HomeMy WebLinkAbout32721-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Bo: Z-33215
Date: 08/13/08
mIS CERTIFIES that the building NEW DWELLING
Location of Property: 3329 GRAND
(HOUSE NO.)
County Tax Map Bo. 473889 Section 107
AVE
(STREET)
Block 1
MATTITUCK
(HAMLET)
Lot 12
SUbdivision
Filed Map Bo.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JANUARY 26, 2007 pursuant to which
Building Permit No. 32721-Z
dated
FEBRUARY 12, 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 ONE FAMILY DWELLING WITH COVERED PORCHES, SCREENED PORCH, SECOND FLOOR
DECK AND SLATE PATIO AS APPLIED FOR.
The certificate is issued to MICHAEL & BETH NEUMANN
(OWNER)
of the aforesaid building.
SUFI.'OLK COUNTY DEPARTMERT OF IlEALm APPROVAL R10-06-0084
08/05/08
BLBcmIClIL CERTIFICATE 1110.
3047849
06/05/08
PLUMBERS CERTIFICATION DATED
08/12/08 PERFECTION PLUMBING
~d:!:!!::-
Rev. 1/81
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JiO~'-pILL
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 2/10 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) lion-conforming nses, or bnildings and "pre-existing" land uses:
I. Accurate survey of property showing all properly 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
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. Cel1ificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Cerlificate of Occupancy - $50.00
5. Temporary Celiificate of Occupancy - Residential $15.00, Commercial $15.00
New construptl~
Location ofP~operlY: '332-- 4
House No.
Date. ?J ( I ( 10 l'
Old or Pre-existing Building:
(check one)
(,v( A. rr ITlA ~
Hat et
~'" f) A/I[
Street
Owner or Owners of Properly: (VI I let: "1 &..t'^
Suffolk County Tax Map No 1000, Section I 0 1
Subdivision
Ne.ul/II\./7, ^''''-''
Block 6 7
Filed Map.
Lot
1'-
Lot:
Pelmit No ~ 1-- '11- I
Date of Penn it.
_ Applicant:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
---
tD -2; '33d..-1-S
Q.eG'iLl-11I
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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.
32721 Z
Date FEBRUARY 12, 2007
permission is hereby granted to:
M & B NEUMANN
240 RIVERSIDE BLVD. #5H
NYC,NY 10069
for :
DEMOLITION & CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH
PORCHES & TERRACE AS APPLIED FOR PER TRUSTEES PERMIT
at premises located at
3329 GRAND AVE
MATTI TUCK
County Tax Map No. 473889 Section 107
Block 0001
Lot No. 012
pursuant to application dated JANUARY 26, 2007 and approved by the
Building Inspector to expire on AUGUST 12, 2008.
Fee $
3,246.00
~c~
./ Authorized Signature
ORIGINAL
Rev. 5/8/02
TEL. 765-1802
TOWN OF SOUTllOJ.D
OFFICE OF BUlWING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUTIIOLI>. N.Y. 11971
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Date ~ .12.,O~
Duilding permit No. "3;J... 7 rl
Owner tf/8V~~"vJ
(please print)
l'lu,"her~;.., p/- 6,,y alk..177
(please print) ,
I certify that the solder used in the water supply system
contains less than 2/10 of 1\ lead.
~ !/;T{1U~
(plumber's signature)
Sworn to before me this
_et0---day of ~~~---,
~ -,; d~Dy
Notary PUblic,~ffQ~-- County
J. j~__
No~ary Public
IWlCYVUSClO
NaIIry NIle. 511. GIIM.
