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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.~, ~ ]