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Home My WebLink About37849-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 1 NY 11971-0959 5/7/2013 Telephone(631)765-1802 Fax(631)765-9502 CERTIFIt CUPANCY BUILDING DEPARTMENT TOWN OF $OUTHOLD No: 36227 Date: 5/7/2013 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 10945 Sound Ave, Mattituck, SCTM #: 473889 Sec/Block/Lot: 141.-3-1.1 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 3/4/2013 pursuant to which Building Permit No. 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: Lot No. filed in this officed dated 37849 dated 3/6/2013 "as built" deck addition as applied for. The certificate is issued to Klipp, Judith (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37849 Permission is hereby granted to: Klipp, Judith 10945 Sound Ave Mattituck, NY 11952 Date: 3/6/2013 To: permit an "As Built" Deck addition as applied for At premises located at: 10945 Sound Ave, Mattituck SCTM # 473889 Sec/Block/Lot # 141 .-3-1.1 Pursuant to application dated To expire on 91512014. Fees: 3/4/2013 and approved by the Building Inspector. CO - ADDITION TO DWELLING AS BUILT - SINGLE FAMILY ADDITION/ALTERATION Total: $50.00 $800.00 $850.00 Building Inspector 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: I. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co Fees 1. Certificate of Occupancy New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 Date. Old or Pre-existing Building: House No. Street Block New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No I000, Section _ Subdivision Permit No. 37~ q~' Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ (check one) Hamlet Filed Map. Applicant: Underwriters Approval: Lot: Final Certificate: (check one) "-~pplicantSignature - TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 IN [ ] FOUNDATION 1ST [ ] PLBG. [ ] FOUNDATION 2ND [ ] [ ] FRAMING/STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAHT PENE'II~ATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~'~ ~__~ ~ DATE INSPECTOR ~/~~/~/ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 119'71 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined Disapproved a/c 20 ~3 q [ S',20 I+ [! Ii; 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 C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Building Inspector ,ICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 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, relationship to adjoiuing premises or public streets or areas, and waterways. c. The work covered by this application may not be commeuced 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 pa~1 fbr auy purpose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 montbs a~er the date of issuance or has not beeu completed within 18 months from such date. If uo zoniug ameud~nents or other regulations affecting the prope~y have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Therea~er, a new permit shall be required. APPLICATION IS HEREBY MADE to the Buildiug Depamneut for the issnance ora Building Permit pursuant to the Bnilding Zone Ordinance of the Town of Southol& Suffolk County, New York. aud other applicable Laws, Ordinances or Regulations, for the constructiou 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 iuspectlons. (S~natu~g~appl~ant o~am{tif a cq~ration)~5~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~.~10c~, t~ ~'~ (As on the tax rbl$ or latest deed) Il'applicant is a corporation, signature of duly aathorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Lo??~n o,f l,,and on~hich proposed w~ill be done: House Number Street Hamlet ountyTax ap o.,OOO Section .,ock Lot I. I Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Q~ Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars .Addition/i/1~ '~ Alteration Other Work (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 Rear Depth Dimensions of same structure with alterations or additions: Front Depth_ Height. Number of Stories 8. Dimensions of entire new construction: Front Rear , Deptl5" Height Number of Stories S¢O Ct 9. Size of lot: Front Rear Depth Rear 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__ 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. (~F' Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO p,~ · 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 on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF (Name of individual s~gning contract) above NO CONNIE D. BUNCH Notary Public, State of New York No. 01BU6185050 Quaiified in Suffolk County ;,,, ~ ~ Commission Expires April 14, 2 (,J]~ being duly sworn, deposes and says that (s)be is the applicant named, (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 tiffs applicatiou; that all statements contained in this application are true 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. Notary Public Signature of Applicant I il Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971 0959 April 22, 2013 Judith Klipp 10945 Sound Ave Mattituck, NY 11952 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631 ) 765-1802 Fax (631) 765-9502 TO WHOM IT MAY CONCERN: The Fol~ving Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) __ Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37849 -"As Built" Addition SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK p, gdppa 86°53'10" E 100.00' 0 40' SCTM # '1000 - 141 - 3 - 1.1 AREA = 36,199 Sq.ft. 0.83 Acres. · = pipe found chain link shed pickett wood deck 2 story frame house & garage roof over open porch $ 83°37'30'' W stone driveway ~ 120,O0,ul~o~ SO UND A VENUE SURVEYED: OCTOBER 24, 2011 storJ~de fence A~5_ ~. ~ I~ P/-.A N OF' NOTIFY ~ ~ DE'PARTMENT AT 765-I~0:> ,: , :O 4 PM FOR THE FOLLOw'' : CCTIONS: 1 FOL~ :WO REQUIRED FORP. CNCRETE C:ANC¥ OR UNLAWFUL 2 ROUGH : PLUMBING, STRA:- , ' TRICAL &CAULKING 3 INSULAT~', 4 FINAL-Cc'' · ;~'~':&ELECTRtCAL MUST BE Cr -~- ?0 ALL CONSTRU, -~'~-~ ET THE YORKSTA~E N~ '~1 :~~HIItllIIII~i ~H · .'.. -. '~" I~'-~" 4 ~'~ 5/,¢" ~ G" VIEW t-'lA TT I'rlJ~ K