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HomeMy WebLinkAbout33429-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32988 THIS CERTIFIES that the building BARN REPAIR & ALTERATION LOCation of Property: 635 LOVE LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 141 Block 3 Lot 29.2 Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 14, 2007 pursuant to which Building Permit No. 33429-Z dated SEPTEMBER 27, 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" REPAIR & ALTERATION TO AN EXISTING BARN AS APPLIED FOR. The certificate is issued to 635 BUILDING CORP. (OWNER) of the aforesaid building. Filed Nap No. Lot No. Date• 04/16/08 SIIFFOL& CODNTY DEPARTMENT OF BEALTH APPROVAL ELBCTRICAL NO. N/A PLLINBSRS CERTIFICATION DATBD ~~~ i~ //~7~rized Signature Rev. 1/81 Form No. 6 , TOWN OF SOUTHOLD ! ' BUILDING DEPARTMENT TOWN HALL , ' 6 765-1802 `"' L __ 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 2/10 of 1 % 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: 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, 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. `~Ilt%/!7 g' New Construction: ~ // / Old or Pre-existing Building: ~ (check one) Location of Property: V X77 ~('Zt/ ~ [~~~(~ /yJ f~7~! '~~l C /G House No. Street //~~ Hamlet Owner or Owners of Property: (o~~ ~Ul1.Q~l.J(y ~~. ~~(~~`GiJ 070j•}/J~gC <~~~ ~ w ~. Suffolk County TaiC Map No 1000, Section ~ ~ ~ Block Q ~~ 3 Lot Q Z9 . ~©2- e , Subdivision , r Filed Map. Lot: Permit No. 3 3`7 Z~ -~ Date of Pemut. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: r~ Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ ~.,5, ~(7 t;~0 ~P Applicant Signa e 3ay~~~ 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. 33429 Z Date SEPTEMBER 27, 2007 Permission is hereby granted to: ARNOLD A URIST PO BOX 1436 MATTITUCK,NY 11952 for AS BUILT/UNDERCONSTRUCTION BARN REPAIR/ALTERATION AS APPLIED FOR. at premises located at 635 LOVE LA MATTITUCK County Tax Map No. 473889 Section 141 Block 0003 Lot No. 029.002 pursuant to application dated SEPTEMBER 14, 2007 and approved by the Building Inspector to expire on Fee $ 200.00 ORIGINAL Rev. 5/8/02 3 ~ ~t~-a ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING I STRAPPING ~ FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT Ct>HSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: `n" T ~~~ ~ ~- "( '~ ~' ~~ ~ INSPECTOR "~ ° "'J~ DATE 3 3't ~~ Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND FRAMING STRAPPING [ ]FIR CE 8~ CHIMNEY [ ]ROUGH PLBG. [ ]INSULATION [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT REMARKS: / 7 , DATE I b ~3/~ ~ / INSPECTOR /~ 33~a-q ~- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 ~ INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND ~] FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE RESISTANT CONS1RIlC'I REMARKS: ~~~ [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ J FIRE RESISTANT PENETRATI01 d G DATE ~ ~ ~ a ~~~ ~ INSPECTOR ~ ~ '~ 3 3~ ~-~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] FOUNDATIO FRAMING STRAPPING [ ] FIREPLACE A CHIMNEY [ ]FlRE RESISTANT CONSIRIICTI [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FlRE SAFETY INSPECTION [ ]FlRE RESISTANT PENETRATION ...el l.~ ~~7 ~ ~.- .,~A-2. ~P~- ~~ DATE ~ d ^ ~~ ~ 7 INSPECTOR ~ °' F1Ft.n INSPECTION REPORT DATE COMMENTS ~~ ~ ~ .