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Home My WebLink About33190-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32657 Date: 10/50/73 THIS CERTIFIES that the building REPAIRS Location of Property: 9780 SOUND (HOUSE NO.) County Tax Map No. 473889 Section 122 AVE (STREET) Block 2 MATTI TUCK (HAMLET) Lot 24.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 2007 pursuant to which Building Permit No. 33190-Z dated JUNE 29, 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 REPAIRS TO AN EXISTING BARN AS APPLIED FOR. The certificate is issued to ECM LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEI!lT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~ Authorized Signature Rev. 1/81 0/1[:5- JlfbJ IT~ f@.~J~ ~.~. llil;\:... ~'tl~ I 3 i' \~ Bi....D\J. DEPt. TQ.WN Qf15{'\JTHOLD 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: 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. 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 liues, 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 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, Bnsinesses $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 , T"..,,,,,ry C'rt,fi~" ""'ca""..,, - "";d,,,"" '" 00, co;' ";;;~7 _ New Constructron Old or Pre-existing Building' (check one) Location of Property: I t> D Z-D House No, 5~~ Street ~~ Owner or Owners of Property: CA-\2.>9\..- ,?vL..-L..-l VrA::tJ Suffolk County Tax Map No 1000, Section l 2.- -z... Block '2- Lot Subdivision Filed Map, _ Lot: PeImit No, _ '33 ( ~_ Date of Permit. Applicant: "'B ~t...L----.G~ Health Dept. Approval: _n~_ _Underwriters APproval:~.~ Planning Board Approval: ~____ Request for: Temporary Certificate Final Certificate: $ ,.,c:....,~ . Fee SubmItted: L- ./ CO 6- ~d.1,,51 ili G {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) PERMIT NO. 33190 Z Date JUNE 29, 2007 Permission is hereby granted to: CAROL SULLIVAN 10020 SOUND AVENUE MATTITUCK,NY 11952 for : AS BUILT REPAIRS TO AN ACCESSORY BARN AS APPLIED FOR at premises located at 10020 SOUND AVE MATTITUCK County Tax Map No. 473889 Section 122 Block 0002 Lot No. ~01 "> pursuant to application dated JUNE 13, 2007 and approved by the :)'-{.y Building Inspector to expire on DECEMBER 29, 2008. Fee $ 200.00 Ji Authorized Signature ORIGINAL Rev. 5/8/02 3) /1tJ ,,7 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION 8P ;:o1"J1 ? ---. tee"- - [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONS1RUCTION [ ] FIRE RESISTANT PENETRATION RKS: ;JullflJ A-JP ~ ti- - rI- ~ ffi- .... ~~ DATE INSPECTOR .. 331?O TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION REMARKS: ;Jb &~~ [ ] ROUGH PLBG. [ ] I~ATION [~INAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION ().II /fM- ~Jk-C/L:;;; INSPECTOR DATE rtli!? I ~ FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRIJCnON [ ] FIRE RESISTANT PENETRATION . REMARKS: 0- ~ )'~ ~~r-~ ~~~ ~~~~ ~ ~ ~'/-~, ~ti:;;?A~, INSPECTOR ~ ~a. - TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION 5-')..1-07 DATE ) d-d - ).- %, \ JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Date: August 11, 2007 To: Town of South old Building Dept. Re: Foundation Inspection Barn Sullivan 10020 Old Sound Ave Mattituck, NY 11952 Permit#33 190 To Whom It May Concern: A Foundation inspections was preformed at the above-mentioned Barn, and the foundation was built as per plan, and meets all state and local building codes. Any other questions please call. ............- '~k"ili .,-J.' f l . FIELD INSPECTION REPORT DATE I ... COMMENTS ~~ -()~ " "" \\J"" ~~f 1', ~ ~ [j:> -+- _. J... '"":\ -' ~~ Z';: 5 p FOUNDATION (1ST) ------------------------------------ FOUNDATION (2ND) ROUGH FRAMING & PLUMBING _, <J1 -"" 8 ~ 'V"" o -........ -,,--- ~~ I, ): ~ \:::>:1: h ~ t"l "" 1-. I- ----.- --.1--.----- . INSULATION PER N, Y. -- STATE ENERGY CODE P 'J/ll/''7 AAo ACU-Ff. /I/o O>JE.- /-Ln.~. rt+ I '( r A// / J k/;"S,4~r~-iJ,J .-Sl-J,... !.:::F. E-t,-o' ,.~.171 A I -k' Lb- a-rl":L --k-,/ AD ~ ., t /J,~..J.".-....." JJI,/JA I ;r:-~ (rt CL A IJ. .>J-- ~ ...1(( ./I.n ' /",,0; .IJ .;, on' P1ArJ-tZ.. --I:ir:b. P V n-lV If- uJ~." ~ l//) JV. uJo..... A ,r~ 2' ". t" n </I-_.'