OUTDOOR ISLAND SINKS & HOT TUB ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JACQUELINE ENTENMANN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 07-2076 03/30/07 PLUMBERS CERTIFICATION DATED 03/29/07 GARY STAHL ~~ Authorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 !?ru 1~ -(4& I ... APPLICATION FOR CERTIFICATE OF OCCUPANCY ilR 9, 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 Dep!. 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 Certiticate 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, 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 Certi ficate of Occupancy - Residential $15.00, Commercial $15.00 Date. J /1 /e 7 . New Construction: Location of Propel1y: )V House No. Old or Pre-existing Building: (check one) ~~~~~ Street Uillf-rnwr:{<,: Hamiel Owner or Owners of Property: .:r- A:-C.t:L C Snffolk County Tax Map No 1000, Section--l-L '3 Subdivision t;')7?7J~iJ Block 3 Lot 7-<-. Filed tvlap. I"ot: Health Depl. Approval: Permit No. 5'"2- 7~ Date of Pennit. ~ft Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ ~~/2 3cj.2 C.ll -c. 3,2;. 8" (, Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 3/ZJI/o7 Building Pel111it No. ~Z7)4 ~-. Owner: >it~te;- 't7~W (Please print) Plumber: GA ~1 ST7t-6--f L (Please print) I certify that the solder used in the water supply system contains less than 2/1 0 of 1% lead. Sworn to before me this ,jtj day 0 f rch ,20.M y}& Notary Public, ~P,f; /.t. County UNDA 8. CARLSON Notary Public, State of New York No.01CA6137178 Cl\Ialllled In Suffolk CountY 1Ft Co!l:Imlealon Expiras Nov: 14, 20_ 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. 32754 Z Date FEBRUARY 26, 2007 Permission is hereby granted to: JACQUELINE ENTENMANN 50 BREAKWATER RD MATTITUCK,NY 11952 for : DECK ADDITION, HOT TUB, ACCESSORY SHOWER AS BUILT AS APPLIED FOR at premises located at 105 MILL RD MATTI TUCK County Tax Map No. 473889 Section 113 Block 0003 Lot No. 007.002 pursuant to application dated FEBRUARY 21, 2007 and approved by the Building Inspector to expire on AUGUST 26, 2008. Fee $ 850.00 ORIGINAL Rev. 5/8/02 ~. 3~7S'f Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ~INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~ ... DATE 3 --J- - IJ 1 \~ INSPECTOR ~~ FIELD INSPECTION REPORT DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING , INSULATION PER N. Y. STATE ENERGY CODE . FINAL '- . ~-~..... ..., t:;::, ..L .0 v COMMENTS ~J ~ t"';, :::]\.; ~ A ~ 3 lL .~/\ //J)( a-[J,. :,j"".' ft. ~- ~~>'+/MY. fl-g.,f'-7, .,i'".{ ,'1'(,-" o t l' u f\l ~ ~ ~ ~ ;) 9:). ~ . ADDITIONAL COMMENTS . . oal"l , X g..;::; tr>(:l l ~ 0_ <>00 :z . :r: ~ ~~ tj l"l - ..:! TOWN OF SOUTHOLD BUILDING D~PARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO.L5d:;5L{ C 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: Examined ,20-* ,20_ Approved Disapproved ale Mail to: Expiration u ,204 (' "'\~-r"R\'''\\ Ii \. .". . .d, -. ,", \\' r _.