- w FOUNDATION (IST) , s- 7 ~ ~ ~~ ~, ~ ~ FOUNDATION (2ND) z 0 U~ ~~ ROUGH FRAMING & PLUMBING ~ ,,,3 0 ~9„ ~ _ d m _ ~ _ ~D-~ __ _.__ 0 7_ _ _~_O r --~~ x ~ - -- '-~ INSULATION PER N. Y. STATE ENERGY CODE ~~- ~, ~ a - ~ FINAL ADDITIONAL COMMENTS i0 i I O Z ~ m A ~ T ~1" O z ~~ ~x d b -~ r~ Doc- TOWN /-3-? ,~ OF SOUTHOLD PROPERTY ~D CARD DWNER STREET VILLAGE ~~ DIST. SUB. LOT ~-dv - ~ `~ese FORMER O WNER N E , - n/t--~ /~ d~'~ ACR. An S - w 0.50 d A ~A Fob .j' ~ /`t' h'. TYPE OF BUILDING , , ;~ ~ ES• ~~~+ SEAS. VL FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS Z o U - i / 2.3 0 o a3so o - ,3 0?~/7' p,Cr 1 oc„~ yet t d - ZGa GOU t~1 cu / L So ~~aoa. l.t^Ami ~- ~ b o 7 Jr b'O ~ L F ~/ L a SoI..D T~buo S. !PR i6 3/BIDS-LI ~~~~„~~I _ I i,,, ~~ ~.,, 'loble ~ ~odlcnd ~adowlQld use Plat tal FRONTAGE ON WATER FRONTAGE ON ROAD ~ ~~ ~ ` .~ ~G DEPTH ;~ ~ i BULKHEAD .,. G 8oS3 = v33 i ,,-, _ ., O_ ~ -~ ~ _ .. _.. ) L _ __._ .. COLOR GRi~' ~~ TRIM GR x~ >' `Extension ~ is xi3 £rO 3.~0 ,S"~o - Extension Foundation t(j R t c K Both Z Dinette Poach Basement P/a k y-_ Floors ~ NC-• K. porch Ext. Walls Interior Finish PG~1s'>~,o LR. B~~y Fire Place Heat ~~.t'° DR. ~~ ype Raof Rooms 1st Flaor BR. Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Z .~~{E.L>S ~/ C . Donner Driveway 7Q(<al ~ 0O o ~~d 3.3 ~ ~a z ~' 7~ M. Bldg. ~ o ~'2 9 = .S' O fxcnsi~n G X~z ~z 6_302 S:oa 3, 62/18/2607,.,11:31 SGd~B'r: 44 .'~ 7" " w %rti'~`~ l7~ ~,~r ~ ~, ~ Y ~ ( I ~'~k. ~~ ~i'~ 1C}'. 7iPdl~ .~`~ 's tr1 ~ Sy,; ~~`~ ` e /i~~~r I ... ~ '~JY-M..l~'• ...J E ~ ~ ,~ ~i ? I` ~ i ' •~,. ~ Q I 1. _~-~.; r c ~ 1 .° ~~ • ~~~ ~.' .~ qtr _, .;;. ( r ~. b~ ~ I ~ . , Ly ... ,,,1, ~ t;' . ~ ~b: 'E 1-- `~ ~ a -~ .. y~. r l~ 'i .. ... ' ,. i . r, .;J ~ ; T ' ' ~~~;, .. _ _a 'r , ., . .. ~~'/~~.. JV'f i•'~f'I !L/ Ian ~l~'/1W, ~ - t ~ ~I' riU71l4pIZED ALIPq/,,1'f1,oN oArADC,I'~OT'' `~ ' ~ . ,r J .. ljQ.T[91„SbP,[IAVIY''gg1$ ANJdL`nP1oN 01`",; ,.~ ~~ ' ~ YF-'~ ~'~'~'~[SEJETAO~'.Y+1~D,P.vT,YHp: N[W~VGAIf ~YT.'R,TF ~R. E~.".J N b AHA U (i/y rl JU ~ `',y '4011pY OF'Y'aIF~EUYV~ NAP N[fT ~~ ~' ~~ f~f'f'%m /,F ~'. ',..' ', ~ '. THe •ynditl 5Lrtveri P'c I>• 'D SkT,E dir•T :.: ~f-'~.'ylo. c ~ tNOOxseasU[ iFAI. s v hr CSNPI~EhtdY +, //////~~~~~~~~~~~~ cy ~,~~+J ,,~y ~+y i0'YE A VALID RJ-mud{ IK ~~ yy~ ,..~YrB ry~/GS~r~».y ,/ Y'J i".'^7 i""'~ ~~ l~i ak.~.~~4E GuAkANTt[F ir.Tti AT a ~l t roy 5111tiLaauN , ~7~r/ ~ , ~ONIY To itpe r ~' :, : ~ ., ' N TNF SVRVFY y. wl,~'~+~' l~ 'S IS.PA'F~AA[U. A.: .~.lf [J THE ~ • ''3~w'`~ "^'~~~~~~~~T"•~ '' '.. TIT41'CbN/AI.T. ,F •V~.: r-iAlNj At A`.ilriCY TND+.'%•` }r T1 L[NDINO UISTITUT :9. FISTED H.R40IC~ AND ' ~T~ I ~jy~Yir! TO THE ASSIGN4[~i UC THE I~NOIYG tNSTY ~~~.~ ~ [' ~~ ~ ..~r ~i~• 7~I7lON GUAP ANIEFS.AAF 1<Di'TAANSFERAO[F .. ' ~ ~ ~ TO ADDI7IUH'Al INSTITUTIONS ox SUFSEQU(Ni ' R~" OWNFxS.. ,. - / .. ' Gi = MdHUrtldH'1' ANerJ ~ ZJ2, 7',Z7 5er. ~'~'. , .,.:. ;,;.PAGE . 63 ; ! for",~dir, Y 1 ~ ~dl~~ , ' y~, r J 1~. ux....... ~J r•~ ""i.~ p r C] ~ , 14r• W J ~ I 6312988133,:.1,: CELIC:REALTY a.. I q~'~ °~~ ;w fir` ~,F. I . I ~,. ., . TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL BoazdofHealth SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Boazd approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. ~~ ro1~ Check Examined , 20 Approved ,20 Disapproved a/c Expiration zo ~~ ~_. `-a ~~ti L.