(J1I.1-tcr n - h. (..::/-, ajJf"~ -"n: ,//He ^ n A _' ~ . ~ ' 6-f+1.33nL ADDITIONAL COMMENTS .-fAb J~V_,...... r-,,:Ir ,) vA '-- \('1I-W~.A'-<-: " ff,+. - '" #. .8. ":,"1 ""J If? V r *,,/11~ '.', ',n. 'v,:--: ' ~ ('. .7,~-/.....'--tz.../ -:;tt;) '/&P.AP ~~ C ....i "0 ~ ~ /r ,.. '. ~/h--i>7 J',..,,, ~ ~{/-br--t.I.R ~~ tJh. "1-R. :,~t.~ ~ / V'~ J~d - d - ,jLJ. '-f' FINAL I- IT" o S 3 o ~r- !ll r ~ /hI ~ l:nA/\ ;'J 6Y'. ~t"l Q./X .... ~~ ----"" . - Go ,K>Z . ;a cg: ~ t"l .... :-l . Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: A. Does this project meet the minimum standards for classification as an Agricultural Project. Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage. & Erosion Control Plan is not required. --------------------~---------------------------------------------- ACTIONS REOUIRING THE SUBMISSION OF A STORM-WATER. GRADING. DRAINAGE. & EROSION CONTROL. PLAN CERTIFIED BY A DESIGN PROFESSIONAL. IN THE. STATE OF NEW YORK. Item Number: (A Check Mark (J) for each question is required for complete application) 1. Will this project retain all Storm-Water Run-off generated on Site? (This will include all run-off created by site. clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious. surfaces.) Will this. project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? Yes No /~ (dv gv GJ/ [d/ ../ B [;] (d ./ ~ Note: If any answer to questions one through eight is answered with a check mark in the Box, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit. 2. 3. Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? ------------------------------------------------------------------- 4. Is there a Natural Water course running through the. site. or is this project within One hundred (100) feet 'ofwetlands or a beach? STATE OF NEW YORK, COUNTY OF.. ... .... .......... .. .... ss That I, . ...vJ.JW.MJ\....~~. ....... being duly sworn, deposes and says that he/she is the applicant for Pennit, 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundred (lOa) feet of horizontal distance? And that He/She is the .......... .... ............~..~...................................... (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owner's, 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 belier; and that the work sill be performed in the manner set forth in the application filed herewith. 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? 7. WiJI this application require the placement of material, removal of vegetation and/or the .construction of any item within the Town Right-of-Way or road shoulder area? (This item does not include the installation of driveway aprons.) 8. Will there be site preparation within the one hundred (100) year floodplain of any watercourse? (Name of individual signing Document) Sworn to before me this; . J4H........day of. ..J4:N......H.HH.H.H.... 200:1- .......~~..~~.. ('" ell_ 11111. MIIl:It~..11. Notary Public: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. <~-z,lqo'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 Approved Disapproved ale ,20_;2- ,20_ Expiration ,20 Mail to: Phone: -.---- -- ---:I. '. ------ : '\, ~~~j~~'\ \ 3, ~ Building Inspector r\^~) .; (~ 'ju \ "Er;. INSTRUCTIONS . . tl~Uvs1JI!iQl') L-~ion 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 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 ofthe permit for an addition six months. Thereafter, a new permit shall be required. APPLlCA nON 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'~fi?: k (' f r 'f . ) gnature 0 app leant or name, 1 a corporatIOn APPLICATION FOR BUILDING PERMIT Date G/11 20"7 '- f'~ 1&?J K {44 7 MAn I Tv CK1 tJY (Mailing aAdress of applicant) (/ r S-z.... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ;4-G r=: NT Name of owner of premises C4"R..J) 1--. '5 U LLI vA;...J (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. I. Location ofland on which proposed work will be done: 5crU~ b A-VE' House Number Street MA-7TtTUCK Hamlet (Name) I ?-L ~cf 2- mV ~,11 :(!