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Home My WebLink About34438-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33653 Rte: 04/17/09 THIS u~KTIFIES that the building ALTERATION Location of Property: 355 ROSE LA (HOUSE NO.) County Tax ~p NO. 473889 Section 99 Suk~ivision FiledNap No. __ (STREET) Block 5 Lot NO. .MATTITUCK (}L~/4LET) Lot 15 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 19, 2009 purs,,~nt to which Building Permit No. 34438-Z dated FEBRUARY 19, 2009 was issued, and conforms to all of the requirements of the applicable pr~visions of the law. The occupancy for which this certificate is issued is GARAGE CONVERTED TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING ~9 APPLIED FOR. The certificate is issued to JAMES L & TONI BRYAN (OWNER) of the aforesaid building. Su~OI~[t~][~{~YDEP~{{OF}~J~H~[~O%7~L N/A EI~-rKIC2~L ~TIFIC2%~ NO. 4025512 04/02/09 PLIERS c~KTIFICATI(~ DA'£~ N/A ~ized~ Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN MAR 20 2009 BLDG. DEPT. TOWN OF SOUTHOLD 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 pmporty 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 featnses~ 2. A properly completed applieation and consent to inspect signed by thc 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 0ccupancy - Residential $15.00, Commercial $15.00 Date. New Construction: V/ Old or Pre-existing Building: Location of Property: .~t~--~-'- ~ ~....~._. Lt~ House No. Owner or Owners of Property: ~]~ ('~ ~ L_ Suffolk County Tax Map No lO00, Section ~'3 ~ Subdivision Permit No. ~ Y~.Pg' ~ Date of Permit. Health Dept. Approval: Str~t Toni Block Filed Map. Applicant: Underwriters Approval: Planning Board Approval: (check one) Hamlet Lot Lot: Request for: Temporary Certificate Fee Submitted: $ -'~ 5Q Final Certificate: (check one) Applicant Signature 84/17/2889 89:15 2984764 NATTITUCK LIBRARY PAGE 01/01 lay 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 application of upon premises owned by TONI BRYAN 355 ROSE LANE MATflTUCK, NY 11952 TONI BRYAN 355 ROSE LANE MATTITUCK, NY 1 '1952 Located at 355 ROSE LANE MATTITUCK. NY 11952 ' Application Number; 4025612 Certificate Number: 40255'12 Section: Block: Lot: Building Permit:* BDC:nsl 1 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, Jocated in/on the premises at; First Floor, 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 ef New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 2nd Day of April, ~19, ~emu ~ Rate Ratin= CimuitS Tv~ Amount Property Type Mjseellaneom as bui~ 1977 ~A gara~ lo Ii,rig WiHa; And P~dle Fan "Re~pte~ S~t~ AdmJfli~trnth, e Chartes ~ as built vieua} inspection, oft~ dcl;~.~ cluett=al i~llati~, d~=~ifl~ ~ nn obvious b~rd in n~ pmse~ ~ tho In~tallati~ i~ ellcv~ ~ ~ in constance ~th thc e~li~blc m~te smndaM f~ the cstlmatcd ~ of com~c[l~ of~ premises ~rin8 ~stem. $75.00 $o.oo 1 0 SO.se 6- ' 0 Gan, Puq35s~ $0,00 2 0 Gan, Purpose $0,00 Sub Tutul $7S.00 Total Amoutlt seal I of I This certificate may not be altered in any way and is validated only ~ the presence of a raised ~eal at the location indicated. 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. 34438 Z Date FEBRUARY 19, 2009 Permission is hereby granted to: JAMES L & TONI BRY/LN 355 ROSE LANE MATTITUCK, NY 11952 for : ALTER AND CONVERT AN EXISTING ATTACHED GARAGE TO LIVING SPACE THIS REPLACES BP# 24271. at premises located at 355 ROSE LA County Tax Map No. 473889 Section 099 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST MATTITUCK Block 0005 Lot No. 015 19, 2009 and approved by the 19, 2010. Fee $ 75.00 Authorized Signature ORIGINAL Rev. 5/8/02 IS~OR, M NO. ! TO~'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT {THIS PERJ~IT MUST BE KEPT ON THE PRE/~ISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24271 Z Permission is hereby granted to: County mox Map No. 1000 Section .... . .~....~.. .......... Block ...... ~..~.. Lot No.../~.... .......... pursuont to opplicotion dated .................. ~.~..~...~.... .................. , 19~.,~ am:J approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR ~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [ ]/~JJGH PLBG. [ ~ INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE ~//~)///~ 7 ' NSPECTO' '~~~/'~- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO/ILHJDATION2ND [ ]INSULATION [ t,/]" FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~~:~ ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY ] INSULATION ] FINAL INSPECTOR JUN ? 