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Home My WebLink About38681-Z a Town of Southold Annex 3/18/2014 P.O. Box 1179 54375 Main Road V Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36804 Date: 3/18/2014 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 3005 Grand Ave, Mattituck, SCTM 473889 Sec/Block/Lot: 107.-1-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/26/2014 pursuant to which Building Permit No. 38681 dated 2/26/2014 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: alterations and additions, including one car addition to garage (now 2 car), kitchen and family room, to an existing one family dwelling as applied for. The certificate is issued to Muir, Helen K. Family Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut ' ed 4gnatur 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 38681 Date: 2/26/2014 Permission is hereby granted to: Muir, Helen PO BOX 126 Mattituck, NY 11952 To: construct addition to private one family dwelling -garage, family room & kitchen. Replaces BP 8350. At premises located at: 3005 Grand Ave, Mattituck SCTM # 473889 Sec/Block/Lot # 107.-1-22 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 8/28/2015. Fees: PERMIT RENEWAL $7.50 CO - RESIDENTIAL $50.00 Total: $57.50 Building Inspector TOWN OF SOUTHOLD BUILDII!IG ,DEPARTMENT TOWN CLERK' OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST, BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK: AUTHORIZED) 3" OLOC~ I No 8350 Z ,.19. Date r Permission is hereby granted to. ' /aW!•'•. ,was- . r.~...~:.~~.~..~`.~•::•?.t j' la pnlsa at C Gr4+C. f ~~i11{A t , e pursuant to application dated b.........., 19..T„ , and approved by the Buildino Inspector. Fes $.Z.wd `'li'P~.... Building Inspector a ..w Form No. 6 TOWN OF SOUTHOLD FEB 9 2014 BUILDING DEPARTMENT TOWN HALL - LU 765-1802 o I 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 $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 ~Q }C~jiGwGf ~y~iy Date. New Construction Old or Pre-existing Building: X (check one) Location of Property: 23 f~?,T Zfe- /v! LP iT T( House No. v Street Hamlet Owner or Owners of Property: ,4aw K -7,-;7 j Suffolk County Tax Map No 1000, Section Block / Lot Subdivision ~C7~~ ~X Filed Map. Lot: Permit No. %3 (p ~j I Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature ANGEL B. CHORNO ARCHITECT 51020 MAIN ROAD SOUTHOLD NY. 11971 (631)765-6530 FAX (631) 765- 4643 March 10th, 2014 Building Department Town of Southold NY Droskoski Property 3005 Grand Avenue Mattituck NY By this letter, I affirm that all work performed on ELP. 38681, b the best of my knowledge, conforms to all the requirements in place in 1976. Angel B. Chorno, AIA Architect ~ a. cy c''~F u~•~ 4 s : Qv's o •9T • . 0 7 91~ F of •NE.~a /J V r ~ soaa[ ito. i Q TOWN OF SOUTHOLD BUILDING DEPARTMEN c{n~ ( KOT TOWN CLERK'S OFFICE W~1 SOUTHOLD, N. Y. 5 Aq a ~ r~H P3Sc E mined d.......... 19,76 3p4r~j Application No. Approved , 19 Permit No.?~'S.0..,.+......... Disapproved a/c / -----+.--V . I Q...... ( ing nspector) APPLICATION FOR BUILDING PERMIT 0 Date ..IC INSTRUCTIONS al a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. h . b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets of areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this opplication. c. The work covered by this application may not be commenced before issuance of Building Permit. nl d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used irl whole or in part for any purpose whatever until a Certificate of Occupancy 4 shall have been granted by the Building Inspector. o 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 buildings for necessary inspections. d (Si nature of ap scant, or name, if a corpo ion) (Address of applnt State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. a We..4A................................................... Name of owner of premises KG...../.•..C~fl.~~i~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..C.!~ .....4.i?..'...3........... Plumber's License No. Electrician's License No. 4.'......... Other Trade's License No 1. Location of land on which proposed work will be done. Map No.: /....-ULot No Street and Number C....... 0Ad .A110.111.?':O.Rd 1(~ . 0 ira e 5-- =4 /do Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: y7 a. Exisiting use and occupancy ..............1.... lll~. (!./.C-e. rlf.Z~r...................................................... b. Intended use and occupancy .............................Z. .......................4 V 3. Nature of work (check which applicable): New Building Addition Alteration .......,l..,. . Repair Removal Demolition.................... Other Work (Description) T, O CJ 4. Estimated Cost ............................................Fee 1:b (to be paid on filing this application) 5. If dwelling, number of dwelling units ..............Number of dwelling units o each floor . If garage, number of cars AOQ..Q./A?~ SAeX.COIL.q~.qf~i~?lE..-~r.sr!S.lrR.l-1..N/,~rftA~~... 6. If business, commercial or mixed occupancy,, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front k1 Rear DepthZ.Of.Ald'A . 