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37336-Z
�. Town of Southold Annex 4/18/2014 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36867 Date: 4/18/2014 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 1480 MILL ROAD MATTITUCK, SCTM#: 473889 Sec/Block/Lot: 106.40-2.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this of6iced dated 8/25/2009 pursuant to which Building Permit No. 37336 dated 6/29/2012 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 DECK, COVERED ENTRY AND COVERED FRONT PORCH TO A SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JAMES&LINDA WOLBERT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 1052072 05-05-2003 PLUMBERS CERTIFICATION DATED 04-10-2014 Richard B. Tandy riz Signa re ouzzz'It TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE �+ SOUTHOLD, NY 1 ¢ 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#: 37336 Date: 6/29/2012 Permission is hereby granted to: JAMES & LINDA WOLBERT P.O. BOX 558 MATTITUCK, NY 11952 To: ADDITIONS &ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.REPLACES EXPIRED B.P. # 34953 At premises located at: 1480 MILL ROAD MATTITUCK SCTM # 473889 Sec/Block/Lot# 106.-10-2.2 Pursuant to application dated 8/25/2009 and approved by the Building Inspector. To expire on 12/29/2013. Fees: PERMIT RENEWAL $421.65 Total: $421.65 /. l Buildinghn 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. 34953 Z Date AUGUST 25, 2009 Permission is hereby granted to: JAMES & LINDA WOLBERT PO BOX 558 MATTITUCK,NY 11952 for ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.THIS PERMIT REPLACES EXP. BP # 32878 at premises located at 1480 MILL RD MATTITUCK County Tax Map No. 473889 Section 106 Block 0010 Lot No. 002 . 002 pursuant to application dated AUGUST 25, 2009 and approved by the Building Inspector to expire on FEBRUARY 25, 2011. Fee $ 843 . 30 `l WlG Authorized Signature ORIGINAL Rev. 5/8/02 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. 32878 Z Date APRIL 4, 2007 Permission is hereby granted to: JAMES & LINDA WOLBERT PO BOX 558 MATTITUCK,NY 11952 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP # 28048 at premises located at 1480 MILL RD MATTITUCK County Tax Map No. 473889 Section 106 Block 0010 Lot No. 002 . 002 pursuant to application dated APRIL 2, 2007 and approved by the Building Inspector to expire on OCTOBER 4, 2008 . Fee $ 843 . 30 Authorized Signature ORIGINAL Rev. 5/8/02 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. 28048 Z Date JANUARY 29, 2002 Permission is hereby granted to: JAMES & LINDA WOLBERT PO BOX 558 MATTITUCK,NY 11952 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1480 MILL RD MATTITUCK County Tax Map No. 473889 Section 106 Block 0010 Lot No. 002 . 002 pursuant to application dated JANUARY 24, 2002 and approved by the Building Inspector. Fee $ 843 . 30 Authorized Signature COPY Rev. 2/19/98 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: i/' 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, dditions to dwelling$50. 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$15.00 L� Date. )9-Pk t L 8 Q ` New Construction: Old or Pre-existing Building: (check one) Location of Property: 0 If g 0 CST N ,w M1 I T/ (yCbZ House No. Street Hamlet Owner or Owners of Property: 14 Y�'1 C 'S `4' 1 u b►4 LJ© �-8 C-A— i Suffolk County Tax Map No 1000,Section Q Block r Q Lot Subdivision -69 _ Filed Map. Lot: Permit No. 3 1 3 3 (0 Date of Permit. C0 Z9)ZD 2— licant: 1_4 M e5 f'1-1 W414 L-13 S2� Health Dept.Approval: ►`1A Underwriters Approval: (,MMT Planning Board Approval: �flA -n Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ Applicant Signature 