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HomeMy WebLinkAbout8038-zFOP/~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z--23513 Date MARCH 1, 1995 THIS CERTIFIES that the building DWELLING Location of Property 1975 CAPTAIN KIDD DRIVE House No. Street County Tax Map No. 1000 Section 106 Block 1 Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~3NE 30, 1975 .pursuant to which Building Permit No. 8038-Z dated JUNE 30, 1975 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 ONE FAMILY DWELLING WITH ATTACHED DECK (lst FLOOR ONLY)* The certificate is issued to JOAN SCOTT (owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL SEPT. 9, 1975- R. VILLA UNDERWRITERS CERTIFICATE NO. SEPT. 9, 1975-- BY J. KUEACKI PLUMBERS CERTIFICATION DATED N/A *NOTE: THIS UPDATES CO Z-6676 DATED SEPT. 12, 1975. Rev. 1/81 FOKM NO. 4 TOWlq OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..Z667.6 ..... Date .............. ~pt,..~ .... , 19..7.~ THIS CERTIFIES that the building located at .. ~at~t,.Ki~cl. Dr. &. ~a. ~treet Map No. Capt. ~d~. ~ck No ........... Lot No, 1.66 ...... ~t$~ek.. ~,~, ...... conforms substantiMly to the Application for Building Permit heretofore filed in this office dated ............ J~o.. 50, 19. ~.~ p~su~t to which Building Permit No.. dated ........... J~e.. 3~.., 19.~., was issued, ~d conforms to all of the req~ merits of the applicable provisions of the law. The oc~p~w for which this certificate is issued is . ~$Va.~. ~. ga~i~y. ~g~ ...... (f~r.~g. f~0r. ~y) ........... The certificate is issued to . ~,~ ,~,..~e~o~. ~o~ ...... ~s ............. (owner, lessee or ten~t) of the aforesaid building. Suffolk County Department of Health ApprovM · ~g.P~. · .~.. ~9~.. ~ .R-..~i~a... UNDERWRITERS CERTIFICATE No. ~p~OV~, .S~ .~...~97~..by. ~, HOUSE NUMBER ...... l~.... Street...Cap2 .K~dd .Dr,: ....................... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8038 Z Permission is hereby granted to: R.S .T Const, ............. Cor~ .............. F~t.~ .t.uek ....... R~Y.~ ........................... at premises located at Lot 1.6.~......q.~:~..¢..[$.¢~..~ .................................. ................................................. f~ap.~ ~Ldd.. I1~.. ~..Z~:~da .. ~o~d ......... Ea.t.t &t~k .......... pursuant to application dated ................ ~Tt~_ .....~D ..................... 19..~.~., and approved by the Building Inspector. Fee $..2~.,.~.0 .......... 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: 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning pool $25.00, Accessory building $25.00, '~ Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 na,~ ,~F.e~r.u.a.r.y .2.; 1.99> . UPDATED ' 1 ' New Construction ........... Old Or Pre-existing Bu~ u~ag ................. f p p rty 1.9.7.5..Capta. i.n Kid.d, Dr. Mattituck Location o ro e ...................................................... · -- '' -- ,''' House No. Street Hamlet Joan Scott ":' Onwer or Owners of Property .............. Coun Tax Map No 1000, Section..lO.6. 9.0 ..... Lot ........... .......... Block ...... 1 12 ty .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ..... 8. Q3.8.Z. ...... Date Of Permit....6J.3.OJ.7.5. ..... Applicant MST COi~$TRUCTION Health Dept. Approval .......................... Underwriters Approva~~. ................ Planning Board Approval ........................ / Request for: Temporary Certificate ........... Final Certicate~...o..~.. ......... .... ...... ~ ~I~GARY FLANN£~ OLSEN COUNSELLO~ at LAW P 0 E~OX 7o6° MAIN ROAD * CUTCHO~UE, LONG ISLAND, NEW YORK 11-935 · PHONE 516-734-7666 FAX 516-734-771~ February 2, 1995 FED '-'3 1995 Re: Scott to Tellez Our File # 5825 Dear Georgia. Enclosed herewith please find the following: 1. Accplication for building permit to renovate upstairs for two bedrooms. 2. Copy of survey prepared by Young and Young dated September 9, 1975. Please be advised that this house was built pursuant to building permit #8038Z issued on June 30, 1975 for which Certificate of Occupancy #CO Z6676 was issued on September 12, 1975 (first floor only). I have been advised by the owner that in approximately 1976, a year later, the upstairs was finished with two bedrooms. Apparently, the upstairs had been insulated and had some electric service when the original CO was issued. She was advised by the builder who renovated the upstairs that no building permit was necessary for the renovation. She is now in the process of selling the house and we need a CO for the upstairs, and accordingly the buildin§ permit for the upstairs is enclosed. The application fee of $75.00 is also enclosed herewith, and the CO fee of $25.00. A dormer addition/bathroom was built under building permit #18217Z issued June 15, 1989 and CO #Z18949 was issued. Please note that I have enclosed the survey of Alden Young dated September 9, 1975 in which there is shown a sundeck. The owner has advised me that the sundeck was there when the original house was constructed and obviously, CO Z6676 which was issued on September 12, 1975 does not include the deck. I am enclosing herewith an additional check in the sum of $50.00 for an updated CO to reflect the deck. Please arrange to inspect the house with the owner Joan Scott !298-9419). She has advised me that~e upstairs has a working smoke.detector. If there is a~thing further you need please advise my office. / / Very tr~,y Y0~rs, / GFO:lmk Enclosures Southold Town Building Department Town Hall - Main Road Southold, NY 11971 FORM NO. $ TOWN OF SOUTHOLD ~ Building Deportment Town Glerks Office Southold, N. Y. 11971 APPLIGATION FOR CERTIFICATE OF OGGUPANGY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: i. Final survey of property 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--($-0 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 ~ Date New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .'. IDO , ~1~ i,~lt'~D/~ Owner Or Owners Of Property ~..~.,~"~' C(3~"~'~J'f'~'/~J1F~ Subd~v~s~o....C.~.~;..~.;.~.~..~;£f~-;~ ........ Lot No...!.~..~.. B~ock No ............. House No..J...~.:l& Permit Plo, ...-~. .............. Date .eo,th Dept. App oYe, ..... ................................... Lobor pt. Appro a, ............... ...................... Request For Temporary_C~e~ificate ........................................ Finczl Certificate Fee Subm tted $ .......... ~. ......................... Construction on above describedApplicantbUilding and permit~ ~meets all~ko~lica_ble codes and regulotions. Sworn to before me this sfamp or SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number~-'_5'~ APPLICATION OR APP.OVA TO COHSTROOT A P,IVATE SE ^ E SPOSA SYSTE. AND A 1. Applicant ~m~[;~ ~,S~~P~oo~e ~,qt~C-~S 5. Subd!v~ Address ~ .... 6. Section ..... 2. Property Location ~-,o~ ~ ~ ~ ~ 7. Lot Number ~,~ ~.j,. 8. Private Well ~llage .... ~' '~ Tgwnship ~~ 9. Public Water 3. Public W~ter Company Name~ ' ~'~ ~m~ ~, Distance to main ~ ~'~ 4, Lot size. Width t~feet Length.)~feet 10. Sewage Disposal System: (For Health Services Dept. Use) A. 900-gallon septic tank: Precast ~[quivalent Block Leaching pools: Number of pools Precast~ Block Special__ ll. If private well, fill in the fol- lowing blanks: A. Tank capacity. 7~gallons / B. Pump G.P.M. C. Total well deCh. / D. Depth to grg~nd water E. Amount of/~ater in well The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health Services' current standards thereto." This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. Date ('~ / ~ %~ ~ % Signed FOR THE DEPARTMENT OF HEALTH SERVICES~ USE ONLY. Based on the information presented here- with, it is the opinion of the Department of Health Services that an adequat~and satis- factory Sewage Disposal System and Water Supply can~be, installed ~r~ thi-aoplc't//l APPROVAL DATE (~!~_-,t]~'" SIGNE:,~/~ C), :~' S-15 Rev. 4/1/73 TEE r. OC~ITION' OF WE[;i~ ~tND CE$SPOOI-$ SHOWN HE~EIN/1I~ FRO~5 FIELD OBSERy~TIOI~ ANDIOI~ FROM DATi:i O~3~'~.Lr~'F-D F~OM OTHEI~ DRIVE' Lot 166 Lot 167' NOTE k 2. ~ = MONUME'NT SUBDIVISION MAP FLIED IN THE OPFICE OF tHE CLERK OF SUFFOLK COUNTY ON ,/AN/9, /94~9 AS F/I~E NO. r/tis LOT SERVED aY l~lal, lC WAI'E~'SYSTEM. R£V,S'ONS YOUNG & ALDEN W, YOUNG SURVEY FOR: '~X ROBERT SCOTT a JOAN SCOTT AT GUARANTEED TO: MATT/TUCK ;EASTERN FEDERAL SAVINGS Tow. o~ SOUTHOLD [ ~E rtrtu Lot 168 UNAUTHORIZED ,~[.TERATION OR AD01TION TO THIS SURVEY IS A V~0LATION OF SECTION KIDD- DRIVE' Lot 167' $~MOIVt$10N ~ FI£~O IN TtlF OH~ICF OP '.~v,s,o~s ': YOUNG & :YO~G 400 OSTRANDER AVENUE, EIVE"HEAD, NEW YORK ALDE~, W. YOUNG HOWA~I3 W.-¥OUNG LOT NO I~. CAPF~IN KIDD SUFFOLK CO? N.Y. 7209 ~ THE ~W Y~K STATE LAW ~';~APTAN KIDDDRIVE*" '~,i~ ~ ~ Lot 167 ~ ~ LOt 166 .' ' ~ '. ~. -- ~ m ~,~~ "G""'ON~ YOUNG 40G OSTRANDER ~ENUe, mVER,E~. H~ Y~K ,,! Date ~Jt,~' ~ I1::~,~ ................ , a. This application must ~ ~mpletelv filled in ~ ~writer or in ink and submi~ed in trJpli~te to the Building Inspe~or, 3 ~ of ~s, ~i~ot plan to scala. F~ ~di~ to ~dule. ~ ~ ,~. P~t ~1~ s~en~ et ~o~ and of ~di~s ~ ~mi~s, ,relation~ip to ~inieg premiss or public str~ or areas, givi~ a ~ ~i~i~ ~f layout of ~b~ must ~ dr~n on di~ram which is pa~ of th~ appli~tion. . c. TM ~ ~ ~ this a~li~tion may not ~ com~n~ ~fore issuan~ of Building Permit. d U~n ~1 of this a~li~tion · the Building Ins~or will issue a Building ~rmit to th~ appli~nt. Such ~rmit ,~all ~ kep t~ pmmi~ ~8i1~ ~r ins~ion throu~out the wo~. e. ~ ~ildi~ ~11 ~ ~up~ or u~ in whole or in ~ for any pur~. whatever until a ~ifi~te of ~W shall have ~ ~ ~ ~ilding In~or. ~ APPLI~TION IS HEREBY MADE to the Building Depa~nt for the i.uan~ of a Building Permit pursuant to t~ Buildi~ Zorn OMi~n~ of t~ To~ of ~uthoid, Suffolk ~unW, New York, and ot~r a~li~ble ~, ~inan~s or R~l~ions, for t~ ~nstru~ion ~ildin~, ~tl~s ~ almr~ions, or for removal or de~lition, as herein descried. ~e a~i~nt ag~ to comply with all a~li~le 0Minanm;, building ~, housing ~, and regulations, and ~o ~mit authorized ins~ctors on premiss and in buildin~ for ~mW in--iota. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, amhitect, engineer, general contractor, electrician, plumber or builder. · ........ , .................................... ......... .................................................................................................... Name of owner of premises .......... ~.,~.ll.l~lg~l~'!'~'llll'~l~ ............................................................ If appl t. a cor signature of duly authorized officer · IName gatl title of corporate officer) . Builder's License No ............... ,~..~ ................................... Plumber S License No .............x ........................... .~......l~... ,, Electrician's License No ~/:~,-~D ~'L~5-r, Ttt,a C_ Other Trede's License No................................................... ~ ~[OO ~ ' 1. Location of land on which proposed work will he done. Map No....' ......... .~ ....... , ...................... Eot No~ I ~',.~ ¢ c ,r. ,.oo Street and Number ........... '~] ............................................ ~ ........... .~.......,~ .................. 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 apl)licable): New Budding ..; .................... Add t on ..................... Alterat on...~ .......... Removal Demolition Other Work · Repair ............................................... (Description) 4. Estimated Cost ...... .~..O..i.~ ........................ 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 occuoancy, specify nature and extent of each type of usa ............ ..I~...I..~A'. .......... 7. Dimensions of existing structu~re~, if/andy: Front ..................... Rear ........................... Depth ................................... Height ................................. ,~lt.~. ';/'1'"]~/L-t ....... Number of Stories ............................................................................. D~mens~ons of same structurl; witff alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Nun~jer. of Stories ........................................ 8. Dimensions of entire new construction: Front .....~,..{~a ........... Rear .~ ....... ~'1o~ .............. Depth .........'~.....~... ............... Height ............... .~.~ ........................ Number of Stories .............. !...'...~.... ................................................................ 9. Size of lot: Front ............ .~..~... .................. Rear ............ .~...v~...~. ...................... Depth ......... ~..~......%w:... ............................. 10. Date of Purchase .......... L,~....m ............... Name of Former Owner · I'L ~ Zone or usa district in which pr.,emisas are situated .............. ,~-~:~[~,~,,~,'~, ,~ .~..,~=,., ................................................ or regulation .................................... ~ ................. 12. Does l)roposed construction violate any zoning law, ordinance · ~ ...................... Will excess fill be removed from~remises: [ ] Yes 13. Will lot regraded (Address) (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of ContractOr :....~ ........ .~....S...~......~..~..~Z....~.....aT...~..t..?..~.......(~..~ ........... ~0~.l.,...t~...~.~......'.~....."~...~ (Address) ' (Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or prppo~l, and indicate all sat-back dimensions from property lines. Give street and block number or description eccordin§ to deed, and show street names and indicate wheth- er interior or corner lot, STATE OF NEW YORK, ) COUNTY OF ...................................................... ) .............. ~...~......:~'~'~..~....~..~.~.. ......... ii ............ i .......... being duly sworn, c[eposes and Says that he is the applicant above named. (Name of~ individual.signing contraot) He s the. ............. :..~1~ ............... ~ ,~, ..~.....'.~..~. ,.~,...!. ,C,.. ~ .................... i .......... .i...' .......................................................... (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 knowledg· ar~..J;t~f~hat the work will be performed in ,t~he manner set forth in the application filed t~J~h. -- p.~.~;fafe ef New York Notary Public ............ ~ ........... ;.: ........ County ........ ~..: .......................... ~ ..............