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Home My WebLink About33155-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32468 Date: 07/13/07 THIS CERTIFIES that the building ADDITION TO ACCESSORY Location of Property: 3125 GRAND (HOUSE NO.) County Tax Map No. 473889 Section 107 AVE (STREET) Block 1 MATTI TUCK (HAMLET) Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 2007 pursuant to which Building Permit No. 33155-Z dated JUNE 4, 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 ADDITION TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to JUDITH DUTTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ed ~.- Signature Rev. 1/81 . . . . . 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 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 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 Date. OJ f 10 /c> '1 New Construction: Old or Pre-existing Building: x , (check one) Location of Property: ..9 I :L5""' House No. C-t2AIYU A v r: Street /J) f.:J nT \J <'-I~ Hamlet Owner or Owners of Property: J fA" ITt-I "iI U ,Tt:;;-t<., Suffolk County Tax Map No 1000, Section t-J. '7 .3 '79 q Block CI & 0 i Lot 02- Subdivision Filed Map. Lot: Pennit No. ...J:?>U.-S- Date of Penn it. c., (1 ! O( Applicant: ~,(~ Underwriters Approval: ~ , Health Dep!. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: x ( check one) Fee Submitted: $ :1...[, O~ ~o72f7() CO ~~lfv/r ~~Ur> ~.~ , Apphcant SIgnature 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. 33155 Z Date JUNE 4, 2007 Permission is hereby granted to: JUDITH DUTTER 3125 GRAND AVE MATTITUCK,NY 11952 for : CONSTRUCT AN ADDITION TO AN ACCESSORY GARAGE AS APPLIED FOR. THIS REPLACES BP #20230Z) at premises located at 3125 GRAND AVE MATTI TUCK County Tax Map No. 473889 Section 107 Block 0001 Lot No. 021 pursuant to application dated JUNE 4, 2007 and approved by the Building Inspector to expire on DECEMBER 4, 2008. Fee $ 25.00 I' .!.:I~ CtL ! Authorized Signature ORIGINAL Rev. 5/8/02 '3 '3 ) ss Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSlRUC110N REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ex( FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION , INSPECTOR *~ a Z !I z L 0 - t2 z s C5 :>> :>> ... i~ I- 0 .,. C I: I: Z z t - - II. ... C5 U ~ ,......, ~ i! LII ~ III ....... ....... L ... ~ A- t; " .,. z z iut ... N - Z Z Z 0 0 - - ~ = - C5 Q Q Z ~ t z - .. I .,. :>> lIIC ~ = ~ ,......, ! ,......, ....... ....... III ....... I: = " , l::::~J - ,. l' .. -........ ~ ,'" .L..........:....... _v.l 1. I :O..t!lID~TI.Q:1 - (1 st) -.- :OU~DATION (2nd) 2. ~OUGH FRAt-IE & ,PLU~1BING I J J. r::SUL~TION PER N. Y. ST"T:: EllERGY COD:: 4. FI:IAL II:!;':::: il :.; ....:i,.ILlH:: ~ ;;;\)3 "'- l/tmVf"/ ~ A. .L / _/ '/1 ' I I I I I : o~ II.. r I ~~ ~ ~ ~ I .. ., '\ II ~ II , ~ ^ -~~: 11/),-- 7 r:-;;J' 1J ~o,l..> kJ lLU.4Ll .---1~ f" -tit-- A/A ......5.t L......!. ~ /, "^~dO \ ., ~ .. II [)14 'J/Yk';(J)./'fVd~t? ~ if) _ II --- .. ~ , " g~ '" ~~ ., / , - . .. ., J'?dL' / ~V' .....'" ., -~ ~~1\. "'(\~ ~J ADDITIONAL COMMENTS: '. "" >< I~ "" ~( ~:t' 3\ I-.. , ,- '- ~ o. i '" ""0 .... . . . .. "" .. ~ ,V' ''''''_ l_., ~-~ 600- OWNER Vv'f iN .:t~'l~",; /,fz-''A-O( RES. ~ /0 SEAS. LAND IMP. "30(/ (!)D b () () C c1 PO AGE /300 ')-." 'Y (j 0 oao .3 3.' 