-r \ I . , fEa 2. , APPLICATION FOR BUILDING PERMIT , i \ :c '-.--I Phone: Lf'ts- lli 10 \ " r' . I , I Building Ins ~,- Date :Z.l r:;::t=73 20 c97 '- L._.l:. 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 has not been completed within 1 8 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. ?~ "If;K /44" 1?f,1.TT(l7Jc.<,P'IllfS-:z... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~Gt:FA.Y( Name of owner of premises ..::r >4 C ~ L> €'-l~ ~JJT?;;J..)#4 A:IJIJ (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 ofland on which proposed work will be done: ':>D 'i>'R:e1~ House Number Street rut4-rrrrv~... Hamlet County Tax Map No. 1000 Section Subdivision It '3 Lot 7.2- Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy 5LI.Jb~ Fi4M.('-i K'f'St~cG '. b. Intended use and occupancy 5A,.M-b" 5. If dwelling, number of dwelling units If garage, number of cars a \1 Addi"","AS :r;~ Other woUklf/Or~ OllL (} o"f"~~ (Desc ption) ~ ~ 1iULL- (To be paid on filing this application) Number of dwelling units on each floor 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost I {) } e~ Fee 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. Depth 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear 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 r 9. Size oflot: Front '1- Y? ( Rear 2-CeD Depth 2...'l5 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated K 40 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_ UAA:t'(7~ tJ1 14.NamesofOwnerofpremises:>A~\ erNT~ Address:;C ~~ Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _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.e. 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: ) tu{~ 'C.~ COUNTY OF being duly sworn, deposes and says.that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 4~ (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 << / day of ~,;'m' UIIOU rAGGAR1' NaIl" Public, State 01 New 'Ibrk . No. 4948506 Qualified in Suffolk County (} 00 7 CGmmission fllpires March 20, -1Z;;;. I ' -} "')' F J 000- ;I.j-..)" I. OWNER TOWN OF SOUTHOLD PflOPERTY RECORD CARD STREET '( Fe, VILLAGE DIST SU13. LOT 1711 t I- r'lC t,; N . \--\ A A t-J s '-->. ........ .,+ .... /t4,"X ~" I I l.f /,: ~ ])ES.!.;. '!/.<EP E ACR. I. ,{ 7 r: .[;,i"'5. TYPE OF 13UILDING W ~ LIJThMS COMM. C13, MICS. Mkt. Value Mil ( ROd FARM LAND TOTAL DATE 'REMARKS / c, ,[ d 'A<..?,c / s /0 () I tJ al '/!p. fI~. . ()tJ / /900 00 60 .- JJO o AcC> 1'1. 01:> 00'" 00/ 1~ lOb /5 /0(:) AGE NEW FARM 13UILDING CONDITION NORMAL 13ELOW A130VE Acre Value Per Acre Value Tillable 000 37. f - --' Woodland M_....dvnIUI14 -;2. 0 1:J /.~ 3()~," ._--6~ /(,00 ,v_ /93J' DEPTH 'd. 13ULKHEAD -Iv knJellm4nrJ - () I c... ',)House Plot ". Teital DOCK -, - -- I u ~~ ~ / , e_- , - . , If" oJ I 41 l- Ip. Wetl. ;, ,,,'" ~f I. ;. X , , - ,. I, f:;:: , , f., IV, n - "'. 