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Home My WebLink About12254-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z.! J .6.1.2. .......... Date ........ ~. p. .r .i .1. .1.. 3. ................ 19 .8.3. THIS CERTIFIES that the building ................................................ Location of Property ...8.2.0. ............... ~e.¥..~u.F..f.o.lk......................Avenue Mattituck House No. ' St/eot ' ' ' h~ie't County Tax Map No. 1000 Section ...1.1.4...:..Block ...1,2 ........... Lot .. 00 7 Subdivision ..... X. ......................... Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..g:.p. ?.i.1.. ! .~ ......... , 19..8.~pursuant to which Building Permit No...1.2.2..5.~..Z. ........... dated .... 3.. p .c.i.t.. ) .3 ...............198. .2. , 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 ......... a wood deck addition. The certificate is issued to WILLIAM P. HARDING (owner, fe~s~ ut' tella7~) of the aforesaid building. Suffolk County Department of Health Approval ...n/.a. .................................... UNDERWRITERS CERTIFICATE NO .......... p/.a. .................................... Building Inspector Rev. 1/81 BUILDING Di~P~RTMI~NY TOWN HALL SOUTHOLD,' N. Y.} BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON 'i:HE PRE~Isii~S COMPLETION OF THE WORK AUTHORIZED) N? ~2254 Z Date Permission is hereby granted to: uNTIL ~ULL ,o ......... ,~.:~.~-.~.~.. ............. ~ ....... , .......................... at premises located at ......... , ....... & ................ ...... : ........................................ ...... ~ ..........t'*'?~' .............. t'~"" ..................................... C~ ~ Ta Map No 1000 Section ..././.; ........ ,. Block .;...~/. .... ~Lot No. ~, .................. pursbant {0 application doted ...~V~,~..... ........... .~;;'...:[....., 19 ; and Opproved by the Building IfiSPector. :: ~ FORM NO. 6 TOWN OF SOUTHOLD ." Building DeparTment Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and sub~ tied 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 tooograohic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal), 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar ,building~ 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 ahd "pre-existing" land uses: I. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. ' / · C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling land use'~/5' 5.00 3. Copy of certificate of occupancy $1.00 Date .. Apr.i_l. , 1983 New ~xJktfeq, X D.e, qk Old or Pre existing Building(X) ' ' /Vacant ......... Land 820 Location of Property .......... New Suffolk Avenue M~ttit .... uek House No. Street ................... Ham/et William p. Ha~ing and G1 dy.s M'. Harding Owner or Owners of Property ........... a County Tax Map No 1000 Section 114 Block 12 .7[ SubOMsion ......................... Flied Map No ......... .... : Lot No Health Dept Approval ' Labor Dep; Approval ' -- Underv/riters Approval --- Planning Board Approval Request for Temporary Certificate ' .......... Final Certificate .X . Fee Submitted S 5.:.00 Construction on above described building and per~if.-eet. "JI ap~tica .... ..... w~ll~,am p. Harding ' ('' .................. · ~-a~zys ,M. Har~ing ~0~ ~0o ! · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×om ned ........... , Approved ~..../....~ .............. , 19~...~.. Permit No. L~..~....~.....~Z-.. Disapproved a/c ............................................................................................ Application No. /.,~......~...~...,~.. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date April 11 19..8..3' ....... 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 or public streets oF areas, and giving a detailed description of layout ofproperty must be drawn on the 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, 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. /~lady~' M. Har~ing (Signature of applicant, or nome, if o/cOrporation) Wil±iam P. Harding 15 Canterbury. Lane~..~os~, N~ ~.Q~.k (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................. .O...W~..e..~.. ................................................................................................................................................. - · William P. Harding and Glad s M ' Nome of owner or prem ses ~ . Hardl If applicant is a corporate, signature of duly authorized officer. N/A (Nome and title of corporate officer) Builder's License No ........ ..N../...