~lFll4882475
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~ BY THIS CERTIFICATE OF COMPLIANCE THE ~
i NEW YORK BOARD OF FIRE UNDERWRITERS i
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ ~
~ G & S ELECTRICAL CONTR MICHAEL NEUMAN ~
~ P.O. BOX 215 3329 GRAND AVENUE ~
~ SOUTHOLD, NY 11971, MA TTITUCK, NY 11952 ~
~ Located at ~
~ 3329 GRAND AVENUE MATTITUCK, NY 11952 ~
~ Application Number: 3047849 Certificate Number: 3047849 ~
~ Section: Block: Lot: Building Per BDC: ~
~ 107 01 12 32721 ns11 ~
~ Described as a Residential occupancy, wherein the pre rical system consisting of ~
i electrical devices and wiring, described below, located in/on the premises at: i
~ Basement, First Floor, Second Floor, Detached Garage, Outside, ~
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having jurisdiction, and found to be in compliance therewith on the 5th Day of June, 2008. ~
~ ~ QIY Rate Ratinll ~ Im ~
@I AdditionalCbarges @I
~ 1-steam unit @I
~ INSPECTION FOR EXTRA SQ. FOOTAGE ~
@I 1,000 SQ. FT Ii!]
~ ~~~aDd~ri~ ~
~ Air Conditioner 4 0 Above 1500 BTU ~
~ Dish Washer 2 0 1.2 t<JN roJ
@I Exhaust Fan 7 0 F.H.P ~
~ Furnace 1 0 Oil ~
~ Hydro Massage Tub (Therapeutic) 2 0 ~
~ Oven 1 0 4.5 KW ~
~ Pump Motor 1 0 1 H.P ~
i Panels 100 8 i
~ ~ ~
~ Service Disconnect: 0 200 cb ~
~ Service1Phase3wService ~
~ Rating400Amperes ~
~ ~~~ ~ I
~ Continued on Next Page I of 2 ~
~ ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
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~ BY THIS CERTIFICATE OF COMPLIANCE THE ~
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ ~
~ CERTIFIES THAT ~
I Upon the application of upon premises owned by I
~ ~
~ G & S ELECTRICAL CONTR MICHAEL NEUMAN ~
~ P.O. BOX 215 3329 GRAND AVENUE ~
I SOUTHOLD, NY 11971, MATTITUCK, NY 11952 I
~ Located at ~
~ 3329 GRAND AVENUE MATTITUCK, NY 11952 ~
I Application Number: 3047849 Certificate Number: 3047849 I
~ Section: Block: Lot: Building Permit: BDC: ~
~ 107 01 12 32721 ns11 mJ
~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located in/on the premises at: ~
I Basement, First Floor, Second Floor, Detached Garage, Outside, I
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having jurisdiction, and found to be in compliance therewith on the 5th Day of June, 2008. ~
~ Name QIY Rate Rating ~ IYI>< ~
~ Fixture 2176 00 Incandescent ~
~ GFCI Circuit Breaker fa!J
~ Outlet 176 0 Fixture ~
~ Outlet 201 0 Gen, Purpose ~
~ Paddle Fan 5 0 mJ
~ Receptacle 1 0 20a Appliance ~
~ ReceptacJe 1 0 30a Dryer ~
~ Receptacle 22 0 GFCI ~
~ Receptacle 112 0 Gen, Purpose ~
~ Switch 130 0 Gen, Purpose ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ seal ~
~ 2 of 2 ~
~ ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
@I~.@1
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/
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO:
Building Dept.
FROM:
Board of Trustees
DATE:
June 13, 2008
RE:
MICHAEL & BETH NEUMANN
3329 GRAND AVE., MATTITUCK
SCTM#107-1-12
With regard to the above-referenced property, an inspection was made and it was
determined that the single-family dwelling, porches, decks, patios, and detached garage
were constructed in compliance with Wetland Permit #6473 dated October 18, 2006.
If you have any questions, please do not hesitate to contact us.
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TOWN OF SO:.JTHULD
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Date: October 21, 2007
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
To: Town of Southold Building Dept.
Re: Plumbing Inspection
Neumann
3329 Grand Ave.
Mattituck, NY 11952
Permit# 32721
To Whom It May Concern:
A pressure test was performed on the plumbing system, and vent stack filled, all tests
meet all state and local codes. Any other questions please feel free to call.