6 : .' L';;' "~ - ~ ' v ...~ ~ "':"'.:- ';;i\;,,"""-" .,.~'. , .", " I '/ "18 l. 2- /~ , t"J- ). ~rry . j] :$ ~ ['t- - p. ~c M. Bldg. ?t-o'X.2- <.I '" .JR6 .,. ~ ~ sry 1$ " il.. ,tj , .'" Extension /d tI' ib lio K rl" r~ <'t '4 I, 0 11& Extension >-511' >- 6 -tv ~ I' ..] 6 (( 4,(,. "" /.U'i) hI\ 5 5"0 II SSe / . . Extension :>-, / J(o,4J, S~ It. c ;0 IS"Y</- X 10 , /f0\ Foundation ..ERIC- K Bath 1- Dinette "'- Porch sl'oI IDt;).. 1<;,0, r,,, <9 .-?cP. . L L 1 Basement h(?r Floors PIle' K. =- Porch 7)' 7 t/ 'l,J Ext. Walls s"jtl"'~ Interior Finish F'! -,' LR. ~" . ". -- "'.'";'!. ',~ < Breezeway 1'b""""- .. Fire Place , Heat DR. It-x},.... ,,,.]/'<1" \..\ \iJ ~l~. Garage h -I' .. Y ~ Iii'S /5 '7'9 .$'0 ,fD 0 Type Roof !J4bL~. Rooms 1 st Floor BR. ." ~I ~~.F7 Patio' -;. J;.'~J2- ::0,,'6 f7/a '/..l.r96o Recreation Room Rooms 2nd Floor FIN. B , AI , . 1,/: u_, ><_", ~!r_ - /00 O. B. .. """,1' Dormer"" Driveway <""'000 08 (I'Y~ 1<>) /, Total ..2113 (,.' '-0: - 11:(":' :.-0 -'; u6-eo.,'-'o j ~ ^ I 'foo / .1-n'"'? ;":; /. j)~ ~. I' ~'/8910D , . - '. . J/,?f " . r 0 . '100 fQ~ \II..-k~~, , ~.. , o. f ,"'-O.;l!,,, ..,_~u..-, . . II~.........- _ 1.7 r,/. ," ....,........ ., > COLOR . Lv (,Ie. I TRIM -. l.0 [, ,1 <:.:. ... \ S 86'49'20" E N/O/F MARVIN (( 25' .rR.IGHT OF I, ( .-" j' .... d j r t q r 0 ... eo r d rill' eo 1.2'5 0.2'$ .. 0 y -- WAY) I 295.0Q' & . ....O\lerh~nti vrjrf!S """ IV t-o c:::: ta t-J ~ . tI1 ~ ~ ~ RIGHT OF WAY S 87"44'00" E 25.00' Ii> o ~ <0 0;; 0, ,., '" o '" ~. 0, ., ~ ~ '" <0. stake % o Ul ~ o 0: .~ ~~ / : ~ 15 / . ~ ..... / t'l ~ ... _" / 0 - (I) ~ o - -.-. o "'ell pit 32.2 ~ fr. gar 01 ~I 9 r 0 ... e , . fr./Sluct:' shed > 00 '" --- --- _,SjLB'_ - - - - N , .. ._"-\0 t ........, .. J! 0\111)001<.. ...lWn... ,. '" fI.l :c f:: ~ . ' " ., _,,_\'_"__"'l i , 0" - ...., 0> ..... i-3 0. '\ \ '\ \ 1 1 \ ;~ L" ChOln1inlff I~I -"_"_"enee I -,,~ '- - .2 -0 n 1 I 10 ') ~,.., '.~: - ... ~.- u~- c' o u u , o u N 87'44 00' W 261.20: I' ROAD I, MILL N 87'44'00" W 297.00' PIPE 5.l'N 1.4'[ to'S 2.7'W '0 o o 10 N \" ~ 3.1 'E S 88'02'20" W 41.20' ..'ll _of:> fiIJ"" cl S ~.O ANY AL TERA TlON OR AODITION Td THIS 5URVEY IS A VIOLA TlON OF SECTION 7209 OF THE NE:W YORK S-HE: EDUCA TION LAW .EXCE:PT AS PE:R SECTION 7209-SUBDIvrS'ON 2. ALL CERTIFICATIONS HEREON ARE: VALID FOR THIS MAP AND COPIES THF.:RF.:OF ONL Y IF SAID MAP OR COPIES BEAR THE 'IMPRESSED SEAL OF THE: SURVEYOR WHOSE: SIGNATURE: APPE:ARS HF.:REDN, SURVEY OF PROPERTY AT MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-113-03-7.2 SCALE: 1"=40' JAN. 19, 2000 JAN. 28, 2000 ( cerl/flcalfon ) ~ ~ ~ o - -8 ~ } CERTIFIED TO' JOHN CONNOLL Y JACQUELINE ENTENMANN EUROPEAN AMERICAN BANK CHICAGO TITLE INSURANCE COMPANY ~ ... $. ~.I-t,W.M. as per Survey by Howklns. Webb. Jaeger. Associates. P.C. AUGUST 1978 0' 0(,,'(\ e~ 10(0, (/~.. '. '" ~o\6,>i..~.jC -(00 ,10 AREA - 1.6736 ac .... "'0 ~~ ~%. 1Jl -408