19x- lZr �9P �vva77 r3e72, -Z BUILDING DEPT. 1 ECTION [ F NDATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ j INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: � -- c DATE � �' � '✓ INSPECTOR � --� 765-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: �h DATE O1/ IN8PECTOR M-1102 BUILDING DEPT. INSPECTION [ ] FOUNDATION 7ST [ ROUGH PLBG. [ ) FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE ` "RZ T6S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE�E7�INSPECTOR �� Of SO(/T�o� -z- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRIXTION [ ] FIRE RESISTANT PENETRATION REMARKS: tX- c p � 7 INSPECTOR DATE 6 7J 3�al z�- pF SOOI�olo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH LUMBING [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: co LAIDATE ` t INSPECTOR FIELD INSPECTION REPORT DATX COMMENTS .gyp v ()V '� FOUNDATION(IST) �+ ------------------------------------ FOUNDATION(2ND) C z 0 0 0 oe t y ROUGH FRAMING& ` y PLUMBING ' � x r r INSULATION PER N.Y. ± "� STATE ENERGY CODE Gam' FINAL ADDITIONAL COMMENTS a on m c I � o C4 z x r� x d m b H O cJ� tJ�t.J�[1E1[1[J�[J'� C.l[J�[1[J�C J�[J'CJ�C.nC1Cn[J'[.n[1C1�CJ�[.f[J� [1GlCf� Cf� C1C1@3 rL3 I 0 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 5 5 SUpon the application of upon premises owned by 5 5 5 SQ.C. ELECTRIC INC. JAMES WOLBURT 5 5 LAUREL, NY 11948-0518, MATTIT CK, NY 1R 9522 5 5 5 Located at 1480 WESTMILL ROAD MATTITUCK, NY 11952 5 5 5 5 Application Number: 1052072 Certificate Number: 1052072 5 5 5 5 Section: Block: Lot: Building Permit: BDC: NS11 5 5 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring,described below, located in/on the premises at: 5 Basement,First Floor,Second Floor,Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5 5 found to be in compliance therewith on the 5th Day of May,2003. 5 5 5 Name QTY Rate Rating Circuit Type C,SJ Alarm and Emergency Equipment Sensor 2 0 Carbon Monoxide 5 5 Sensor 4 0 Smoke 5 5 Appliances and Accessories 5 5 Exhaust Fan 3 0 F.H.P. 5 5 Dish Washer 1 0 1.2 KW 5 5 Oven 2 0 7.4 KW 5 rj Panels 5 5 1 100 12 S 5 5 Wiring and Devices [5, Receptacle 49 0 General Purpose 5 5 Switch 42 0 General Purpose 5 Fixture 39 0 Incandescent 5 5 Dimmers 19 0 5 Cj Paddle Fan 4 0 5 5 Receptacle 1 0 20 amp Laundry 5 Receptacle 3 0 30 amp Dryer seal C5 5 Fixture 8 0 Fluorescent CJ 5 Continued on Next Page 1 of 2 5 5 5 This ertificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. 5 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE c 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET -- NEW YORK, NY 10038 5 CERTIFIES THAT 5 S 5 5 Upon the application of upon premises owned by 5 5 55 5 Q.C. ELECTRIC INC. JAMES WOLBURT 5 P.O. BOX 518 1480 WESTMILL ROAD 5 LAUREL, NY 11948-0518, MATTITUCK, NY 11952 c5 5 Located at 1480 WESTMILL ROAD MATTITUCK, NY 11952 5 5 5 Application Number: 1052072 Certificate Number: 1052072 5 5 5 5 Section: Block: Lot: Building Permit: BDC: NS11 c5 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of e electrical devices and wiring, described below, located in/on the premises at: 5 Basement,First Floor,Second Floor,Outside, 5 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was S 5 found to be in compliance therewith on the 5th Day of May,2003. 