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HomeMy WebLinkAbout40074-Z Town of Southold 1/5/2016 P.O. Box 1179 53095 Main Rd OSouthold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38021 Date: 1/5/2016 THIS CERTIFIES that the building ALTERATION Location of Property: 3170 Wickham Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 107.-9-26.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore Med in this office dated 8/27/2015 pursuant to which Building Permit No. 40074 dated 9/10/2015 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: INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Kelly,Francis&Kelly, Suzanne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40074 12-29-2015 PLUMBERS CERTIFICATION DATED 12-21-2015 , Edward Ma on c • t riz Signa re ,-- �� TOWN OF SOUTHOLD '0COGy, BUILDING DEPARTMENT TOWN CLERK'S OFFICE � � SOUTHOLD, NY poi * Sao? 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#: 40074 Date: 9/10/2015 Permission is hereby granted to: Kelly, Francis & Kelly, Suzanne 3170 Wickham Ave Mattituck, NY 11952 To: construct interior alterations as applied for At premises located at: 3170 Wickham Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 107.-9-26.6 Pursuant to application dated 8/27/2015 and approved by the Building Inspector. To expire on 3/11/2017. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 1: $250.00 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: 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$15.00 Date. ff`X7- /S New Construction: Old or Pre-existing Building: r/ (check one) Location of Property: 31?0 tJ ICKHAM AVG IL1A-TTiTUCk House No. Street Hamlet Owner or Owners of Property: F rA N C i S )<. Ke I lj Suffolk County Tax Map No 1000,Section (.O 7 Block q Lot 9. 6 . (p Subdivision Filed Map. Lot: Permit No. 0 vri 7 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted:$ U • 00 Applicant Signature �,• 4N% Soij,j Town Hall Annex ��� ~O l0 : Telephone(631)765-1802 54375 Main Road i * � t Fax (631)765-9502 Po. Box 1179 ; G Q ` roger.richerttown.southold.ny.us Southold,NY 11971-0959 : xs •_ el I:COUN,� ,,." - -0' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Kelly Address: 3170 Wickham Avenue City: Mattituck St: New York Zip: 11952 Building Permit#. 40074 Section: 107 Block. 9 Lot: 26.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Home Owner DBA. License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 8 Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 2 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances DW Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 5 Twist Lock Exit Fixtures TVSS Other Equipment: 1- Exhaust Fan Notes: Inspector Signature: 1- Date: December 29, 2015 Electrical 81 Compliance Form.xls •••••01; SOFT70, -' Town Hall Annex rIt. lz Telephone(631)765-1802 54375 Main Road iv= � '':�r' ''•``' i Fax (631)765-9502 P.O Box 1179 G y � Q ,�� Southold,NY 11971-0959 �. ® 1� A- II .'CO)g ' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: /-2/02/i Building Permit No. gOO 7 4-2 Owner: FRAINci S (`- (Please prof) —P-lumber: 14/ 41 _ (Please print) / I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signatur,) Sworn to before me this /a day of ,40 • 'l Notary Public ' // LA County P FN STRAND NOTARY PUBLIC,State of New York N .01876001493 Qtt10 In Suffolk County Commission Expires January 12,20. 