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Home My WebLink About37849-Z sUFFBI/( Town of Southold Annex 5/7/2013 P.O.Box 1179 x1OF so�j y � 54375 Main Road ,`O� y�lO nnex Telephone(631)765-1802 �yx Road Southold,New York 1 9�t Fax(631)765-9502 �1O $x 1179 G Souuth0 NY 11971-0959 i� �DUNTY,� CERTIFICA CCUPANCY BUILDING DEPARTMENT No: 36227 TOWN OF SOUTHOLD 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. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/4/2013 pursuant to which Building Permit No. 37849 dated 3/6/2013 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: "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 Auth Signa re o�s�Fw�,��o TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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 Date: 3/6/2013 Permission is hereby granted to: Klipp, Judith � 10945 Sound Ave Mattituck, NY 11952 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 3/4/2013 and approved by the Building Inspector. To expire on 915/2014. Fees: CO -ADDITION TO DWELLING $50.00 AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $800.00 Total: $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: 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. New Construction: 11 Old or Pre-existing Building: (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section f Block Lot I Subdivision Filed Map. Lot: Permit No. 377 5 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) " Fee Submitted: $ U (� L O- �E) icL pplicant Signature - � o ��y�OUMY,N� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO [ ] FOUNDATION 1ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 'A/0 DATE INSPECTOR - FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) L� ---- - �..----------------- FOUNDATION(2ND) n G rA C� ROUGH FRAAnNCy& y PLUMING . Cq INSULATION PER N.Y. STATE ENERGY CODE . 60 FINAL , ADDITIONAL COMMENTS `O . O C� - a 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 b.. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 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 construction: Front 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 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. 15 Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO )F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO],�— 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 NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK CON t BUNCH Notary Publl icic,State of New York SS: No.01 BU6185050 COUNTY OF ) ouaiified in Suffolk County Commission Expires April 14,2..SQUL being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above 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 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. S orn to before me thi day of 20 Notary Public Signature of Applicant 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 Z4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form Contact: Approved 20� Mail to: Disapproved a/c ll Phone: Expiration 5/ ,20 * (� 1= Et Building Inspector MAR 4 2013 ICATION FOR BUILDING PERMIT Date 9 S 13 , 20 BLDG. DEPT. INSTRUCTIONS TOINN OF SOUTHOLD 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 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 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. (S Qnature of applicant or nam4 Vif a corporation) AJ 6Y, ^7b a (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises J U (As on the tax rM 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. 