The URL can be used to link to this page

Home My WebLink About35057-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34071 Date: 11/16/09 THIS CERTIFIES that the building FENCE SURROUND FOR POND Location of Property: 2155 GRAND AVE MATTITUCK (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 107 Block 8 subdivision Filed ~4ap No. __ Lot No. __ Lot 4 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 5, 2009 purs-mmt to which Building Permit NO. 35057-Z dated OCTOBER 7, 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 FENCE FOR POND AS APPLIED FOR. The certificate is issued to WILLIAM GRELLA of the aforesaid building. ( OWNER ) SUFFOLK COUNTYDEPARTMENTOFHEALTHAPPRO%5%L N/A EL~t-rKICAL C~K-FIFICATH NO. 11385 10/13/09 PLIERS CERTIFICATION DA'rF~3 N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN~ This application must be filled in by typewriter or ink and submitted to the Building Depe A. For new building or new use: OCT ? tment witl~0~tg: 1. Final survey of property with accurate location of ail buildings, property lines, streets, and unnsual 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 o f 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: t. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspeet 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: (check one) LocationofProperty: _C~l~"'~" ~ft~dO /~¢-')C FI/~O~i~Ft~,.)C{('-- House No. , Street [ Hamlet Owner or Owners of Property: (_)~0 , [ \[.d vlf, Suffolk County Tax Map No 1000, Section Subdivision Permit No. _~0 Health Dept. Approval: Date ofPermit. Block Filed Map. Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ C.,O q vD Final Certificate: (check one) 01/24/2008 01:38 $3198064§S SBEI NYBTG PAGE 01/01 + SUFFOLK BUREAUot EL~ CTRtCA[ ~'4 S p [-CTO R 5. inc. 40 Nottingham Drive. Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 . E-Mail: SBEIGS~gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Applicatior~ No.: PAM SMITH OCtober ;L;~ ,2009 11385 Certificate No.: Final InspgCtion Date: Building Permit No.: 11385 October 13,200g County Tax Map No.: 1000 107 8 4 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or werk described below, Insr. alled by the applicant named ebeve, located at the premise of and net afl:er the final inspection date above: Owner: PAM SMi'TH Site Location: 2155 GRAND AVE, MATTXTUCK, NY 11952 Owner's Address (if different): [] Residential [] Indoor [] Commercial [] Outdoor [] New [] Renovation [] Addition [] Survey single Pt~ase Heat [~ Basement [] Service [] Shed [] First Floor [] Pool [] Hottub [] Second Floor [] Attic [] Garage Othe~ INVENTORY Duplex Re~ ' CmiliA0 Fixture . HID FixtureS Othe~ Equipmen~ supply gf=i p~otected power to switch and recp6de for out dOOr fountain The electrical work and/or equipment described above were Inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant; PAM SMITH Inspected By: Roger RJchert License No.: Homeownm' Date Of Certificate: Nov 09,2009 ~ .~lgnatufe: ~' 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. 35057 Z Date OCTOBER 7, 2009 Permission is hereby granted to: for : WILLIAM GRELLA 327 WEST 30TH STREET -4C NEW YORK,NY 10001 CONSTRUCTION OF A FENCE PER CODE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 107 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 2155 GPJ~ND AVE MATTITUCK Block 0008 Lot No. 004 5, 2009 and approved by the 7, 2011. Fee $ 100.00 Authorized Signature COPY Rev. 5/8/02 ~5"o$ 7 7-.- ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~FINAL [ ]~IR£PI~¢E & CHIM~I~¥ [ ] ~IRI~ ~EI'~ INSi~OTION [ ]~lR£ 1~lSll~ITll~iS'rRl~lON [ ] ~IRE Rr~l~'~l' DAT ---o ~_.__INSPECTOR '~,~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE //0'~//""%--~-~ ~ INSPECTOR.--.---~' ~ l~'r.~.n I~r~'r!0NREi, ORT DATE COMI~NTS ROUGH ~ & pL~G STA~ E~ CODE , ~DITiO~ COUNTS X 0 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. 35057 Z Date OCTOBER 7, 2009 Permission is hereby granted to: WILLIAM GRELLA 327 WEST 30TH STREET -4C NEW YORK,NY 10001 for : CONSTRUCTION OF A FENCE PER CODE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 107 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 2155 GR3kND AVE MATTITUCK Block 0008 Lot No. 004 5, 2009 and approved by the 7, 2011. Fee $ 100.00 ! Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL o SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined / r)/7 ,20 O fl Approved f~/7, 20 /iff Disapproved a/c Expiration ~/? , 20 / / iOCT 5 2009 a. This application ivlvST b* ~.~,,, PERMIT NO. 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 Flood Permit Storm-Water Assessment Form Contact; Mail to: Phone: Building Inspector 'LICATION FOR BUILDING PERMIT Date INSTRUCTIONS etely 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, 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 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 describe& 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 name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder · _ (4rv,,, rxr{ APPROVT Name of owner of premises If applicant is a corporation, signature of duly authorized officer (As on the tax roll or lates.t deed),. BUILD'i,, (Name and title luilders License No. lumbers License No. lectricians License No. !her Trade's License No. Lo.catio~n of land on which proj~osed work will tle, doBe: , _ House Number Street ":' 8Ak: ,'lNG IN~ ?ATiON : OURU ATION . - CONi :: ktPLETE ;TRUCI'IC' i ~: ;:_r,',ENTS Cr \ ,i~ ,:iAlE. NO'~ ,, Hamlet :;NE / :. F¢ ': ~r~aOF ~. ;ounty Tax Map No. 1000 Section Block Lot ~ubdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy ofPropo]~d eo,nstruction: a. Existing use and occupancy b. Intended use and occupancy 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Fee Alteration 1 "~ (Des~:riptio~) - (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 Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire neVQCon~stru__~ct_ieTn: From Rear .Depth Height Number of Stories 9. Size of lot: Front Rear _Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X,~ 13. Will lot be re-graded? YES NO ~' Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 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 ora tidal wetland? * YES NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ~tx~J5~ CONNIE 0 BUNCH Notary Public. State of New York No. 0~BU6185050 ~,ommissionQUalified~×pire$in Suffo k Coun Aoril ]4, ~0~. being duly sworn, deposes a~d says that (s)hc is thc applicant (Name of indNidua! sig~i~g contract) above ~amcd, (S)He is the (Contractor, 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 apF 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. Sworq tp before me this n ~T-I~ dayof O~ 2069 Notary Public phcant Io oo- 7-~-I TOWN OF SOUTHOLD PROPERTY RECORD CARD · .:~.~ /~ · OWN~ STR~ % ~ V' C~ D'~i ~ LOT FORMER OWNER N I ~ S W · _ TYPE OF BUILDING ~)~)~/ SEAS. VL. ~ FARM COMM. CB. MISC. Mkt. Value '""'"/LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION N~ NOeL BELOW ABOVE Acre Tilloble 3 Woodland Sw~mplond FRONTAGE ON WATER Brushland FRONTAGE ON ROAD Ho~,~ P[o~ ~EPTH BULKH~D Total [ D~K M. Bldg. Extension Extension Porch COLOR TRI~ Foundotion Bath /_ Floors Ext, Walls Interior Finish Fire Place /x/0 Heat Type Roof Rooms 1st Floor Recreation Rooms 2nd Dormer Driveway ? Dinette BR. FIN, B. IIII ELSEN & C]-SEN,U_P