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Home My WebLink About15614-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hale Southold, N.Y. Certificate Of Occupancy No ...Z. 7.15.2.2..7 .... Date January 29, 1987 I DECK ADDITION THIS CERTIFIES that the buddmg ..... Loca£1onofPropert~ ..3376 Wzckham Avenue Magtituck, New York , House No Street Ham/et County Tax Map No I000 Sectlon . . 1.0 7 Block 0 9 . .Lot 15 Subdlvmlon .Amd. M/o Mat. t. it. uck..H.e, ig.h.t.s.. Fded Map No ] 184 Lot No 9 & I0 conforms substantmlty to the Apphcatlon for Building Permit heretofore filed m this office dated J..a .n.u a. r. y. 8 ,.. ! 9~87.. , pursuant to winch Braiding Permit No 15614 z dated . .J a .n u a'r y. 9, 1987 , was issued, and conforms to all of the requirements of the applicable provm~ons of the law The occupancy for wluch tins certificate m issued m DECK ADDITION TO EXISTING ONE FAMILY DWELLING. FRANK L. Tile certificate is issued to . of the aforesaid bmtdlng Suffolk County Department of Health Approval .. RAYNOR · ......... N/A UNDERWRITERS CERTIFICATE NO .......................................... PLUMBERS CERTIFICATION DATED: N/A Rev 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF: THE WORK AUTHORIZED) N9 15814 Z Counly Tax Map No 1000 Section ...)....0...~. ......... Block ....... ..~...~ ....... Lot No ........ J..~ ....... pursuant to application dated .~..q~ ................... , 19..~..~..,--- and approved by the Building Inspector. Fee $... ,~,..:...../... ..... Rev, 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typew,ter OR ~nk, and submitted ,= ~ to the Building Inspec- tor with the following; for new buddings or new use: 1. Final survey of property with accurate Iocatmn of all buildings, property lines, streets, and unusual natural or topographic features. 2. Fma[ approval of Health Dept. of water suppIv and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4 Commercial buddings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certff.cate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed rote plan requirements where applicable. For existing buddings (prior to Aprd 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of property showing all property hnes, streets, buddings 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 buddings or premises, or other pertinent mforma- t~on required to prepare a certificate. C. Fees' 1. Certlficate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50 00 2. Cert~fmate of occupancy on pre-ex~st~ng dwelling $ 50.00 3 Copy of certlfmate of occupancy $ 5.00, ever 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ....................... New C on s t r uc t · on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~..~/./~,~..... ,~../~-?'..'~...'~...~?..m~.~. .................. House No. Street Nam/et Owner or Owners of Prope~y ...~'/, ,~, ,~, ,~, ,'~.. ,'~.~ ,/~-¥., ,0,.~,-, ............................. County Tax Map No. 1000 Sect,on ./..C~..? ........ Block ...O.. ~. ...... Lot.., /...~'. ........ Subd,v,slon .~;~.~.~.'~..~., .c~..~.- ..~./~'/f. ~~' ........ F,led Map No..?.~'..~. ~...Lot No.. ~.~./..~ ..... Permit No~. ?.~.G./, .~... Date of Permit .?/.~/,~?.Apphcant ./~.~?~/?....~..z?~...~./,~...:% .......... Health Dept Approval Labor Dept Approval Underwriters Approval .................... Planning Board Approval ...................... Request for Temporary Certificate ................ Final Certificate ....................... Fee Submitted $ ....................... Construction on above described budding a~erm~t meets all apphcable codes and regulations Apphcant .~ ..~.~ ............................. Rev 10 10 78 OUNDATION (1st) OU~DATION ( 2nd ) OUGH FRAME & ?LUMBING NSULATiON PER N. Ye STATE ENERGY CODE FINAL II ADDITIONAL COMMENTS: 7GS-1,802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION AND [ ] INSULATION []FRAMING []FINAL REMARKS: O/~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1803 CALL MAIL TO: IL) ~sapproved a/c .............. , ...................... (Bud&ng Inspector) BOARD OF HEALTH 3 SETS t.~ PLANS SURVEY JAil 81987 APPLICATION FOR BUILDING PERMIT Date .... INSTRUCTIONS a Tins apphcatlon must be cqmpletely filled m by typewmter or tn xnk and submitted to the Bmldmg Inspector, with s of plans, accurate plot plan to scale. Fee accordmg to schedule. b Plot plan showing location of lot and of buildings on premises, relattonshtp to adjmmng prenuses or pubhc street areas, and gxvmg a det~led des6riptmn of layout of property must be drawn on the dmgram wluch zs pa~ of thru apph t:on I c. The work covered by tins apphcahon may not be commenced before zssuance of Building Permit d Upon approval of tins applicabon, the Budding Inspector w~[1 issued a Braiding Pe~t to the apphcant Suc~ pe~ all be kept on the premmes available for mspectmn ~mu~out the work. e. No budding shall be occupied or used m whole or m part for any purpose whatever until a Cerhficate of Occup~c~ all have been granted by the Bmldmg Inspector ' APPLICATION IS HEREBY MADE to the Bmldmg Dep~tment for the issuance of a Braiding Pemzt pu~uant to nl&ng Zone Ordmance of the Tbwn of Southold, Suffolk County, New York, ~d other apphcable Laws, Ordm~ces o ,gulahons, for the constmchon bf buddings, addmons or alterahons, or for removal or demohhon, as hereto described ~e apphcant agrees to comply w~th all apphcable laws, ordinances, budding code, housing code, and regulations, and m~t authomzed znspectom on premzses ~d m building for necessa~ znspechons. (S~gnature of apphcant, or name, ff a corporation) (Mm]m~ address of apphcant) ate whether apphcant ts owner, lessee, agent, architect, engineer, general contractor, electnctan, plumber or bmlder. amc of owner of premises .. /..c~,,O n..,,/-~ ,~' 4~.'