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Home My WebLink About32642-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33508 Rte: 01/27/09 THIS CERTIFIES that the building ADDITION Location of Property: 6170 ALDRICH LA (HOUSE NO.) (STREET) (HAMLET) Colknty Tax blap No. 473889 Section 120 Block 3 Lot 8.6 subdivision Filed Map No. Lot No. MATTITUCK conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 2007 pursuant to which Building Pezmit No. 32642-Z dated JANUARY 16, 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" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to JEANNE P HAMILTON & ANO (OWNER) of the aforesaid building. SUFFOLK COU~FrYDEPART~TrOFHEALTHAPPRO~rAL ELEt-r~ICAL CERTIFICATE NO. PLI~WBE1L~ CERTIFICATION DA'r~D N/A N/A gnature Rev. 1/81 BLDG. DEPT. TOWN OF SOtffHOLD This application must be filled in t Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 LICATION FOR CERTIFICATE OF OCCUPANCY y 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 New Construction: ~ Oeczd- Old or Pre-existing Building: Location of Property: b 1 7a ,4 4 Date. (cheek one) House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. '3 Y-/~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~", v a Date of Permit. Hamlet Block gv 5, ~tv Lot DP Filed Map. ~'~ .6' Lot: '7/ Applicant: fi~'~,*~ I 14~ Underwriters Approval: Final Certificate: (checkone) Applicant Signature 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. 32642 Z Date JANUARY 16, 2007 Permission is hereby granted to: JEANNE P HAMILTON 6170 ALDRICH LA MATTITUCK,NY 11952 for : "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 120 pursuant to application dated JANUARY Building Inspector to expire on JULY 6170 ALDRICH LA MATTITUCK Block 0003 Lot No. 008.006 9, 2007 and approved by the 16, 2008. Fee $ 400.00 / Authorized Signature ORIGINAL Rev. 5/8/02 ~i~t~ROBERT O'BRIEN RE. CONSULTING ENGINEERING SERVICES 2074 MAIN ROAD, P.O. BOX 456, LAUREL, NY 11948 631-298-5252 February 1, 2007 Southold Building Department 53095 Route 25 P. O. Box 1179 Southold, New York 11971 As-Built Deck - Michael Kelley Residence 6170 Aldrich Lane Mattituck, New York 11952 Gentlemen: I hereby certify to the best of my knowledge, belief and professional judgment, that the concrete footings for the above deck were constructed in accordance with Sec- tion R-403 of The New York State Residential Code. Very truly yours, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH~PLBG. [ ]FOUNDATION2ND [ ]1~~ [ ]FRAMING/STRAPPING [/./] F~J'AL ~ / [ ] FIREPLACE & CHIMNEY [ ]/FI ~RF..~~CTION [ ] FIRE RESISTANT CONS.'I~. UCTION [ ]IFIRE RESISTANT PENETRATION REMARKS: ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2NO [ ] INSULATION [ ] FRAMING / STRAPPING [ ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE /' ,/~L//~ 7 INSPECTOR-~~/~ trEl ,D I~qSPECTION REPORT I DATE] COMMENTS FOUNDATION (1ST) .................................... ROUGH FRA_M/NG & PLUMBING ~S~ATION PER N. Y. STATE E~RGY CODE .~DITION.~ COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN~ HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: ~[631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c ]fit ~],20 O7 t//720 o ? Expiration 7/[ '~, 20 0 ~ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 'x"-~4 sets of Building Plans Planning Board approval ~x-,qSurvey Check ~ O C) , c.~ .' Septic Form N.Y.S.D.E.C. Tmstees Contact: Phone: uilding Inspector APPLICATION FOR BUILDING PERMIT Date 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, relationskip 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 thc interim, thc 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. (Signature of applicant or t~rne, if a corporation) (Mailing address of applicant) /l~..q'~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises /v]t~r~/ ~'. /~//¢/ .~' ~',~,r, do ~. gAs on the tax roll or latest deed) If applicant is a corporation, signature of duly author/zed officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which propo, sed work will be done: House Number Street Hamlet County Tax Map No. i000 Section /;20 Block ~3 Subdivision ~'A~/ ~t~ r/At~'~',,¢,~'-/~r Filed Map No. (Name) Lot , Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~'/,e'd,/~ ~-t~//,~ g.