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Home My WebLink About13531-z TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18344 Date AUGUST 31~ 1989 THIS CERTIFIES that the buildin~ ADDITIONS Location of Property 120 PRIVATE RD. #17 - MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 6 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 12, 1984 pursuant to which Building Permit No. 13531-Z dated NOVEMBER 9, 1984 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 & 2nd STORY ADDITION TO EXISTING ONE FAliILY DWELLING Tho certificate is issued to MILLY McMAHON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL H-011420-AUGUST 28, UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 1989 t~i~ding Inspector Rev. l/S1 FOB,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 13531 Z Permission is hereby granted to: .....Z~./.,..~...~.....~...~..~ ......... .... ~:....~.....:~ .. .... ,o ..~d~/,z~..z~:~.~2....:~.....~. ....... ,~'~.~....~.....,~...~....,ff~...¢..~....~ ..... ................................... o,,rem,,, ,~.t., 0,.../~ ....... ~..~A...~/Z ..................................................... ........................................................................................................... ~~~.=.~,.d pursuont to applic"tion dated .... ~.~....../...~... ............ , 1~.~..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG. OEPT. TOWN OF BOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted -. ~ 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 electrical 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 appiicaNe. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New C °n_s %r~uc~t i~0~.~.~ 0 d or Pre-existing Building .... Vacant Land ............. ... ' ....... Location of Property .(~,'.'~..¢¢.,~¢./.,~'.~-~? House No. Street Ham/et Owner or Owners of Property . ./~.,//, ~L..~... ~.. ,~. ~ /¢P) ¢I~..~. ~¢2 ~....' ........ County Tax Map No, 1000 Section .... ,/~:?..-~. ..... Block ... ~, ......... Lot...~l ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./ff.~.{.' .~.. Date of Permit ~/.~ .~..~.~.AppJicant .. Health Dept. Approval ........................ Labor Dept. Approval .................. ; ..... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted S. .~.. =- ..................... Construction on above described building and per, mit meets all applicable codes and regulBtions. ... .............. Rev. 10-10.78 co TOWN OF SOUTHOLD OFI:;ICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit oo. 13531M issued to Millie Mc Mahon on _~1/9/84 for Addition is comple'~ed and a final inspection has ( ) has not ( x ) been done. An-Underwriters Certificate is needed In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed for~n, return same tO the above office with a cheek for ~ $25.00pnynble to the Town of Southold. Please indicate to Whom thc Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certlfleate of Occnpancy. Please help ne to clear up thi~ matter so eliot legal action does not have to be taken. Thank yon for your prompt attention. Very truly you~, Victor Lessard Executive Administrator VL:gar one 1 . FIELD INSPECTS, ON DATE COMMENTS FOUNDATION (1st) FOUNDATION (2 d) PLUMBING INSULATION PE~ N. Y. STATE ENERGY .__ ADDITIONAL COMMENTS: pECONIC TOWN;OF- SOUTHOLD '" ' ' , eU~RANT~ 'SUF~LN COUNTY, N.~ , -.*~&~y~.,,~ . . : ~ only the electrical equipment az d~scribed below and introduced by the applicant named on the obove application number in the prem' ~MILr.~ MCMAHON, CAMP MINEOLA RD., MATTITUCK, N.Y. L ~s examined on AUGUST 07,1989 and found to be ia co:npllo~*ce u'ith ~he require.lents Qf this Board. 15 23 15 DRYERS ~RNACE MOTORS ~ FUTURE A~IANCE ~E~R$ SPECIALRECPL TIMECLOCKS ~ ~t~ ~UNITHEA~ERS MULTI-OUT~T - F ~ 30 ~: , ' 1/'. 600' X 1 2/0 I . MOTORS: 1-. 75 H.P. ' PANEhBOARDS:l-36 CIR. 200 ' '" SMOKE DETECTOR :-2 : .. MILL~ MCMAHON~ - , CAMP'MINEOLA RD. ~ ~ , MATTITUCK, NY, i1952 .~ ' . ' ~ GEN~AL~AGER This ce~ificate mu~t not be altered in any manner~ return to the offic~ of ~he Board i~ incorrect Inspe~rs may ~e i~fi~ ~y~e~r 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATI°N []FRAMING [~FINAL REMARKS: DATE _ INSPECTOR's, ;Ann]ic~t~on Recexved Disapproval Issued i / z- .... 19 ¢ 19__ · FORM N0. 10 APPLICATION FOIl D~ELOPM~NT PERMIT In ghe ~own of Sou~hold Permit 1. Type of Development Proposed: Addition and/or Alteration~ Other (specify) .... 2. Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement __ feet (b) In a V Zone, bottom of lowest structural member 3. FIRM--Flood Insurance Rate Map, Zone designations ~_c~ 4.o erof Premises ,_. ~.Location of Property: ~ ~ ~ ...... ~ ' County Tax ~ap No., D~str~c~, ~000, Section New St'ructure (including storage tanks~] Flood. Proof Below Base Flood Elevation~ ' inches f'eet -" inches Subdivision l--_JUnder Contract] I Lesseel .!C°ntract°r Block - Lot(s) Filed Map # ~ Lot(s) ~' 4/80 Applicant' s mailing address and phone # if not given above: Approval from other(s) before Permit is issued: DEC f~..Y,///~ WETLANDS (Town Board) BUILDING PERMIT " PLANNING BOARD . < 0wne~,- - N~w 0w~[ .... ~, Under Contractl~, Lessee~,~ Agentl I, Con- tractor~, and agree to comply with all applicable sections of the Code of the To~ of Southold; Co~ty, and State ~d to a~it authorized in- spectors to premises authorized to perfo~ or have performed the said work ~d to make and file this application, that all statements contain- ed in this application are true to the best of my knowledge and belief and that the work will be perfo~ed in the mannerset forth in the application filed therewith. COUNTY OF ~~ SS ~ - Signature NOTARY PUBLIC, STA~ OF NE~ YORK QUALIFIED IN *UFFOLK ~/ Nota~ Public COM~/SS/ON EXPIRES MARCH SO, P.O.'BOX ?28 S0UTHOLD, NY 11971 FORM NO. hO TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 TO~N HALL MAIN ROAD SOUTHOLD, NY ..... ~ ~: '~ ....A~PLICATiON FOR DEVELOPMENT PERMIT Instructions: The application to the Bull.ding Inspector includes (each In duplicate) 1. For~ No. l0 filled out mn ink or typewritten, 2. Sur- vey of premises with ielevations above mean sea level, 3. Drawings of pro- posed work. The app2ication must give complete information to show that the proposed c~ comply to the Local Law No. 1-1980, Chapter 46 of'the Code of the To~ of Southold kno~ as "Flood D~age Prevention Law" of the To~ of Southold. The applic~t must submit approvals that any.other agency requires. , General S'tandards as ~requi~ed in Section 46-17 of the law to minimize flood ~age: A. ~choring of ~structures, including t~ks ~d mobile homes B. Use of construction material and methods C. Desi~ and location of utilities D. Subdivision p~oposal with drainage, public utilities desi~ ~d base flood elevations .Specific Standards a~ ~equi~ed in Section 46-18r A. Residential 6onstruction B. Non-residential construction C. Mobile homes: The applicant must submit plans ~d specifications as well as any othe~ tnfo~ation requested by the Building Inspecto~ to substantiate the facts that the structure has or will have the lowest floor, including basement/ cellar, elevated abo~e the base flood elevation o~; if pe~itted by the Federal Regulation, Shat: 1. such structure is flood proofed in such ma~er that below the base flood level the structure is water ti~t with walls substantially ~d impe~eable to the passage of water, 2. that structural components are capable to ~esisting hydmostatic and hydrod~ic loads and effects or,buoyancy, 3. applic~t must sub~it certification by a registered pmofessional engineer o~ architect that the st~dards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. Coastal High Hazzard a~ea (V Zone) ~6-19. Applicant shall submit plus, ~Specif~catlons inclu~in~the required certifications ~d such other in- fo~atmon as the Building Inspector may require in that 46-19 a~e complied with. Mobile homes are prohibited. The lowest portion of the structural members of the lowest floor c~ot be lower th~ the base flood elevation~with all space ~elow open except breakaway walls. Sand d~es. If s~d~d~es exist on the premises ~d the applicant pro- ~oses to alte~ s~e, ~plans and specification must be shown in detailed nature of an~ altera$ion submitted. ~uilding Pe~it. A Building Pe~it is also requi~ed fo~ ~y structure. Bo~h a Development ~d a Building Pe~it must be issued before ~y work c~ start in a speci$1 flood hazza~d zone. A, w~itte~ disapproval o~ a pe~it must be issued within ten (lO) working days. During construction,~the inspector ~hall be notified in time so he may m~e the requi~ed inspections. 7~ ~p~n~co~letton; the. required certification fo the final elevations ~d ~k~ ~e ~Ubmi~ted before the approval to use o~ occupy c~ be (Fill Out the form on the back of this sheet) t,m./8o ! ,: ~.,~q ~,~ ':..,~ ".~7~,~i'OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..~..'~..g .... ,19 .~. Approved....~. ·.. · .~. .... :,1 ~ Permit Nob./.~...~.'~. .... ~.