The URL can be used to link to this page

Home My WebLink About15837-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate O[ Occupancy No. Z-16171 September 16, 1987 Date ................................ TH[S CERTIFIES that the building ENLARGE EXISTING DECK Location of Property 830 Sunset Drive Mattituck, N.Y. /t~s'o 'No: ....... 's't/e$i .................. Hamlet County Tax Map No. 1000 Section I 0 6 ...Block 8 .Lot 3 7 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Bnilding Permit heretofore filed in this office dated March 31, 1987 ptlrsuant to which Building Permit No. 15837 z dated ...A.p.r..~.1.. ! ,.........I 987 ..... ... 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 ......... ENLARGE EXISTING DECK ON ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to STEVE & MICHELE MACROS ..................... ?o¥.'e;, ..................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED: Build/~fig Inspector Rev. 1/81 FORM NO. ~ TOWN O~: SOUTHOLD BUILDING DEPARTMEHT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CC~PLETION OF THE WORK AUTHORIZED) N9 15837 Z Permission is hereby granted to: ~ ..~.~.~...../...~.....~.~ ..£~.~..~...~....D..~. . ....~.~..~.~..~../.../.~--. ,~,-~..~ .,n.-/ ~ //~_~.~. ~o..~ ~,~ ~ ~o. ,0oo ~,o. ..... ~.~ ...... ~,~ ..... ~ ........... ~o~ ~o....~...~ ...... Building Inspector. uuildlng Inspector Rev, 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 TOWN OF $_OUT_HpLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled [n typewriter OR ink, and submitted 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 featu res. 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- lions, 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 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 $]0.~.0. o.oo 5.Updated C.O. $ 50.00 Date ................. NewC°nstructi°n ...... Old or Pre-existing BuiJding ............ Vacant Land ............. Location of Property ..................... , ...................... Hous~ No. Street Hamlet Owner or Owners of Property County Tax Map No. 1000 Section ............... Block ............. Lot ............ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable~.c.ofJes and regulations. Applicant ..................... ~ ........................... Rev. 10-10-7S TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. /? An application for Certificate of Occupancy is not on file. /ZF' No Underwriters Certificate on file. /_~/ The check is(outdated/n~ot /Z/ No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperatioq. Building Permit # ...~ ~ .~ ~_ ~? Z' Building Dept. ***/Z/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) O~cupa~cy or use is unlawful without a Certificate of Occupancy. Clear up this matter.as soon as.possible so that leEal action does not have to be Uaken. Thank you for your prompt'attention. ELD II~sFECTION U~;DATION ( 1st ) UNDATION (2nd) UGH FRAME & FLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 76.5-18~_ 9 4 PM FOR INSPECTIONS: ' l. FOUNqATION _ ~O REQUIREq FOR P~UR~D CONCRETE 2. ROUG~i _. FRAMING & PLUMBiN~ 3. INSuI AT,ON . 4. FINAL ~ C~NSTRUCTION MU5~ B~ C'~*~nl ~T~ FOR C.O. . ALL COH?rR~]CTION SHALL ME~ THF RF~' ,~[~rF.~ENTS OF THE N. ~ STA/qt CONqTRUCTION & ENERG~ CO-TS. NOT ' RESPONSIBLE hF;t~zN ~ CONSTR[JCTION · ,60 ...ft. REVISIONS ~IUNE 8~ 1578 YOUNG & YOU! 400 OSTRANDER AVENUE, RIV£Rk ~. D. HOUST~ a SONS/NC X LOTNO 50, SUNSET KNOLLS, S~ MA TTITUCK . TOWN oE SOUTHO£D SUFFOLK CO., N.Y. SCAr"', /-= GUARANTEED TO: SOUTHOLD SAVINGS ,. , ¢, FORM NO. 1 ~ ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined. ~.. Ct..., 19~..'~ Approved~..l.., 19~. ~ermit No./~.~.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: INSTRUCTIONS 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- 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 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 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 building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mmhng address of apphcant) ~ 7,/~_ State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~...~....Y~...'~...~.-~.,..~.. · .?'~..~. · .~/*~. .................................. ~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License Nc):: ....... . .,L,~. ~),j~/..Z...~ - ' Plumber's License No ....... /. .... 5/ ............ Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be don~ .................................................. ..... ................ Street 1House Number County Tax Map No. 1000 Section . .//..~.d,. ............ Block ....~.. ........... Lot .... .,~..Z .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ...... .,/~'7...'~... ~ ................................................... 3. Nature of work (check which applicable): New Building , ' Addition ..... Alteration Repair ; ............. Removal ............ Demolition .............. Other Work ............... (Description) 4. Estimated Cost ......................... ee ...................................... " (to be p~lid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units ion each floor ................ If garage, number of cars .......................... ................... ~ .......................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typeIof use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ ! ...... Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front ............. ~ ....Rear .................. Depth Height ' Number of Stories 8. Dimensions of entire new construction: Front .... . ..... Rear - ' Depth Height Number of Stories 9 Si fl ' pth · zeo ot: Front ...................... Rear ...................... De ............. 10. Date of Purchase ............................ .~ame of Former Owner .. '. ..... . ..................... 1 1. Zone or use district in which premises are situated..z~.. .................... , i ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation' ,~/. ~.. 'r"'i . ..... . ............. 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No i4. Nan~e of Owner of premises ..................... Address ......................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address .... : .............. Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Yesl ..... No ..i.. *If yes, Southold Town Trustees Permit maybe required. : PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from )roperty lines. Give street and block number or description according to deed, and show ~treet names and indicate whether nterior or corner lot. 3TATE OF NEW YORK, S.S 2OUNTY OF ................. ................................................ being duly sworn, depos6s and says (Name of individual signing contract) tb, ove named. is the .............................................................. (Contractor, agent, corporate officer, etc.) said owner or,owners, and is duly authorized to perform or have performed the Sa pphcat~on; that all'statements contained m this application are true, to the best of hi~ york will be performed in the manner set forth in the application filed'therewith. lworn to before me this ' ' ........... ........ of ...... ...... 19 ? 4otary Public,. ........ ~../,~.'....~..~..~w.. County HELEN I[ DE rOE NOTARY PUBLIC, Stste of New York . No. 470787..8, Suffolk .C~_ ~d~ leto Expires March 30, lt.2/-7 that he is the applicant · ........... ~or~ and tq make an'd file this. ~)~i'effge Ired 15~hef and that the (Signature of applicant)