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Home My WebLink About33058-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32386 Date: 06/05/07 THIS CERTIFIES that the building DECK ADDITION Location of Property: 1145 (HOUSE NO.) County Tax Map No. 473889 Section 107 GRAND AVE (STREET) Block 8 MATTITUCK (HAMLET) Lot 37 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 2007 pursuant to which Building Permit No. 33058-Z dated MAY 22, 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 RICHARD J & COLLEEN REITZ ( OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ 4>>#_- A horized Signature Rev. 1/81 ~q&~ ()/3/ 00 rn u \VI ill Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 'WI 'I ~'. 2007 BLD'j. DEPT. 1___.I0W,. OF S'" 'THOW .... ._~! 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: 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 2/10 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: 1. 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 Date. &"., / J 07 New Construction: Old or Pre-existing Building: ( check one) <: Location of Property: 1/4-(' 0rl/;.j i) I/()c House No. Street MII-I-r I,UCfC . Ny /(Cfrz- Hamlet ... Owner or Owners of Property: ~ ch I1I2.d 1-~ / /.L..UJ ~I T 2- ..... Suffolk County Tax Map No 1000, Section 10 7 Block 0 () 0 ~ Lot I) 37 Subdivision - Permit No. 330 5&Z. Date of Permit. 5/3/ /07 Filed Map. Applicant: Lot: Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: ( check one) Fee Submitted: $ ~~~ .. Applicant Signat ~ 7:1.C tff cO of: '3,;t 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) 22, 2007 PERMIT NO. 33058 Z Date MAY permission is hereby granted to: RICHARD J REITZ 1145 GRAND AVE MATTITUCK,NY 11952 for : AN "AS BUILT" DECK ADDITION AS APPLIED FOR at premises located at 1145 GRAND AVE MATTI TUCK County Tax Map No. 473889 Section 107 Block 0008 Lot No. 037 pursuant to application dated MAY 11, 2007 and approved by the Building Inspector to expire on NOVEMBER 22, 2008. Fee $ 400.00 /1) 'I'.,~ &~ { Authorized Signature ORIGINAL Rev. 5/8/02 - .; ... .--...........- _ _" _.__..........., _._:~.... -_"" -o<".'~ 330~r7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION t:::;< REMARKS: o [ ] ROUGH PLBG. [ ] INSULATION ~ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION /\ ~ ~ ~ 5"-3 /_f!) 7 DATE INSPECTOR ~ ~ '" . II' FIELD INSPECTION REPORT DATE I COMMENTS \}J uJ~ FOUNDATION (1ST) O~ ~~ =It: ------------------------------------- - t~ f FOUNDATION (2ND) rI.l N'~ ~ z +- p _rI.l - ~ ROUGH FRAMING & ..J;:-~ iJ\ ~ PLUMBING ~ 0'> --- I--- g ~ ---.-----...-.--- ------------------ == -------- ~~ INSULATION PER N. Y. --- STATE ENERGY CODE -^ -I 5'- 3/. tJ7 Pi, /J LL ..... '- 1"""'..1.- ~.1 7" G.f: - r;;;r.,L ~ <r .JlT ~ ~....", .... ~ ., "'/--c- ( ..,. - ~\ "'1::0 FINAL ~ ~ ADDITIONAL COMMENTS ~ (\\ r-- Jo :E z .f:--m -;;0 ~ -, ~ _. t."'i l~ }-'~ ~ 6 s ~z ~ Z:...~ _ - , == P>~ ~ '"C:l ~ - - TOWN OF SOUTHOLD PROPERTY RECORD CARD e STREET VILLAGE DIST. SUB. LOT FORMER OWNER IMP. TOTAL DATE REMARKS 00 6000 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable Woodland Meadowland House Plot ~ .77S" /Aoo I~fo T otaJ ..,. - .......- :( (C)!-5 FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD C .:j-:- /1 ZS DOCK ~5 56 Foundation Both Dinette () Floors K. ,$'O loB Ext. Walls InteriorFinish LR. I Fi re Place Heat DR. J.'15'" z.u..b - /3" Type Roof Rooms 1 st Floor BR. Recreation Room Rooms 2nd Floor FIN. B Dormer Driveway roc 'kd t. J1 .;: f5b Extension ~ ~Jt';3' "'" 'I.: .)