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Home My WebLink About11372-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23572 Date ~k%RCH 29, 1995 THIS CERTIFIES that the building Location of Property 1590 MILL ROAD House NO. County Tax Map No. 1000 Section 106 Subdivision ~LTERATION Block 10 Filed Map No. MATTITUCK NY Street Hamlet Lot 2.1 Lot No. conforms substantially to the App%ication for Building Permit heretofore filed in this office dated SEPTEMBER 3, 1981 pursuant to which Building Permit No. 11372-Z dated SEPTEMBER 15, 1981 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 ~LTE~ATION TO FINISH SECOND FLOOR OF AN EXISTING ONE FANIL¥ DWELLING AS ~PLIED FOR. The certificate is issued to HOWARD & PARTICIA WOLBERT of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N592918 PLUMBERS CERTIFICATION DATED Rev. 1/81 (owner) FEBRUARY 11, 1983 No. ~1372 BUILDING D~PAR'J'/~iEN~: ~ ToWN HAL~ ; ~ SOUTHOLD,:N~ Y. ~ (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL ULL COMPLETION 0F THE WORK AOTHORizED) , : ~' Date ,,; ..... , 19, Permissior is hereby granted to~. .... ~m~&.~.~.~=~..~..~-~ ~o ...Cm~.~ ~ r~ ........ ~...,~ ...... ~.,..~.~....~4-...:~..... ~'.~- ....... ..... ............ ~ ........................ , ................................ ~ ...... t .............. ~...,~? .......... ~.....{ ....... , ......... co,,t~ r~x Mop No. ~ooo s.~t,o, ...... Z...[~. ...... mo,~ .,.4~. ............ D t No.~. ...................... / puts;ant ; app icaton dated ....~~~ '.~. ,~ 19~.: and ~pprov~ by the Building I~spector. ......... TOwN OF SOUT.OLD ~ 2 ~ tq6 BUILDING DEPARTMENT TOWN HALL ~-~"~ .... APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contairs less than 2/10 of i% lead. 5. o~ercmal building, industrial building, multiple residences and similar buildings C ' and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '-'pre-existing" land uses: " 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swiping po~l $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100~00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Co~ercial $15.00 . Date ... . ...................... mew Consgruction ........... Old Or Pre-existing Building{. Location of Property .... /~ .... ~.~.~ ~'~'' '' House No. Street ' [p~ ~ ~ ~~ Hamlet Onwer or Owners ~,,f Property. ~ County Tax Map No 1000, Section .... Z~ ..... Block ..... Z~. ....... Lot..~C.~..,~ .... Subdivision.. Permit ~ ..~ ..Applican~/~.~'~<~ ............... .............. Permit ..... ~.. , ........... Health Dept. Approval ....... ~-.-] ........... Underwriters Approval .................... Planning Board Approval ..... ~ .......... Request for: Temporary Certificate ........... Final Certicate .... ~. ...: . ..................... Town HalF, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 3, 1995 Mr. Howard Wolbert P.O. Box 280 Mattituck, NY 11952 Re: Building Permit #11372-Z Premises: 1590 Mill Road, Mattituck Suff. Co. Tax Map #1000-106-10-2ol NY During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures or new dwellings, and it is unlawful to occupy or use said structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. FIELD INS?EC~ION~ . . ' COMMENT~.~. , ~ .~r,~ .~ FOUNDATION (1st) FOUNDATION (gnd) ROUGH FRAME & PLUMBINt INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Main Road P, O, Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 3, 1995 Mr. Howard Wolbert P.O. Box 280 Mattituck, NY 11952 Re: Building Permit #11372-Z Premises: 1590 Mill Road, Mattituck Suff. Co. Tax Map #1000-106-10-2.1 NY During a review of our building permit has expired, never been issued. files it was noted that the above and a Certificate of Occupancy has According to the Code of the Town of Southold, Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures or new dwellings, and it is unlawful to occupy or use said structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. 16' NAP OF H Ob,,,,,',t..x P.. D BEET'- "'" E WOL ·" t~,T :: -.... ' MATTITUCK ' "" :"" '" · rov,,,rq or ~UmOLD, N__.,Y. '.:,:.'..~- 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ,]~.ATION FRAMING [/~]~ FINAL REMARKS: ~/ /~/~ DATE ~/~/~~'f ,NSPECTO~~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 i/~,:5., ..... -, ...... APpr°~ed~ 'C' ":' '" l>'~' Pe~i~N°' '/'~'z' ':' '~ / Disapproved a/c ........ L~': ]':'. -~. · ......... -,~ ........ / APPLICATION FOR BUILDING PERMIT Date ..............75 19~.Z'. 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 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 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 neces~aEg inspe_ctions.~~.,~ ......... ~ .~..-..~.~ (Signature of applicant, or name, if a corporation) .