5(,25_______ , cic, 7 ,1 ,,ofSOUIo,;�, * 4) s co TOWN OF SOUTHOLD BUILDING DEPT.. 765-1802 INSPEC$ON [ ] FOUNDATION 1ST [ ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 4'4 1 _- / .) 0 4 1 si `... _ is .l_ - - MIII 10 Jr*, r 4. olp '�; - / DATE INSPECTOR &Ile 0 ,1SOV,1 lG_ TOWN- OF SOUTHOLD BUILDING DEPT: 765-1802 INSPECTION -- . [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION - [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION k ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE 21 /5 INSPECTOR c .ot, 07r � _pF S0(/ o_ ly 0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] UGH PLUMBING [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: XIO DATE O INSPECTOR ' ?A41 ��of SOp P(0° 40'4T #' - .„ P o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION • [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY—INSPECTION -- [ ] FIRE RESISTANT CONSTRUCTION• •[ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: did C O 0 7 ‘26e-`"--.7a9-1-4 DATE. I /v INSPECTOR ' rho,4�OF SOUry�lo,` ,'F '* /1 4 cc_ 4(P „,„ TOWN- OF•SOUTFIOLD BUILDING-DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY-INSPECTION - [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [,t ELECTRICAL (FINAL) [ ] CODE VIOLATION '[[]] CAULKING REMARKS: �- �� DATE / Zg 1 Sr INSPECTOR FIELD laisig r.)11'(I nEp9�`r per. CO �.� 1 FOUNDA ON(1ST) , 11111 Ii ta FOUNDATION(2ND) '. • .. . . •r---- . . sc . ' - - ' .tr-/e . J -2 ..‘,11_.-.1-1-' , 147 m4A {/ '`J`vo .-&114-y.* • o . / .19'Of:A-4'4- - dr*d--p• ' )-I ROUGH G& . ( - PLUMBING • • f • . • • I , • - • ' .. .. . .. . . Z. I • • INSULATION PER N.Y. .. .. . • . - STATE ENERGY CODE , .' . , . - . . _' . . - • , . • FINAL jT' • • .,., D 0,1) 50,664)-4100-4 cep ir3p MC •.-ri "` . �� � :� m - .. . • • __ _ . . . ti • 'q . • ... V r t + 0\) .2 • r r • , 4 . _ i* . 1 • _ -...... 2 - - ,. . .. 0• i C� r % 1ti 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 ••;i.'w.i-'lri i,':,i {�. 3 -''G.;c-). ✓4 sets,of Building Plans ' • TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 _ Survey . . ' . . ' SoutholdTown.NorthFork.net PERMIT NO. C \ Check _ , i. ' . , • Septic Form , N.Y.S.D.E.C. 1 ' Trustees ' C.O.Application ,� _� _-- � "tel la; ,`sem ' ' i Flood Permit-Examined ,20. l t Single&Separate qi c '- L - 'Storni-Water Assessment Form ' � � AUG 27 Contact: 5uz.Q,NN e Oy-s Approved ,20 , •4Ff c'�s t-c&l L't� • , iD'G DEPT — Disapproved a/c TOW1'; )f`'CI'P11101. 0 " Phone: 3.3'�' -aa s a 5.4-/,6 Expiration4_-- 20 - - / . ' ,1 Buildiri_I_ Spec'' I , _APPLICAT.ION FOR BUILDING PERMIT-• • ' • i.