~. ..................................... Plumber's License No .... .N./..A. ..................................... Electrician's License No. Other Zrade's License No .......... .~./...A. .............................. 1. Location of land on which proposed work will be done. Mop No.: ....~ ...................... Lot No. :~.~..:/~ .............. Street and Number 820 New Suffolk Avenue Mattituck Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Private one-family dwelling b. Intended use and occupancy Private one-family dwelllnq 3. Nature of work (check which' applicable): New Building,. ................. Addition ~..(~.e...q:k..}.. Alteration ..... .~ .......... Repair .................. Removal: .................. Demolition .................... Other Work ................................................ ~... (Description) $2,500.'00 ~ $25.00 4. Estimated Cost ..................... ] ....................................... roe .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ~/.~. .............. Number of dwelling units on each floor ...... .[x]. /,. .~. ............... 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~...e:~....P..q..z~...e~ ........ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ 2.7. ....................... Rear ...... .iL§ ................. Depth ........................ Height .................... Number of Stories ..................................................................................... 32'0"'C~8'"ETS ........ · 145.75 ft. Re 128.68 ft. De th286~0 W/.~ 9. Size of lot. Front ................' ........................................ or .......................................... p ............................... 10. Date of Purchase ......~..a..Jr~...]..2.4..f..,];.?.?...8. .................... Name of Former Owner J.~..~:...&....~:~..z-Az...?.:,...~..a..G..u..J:~.e. .... 11. Zone or use district in which: premises are situated ...A.....~.C.~,~.cl,~e-&.al...D.~,~.t~$:,t-.cL~ .......................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ..... .~..o. ............................................... 13. No · ' Will lot be regraded . ........................... Wdl excess fill be reroo3,ed_ from premises:_( ) Yes (x) No iD uanterDurv Lane ~ ~_, ii i & ' , ~,. h ~.~-87~ 14. Nome of Owner of premisesW..~..f~q~........g~-f~'.~..~[Dr~l-J~g...., Address ,I~9~.~0... ~, ........ P one No ...................... Name of Architect ............]~/..A ........................................... Address ................................ Phone No ....................... Nome of Contractor .......... N/..~ ........................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly a'll buildings, whether existing or proposed, and indicate all set-bock 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. DATE:r/y~_B. p..~ SEE FEE: BY: NO'fZI~-~i}~J-'~)[NG DEPARTMFNT AT 765-1802 9 AM TO 4 PM FOR T~~ FOLLOWING INSPECTIONS: 1. FOUNDATION - ~Q REQUIRED FOR POURFD CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAl_ - CONSTRUCTION MUST BE COMPI FTE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REO~JIREMENTS OF THE N. Y, STATE CONSTRUCTION & ENERGY CODES, NOT R~SPO~SIBLE FOR DESIGN OR CONSTRUgTION ATTACHED SURVEY STATE oF NEW YORK. COUNTY OF ....S...U..F.~.O..L...K. ............ .~.-,..-, WT_LLIAM,P. HARDZNG and ~S M. I-LARDING bein duly sworn, deposes and says thattheY~trh~ applicamS (Name of individual signing contracf) above named. ar Own e r ,S ............................................................... THe~i~:~e ................................................................................................................. z,0fz-4~:lc:~m~:::o~:~0~.~, andS'~dbly authorized to perform or have performed the said work and to make and file this application; that aH statements contained 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 Jn the application filed therewith. ~ ~ / Sworn to before me this ' t /~. '~' ~l ~ /11// ........................ day of ................. . ........................... , 19 ........ / ']/ Notary Public, ...~ .......... .S..u..~.o...]:.k.. ..................... County ~.. .......~..U.- .~ ............................................ ~-- Notary Public Nota~ Pubflc, State of New York G~ladys M. tarding NO. 52~4635~90 Suffolk County ~ ,COmmiSSion £xHres March 30, 04 60 {0'~£0-t03,,~0,) NEW SUFFOLK AVENUE N. 88* 112. 97' SURVEY FOR JAMES /?. McGUIRE AT MI~TTITUCK TOWN '~F SQUTHQLD suFFQLK COUNTY~ N Y. SC,~LE. I "= 4Q' DEC. 4, 1973 GUARANTEED TO: USLIFE TITLE INSUN,~NCE COMPZ~NY CF /'JEW Y, LANO SuRvEYOR NYS LIC NO 28725