~d"'''', '" .,~ "" 1.:', ,'d',~u? t''ii t'i'Jlhl6U&) ._ G;. xl rLJ'tM' ~8llQlj 110lUtfnf'ft13 Lot ~-(fV Lot County Tax Map No. 1000 Section Subdivision 2. State existing use and occupancy of premises and intended use and occupancy of p oposed construction: a. Existing use and occupancy 5 tv t: ~ ~~ . ()..J ~1l-IC-A0 b. Intended use and occupancy S-A.-v\I\.-Ie: vJ/ rEf'A:t~ s '"to ~A-iC.,.0 , 3. Nature ofworly{6heck which applicable): New Building Repair V. Removal Demolition Addition Other Work Alteration 4. Estimated Cost l 0 I ~OO (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. , \l r II> 7. Dimensions of existing structures, if any: Front 2-$ - 4. Rear 2..$ - 4 Depth Height l7 ' Number of Stories ) , I' "L.ct - <T Dimensions of same structure with alteration~iti4ns:/Wr.'1nt C Depth Height ~ rr JltNl.un f Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: 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? YES_NO ~ 13. Will lot be re-graded? YES_NO ~ll excess fill be removed from premises? YES_NO "..........--- 14. Names of Owner of premises?.<\."a.O'-- Svl.U ~ Address Name of Architect Address Name of Contractor Address Phone No. Z.1(~-LU3 Phone No 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 V- * 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. 18. Are there any covenants and restrictions with respect to this property? * YES_NO /' * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) f).J I ~I A >'V\. L9O-~IVlW being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the A-bF.uT (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. ....,.f:c~lItal 'Uk . No. 6163210 QuaIlfi!ld In Suffolk County JL QIlIImiIlion Upirn March 19.20 Sworn to before me this 1-4_ day of --.Ju,nl 20~ ~1l.~ ' Notary Public 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. 33190 Z Date JUNE 29, 2007 Permission is hereby granted to: ECM LLC 10020 SOUND AVENUE MATTITUCK,NY 11952 for : AS BUILT REPAIRS TO AN 'II M~!~: BARN AS APPLIED FOR. CYl; at premises located at 9780 SOUND AVE MATTITUCK County Tax Map No. 473889 Section 122 Block 0002 Lot No. 024.004 pursuant to application dated JUNE 17, 2007 and approved by the Fee $ 200.00 Building Inspector to expire on DECEMBER ORIGINAL Rev. 5/8/02 . SCTM # I /f)0()-1'22. - Z- 2t.1 41 OWNER STREET VILLAGE DIST SUB. LOT f - 30(fl1d ;f-ve IV( a tftl-t( J} 12- ,S-, 11/t/ti/1 Ijf,:~ ~1:~) ACR. 6,f1 REMARKS ,/, f L/. f,)1 i/~I/&)"7 7.7J/~7-.s 0 I ~ r ~&(r.f'vlIlIS/PI1 l............ 1~/f' ~) TYPE OF BLD. , , , " f , I , 31,J(}7 (u/7'::1,())Z2-f")(') t/C J0- L LC- PROP. CLASj.<; l- LANO IMP. TOTAL DATE 2ZD 0 - Z-c Z-c 00 shIn '/200 7 () r'> 2 aexr) ~ 1,107 . FRONTAGE ON WATER HOUSE/LOT 6, 8"7~1~ BULKHEAD TOTAL TOWN OF SOUTHOLD PROPERTY RECORD CARD COLOR TRIM Foundation PC CS M. Bldg. OTHER Bath Dinette FULL COMBO Extension Basement CRAWL PARTIAl Floors Kit. SlAB Extension Finished B. Interior Finish L.R. Extension Fire Place Heat D.R. Garage Iz..~.>tz$i -.672- 1,00 67z. Ext. Walls BR. Porch Dormer Baths !/ 1/ Deck/Patio Fam. Rm. Pool Foyer A.C. Laundry O.B. Library/ Study Dock U/.f! 672- ~/o7 1 st 2nd . -- . TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM FILE #: DATE REFERRED TO CODE ENFORCEMENT: OWNER'S NAME: ~(of ~t^.lCI'JCl() ~'dd -01 LOCATION OF COMPLAINT: ~ SDu. ^ J (tve.. I ~ J.,) -:J. 'I. If '. SCTM#: 1.l-J.-~-4...:..l ADDRESS/PHONE:~ SOLfr'cd ~ - f'I\o:t)j ~ c.k... /V\Ji- NATURE OF COMPLAINT AND ACTION TAKEN: ,])0\"3 fou.J,k{.i~\ \AYDr\c.. b0 0, (c 'i bl~ ~N[) ~+, A~cl €/'(p$-ecl rDt.c ~ COMPLAINANT: ?J~ ~ ~~ ADDRESS/PHONE: PHONE MAIL PERSON REPORT TAKEN BYIDATE: INSPECTION DA TE(S): I' i~"'stJ~~ .8 J j.g; 18J.~ ~ :ah~ ~~ ~u H~ lli ,8~. 13 .!!l Hill .h~B. ~ ~] j~~i~ '" ~ilh~ I'- l'-- !'\ ~J \4<> ~ \l.. ","'" ""It) ~~ ~.l "- --.. r< -:t- !..f\ ..... ~ "lo ~ l'- 1\ '- '- -< o"f. "foll-,,^~Il-~ ""ov" oil- 00'v'v\~ r>: 'vi"""O 0 i"Il-O'v .A ,,0'(,'''' ~~\\ OI.....,,('~ \\-# ~....\\~~('<o(J ,-:p''-' \(1.1,.- f$ $~~o~\5 " ..dO,,-'! p.~ / ~~~ ~- '- '- "- "- " . "- " ~ \ .~~~ - "- <:> '"' ~ . .;: t/:. ",,- 't- i " o '" ~ , ....----'1\ ~ z 1 \, \ -. -~.- , \ \ \ I I :;J: 6~ I 41.r - - !~I ~~.. $:>, "':'\'c? 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