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Home My WebLink About6234-zFORM NO. 4 TOWN OP SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C~RTIFICATE OF OCCUPANCY No Z-23950 Date OCTOBER 16, 1995 THIS CERTIFIES that the building Location of Property 450 MAPLE AVENUE House No. County Tax Map No. 1000 Section 107 Subdivision ACCESSORY MATTITUCK, N.Y. Street Hamlet Block 3 Lot 4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 9, 1972 pursuant to which Building Permit No. 6234-Z dated NOVE~R 9, 1972 was issued, and conforms to all of the requirements cf the applicable provisions of the law. The occupancy for which this certificate is issued is GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED EDWARD H. & sTELL~ B. McL~UG~LIN N/A H-047042 - sEpTEMBER 20, 1995 N/A Rev. 1/81 /JBu~lding 'Inspector FO~ NO. ~ 'rowN OF $OUT~4OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~. Y. BUILDING prERMIT (THIS PERMIT MUST BE KEPT ON THrE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6234 Z . Permission is hereby granted to: .... ~.7......~.~..l~a~..a~ .......................................... ........ ~a~:.Is]Lita..: ........................ :: ............. :. ~aiXa a~ attaehed sara$..e.....o.~..~..x~.i..~..g..~..w~.~.~.~ ........................................... at premises located at ........ ...~.~.~.-.~.~-'e'.-.~E'~'''''~'~'~'''~'''~'E'$' .................................................. Na~ti~ue~ ............... , ...... ~ .......................................................... pursuant to application dated:,. ...................... ~'~'~' ........ :~ .............. 19~.J~ .... and approved by the Building Inspector. ', ........ i ........ ' '"l~;ilding Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING TOWN HALL 765-!802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: t. 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 ~ater 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 Co~e Compliance from architect or engineer. responsible for the building. . 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prioc to April 9, [957) 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 a 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling S25.00, Alterations to d~elling $25.00, Swimming pool $25.OO~ Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $t00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificste of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00., Commercial $15.00 ./ ........................ New Construction ~ Old Or Pre existing Boildi6g... :ounty Tax Map No 1000, Section..~.~. ...... block .... Subdivision .......... .../ ...................... Filed ~iap ............ Lot ...................... UealLh Dept, Approval .......................... Unde~riters Approval 'ianning Board Approvoi ........................ ~equest for: ~emporary CertificaLe ........... Filutl CerticDLe .. .................... Tee S bml~ted. $ .. FORM NO. E TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~nstructions A, This application must be filled in typewriter OR ink, and submitted in duplicate to the Building inspec- tor with the following; for new buildings or new use: 1. Finat survey of propertv with accurate location of all buildings, property lines, streets, and unusual natural or topographic features, 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal), 3. Approval of eiectricai installation from Board of Fire Unde ,ryvriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Pianning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing ali property lines, s~reets, buildings and unusual natural or topographic fea~u res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ..... ~o.%er~o¢~. ~Lz. ~.gS. 2. ..... New Building ..... ~ ...... Old'or Pre-existing Building ............ Vacant Land'. ............ Location of ProperW .. ?~. p..Z.e..Ay.ep~.et . ?1~..~.~:..~.t~.k:. ~. ?..e~..Y.o.(~.; ........... House No. Street Hamlet Owner or Owners of Property . ,Ca~IQs .g~.~. County Tax Map No. 1000 Section ...].q~...0.q ...... Block ... g.a.-g9 ....... Lot.. 004.000 Subdivision ................................. Filed Map No; .......... Lot No .............. Permit No...8.0.];5. .... Date of Permit . 6./.2.~/.7.5...Applicant . .C~',t'gD..&..~.~.~e. jg .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval . i ...................... Planning Board Approval ...................... Request for Temporary Certificate .......... Final Certificate ....................... Fee Submitted $..s...qq ....................... Construction on above described building and permit mee~S~aP~l~li'c-'~re~.