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Home My WebLink About33031-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33308 Rte: 09/30/08 THIS CERTIFIES that the building ADDITION Location of Property: 2350 ELIJA~qS LA (HOUSE NO.) (STREET) County TaxMap No. 473889 Section 108 Block 3 Subdivision Filed Map No. Lot NO. MATTITUCK (FL~MLET) LOt 5.16 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 10, 2007 pursuant to which Building Permit No. 33031-Z dated MAY 14, 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEVE & JULIANA PERGE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HE~J~TH APPROVAL ELECrKICAL CER?IFICATH NO. PL~EP.S CERTIFICATION DATED N/A N/A N/A Author~ zed S~gnature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~2 - ~ '] This application must be filled in by typewriter or ~nk and subnutted to the Building Departrr[zn: w~ ~;kt'f~l~an~ 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 New Construction: Old or Pre-existing Building: Location of Property: / House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section /tg?.- ~-,~/[~, Block (checkone) 7)~-/21Z ,4 Hamlet Lot Subdivision Permit No. ~ 0'q ,/~, Health Dept. Approval: Filed Map. Date of Pernfit..5"/~/~-//~ "7 Applicant: Underwriters Approval: Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ :~ ~- -- Final Certificate: / (check one) ~'~ Applicant Si~ature'-~ 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. 33031 Z Date MAY 14, 2007 Permission is hereby granted to: STEVE & WF PERGE 2350 ELIJAHS LANE MATTITUCK, NY 11952 for : CONSTRUCT A DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP # 22119 at premises located at 2350 ELIJAHS LA MATTITUCK County Tax Map No. 473889 Section 108 Block 0003 Lot No. 005.016 pursuant to application dated MAY 10, 2007 and approved by the Building Inspector to expire on NOVEMBER 14, 2008. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 FO~M NO.3 TOWN OF $OUTHOLD BUILDING DEPA~RTMENT TOWN HALL SOUTHOLD, N.Y. No BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLEtiON OF THE WORK AUTHORIZED) ~,~.~-~--:~-~,~ ................. ~ ................................... ~.~ Permission is hereby granted to: ..~..~..~L.:~ ....... ~.~ ......................... ...~ ....... ~.-..~.....~ ......................... ...~.~.~ ........ ~....:.......,/.,/_.Y_~ ............. ................................. ~ ~//7~,,~, to ...... ~,.~,~.~..-.. ........... ~.. ................................. /,~'c_~ ............................... ~.~. .......... ~..:....ii.iiiiiiiiiiiiiiiiii'"'/' .......................................... iiiiiiiiiiiiiiiiiii'.'.'.iiii at premises located at ............................................................................................................................... CountFTax Map No. 1000 Section .....~'..~....~... ......... Block .......,~....-~... ............ Lot No ...... ~./,~' ............. pursuant to app cation dated ......... '"'~'"~"t ........ '"'~'"'~"' ................... 19......~.~/~', and approv~ bythe / Building Insp~tor, ~..Z~.~ ....... Rev. 6/30/80 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... BO^RD OF HEALTH .. 3 SETS OF PLANS '~'-'''' CIIECK .................... SEPTIC FORH .............. CALL ................ MAIL TO: · ( B ui)di~lf/ln sP ect or ) APPLICATION FOR BUILDING PERMIT Date · .< ¢ ......... 19~./~/ INSTRUCTIONS a. This applicatiom must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s, ets 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 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 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 whatever until a Certificate of Occupancy 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 or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ail applicable laws, ordinances, building code, hou~ng code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) /1 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................................ Name of owner of premises. '..~..r.~-. t/.~.-. ./~..~f./,/./.t.~. ,/{~.~ .... '.~..~.-.~..q..L~. ................