5 5 Name OTY Rate R atine Circuit Tune 55 5 5 Receptacle 12 0 GFCI 5 Service 5 5 1 Phase 3W Service Rating 200 Amperes 5 5 Service Disconnect: 1 200 cb 5 Meters: 1 5 S 5 5 5 S 5 5 5 S 5 5 5 5 5 5 5 5 Seal 5 S S 5 2 of 2 S 5 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 Town Hall Annex ~O l� Telephone(631)7654$02 54375 Main Road Fax(631).765-95-02 P.O.Box 1179 G Q Southold,New York 11971-0959 ;4*3' �O BUILDING DEPARTMENT APR 17 2014 TOWN OF SOUTHOLD 6 T. T ' (i) CERTIFICATION Date: Building Permit No. 3933(,o Owner: + , —wb tq WO L's 7— (Please print) Plumber: C � g�hy (Please print) I certify that the solder used in the water supply system contains less.than 2/10 d-f 1%. lead. r (Plumbers Sigtiat Sworn to before me this�= day of 20 Notary Public, County Eve L.GAU-SCHWAMBORN NOTARY PUBLIC,STATE OF NEW YORK Registration No.OIGA6274028 Qualified in Suffolk County Commission Expires Dec.24,2016 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying' TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO.Z�o T Check Septic Form N.Y.S.D.E.C. Trustees Examined ! Z 20 6L Contact. Approved Z 4' 20 02-- Mail to:,&7,4 a tz Se K W a7> Disapproved a/c o• r3 OX 9 33 C o c.✓�- N J Phone: / ng APPLICATION FOR BUILDING PERMIT �5 � _ Date JAri,,a,.� �� , 20 02 I BLDG.D::PT NSTRUCTIONS Tf . rill 1J c��1TF1() a. s app c e completely filled in by typewriter or in ink and submitted 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 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 a Certificate of Occupanc. is issued 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 building for necessary inspections.' - h (Signature of applicant or name,if a corporation) ea• t3 ox 9'33 Cv-sGuyG✓t- (Mailing address of applicant) State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician,plumber or.builder /-i rGti �•-C�.cr-� Name of owner of premises j,A c s A^4cv L ✓l-q w o 4-1 3-jv-eL—r (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: j y eti wes-r AUAO d I 771 lG House Number Street Hamlet County Tax Map No. 1000 Section I WO Block /O Lot Subdivision Filed Map No. Lot (Name) 2 SState existing use and.occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S s LX- SAM L7 j14 �'�°-e^' �► b. Intended use and occupancy Ste^-Le- 3. Nature of work.(check which applicable):New Building Addition Alteration x Repair Removal Demolition Other Work (Description) 4. Estimated Cost 7 Si o O 0 Fee x (to be paid on filing this application) 5. If dwelling, number of dwelling units_L_Number of dwelling units on each floor If garage, number of cars AIOA116� 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of a(istin structures,if any: Front Rear Depth Height___2 a t Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height N mber of Stories _ 8. Dimensions of entire new construction: Front R __f Depth Height Number of Stories 9. Size of lot: Front SZe. `r`'�vek�az 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: 13. Will lot be re-graded /I I Will excess fill be removed.from premises: YES 14. Names of Owner of premises��^`" w o4�ti� Address/14 r0 W phone No. 'L 9 8 S Y�-- Name.of Architect/ji An K Se h Address a o X 9 -j :) Phone No i r Name of Contractor Address c"°` 's "` Phone No: 15. Is this property within 100 feet of a tidal wetland? *YES_ . NO • IF YES, SOUTHOLD TOWN TRUSTEES 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. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of indi ' ual signing contract)above named, (S)He is the (Contractor,Agen orporate 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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn o b� me -W�y of OO Notary Public Signature of licant HELENE D.HORNE Notary Public,State of New York No.4951364 Qualified in Suffolk Courrt lommission Expires May 22, °BOO pF SO!