...y > bv 5.';-0 '1752 Z.!'o IS-o Extension 'Sx/5= ~a orch "A ,;.J Breezeway 3b~ t, - Z I {, z'l;;l~1 -= 567 p. B. total ;; COLOR TRIM -- . - I - -- - -- - -, -- - ., --. ._~- '"-- -, -. -.. ,- -, -- 0"'-' ., -, f ..... . 'lac . 'fl fI' l.t " ..4 ~,~ -- j -- -- J --, -, _. ...... '.'" tl ~ ""\' I bv 14- I- . iJ!I! . , I Of- '.V '- r Z ;"" ,..0 /.., 1'( Z 4 I ,-. ~ - {~ r"'? ~ t.J.f1 ",. ~ ~ t .I. Z' I' , I / .. .. . -- I .... I ~ , i Z~ I "fJA I ~ l I/rJ "'" I I & - -~ II .. ! , e IIioO...- . .. . e TOWN OF SOUTHOLD BUILDING DE..,ARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. '3 3 D~-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 400 Septic Form N.Y.S.D.E.C. Trustees Contact: 1(~,20!2.L '5(;}d,2OQL Examined Approved Disapproved alc Mail to: Phone: Expiration {J (00- ' 20~ (c..Jt.e ~ Building Inspector APPLICATION FOR BUILDING PERMIT ':, I"IA'( \ \ Date S/1 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 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. /)SS ~/~S$~e BJA/J /f1Arr/71Jl.,~ ,,~..J'T IJtKZ.., (Mailing address of applicant) , . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder /!E rJfd'1J ~ €2. Name of owner of premises f?/CHAI2 f) .:s: (2e /12- (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: . //~S GRA-tJO AuJ:"~uG House Number Street m/fT! Ii uCK:-. Hamlet (Name) Bloc'-W1.,~':)~Aq;f9M Lot 3"1 Filed Maii~{l:U" _ . _ Lot yfni:iO.l II. . l ." ....._,..Ei .1~~(; ;':1'1(;.>- ;u,;;,;~nmoO County Tax Map No. 1000 Section ! 0 7 Subdivision 2. State existing use and occupancy of premises and intended use and occupancy of proposed construption: a. Existing use and occupancy f2esl PEA (6- . .. b. Intended use and occupancy (2E<; ItJl?/IJ C.G' 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work AJCAJ /)ec~ (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number o! cars /VA . (To be paid on filing this application) Number of dwelling units on each floor 7. Dimensions of existing structures, if any: Front to s, ) Height Number of Stories Z. Dimensions of same structure with alterations or additions: Front b3. -; Depth 2"". 'I Height Number of Stories II I II 1/ !.. 7// 8. Dimensions of enti~r. new construction: Front 11.0 -? Rear lfo Height S'~ -t/- Number of Stories / /~ I /,-; I ? 7.--1 9. Size of lot: Front J 0 Rear...) 0 Depth "'~~ Rear "3,) IV~ r Depth 2 'I. c; 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. Rear ~],? 2. I 9-"1 Depth IV'- 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12-1/0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO V 13. Wi11lot be re-graded? YES_ NO ~i11 excess fill be removed from premises? YES_ NO .-V 14. Names of Owner ofpremisesRICHM/J 'S (2etn.....Address IJ4J>6~A,JO /We Phone No. Z1~-() IJI Name of Architect AddressAM""",~ JJ(119~hone No Name of Contractor Address Phone No. 15 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.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 SuFF~ ."'Y)#~ (!PN{);~ being duly sworn, deposes and says tha((s)he is the applicant (Name of individual signing contract) above named, . . . (S)Heisthe G~Gflf)~ (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 . 20 tJ J , PATRIaA CDIlWIN Notary Public~!t8tI tl NIw "" No. OlW5017~ Quahfie. d in Suffolk ''V .~ Cllnmission Expires Sept. 1 ~ () 7