__ - - + . _- • Date , 20 0 INSTRUCTIONS . . - a. This application MUST be completely filled in by,typewriter,or.in•inik,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'Buitding'Inspector will'isstie a Building'Perinit to the applicant. Such a permit- shall be kept on the premises available for inspection throughout the;work. 0 , e. No building shalfbe occupied"dr'us`ed in Nkfiale•Oi iriipart for any purpose what'so ever until tli Building Inspector' issues a Certificate of Occupancy. . f. Every building permit.shall expire if the work authorized°.h'as 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 Inspectorlmay authorize,orize, 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,B.uilding;Deprartment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town,of Southold; Suffolk County,New York;and other.applica , ble.Law ,)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,shousing code,and regulations,and'to admit authorized inspectors on premises and in building for necessary inspections.' ' ' • (Signature of applic r or name,if a corporation) 3170 ( JiCkHAM AUe- MATiiT>xk., Nc4 II9s9 ._ "a ' , , 1,i, • r,(; , (Mailing,address of applicant). State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OWN E� 0 ti , - ` Name of owner of premises r- SAN CIS- X. KELLY, . , • - - ,. ' ` " • • -! :(Arron the tax`roll.or latest-deed) •-- . " If applicant is a corporation, signature of duly authorized officer • - (Name and title of corporate officer) r •i Builders License No. Li.Ga.°4 H Plumbers License No. 1613 MP , •, " . ,, ' ' • - •• Electricians License No; 18'1/7- C. -- 1 , ' ' Other Trade's License No. ; ! ''r' - . 1. Location of land on which proposed work will be,done: ,• • - 3170 (4)1C.0_1-1A '\ Avg MATT'AVE ' ,'.,-,..� , - House Number Street' ' Hamlet ,- y, • , ' -• • , y. F13Yw a ....1 Y.. OAFRT , - County Tax Map No. 1000 Section 1 007 ARoYw3Block7AtG.s ur;ucl Y51000 Lot' a(o. 6 .008LOCaWO;U.Cm Y$b1UOZ))IJO44U2 MI OB11IJ4C) ; S,OE;3IAU4 23Al9X3 41CtealfAMOO, Subdivision Filed Map No. Lot . • 2. State existing use arid'o&dpandy of premises and intended use and occupancy of proposed construction: a. Existinguse.and:BCcupancy,„ au)ti ERS iDeticee__ b. Intended use and ocCtaticy . • • ., • 3. Nature of work(check which applicable): New Building Addition Alteration V Repair Removal Demolition Other Work • ; (Description) 4. Estimated Costa6-001.0 Fee (To be paid ori filing this application) 5. If dwelling,number of dwelling units ' Number of dwelling units on each floor If garage, number of cars . ?itA g 6. If business', commercial or:miZeCt.occupancy, speciify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front a . Rear Depth Height Number of Stories Dimensions of same structure with alterations.or additions: Front Rear Depth Height •. '`."" • Number of Stories 8. Dimensions of entire new constructiOni Front ' ; -if a . Depth Height Number of Stories 9. Size of lot: Front . Rear A..f• ), 3 Depth 10. Date of Purchase. • - Owner •,;'1 _' 11. Zone'or use district in"Whi`ch Prais'e• sittiatee''''• t" s'i'' `• ' .