1. Location off d on ich pro osed w k will be done: 060s� ��C iU 5 Hou eNumber Street ` Hamlet ryounty Tax Map No. 1000 Section t— Block Lot l SOUryo�o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 CO �Q BUILDING DEPARTMENT �l ° TOWN OF SOUTHOLD . April 22, 2013 4 Judith Klipp D . q 10945 Sound Ave Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The Follo 'ng Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: 7Appllcatlon 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 now or formerly P.grippa 0 40 ' N 86053110"E 100.00' SCTM# 1000 -141 -3 -1.1 AREA= 36,199 Sq.ft. 0.83 Acres. M =concrete monument found 19 =pipe found N F', N vo W N O � frame Gil chain link shed O fence N 8.3' 37.2' o o �o 0 0 (o Sr 3 4'x4' SS K frame h d 13'w 1.8'e pickettfence 4.8' 0.8'w 2.4'e x platform 117' stockade fence deck •7'w x X I 12.3' I x frame a 1 frame .6 shed N " x shed d m wood deck 120 N ° s.a' ' 0.8'a.g. A ° • � ° � I N concrete P'� Pickett fence Iy TaT _ S 0.3'w rdeck n 15,3' stockade fence ,.' 0.1'w N ee.a �} x�D 2.a'. I '2.a' 2 story frame house ` x 2.9 e o &garage C 1 W I ' W i. x Pickett fence 36.7 23.4' 35.6' N roof over— open porch � a — J ( stone driveway I s 10001 +/- o S 83°37'30" W 120.00' u/pole SO UND A VEIVUE ��°� o�N GRL 0 Lg UNAUMOR4EOLLlEMTroNORMORbNT°n699URYEY aC/a(1{�Ay BiAN01ATRN1 OF BFmI0NT3D90F NEW YORKmAIEGW .7V7�iT' COPIF90F1HI9 SUfiVEY NAP NOT BEARMOTNElMTl9URVEYOR9• WNEO 6ELLOR ENa039EoeFI1614LLLNOTSECONSmEfe:OTOBE At10 COPY.EUAMNTEFa 00.CERlUIGTNINa WOIGTEB HEREON 51 NLL RUN ONLY T°T@ PER90.V FOR YMOM T2 9U RVEY L9 PREPMEO ANooH M TOTNETnIEwuPANr,croslwuENruacENm 0 TRUIION l491E0IhAE0N,A1at TOTNEA99NiHEE9 _•.1 T�W„�R� �� OPINELOMWO W411MON OUARANIEE9ORCERTIFIGnON9ARE NOTTMN ERABLEro AaBRN1NAL BIeiIlU110H90ReUB9EOUEM owNERa.amERc"ou"°mwr�au+o POLE LounoNanRe xor JOHN GALLACHER °UIIWVTEE°.EM99"IXI9AN60RsuasuRFALEaTRUONPfB REcwnFOORIRmE ARE Nm CAINiANTEEOu.P...PImleuLr EYIBEN+°N,„EPRE,.9�„*TMErIRE°F*�aNRYEr•TMEBFTEET LAND SURVEYOR OIYEN9N)Na"ovm xeREONFRounreamumuREsrorNEPROPERrr - LWFSAPEFORAePECF1CRIR]09EANBU9ET10R MWAM% 59 FLORENCE DRIVE IXfFNOEOTOOVOETI@ERFL•RONOF fEN 4$RETABiWO WALLA, viola,PAnos,wvFn"o ARc�s.AoortaNa ro ou¢nwo9 um oTxm "^v°n°""°BER��nBN�"A°ENTB"E°°E"EBR MANORVILLE N.Y.11949 SURVEYED: OCTOBER 24 2011 PROPERTY,na:IBGnONe OP FA9ENEMB OR RtON1a00.WAY 0p aROARE aNOYM NERaoN orarwwnEs of rle BA9iRuuErTla r (631)-874-0400 F"Ea°ewnvmEoroTHE aum.PnmR ca — -- - - - DATE �(3 B.P. - DPI 12" 'X!Zp FEE:�� ?` BY %� ;� .' AN OR Foar�NG<CWP.) NOTIFY ffi1 . . it?,G DEPARTMENT AT 765-1802 i%,i TO 4 PM .FOR THE UNLAWFUL FOLLONJIl,:`' %SPECTIONS: y 44 1. FOUND/ )N - TVVO REQUIRED p�T CERTIFICATE FOR PG r r; I ONCRETE 2. ROUGH PLUMBING, 3 ..+i a (o.)c!o_PoSi_5 ✓_ _"_.-� STRAPPING = ECTRICAL&CAULKING _ 3. INSULATION --C�YP) �: � — 4. FINAL-CONS RUCTION &ELECTRICAL �Q -- MUST BE COMP E FOR 2x4 RktL C 0. - I . DN _ ALL CONSTRUCT "' +-;°-E-TTHE- d REQUIREMENTS O o+ x�n YORK STATE . NO i d' DESIGN OR CONSTRL,C' JN aEL.K - :�9. j:_'_ `�7r�7r a.. /;7':z� t.`''' .r..*;�, f> _. -:} ;. • - jam `,-__ - ,. : c 4 '� f - f - I NAILIN 12' o'' . � OF NEiy \ g�� DFF,Q� LLJ 072 SCALE:/ DRAWN-,BY. .. I ��_ ^ O,I APPROVED BY ' ECK- - - DATE. _ N.o1-k_ dDE --- 10 9 Sou ndD..A.U' - d�t'�''T 6'E'� t< DRAWING NUMBER 1PTEL.EWrEPOST 18AB-08 —11 x 17