~o-~'~ ~ /~ ~r". J/- ~(guilding Inspector) APPLICATION FOR BUILDING PERIVIIT INSTRUCTIONS Received ........... ,19... a. This application must be completely filled in by Wpewriter 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 tiffs 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 Ybrk, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demoliQon, as herein described. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in~l?ections. /7 /) , .... ,~x?:~.,_ .~ e_,~. r.~,¢-,~...___ ....... : ..... (Signature~Fapplicant, or name, if a corporation) ...... (M~filing address of applicant) ?/~O,~2. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· · .0.~~ ......................................... 17 ........................ ': ........ ,,'a,ne of owner of premises 2- ........................ (as on the tax roll or .ates~ dc~,~ If applicant is a ~orporation, signature of duly authorized officer. (Name and title of corporate officer) Builder'} License No... ~,..: ........... Plumber s License No.. ~ . . ~..'."'- -~..~~-~ Electrician's License No ..... £C ~' Other Trade's License No ...................... Location of land on which proposed work wilt be done ....................... rr ..................... . .... ........ /..Z.~.. ........................... Itouse Number Street Hamlet County Tax Map No. 1000 Section .~;q;~ ............ ./,.~5 Block ~3(~...~'~. ...... Lot. )¢ ~.----~'~.~...'"--'. :';~'}'.. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constr~uction: a. Ex~stmg use and occupancy ... /.//~.' .~ .~: ~ .... ~.~ ...................... ~. - -' b. Intended u,- I 3. Nature of work (check which applicable): New Building .... Addition · eration ...... Repair Removal Demolition ' Other Work ~ (DescriptiOn) 4. Emmated Cost ........ ~,~.~, ......................... Fee ......... ~ ............................. .I/t~a~,t~,t~ O~'~ ~t~"b'~ i~;~t,u~'( (/,~.. 1~'~;~'iO~'o ~ (to bipaid on filingthis application) 5. If dweiling, number of dweiling units ..... ~9.~/'.~ ..... 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 tS)pc of use ............. 7. Dimensions of ex~stmg structures, ff any: Front. ~/.. ~ ....... Rear . .~/..i2~ ...... Depth . .~./...~.... ¥ , Height ............... Number of Stories ..... {9, 4Y .................. l ....................... Dimensions of same structure with alterations or additions: Front ' · 'J"/' ' 'J' · i ...... Rear .. ,/. ' Depth ................ e~ght ................ Number Of Stories 77'.1,V'.~... 8. Dimensions of entire new construction: Front ........... Rear .. ~ Z..~.~ ...... Depth ... ~'. .... Height ,4.~.. ' Number of Stories , ,'?L~.~, P. /-~..~ ' Rear ~7.,~. 'Depth 9. Size of lot: Front ................................... i ......... 10 Date of Purchase ~'At6'~ ;,q,-.~ /2.2.~ Name of Former Owner " I I Zone or use district in which premises are situated 7~ 12. Does proposed constrnction violate any zoning law, ordinance or regulation: ...! ...................... 13. Will lot be regraded ........ t~ .o: ................. Will excess fill be removed from premises: yes 14. Name of Owner of premises .................... Address .................. Phone No ................ Name of Architect ........................... Address .................... Phone No ....... ......... Name of Contractor .......................... Address .................. Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and block number or description according to deed, and sh6w street names and indicate whether interior or corner lot. : ,,/ sr' rn OF NnW O , COUNTY OF.~... ~'~ · ~../../,-..Ir. ~../?~'~''~/~ E...Z~.,q./f. ~ ~. ...................... being duly sworn, dep )scs and says that he is the applicant (Name of individual signing contract) above named· · t~ is the ................ : .................................................. (Contractor, agent, corporate officer, etcI) 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 ihat'the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ' .~'. ....... //.~ .~.~ ....... da~.x~f~ ....... 19~. · . 'ounty ~ Notary Public, / // V~RONICA F. ~IDON~ OUAI. IFiEO IN-SUFFOLK COUNTY ,, , .... · (Signature of applicant) OCC ? C¥ I:IR OF OCCU?ANC¥ No'FY BUILDINb u ~,. cAR ~65-1802 9 AM TO 4 FOLLOWING INSgEglONS: ~. FOUNDATION ' ~ FOR POU~ED CONCR~E ~. ROUGH - F~MiNG & pLUMBING ~. INSU~TION 4. FINAL ~ CONST~UCTION MUST ' BE COMgLETE FOR C O. ~ CON~RU~ION SHALL M~ET ~E ~QUI.REME~S OF THE N, Y. ~A~ CoNdUCTION & ENERGY ~ NOT RESPONSIBLE FOR ~ ~ CON~Ru~tON ~RRORS. % L r~ //' t" ./ I0" O