~%[~s a~ r~gj~.~J6ns. . ~/ App,cant .......... ~. '. ~~... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE PI~ OCCUPANCY ~nstructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the followin§; for new buildings or new use: 1. Finat survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features, 2. Fmai approval of Health Dept. of water supply and sewerage disDosa~--(S-9 form or equall. 3. Approval of electrical installation from Board of Fire Underwriters, 4. Commercial buildings, Industrial buildings, Multiple Residt~nces and similar buildings and instalia* tions, a certificate of Code compliance from the Architect"or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, ~reets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings'or premises, or other pertinent informa- tion required to prepare a certificate, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on preTexisting dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date . ?.o.~.. ,e~b..e.X .3_.,. ~.9.8.2 ......... New Building .... ~ ...... Old'or Pre-existing Building ............ Vacant Land'. ............ Location of Property . .tf~g],e..~...eqqe..,..]~..~.t~.',t_.L~..k~..~.c~-...~9.~.k ................................ House No, Street Hamlet Owner or Owners of Property . .C~los .~e, jQ ~,q. cl, ~4~.~..~j.o,. b.a.s .~..~,~.e ....................... County Tax Map No. 1000 Section ...~.qT.:qq ...... Block . 9.3 99 ......... Lot ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ..... 62,34.,. Date of Permit $~/..9.2.2. .... Applicant ...Oc~o..~.e.e. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate .... Final :ertificate ....................... Fee Submitted $..5...0.0 ....................... '. Construction on above described building and~~_~_~per 'Yr~ e a p ', a e o s d regulations. Rev. 10-10-78 FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) (address of owner or authonzed agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance .~A~,.-i~'..~J....../../.'..~...: .............. Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in thc ,~,~v/ ~*~"t~ ~;,~)~,~ (state character of violation) ................/.(!~.~?..,~/.~,,......q.::~.~'"' ................................................. ~,,,~.~,,/,~,~' ............ ."~.~.?'? ..... ~; e >~.-~"c~/'~'"';;'.~.,.~..""'"~":~"'"- ('t ~ ............................................ ....................... ~'~'""~' .................... .............. ~': .......... '! .......... zt~'~'~ ......... : .................................... (State section or paragraph of apphcable law, ordinance or real'lotion) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the ~ /' day of ........ ,~. ....................... .....................,~ ~ 19... The premises to which this ORDER TO REMEDY VIOLATION refers[L<C~t;e situdted at ..... ~,~ ~£ .............:...,..County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both, :Building I~spector TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. ORDER TO REMEDY VIOLATION TO ................ .......................... ?,¢. ................... (owner or authorized agent of owner) (address of owner or a~thorized agent of owner) PLEASE TAKE NOTICE there exists o violation of: Zoning Ordinance Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that ......... ,~¢ ................... .................................. : ....................... (state character of violation) ~O __F ~/ ....................... ........................... ~ ............................... _ /' . '~4 .¢~.~ (Stote section or poro~r~h o~ opplicoble Iow~ ordinonce or renu ~tion) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the da,, of ................................. The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ~"% ~ ~x~ //~[~ , /~-/~ Cou ~ty New York. ............ ~ .............. f ............................... :, ~.,..,, .... of Suffolk, ~f~/_> io'7- ;3-*/ Failure to remedy the conditions aforesoid and to comply ~ith the opplicabte provisions of law may constitute an offense punishable by fine or imprisonment or both. Building Ihspector THE NEW YORK BOARD OF FIRE UNDERWRITERS ~5~L~{3<') BUREAU OF ELECTRICIT'~ ~- 85 JOHN STREET, NEW YORK, NEW ~ORK 10038 .... ~ ~ ~r ', 20,'.~'.~r~ :[0:[~S9BI9~ ~ Date ~" *~ ~ '~ ~ Jpplicatlon No, on file THIS CE~IFIES THAT o~y the e~ trical equipment ~ ~scrib~ below and intr~uceeI by t~ applicant ~ed on the a~;e application number ;n the premises of in the following locutlon; ~ B~se~nt ~ 1st ~?. ~ 2nd FI, O[J~ : ,Section Bilk Lot SERVI~ DI~ONNECT ~. o~ S E ~ ~ V I C E ~ Per This e~ffko*~ mo~ nol be altered in ony monnou r~lorn ~o the offke of *h~ 8oord i~ ine~rr~cL Inspoc~Ors moy be idontifiod by *heir .COPY FOil BOlL[~ BI~ DE.?A~',~IV~£ q'~t T~418 COPY OF CE~T!