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HomeMy WebLinkAbout33279-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32675 Date: 10/15/07 THIS CERTIFIES that the building DECK ADDITION Location of Property: 235 SOUND (HOUSE NO.) County Tax Map No. 473889 Section 99 BEACH DR (STREET) Block: 1 MATTITUCK (HAMLET) Lot 17 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 2007 pursuant to which Building Permit No. 33279-Z dated JULY 30, 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 HELEN MAHARES (OWNER) of the aforesaid building. SUFFOLK COIlRTY DEPARTMBIlT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~ Authorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r' ij:!r:~ /ihJ i (If:' I .". 5 j L__' .' l -- ~.. iF /7'nQ --~ ~ ----7/ ~ ,.I i, , il')/ "-J' '" ."- I I . ^ ~ ..^[ --.J "'r- HO' I APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled In by typewriter or ink and submitted to the Building Depal1men( 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 DepL of water supply and sewerage-disposal (S-9 fonn). 3. Approval of elechical installation from Board of Fire Underwriters. 4. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a cel1ificate 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 (pdor to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land lIses: 1. Accurate SUI,CY of prol'el1y 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 Cel1ificate of Occupancy is denied; the Building lnspcctor shall state the reasons tliereIor 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, 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, Conunercial $15.00 Date. ___E_!.J-:- -' 0_2 New Construction: ________ Old or Pre-existing Building: l~ (check one) Location of Property ::z '3 ~S' o~ I1.utd iJ.'L' ~~,_lY_L / (<7 J 2- House No. I Street Hamlet Owner or Owners of Property: lit_LE tV;;;. M It HIt-R F:- S .______ Suffolk County Tax Map No 1000, Section __ 7 f . Block I Lot --'--L_ Subdivision n_______ _n_ ______n_....._ ~.._ _ Filed Map... ___u Pennit No. 1-62 g,2_ --t2Uatc of PermiL_._.. ____. Applicant.___ Lot Health Depl Approval Underwriters Appruval Plarmil1g Board Approval _. Request for: Temporary CeIiificate Final Certificate: (check one) Fee Submitted: $ dS, o--c 6ZL(.1?2~'- CO..c~d~ 15 f~s.~ Applicant Signature FORM NO. 3 r , 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. 33279 Z Date JULY 30, 2007 Permission is hereby granted to: HELEN MAHARES 235 SOUND BEACH DR. MATTITUCK,NY 11952 for : CONSTRUCT A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. (THIS REPLACES BP #16232-Z) at premises located at 235 SOUND BEACH DR MATTI TUCK County Tax Map No. 473889 Section 099 Block 0001 Lot No. 017 pursuant to application dated JULY 30, 2007 and approved by the Building Inspector to expire on JANUARY 30, 2009. Fee $ 200.00 ORIGINAL Rev. 5/8/02 33~77 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ~ FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRAnON r~ ~~O*f DATE Z'~"l-01 INSPECTOR ~~ .:.l..,JJ ,J.jO'::;;'. .:....... -v.. I!......I'\....