~...,,,ZE-~..ata. o../% (as on the tax roll or latest deed) apphcant ts a corporation, signature of duly authorized officer. (Name and htle of corporate officer) Bmlder's License No. / o~, c5c' 2 ~,,//--t Plumber's Lmense No ................... Electmcmn's License No ................ Other Trade's License No .................... Locahon of land on whtch proposed work will be done. .. 3 7 . . .49, . c, & .... . House Number Street ' ' '~atnlet County Tax Map No 1000 Sechon .. ~. ~ ....... Subd~v~mon. ~' ~/c ~/ ............ (Name)' ' State existing use and occupancy of premises and intended use aud occupancy of proposed constructmn a Exmt~ng use and occupancy ~ ~dZ ~ o b. In~nded~se and occupancy . .~7...~3 ;~ .~ ............... · Block ...O.o...~. ........ Lot ~/. ~ Flied Map No /. A ,~C/9'( .... Lot. 7.~..r'.° ...... 3. N~amre~f work (check which applicable). New Budding ..... Addition ~....... Alteration Repair .............. Removal ........... Demolition ......... Other Work .4g?.~7~.. ~ c~ oI ~ _l~.. (Description 4 Estimated Cost ·~.~' .............................. Fee . ' (to be paid on filing this apphcatlon) 5. If dwelhng, number of dw$1hng units ...... / ...... Number of dwelling units on each floor... [ ...... If garage, number of cars .............................................................. 6. If business, commercial orlmixed occupancy, specify nature and extent of each type of use .............. 7. Dimensions of existingstmctures, ffany' Front. ?.,v.: ..... Rear ~r~ .t ........ Depth ~,.>.~-? ...... Height .............. Number of Stones .... ~ . ·. Dunenmons of same structure w~th alterations or additions Front ............. Rear .............. Depth ..................... Height ................... Number of Stories ................... 8. Dunenmons of entire new ~onstmction: Front . ~..~. '. ......... Rear . .-~...-:C.: ...... Depth Height ............... Number of Stones .-"~ ............................................ 9. S~ze of lot: Front .... /.?. ............... Rear ..../.c: ~ ........... Depth . .~..,'~.': ........... 10. Date of Purchase . .?~. (~./.$.q ................ Name of Former Owner~'~,,~.~m..~.,_c...-~..~. ~ ...... 1 I. Zone or use district in which premmes are mtuated .,FO..,9. fr.~ ~'7o% ] .<-.. .......................... 12 Does proposed constructmn violate any zoning law, ordinance or regulation ~ 9 .. ................ 13. WHI lot be regraded ....,Cf?.> ................... Wdl excess fill be removed from premmes. , Yes 14 NameofOwnerofprem~s~s,~.'x~.,~'/(/'~Y,~..q'.'t....Address ./~r.~f~P .zt~.O~.'~.,z'z.,~.,"f~PhoneNo~,~.;~")..~-~.t~... Name of Architect ........................ Address ................... Phone No.. ~ ......... Name of Contractor . ~/~.,,?..'~..-C*':'e..--P.~.,,.%,r: ....... Address ~.~:'~,¢.*~(~f:~ .-rt,o.4r~.. Phone No -~.~.~.~. ~.~..Z:.. 15. Is this property located within 300 feet of a tidal wetland? ~Yes ..... No ..... · If yes, Southold Town Trustees Permit maybe required· PLOW DIAGRAM Locate clearly and dtstLnclly all buildings, whether ex~stmg or proposed, and indicate all set-back d~menslons fr property hnes. Give street and block number or description accordh~g to deed, and show street names and indicate whet interior or coruer lot. STATE OF NEW.YORK. o S zou v OF ....... · . .~/z.....~. ~... ~...,~....,,~.,...~. ................... being duly sworn, deposes and says that he is the apphc (Name of individual s~gnmg contract) above named. 'Ie m the ........................ (Contractor, agent, corporate officer, etc.) , ,~ ~. ~ ~f smd owner or ownem, ~d is duly authorized to perform or have perfonned the smd work and to m~e and file ~pphcation; that all statements cont~ed ~ this apphcahon are true to the best of h~s ~owledge and behef; and that ~ork will be perfomed in the m~ner set forth m the apphcatmn filed therewith. ~wom to before me thru ..... ~ ........... dayof f~ ...... 19~7. . qgta~ Pubhc .... ~ ..... County UN~AJ. ~ (S~gnature of apphc~ Nota~ Pu~ic, S~e ~ N~' ,~/ No ~225~, Suffo;k c~ NOT[ ~ L, UBt,t¥tStUN M~P F~LED IN THE uFF{CE OF ~H[ CLERK OF 5 SU~CLK COL[N~ TAX M~P SURVEY FOR FRANK L. RAYNOR & BERTHA E. RAYNOR LOT 9 I~ 10, "AMENDED MAP OF MATTITUCK HEIGHTS" AT MATTITUCK DATE TOWN OF SOUTHOLD SCALE SUFFOLK COUNTY, "NEW YORK NO MAY 21~ 19BI !GUARANTEED TO SOUTHOLD SAVINGS BANK THE TITLE GUARANTEE CO ALDEN WYOUNG, PROFE SO A GINEER AND LANO SURVEYOR NY$ ~ NO I2845 HOWARD W YOUNG, LAN~ ~R~YOR bSTFIANDER AVENUE NEW YORK