~JCAT~NILIS'f~1NOT ~ &LT~ERED iN ANY ~ANNER. MAP OF' PROPEl: · SU ~k/EYt~ D FOP-- 'D~.CA~b05 AND MATT'ITL} OK ~U~FOL~C CO., SC^DE: VAN TUYL 4: SON ~, v....- n"..,..,.~ ' ..., ~- P R .O P E' P..;"F Y FO]~f NO, 1 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, No Y, ,o i.ed .... ................. . Approved t( ~( ~..2.. ........................................ , 19 ........ Pemit No... ..........-.....-.-... ...... Application No..~.. ........ ~ .................. ' Disapproved o/c ............................................................................................ · ............................... ............................... APPLICATION FOR BUILDING PERMIT Dote "~'~'~'zx~c-'"~ ........................ , ]9..~.~... 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 o[ public streets or areas, and giving a detailed description of layout of property must be drawn on 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, Suffo[l~ 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. (S~gnature of applicant, or name, If a corporatiog¢' (Address of applicant) . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,--plumber or builder~ .....................................~;~.~.,~;'~- ............................. ~.~.L~' ~'~L;~½,, ~,;~ Name of owner of premises ..... If applicant is a corporate, signature of duly authorized officer. ........ ..................... 1. Location of land on which proposed work will be done. Map No.: .................... Lot No .............................................. Street and Number ....~..~_,~.......,~ ........... ~/'"'"~'~'~,';'~"~'"'~'~i~i~ii~ .......... 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 ................. ,,r.,,,~,,~b..._~.,~4~.,;,~ ......... : .................................................... 3. Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration ............... Repair ......................... Removal ...... ................. . . Demolition ........................ Other Work .................................... (Description 4. Estimated Cost ...... , ~ ..... .....;; ........................ e .............................................................................. (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 ..... a~2. ......... ...~..~' ...... :~-. ';;'....~......~...~:?. ....................................................... 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. ......................................................... ber of Stones ............................................................................. 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 ............. ~ ......................... 4/ Depth "~ ~'~ Height .................................................... Number of Stories ............... 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 regraded ..................... 14. Name of Owner of premises ...... ,~.~.;:.2.. ......... (..~..~. ~: .~.;..~..~..~: ....... ..~.-,.,~_......~.. ........................ ...~....~...~..~..~....~..~..~... (~$dress) (Phone No.) Name of Architect .................................................................................................................................................... .... Name OT ~Jon~rac~or ............................................ ,~.~..~ ...... ; ...... ;; ........... ,~..;.....~..: ................................... , .............. ~'- 7 -~. /~ ~... {Address.~.~ ~' (Phone No.) PLOT 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 wheth- er interior or corner lot. STATE OF NEW Y~.. ~//~ ~,~/' ) COUNTY OF ~ ................... ) ~5' .......................................................................................................... being duly sworn, deposes and says that he is the applicant above named. (Name of individual signing contract) He is the ..................................... . ............................... ~ ~Cont~r, agent, corporate officer, etc. } f · . o H T o smd owner or owners, and ~s duly authorized to I~e~rt~Frn~i~i~ha~i ~ed the sa d work and to make and f e th s app cat on; that al ~tatements contained in this application are true to ~s~2t'~'l~'~. ,~.e~e, ~!:[ belief; and that the work will be performed in the manner set forth n the aoplication filed thereW;th ..... ,on Expir~ ~U~oll( Co~i; ~. ............... ........ dayo, ........ ........................ ;.. (SignatuPe~of al~plicant}