=.. Ii ....1.,;......;.:......... ~ .. .." . , '" :::J < I :;: H >-'l -- Q!IDATI.Q~ ( 1 s t) .. - - - . - c: (Il UNDATIO:l (2nd) . t'l s:- o . UGH FRANE & PLUNBING - (Il >-'l '" . t'l t'l >-'l SULATION PER N. Y. STATE ENERGY I CODE ::c :> :;: -'~ , >-'l . . - FINAL I 0 .:.:; z CONNENTS: 't"<! "- ADDITIONAL "" . .. . .. -... . . - t"<! >< .". . H '" :0-' >-'l H 0 Z ., 1 . ::c . t"<! :0- C'" >-'l ::c <::I. t"<! ." >-'l n . .. ". lJ-J 'vv X..:, ---.} --.:;, ~ E[ L IJoJ V, r t: ~ 3' ~ . . 3!f: ~ f t C::-. ~ L , ~ 'K~~~ "'"- ~~ EY/Sz';N? )7oLlS~ I I.....~..o ^c ""1~~ .,'!It 7/I",g,tj,pf 40; f: V G:, l. s,(), -- __8Y" AT . \fY BlJllDil\(, OEPA~M~THt . 80" 'lM' ((, 4- .', 'e -1 .. . ,,,,"'.:CflONS, ,: LOW,~.I(.,. ":0 ",,,aUIRED . .... ,"'j, ''''', ,w. FOUi"I1'" 0' "CflFf E FOCl. <..., ,;. ..,Jp-- ,.. 1"~D\Nf] I~ ,~, .'.' ".':ll.J(; e{ p-'_~... 1\,>,,1'- ~ ROu\," " C.l 3. 'NSP' l' ,.,"n;:~:C'i":Y"-'~U~' 4 fll\]i\ , ~~):(;; C d iX'i;;.) '<:.::;,;~:"~~~:'~~;:::: '",n <'" ....'.:cf.. ; ~~ ;";~~D,~i':"'.~'i ?'ORS. .., ".. >>~:;":~. ~-" .. I II \ "I 'D~..'~ ~o be t3-u 1'Ld C> 1\1 EXlst,~ ~ (o~~e.-t. 7~-ho ,; 7 ;2 e ';5 fed c!. C /J )A:/O C>d 'l ~X8' ~XJl. 2/<'7' ,,:( x, :;.. ;( :J.. P"LI:'~d, ;7';/;'r ?~:sr 'j)~c.e ~ R d'dlNif 'S p//vdLes , ,,;; 1/ I~ '/ -P-C4" ",.~J /- (;.1 _'\ I, OCCUPANCY OR tdSE IS UNLAWFUL . \^JITHOUT CERTIFICA 0F OCCUPANCY -'--- - ~ c~ j, !fJ 1 'P Jd..ELEf'L..;5~ t1Z"*JHt~,f5 5oll":!> 6c/1CtI .. INLET ~,ve5 fJJ"r:TI1J,JCKJjaolf,,.,, 1lii",;J.__ j FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH .;?.. 3 SETS O~PLANS ....... SURVEY. . . . . . . . . . CHECK .......... SEPTIC FORM . . . . . . . . . . . . . . NOTIFY CALL ................ MAIL TO: Examined .1-4.1.5:':. .,19~1. Approved .14" !~..., 19~? Permit No.! .~. :t:~.~.~ Disapproved alc ..................................... ;1 cD'l!':;; (ei ',',0-'" \J ' 'l(4"<_"''':''"-~''''-' i, &-11984 ,', Ii ., Lo 1L/ BLDG. DEPT. TOWN OF SOUTHOLD o~~...... ;;;;r.;.;......... j~w.:.;:: cf~.~...... 4VO ~ fttt-f..lf__. _/ (Building Inspector) . 7(,.., ~~f /~ APPLICATION FOR BUILDING PERMIT 7/yf" 70 Ii[ Date.. ,)UA'1... .~...., 19cf7. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 street~ or 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 permi1 .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 whatever until a Certificate of Occupanc) 'Shall have 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, Ordinances 01 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 tc admit authorized inspectors on premises and in building for necessary inspections. ../~.~,.~... ... ..... ... ....... (Signature of applicant, or name, if a corporation) ..y~ .1A.v.I((,f. .4<f'l'4'4j .C;~<f:A/, .e,v.e /Y.. Y //F.'i.~. , (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, . . . .Ol<'.YY.?R . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . Name of owner of premises .. H.e~ d . . .I'l 1f.1f./I: ~ 4i':~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. ......................... Plumber's License No. ........................ Electrician's License No. ...................... Other Trade's License No. ..................... 1. Location ofland on which proposed work will be done~ ..c: ('..f I~ ;:.~, . . ~.:'! :.b. .'P."-;C'C. .~'. . /).lN~' ."'.-. . . . . . . . . . . ::;l~ '5:-. . . . . . . . . .;.~.~~.(). . "."I1<-J:('. .'bl?/.'!?. . . . . . . . . . .1!l4.T. T. (7.':<-!