The URL can be used to link to this page

Home My WebLink About9593-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Z10190 No .................. Date October 8 19 80 THIS CERTIFIES that the building ................................................ 12980 Main Road Mattituck, N.Y. Location of Property/:/t3tJs3o ~/oi ................................................... Street 140 3 41 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Oct6be~ 31 19 77 pursuant to which Building Permit No. 9593Z dated ............................ 19 , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tiffs certificate is issued is ......... Real Estate & Insurance Office (addition) VALENTINE W. STYPE & wf. The certificate is issued to ..................... [o~;,'o'r,'l~s'sde'~r't~a'n'O ...................... of the aforesaid~ building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev 4/79 TO~N ~IRK'$ No. (THIS PERMIT MUST BE KEPT ON THE PP. EMISE$ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 9593 Z ........................................................ Building Iml:~'tor. Building Inspector FORM NO. 6 TOWH OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 1. Final survey of property with accurate location of oil buildings, property ~ines, streets, an6 unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-c) form or equal). 3. Approval of electrical installation from 8oard of Fire Underwriters. 4. Commercial buildings, industrial buildings, Mu}tiple 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 sh~wing 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 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 ............ New Building ................ Addition ........... Old or Pre-existing Build}rig ................ Vacant Land .............. Location Of Property ....................................,~ /q Cz~-- J ......'7- Owner Or Owners Of Property ....~/.,.z,~......~ ................. ~ ....................................................... Subdivision ..~v,,~.......I..?_Z..~. .................................. Lol~l¢~.: ...... Block No..~ ........ House No ............. Health Dept. Approval ........................ ~ ................ Labor I~pt. Appro¥ol .....~. .......................................... Underwriters Approval .............................................. Planning Bo~rd Approval ..... ~. .................................. Request For Tempor~ Ce~i{icote ........................................ Fin~ Certificoto ...... Fee Submiltod $ ....~ ............................ Construction on above described building and j~ermit meets all a.p~licaJ?le codes and regulations. Applicant ......... ~.....~. ~.~ ................................. Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) TOWN OF SOUTHOLD OFFICE OF BUILD]tqG INSPBCTOR TOWN HALL SOUTHOLD, N. Y. 11971 TF.L. 765-1802 August 12, q980 Valentine W. Stype Main Road Mattituck, N.Y. Dear Mr. Stype: : This is to advise you that the job under Building Permit No, 9~93 issued to V. Stype on DOc. 15, 1977 for office a~i~ion appears to be completed as of our last inspection. Bef6re you can legally use or occupy this structure a Certificate of Occupancy must be issued. Please fill out the enclosed form and return same to the above office. There is a fee of $5.00 for a Certificate of Occupancy Thank you for your prompt attention. Very truly yours, GEORGE H. FISHER Sr. Building Inspector encl. JOHN WICKHAM, Chairman FRANK S. COYLE HENRY E. RAYNOR, Jr. FREDERICK E, GO~DON JAMES WALL ,D Southold, N.Y. 11971 November 28, 1977 TELEPHONE 765- 1938 Mr. Howard Terry, Building Inspector Town Hall Southold, New York 11971 Dear Mr. Terry: The following action was taken by the Southold Town Planning Board at a regular meeting held November 21, 1977. RESOLVED to grant site plan approval for the property of Val Stype based on the revised sketch of the addition and superimposing the walkway and incorporating it on one of the maps, all subject to the approval of the Board of Appeals for parking. Yours truly, Muriel Brush,~Secretary Southold Town Planning Board Copy to Board of Appeals ~0~D ~ 'I TOWN ~)U?HOLD · ow. cu. 's ~UTHOLD, N.Y. ~.~ · ....... ..... . /- ......................... ..... The applicants shall provide at least seven additional p~xking spaces on the nor2herly ena of their property. The applicant will determine the type-of 'surface based ./77 ~ the drainage.Problems in the area and 'will assure .................................... 19 ............ · ~bat the site w111 be self-contained as to drainage. No water from this site shall drain onto properties ~,(~a~ eJ.t~r ~ ~ east or west of this pro~rty. .ed in triplicate to the Building In~,~ctor, with 3 set~ of ph3rts, accurate pl~l[ p,u,, lu ~.u,~ r~ u~.u,u.