\Olr 1-1)-
Sincerely
J
1FllllmllEIIIDCOC:
~OIJIEIiI'ii'
WEBER
52 NOYACK PAlH. 0'0 BOX 13741. WATER MLL. loEW YORK 11976
41 EAST MAPLE ROAD. GREEN...AWN. tEW YORK. W40
Ta 631.754-5555
FAX 631.261-1064
AIIIClHllmCT
September 8, 2007
Town of Southold Building Department
PO Box 1179, Main Road
Southold, NY 11971
RE: NEUMANN RESIDENCE
3329 GRAND AVENUE, MATTITUCK, NY, SCTM #1000-107-01-12
PERMIT NO. 32721 Z
Building Department:
As Architect for the Neumann Residence, I have reviewed the building strapping installed
in the construction with the contractor. To my best information and belief it conforms to
the requirements of my drawings and the Residential Code of the State of New York.
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
lX1' FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
REMARKS: N~~~~
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DATE
i~3o~o7
INSPECTOR ~~
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38-70>-1 Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
D<(FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
])
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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DATE S - 3 - 07 INSPECTOR ~ ~
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
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[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRlJCnON
M ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
REMARKS. ~ ~ ,L
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DATE
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INSPECTOR ~ ~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
~INGljSTRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUC'nON
REMARKS:
,
\ Q
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
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DATE IO-~S-D7 INSPECTOR ~~
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3;).- 7~[ Z-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
j>4JNSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:~. I'l tJ~ ~
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DATE \ ~-7/ t>1
Vc)L ,
INSPECTOR h~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRucnoN [ ] FIRE RESISTANT PENETRATION
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DATE " - ~ - I r INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRlJCnON
REMARKS:
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[ ] ROUGH PLBG.
[ ] INSULATION
rP(FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENE1RAnON
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INSPECTOR ~~
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- BY THIS CERTIFICATE OF COMPLIANCE THE I
NEW YORK BOARD OF FIRE UNDERWRITERS ~
BUREAU OF ELECTRICITY ~
40 FULTON STREET - NEW YORK, NY 1 0038 ~
~
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CERTIFIES THAT
Upon the application of
upon premises owned by
G & S ELECTRICAL CONTR.
P.O. BOX 215
SOUTHOLD, NY 11971,
MICHAEL NEUMAN
3329 GRAND AVENUE
MA TTITUCK, NY 11952
3329 GRAND AVENUE MATTI TUCK, NY 11952
Application Number:
Certificate Number:
3047849
3047849
ns11
Block:
Lot:
rical system consisting of
Building Per
BDC:
107
01
12
Described as a Residential occupancy, wherein the pre
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, Detached Garage, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 5th Day of June, 2008.
Name
OTY
Ratin!!
Rate
~
1=
AdditionalCbarges
1-steam unit
INSPECTION FOR EXTRA SQ. FOOTAGE
1,000 SQ. FT
Appliances and Accessories
Air Conditioner
Dish Washer
Exhaust Fan
Fumace
Hydro Massage Tub (Therapeutic)
Oven
Pump Motor
Panels
o
o
o
o
o
o
o
Above 1500
1.2
4
2
7
1
2
1
1
BTU
i<MI
F.H.P
Oil
4.5
1
i<MI
H.P
100
8
Service
Service Disconnect:
Service1 Phase3WService
Raling400Amperes
Wiring And Devices
o
200
cb
seal
Continued on Next Page
1 of
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This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the appl ication of
upon premises owned by
G & S ELECTRICAL CONTR
P,O. BOX 215
SOUTHOLD, NY 11971,
MICHAEL NEUMAN
3329 GRAND AVENUE
MATTITUCK, NY 11952
Located at
3329 GRAND AVENUE MATTITUCK, NY 11952
Application Number:
Certificate Number:
3047849
3047849
Section:
Block:
Lot:
Building Permit:
32721
ns11
BDC:
01
12
107
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, Detached Garage, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 5th Day of June, 2008.