/ryol � o Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G Telephone(631)765-1802 Southold,New York 11971-0959 �O I0UNV,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD May 31 st, 2006 James Wolbert P.O. Box 558 Mattituck,N.Y. 11952 RE: 1480 Mill Rd. SCTM# 106 0010 002.002 Dear Mr.Wolbert, Please be advised that your Building Permit#28048 issued Jan. 29th, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$843.30 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. pF SOUryol 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1179 G Q Telephone(631)765-1802 Southold,New York 11971-0959 �yCOUNT`I BUILDING DEPARTMENT TOWN OF SOUTHOLD August 23rd, 2006 Howard Wolbert P.O. Box 280 Mattituck,N.Y. 11952 RE: 1590 Mill Rd. (Accessory Storage Shed) SCTM: 106 10 2 1 Dear Mr. Wolbert Please be advised that your Building Permit#29035 issued December 23`d, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of$81.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. pF SOUjyolo Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1 179 G • Q Telephone(631)765-1802 Southold,New York 11971-0959 �yCOUNTY,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD March 19th, 2007 Howard Wolbert P.O. Box 280 Mattituck, N.Y. 11952 2"NOTICE RE: 1590 Mill Rd. (accessory storage shed) SCTM: 106 10 2 1 Dear Mr. Wolbert, Please be advised that your Building Permit#29035 issued December 23rd, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$81.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. pF SOUlyolo Town Hall Annex Telephone(631) 7655-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G �Q Southold,NY 11971-0959 CUUNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD August 12th, 2009 FIRST NOTICE James & Linda Wolbert P.O. Box 558 Mattituck, N.Y. 11952 RE: 1480 Mill Road (Additions/Alterations) SCTM: # 1000-106.-10-2.2 Dear Mr. & Mrs. Wolbert, Please be advised that your Building Permit # 32878 issued April 4th, 2007 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit please submit a fee of $843.30; at that time we can Schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT O Southold Town Building Department M 54375 Main Road Permit#: 34953 : Southold,New York 11971 Permit Date: 8/25/2009 �► VF ? (631) 765-1802 1 ,ti Expiration Date: 2/25/2011 Parcel ID: 106.40-2.2 BUILDING PERMIT RENEWAL LETTER Dated: 10/4/2011 Applicant: JAMES & LINDA WOLBERT Location: 1480 MILL ROAD MATTITUCK Work Description: RESIDENTIAL ADDITION ADDITIONS &ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. A FEE OF $421.65 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: JAMES & LINDA WOLBERT Address: P.O. BOX 558 MATTITUCK,N.Y. 11952 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department "n 54375 Main Road Permit#: 34953 Southold,New York 11971 Permit Date: 8/25/2009 (631)765-1802 Expiration Date: 2/25/2011 Parcel ID: 106.40-2.2 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 2/1/2012 Applicant: JAMES & LINDA WOLBERT Location: 1480 MILL ROAD MATTITUCK Work Description: RESIDENTIAL ADDITION ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. A FEE OF $421.65 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: JAMES & LINDA WOLBERT Address: P.O. BOX 558 MATTITUCK, N.Y. 11952 The permit listed above has expired. Please contact our office as soon as possible to. begin the renewal process. All work on the project must stop on the expiration date. 7010 0290 0002 8966 6130 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department P.O. Box 1179 Permit#: 34953 54375 Main Road Southold,New York 11971 Permit Date: 8/25/2009 ? (631) 765-1802 Expiration Date: 2/25/2011 Parcel ID: 106.40-2.2 Dated: 4/18/2012 Applicant: JAMES & LINDA WOLBERT Location: 1480 MILL ROAD MATTITUCK Work Description: RESIDENTIAL ADDITION ADDITIONS &ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. Owner: JAMES & LINDA WOLBERT Address: P.O. BOX 558 MATTITUCK,NY 11952 Your BUILDING PERMIT #34953 has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of Southold in the amount of$421.65 to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, 7klw�/- r Michael Verity: Chief Building Inspector Southold Building Department cc: Damon Rallis Zoning Inspector U.S. Postal Service CERTIFIED MAIL,. RECEIPT ❑ (Domestic Mail Only, Provided) M For delivery information visit our website at www.usps.com, ME ra �n -� I O� 43 cac l I ru atmadc O Return Re Here C3 (Endorsement y Restricted De Q (Endorsement RJ Total Postage&Fees O O Sent To street,apt. o.; o -------------------- r% --PO Sox No. V-0: __��5� City,SVtet ZIP+4 PS Form 1 S� 3800.August 2006 See Reverse for Inst cOMPLETE THIS SECTION • • ON ■ Complete items 1,2,and 3.Also complete A. 1'. re item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse X addressee so that we can return the card to you. B. Received by(PA Name) C. Dr of Delivery ■ Attach this card to the back of the mailpiece, �/�L or on the front if space permits. l 1. Article addressed to: D. Is delivery address different from item t 13 yes 3 X953 If YES,enter delivery address below: P No P� • n-�x 5�g 3. Service Type k) ❑Certified Mail ❑B(p ess Bail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. ResMcted Delivery?(Extra Fee) ❑Yes 2. Article Number (1-misferfromservke?abo -7olo 0.2°10 000a 9964:� 5LI78 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-W 1 TOWN OF SOUTHOW PROPERTY tWORD CARD OWNER STREET VILLAGE DIST. i SUB. LOT FORMER OWNER N E ACR. h4, weG z-:—e 7 1 e w � 4 lot,_�� S W TYPE OF BUILDING J MES oZ�� 'E_ a.r/ '' /'? L� oA / S> GtJo Ti' r ZES. : SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS /a f � f 7< S r0 //.L Q M W4 �' 6 W e l-1�L �j°-tL.. %1/ 0;0 0.,6, �'' u✓ o o u r I 1� SaLb 'K(1001 J W - �Vsf /�' RU Oo!° F' G°Z XVIF7 YZ.t.I b cat'o (A.1 L. Imo: L-946 2e 1�� 2-7a rr,-c,) 9 u Y1919) SR e c l s.zip, 40 - con r. 46ove q ro Poe 1 w de ..k - 3 oca L —1n/� d is o� - Laos ► - beyt jb 00)b - Fillabie Voodland FRONTAGE ON ROAD '7 7, -2 eoL Aeadowkind 9EPT-i I louse Plat BULKHEAD 'otal 1 COLOR TRIM GNI. •''' ✓ tier ✓y I--L- -. .L�L L_l __1 _ -_1 J - 1 T __f _ l -1 --F-FT 1-. _L t_ l 1 - l__ �_ I l 11 I_) _ _� -1__T 1 �_I L �_.1 _1..1__�_ _�..._ _1-_IL _� 11_T_T-L_J_-��� 1 1 1 I_ ! l I i 7 TTT_-_1--1�1_-L_ T--1 I 1 ! I ! - -_ _I �_ �_��TT I i 1 ! 2 i 17- TT-TT ir 21 'Y L_ I __ I_ _L I__I_ I TT I M. Bldg. <2- p ,�'� _ __ - - _ __ __ I—L�__1_ _ _1—i - -_L� .I l 1 1 1 1 1 ► ! ' 1 1 1 1 -T-17-1—FT F..to..... I I ! i_TT1_�_J i 1 1 L t'. L___1_ l I I I 11 ! ! I__-I_T T _11 T1T Extension I I I I �i�. ft . h Dinette Both / (Foundation TC�—� I � /,y Porch - I ( (Basement I �� �/ (Floors ------L7�- LK. , ". I ,� z yU v W alls t�)- Interior Finish LR. Porc t�. 1� ° '' J I Z I G lExt. - --- I f --L-- Breezeway Fire Place Heat DR. Garage I :? ' <> 1 Z A� I �• I f Z9�?'(Type Roof 1_ Rooms 1st Floor BR. , dl - 1 _._ . Patio Recreation Room Rooms 2nd Floor FtN. B I ___-__ __ - 1_ _ __ _- _-1 _ _ _ �T_____ O. B. `°o �e t� (Dormer I I Driveway r Total SITZ Agr=A 241 'T 27. .f SP ext sr Al b CO VE0,1" W PRAPosen FzvTpW -r t, 2440. o Q -row couEA+Cve. 467-7.o = t9•??'°�01� 3 t t v sr use's inked m�. m 14. WO�.gEk�T � .seal&a f not fug ounAie-e"" > ``\, tx L L wild trees copy. Wcrtee hesx n r! 81, c Y1a person for verses flo ru. r .� . F Ext,end on his be�sl-:,I t S.70 39 0 E. �'-s 232.96 -����>�r►m�n i N e IV, .TAeJi< 6AfdAj- ,-.r4 2U 1; 5 Ll{ e1C; `Z Fr)OLEou.p coni . t ' :kc I o ors ct � t=ENGFD �� 0' 1 LUS Y) oy h�'��:r ` J Ld SC�3r , i i o t♦ a pia J2233 AL E. 5C)—1 01W He S £. M F DATA,_1COJ -K?