~ ~..~..~.,1. ,.~..,¢z:?z:/.¢c/...4.. ~: f...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... /l~.~.,~. d-,~. ~' .... ,,~,~. . . .&~,,,x~. '.~.. . ................................................. Name of owner of premises /~.~.~..~..~.'....~.'....~..A~._~.....~.~. ~__4f~.~..~ff:.. ~7/~9~ ....... (as on the tax roll or latest deed) If applicant is a c~rporation, signature of duly'authorized officer. .,?"/.4 ............................ (Name and title of corporate officer) Builder's License No ...... . .~-f~-.......-~..~.~ .?.... ' Plumber's License No ............... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land 'on which proposed work will be done .................................................. . /£?~. .......... .~. .~. . 7. . . . //z./. .~. . . . . .~. ~ ........... ,~.~. . ./~. /.,:/z. .:. ./~. . .,. .~. House Number Street Hamlet County Tax Map No. 1000 Section .... ~..~. ........ Block .... J~. ........... Lot...~..~..~. .......... '7: ~ pN -' Subdivision .................................. Filed Ma o ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~/.~,~......,~..~../.~: ./~....~. ~...Z~.. ?.../~..~. .................... b. Intended use and occupancy . ~./.~/..~..~.......~.~.Z~..~..~. ~... ~...~.~'...d~../..~-?...~. ..................... ' U dm Addition Alterati~ 3. Nature of work [check which applicable): New B il ' g .......... ' ' ' ......... V .......... Repair .............. Re~val .......... .,,,.,., Demolition .............. Other Work ............... ~,~a,/~o-,~t/ ~ ~,~-/a/r$//~ ,~'~'~'~'~'~'~'~'~/~' ,~"/.,~-O'~ (Description) 4. Estimated Cost .... ~'...~..~/. ~. ..................... Fee . .~../..~.'.~ ..~. ........................... (to be paid on filing this application) 5. If dwelling, number of dwelling units. ........ / ...... Number of dwelling units on each floor ..... -"7. .......... b f cars --"-- If garage, hum er o ........................................................................ 6. If business, commercial or mixed occupancy, specify nature~and extent of each tv~ of use .. ~ ..... /./., ~.... 7. Dimensions of ex[sling structures, if any: Front. ~.~.. './f. ,/V .... ,Rear . ~.~.~./. ~ ..... Depth. ~. ~./.g! ...... Height~7~..~W/.~/../a. f... Number of Stories ....... ./...~./ff~../..e~. ~.../ ................ :..% ......... Dimensions of 5,~ne structure with alterations or a~dditi~s: Front :...4(...~7. ·/ ........ Rear ;,~'. · .~. · .......... Depth .. a~.~. ................ Height .~.... ~.... ........... Numbe$ of Stories..../z~-.... ,,~ .; ........ 8. Dimensions of entire new construction: Front .. ~,(..~./~ ....... Rear ...~..'~"...~ ...... Depth . .~..~.. :. ........ Height ~: ff../~. ..... Nu!n, bet of Stories .... /.~-...: ..... ........................ _. .... ~ ~../ ........ 9. Size of lot: Front ..... /..~q...~ ............ Rear.../.~..~ ............. Depth .~. ?. · .< ~..~% .......... 10. Date of Purchase . ./~'-')~ .~.. ~..~...,/(..~?.~. · ....... Name of Former Owner/t/~W/,~. 1 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ~.O ...................... 13. Will lot be regraded ....... A~.O ................. Will excess fill be removed from premises: Yes 14. Nam e o f Owner o f p remiseo,~4~,,~ ~,~l~ddress,~r~. 2~.. ~'.,/-'~affZ./~"t'K' -~hone No ................ Name of Architect ..... ,~..../.~'_,.. ............. Address ..... . .---;w. .......... Phone No. -- Name of Contractor .... ~',~--,,(,,'~.. .............. Address ... ~ .......... 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 coruer lot. -/, U-Il ........... ia, 7ao Sq/ ' STA~ OF NEW YO~, - - - coo~y o~. ~.~il.g ...... ...~¢a. ~-.. ~.~ ~.~ .................... bebg duly swam, deposes ~d says that he is the applic~t (Name of individual signing contract) above named. 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...... 7~...~l. ............. day of...~.-}.~.&.' .~.e. ~ .... ,19 .~..I Notary Public, ~1~.~..~.~: ..... County .,o, ............... f~0IaRV POBLfC. St:re et ~ew York .... (Signature of applicant) ~o. 52-4524711 Qualified in Suffolk County Commission Expires March 30, 198e::~,~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICiTY~i 8!5 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equzprnent as described below and ~ntroduced by the appl~tnt nam'ed on the aho~e application number in Eke prendses of ttoward ~, ~bibert, ~590 We~ Mil. I, l{d., ~t~i'C~ck, N.Y. in the following location; [] Basement ~ 1st Fi, [~ 2nd Fi. was~a,.i.~do. February 3, 1983 Section Block Lot FIXTURE FIXTURES/ RANGES COOKING DECKS OUTLETS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET OTHER APPARATUS: -.,~o~ ...ER.~-~"-'~A-S-"S~E~T"Y MA,L W,,L .E A~