0 NEW FARM NORMAL Acre Tillable I Tillable 2 Tillable 3 Woodland Swampland Brushland House P~ _ Total V TOWN OF SOUTHOLD PROPERTY RECORD CARD 1)) ': ;. t-- r3 -,' STREET ,htUc. UI-c.. NO, lit ti(AC(( SR. H\.MUtI VILLAGE Jl - t / I \ ' lit-it (tt (//-~ E J~t/.-L,{I ([N W ki II< ~ QIST. SUB. LOT / ! 1M "'I.. VL. FARM COMM. CB. MISe. REMARKS TOTAL DATE r?O d 6 ~qi1! <: BELOW ABOVE Value Per Acre Value -- FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD /(JtJ r!..7P - 7"0 y I.:)' DOCK 1v<~w1g. /,-J." '" y- o t:x~~~on Ei~~ibn Extension Porch Porch Breezeway 1~" ~'i': '" ;:l;j,~'}"'~;" _~-li' w;-r~ ~ \...~" ~t; :~~- ,;J-k .r1' . ..... \0 M'r ~ ',., . '" ,<' "__.~ ~,"ll' \, :i/ ......;..:,., J, _., ..... .~. . "', " ,'"' \ . . 'ct .. 1il . " , , c r- 2.- Y '3 ~ 7 '/f? ':3~' .1 y A:-'1? . ::'IJ7~ t)-)'l '27r" J.o )( 1 ~ /b() " i.n~1.1 C(}v-('.-/..~, I .,.~".- 1 Y{t ~ V -vt . COLOR , lVl\, tc " \ " ; - .' ; TRIM \ ~ , , \ \ :l.7-'f,~ Foundation -(,,: ' 1 ;,.... Y Basement '. Ext. Walls Fire Place Type Roof :3 ~ecreation Room Dormer Driveway Garage .:< V K I z..-.- - ~Sg i>frfIo /. :;->1, r"i ?- Q / O. B. 12Ft'" . YOGI Total . ',;,j';i~'tT~'"".~..~ '~'"--'..' ...."....,~,. -,-, ,..~__~-:~__'O~ ,'_--' ~',;;"-'c.<= ~ ~""-"';~ ~~ ;~' . .3!, n \J ? . . ----.~~~ ~<' v ~, "- !j 6 , of 1--" f\.t~ ? . ,'Y , , I, ~ ,,~ . ~ T-p .., t " : (2. e Bath I Dinette Full Floors "Ill... I>; K. M1- S I. Interior Finish )-1 t?lC. LR. ,~ Oh-€. Heat 01/ FH/-f DR. /.' It Rooms 1 st Floor Lj. It' Vrt/.. l' BR. . Rooms 2nd Floor .'- FIN. B. \.J-- .--- . ------~ -' .j:. ,I . J (: . '. ..~ /. ....~: V" 1.'....',,- !'-.-- , .~~"...,.:.~,.,.". FORM NO.1 TOWN OF SOUTHOLD I BUILDING DEPARTMENT i" TOWN HALL ~_'c,,'::'/'I SOUTHOLD, N.Y. 11971 ,T(:' /':"iLD i TEL.: 765.1802 Examinc~~./~.~ . ....-.,;~"~;;/ . . Approved. . . . . ./~3>. . ., dr/Permit No. ff?-:t? ?-..?<? ~ , Disapproved alc ..................................... i\ BOAGD OF HEALTH ......... 3 SETS OF PLrlNS .......... SURVEY ................... CIICCK .................... SEPTIC FOIW .............. r:OTlf'f: LS CALL JJ.J:$.2r;J..:....... HAIL TO: ..................... . ....0................0 ............... ................~j:;;;; APPLICATION FOR UILDING PERMIT . /0-1& 9/ Dilte .........;........,19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 lets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit .hall 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 whatever until a Certificate of Occupancy .hall have been granted by the Building Inspector. APPL!{:A TION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or l.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to Idmit authorized inspectors on premises and in building for necessary inspections. . .. ... . . Br.ll.mq.L C.QI).:;;t,r.lJC;t~P.Il.. Jp.c:.. ........ (Signature of applicant, or name, if a corporation) .... .P'.Q,. .aQ~. 2.4:~e. P.O.LJ1;l;1il!ll.p.1;9!l.'. )'i, Y... .U,?68 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect,. engineer, general contractor, electrician, plumber or builder. . . . . . . . . . Gnera~. .ContI.actor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . :\ame of owner of premises ...... MJ:s.. J.l.ldi t):1, .Utt~.L:. . " ... . . .. " . .... .... .. .. ... .... .. .. .... ...... (as on the t~ roll or latest deed) n, gnature of duly authorized officer. If~PPliC is a corp ~~L"<: . .uee: Roo .Jo n. .P.J:e9..................... (Name n title of corporate officer) , Builder's License No. ......!.