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Home My WebLink About33122-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32513 Date: 08/08/07 THIS CERTIFIES that the building ADDITION Location of Property: 675 GROVE (HOUSE NO.) County Tax Map No. 473889 Section 135 RD (STREET) Block 3 SOUTHOLD (HAMLET) Lot 51 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 8, 2007 pursuant to which Building Permit No. 33122-Z dated JUNE 8, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGIA JUDY DUMAS REV TRUST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~or~ Rev. 1/81 10) ~ @ ~ ~ w ~ ~l wI illl,,'3W \W BLOG DEPT. T WN ~UTHOLD 6'.0 630y G /8 ~inCj. JJ1'I1 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATlON FOR CERTlFICATE 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 plUll1ber certifying that the solder used in system contains less than 2/1 0 of 1 % lead. 5. COll1111ercial 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) nou-conforming uses, or buildings and "pre-existing" land uses: 1.1' 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, Swill1111ing 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 Celiificate of Occupancy .. Residential $15.00, Conunercial $15.00 Date. g /.q- /!J +- / New Construction: Old or Pre-existing Building: j./ Location of Property: ) / Ii 0 (h t!/ ~re e./c O.rt 0-L House No. Street Owner or Owners of Property: tr", r;itc T vvJ" D'A..i'>1rr5 I Suffolk County Tax Map No 1000, Section / J ~ Block ( check one) \~ J Ir.-9-/ Hamlet f Lot S-/ Subdivision Permit No. 3] j :>-.'2.. ':;;L Health Dept. Approval: Date of Permit. C/?(09- Filed Map. Applicant: Lot: ~ Underwriters Approval: Plmming Board Approval: Request for: Temporary Certificate Final Certificate: ( check one) Fee Submitted: $ 2-5'- 0 0 ~, J~~'-f7 c..o c J~5 r3 ~~~~ / pplia.nt ature 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. 33122 Z Date JUNE 8, 2007 Permission is hereby granted to: GEORGIA JUDY DUMAS REV TRUST 303 MERCER STREET NEW YORK,NY 10003 for : CONSTRUCT A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES 19202. at premises located at 675 GROVE RD SOUTH OLD Building Inspector to Au No. 051 County Tax Map No. 473889 Section 135 Block pursuant to application dated JUNE 8, 2007 Fee $ 218.40 ORIGINAL Rev. 5/8/02 ,'~ 33) '}-'). 2- 1-'. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 --..,. INSPECTION REMARKS: ] FOUNDATION 1 ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION ] FRAMING I STRAPPING N FINAL ;ee: ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ~' ~ oK c-~ ) " DATE 7~s- 07 INSPECTOR ~~ ---- .,...,._~..~." .,...-. _.___...._._n_ 331 j..-2--c- TOWN OF SOUT 765-1802 ION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~LATION [ ] FRAMING I STRAPPING [0"FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION R?;AR~ ~-'~ ~7' C;tL kz- ~J)~~. DATE Wt:i/ INSPECTOR .. :TiLil .L.IO.....~'~.........;..Ud IlJi,7:: II CUH~ UI .s 4 , .." ,- I t'l 1. :=1 ..,. H - - - ..., FOUl/DATION ( 1 st) I - "" - - - - -"- , I " FOUNDA TIOtI (2nd) . 2. z 0 . ROUGH FRA!1E & c:o ,PLU!1BING , .. . en , ..., 3. '" , '" '" I1ISULATION PER N. Y. ,. ..., . STATE ENERGY CODE I - , - - ",. i ;;/1 / ..,. .,/ I r.r ' ~Q. 16- t;...;:/;, i~ fe> r." ~. Lu ,-l~ 4. IV; FiI.....,. .' 