The URL can be used to link to this page

Home My WebLink About15931-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildlnq Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-ldO33 Date MAY 16~ 1989 . THIS CERTIFIES that the building Location of Property 345 BRAY AVENUE House No. ALTERATION MATTITUCK z N.Y. Street Hamlet County Tax Map ND. 10O0 Section 126 Block 2 Lot 14 Subdivision Filed Map No. Lot No. conforms substan%zally to the Application for Building Permit heretofore filed in this office dated APRIL 16~ 1987 , pursuant to which Building Permit No- i5931-Z dated APRIL 25, 1987 was issued, and Conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is zssued is ALTERATION TO EXISTING ONE FAPLILY DW~LT,YNGAS APPLTED FOR The certificate is issued to RICHARD MAG ILL (owner) of the aforesaid'building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-057769 - ~'ESRUARY 9,.i989 N/A · / / B611d~ng-Inspector Rev. 1/81 TOWN 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) NE 15931 Z Permission is hereby granted to: .......... .......... ...... ~.~....~...~.....~....Cd.'_... ........... ot ,.m,. ,~t~ o, .~.~.~::.~...~...~..~~ ...................................... County Tax Map No 1000 Section Block Lot No ................. pursuont ,o opplicatJol~ dated .~.~ ..... .~q ................... 19.~..~..., ond approved by the Budding Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 ~LICATION FOR CERTIFICATE OF OCCUPA Instructions A. Th~s application must 'be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buddings or new use 1. F~nal 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 d~sposal-(S~9 form or equal}. 3.Approval of electrical mstallauon from Board of F~re Underwriters. 4. Commercml buddings, [ndustrml buddings, Multiple Residences and s~milar buddings 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 buddings (prior to April 1957), Non-conforming uses, or buddings and 'pre-exist~ng" , land uses 1. Accurate survey of property showing all properW lines, streets, buddings and unusual natural or topographic featureS. , 2. Sworn statement of owner or previous owner as to use, occupancy and condition of bu ~ldings. 3. Date of any housing code or safety ~nspection of buddings or premises, or other pertinent informa- t~on required to prepare a certificate. C. Fees. 1. Cert~fmate of occupancy $5.00 2. Cert~fmate of occupancy on pre-ex,sting dwelhng $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C'.O. $5.00 Date ...Au~...~Q~..1.9..87 ........ New Building .......... ,...OldorPre-ex~stingBudd[ng .. 7~ ...... VacantLand ............. Location of Property , 3.~.5..5. ¥.a3..A.Y.e......M.a.t.t ~..t u.c.k. ~ N.Y. 11952 House iNo. Street Hamlet Owner or Owners of Property Mr. & Mrsl Richard ~a.g.i.ll. County Tax Map No. 1000 Section 126 Block 2 Lot 14 Subd~ws~on .................... F ~led Map No ......... Lot No ............ Health Dept. Approval ...................... Labor Dept. Approval ........................ Underwriters Approval ..................... Planning Board Approval ...................... Request for Temporary Certffmate ..................... Final Certificate .X ...................... Fee Submitted $. ~.-~, OQ ................... Construction on above desc Rev 10-10 78 Co / o33 '~bed budding and permit meets all apphcable codes and regulations. Applicant .... ~ ............. OUNDATION ( OUNDATION ( 2nd ) OUGH FRAHE & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FINAL I ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS ~: 1 ~(rK~',~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date t,'~:~t~t~¥ 0~ ~q Application No. onfile ~/~ N I)~'~I~Q THIS CE~IFIES THAT ~y t~ ~t~ ~nt ~ ~c~ ~ a~ int~ by t~ ~nt ~ off the a~ ~pl~t~ n~m~r ~ t~ p~s of [] I~t FI. ~ 2~ Fl. ,~tlon Bilk ~t and found to be in co.lplla~ce with the requi~lllents of this B~. RXTU~ ~ OVENS ~ WA~! ~HAUST FANS RXTUI~ OIJTLETS SWITCH~ ~IIVI~ 01~'ONRlCT S I R V I C~CRCj. ^. W.O. ldO. O~ HI-L~G ^. W. O. COPY FO~ BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IH J~IY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [] ROUGH PLBG. FOUNDATION 2ND []INSULATION [~']~RAMING []FINAL INSPECTOR/_~~ 765-1802 BUILDING DEPT. ~~ou~NSPECTION ATION 1ST [ ] ROUGH PLBG. FOUNDATION FRAMING REMARKS: 2ND [ ] INSULATION [ ] FINAL DATE INSPECTOR Examined ~2~. ~-.~. Approved ~. ~' ~ Disapproved a/c 'FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y. 11971 TEL.: 765-1803 ,197.7 Permlt No I ~'~g .