~ p.~.) . ~.I!/. . . . . . Plum ber's License No. ....... ~ . . . . . . . 0 0 . . . . . . . Electrician's License No. ...................... Other Trade's License No. ..................... 31;J..~ Location of land on which proposed work will be done. ..... .492.5: .G:ril!1.d. .l\.Y!".'. J1~ ~.t.i. ~ ':17!<". . ~: ::. . . . . . . SI:JS . ~~25 Grand Ave. Mattituck . ..... ...... ......................... ........... ..................... ... ....... ... ..... ...... House Number Street Hamlet County Tax Map No. 1000 Section ..../. o. .7 . . . . . . . .. Block ...f,.............. Lot. <{/ J. . . . . . . . . . ... . . Subllivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot............... (Name) Slate existing use and occupancy of premises and intendell use and occupancy of proposed construction: a. Existing use and occupancy ... Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy Porch . .............. ..... .... ....... ..... .............. .... ... ...... "'.0. 3. Nature of work (check which applicable): New Building.......... Addition. .J!:....... Alteration t.... .'.,.. Repair ,............. Removal , . . . . , . . , . . . .. Demolition .............. Other Work. . , . . . . . . . . . . . . (Description) 4. Estimated Cost ., ..... ..$;3.,.q~9:9,q........ .......... Fee....... .$.~~:??....,.................. (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . , . . . . If garage, num ber of cars ,......................,.,...,.........,...............,............,... 6. If business, commercial or mixed OCCupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of eXisting structures, if any: Front. . . . . . ~ f.. .~t. . . Rear .............. Depth... 24. .f.t; . . . . . . Height . .l.~ . f~. .. . .. . . Number of Stories. . . . . . . ?!1.e. . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . .. . . . . . . .. . . . Dimensions of same structure with alterations or additions: Front ................. Rear.................. Depth. . . . . . . . . . . . . . . . . . . . . . Height. . . . . . . . . . . . . . . . . . . . . . Number of Stories. . . . . . . . . . . . . . . . . . . . . . 8 D. . f . . F 18' 8 ft . ImenSIOns 0 entire new constructIOn: ront... . . ft. .,. . .. Rear............... Depth.. . . . . . . . . . . . .. Height \I. .t:1<. . . . .. . . . . Number of Stories. . . . . . . . 9A~. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . " . .. .. . 9. Size of lot: 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: ... PP. . . . . . . . . . . ". . . . . . . . . . . . . . . 13. Will lot be regraded .... Y.e:"! . . . . . . . " .. . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises. . . JU.d.:i.t;b. Dot t;1;!r. . . Address I:fat.ti. tuck. . . . . . . . Phone No.2.~~-:9:;.8.::j . . . . . . Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. ............... Name of Contractor .1?:r!l!lI.'\r:. 9p!l.~1;:r!1~.q9!1... Address.. ~.,\ll)~~P.C\r:1;...... Phone No. .7.2275.7.25..... 15. Is this property within 300 feet of a tidal wetland? *yes........ No..~...... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and~~w tmt es and indicate whether. '. I t Po. to- )Z. In tenor or corner 0 .... . (hI./ . ! 