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. 3 0 £ Z , o- , g . lt. .TT Z C / p. ..... ltouse Number Street Hamlet Co,mt Ta×MapNo. 1000Sect o....lo. ......... ,lock.. . ............ Lot. Subdivision .~.t~.~..A-.~..~./~.[.~.~.. '..~;.h! .~.¢.../.~.'q,.... 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 l'~ [)/[~'~ fL//~M//~CZz-- b. lntended use and occupancy ..................................................... ~.. .............. 3. Nature of work (check which applicable). New Buildine Aaa;,;~,. 413 ~[gC~ a~,o.o,;,.. Repmr .............. Removal .............. Demolition ............ J(~ ~ther Work ........ k~ ....... ~ ~ ~ _~ ' ,'~ ,~ (Desc~n) 4. EstimatedCosV~J_e ~ O~ F ~ ~ ................................ ee .......... ~. ..................... ~ .... - '[ (to be ~id on fil~g thisapplication) 5. If dwelling, number of dwelling units ............... Number of dwelling umts~ each:floor .......... If garage, number of cm 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stohes. D~ensions of same stmcfure with alterations or additions: Front ................. Rear .................. Depth ...................... HeiSt ...................... Number of Stohes ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stohes 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Fomer Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordnance or regulation: ................................ 1'3. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. N~e of Owner of premises .................... Address ................... Phone No ................ Nme of Architect ........................... Address ................... Phone No ............... Nme of Contractor .......................... Address ................... Phone No ............... 15. Is th~s property w~th5n 300 feet of a t~dal wetland? ~Yes ........ No ......... elf yes, Southold Town Trustees PermSt may be requSred. PLOT DIAG~ Locate clearly and distinctly ~1 bufld~, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block number or descdption accord~g to deed, and show st~et nines and hdicate whether ~tehor or comer lot. STAT OF COUNTY ' ....... ~; ,~,~ .[~.(a..~ ~ (~.. ............... being duly (Name of individual sign~ contract) above named. Heisthe .~ ~~ ............................................. ' (Contractor, agent, corporate officer, etc.) of said owner Br ownem, ~d is 'duly authorized to perform or have perfo~ed the said work and to m~e ~d file ~is application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ner set forth ~ the application filed therewith. Sworn to before me this ............ ~~of ..... ?~¢~., '9~ Nota~ Public, ~;. ~IRE L Ok~ · . ...... .............. ~ ~bl~, State of N~ Y~ No. 4879505 ~1~ in Surfak Cou~ ff-~ (Signatu~ of applicant) sworn, deposes and says that he is the applicant TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING [~/FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: INSPECTOR ~, ~ FOU~ TIO~ (2nd) ROUGH FRAME &. · ":: '~." <~LUMBING INSULATiO}I PER N. STATE E}IERGy · ' CODE 'FIi;AL ~DDITIO~;~'L COM~IEI~TS: TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STRE~ '2-~'5 0 WLU',GE ~ST. FORMER O~ER ~ N ' ~ E ACR. S ~ W ~PE OF BUILDING RES~o S~S. VL. FARM CO~, CB. MZCS. Mkt. V~l~e ~ND IMP. TOTAL DATE R~RKS Fill~ble FRONTAGE ON WATER ~lond FRONTAGE ON ROAD ~eo~ow~nd DEPTH ~ouse Plot BULKH~D COLOR TRIM ,../ M. Extensio~ ~ c, x' ~ Extensio~. ~ ~ ~c& Extensionv~ Parch Breezeway Garage Patio Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer pC. Bath Floors Interior Finish Heat Rooms Ist Floor Rooms 2nd Floor Driveway Dinette K. LR. DR, BR. FIN. B Total ~ ~, , Or / \ \ \ SURVEY FOR GR££1VBRIAR' HOllIES,/NC lOT AI~2 12 " Gt~£EIVBRIAR ,~CRES" ~ ~ I~4TTITgCI( D~'-: TOWN OF $OUTNO/O _ . · SUFFOLK COuN{¥,, NEW YORK -""'" "' "'°'" :' ' """ '"" °""' :IS UNLAWRIL USE WITHOUT CER]IR~E.. :" ' 'OF OCCUPANCY A~IQVEDA~NOTED '~-'- , , . ' , THE- REQU REM~NTS ,'~' ~H~ :N,Y. STA~E CONST~U~tlOH ~ ENERGY CODES NO~ RE~P~NSIILE .FOR DES GN, OR ~NSTRU~ONr ERRO~ : ," ' NOT!FY,SU LD NQ DEPARTMENT AT ..... . ,,," 765~fIg02,'9. AM'TO 4 PM '~bR- THE,