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Home My WebLink About15792-zFOR~ NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Occupancy No. Z15542 Date ..M~ch.2.5, .1.9.87. THIS CERTIFIES that the building .. Ad. .d .i.t.i~q .n .................................... Location 770 Village Lane' Mattituck of Property ~3tJs~ h/ol ....................... ~r'e3t' ....................... ~3r~/o~ County Tax Map No. 1000 Section .. 1 l ~4 ....... Block 06 .Lot 0 17 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...M.a.r..c.h.. 1.6.,..1.9.8..7.. ' . pursuant to which Building Permit No. ! .52.9.2. .Z ............. dated . .M~ .af.c.h...2.1.,.. ! .9.8.7. ........... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlxich this certificate is issued is ......... Deck addition to existing one family dwelli.ng. The certificate is issued to NEIL J. MacDONALD, SR. ..................... ?oh;.'oi;q' g~'g&~;'t) ...................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO .... N/A N/A PLUMBERS CERTIFICATION DATED: l~aildlng Inspector Rev, 1/81 FOR~ NO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE'rlON OF THE WORK AUTHORIZED) NE 15792' Z Permission is hereby granted to: ,,~ , ~. ~ ~.~~....~:.~.:...~..r..~.~ .... i~ r~__ , ~..~-~...o~.._,. o_ ~..;~ 0~_ ~ ................... ~.. ................................ at premises located at .....-7,.,.~..(~..... ,~..~.~;.-~..~ ................................................................ County Tox Mop No. 1000 Section ........ ~..(..~.. ....... Block ....... .C)..~ ...... Lot No ........ I..~. ........... pursuant to application dated .....)~..~...../....~. ..................... , 19.~...~,., and approved by the Building Inspector. Fee $.~.....:..'~ uild~ng Inspector 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 typewriter OR ink, and submitted mlmmmm,~m 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 applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pZz~perty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 New Dwelling $25.Q0, Accessory,SI0.00 Business $50.00 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 ....3/.1.6../.8.7. .............. NewConstruction Old or Pre-existing Building Vacant Land tocation of Property .77.0. .V.i.1..1.a~.e. Lane ~attituck, New York House No, StrEet A'am/et OW O sofProp rty Ne±l J. MacDonald Sr. Der or wrier e ....... , .............. ; County Tax Map No. 1000 Section 3.[4.00 Block 06..00 . - 03_7.000 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .3./.1..6./.8.7..Applicant..Nei 1 .J.: .M.a.c..D.o.n.a. 1..d.,. Sr. :... Health Dept. Approval ........................ Labor Dept. Approval ...................... .. Underwriters Approval ........ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted$ 25.00 Constructio~n on above described building and permit m~eets all appli~lble codes and regulations. WILLIAm WICKHAm ABIGAIL A WICKHAM FRANKLYN a FARRIS DANIEL C, ROSS LAW OFF;CES WICKHAM, WICKHAM 8: BRESSLER, p.c. MAIN ROAD, P.O, BOX 1.424 MATTITUCK LONG ISLAND 516-298-8353 March 16, 1987 Southold Town Hall Building Department Main Road Southold, NY 11971 Gentlemen: I enclose:- 1. 2. 3. Building permit application; Certificate of Occupany application; Check to your order in the amount of $75.00 which represents $50.00 fee for building permit and $25.00 fee for C.O. respectively. subject deck has already been Please be advised that constructed. Zf anything further is needed, please contact me at the above number. Thanking you in advance for your prompt attention to the above matter, I remain. acm Encs. Very truly yours,~. Alice C. MacDonald OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING ]NSULATION PER N. Y. STATE ENERGY CODE FI~AL · ADDITIONA'L COMME~;TS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1803 Examined..~..c~...~. ~ I.., 19 $. ? Approved · .~.~...~. !.., 19 ~.~. Permit No..J. ~ .7.~ .~...'~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY ......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: Date ..... 3/.~6 ...... ,19.