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HomeMy WebLinkAbout12709-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18299 Date AUGUST 18~ 1989 THIS CERTIFIES that the building Location of Property 1225 SIGSBEE ROAD House No. County Tax Map No. 1000 Section 144 subdivision ADDITION MATTITUCK~ N.Y. Street Hamlet Block 02 Lot 4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 1966 pursuant to which Building Permit No. 3114-Z dated JUNE 6~ 1966 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 ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to JEAN HEATH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 FORM NO. ~ TO%VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12709 Z Permission is hereby granted t(q~ i~;;i;Z!"iiii"'i'~? ............... i ................ ~. · ..% ..... ~.~% ................................. .....~~...~..:~.....I..~.~.~.~ ..,.~..~.,~.....,.~.~-.~%~;_~...f~~....; ....................... ~) ~r,~i~,~ )~t,~ ~ ...LtJ..~......~.~..~ .......... ~.~ ...................... .................... ~...~~ ...................................................................................... .......... % ...................................................................................................... ~..~ .................................. ~o~ ~ ~ ~o. ,o0o ~,o~ ...... }...~.~ ....... ~,~ ..... .o.> ........ ~o~ ~o ....... ~ .............. Building Inspector, Fee $...~.....:.~.. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLo BUILDING DEPARTHEHT TOWN HALL SOUTHOLD, NEW YORK 765 - 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CO'~STKUCT%OH ....... OLD OR PRE-EXISTING BUILDING. ----VACANT LAND ~o,sE ~,o. ":f~i-;-f ...... ~ --- O~ner or Ownera of Property... / .. Count7 Ta~ Map No. lO00 Section ...... ~lock ~:. - i .... gubdlvi=lom ....................... Health Dept Approval Filed Map ........ Log .......... ........... Applicant ................... Underwriters Approval .............. Plann£ng ~oard Approval ...... Rcque=t for Temporary Certificate ....... ?et Submitted: $.. / Final Certificate ................ APPLICANT De ~01~4 NO. 6 TOWN OF SOUTIIOLD BUXLDI~ DEPART}~NT TOWN IIALL APP~I~ R CEKTIFICATE OF OCCUPANCy INSTRUCTION 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: le Final sUrVey of property with accurate location of all b 2. streets, and unusual natural or topo~rapbic features. ~ildlngs, proper~y llne~, Final approval of Health Dept. of wa~er supply and sewerage_dlsposal(S_9 form), 3. Approval of electrical installation from Board of Fire U~derwriters. 4. Sworn statement from plumber certifying that solder used ]in system cOntains less than 2/I0 of IZ lead. buzld~ngs and lnstallatzons, a ~ertlflcate of code complihnce from the Architect or Engineer responsible for the buildiug. 6. Submit Planning Board~Approval of completed site plan requirements, For existing buildings (Prior to April 9, 19570 non-conforming uses, or buildings and "pre-existing" land uses: J- Accurate survey of property showing all property llnas, s~reets, buildings and unusual natural or topographic features. 2. A ~roperly completed application, a Consent to inspect s~gned by the applicant and a certified abstract of title iSSued by a title Company which shall show single and separate OWnership of the entire lot prio~ to April ~, ]957. · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buxldlngS or premises, or other pertinent ~nformation required to prepare a certificate. For Vacant Land Certificate of Occupancy: J. An application for vacant land Certificate of Occupancy sh~ll be submitted, and a certified abstract af tills issued by a title Compan~ showing single and separate ownership of the entire lot prior to April 9, ]957 shall also accompany the application. If a Certificate of Occupancy is deuied,;the Building Inspector shall state the reasons therefor in writing to the applicant. 