- -• •- ; • 12. Does prop9sedc9r0r4ction,y119,1ate,any,zoninglapNiri ordinance 9r r9iWationit NO ,c, r,, 1:,: 13. Will lot be re-grAded? YES. . t.,N,0 ;. ,„Will exces,s till be rpnYP,dfrPtp:.PrcmisesZYES NO. Narnes..of Owner of premises , , ) ?.Address flniV. zi !Phone-No.. . . • Name of Architect ; tf lAddrest,• .r.h! Phone No,. Name of Contractor ' • '11 Addie ',,,-f ' 10.-Phone • • , • 15 a.'Is this Property"within-100.feet'ofa tidal wetland:or 'NO ' . * IF YES, SOUttIOL15 TOWI\ 1fRtATE88 & PMX4I+511'‘,TAI'I',11E-AtOtjtY.'' ..,• b. Is this propOrty within 300 feet of a tidalIkeilatid?;! yEs No * IF YES, D.E.C. PERMITS MAYBE-REQUIRED, ' "k1h..0 'n 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any p'oini on property is at 10 feet or below, must provide topographical data on suryey. 18. Are there any covenants and:restrittions.with respect to this property? * YES NO /— * IF YES, PROVIDE A COPY. , • . ,;t; . • 1 : , j STATE OF NEW YORK) • SS: COUNTY OFSV-Gl•K ) ENC1 X , •!•...15edtily;akoarin,doses and s .ythat(s)he is the applicant ' (Name of individual signing contract)above naMed,' )11? (S)He is the ctwe)1` •. .,'• _ (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform orhave 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 andi.beliand that-the work will be performed in the manner set forth in the application filed therewith. Sworn tc before me this , , „ 0,7 In day of Ai IA— 20 15 JmuyNotary Pvilie TRACEY L DWYER (Signature of Appl NOTARY PUBLIC,STATE OF NEW YORK \ NO,01DIN6306900 QUALIFIED IN SUFFOUC COUNTY COMMISSION EXPIRES JUNE 30,20/g Scott A. Russell .•t":,?'�j STORM[WA\1C'JER SUPERVISOR ' _ MANAG]EMJENT 2 z : SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTH OLD,NEW YORK 11971ys �`- �� Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK. SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑E A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. DEI B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑Q C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑© D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. �© E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑© F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes • in-kind replacement of impervious surfaces. * If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, - Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. * If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Agent.Contractor,Other) S C T"M WOO Date: District NAME. �' KCI KELd-y" 107 t AC-CD F"a7-15 Section Block Lot ii /` FOR BUILDING DEP.ARTMft NT 1_ r. ONLY Contact Information 5O ~��Q' 1J�1 jc71° 1Reviewed $y / �(/Y-677- t Date: U Q -6 7-15 Property Address / Location of Construct ion Work Approved for processing Building Permit +3170 1CKH/At4 AN F Stormwater Management Control Plan Not Required frifrrTT I l Uc.K / N 1 19S-9._ Stormwater Management Control Plan is Required (Forward to Engineering Department for Review) FORM SMCP- TOS MAY 201 oaf S01/jyo p� O Town Hall Annex Telephone(631)765-1802 ._,,,� —34376�1s� •..