~7 INSTRUCTIONS cation. c. The work covered by this d. Upon approval of this a shall be kept on the e. No building shall have been 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- not be commenced before issuance of Building Permit. issued a Building Permit to the applicant. Such permit ~ work. or in part for any purpose whatever until a Certificate of Occupancy Building Zone Regulations, for The applicant admit authorized ins mrtment for the issuance of a Building Permit pursuant to the Suffolk County, New York, and other applicable Laws, Ordinances or :litions or alterations, or for removal or demolition, as herein described. laws, ordinances, building code, housing code, and regulations, and to t in building for necessa~_ections.~..,.~ OX ,~ ~ · . . ./d-adz ......... (Signatu~e'.,df applicant, or name, if a corporation) 770vvi llage Lane ...... Ma.t..t.~.%qc..k,. ?.y..~!9. ~..2 ................. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .o. wner .......................................................... ......... Name of owner of premises ...N~£.~. J,. ~Pp.~lO.,..St ...................... (as on the tax roi1 If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of co,orate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No .................... : ' · Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..................... House Number Street Hamlet County Tax Map No. 1000 Section .... .1.1.4...0 0 .......Block . .0. 6.: .0.0.. ......... Lot.. 9.1. 7.: .0.0. Q ...... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... R..e ~,i.c~ ~.n g.~.a..1..(.h.o..m.e.) ....................................... t.O )~j~.. . b. Intended use and occupancy ............................... .-:v-. ~ ............... 3. Nature of work (check which applicable): New Building ' Addition...D.e.c.k.... Alteration .......... Repair .............. Removal .............. Demolition .......... .... Other Work ............... (Description) 4 Esti atedC $1000. 00 F 950'10.0 m est · · ................... ee ................................... (to b~ paid on filing this applidation) 5. If dwelling, number of dwelling units ............... Number of dwelling ugits 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 ' Dhnensions'of same structure with alterations or additions: Front ........... ~ .... Rear .................. Depth ...................... Height ...................... Number. )f Stories ...................... Dimensions of entire new construction: Front .......... ' ..... Rear .............. Depth ............... Height ............... Number of Stories ....................................................... Size of lot: Front Rear Depth Date of Purchase ............................. Name of Former Owner .............................. Zone or use district in which premises are situated ....................... ~ ............................. Does proposed construction violate any zoning law, ordinance or regulation: . ............................. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises N..e.i.1..J.:..M.a.c~ .D.o.n.a..1.dAddress .7.7..0..V.i. 1..1.a.q.e.i..L.n... Phone No..2.9.8.7.4.4.2.0. ..... Name of Architect ... R/A .................... Address .......... ~ .. Phone No ................ Name of Contractor .N./.A. Address : ! Phone No 15. Is this property located within 300 feet of a tidal wetland? *~es ..... No .~... · If yes, Southold Town Trustees Permit maybe required. ' PLOT DIAGRAM f 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 shbw street names and indicate whether interior or corner lot. 11. 13. Planking 5/4x4 Fastened - 10D-GalvoHod. Sprial Patio Deck Nails Joists - 2x6-16" O.C. Flashing - Aluminum on existing box beam Girders 2 double 2x8 Footings - concrete 3' belowgrade Posts in ground supporting double 2x8 girders 8/4x4 Material - all CCA treated lumber Ancored to existing dwelling - Teco fastening system Railing - around perimete~ 2x6 Top rail 2x4:ce~'ter rail, Height to top 32" 10/4x4 posts - spacing. 4'8" Stairs - box 2xl2'tread (3) 2x12 stringer ~ 8" rise Handrail - 2x4 both sides STATE OF NEW YORK, COUNTY OF..~9~ ...... S.S Deck si'ze: 13'11" x 15'6" ........ N.e.i.%. 0 ...':tvj~¢P.o3~ J-~l ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing con,tract) above named. He is the .... (Contractor, agent, corporate officer, e . ~ 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 · . : . ./.~:~.¢~.....day of-...~fi-'-~~ ...... 19,~.7 Notary Public, :~ .~. ".~.~'.'~.'~~;~"' / ~-~_ f__ "_J ........ ...... ~?.._~ 8~,lmm /"'/ (Signature of applicant)