~ QIY Rate RatulI! ~ ~
Fixture 176 0 Incandescent
GFCI Circuit Breaker 2 0
Outlet 176 0
Outlet 201 0
Paddle Fan S 0
Receptacle 1 0
Receptacle 1 0
Receptacle 22 0
Receptacle 112 0
Switch 130 0
Fixture
Gen, Purpose
20a
30a
Appliance
Dryer
GFCI
Gen, Purpose
Gen, Purpose
seal
2 of
2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
PERMIT NO.
3;> 7<).1 t7
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
()!; ,20QL
)~ ,20-.!2
Mail to:
ExpJation
1/,}. ,~-
Phone:
-26"
I Building Inspector
)
<I' I:l/. .
_...-tt~
I
I
APPLICATION FOR BUILDING PERMIT
Date
,20_
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 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 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 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. " nO ~~
~ture of applicant or name, if a corporation)
4\ \ ~. ...v<f\..e.. t(.:>,IcC
G.~NLJ<\AlN. 1-.1:-(. \\1+0
(Mailing address of applicant)
State whether applicant is owner, lessee, agent~hit~ engineer, general contractor, electrician, plumber or builder
~~\vK R. We'6~. ) kan1l::.Vl-
Name of owner of premises 111t:.HA.a +- ~Tt-i NE.~IV\Aj>..Jt-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 of land on which proposed work will be done:
'Y"L I:) G~ND Ave..
House Number Street
k.ktil1Uvt. I
Hamlet
N.l( .
County Tax Map No. 1000 Section
Subdivision
Len
Block 0 I
Filed Map No.
Lot I'L
Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy <e>1t-JlOUd rM\'-''\ O\Ne.~
b. Intended use and occupancy
S\t.1/QU::, f~'1-4 DW~
,
3. Nature of work (check which applicable): New Building ><.
Repair Removal Demolition ><.
Addition
Other Work
Alteration
4. Estimated Cost 11 0~o,,,~
(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. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
-
7. Dimensions of existing structures, if any: Front '?4'
Height Number of Stories 1.
IC"" 1:XIf>j1.v1i! .s~\.lIU:.. ."" E*- ~~
Dimensions of same s"lructure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions or.e,p~re new construction: Front 1(c1~ ) Rear 1 (c' ~ )
Height 1h};El Number of Stories '2...
1.\tl~)
Rear
'? <\- \
Depth~
Rear
Depth 44-'a)
9. Size oflot: Front
Rear ~Ii)
Depth
I
Il.~ 0:)
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO X
13. Will lot be re-graded? YES L NO_Will excess fill be removed from premises? YES_NO X
~ t l!:E:Oi ~ ~1'4l<R.~lt>e h"p.) Afr: Stf
14. Names of Owner of ~~ NN Address 1--1:-(. ,\0.1:-(. IDP'" Phone No''LI~ l~") - ~ 1 I.':}
Name of Architect ~~ Address :!~:; ~~ ~"I4lY1one No(,"~I) "1&\-- '2.555
Name of Contractor &t.~12lR.. CPN~~~ Address '-'1.100 ~~ <l6 Phone No.C"1.I) 1!4-51J..\'1
~( ,w>(.lm6
l' ..,.1/00)<. "J '" )
15 a. Is this property within 100 feet ofa 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_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. Ifelevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
ss:
COUNTY OF )
~~\J -'C.... ~. W~~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S@sthe ~ (~\1i;;Wt"\
(Contractor, Agent, COrPohte 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.
~.-~.. ~
.~ da,o _ m:d q-
Notary lie
~fAPPh''''
LYNN FORRESTER WALLACE
Notary Public, State of New York
No. 01 WA6027009
Qualified in Suffolk County /',q
Commission Expires 06/28/2O!...t..1
,
Ii
New York State Department of Environmental Conservation
Division of Environmental Permits, Region One
SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790 - 3409
Phone: (631)444-0365' FAX: (631)444-0360
Website: www.dec.state.ny.us
LETTER OF NON JURISDICTION
TIDAL WETLANDS ACT
~
....