0A-11 ;t;u b . _A..L .'"\ A~~~ ...., . . I /#' / .. '" , '7..-5- 07 p~ 4.-01\, /L ';/,1, - FliJAL 71 -, I .. .' 2~ .z ADDITIONAL CO!1MENTS: '", '" , .. -- " , " , . . ' . - . S, .. , ~I . ..., H , 0, z ., , 1 - . :I: '" , . " ",. "" - :I: . <:l '" .." ..., . .. . "" .. - ," (' ..~,.......- '\" I' :1- r ?3J~ .~ f~ ~ ~ ~~ Ilo;-J ~ ~~ ~'1 t~ ~ ~ {. " ~ o~ .-.-- BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEy..................... CHECK ...................... SEPTIC FORH ................ NO~~~~:f~.~~~~~ MAIL TO: FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 BLDG. DEP{~IOLDj TEL.: 765.1802 ~1. ~7!J':-.::.':'. . ., 199!! Approved.. JIlt......., 197b. Pcrmit NO,/'9.~?:-P' Dis3pproved 3/C ..................................... ....... 0'.............. ..................... . .................. ...... .......... ....... APPLICATION FOR BUILDING PERMIT D3te ..:.....~......, l!f~ INSTRUCTIONS a. TillS 3pplicationmust be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s,ets of p13ns. accurate plot p13n t6<>scale. Fee according to schedule. b. Plot plm showing location of lot and of buildings on premises. relationship to adjoining premises or public streets or :mas, and giving 3 detailed description of layout of property must be dr3wn on the dbgmm which is part of this 3ppli- 'Cation. ,. c. The work covered by this 3pplication m3Y not be commenced before issu3nce of Building Permit. d. Upon 3pproval of this application. the Building Inspector will issued a Building Permit to the applicant. Such permit sh3ll be kept on the premises anil3ble for inspection throughout the work. e. No building shall be occupied or used in whole or in part for 3ny purpose whatever until a Certificate of Occupancy sh3ll h3ve been granted by the Building Inspector. " 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, Ordinmces or Regul3tions. for the construction of buildings. additions or alterations. or for remonl or dcmolition. as herein described. The applicant agrees to comply with all applic3ble laws. ordin3nces, buildin de ousin~ co e. a regulations. and to 3dmit authorized inspectors on premises and in bUilding for necessary inspe . A................ . (:n" e ot aP1J~ica~t.~:r'%J;trpo;;;~ ....m&~M/~.;A!.... ....2:- (Mailing address of applicmt) , State whether applicant is .owner. lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' to/( facft;/ ~~~~'~;~\~~~;~~pr~mises . .:il;: ::;~Z :7:2:jj~;s':::::::::::::::::::::: ::::::::::::::: (as on the tax roll Or latest deed) If 3pplic3nt is a corporation, signature of duly authorized officer. ................................'............... (Name and title of corporate officer) Buildcr's Licensc No. ../ Y.7~2#::z:. . .... Plumber's Liccnse No. ........................ Electrician's License No. ...................... Othcr Tradc's Licensc No. ..................... , , . , 1. Loc3tion ofb;d on which proposed work will bc done; . It O() , ',,' '" t.7~G.f},,1!j;, RD.... " .~":C:-k{if/ I gd/t/.:~~ .&~(r:.e.... . .. .r5.<?!l.-rtf.';':~.............. Housc Numbcr Strcet H3mlet . \ County Tax ilbp No. 1000 Section .....!. Jr.. . . ;:Block . . . . .?!' 3. . . . . . . . .. Lot... s.! .. . . . . . .: . . Subdivision. .