-.: �D (631 7��; roster. ;:4•.nv.us ,�. Scrd SEP 2 8 2015 - " ' BUILDING DEPARTMENT BLDG DEP( TOWN OF SOUTHOLD TO'VNf' So"n;r: . _ TION FOR ELECTRICAL INSPECTION REQUESTED BY: O l` e , w\i\eir Date: 01 I g Company Name: \ Name: License No.: Address: . Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: V.rar.\ *Address: 3k -in \t.lica m �j P.. C -F-� 1`�"r,r c k 1 Hs-a_ 'Cross Street Cr) 'Phone No.: • ! • • • - ‘Ssq I it.3c1\ a R L4 Permit No.: Q D Tax.Map District 1000 Section: Block: Lot `BRIEF DESCRIPTION OF WORK(Please Print Clearly) N.t.e,mok3. ALotczea Please Circle All That Apply) is job ready for inspection: OP NO -ough In • Final Do•you need a Temp Certificate: YES10)- 'imp information(If needed) �„ Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other New Service: Re-connect Underground Number of Meters Change of Service Overhead Ldditioonai information: PAYMENT DUE WITH APPLICATION Fs q° I ,(5k) gl 1,.,. . 3.'„----..,...74-.::: :';',..7-' •,:r1,7,-:,7-.ri7it,,'773477.7735.7774777-71:',V::'ff-tIVF• -,;::'-q1o4fp';77,';':74.!--,VNTlivli,',Z0,74,7,:c:.!:;..fr, :,.. ,y,,_'.7_7417E,(47-- '"t`,75:77r,,i57.7At-r,! ve...,,, ,....,. , ...., .., .1.,. i _ ,., .,,,,.i.s._, , . -.. .._ -,..,:•:.,:,,,„, , ..,,A:,:::4,,,if,,,:,..,„1„,.:::„:„:,,,,,a,„„,,,,.i:?, %,,.,,,,,,.4..... :., • .,-,:;•;_,f, ..- :J., ,- - , ,,,,:,,.,:;,,0•?,;,. ,,,,I..„.,*„...i,,,,7,,,,,r,,...- :„: ..,,.....14-,yu,,4,•.,_.„,.,„0, ..,.....:7„,;.,..-,,„,,4,,,l,,,,,s7,,,,..,,,, n,:,•• : -, "--: - -rrt - _ ,v,-L..z,«,--Afe.--W7:4"•%''', .., _ ', , ..,,.., ..,,,,,,,,,A;gfl'ib.•::.004',,4:A:',-...I., I:, .., . „,_i..,, - '--,':'''.:'''",,•••:: ;[-Iti,-;- :•':: :''''ILF.*,,,,' P• ...,...,,i,.; - . . . - :• OF: SOLITHOLDVPROPERTTRECORD:;14ARD:, 1 )i-'T-04:4',"-•:-;i'.ikilit5v,:..--'1 - ' ' -;-,:--.-34 .. '.;:: 1 -..,,y.,...:-.::-nv.,--,. ,,. ,,,,4::,..,..:,,,,,,,,c4,4.4,;•:!,t.,,._;/, OWNER - STREET , 27 ..:0 _ ; ; .-_,:.:p.11LLAGE:,` -• `;'1' 416717-. sub: - --- -:-.--•...f.,..,1-:41• Yi.p.;4-c10', .1.O:17'‘'.,e,--aft.•,:.,.M.:.'4? . k . . ,.. 4 1-4 ,',44 . KA • 1- 'Ni ..‘ , • ,----, , - An., :.Ail : •ii 51, /s- , ,..„,A,., ttiajc./ -..fry..aqa•iii6V17-_1-,- al...AMA A etffrAvAl6 .' :/1 A r ri r ye-il' r!.1,.;:y,.;: ... . .eff,-,. " - ;• ..i ‘,FORMER'OWNER a,-r,171..,••••F:clAtAiiiif- N E AtR-•,•.,,-`; '-.-..1. -i•-,-ft.. .- .itt',.3-1'.. iN,... .,•&nel tr gt, ca ,G. .„r4V-Mb ;,r-co-r ,,,,ii- :,',!, 1 :,- -., '' - -0.'511 S W TYPE OF BUILDING ' . . • .,..', ,;._,,..s.,-I. . s't..),L6Arkflotoesioc-- .„6,u.ve_ii , i • ,, ; .. :.,,: ._,,:,-.,-,,,, ." -,•,..1:f ) • „ , RES.4/6 SEAS. VL. .. FARM COMM. CB. MISC. Mkt. ValueY . 'LAND IMP. TOTAL DATE REMARKS- (3/3/28- I-65 Si) . 0 0 &40 0 0 i '- f '•"iti4.4 er a oed,',_,/ . . .. .. . . 174 0 '° 3 12-©2 i( --57/54;/7 '-4(0),;..t .illee:';',. :t6',A.T fl'S --PlAs?Ljee 4-0 Mee 4i6.4'Vd-c" ' 1.: i',t4kf(4;,-; _. • • ,:lvo:-.,!.v,,,,,y-•••,?.c, • .. ; 'V•61-1) . 4, $(_,0,0, ...._ ., ,?44)-e)-) /7 /e'f-- '1,'74' v" '''4'',:1"‘:.'i .(, ,, •' ", 7 '.' _4; .3'.