~ ,u ~cne~ule. b. PI~ plan ~i~ I~ati~ ~ I~ a~ of buildJ~s ~ premiss, mlati~ip to ~jo ning pr~ ~s or public streets o~ or~s, a~ givi~ a ~1~ ~ripti~ of I~t ofpr~ must ~ d~ ~ t~ di~ram ~i~ is ~ of this application. c. · ~e work covered by this a~tication may n~ be commenced before issuance of Buildi~ Permit. d. Upon approval of this application, ~e 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 ~cupi~ or u~d in whole or in pa~ for any pu~ose whoever until a Ce~ificate of ~cuponcy shall have been granted by the Building Inspector. APPLICATION IS HEREBY NtADE to the Building Department for the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or TR_~geUol~ti~ins, .for the c.onstruct[on of. bu!]ding.s, additions or alterations, or for removal or demolit on, as herein described. pp canz agrees ~o comply with a. applicable laws, ord nantes, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. Main Road, Mattltuck, NY (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. o~ Name of owner of premises ...~.~..]:..e...~.~..[..~..e. ~ E~'~;~'.~e &: ~'op.h:Le I~ S~,~.]~S If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... ~..7.?..T..E..[.. ................................. Plumber's License No ........ ..~..~..~...'..~.. ............................ Electrician's License No .... ...~.....'~... ............................ /aaa-/,-/v - 3- '-// District 1,000, Section 140, Block Other Trade's License ~o 1. hocotion of ~and on which proposed work wH~ be done. ~V~ap Noz ........................................ Lot No Street ond Number Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... .~..e...~:~....~...~.~.?~....~..`..[..~...~..u.~..~:~....c..e.....~.~.~.~..c..e.. ................................................. b. Intended use and occupancy ...... .~..e.~.~;..]:.~..~...~.~.a...~.e.....~.....[.~.~...~..z~.~..e~....c..e.....~..~...~.~..~..? .................................................. 3. Nature of work (check which ap hie): NeW Building-. ................. Addi ][ ][ Alteration Repair .................. Removal .................. Demolition .................... Other Work ................................................ . (Description) 4. Estimated Cost ..... ~....~..c).~.~ ................................... 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 ...b...~..e...L..n..e...e.~ ...... 7. Dimensions of existing structures, if any: Front ..........~ ............. Rear ....... ~ ................... Depth ......~..~ .......... Height ........]:.~.. ............. Number of Stories one Dimensions of some structure with alterations or additions: Front ........... ~. .................... I~eor ....... ~ ................ Depth ........ .(q..~. .................... Height ......... ..]:~. .............. Number of Stories ..........o...~.?. ................ 8. Dimensions of entire new construction: Front ........ ~.;~. ...................... Rear ...... ~ ................. Depth ..... ~ .............. Height ...... ..~.~. ......... Number of Stories o]o.e~ 9. Size of lot: Front ........ 2.,,~.o.'1~ ................................... Rear ......2.~,.,..0. ............................ Depth .....~.~.~..t..0. ................ 10. Date of Purchase ..... i.....~....~..C.~...]'..c)...6-..~. ....................... Name of Former Owner E].be~,)ce. 11. Zone or use district in which premises are situated ~)'G..~.~.e..5.~ ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........... ~o. ........................................ 13. Will lot be regraded . .......... ~0. ............ Will excess fill be removed from premises: (Z) Yes ( ) No 14. Name of Owner of premises ...~..e-...~..e...~..~..:f:~.e....~.....~..~.ZP..e.....~...... Address .q~.o.,b..o.j~..e.. .......... Phone No..-7..~.~.'.~..]:..7...~'~. Name of Architect ~'.~[......~.'.o...p..~..[...e...?....?...~.~.~.e. ................. Address ................................ Phone No ....................... Nome of Contractor ...C..~.8..~....0..~.~..O.~,~.~..,1. .......................... Address ~..~..o..~.~ ........... 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 whether interior or corner lot. STATE OF NEW YORK. . [ c c COUNTY OF ...~..~.~.**~?...~../.~ ....... f"*'l/Al~-*roC ~. ~P~ 3g* ~ ........ ~: ............ ~ ......................... being duly sworn, ~oses on~ soys thor he is the opplicam (Name of individual signing contrac~ above name. 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 tha~ the work will be performed in the manner set foffh in the application filed therewith. Sworntobeforemethis --I I --r I ~ ~ ....... .......... ..... ............... Nota~ Pub lc,. ....... S..~.~.L~ .................... Coun~ ........... ~f~.~ ....... ~. ....... ~.~/~.~ .................. /~ ~ ~ .. ~ignature ot opplic~ ' N Y~ ~ ~ C Oual~i~ in S~oJ ~