HomeMy WebLinkAbout32261-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 11/13/07
No: Z-32725
THIS CKRTIFIES that the building DECK ADDITION
Location of Property: 2827
(HOUSE NO.)
County Tax Map No. 473889 Section 113
COX NECK RD
(STREET)
Block 8
MATTITUCK
(HAMLET)
Lot 7.7
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 27, 2006 pursuant to which
Building Permit JIIo. 32261-Z
dated
AUGUST 1, 2006
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 THOMAS & ARLENE V. REITH
(OWNER)
of the aforesaid building.
NIA
SUFFOLK COtINTY DBPAR'l'MBHT OF BBlU.TH APPROVAL
NIA
ELECTRICAL CERTIFICATE Il1O.
NIA
PLUMBERS CERTIFICATIOJII DATED
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Au horized Signature
Rev. 1/81
Form No.6
TOWN OF 80UTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLiCATION FOR CERTIFICATE OF OCCUPAN<h<--
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This application must be filled in by typewriter or i~ and submitted to the Building Department with the following:
A. For new building or new use:
I. Final survey of propeliy 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 (8-9 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:
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 tIlerefor 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 Celiificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
II /, ~7
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New Construction:
Old or Pre-existing Building:
(check one)
Location of Property:
::lBn
House No.
CoOl'
N€c...k
R../
Street
,41.Ph+vc.k N Y
17~ /+.J....
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DEeJ<, A b~jn';..;
HE AH"'<.~l>
Hamlet
Owner or Owners of Property:
-ri/,,,, '" "'
a
4", I..~""E..
"3
Block
Oc>oB
Lot 0"7.007
Lot:
Suffolk County Tax Map No 1 000, Section
Subdivision
Date of Pennit.
8/,/,((
Filed Map.
Applicant: -r#tJ"1~~
Pennit No 32), t; I Z.
Health Dept. Approval'
Planning Board Approval:
~t.-i+4
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
/
(check one)
Fee Submitted: $
\j&r~ Q:R
Applic nt Signature
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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.
32261 Z
Date AUGUST
1, 2006
permission is hereby granted to:
THOMAS REITH
2827 COX NECK RD
MATTITUCK,NY 11952
for :
DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at
2827 COX NECK RD
MATTITUCK
County Tax Map No. 473889 Section 113
Block 0008
Lot No. 007.007
pursuant to application dated JULY 27, 2006 and approved by the
Building Inspector to expire on FEBRUARY 1, 2008.
Fee $
150.00
It~.~.
. Author~zed S~gnature
ORIGINAL
Rev. 5/8/02
-
OCT. 22. 2007 1lil:29AM
-
TELEPHONICS
1'10.432 P.3
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..JEFFREY T. BUTLE~, P.E.
P.D. Box 1lS34
SHORIEHAM, NEW YORk 1 1 '7SIlS
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October 19, 2007
--
Town of Southold
Building Dep8rtment
He: Proposed Deck
Reith Res1dence
, 2.7 COli: N:edr. La,ue
Mattltuck, N.Y.
Permit ## 32261-Z
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Dear Sirs:
Please note the following concerning this application:
· I have iDspccted the footings, ftaming, strapping and anchoring pursuant to the
building code and find that the work confonns to the plan as filed with tbis
application.
Please call if you should have any additional concerns about this application,
10-22-2007 09:53 SOUTHOLO BUILDING DEPT 16317659502
PAGE3
3 3-?-b I z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING rX-fINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARK.5: Lu!. ~~
Vv'- ~'O<:~ ~ 0 k ,
DATE 1~~;4, -07
INSPECTOR ~~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ~INAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONS'IRUCTION [ ] FIRE RESISTANT PENETRATION
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FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
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FOUNDATION (2ND)
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ROUGH FRAMING &
PLUMBING
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INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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~. BUILDER'S JOB NO.
TITLE NO.
PRQPE:RTY ZQNE:D;
TOTAL PLOT AREA: 78,6~8 % S.F".
ELEVATIONS SHOWN HEREON REF"ER TO N.G.V.D..
FIRST FLOOR AREA: 2.348 % S.F".
SECOND FLOOR AREA; 1.278 % S.F.
LIVING AREA ABOVE GARAQE: 488 % S.f".
GARAGE AREA: 68e % S.F.
REAR DECK AREA: 394 ::t S.F".
COVERED PORCH AREA: 569 % S.F".
FULL BASEMENT
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YAP Of TQUIWDOO
Fl.ED:JAHUARY25.1t77.FU:NO:175
MEDAY AVENUE
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THE EXISTENCE Of RIGHT Of WAYS AND/OR EASEMENTS or RECQRO, If ANY, NOT SHOWN ARE NOT GUARANlEED.
THIS SURVEY WAS PREPARED IN ACCORDANCE 'MTH THE ElOSTING COOE Of PRACTICE fOR LAND SURVEYORS AOOf'lED BY THE NEW YORK STATE
ASSOOA nbN OF PROFESSIONAL LAND SURVEYORS.