‘'ar9-;i..i.ber 6,5e7(o K,9'DLAYil ee 4-L., FOM - La 444 00 „ l'3Vt.70 • 4.S.C<Y 414A4343 to'fr,t-r- Li toev isa ...er 36y,',- Dlayetti-6 Fet.,476---ts eR 1,0,4- 94 46," 11 2-00 5 1 00 2/L7493 402 -Lilt e-y 923 3 r2,2 - ,....,„,, c1 4.....1 .,:„‘..t e_et12_4.. ,C, 9.9 o 0 5 ... 313cycyD (CO D IT 19N/0/0/ 48A3, .14:kyyealf:1 c_tor y_e c..4 4 , . , • .:, bt.m 00• •RMAL 0 / 2 ALOW - OVE - , - ' : .•=7 , ; • • • - 3 ... - ----+ .... ., a . , . - _ . , , ,• , HO FARM, ' Acre Value Per Value . . . ‘_ Acre eiazieti- LA Oci3c1 pai-i'- uryee(gs4.) 4-0 PI'. Ra5cuL i\t -''..'. . , z , Tillable 1 , ei. /11/519‘/ - 11-)`!iLQo a 79 - c.n, s_ti- 44ff.I-' - --/ag°,)4 ,?A7:T.1.1t7S. Tillable 2 r>Ok )/ *1/0 3-Lla34:410(Pgq- Planatte) • &/-Adi,r-44a„ii-.4.6 i.•, ...::esi5i&:;?;:::' „ v Tillable 3 . qad -it _ 71//q10.171-- 1-ia33a9•8q3- Be neli'r.ovvr -1z) Gret. l'ano 4 Arr..- 3750 rib. .'.i, ./ 1 Woodland 145/06.- t-1.a, 7. 67-67 IA no ta-4.0 .qA1.tarh ,s485-oe:6-'. .w.,,, , 5, ,:',W 1 r '7:' .1.:Y ' i • Swampland • ' FRONTAGE ON WAT R ''' ' • • - • Brushland FRONTAGE ON .ROAD / 0 9 / OA/ (,) 4t ) /0 , • ,_ , i ., , House Plot ' , , DEPTH 2S , BULKHEAD Z/3/1/ PA 3(i9 I (05 -(i rac/itl!t • Pr kairtt. --'-' • % Total ..4. DOCK /2--ii.0//2--4-/27/Cf6- 8 . • it - am ko y-49WA ,_,..,.. ._...„ 0. ......: le, %awl /.4eri";€' , N ...."--...: •:L;.:',..;..i,., ---,..'-....-•••,•-''A._.,,...-7.-`...--7.1.t:1•. ', ,--'!--•:•,, .-..7.1-71-17 .:, ,..,• -• , .-..7..•7."..,7- .:•;, ________ _ •,i,. •1:r-t,r,-•..::- ' ••• . ' ••'• - • :-• ' ' ' '--,..•..',-•,,,,,•••';,,, ' ,,,:-.4'Trf,,,f 7,-:.;„:;,•',.,..'•.`,•:".;'',':•:••-••;;',',,:'-• . , , ,,-." . . ..;:41.T,.. ..:„.r..1 '" - s ' . -'• - \,.. • dire.,.... ir................ .- ..',,,i.‘;. :'i i " Y.1-,;.ii,:';-, Ys'2'4'.'---. -' i, -. "'''.,"., - '':.. - „ r„;.'-'9 ;:t, -e' .;:':^• -'•,••;','-A.!:--,1 ' , ':ri::.-:::':.!:,, :i.' :.1•,-,.',‘7'z .,-:-•1,`":.--•:•!...:;,_' .-!..,..., -- - - :- '''... • 'r- ' ,"•;,- -=:••.'-,,: . ":'-':/..t.:'::.:It'A._* • ' ••''' .;;;'••:;:.;',.4...-.-„:; .V;:,_,k,',3,E7,7 , - -•--. ' '- ' -' :;..!. .!..,:.,.,- 2,•,?.::`:', -•:,,,'•,-;'',..: I . I ,'•-', 1 •..T.'.;',..i•!.-..'N.;.-;.•-• .;,...,-...-.”..v.:-.1.,, --,. ,,,,-',.41r ., ,j.,.,..,A '• ' . , :'''!' ..,4 .,'t%,-:Ar' —.1ki; :,P'•••,,:'1...;-, .,..' A: • , ,, ;,',.;_ .,-.,,-,,- P-.•:.. ;•,•,•• :1 COLOR , , ., „2;,..-, - - , ,•?•,. 6..., ' !' H'';'.,'%' ,,,,.' ..,Z.-,' •.; ' ..;...f!:.474,-.'. ..' '''' :1'. ,. : ., ...:•',7(1...- :3:•::•-,. .-,,, ,o, ',.:', ..:', .- i CR04/1 i• k 2. F,-f i.,...:.!..;-:.:,.t;,:,,...-.:.:,....!;k:,._e',,,,gI,-•,X- ...t , gi rdii.m FiL,. .,,..,..Z_lt'if;- _ ',,.r•..'i,;i„'.'.'.'',,.-:, I.:.. 1' TRIM i I 1 ... —_ '' ,': :': - .‘%: ''.... 6•', .';;,'. ;:::"'' 3 pb,-<-3_f1 - .. " i I , 4 , / „... • - • .,... . '. 'i. .„'. I -5t3 -- 'fi-",-•'.1'• __-__;_-_...-..:-. -- e_. A . i I I‘ 1,la , , , , - • ,'••=110- ' •*be/ '-' ', .' ; _ ., ,. I ' r - 1 _ 1 7...knIntp,-,..„ , • .4-'.:c9, ,-.'4r4.1.-.-;‘ .•......... '. , , -s' • • i! :' ,e • ,- . . . . ... I , tv /3 Dec.,‹ ,/ . 