HomeMy WebLinkAbout11782-zNO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18402
Date SEPTEMBER 21~ 1989
THIS CERTIFIES that the buildingw
Location of Property 1000 SALTAIRE WAY
House No.
County Tax Map No. 1000 Section 100
ADDITION
Subdivision SALTAIRE ESTS.
Street
Block 01 Lot 031
Filed Map No. 4682 .Lot No. 29
MATTITUCK, N.Y.
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 28~ 1982 ~ursuant to which
Building Permit No. 11782-Z dated JULY 7, 1982
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 2ND FLOOR BEDROOM ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
JA~ES & kLMA DIOONS
N 585164- DECEMBER 2~ 1982
Rev. 1/81
Buikding inspector
Permissior
BUiLD!N
$OUTHOLD, N. ¥.
BUILDING'PERMIT~I ii
(TH S PERM T MUST BE KEPT ON ~H.E pR~41StS ONTILI
COMPLETION OF THE WORK AU~HdRIZED) ~
1782
Dote
is hereby granted to:
at, premise~ located at.
Cbu~ty Tdx Map No. 1000 3ection /<~.~/..; ....... :~, BloiA
pUrsUant ~o application dated
Boil~lng IOspector. <
Res· 6/30780
and approved by the
~Building Ii nSPecto~
P~LDG, DEPT,
~"OWN OF SOUTHOI f~
................................ APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF SOUTHOLD
BUILDING DEPARTHRNT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
NEW CONSTKUCTION ..~....OLD O~ PRE-EXISTING BUILDING ...... VACANT LAND ........
HOUSE NO. STREET HAMLET
Owner or Owners of Property ...............................
Count, Ta~ ~a,, No. ,000 ~e~t,on ./?.0.. ~o~ ..1 .... Lot ..:~.1....
Subdivls,on...~.'.'~..~'.~¢.].~.~...~.~Filed .ap ~ ~.~..Lo~...~ ....
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ .................
rev. I0/14/88
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
instructions
A. This application must be filled in typewriter OR i~k, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of e~ectric~l installation from Board of Fire Underwriters.
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 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 peopertv showing all property lines, streets, buildings and unusua~ 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.
C. Fees:
Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling land use ,1;/ $5.00
3. Copy of certificate of occupancy $1.00
..... .........
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property ............ ~~r~. ~*.~. ........ ~.~ ~[~ ....
Owner or Owners of Proper~ ............. ~.' .......................
County Tax Map No. 1000 Section .... [.~ ....... Block ..... ~. ~ ....... Lot .... O.'~.~ ........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. 1.1.-~, .~...~... Date of Permit ~ l.~ 1 ~..~Applicant.. '~o..v~...~o....~,..~.~..¢-..~.~y..~.l~O. ~
Health Dept. Approval ....... ~. ............... Labor Dept. Approval ......................
Underwriters Approval ........................ Planning Board Approval ....................
Request for Temporary Certificate ..................... Final Certificate ..............
Fee Submitted $..... ..................... ..
Construction on above described building ar~/it meets al~p~b~le~c~/.~.~.and regulations.
Applicant . ~¢'...~.. ~.%T.J...~ .,~,~-..L~'~¥2~-~ ..................
Rev. 10-10-78
THE NEW YORK BOARD OF FliRE UNDERWRITERS
BUREAU OF ELECTRIJ~IT~;
85 ~IOHN STREET NEW yORK NEW- :~,ORK 10038
..t. ~e~b~r 2, ~9a2 ~pplie. tion~o.o.~il~ Za2~9~-~ N 585164
THiS CERTIFIES THAT
only the elec tr c~l equipment ~ described below and .~trodue~ by the applicant ~a~ed on the able application ~umber in the premises of
in the following location; [] Basement [] 1st FI.
was examinedon NOV~r 29, 1982
FIXTURE
OUTLETS
9
tECEPTACLES
15
SWITCHES
].4
FIXTURES
FLUORESCENT
~ 2nd FI. , Section Block
and/ound to be ii~ compltalice with the requirements of this Board.
DISH WASHERS EXHAUST FANS
DRYERS
OTHER APPARATUS:
1-&a~-.e De=ec~or
PER ff
R V I C E
AWG
A. W, O, NO, OF NEUTRALS ~,W.G
OF HI-LEG OF NEUTRAL
De[rxuar Elect. Co.
P.o. ~ 482
Riverhead, -N.Y., 11901
~Thm cerhf~cate must not be altered in any manner; return to the .office of the Board if ~inco}rect. Inspecto~-s may be identified by t~eir credentials
x,
FIELD INSP~C
1.
FOUNDATION
FOUNDATION
2.
ROUGH FRAME
PLU~
3.
INSULATION
STATE EN
C,ODE
4.