1"" V/ . AP ROV D AS NOTED DATEA ':1. '/ B.P. # ?tJ ~;3, . FEE BY: NOTIFY UIL I OEPAR AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING !NSPECTIONS: 1, FOUNDATION - TWO REQUIREO FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3 INSULATION 4 i":~.!,~L . CO~JSTRUCTION MUST BE COMPLETE FOR C.O. I'Ll. CONSTRUCTION SHALL MEET 'rE REClUlREMENTS OF THE N.Y. "TI\TE CONSTRUCTION & ENERGY IJE:S NOT RESPONSIBLE FOR Uf";I(;r\j OR CONSTRUCTION ERRORS II' '110,0<. I ,i~1 L 'M-IUd' If .11' , "'D~ I' ,0' i, '" + I .1 --.l 3(' J-l....Jc I 3"1 l. ' *1,1 -;~"7J - Pll.Dpo'S~1) ~NSi>>"<r,""'- ~,_ :~~;~\' ,~"'" """,. 11'.... --'~_._----'_'~~ _'_""__""'M'_~ , TATE OF NEW YORK, . OUNrY OF . . .S.4:ff9.1.l\ . . . . .. S.S . . . . . . . . . . . . !3F.~C:~. F,.. ..J <;>PP.s.QI). .. . . . . . . . . . . . . .. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) Jove named. e is the. . . . . . . . . .. . . . . . .Brurn.a.l; .Construction. .In~_. . . . . . . . . .. . .. .. . .. '" . . . . . . .. '" . . . . . . . .. . . . (Contractor, agent, corporate officer, etc.) . SJid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 'plicJtion; thJt all statements contained in this application are true to the best of his knowledge and belief; and that .the Jrk will be performed in the manner set forth in the application filed therewith. vom to before me this rl . .~...../ l.~ .. ';4' Y OfW7#~. .. .~.!. ~.t-:-.... .,197:'/ . . .". (77U..C(!~.-('k. ~ ,4 lla~:Pu ..'{. , .. .. .. .. .. .. .. . .... ... ~nty .. '\. LOTTie lJ !'tC"!lMdNE IOTARY PUBLIC. St?te of New York No. 52-3334625 - Suffolk Coun'Y<? ?, Commtsslon Exnires May 31, 19( ./ .~ (Signature of applicant) 1 I . I I il ~ I )I~ ~I~ i , i : I I i ~ (JI~' i ~ r- 0 t:-.. ($t ~ ~ ~~ \ "" "- ~ ". '~ \' \. ~ ~ ~ ~ ' t~~ ~ ~ ~--- 1 -- ----.-- i f-- :t~---- ;1- 11 """ .. ; I I i! , ; : i- I ~ } ~ ~ ~ ~ -;. . f'h\""""1 <~:: " ::~1 ::.s; C 0 .J !.8~~~ C)Ocn""'t:l I . j~'"c:x> ! . ..I~" ~ ~ I ' . -<: L" : ; I" . '. , i i i ..... ! '--,.1 . ' '''- I . ~ j ; I '-.. N . i I I I I It',,, I [ 'IDJ ,) { t>.,' "" t>.'\, ,,! '''; I , ~ ~ I~ ~ :'\ \ ~ . ';). "<~ I ~ ~ . i ... ~ l\ '" I 11'0" 11'0. I TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FUU COMPLETION OF THE WORK AUTHORIZED) N~ 20230 Z Dote ...L~..2.................................... 19.?J.( Permission is hereby granted to: ./. J "" / ~~~..~~~..k....~......~?I~ ~~. Cd.e.~..:'f?~...jg.0Z8............................. ..4- ../ ..g5~~;I......!2t.:~{...y./.ff6d to~.Mr4...~....~~:....L......~.._~..~ ~.......~~..p.................................................................................................... at premises located at .....3./...7...-:r::...~~~~........................................................... ...................................................~~.......................................................................... --. ................................................................................................................................................................. County Tax Map No. 1000 Section ...../12...7........ Block ........1............ Lot No. ........!?:'/....... pursuant to application dated ............../.r~.........................., 19.~... and approved by the Building Inspector. rP. ~ ..::-- Fee $.............~.. Rev. 6/30/80