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Home My WebLink About34887-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33874 Date: 08/04/09 THIS c~KTIFIES that the building DECK Location of Property: 325 BENNETTS POND LA (HOUSE NO.) County TaxMap No. 473889 Section 113 Subdivision MATTITUCK (STREET) (HAMLET) Block 13 Lot 14 Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 24, 2009 pursuant to which Build/ng Permit No. 34887-Z dated JULY 24, 2009 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 FRED LINDNER of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF ~EALTH APPRO~-~J~ ~,RC-~RICAL UK~TIFICATE NO. PLUMBERS U~KTIFICATION DA'£~u N/A N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Old or Pre-existing Building: ~ (check one) New Construction: Location of Property: House No. Street Hamlet Owner or Owners of Property: ]..--- [ v-X O[ ¢-e,,~"' Suffolk County Tax Map No 1000, Section i \ 3 Block ~ Subdivision Filed Map. Permit No. ~ q ~ '~ Applicant: Date of Permit. ~ ) ~//iD ~, Underwriters Approval: Health Dept. Approval: Lot Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~ CAD Final Certificate: b/// (check one) ~x_Applicant S~ ~,nat urg.-- FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUII~)ING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34887 Z Date JULY 24, 2009 Permission is hereby granted to: FRED LINDNER 308 CHESTNUT AVENUE EAST MEADOW,NY 11554 for : "AS BUILT" DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 113 pursuant to application dated JULY Building Inspector to expire on JANUARY 325 BENNETTS POND LA MATTITUCK Block 0013 Lot No. 014 24, 2009 and approved by the 24, 2011. Fee $ 400.00 Authorized Signature ORIGINAL Rev. 5/8/02 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: DATE ~'I,wLD INSPE~.;I'IONREPORT, DATE I ,COMMENTS FOUNDATION (IST) FOUNDATION (:IND) INSULATION PERN. Y. STATE ENERGY CODE ADDITIONAL TOWN OF SOUTHOIA~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 76~-1802 FAX: (631) 765-9502 SoulholdTown. NorthForlanet PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Heallh 4 sets of Building Plans Plaaning Board approval Sulvey Check Septic Form N.Y.S.D.E.C. Tmstses Flood Permit Storm-W~r As~s~ent Form Contact.' Mail to: Disapproved B~i~n~sp~r L I -- ~STRU~IONS ~ ~is ~pli~~'St0~'~' ~mpl~" ~ ' e fill~ in ~ ~p~t~ ~ in ink ~d ~bmiR~ to the Building ~tor ~th 4 ~ of pl~ ~m'~¢ plot p~m~ to ~, Ye: ~ ardi~ to sch~ule. b, Plot pl~ sh~ng ~ ~d ~ys. c. ~ w~k ~v~ ~ tMs a~li~fion m~ not ~ ~mm~ ~fore is~ of Building P~t. d. Upon ~prov~ of~is ~pli~on, ~e B~lding Ins~or ~ll isle a Bulling P~it to ~e appli~t. Such a ~it ~1 ~ k~ on ~e pr~mis~ av~l~le for in~on ~ou~om ~e work. e. No buil~ng ~1 ~ ~upi~ or u~d in whole or in p~ for ~y p~ ~ ~ ev~ ~fil ~¢ Building Insp~or i~u~ a C~ifi~e of ~u~. E Ev~ buildi~ ~it ~1 ~ire if the w~k ~thor~ ~ not ~m~ ~thin 12 mont~ ~ the d~e of i~ ~ h~ not b~ ~mpl~ ~thm 18 months ~om such pro~ ~ve ~difion six mon~. ~, a n~ ~it s~l ~ r~uir~. ~PLICA~ON IS ~BY ~DE to the Building ~t for the is~ of a Building P~it purser to the BMl~ng ~ne ~din~ of~e To~ of ~u~old, S~olk Co.W, N~ Yo~, ~d R~ul~ion~ for ~pli~ ~ to ~mply ~ ~1 ~pli~le law~ ordinals, buil~ng ~e, ho~ing ~do, ~d reg~on~ ~d ~ ~it ~tho~ in~o~ on pr~i~ ~d in building for n~s~ M~fions. of ~li~t or n~, if a ~r~on) (Mailing add~ess of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Numeofownerof GaC / Lieder (As on the tax roll or latest deed) If applicam is a corporation, signature of duly authorized offic~ (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location o.~fland on v~hich proposed vt, ork ~v/ll be done: House Number Street County Tax Map No. 1000 Section i i ~-~ Block Subdivision Hamlet Filed Map No. Lot 2. State existing use and occupancy of premises and inteaded use and occupancy of propused construction: a. Existing use and oconpancy I ~--~ i~/ b. Intonded use and occupancy ~J OOC~ 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. EsfimatedCost ¢lO00'OrO 5. If dwelling, number of dwelling units If garage, number of cam Addition Other Work F~ (Description) (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 Height ' Number of Stories g~ar Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size oflot: Front J~'~/.'7oQ--I Rear