`2.2 Av ° yVi Vii; r' SL7f2\/E�`t'�G' AML s,t_>L-:; )- AJ6,I? (gFS-;WQV,4 59?2 MA 0 GUTA EA N TEED �:0 iAQUeeQGi JE A��7 f?.ACT TO , SUS=FOLtG COiJN_TY I�IATtQNJAL P,At�itG ANC To ! f - ----- _ } r CBE-2_71 ' E C'V,N-E , AS 50r.-VEY EC NOV. 4l 19�. E At AT SURVEY OF PROPERI Y SITUATE: MATTITUCK N Tom: SOUTHOLD COL� COMM ' W ` � E SURVEYED 05-06-02 FOUNDATION LOG. 05-30-02, 06-19-02 ]B%YVn*ew Avenue SUFFOLK GOUNTY TAX # 1000-106-10-2.2 GERTIFIED TO: LINDA NOLBERT OO JAMES WOLBERT d CRY yO``iar fan 7 a W 6 w 490�.9 Ig Or � ° ert 0o, (f fOr'm h• ' mgt erg °/bert CO ze. 4 � 232'0.-' RrSE�r N y Q'�ey Q k eUse F p' s., a e 0 M " Fa GQrQ4� O� o Q tiGoncrete ` �• 0�J iv Foundation iv N � ry 3v, f O 30, e O,7. /q. '" a�Q) i j N X4'3 "W A �AL,L 1�� a � � �' • O, •• fe Fe p 0.5's 0.7n fe Cs wood — O.b'n/ fence ^'A �O�Tw x /rQI/, M7 fe 0.6's NOTES: Land now or former)y of eiF NEB VlwHnr'ized alteroC"nn a addition tc o sU.,ey ■ MONUMENT FOUND 6obrie l L. Darin $'C' `O� dab°�I I ���...I i e tb.a rpt State Erircatwn la+• CIO 1O .aly�wiee iron tb arlg.n i mie�.>..°y TOWN ZONE R - 80 aid * mQ ed M a g:,al ai�e and e�,e a PRE EXISTING NON CONFORMING a= ,d��e e 'LertHirstions Yldtated Hereon eiyify tint INe AREA = 24,728 SF OR 0.57 ACRES ^ Q f I— „, tlry Lode cI Practice fa Lmtl 5�,.�s adopbd �i`• �O '�l.md't°e5vvafr5. SaidHiwone slioll nm oMy tc tM person for.Inrn H.e ewey Is ppo-Id. 50202 PJ ob an�h tslnH�tb tale�a�a. ga.,er,.nan- EXISTING HOUSE DECK AND POOL 2,658 S.F. aiayery sdtg.°""`� H ed °`°an. EXISTING GARAGE 131 S.F. �weaes�ee,aiwe � �tian �iwa- t:a,b or°,c[Vmsierotle fc odWdrwnl in[iiution, PROPOSED ADDITIONS 931 S.F. TOTAL COVERAGE 4606 5.F. OR 19 T.8 � JOHN C. EHLERS LAND SURVEYOR GRAPHIC, SGALE I"= 30 6 EAST MAIN STREET N.Y.S.LIC.NO.550202 RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\02-158.pro OCCUPANCY OR APPROVEDASNOiED WITHOUT USE IS UNLAWFUL oA i-z ,o2 Rt Z+��� OF P. OF OCCUPANCY & w ED Sg3.3� BY TESTING i,t: „,,F COVERING NOTIFY BUILDING DEPARTMENT 766.1602 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: DO NOT PROCEED WITH 1. FOUNDATION - TWO FOR POURED CONCRETE FRAMING FRAMING UNTIL SURVEY 2 ROUGH - FRAMING A PLUMBING a INSULATION OF FOUNDATION LOCATION 4 FINAL • CONSTRUCTION MUST HAS BEEN APPROVED. PL UMBER CERT/F/CAT/ON ALL CONSTRUCTION S Au. MEEIt' ON LEAD CONTENT BEFORE THE REQUIREMENTS OF THE N.Y. CERTIFICATE OFO ANCY CODES. NOT RESPONSIBLE IEFOR, SOLDER USED IN WATER DESIGN OR CONSTRUCTION ERRORS PROVIDE SMOKE-DETECTING SUPPLYSYSTEM CANNOT ALARM DEVICES EXCEED 2110 of 1% LEAD. '• AS M r:'a:T. 721.1 PROVIDE OPENINGS FOR Pl.Y.S �,L,;1PUCCODE. EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF If copper tubing is used N.Y. STATE BUILDING CODE. UNDER`NPIT" i,ATE for Water distributing AIL system; Piping , 9 shal, be j Of types K or L only \, UNDERWRITERS CERTIFICATE REQUIRED PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING DEVICES AS TO PART. 902.6(K) N.Y. STATE BUILDING CODE. -- �" C, I .8- 61,- I (FkiTrs9� Dfro - -.. . 1 121raG 2 e-, t ShFRIUY GKGV1zUoru(�r"flI""•)T A �'nH sN HCAt� Exi d $[-,- VA! 1 � k _4 0,110 e llo� � •� � �._ - -_ I 1 � � �� 117 L AlI4�%i Jdl S'r5 DOG .-,JuiSf�- of C' — — \ "•A. . , £`pC.�i�f u 'f+ft _ vArC. £A'? Gm,✓L I D n EiLOC. u ----- "-.__..-"-' -- - -- - - --- -N d� -Z_ZK Pi �I 1 ee , 1 (C RtTitk4 DINb.N Sian) 1 1 � /rCe7n(G, SL•1Fr A6+VE- / -1" rL,�Q �- `�� __- , JAW 16 2J�o2 y..l/Q.I� ? i�T ?`f(JUs I r,.�yEn - / o�� MIL� iZO�kr.� ----- I ; i N +1s2� rt3Q ( X33 _N1it11�?lz� rii�y✓ Yoiek- ! T S l • 3 1 - 12 C?pf�( l.Ivf� 4-f �rTcH J Ae I lfx. 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