~K-. . .IV .51.. , /I poi<... . . .. House Num ber Street Hamlet County Tax Map No. 1000 Section ........f..cl...... Block .... . . . !. . . . . . . . .. Lot.... ~.7. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .th~ ~.~ ;:'/1.~/.J., '1. . . K<f;>/JI.t< <<C;~ . . . 'i,';<;i'l.~"I;' . ,; ~'ill5...' . . . . . . . . . . . . . . b. Intended use and occupancy ........ ..5.~'.~ . ,J)~ ~ K . . . . . . . . . . . . '-~:~~,:~;'':;:t;~r~~:~~: .:':;t . . . . . . . . . . ._~~H ":'~.~ f~~11~'-I;.. ~,~., ",_'~",)~~ 3. Nature of work (check which applicable): New Building... . .'. '" . Addition.. . .. ..... Alteration .......... Repair .............. Removal. . . . . . . . . . .. .. Demolition .............. Other Work :-?P.-Y. .J;g:p0. . (Description) 4. Estimated Cost. . .J! /", ?'.t? ~o. . . . . . . . . . . . . . . . . . . . . . . . . Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . . If garage, number of cars ...............................................,........................ 6. If business, commercial or mixed occupancy, specify nature and extent of each t'ype of use. . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front. . . ',' . . . . . . . . . . Rear .............. Depth............... Height ............,.. Number of Stories. . . . .41f(~ . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . :: . . . . . . . . . . . . . . Dimensiq~oys~lJIIlructure with alterations or additions: Front ................. Rear.................. Depth. . . . . . . . ...,. . . . . . . . . Height, . . . . . . . . . . . . . . . . . . . . . Number of Stories. . . . .. . . . . . . . . . . . . . . . . . ~ '8. Dimensions of entire new construction: Front. . . . , . . . . . . . . .. Rear . . . . . . . . . . . . . . . Depth .... . . . . . . . . . . . Height ............... Number of Stories. . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front.. .. .. . 7.7.~ .. .. .. . .... Rear....... 2././.. . ... .. ... Depth .... (..~ P. :.. .. .. . .. .. . 10. Date of Purchase .... !(;/.-. Iff. . . , . . . . . . . . . . . . . Name of Former Owner . 1'?{1,. {5:1.S.~I'<''''.<.{<;.-<'. . . . . . . . . . II Z d' t . t' h' h m's s 't t d I\" E5 . ~ .,--/ '" . one or use IS nc In w IC pre I e are Sl ua e ....... ,1~~ tv. u.. ....... .. .. .. .. . .. .. .. . .. .. .. .. . .. . .. .. 12. Does proposed construction violate any zoning law, ordinance or regulation: ... (!"9. . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded ..... .~~. . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes (Ny 14. Name of Owner of premises H'f-f-~~S.I?1./J;,('f.;e.G5. . . Address -i:'.;I..f,..,I'~":C: .-I.v.Et:. . . . . . Phone No.~l.p. "..oi'.~:q ~ ~.lL Name of Architect ........................... Address .. . . . . tff.e:~. . ':':~tYr. Phone No. ........... . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address ... . ; . . . . . . . . . . . .. . Phone No. .... . . . . . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit maL be re~uired. 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 show street names and indicate whether interior or corner lot. :," ,- -, ..~ , ' t,.'\":" ,( "'c ?;J.-t:../ V ~ "'" ~ \ ..~ , , '" \ ('f\ I --h I , I p, . 4 ,!f' J:J.G I' l ,~. t' ~ De:, ( '< :/9'? c" - - - .. t . .l '7,).' '" ;.., .:c,. ..... ~ ~ '^" OJ '\-1 "- '" .... : I I ! !..