4 199'/' ~ -'G. D:.P . "' OFSC:;"!~t~ I:Olltt NO. I 'I'O~N OI; SOUTIIOI.I) BU I I.I)ING I)1~. I~^R'I'HENT 'rO~4N IIAI.I. SOIITIIOI.I), N.Y. 1197 I TEl.: 765- 1802 I~OARI) OF IIEAI.TII ............... 3 SETS OF PLANS ............... SIIRVE¥ ........................ CIIECK ......................... SF. PTIC FORH ........ ~ .......... AI'PI,ICAT1ON l"f)R BIIII.I)ING PI'.'RHIT i NSTRUCT IONS Date. a. 'Ibis applicati~m mint be co~qdetely filhM in hy typc~riter or i. ink m~l b. Plot plan ~in8 I~atiol of lot aM of Ixfildinga ~l proai~s, relatlo~sldp to ~joining preM~m or air. ts or areas, a~l Bivi~ a i~tail~l ~b~rip[icxl of ]ay~l[ of prolmrty n~lsl: Jm this al~l ica[ic~. c. 'lira ~rk cn~rol by this alffdication ~,~ly ~)l: Im c(~e~m~l Imfore iss~m~e o¢ ~filding Pemi[. d. IIix~s ai~r~nal of this a~licatios, the ~fihlint~ lnslmClor will iss~m a Ikailding l'enuit Io lhe al~licm~[. ~ch ix~rmit ~lall I~ kept ~ tl~ proai~s available for ins~cti~ thr~O~t the ~rk. e. ~ I~fihlil~ ~mll le ~cmpiol or u~] in ~le or iD Drt for an~ l~rff~ ~mt~er (~x~ul~.~:y flmll have I~n grm~t~l hy lie llsildi.l~ Insl~ctor. fiffl~.1f3'l'l~ IS IE~lff ~ to I1~ lidhlina I~lmrtnent for tim ism~a~:e of a ~ihli.g Pemit p~rs~nt to the lSdhli~ 7~m Ordi~:e of tim 'I'll of ~d~hl, ~fffolk C~mt'y, ~ York, alfl other a~licable l~l~ulati(ms, for tt~ cmstnetim of hdldi~s, ~Lliti~m or alteratil~s, or for m~mal or ~olition, as I~rein ~kmcril~l. '1t~ applicant agr~a to cruddy ~ith all a[~l icahle I~s, ordi~mea, I~ildi~ ~, I~ming c~le, as~l reg~datil~m, asfl to ~iuit a~t'lori~l ins~ctors Im proni~s m~l in I~dlding for ~cesaa~ ~ns~ctims. ...................... (Sil~tustm e of .. State Mlether alaglicant ia (x,~er, lea.~ae, agent, architect, enlllneer, ge~eral co~ltractor, electrician, plt~dx.~r or Ix~ihler. ir applic;.~t is a corlx)ratic~, aig.ature of duly iadl~ri~.e4 officer. (i~e a~l title o1~ COrlX~rate officer) I~lihlera l,icense ~ .......................... I'hl~tn~rs I.iee..'~ ~ .......................... ~ ~'~ Ele~:tricia.a I.icense No ...................... Other 'l'rmle~s l.icen.se Nc) ..................... t / ~.J 4. F,nAU. ~ ~ THE REQUIREMENTS 01~ N N.Y. STATE CONSTRUCTION · INIRGY CODES. NOT RESPONI~IIL! FOR DESIGN Off CONSTRUCTION ERIN)IllS I. Ii'~!ill:icnl OI: JaIKI (Xl ~hich proj~)sed ~)[k ~ii I I~ (k)l~ ....................................... (: ...................... ... .... .... ........................................... ................... (~,,r,ty 'l~x ~,p ~). '(X~ ~ctJ~, ..... ~ ....... Blt~k ....... ~ ..... lo[ ........ ~.. ~d~livisi~l ...................................... Filial ~Jq) E) ................ 1~t ............... (~.~) ,. ,~,i~ti,,,~ ,,~ a,,I ,~,~,~,,:~ . ~.*/.~.~. ...................................................... ,. ,,,,e,,~, ~,,, ~:~,,.,,.~, ..~.~/.~.~ ......... u~ .. ~ ~K.b.~.~ ............. i~Lth.~: I,I ~.k (chec:k ~l~i<:l~ ~|q~lic.ble): ~.~ I~e|hlloR /~1~ ~ ~. Allot.iii .~ ,~,,,.,,~, ,~,~, ~ ~.~.~.~,. ~ ........ ,,,~ .................... ~ ......................... .............. ,~,,-...~.'. ...... ,~,,, .~4..~ ......... I~f,., .......... ~.'.~... f~it~,t ........ /~( ........ .,,l~,-,,~ ~;,,.i~....~ ........... I~i1~ ......................... ~.,l~r off ~foriet~ ..................... //g, Size I~ill lot I~ ~ellr~l .... ~ ............ ~ill ex~:e~s fill I~ romped Frcln i.c~ni~n: YES ~.,,, ~ ,~,,. ,,~ ,,,~.~, 3~ ................... ~,,,,,, ~..~ .~...~.~ ,,.~ ,~ ..... :~.v.~... Nm~ o Arclnt~tct .................................... &~he~s .............................. I~ ~) ............... Is [[sis I~rO[~lsl~ wilhi. ~) f~t off a tidal ~llm~l? * YIL~ .......... ~) ..~ /~,oo-. ~?-,.,-ij>TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~'~ ~'_~E~ VILLAGE DIST. SUB. LOT '~oRMER ~NER ~,.~n~n ~. N / ~' -" ' J RES. ~/~ S~S. / VL. ? ~ FAR~/ CO~. CB. u MICS. Mkt. Value -- ~ 7 ~ ~ND IMP. TOTAL DATE RE~RKS AGE BUILDING CONDITION N~ NOR~L BELOW ABOVE . j,,~:~ FA~ A~ Value Per Vdue : Ac re / ' ~!].~ ' . ~o~,~ o~ w~,~~ ~ ~ - - -..~,, ' DEPTH /~ ~. _ . ' BULKH~D ~ DOCK COLOR ~"/'~,,~:.) ~/' M. Bldg. Extension Extension Extension Orch treezeway Foundation ]osement Ext. Walls Fire Place Type Roof Recreation Room Dormer / 3oth Floors Interior Finish lear Rooms 1st Floor Rooms 2nd Floor Driveway Dinette K. DR. BR. FIN. B 5'//8 WITHOUT-'CER~Fi~TE ' MAP OF LAND SUP. VEYED FO~ A.D.. N.O L D GOLZ M ATTI TU C 7-, N G~." YOR~