~$t~e.~e.-- b. Intended use and occupancy 5 t~ /e ,~'~, '/~' ~a.~stJ'ff~'"~' 3. Nature of work (check which applicable): New Building_ Addition v/t~g~-' Alteration Repair Removal Demolition Other Work ~ ,~. (Description) 4. Estimated Cost ~ ~ ~ - c/~a'~t~/',~te-~ ) Fee ~ o~ ~'~J~, ~< z ) .~T'6'~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 type of use. ~//~ 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front ,~ Rear Depth Height Number of Stories ~ ~ 8. Dimensions of entire new construction: Front Height 9. Sizeoflot: Front 10. Date of Purchase Rear Depth Number of Stories Rear 1¢~'t .Depth 3 ~.~.~ t Name of Former Owner ~,¢~./~tq~,n., P/-~,q,~ $ 11. Zone or use district in which premises are situated PT,s ~t'~z~,~va~.~.t g,/,~' 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot be re-graded? YES__ 14. Names of Owner of premises Mt~{¢~[ 5'..~,a~/~d~dddress g 17° Name of Architect Name of Contractor NO NO v~Will excess fill be removed from premises? YES NO __ l JlA ~'['J~{ ~ Phone No.(~31) 2-~- / ~'~/ Address Address 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * 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. Phone No Phone No. NO v/ 16. Provide survey, 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) COUNTY OF/X//~7-~--.S)S: ~U'~"~//'4~--~ F/~---'~/-~--'Y being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~'O/IJ"l-.~-rTOj~/~)/~~ (Cont~ctor, 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 tree 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 th/gY~ THONY Notary Public, State Of New York No. 02~.N5086860 Qualified In Ulster Co,mbt Commission Expires March 35, / ~- '.~ -~ ~,~ TOWN OF SOUTHOLD PROPERTY RECORD CARD O~WNER STREET r. ACR. ~ D.>~. REMARKS TYPE OF BLD. jato 6700 7750 FRONTAGE ON wATER TILLABLE FRONTAGE ON ROAD ~OODLAND DEPTH MEADOWLAND BUL~HEAO HOUS[/LOT TOTAL 120.-3-8.6 9/06 COLOR TRIM ~..~Bldg. ~O~,"~ = ~O~O ,~°- ~ ~ Foundation ~ Bath ~Z Dinette ~ensi°n ~ ~ ~= ~ %~ ~4~ Basement ~W~sL,~ Floors Kit. Extension Ext. Walls Interior Finish ~ L.R. ~n 2~ ~ ~ ~ ~ ~7 ~ ~ ~ ~' Fire Place ~e~ Heat y~ D-R. Pati~ I ~ ~ ~ ( Woodstove BR. ~%~= ~_~ = ~ ~ ,~ ~O~ Dormer Fin. B. Dec~ Attic Breezeway ~ ~ ~. ~ Rooms 1st Floor Garage z~ ~{: ~ ~ ~5~ Driveway Rooms2ndFIoor ~ 7~ ~ O.B. ~ ~ JOBNo. FRMV-4 TAXI,D. No. 1000-120-03-8.6 LOT 22 \ LOT 21 S 25°36'30''E 47.27'\ S 19°40'30"E 77,74' LOT 3 EASEMENT THE LOCATION OF WF:LI.fi, WATF:R SERVICE LUqES, SEF'TiC 'lr'ANi~.S AFJL., CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM OTHERS. WELL 2 ST FRAME DWELLING CONC ENT DOWN 24.! 45' N 23°09'16''W 125.00' LOT 5 TIE 475.11' L/J Z p- i,i < -F R=25 00' L=36 §7' ALDRICH LANE [ 49.5' ] FARMLAND FILE MAP No 8808 9/1189 CERT OF CORRECTION LIBER 11854 PAGE 27 LIBER 11866 PAGE 247 SURVEY OF: LOT4 MAP OF FARMVEU ASSOCIATES MA'I-rlTUCKTOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK CERTIFIED ONLY TO: MICHAEL E. KELLEY AND JEANNE P, HAMILTON ULSTER SAVINGS BANK A~O~~F' FIDEUTY NATIONAL TITLE INSURANCE COMP OF N EVV By DESTIN G. GRAF NY.S. LIC No. 50067~ DESTIN G.GRAF LAND SURVEYOR 73 Woodlawn Road Rocky Point, N.Y. 11778 631-821-3442 SURVEY DATE: 5/03/02 SCALE: 1H=50r JOBNo FRMV-4 TA)(I.DNo 1000-120-03-8.6 LOT 22. 25"36'30"£ 47.2T TH E LOCATION OF WEL I.S, WATER SERVIC£- LINES, SEPTIC TAN~.S /d;b CESSPOOLS LOT 21 SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FROM 19°40'30"E 7774' OTHERS, ~OTED g DATE: B.P. b b~FEE: .~ ~y: ~ ~Nui rt-y BU' ~,EP: ;T'I~NT ~ b76q ;~tp ; "' :~ ~;R THE z mFOLL '' o. DWE~NG 2. ROL:;H - ~ '~' : P FINAL-cC'::': ~-U ~u~t I ALL CON~ ~.~ ,,~ ~LL MEET ...... ~ REQ~MEN~S C F T~E CODES OF ~': YORK STATE NO F ~SFONSIBLE FC ~. DE81GN OR CON TRUOTION ERROR STR~¢~I~N SH~ ~I~ZF' : N 23"09'16"W I~ f~b ~ ~QUIREMENTS'OF CODES OF NEW YORK STATE ALDRICH LANE [49.5'] ' ' T C~l II o/r~s~¥ ~.,b~DGE, BEUE~ AND F~.-~Q~AL JUDGMENT, THf~~~~CI,A.CE W'THTHE NEW YORK STA~E BUILDING CODE.' OCCUPANCY 0.- USE IS UNLAWFC,. __ CONSUrTINI~ ENGINEERING 8EI::IVICEB Main Road, Laurel, N.Y. 11948