3z Height Number of Stories .....,1.. Dimensions of some structure with alterations or additions: Front Rear Depth Height ............................Number of Stories 8. Dimensions of entire new construction: Front Rear Depth ..I Height Number of Stories .1.......... al a...... 9. Size of lot: Front ..................p..1. 3...Q.... Rear ...............,/J..G................ Depth .......o2rQ...4............. 10.. Date of Purchase ............1..7.c~..~ .........................l.4pme of Former Owner i 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ......Ay.Cl 13. Will lot be regraded Will excess fill be remgXed from premises: ( Yes ( ) No 14. Name of Owner of premises./ Grrx/~./../~ A~dr l"~e ~ Phone Noo2,~G~~/~~ Name of Architect Address Phon No...~..../.............. Name of Contractor Address pt~ NgD$71a....t. J0 OT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. t 41 Z STATE OF NEW O I I S .S COUNTY OF~l.~ ....f .................................................................................................being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named. 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 application; that all statements contained in this application are true to the best of his owledge and belief; and thaT the work will be performed in the manner set forth in the application fi~herew~ Sworn t/o,,b*re me this (q ~Y..... . day of Q~ t..G........ 19... ~ Notary Public ' r... County (Signature of a p ant) T. BOKEN Sl,fe cf New York No.;;- -.A963 Suffolk Count Commission Expires mclr h 30, 1 FORK NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 193?.. Application No. G.....5'~.~~ Examined Approved 1974( Permit No. 2....... Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 1941.fi..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drown on the diagram which is part of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 buildings for necessary inspections. (Sof apphc nt, or rwme, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............Q.!: NC..!\ Nome of owner of premises ...A. E. -?..:~~/'~ry....MJ.~~~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.ty> s7 w J p, tJ' Y Plumber's License No. .tY.9.{JI LrA... Electrician's License No. Other Trade's License No i 1. Location of land on which pr osed work will be done. Mop No.:./...~.G ~.l...P.../.'.....1..... of No Street and Number dt?.A~fd...lf~fly.C...9l~rl!1%kY4R.c~~Oil.~/(atttliGlC ..../Y 30 ers- bpd Munici lily 2. State existing use and occupancy of premises and intended us/e~and occupancy of proposed construction: a. Exisiting use and occupancy /...&I.V..dltl' U.GL:601.r- f............................................................ b. Intended use and occupancy .........................f.:......................... 111........................................................................ 3. Nature of work (check which applicable): New Building Addition Alteration . Repair Removal Demolitior....e Other Work (Description) 4. Estimated Cost ........................................Fee ...O..r, (to be paid on filing this application) 5. If dwelling, number of dwelling unittss~ .............Number of dwelling units on each floor If garage, number of cars .-!.Q.11/. A4F-COQ.~~'nPl~iG~''fe..-.~.f~.~~!Z.) 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use Z 7. Dimensions of existing structures, if any: Front 6-4............ Rear Deptha2.Y..v?i[ r? Height Number of Stories . Dimensions of some structure with alterations or additions: Front Rear Depth Height ............................Number of Stories 8. Dimensions of entire new construction: Front 7-k Rear Depth.....7 Height Number of Stories r...v?r..y 9. Size of lot: Front .....40/ Rear Depth s`a..:............... 10. Date of Purchase .............,1.9;L1........................... Name of Former Owner G. r 11. Zone or use district in which premises are situated ~-q 12. Does proposed construction violate any zoning law, ordinance or regulation: ....11.Q 13. Will lot be regraded 0.1.......... Will excess fill be removed from premises: Yes ( ) No / GRgad .Uv ` 4 14. Name of Owner of Address .......Phone Noo~7.~°.l.~S Name or Architect Address................................ Phone No....................... ,p ,yam-` Name of Contractor ..e'n ~ Address~Qktk~/1l~ir+[~9'!r(A~~ne Nq 1~~ d'li " - - - PLOT DIAGRAM' Locate clearly and distinctly 'all buildings, whether existing or proposed, and indicate all set-back dimensions from 4property-lines . Give street and block number or description according to deed, and show street names and indicate --whether iwterior or cgrner lot. f i ~ ` t "04Z 01; I fA%~/ ~V ~1'/ tClr i 1N "Z ~ ~ ° f~ooh~ 36' STATE OF NEW Y K t S.S COUNTY OF ..........C~.f ................................................................................................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. 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 application; that all statements contained in this application are true to the best of hi knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to b me this Yy day of 19....7 00 Notary Publil..l~.. aunty (Signature of applicant) BC, KEN 6iaia of New York .`2-63:4963 Suffolk Co~' C:mmlxion Expires March 30, 194 } 3G - MIFF 2 f j \ ILI ? DO j4' ~ - f -"4 r ~a I ~ C I { 1, I A o. c,~ I s rya 5 I - CIO V M r e. i - -