~
Denise M. Sheehan
Commissioner
Michael & Beth Neumann
240 Riverside Blvd., Apt. 5H
New York, NY 10069
October 25, 2006
Re: Application #1-4738-03631/00001
33329 Grand Ave., Mattituck
Dear Mr. & Mrs. Neumann:
Based on the information you have submitted the Department of Environmental Conservation
has determined that the property landward of the line labeled "crest of bluff' or the 10' contour,
whichever is greater in elevation as shown on the survey prepared by Joseph A. Ingegno, Nov.
29,2005, is beyond Tidal Wetlands Act (Article 25) jurisdiction.
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part
661) no permit is required. Be advised, no construction, sedimentation, or disturbance of any
kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated
above, without a permit. It is your responsibility to ensure that all precautions are taken to
prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation
within Article 25 jurisdiction which may result from your project. Such precautions may include
maintaining adequate work area between the tidal wetland jurisdictional boundary and your
project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay
berm.
Please note that this letter does not relieve you of the responsibility of obtaining any necessary
permits or approvals from other agencies or local municipalities.
Sincerely.
CAF
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R~er Evans
Pe-,--,-. it,<\dnlinistrator
cc:
F. R. Weber, R. A.
BMHP
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1FIRlIEIIlIIEIRIDC[J(
IRlOIi~lRll'
WEBER
52 NOYACK PATH.lPO BOX 13741, WATER MLL, N:W YORK 11976 TR. 631.754-5555
41 EAST MAPLE ROAD, GRI33ILAWN, I€W YORK, 11740 FAX 631.261-J0a4
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New York State Department of Environmental Conservation
Division of Environmental Permits, Region One
SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790 - 3409
Phone: (631) 444-0365 . FAX: (631) 444-0360
Website: www.dec.state.ny.us
..
....
~
Denise M. Sheehan
Commissioner
LETTER OF NON JURISDICTION
TIDAL WETLANDS ACT
Michael & Beth NeumalU1
240 Riverside Blvd., Apt. 5H
New York, NY 10069
October 25, 2006
Re: Application #1-4738-03631/00001
33329 Grand Ave., Mattituck
Dear Mr. & Mrs. NeumalU1:
Based on the information you have submitted the Department of Environmental Conservation
has determined that the property landward of the line labeled "crest of bluff' or the 10' contour,
whichever is greater in elevation as shown on the survey prepared by Joseph A. Ingegno, Nov.
29,2005, is beyond Tidal Wetlands Act (Article 25) jurisdiction.
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part
661) no permit is required. Be advised, no construction, sedimentation, or disturbance of any
kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated
above, without a permit. It is your responsibility to ensure that all precautions are taken to
prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation
within Article 25 jurisdiction which may result from your project. Such precautions may include
maintaining adequate work area between the tidal wetland jurisdictional boundary and your
project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay
berm.
Please note that this letter does not relieve you of the responsibility of obtaining any necessary
permits or approvals from other agencies or local municipalities.
CAP
S incerel y.
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cc:
F. R. Weber, R. A.
BMHP
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\... ISO' ""DRJS DA "fE, SEPT 29, 200'
r,.. LEACHINC. FREDERICK R. WEBER. ARCHITECT
POOLS N.Y,S. ~ICENSE #IS5'8
'II E. MAP~E ROAD
GREEN~AWN, NY
TE~ ('3D 1S'I-SSSS
FAX, ('3D 2"-108-4
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SANIT ARY NOTES,
PUMP OUT AND ABANDON EXISTING
SANITARY SYSTEM PER SCDHS REGU[ATIONS.