ANY AlTERATION OR "'OOITI~ TO THIS SUR't'EY IS A V10l.A1I~ OF SECTION 7209 OF THE NEW 'YmK STAlE EDUCATlOO LAW. COPiES Of THIS SUR\(Y
WAP NOT SEARING 11iE LAND SURI,{YOR'S INKED SEAl DR EIlBDSSED SEAl SHAll. NOl 8!: CONSIDERED 10 8!: A VAUIl lRUE OO>Y. NO OFFICIAl r1!
THIS STATE, OR OF ANY CTY, COUNTY. TOWN M WlAGE lHEREJN, CHARGED 'MTH THE ENFMCDlENT (f' LAws. ORDINANCES at REGULAlIOHS SHAll
ACCEPT OR APPROVE ANY PlANS OR SPEOACAnoNS THAT ARE NOT STAMPED. CERTflCAllONS INDICAlEtl HEREON SHAll RUN ONLY 10 THE PERSON
fOR YftOtI THE SURVEY IS PREPARED, AND CW HIS BEHALf TO THE lilt[ COMPANY, GOVERNNEHTAl AGENCY AND LENOING INSl1lUllCW USTED HEREON
ANI) 10 1HE ASSIGNEES OF lHE lfNlIING lN5nlUnCIN. CERlIACAlIlINS ARE NOT lRANSFERABlE 10 AOIlIlIlINAlINS111UlIlINS DR SUBSEQUElH OWNERS.
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SUFFOLK COUNTY TAX MAP
DIST: 1 000 SECT; 1 13 BLK; B
LOT: 7.7
BURTON
BEHRENDT
SMITH
PC
MAP OF DESCRIBED PROPERTY
LOCATION: MATTITUCK
TOWN OF" SOUTH OLD. SUF"FOLK COUNTY. NEW YORK
ENGINEERS
ARCHITECTS
SURVEYORS
SURVEYED: MAY 5. 2005
CERTlF"IED TO: THOMAS J. REITH AND ARLENE V. REITH
LAND BARON ABSTRACT COMPANY INC.
SCALE: 1" 50'
244 EAST ....AIN ST.
PATCHOGUE, N.Y. 1177Z
(631) 475-0349
FAX 475-0361
FILE NO: 05 299
.
REV,
NO.
1.
2.
DATE
10/24/05
2/13/06
ITEM
UNDER CONSTRUCTION
fiNAL SURVEY
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold!
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PERMIT NO,
9J,}M~
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Plamring Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
JUl21 .
'fr
""
Examined
Approved
Disapproved ale
'? II
'<(It
, 20.sQL
,20~
Mail to: --rMo....)
l'~"1 t.". 'nc.~ i.oI 1IIt11IT....~ N'I
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17 '\,
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..' : APPLICATION FOR BUILDING PERMIT
;JeJA
I Building Inspector
Phone:Ub"~ ,)\../J't-"..f.
...e,)<; 'JJ- S'f-'''U
Expiration
').-(/ ,20~
,
'"'-~
Date ~"'E. 2 C>
,20~
INSTRUCTIONS
, a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets ofphlns, accurate plot plan to scale. Fee according to schedule.
. t 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 ofthis 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 South old, 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. - R
\j4~1o '.n,
(Signatute of applicant or name, if a corporation)
.;; 8 "7 Co)( N e.c.J< p..,J
(Mailing address of applicant)
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State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
(:/(j / 11-Vr
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(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
Name of owner of premises Jl;E)M~
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work >rill be done:
., t~ &(.
House Number Street
I -tv c::. I(
Hamlet
l\J.
County Tax Map No. 1000 Section
Subdivision
\ \:?>
Block <a
Filed Map No.
IWm,)II-130H _~ 3tI1MOll
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(Name)
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2. State existing use and occupancy of premises and intended
a. Existing use and occupancy 5
b. Intended use and occupancy Nt-w 1:> gcJ<
14. To
3. Nature of work (check which applicable): New B~18iftg
Repair Removal Demolition
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E.;><\snllA{ ~
\9 ~ 1"2. Addition
Other Work
I
\2. -L.t.b€rU. A-1T&c.RiJ)
Alteration
(Description)
4. Estimated Cost
Fee
5. If dwelling, number of dwelling units
. Ifgarage, nl.lmberofcars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness,.c~ercial'or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Depth
Rear
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
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 . ,
I I. 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 ./ Will excess fill be removed from premises? YES_NO /
14. Names of Owner of premises~~~ ~__Address-A61.7 eo,. ~ LLPhone No.lf'f'" 2. Df4.
Name of Architect ~Ft:(It.y _'B....T~lt.. Address ''''''&0;0. "J<I :l~Y\I-I'1PhoneNo ~O'-RB.(o
Name of Contractor su,.. Address Phone No.
IS 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.C. PERMITS MAY BE REQUIRED.
16. Provide surv,ey, 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)
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being duly sworn, deppses and says that (s)he is the applicant
tract) above named,
(S)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.
200~
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