- - ....\ <l \l'-... (!~RNr!'/( j~-;- 3L~c/('- .L S1\. TE OF NEW YQ.RK" t,C S S CQYNTY OF . ~\~\. .. ..., . . .~ . . H Ii: ~ J? N . . ,$ . . . (J)4H,q. ,7f. "T.fi. . . . , . . . . . .. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 .................. .r~aYOf.~~...... .,19 ~.7-- Notary Pu I, .... ')f)~ \; .<..J. . . . . . . . . . . . .. County ~ ....../~.~...~........ PuIIIIo. .... or HIw lbrtI (Signature of applicant) No. 4868132 .aulfulll CouIllY ,-,c/ Commillion Expires May 27. 1U ~ ,r - /.... I._,._~'~~-~ .::'~~.J:, ;' .,1" . ~. - t . -'. ( , '.- '" - ' .' 'i<).". . "', ' ..il"l, ~ /- ~.;.)A' ~',*"! > ':"-::~, - 't.': · ~_ 'c. ',~ ',~~_.' . ".~",;:-<!"'~~, ,1'!, .. :-' _ .,:S~Y" '_'1'. '. '., .' ,.,M7,("~,;'/BJIoJ \Lt).Ti~:~t3 ":B~O~:K ~ '> '~:', ( " , ',~. ' : :;., -'~ r'dAr-pTA1H't:lt'f< IDD / EST,ATE'S /;""" t~. , " . . " , ',' ,:...".':;" ,fj ~"I'.J .~. II.. I. ',','.: A J..; "."..' ..,,;;, ~,.. +... .,<~:~>"..... ...r . " '/ ' A.' ..;~~.;,. , .' t:', '.- .' "I"'. ,_<, ~, "M A TT'JT JJ e~d:'~,;, ' I H~.Jt T ',' :i.(. >.".>;~y~\~,~ _ - . ; Tow't..r" .~b-r~l"';'<~T~b LJT HOLD ; - ;~":;\';,h' - $J..IF"~O;L..K'i":';CO" H.~ "~ " _ .,J "I, :. "'~ ., 'sc,,/e'/",: .30', j(" ..~1. ''Ptle.l }lr# /~1;:' ;i:.sOJJ!'1:D' '.:BeACJ.I. ~', ';~VE ~i , .. 't/..5R,1I ()O',G. ';;p " , ''''! . -I " ~~ __;,"'?:.... 51. ~F, "'.A' d': . . ?'~~,,;; 'O~ ,''''' ';r.~ J'''' -,"" 'f.,~ ' " 1"- ,.,. . ",( I ....._-'..-~"'.. ,~",.... ,f'''' ,7,. ',io. .' f " '. ,t -, ,. '" I .' "~' J ',. '1 , , " " - l ~ ~ , I I , , <:~ i;J..:,.\" , -i ", .~. ;,...' .'" ;.,~,,;'\' \ . ":'.\ . 't? t;,!#/J-IIHluJ -Io-/lte J)/l-rte .s~n1j :B4#foI3J-()otfjlf, ~ -/4eJJ eJ--f~~d'l -;;ik tT,IN'J-"uir AH;/4r1;je. t%;, if I#~ )! J/. A. ~~-, G'i. -"i'- '_' ,'~:' ,~~'" f'" " , . .~.(~ ",;', 1." t',. , ...... "C'; .",".,,~,,"..';Jt".., .'"7' '" .'. ""1.,,,,.., ~ ". :,... '. ,...h(,.....;..J,. ~ "-'/ ,i ',' "~,'I "1 '--- . .">>0' ----_. -. I , : _ _.$'8.83.'" ___ . ... ',' ',' A-400 . .. . .....".. ~NH/~r(!d J;##tJry /"4/J.- ~r:, ~gU/ljOHHit 01' -dJlbtJl 4' }1;Jt-lx.I"m8~r/,tio-7J;;..7/g, JI~H;"#11o~ ,$/~l,o~, HY . ." "LldeH~ )/- R()/O~ .;; ~;, 4A, ~.,~~.' -, "J~;",.- II- 1!J J:- .' "~ "::(i,",_ ....".~ ' :.~. . . .''% '--.......---- ....--:_._-~_.- f' ;..,_c.......__~ ' " I _._---..:-.~ roBII NO. . 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) 3'3:279 C N~ +-6232 z Date ..........1..<.~.~l.l.~................, 19."2.1 Permission is hereby granted to: .tl~....c.~........~.,......~.:.............. .....~..'f1......f1J...~..1.p~.~.......... .m.~P.\,;p......N..:~f.:.....I.l.~~..L........... to...~....~..~.......~~&-,.;_::~tQ....~...~.....~... ~~.~..,...~.~~..........................:.................................. at premises located at ..~i..f-....~..........U?...~~........Yn~Jl................. ::~~::jj;L:'Yiz:;;lf;;;;;L::::'.::::::::'.:::'.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: County Tax Map No. 1000 Section .......~.~~... Block ......~.L...... lot No. .....~.J............. pursuant to application dated ........~~:\..................... 19.~.1., and approved by the Building Inspectar. Fee $..~'1.:..~... ............~L.................... ulldlng Inspector Rev. 6/30/80