3. 4. 5. 6. CERTIFICATE OF OCCUFzLNCy -. New Dwelling $25.00, Addlti6ns to Dwelling $25J00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. Certificate of Occupancy on pre-existing dwelling - $]O0.00. Copy of Certificate of Occupancy -- $5.00 - OVer $ Year~ - $I0.00 Vacant Land Certificate of Occupancy - $20.00 i Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy -$~5.00 Residential CommercialI · -v. I0/14/88 TOTrN OF $OUTHOI,D OFFICI~ OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTIIOLD, N.Y. 11971 To Whom This May Concern, We are unable r~o complete your Certificate of Occupancy because .of the following reasons. ~,"~An_ application for Certificate of Occupancy is ~lot on file. ~ /~//~.o Underwriters Cert~flcnte on file. /.-_~ The check i:; {~4-k-Ow~l/not on file. ) ~ SO,~ /~/ No Health Dept. Approval on file. /-_'/ No final inspection has been made. TEL. 765-1802 P]ea'~;e contact our office on this matter. Thank you for your cooperation. llCl Buildir. g Permit Dui ld trw Dept. Plumber soldergert~fzcate ~ ' ' on file. all permits involving plumbing being issued after April 1,1984 FIXTUEE OUTLETS THE NEW YORK BOARD OE,' EIR[ UNDERWRi:TERS ~L0006(~3 BUREAU OF ELECTRICITY ~' ' ~ ~ 85 JOHN STREET NIEW YORK, NEW ~ORK 1OO38" F b ~v 24 ]987 ~ ,~ -,'-.~,,. ~it~ : ' 273296/84 ~ ~. tIeath, 1115 Sigs~e ~, Matt~tu~ N.Y. ~ ~ ' RANGES OVENS' 2 5 FIXTURES SWITCHES I~CANDESCENT FLUORESCENT MOTOR~ FUTURE APPLIANCE FEEDERS DRYERS rlMEC~OCKE MULTI-OUTLEI' SYSTEM~' NO, OF FEET DIMMERS OTHER APPARATUS: Glem~ R.. Bradley Horton Avenue' Mattitflck, N.Y. 11952. ~o, OF CC. COND, PER ~' This cerfificote must not be altered in any manner; return to the' ol~fice of i;he Bo~J:ii t' GENI~EAL :;dentifi~d, by 'tfleir credentials, THE NEW YORK BOARD OF FIRE UND!ERWRITERS BUREAU OF ELECTRICITy ~ r~b~ 24, ~,ga'~'~ Jo.. ST.EET..EW ~'O.", ..,~ ~..,,~.,,o.~o.o.~,,~ N 795334 THIS ~ERTIFIES THAT ~y t~ e/e~trlc~l ~ui~me~t ~ ~scribed b~ a~ introduc~ by t~ ~pplicaat ~med ~'. ~ath~ ~ 1115 Stgs~e l~a~, Matti~u~k, ~LY. ~sexamlnedon ~ 19~ 1~7 and found to be in complla~ce with the ~equlre.~ents qf this Board OUTLETsFIXTURE ~ECEPTACLE~ SWITCHES INCANDESCENT ~LUORESCENr CK DI A RS EXHAUST a~s m~AC~ ~O~O~S ~ FUTURE APPLIANCE ~EDER$ SPECIAL REC'PI MULTI-OUTLET DIMMERS TIME CLOCKS BELL UNIT HEATERS SYSTEMS H' P' ~T NO A'W G ~T ~P. ~T, AMP~ TRANS. H. P NO. OF FEET S R V I C E 1~2W I~3W 3~3W 3~4W NOO~E~COND, AWG, NO AW.G NO AW, G. OF CC COND, OF HI-lEG OF NEUTRALS OF HI-LEG OF NEUTRAL Glenn R. I~radley I~n Ave~e FIELD INSPECTION FOUNDATION (1st) COMMENTS FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS: VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR. (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box I 179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD NAME: -~ ~'tg~ ~-~e~."r~ ADDRE S S: RE: ~tGs ~ "P.o~b ~ ~ ~Tv~ BUILDING PERMIT # I~ SEC. ~qq BLOCK_ 0 LOT q This Building Permit has expired. You are now in violation of the Town of Southold Zoning Code. Please contact our office, this matter must be corrected. Yours truly, Victor O. Lessard Principal Inspector TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 June 29, 1984 Mr. James Heath 2725 Sampson Ave. Bronx, NY 10465 Re: Building Permit #12709Z Cellar Construction Dear Mr. Heath: Kindly contact me struction underway on your house under at this office regarding the con- this permit. / · Bldg. & Itousin§ Inspector EFH:sw T6S-1802 BUILDING DEPT. INSPECTIO'N FOUNDATION ZST [ ] ROUGH PLBG. I'] FOUNDATION 2ND [/~JLATION [ :] FRAMING [ ~"~INAL ' ' DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [~LATIoN [/~MING FINAL REMARKS: DATE INSPECTOR FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .©.~..~-.'~., 19~.~ Approved ~..~..q.., 19~.h. Permit No ............ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. ,19 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 issued 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 building for necessary inspections. _ ~.___...- ._. :,,s,...-~.x?.¢~..~ ......... °f applican~or name, if a corporation) ~,~'x~ ~.. ~.~--x~.L.x. ~.'~.~.~..../-~.... (Magling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . ..~.x'.,..~..*~~ .............. ,--,..,~ ..................................................... Name of owner of premises ....... '... './.'~-~. ~.;ff.. · ~/ ' (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 .......... .~/..~. i ........... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be donv."~ ............................ ..!~.~ ........ ~.. ............................... .~..~~ ............... House Number Street Hamlet County Tax Map No. 1000 Section ...... 1 .~..ii ........ Block ...... .(~....9~w'. ...... Lot ..... .~. ............ Subdivision.~~..~i ..~....R)L~...~'. .......... FiledMapmo...~.~.1 ....... Lot ...?...Xrw ....... (Name) 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 applicable): New Building .......... Addition .......... Alteration Repair .............. Rem6val .............. Demolition .............. Other Work ............... 4. Estimated Cost ~.~..tg..g). ........................... Fee..~........~. : (to be paid on filing this application) 5. If dwelling, number of dwelling pnits ............... 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 ................. Rear .................. Depth .................... .. Height ...................... Number of Stories ...................... 8. Dimensions of entire new constrUction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front ........... ~ ........... Rear ...................... Depth ...................... 10. Date of Purchase ........... ~ .................. Name of Former Owner ............................. 1 1.Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violhte any zoning law, ordinance or regulation: .............................. 13. Will lot be regraded .~.. 'i ................... Will excess fill be removed from premises: Yes 14. NameofOwnerofpr6fnises~'' ... ................. Address ................... PhoneNo ................ Name of Architect .. ~, .... ...; ................. Address ................... Phone No ................ iPLOT DIAGRAM ~ . , Locate 61early and distinctly alli buildings, whether existing or proposeO:i ~dlindicate 'all;.s~t!b,~l~'?~ns from property lines. Give street and block aumber or description according to deed,' kn~l :silow ~treet nam~s'i~afl ~h~i]~whether interior or corner lot. STATE or ~NET~OP~.. !.d~ S S COUNTY Ol~..Za~;t./~/.~ .... ' OName of individual sigmng contraq~) above named. 765.1~~o o AI, 4 TO 4 PM FOR THF ]I. g~O,~,v-,,~-r.lON _ TWO REQ(HRED ~q~ P~cl'q"T1 CONCRFTE ' fl,'~AMtNG ~, PLUMBING ~. N~'Iu',~' ~, 4. FI'L~ r~n~"'~ ...... !'~N MUST ALL COhm-:m,n.-=,3N S"/d,I MEET THE RFO~,,,rr~4-F,.vS r':' DIF N.Y. STATE CONc-iR~jC-FiOFI ~ ENYRGY ~ODEs. N~T RFSPoN~BI.E FOR ~[Sl6N OR CONSTRUCI-ION ERRORS being duly sworn, deposes and says thane is the applicant ..~He is the ~ , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this II_[ , St County ~ (Signature of applicant) NO, 52'8125850, Suffolk term E!pires AA.rGb 30,