2./93 , , .... -... . . .- ) .! /5. 1.54 ' •-,n ; ,...,•;,,,,,„ , .... .. IfIcA!:;;If3I'dg ' 77 a / Foundation C 0 A.f c_. . Bath .- Dinette 32- )(z $4 = 7 O r $.1 - 4‘ 0 0 3/ 7 6 )( -2 -, . ‘ .,.:. .,., , .. , EXtensidn, ..c. x. I 3 . .2.-4 Basement F a 4 1-- Floors . e? K /44- . -,.• ,-,•'.,....,;.?..,. ::-.. :::•,-,.. .....,,,I;.-A•'..,..• . /s4,, • --*.EkterisidrV'' t L L Ext Walls - Interior Finish LR. / • Sc c e?D 1•EiZtensibri-54 12. 20g o 6, - 2._Li „Fire Heat Place s..-..4_ DR. / , -,E3e.tcrti.c.,01,9 , 1Ccil'57--. .3.o S tacin., kacitaidtadC-' S ''.i'.,i..4'f,'.„;'4'-'7.'.••.•':.;: . / •i=:'-'-'..-:•!....i'l,'.. .):':',''i'S'.....-. . 4 - Type Roof _ Rooms 1st Floor BR. Z 1 / ,.eFi:-,.,.-.- • j. .-.1 * I [?ei. ,2• 1:,4‘,.''..:7; Recreation Room Rooms 2nd Floor FIN. B. : ..,'.,,-.4--.':'•••,e'-`1V,t4.1•.:: -,POI:Cli.. ...:1,,,','F.' ,.'; •,'L Dormer f -e'l-• / . ,:-. ....- ,..- ';...n7;'.-7.--•:;PJ,'..;• _. . . . is••'.--....'•--:...-,••:,--,,,,,,:-...,,, , Ct -r, Racy0/4 , • / 1 / , .•.:BeeeieVidy...-- ..,..• .':-..-K 2 do 2...s— 6o Driveway . ... .1 . .--..-.:•-.','..,),,...:-:,,,,i•-.',....,:‘,....t,,'/i;z1,,r.,i...x L.0 -: _ ,,. ,:-1_:-:=;',":•'...J-.g;'-.,:: ' 3, c, ioft/ 'K3tircig'e.----.7 -,,,-,=.,„n.,,„. _ / Lrff 1 1 • , `,Nifz :..,.(....:.'4A 2-it) , 3 1.4> r * ''''',.•;.,- ,., 3:U . — /7 : - .2_5 1-.e . . . . . • . . '...7i..7 ••? 0:•13':,-.•••;,•.7.-_,•., '.:•4 ••.-•..,,,ii.. . •,- , • • -.. ....4. • - 3 oo/1414 , ,;-,i_'-•-••••,:: :.:..::: ,, : . . .... , 111 / A -7 03 `Totpl,..•".:--.7-''.--r,'.•--,,..,---', ,.1.- 1.,.0., • .3--S-1-7 Ai-4'2. ,,z,. „....,. , ,,,,p•„.,...::?:.,:-!1,A;;;,.' , ,.., • $ 7/0* . . ' .2 , .. • •,% z- ••,•••,., . :," 1-...2••,,•.-F-5-v,• .!•;- -11: .?: i, .Y4°2;14( 9 _,.3 '-',..,.-:.:..•;;'•'-:-., .,--?/:*.,:_' ,.. -,,‘:,..,,,,....;.,,,,,.:_, . . ,. ..:.;:::::;,,,,,,:y.,4.... ,„ . ..-7,,... ,...,.: ,.... . ....,-,..,1,---..::- :,-...,_;,..,--....._ , , _ „,,........„, i..:44.pr.k.,.,- ,...,...2•.,i, -,!;,,,-f--',':!:,`,..--1.'..;;..; - . '.._..,....L ,, Z--'• - :Li:fii:iiiii6i:41L...iiif04:4a,AlkirV ..:1!;A-Dn , _ ..rt..4, a - ;:i; i - .---,--_—__.. -___„__,__ _,,,r7,:"a.— --'1N-••••-..0.z. t, r ', ' - Y- -1 -' 1 ".• • • I:it ,,,,-,.. . • TOWN OF SOUTHOLD 'PROPICRTY. _.RKORD CARD I t ad - 107- 1 - Z 4 —I ,. .,•4 OWNER STREET VILLAGE -, ' - ' '='' • DIST. SUB. LOT A.,w -4,6,-,:•-,i4; iy,f4,vii.„ W lajey.E' VIVF-- P /WSW / 11.4 /TAT") rtic.K FORMER OWNER N E , S W TYPE OF BUILDING • ,. RES. . SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS _ . 4_, 1332. 2-0() leVib , c,Trod))4>00 0 .h,y ee 71-6 2 F, L (0/ /6 e 1p' /06 / ///f/7f :.,.. .., : . - - _ . . . / . , .." • :, . . . . , . Tillable . FRONTAGE ON WATER ,. Woodland FRONTAGE ON ROAD 1/450 In. Meadowland ' . DEPTH /Do House Plot BULKHEAD .-, k Total . _ ,,.. ,, • i __ ,_.;' y aS a �c7v/%J•C/° • - •4 - - v�. �^V illioltN✓ .E[• Q• r 4• �.1^ Il 1t $ j• 1 t .1 t A.°,-,... Y �' , . .'47.4 OLOR r•;�. .- ,+ ^N _ 0 ,t TRIM I irarig f, i 4,,„II - ,„ r \ . 