~ i Mail to: ' 'o ~o~ l8y ecc.~,C ~y one: G?/-3~5- 7yyo lgfi APPLICATION FOR BUILDING PERMIT Date 5 z-PT /d , 20 o Z INSTRUCTIONS a. This application 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 y~reas, 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 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 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. 0 fT~ lft~.. l to 3~ 6c'//c9i./G- t.~ic/ . (Signature of app icant or name, if a corporation) Po fox ~sy ~~~~N,~ NY (Mailing address of applicant) /j q~ State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder d~,l~v ~clC- Name of owner of premises ~i~D~~t/G- CBQII. l ~ y-r<~c2 (As on the tax roll or latest deed) If applicant is a Fdulyjj~~uthorized of CMG Y~~Si~~z~T (Name and title of corporate officer) Builders License No._ Plumbers License No. _ Electricians License No. Other Trade's License N 1. Location of land on which proposed work will be done: ~ 3S Lov ~. [,~9-r/~- MA-TTi'rv c/~ N y / / 9.~L House Number Street Hamlet County Tax Map No. 1000 Subdivision (Name) Lot O Z`l', U D L ~tCW ~~« ~..i I„ i,~ fq tl~a4"w Septic N.Y.S Contact: 8a ~~ O 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ ~ ~ .5'T b. Intended use and occupancy Q~ ~ S-Z~~ti~ 3. Nature of work (check which applicable): New Building Addition Alteration Repair _~Removal Demolition Other Work 4. Estimated Cost g~ ~~ ~ Fee 5. (Description) (To be paid on filing this application) 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 type of use. /'/ ( I 7. Dimensions of existing structures, if any: Front l7 Rear ~'`~` 5 Depth Height ~y~' Number of Stories ! >, ~ 2 y,~ i Dimensions of same structure with alterations or additions: Front 1 S ~ tear Depth Height ! 7 ~ Number of Stories 8. Dimensions of entire new construction: Front ~ S Rear 2 y ~ ~ Depth Height ~ ~ ~(~~ Number of Stories l ~/t, ~ ~ ~ 9. Size of lot: Front ~ ~ ~ Rear 3 Depth Y 10. Date of Purchase /nH"`9 2.0 ~ ~ Name of Former Owner (1Q- (5~ ,~ i 11. Zone or use district in which premises are situated 12. Does proposed construction violate an~y/zoning law, ordinance or regulation? YES NO X 13. Will lot be re-graded? YES_ NO 1~ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No_ Name of Contractor Address 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. PERMTI'S MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES NO j~ * IF YES, D.E.C. 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}}~~roperty is at 10 feet or below, must provide topographtcal data on survey. N//a" 18. Are there any covenants and restrictions with respect to this property? *YES NO .x * IF YES, PROVIDE A COPY. STATE OF NEW YORK) m~ SS: COUNTY OF~~K- ) ~~ ~~Q r~,,ll~Qt- ~~ being duly sworn, deposes and says that (s)he is the applicant (Name of indiv\id~u~'a'l' signing contract) above named, (S)He is the 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. Rwnrn in hefnre me this ,. _ ., i~~ ~yS qr~ = ,~~~E. ~Q,, ~ i _~ _ 4~F~.. pp RO ED pE -~OTED gp.#'~~~ ~A1E: v :E ~R NOTI Y Ball { TO --,v, FOR 765.1802 NS~ECiIONS FOLLO`NING T,.vO R QUIP 1, FOUNDATI~E 'O~ ,rF TE FOR PO~ , ~~~ PL~`~ ROUGH FRAM+I r" a THE ~' ~m G ` ?, p Q ~j.~ IED ~ _ ,,,~ ~~ ~ ~-ST ?. ~ti~uu~T ~a _~ ,~T v ~,USj '~ ~i ~~tf.~;. AC6t. :, o. 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