&{( (. (;!o.v:--.-:f. . . . . . ... . . . . .. . . . Riled Map No. .............. Lot.....:.......'.. , (N~;nc) Slate existing usc and oCCup3ncy of prcmiscs 3nd intcnded lIse "nd oc~u anl:'~ f pro!;' se;zc' nstrtIction: 's)' , 'It' , A v', d y I /l a e IV!- I ~ .. /1C1 .. .. . . . . .. .. . Lx~st~ng use an occupanc.............. ~. "y,...... ... . .... ::./ 1\ . B. Intended use and occupancy...... '; . . . . . . . . . . . . . . . . . . . . . . . .. . . .;. . .'..' ... P....... ... . . . .. : : . I \ '~r,,,,.'_ ::.,:'17:'~ - I . 3. Nature ofw ork (check which applicable): New Building......,... Addition........ ....:' ~,t:ilP,~". . ..0 Repo;r R~movol Demoll'tl'on Swimml.n~DoO'i.. ....... .............. r .... . . . . . . . ~ . . . . . . . . . . . . . . . . . . . . . I:J . Tennis Court ......... Accessory Building. . . . . . . . . . Fence ....... Other H,* ',.a,LiT" ~. Estimated Cost.. ..... .., . r~Q. ~.......... ... Fee ..,;?,q .~,....,............ .... .....'".:.I! (to be paid on filing this application) S. If dwelling, number of dwelling units.. . . . . . .. .... ., Number of dwelling units on each 110ar. . .... , . . . .. . . . . . 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. . .. . . . .. . . . . . . . Rear . .... . . . . . . . . . .. Depth............., Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ................. Rear,................ Depth.... ., . .... . .. . . ..... . Height.. . .... . . .. .. . . . . . . . .. Number of Stories. , . " .. .. ........... . 8. Dimensions of entire new construction: Front. . . . . . . . . . . . . .. Rear..,............ Depth .............. Height .......... '1"" . .~mber of Stories, , .. . . . . . . . . . . ; . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front ,. .:>J!:C. v.(l!~/.,.... Rea~,..................... Depth ..................... O. Date of Purchase ,...'.......,........,........ Name of Former Owner ..;......................... I. Zone or use district in which premises are situ:J.ted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . 1 Does proposed co t uct' . It' 1 d' 1 t' ns r Ion VIe a e any zonIng aw, or mance or regu a Ion: ............................... 3. Will lot be regraded ............................ Will excess fill be removed from premises: , yes.... No. . 4. Name of Owner of premises. . . . . . . . . . . . . . . .'. . . . Address. . . . . . . . . . . . . . . . . . . Phone No, .............. ., Name of Architect.. r"1' .,Y.... .~. ..-/: j....... "'" Address "11,:~""'" 'M..:L',,'r ~one No.. . "'1il' .y.... . . Name of Contractor ...ltrfl/l.C"':YJ!l.tYkl'i . . . . . . . . Address r.<!. . . <f.:1.~~ /.-WJ:'!'~hone No, ~... .--S:L.r.tl~. . . . IS.Is this property lo~ted within 300 feet of a .tidal wetland? *YES....NO.... .. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinetly.aIl buildings, whether existing or proposed, and. indicate all set-back dimensions from )roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or comer lot. - , See ~;v-e'f (j!ue-/d"'/S STATE OF NEW YORK, :::OUNTY OF . . . . . . . . . . . . . , . .. S.S ..................... .... .......... ............... being duly sworn, deposes and says that he is the applicant (Name of individu;I1 signing contract) ,bove named. fe is the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) .. .... . . ... . . . )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this IppJication; that all statements contained in this appliqtion are true to the best of his knowledge and belief; and that the -York will be performed in the manner sct forth in thc application filcd thercwith. )Wom to bciore mc this . . ............. .N........ .day Of.....~........, 19 f(J. '<otary Public, ... ~. . ?r.P.t,.-; . K... '" County . HElEN It DE 'IOE NOfARV PU8I.1C. Stale 01 Now vert No, 47078711, Suffolk ~19 '1/ .Term Expires Marth 30, (Signature of applicant) v v TOWN OF SOUTHOLD PROPERTY RECORD CARD -- (]) ~ ~ / / 0 ('),~ - 13'5:.. <-SI t:.<.,(J 4" OWNER STREET VILLAGE DIST. SUB. LOT . / "., " f/! !'l,,, , .. /.A-^o/ ~ "r;,.. ./ , r ,.",-,,/,.-.,.: , 'i :,'-'-< ("-;"",' .\ .()l.! 0 ,-,--. -(1;.>4':"-<"-"" ~"'-'," FORMER OWNER (/ N E r;'- .., ACR. M,,;\s-h0 {-L\Ya ; . ,() ,@,eJ', /,/0 .""30 S W , / TYPE OF BUILDING Cl, , i .. 'Ii (": /",\." ,; 1./ " .d1,~,..,.......<_ ;?q') /1~' /""1 1.'."- .,' t--.~'~; ,,^ v~1.A->: "- ,., j :s"'t/ F.'~(/.,\;,: ,- , .- .' , RES.c7 /0 SEAS. VL. FARM COMM, CB. MICS. Mkt. Value .. .lt~r..J Ii q \ 'hi (O~""".\ LAND IMP. TOTAL DATE REMARKS V IN-tI.OS\1 '/~,dO"\S. <:\.~ . 0 ", " C ..-6,c;;.J..j /51 0"0' (J /1//0/(,.. ....- {>- (~-, ,.Ie' {' , ~__ r~,-.{:! <. jS '/6/,6/ 711.J'./t C;{;If. ..':t__k i!,,{, ,. / 0 b ') 00 3S""<''.)o ,- ,5' (,. /if .. 11'~_f I (' ('c-... 2- 700 PAP.- "'700> / :> )30 /9a I ~ 3&9 -.RP# /7cfs<J - C'..o/Jsh.., r7 (7[?:"S501"~ <::1, ed - #lxfJAVO 8(0 i:-llkq, BP~ . .n -f'kli~ ',t; 0'"' +n J,",,, (!'111.. ,f} rrfYR'/?/O 121111':3 - C / .J * AGE BUILDING CONDITION NEW NORMAL BElOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland . FRONT AGE ON ROAD I C~) 12 ~' 8.",0 =/tJo C) Meadowland DEPTH . I vS' , House Plot BULKHEAD Total """"- """' -=" DOCK ... M. Bldg. Extension Extension Extension Porch Porch I Breezeway I i Go rage I Patio I O. B. '<'(0 Total " " 'rK ,"'- ,.~~ ~/ ~l?'~ .. ~. "~--~ -~- - I.;...' :2 L/ ,,3 ~ '::.. Go 'K 35 ~ 'S JC);., . c-:- \]v 0,>< \ ({) -~,,,.O~, g ~/ ()( 2: I 0 j " - .z.s"l" f"',r (Ow\ --:::, I. o ~",",,,,,,_;~,,~,~,':1~ =r 'I .., . - -:::;.---~~~,~ -- - - ':~':-'-.. , - ".,1 , COLOR ~J I)L) Ie \ i ____~ , , ~. .I" il l. d , I: I I I, i - 8<;3 - I '<lC;-O _:3 2-S I 3 1'/; i i I I , , 2- (doc> ~ {'c-i i I.b ,~- ::: .8 Bath ,1.-." " I. Floors Cdi a '.1 ~"'<.\ Interior Finish ) ,--.) Heat ! Ext. Walls i Fire Place Type Raof I Recreation Room , "__ / ,I, ,:' Dormer 'I'" ~, '(0 , I"". ROOms 1 st Floor Rooms 2nd Floor Driveway TRIM /..... If! l:- ~ I I i i i I I i , I ! ,/ Dinette i 1<. ., ~ ,.; ..- ,t! 'l,: r :" I' LR. ,I"i,;' DR. BR. . FIN. B I I '" I I , II I I I I AREA = 79,253 sq. ft. ~o\ Olf 60~~ ~I Sit' ~p.. ~1,.o ..1(j~ ~\i' ~ ~ ~ ~ <2..~ -z,. ~ A.. q. PROPERTy' A T SOUTHOLD TOWN OF SOUTHOL' SUFFOLK COUNTY, N. 1000 - 135 - 03 - 5i Scale 1" = 30' . May 31, 1990 ~ ? ~ ~ 70 ~ ~ . ~ ~1 S <;;.<;;.'f.. G~ o~\-.J~ PreplUed in accordtlnc" with th" minimum .t_darda for titltI .urvtly. liS tlstablishtld by tht1 L.tALS. tlnd approv.d tlnd adopted for .uGh 118. by ThtI Nnf Yorlc St",. LtInd TitH AuocntJon. "^'\,\. ..,~