FINAL
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Halt, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 7, 1989
Mr. James Digons, Jr.
1000 Saltaire Way
Mattituck, New York 11952
Building Permit ~11782-Z
Tax Map 9100-01-031
Dear Mr. Digons:
During a review of our files, it was noted that the above
building permit has expired, and a Certificate of Occupancy has
not been issued.
According to the Code of the Town of Southold Article
XXVIII 100-281 and 100-284 a building permit is needed for
construction of an addition to an existing dwelling. It is
unlawful to occupy a dwelling until a Certificate of Occupancy
has been issued.
Your final inspection has been made. Please fill out the
enclosed application for Certificate of Occupancy and return to
this office with a check for $25.00.
In order to avoid any legal action you m~st correct this
violation immediately.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
VRW:gar
encl.
Vincent R, Wieczorek
OrdinanceInspector
/
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL '
SOUTHOLD, N.Y, 11971
TEL.: 765-180:3
Examined .~fi../~ 7' , 19,,ff~v .
?,'"/ ........... 3'4
................................ ,
(Bffi~g Inspector)
APPLICATIQN FOR BUILDING PERMIT
Application No.././.: .~.c~.' .........
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted.~ 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 or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation·
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 wha,tever 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, 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 cod.~qi'~using code,_ancl r~ulations, and to
admit authorized inspectors on premises and in buildings for necessary inspections(./,} ~5,,~ ~--/,~,,~'/,-/
/ /
.... ?5~z2.x4~ ..7¢. ~/.. (~.~:~..:.~'~.v<. ..........
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, gefleral contractor, electrician, plumber or builder.
· .~.c74/.~2/,q./... <'rq,ax':>'·x:,',~:.~..<,:~ ................................................................
/
· _ .
Name of owner of premises ~./.,q..d-~?~.~-3. /.q~..o~..¥ .........................................
(as on the tax roll or latest deed) '
If applicant is a corporation, signature of duly authorized officer·
(Name and title of corporate officer)
Builder's License No...~.-.~..-574~.¥.~'...~.o,4,;~>..7.. ....
Plumber's License No. .~.~. 7 .r::.: ...........
Electrician's License No...~.~.~.-.c,,,
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
Z , ...... .:::. : <c .............
t~;~;e' ~'I~gir .........................: kir;;i '~ ..... Hamlet
County Tax Map No. 1000 Section ./..~. ?-)..~ ........ Block .... .~. ............ Lot.../~..':~.'..//. ......
Subdivisiol,v~d¥-~./~.~.:.. ~<.~ ~.~:. Filed Map No. Lot
(Name)
2. State existing use and occnpancy of premises and intendedru~ and occupancy of proposed construction:
a. Existing use and occupancy .....
b. Intended use and occupancy ....... >~'..-v~v.~:%777.. .................................................
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .........
Repair .............. Removal .............. Demolition .............. Other Work ..............
, , ~ /, .~,~. ~_.~ (Description)
4. Estimated Cost . · .'~ .~./..~ .~Z~. ! .................. 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 . ~e;~7¢'.~ ....... Rear .~5~,,~J57~.z.~-~. .....
Depth .~~. ........ i.. Height ...~,~.~. .............. Number of Stories .....................
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ..............
tteight ............... Number of Stories .......................................................
9 Size of lot: Front Rear ' Depth
10. Date of Purchase ............................. Name of Fenner Owner ............................
1 1. Zone or use district in which promises are situated ....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~o
13. Will lot be regraded . ..~fl.. ~ ~ ........ ~ .......... Will excess fill be removed from premises: Yes No
14. Name of Owner of prem~ses~,~.~,.?. 7,~ ..... Address-~',4.~'.~r~,~?. ~/~.~r~l~ene No. ,~.~. ~..'..S. J~(,4..
Name of Architect ......... , ................. Address ................... Phone No ...............
Name ~f Contractor C-~q~h'2~a~ .......... Address ................. Phone No..,~.q..~7 .~....~...~w o.
PLOT DIAGRAM
Locate clearly and distinctly al! 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.~. _R~I.~/~ ~ .,~ 'S S
COUNT_Y~,~., ' ,
....... · ~~ · .~..' ~..~ ......... being
(Name of individual signing contract)
above named.
duly sworn, deposes and says that he is the applicant
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
applicationi that all statements eonthined 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.
Sworn to before me this _
........... ~ ..... [...da of ............... 19...
Notary Publi/7~.a..~,. ~..~.~.~ C o_unty
Notary Public, State of !New York . ' '~'~ T' ~ "~"~' '' ' ' '/'' ...... ~ ....
No. 52-0344963 Suffolk Cotlnty~.~ (Signature ~fappltcanO
Commissioa Expires Marqh 30, 19.~, ~ ]