1 • � a:`-4-• 'ice s S•t • -, 'y-;.y.y ev ,3', ..ff,,*pr.� ",,.a--a._�41...7-,,r y` -mac 'x• "nom,' V. .. u+ 'J}.^'� .��r x• 3.1` '' =.'"'S�• - Y.,y..•>"- <'h - '-•+,� �,' a r '•"^ ;-,•_ '.k''' -,r1y` . .:G:y-?-;F,�L.^� 6: .",` w.�'.esY:4 r .CT ��;. .�w n o?... �,�.F 7.; :.•+:'•..:.....i �9 %pFSO I1J, Town Hall Annex ��� ~O l0 Telephone(631)765-1802 54375 Main Road % 4 Fax (631)765-9502 PO. Box 1179 ; G ,�� Southold,NY 11971-0959 : �` �� •� �l�C4UNT`(,� s'''� BUILDING DEPARTMENT TOWN OF SOUTHOLD December 14, 2015 Francis Kelly l/ 3170 Wickham Avenue Mattituck, New York 11952 TO WHOM IT MAY CONCERN: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. -r-A r iASpi“.-19-)'M )� -11/ A fee of$50.00. Final Survey with Health Department Approval. ( tubers Solder Certificate. (All permits involving plumbing after 411/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT: 40074-Z interior alterations • 30 0 30 .60 .90 fIIlIItT111. . I CRAPIUC.SCALE - FEET. MAP OF PROPERTY SITUATED AT MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY. N.Y. SCALE 1"=30' SURVEYED DY: LAND DESIGN ASSOCIATES, P.C. 91 GREEN Sr. / HUNTINGTON. N.Y. �� i`�� "s" PHONE (631) 549-4744 Q' 08 / uss FEBRUARY.24, 2003 Ash. . Zr• .4. /r 41 / T / • _ rp/, ?sW �„ / 'A \ 4": .? .15. ''. -,...: 7.1 # 0"1 N. N s� �•:'f/'i /' //, .. (co Qiyo .\ • //. /' N ....a...n v...,...e. SO O . OAJ*. rpl me........, SOK.•A MA.S..Ille.0,1.1 'el' w"'." ' CERTIFIED TO: W. CHARLES k BEVERLY J. BENDER 110 I,...•. j • .....:OP..PS..e.+....o- FIDELITY NATIONAL TITLE-RNERHEAD ' " 11 x.1.0.re,.}1 .orae.nw ALL TOWN MORTGAGE-$MRHTOWN • ..f wap m s,on. .1.00""i. • O.OW wnr.. ���� ......w io....w.n...r SUFFOLK COUNTY TAX MAI, DISTRICT 1000 NOTE: LOCATIONS AND EXISTENCE OF ANY SECTION 107 SUBSURFACE UTILITIES AND/OR STRUCTURES. BLOCK 09 • • NOT READILY VISIBLE. ARE NOT CERTIFIED. LOT 26.6 LOT AREA = 0.5165 AC. I C A ppvCD 9q NOTED COMPLY WITH ALL CODFS OF �– NEW YORK STATE & TOWN CODES xc Pe C EE: ' d �� B'P' AS REQUIRED ANS CONDITIONS OF POSePli PROFESSIONAL ENGINEER I EE: `� e--- ----4-- B)"(---0) - //��,Ri iO n TOW 7Q A SOUTHOLD,NY MOTIF BUILDING DEPARTMENT AT (631)7654954 '65-1802 8 AM TO 4 PM FOR THE G! - ; - :._,.p =OLLOWING INSPECTIONS' SOUI _U IUY117iRUSTEES I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE rvr. 2. ROUGH - FRAMING & PLUMBING — `REMOVES —sroCKI EX WALL FOR HEADER III 'z 3. INSULATInnI 4. FINAL CON �+UGT OId MUST U 0 — IIl' � z H 1 O REQUIREMENTS BE COMPLETE =0R CO ' "' 10' 4" �, ALL CONSTRU0116N SHALL MCC THE ;,,,),_ii.:, - w W C F THE CODES OF NEW c%1 [� YORK STATE. IBJ T RESPONSIBLE FOR c,..,ll LJ.1 • o .. caw min O DESIGN OR CO s..;TRUCTION ERRORS. . Lj,,, Z iWu EX. KITCHEN ›.- W R P ....::: EX. DINING ROOM J V M (ismx... W M... ... SISTER NEW Fl AS REQUIRED ill f III ill ,� OF NEty ` DRAWN BY: JF NEW ARCHWAY I 0+ �rt�SC yOiP 8/16/2015 O 4 ,,••• ..n . ,CALE: SEE PLAN 0c)Nt G /� P1;;;;i3:-, >; 4 ET NO: Li ^(' \) `��6S; `�` CJCiflLl 1/4" _ ��-��� `� NO 115251 , Nt vs'� o� P� ���� GHQ .. F vG - 0