~I1 ~; (Building Inspector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a This application must be completely filled m by typewriter or in ink and submitted to the Building Inspector, wit? sets of plans, accurate plot plan tO scale· Fee according to schedule. b. Plot plan showing location of tot and of buildings on premises, relationship to adjmnmg premises or pubhc sire, or areas, and glvmg a detmled description of layout of property must be drawn on the diagram which is part of ttus apr- cation c. The work covered by this applicabon may not be commenced before issuance of Bui/dmg Permit d Upon approval of this application, the Bmldmg Inspector will issued a Building Penmt to the apphcant. Such pern shall be kept on the premises available for mspectlon throughout the work e. No building shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY ,MADE to the Bufldmg Department for the issuance of a Budding Permit pursuant to t Bmldmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as hereto describe The applicant agrees to comply w~th all apphcable laws, ordinances, building code, housing code, and regulations, and admit authorized mspectors on premises and in building for necessary lnspeqtlons . __ .......... (Si~n/atUrev of applicant, or name, Ifa corporation) (Maflmg address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buflde ..................... ?.n.kr.a..c.t ?.r. ................................................... Nameofownerofpremlses Mr.-.& .Mrs. R'.xch.ard. Magz. ll .......... (as on the tax roll or latest deed) If applicant ~s a corporation, signature of duly authorized officer (Name and title of corporate ~fficer)' ' ¼ Builder's License No . .,.1_ 2,9. 8 .5-HI. .. Plumber's License No .... 2 Electrician's License No 1.227. .E . .. Other Trade's License No Locatmn of land on which proposed work will be done Bray Av.e House Number Street County Tax Map No 1000 Se?on 126. . Block Subdivision ,' (Name)' Hamlet 2 Lot 14 ...... Filed Map No . Lot State existing use and occupaqcy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy . .. Re.s.i.d..e.n.c? b Intended use and occupancy 'ResAdence V ~' 3. Nature of work (check winch applicable)' New Building ........ Add~tmn ........ Alteration ... ~ Repatr ........ Removal .............. Demohtion ....... Other Work ........... ~ a ~ ~ (Description) 4. Estm~ated Costs 2, O00,00 ........................ Fee .............................. ~ (to be paid on fihng thru application) 5. If dwelhng, number of dwelling umts... 01n.c. ...... Number of dwelling units on each floor...O.n.a. ...... If garage, number of cars ............................................................ 6 If bus~ness, commercial or m~xed occupancy, specify nature and extent of each type of use ............... 7. Dm~ensaons of exastxng strubtures, afany Front...44 ...... Rear 4/4' Depth .36 ' Height ...22'. ..... 'NumberofStones....1.~ ........................................ Dunens~ons of same structdre w~th alterations or addmons Front 4.~ '. Rear .... Z~ .......... Depth .3.6.' .......... Height . 2. ~ ~ Number of Stones .1 ~. 8. Dunensmns of entire new construction Front ........... Rear .............. Depth .......... Sizeoflot Front ... %0.Q'.. Rear .... ],Q0.~ ......... Depth ..1.~5~ ........... Dat~ of Purchase . .1.9~.2 ................ Name of Former Owner ...O.r.$g~.na. 1. ............. Zone or use dmtnct m which premises are situated .Re $ .5_de.n .~ a t ....................... Does proposed construction wolate any zoning law, ordinance or regulaQon ... Np. Will lot be regraded . '~Q .............. W~ll excess fill be removed from premises Yes X Name of Owner of premmesR.! c .h.ay.d.N.a&[l 1. .... Address . .B.r.a~y..Av.a... Na.t.t: Phone No .2.9.~ 7 ~.65 ~. Name of Architect ................... Address ........ Phone No ........... Name of Contractor S. ~ . .Fi~.~ s.J.~.. . .. Address Ql.d..N.a. ~_.n.R.d. ~..Na.~. Phone No .2.9.8.-.87.9.0.. 10 11. 12 13 14 PLOT DIAGRAM Locate clearly and distinctly all bmldmgs, whether existing or proposed, and~ mdlcate all set-back dnnensmns fr, property hnes Give street and block number or descnptmn according to deed, and show street names and indicate whetl interior or corner lot. /00.,2 STATE OF NEW YORK, COUNTY OF ....... S.S (Name of ~ndlwdual s~gmng contract) above named ,~ue. /oo. oo Using exmstxng foundati and roof for extention l~vmng room. · .. being duly sworn, deposes and says that he is the applic He m the ............ (Contractor, agent, corporate officer, etc) of smd owner or owners, and ~s duly authorized to perform or have performed the smd work and to make and file apphcat~on, that all statements' contained m tins apphcat~on are true to the best of h~s knowledge and belief, and that work will be performed in the manner set forth m the apphcabon filed therewith Sworn to before me tins ....... /..~ ....... ~ay of .... ~ ......... 19 Notary Pubhc ...... ~I ~ .~.~.&..~.--~..County ..... ~%/.,ff____,,~.· ~.~. ..__ HIiEN g. DE VOE ............. "~.~PIIBLIC. StJ'~ o~ ~l~'fl~ ~ ,' (Signature of apphc. ~N~ll~Ot)l