SANITARY SYSTEM TO BE SET BACK 10
(MIN. FROM SURFACE WATERS,
PROPERTY OWNER::
tIICHAEL il BETH NEUI1ANN
muATR. nATTITUCK
10lIl Of" SOUTHOLD
&UPPQU: COUNTY, Hell TORt::.
eWOllU1AWNo
/It. IMGI!GMO. SURVnOR
IIfOMOKI! Ave.. ~. NT
euw:vnB>< MO'VeIe8 21. 2001
AODI!O TOfIOCaiItAIDMY, .... .. 200..
aEVA"1'tOMS AIU! ~~ TO M.G.V.o. d I't2"t OATur'I
"LOOD ZONE nwOlttfTlON TAKEN AtO".
FLOOD IH!IURANCI! ."18 MAP MO. ~Ol'" G
Z'*- All. IlAM PLOOO aavATION5 ~
~!'!Il.'l!l._1JP\'l2;'!!l'!_~,#,"..3..'l11';;;l!1l!' W.K.
~....... __~ 8'" LeWH~IOO-y;...r-1'LOOD
~ X. NIeAS ~ TO ea OUT'- IOO-ftAlt I'LOOD ~
6CT"" ,OOCHO'-Ot-12
LOT ARI!A::T1,Jt8.08 SOP. 0.115 ACReS)
~JI),,=--C~~I!A> -'....50... h..
~~H.~~~~.~(1f ADJN:IMT AnA.
~~~~~."~~A--=M~,,~ (W AD.lACStT
nooo ZONES: Ae 1eL. I). X*. X
ALL COMSTRUCl'fOH TO OCCUR IN 'lOOD ZONE X Qt X*
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PAGE 1 OF 2
.
. DATEJfi[o7
\ APPROveD
TOTAL IMUM BEOROO.' _ p OVAL
^~_".. !\=CrAP, R
Tu~<::Eyr::A.'?"~~"J ,I. "I;. , ,_' ..-'
EXPIRES Co,,"" '-' '::'u~_u _..,U__ ,u'"
t_____. -. - ,.... ,.-- '..,.... -' ."
TEST HOLE DATA
nEST HOLE DUG BY MC DONALD GEOSCIENCE
ON JUNE IS. 2004)
I' I1IN. I 2' MAX.
FF HOUSE CONCRETE
EL +23.5' CHIMNEY DEPTH
INVERT. ~... APPROVED
HOUSE PIPE. I/i" PER FT.
EL +18.0' MIN. PI CH :.
INVER
EL +,,'
T FLOW
, BAFFLE
;.
LOCKING CAST
IRON COVER
TO GRADE
TRAFFIC
BEARING
SLAB
GRADE EL +11.5'
i"" APPROVED
PIPE. 1/8" PER FT.
MIN. PITCH
PALE BROWN FINE
TO COARSE SAND (SW)
8'-0'
INVERT ~NVERT
EL +15.5' lEL +15.2'
,
'3' MIN.
:COLLAR
,
,
,
I
,
8'-0",
(2)
LEACHING
POOLS
<>
,
..
EL +23.0'
O'
3'
BROWN SILTY
SAND (S11l
"~
T
PALE BROWN FINE
TO MEDIUM SAND (SP)
PROPOSED
SANIT ARY SYSTEM
I
I
I
, 3'
: 8'-0" (MIN'>
I
L____________________ ______~
l'
'1'
PROPOSED (i) BEDROOM SINGLE FA MIL Y RESIDENCE
IINST ALL SYSTEM TO ALLOW FOR FUTURE EXPANSION)
1500 GAL. SEPTIC TANK
iOO S.F. SIDEWALL AREA OF LEACHING POOLS
(2) POOLS, 8' DEEP. 8' DIAMETER
MEET ALL S.C. DEPT. OF HEALTH SERVICES REGULATIONS.
EXISTING SANITARY SYSTEM TO BE PUMPED OUT. FILLED WI
CLEAN SAND AND ABANDONED
DA TE. SEPT 2'1. 2004
FREDERICK R. WEBER. ARCHITECT
N.Y.S. LICENSE _15548
~I E. MAPLE ROAD
GREENLAWN, NY
TEL (431) '5~-5555
FAX. (43D 241-108~
PAGE 2 OF 2