lc'{3'3~'` 10. Date of Pm-chase ,%fie. ~-, ~o0~~'' Name of Former Owner Rear Depth .oepth 210.3c lbc red L kc, b¢c 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES__ NO '~ Will excess flu be removed from premises? YES __ NO 14. Names of Owner of premises (~2. ('~{ L-', Ha Cf'Address 3 Name of Architect ~A Address Phone No Name of Conltactor ~d~ ~ Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a tieshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BI} REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES * 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 property is at 10 feet or below, must provide topographical data o~ survey. / 18. Are there any covenants and reslrictions with respect to this prope~. * YES NO X/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the CONNIE D BUNCH (Contractor, Agent, Corporate Offic~, etc.) ~ .N.o. 01§_U6185050 uualmeci n ~uffo~k County ~ ,:% w~?mi~i°n EmX,~ees Aen0~ f~ ~oj a~-qieation of said owner or owners, end is duly authorized to perform or have performed the said an to aK . app ; that all statements contain~ 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 this dayof ~ 20~ff Notary Public y Signature of Applicant /odo-//.3-1J-/¢TOWN OF SOUTHOLD PROPERTY i~.~C)RD CARD,,~-..,~ OWNER STREL~'[ VILLAGE DIST. ' SUB. LOT~. Z FORMER JZ)WNER. N E ACR J ~ S W TYPE OF BUILDING RES. ~/D S~. ~. FA~ CO~. CB. MICS. Mkt. Value ~ND IMP. TOTAL DATE R~RKS / illo~le , FRONTAGE ON WATER ~IQ~ FRONTAGE ON ROAD /~ ~ ~ DE~H ~'y, / 9 7 ' ~ P~ BULKH~D '~1 Extemlon Exter~io~ Pok:h Ilorch COLO~ /7~ru Rat. Foun~on Ext. Walls Breezeway Fire Place ~/~ S; Garage Type Roof Patio Oo B, F~ Intmk~ FinCh Heat Rooms 1st Floor Ramm 2nd Flora BR. FIN. B Town of Southold Erosion, Sedimentation & Storm'Water Run-off ASSESSMENT FORM ~ Numben (NOTE: AChec~ Mmt~ J ~) for eaoh QuesUo~ Is R~ ~ 8 ~e ~ 1 ~ ~ P~ R~ NI 8~r ~ ~ ~ a T~ (~) I~ ~ ~ ~7 ~ ~ ~t~e ~ ~ ~a~ ~ ~e d~ ~ ~ s~ as ~ as all S~ 2 ~ Item s~ I~de all P~ G~e ~ ~ ~ ~ Su~ W~ ~ ~ Pm~ R~ulm any ~d ~, Grading ~ ~ ~em'~ b a ~a~ m ~e NaOmi ~sflng Grade I~ mm ~ ~ ~ Y~ ~ ~t~ ~n any P~? Is'--'Naomi Water ~"e ~ '~ 'e s~e? Is ~is P~e~ ~[n ~e T~ees ~sdi~ ~ ~1~ ~e H~ (1~) [~t o; a Wetland or Bea~? 6 ~'~em ~ Site pmpamfl~ on ~sUng Grade Slopes ~l~ ~ Fi~een (15) feet ~ Ve~l ~se to One Hu~ (10~ of Ho~n~l ~? / ~as ~ o~or Impious Sud~s ~ ~o~ to Dir~ Sto~Water RunOff 7 Driveways, Pang into a~lor in ~e d{~ of a T~ 8 Will ~s Pmj~ R~utm ~e Placement of Material; Re~( 0f V~e~d~ a~or the ~s~ of any Item ~ln ~e T~ ~ght~f~Way ~ R~d S~I~ ~a? ~hls item will NOT Include ~e ths~lintlon of Ddveway Aprons.) W I th s Project R~uim Site Preparation ~in ~e ~e Hundr~ (1~) Year R~dplaln of any Water~ume? 9 NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mad4 in'the Box, a Stonu-Water, Grading, Drainage & Erosion Control Plan is. Required and Must be Submitted fQr Review Prior. to Issuance of Any Building Pemllfl ........ Yes No~ EXEMPTIO~ Does. this pro~e~t meet the minimum standards for ctasslflcatlo~ aS an Agdc~Jltuml proje~ Note: If You Answered Yes to this Question, a Slosh-Water, Grading, Drainage & Erosion Control Plan ts NOT Requlredl __ coUNTY OF .~....~-~ ............. ss That I, - ........................................ : · being duly swora deposes and says that he, she is ti~e applicant ['or Permit, . (Name ~f i~dtHdual stgr~g Occ~rn~nt) [~'~MN F ~J - . . . . . ,o~~.,,w.~ .................. o~e~ ~a/o~ .p=¢,~v~ or~. o~ o~O~% ana. ? a.~..~o..~a to p~ .~.~ ~o~_:- ~ ~L~, ana make ~nd file this application; that all statements ~-PP [h~t [he work will be performed in ~h¢ manner set forth in ~e appik~don fdcd herewith. Sworn [o I~for~ mc d~Ls; ......... ..................... ...................... · ........ FORM - 06107 - 3/8 INCH GALVANIZED CARRIAGE BOLTS (STRUCT~ DETAH,S AND BENCH SEAT DETAH,S) 3/8 X 5 INCH LAG BOLTS JOISTS - 2 X 8 ~ 16 INCnb;S DECKING - 2 X 4 Z_O/B " -- EX]SrI'[~G REAR OF HOUSE Rt:qUiRi:.k¢.h% ~ ,tEC,C, DESOFNEW OCCUPANCY USE IS UNI.AVv'[-7 WITHO!, !7 ¢'~:~ OuCL,, ALL CONSTRUCTION SHALL IVIEET THE REQUIREMENTS OF 1 CODES OF NEW YORK STATE ARCHITECTURAL PLAN SCALE (114 inch = 1 foot) 325 BENNETT'S POND LAI~E MATTITL]CK, NEW YORK 11952 REAR WOOD DECK ARCHITECTURAL/ST4J~¢TURAL SCALE: DATE: REVISIONS: NOTED - DRAWN BY: CHI~CKED DRAWING NUMBER: