Loading...
HomeMy WebLinkAbout15844-zFORM NO. 4 TO~N OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19022 Date MAY 7, 1990 THIS CERTIFIES that the buildin~ Location of Property 795 SALTAIRE WAY House No. County Tax Map No. 1000 Section I00 Subdivision ACCESSORY MATTITUCK, N.Y. Street Block 1 Lot Filed Map No. Lot No. Hamlet 2O conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 1987 pursuant to which Building Permit No. 15844-Z dated APRIL 3, 198-7 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 WILLI~ & BARBARA MEYRAN No Z-19023 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date MAY 7~ 1990 THIS CERTIFIES that the building. Location of Property 795 SALTAIRE WAY House No. County Tax Map No. 1000 Section 100 Subdivision ADDITION MATTITUCK, N.Y. Street Hamlet Block 1 Lot 20 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 1987 pursuant to which Building Permit No. 15844-Z dated APRIL 3~ 1987 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 DECK ADDtTION TO EXISTING ONE FAMILY D~ELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A WILLIAM & BARBARA MEYRAN Rev. 1/81 1~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. No .U~LD~N~ PE~T CGMPLETION OF THE WOR~ ^UTHORIZED) Z ~ote ...~.....~. .................. . ~ ~.7. 5 8 4 4' Permission is hereby granted to: ........ i ., ,".'.') ,.,.,,,,,.. .. ~ '~._ i , at premises located at ...~..~..~......~......~,..~ ...... ~~ ................. County Tax Map No. 1000 Section ..... ./...~ ....... Block ....... ..C)...( ........ Lot No. ,...~....~..U...,~ ...... pursuant to application dated ..~.~........~.~. .............. , 19..~...'~.., and approved by the Building Inspector. Fee $ ........................ Baildlng Inspector Rev. 6/30/80 TOWN OF SOUTROLD BUILDING DEPART}lENT TOWN HALL SOUTROLD, NEW YORK 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING gUILDING ...... ~ACANT LAND EOUSE NO. TR HAMLET County Tax Map No. I000 Section ...... Block ....... Lot' . ........ Subdivision ....................... Filed Map ........ Lot .......... ~er~t Ho. ~8.4:~..Z..~a~ o~ ~er~t .......... App~ic~ ................... Health Dept. Approval .................. Underwriters Approval .............. Plamning Board Approval ................ Request for Temporary Cerclficate ....... Final Certificate ~e~ Sabm~cd: ~ .... .Z.p:?.~ ......... rev. 10/14/88/ FORM NO. TOWN OF SOUTIIOLD BUILDING DEFARTMENT TOWN IlALL 765 ~ 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. Ihls application must he]filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: ]. Final survey of property with accurate location of all buildings, pXoperty lines, streets, and unusual ~atural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electricai installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that s~older used in system contains less' than 2/I0 of IZ lead.; 5. Commercial buildings,lindustrial buildings., multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect o= Engineer responsible for the hull'ding. 6. Submit Planning Board]Approval of completed site plan requirements, B. For existing buildings (~rior to April 9, 1957~ non-conforming uses, or buildings and "pre-existing" land Uses: I. Accurate survey of prbperty showing all property lines, streets, buildings amd unusual natural or topographic features. 2. A properly completed :application, a consent to inspect signed by the applicant and a certified abstr.act of title issued by a title company which shall show single and separ!ate ownership of the entire lot prior to April 9, 1957. . If a Certificate of ~ceupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: ]. An application for v~cant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership o9 the entire lot prior to April 9, ]957 shall also accompany the application. If.la Certificate of Occupancy is denied, the Building Inspector shall state the reas6ns therefor in ~rriting to the applicant. D.., FFE~ I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swim--lng Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Ogcupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land CertSficate of Occupancy - $20.00 5. Updated Certificgte of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.00 Residential Commercial TOWN OF SOUTUOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD. NEW YORK 765 - 1802 11971 - -,,,i OF souTHOfD ~,~ APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ..... J ........ NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. HAMLET co...~ ~ ..~ .o. ,000 ~=.~o...(P~. ~o=~ ..t .... ~o....~9 ...... Subdivision ....................... Filed Map ........ Lot .......... Permit Health Planning ~o. l~8.4+.&.Date of Pcrmi= .......... Ap~liean= ........... Dept. Approval .................. Under~riters Approval .............. Board Approval ................ Request for Temporary Certificate ....... Final Certificate .~.. ........... ~ee Su~ca: ~.. 2d.o? . rev. 10/14/88 FORM NO. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must beifiled in typewriter OR ink and submitted to the Building Inspector with the following; for sew buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual ~atural or topographic features. 2. Final approval of Uea~th Dept. of water supply and sewerage-disposal(S-9 form). ~. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less' than 2/10 of ]Z lead. i 5. Comercial buildings,!industrial buildings, multiple residences and similar. buildings and Installations, a certificate of code Compliance from the Architect er, Engineer resDonsible for the hull'ding. (~. Submit Planning BoardlApproval of completed site plan requirements. B. For existing buildings (~rior to April 9, 1957] non-conforming uses, or buildings sod "pre-existing" land ~ses: I. Accurate survey of property showing all property lines, streets, buildlnEs and unusual natural or topographic features. 2. A properly completed ~pplica£ion, a Consent to inspect signed by the applicant and a certified abstrlact of title issued by a title company which shall show single and separlate ownership of the entire lot prior to April 9, ]957. · If a Certificate of Oiacupaucy is denied, the Build/nC Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informatio~ required to prepare a certificate. For Vacant Land Certifidate of Occupancy: I. An application for vgcaut laud Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire 10t prior to April 9, ]957 shall also accompany the application. Ifla Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in wrlting to the applicant. ]. CERTIFICATE OF O~CUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -Businesses $50.00. 2. Certificate of O~cnpancy on pre-existing dwelling - $]00.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$]5.00 Residential Commercial er. OU~;DATIO~3 ( 1 s t) OUNDAT I O:~( 2nd ) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE . ADDI COMMEN'I'S: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ I .~iSULATION / FRAMING ,rd FINAL REMARKS: DATE INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION REM. ARKS: DATE ~~~__ INSPECTOR ~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 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. /~/ No Underwriters Certificate on file. ~ Tile check is(outdated/n~ot /5/ No IIealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit t~ _~ 3 ~ ~] k_~ Z ~J~ ~, Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) OCCUPANCY OR USE IS UNLAWFUL WITHOUT A ~EHTIFICATE OF OCCUPANCY. CLEAR UP THIS MATTER AS SOON AS POSSIBLE SO THAT LEGAL ACTION DOES NOT IIAVE TO BE TAKEN. Thank you. TOWN OF SOUTtIOLD OI:FICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL $OUTIIOLD, N.Y. 11971 May 26, 1989 TEL. 765-1802 William & Barbara Meyran 20 Sintsink Drive West Port Washington, New York 11050 To Whom This May Concern, We are unable v.o complete your Certificate of Occupancy because .of the following reasons. /_--/ An application for Certificate of Occupancy is ;lot on file. (ENCLOSED FOR DECK ONLY) /_--/ No Underwriters Certificate on file. /~/ The c]lec:k .it;(qSX~i,l[k~g/not On file, ) /_/ No Heal. th Dept. Approval on file. /-_~/ No final inspection has been made. $25.00 P]ea:;e contact ()ur office on this matter. Thank you for your cooperation. Ih~ildir,,g PermJ. t # ! 5 8 4 4 Z Dtli ld i~]g Dept. *.~/~/ Ho Plumber solder Certificate on file. ( a].l permits involving plumbing being issued after April 1,1984 } NOTE: BP #15844Z has expired. We will issue CO for deck addition only. Please renew permit for accessory garage and commence, fence or fill excavation. 20~int ~inlt ~rilar-~r ~t ~Por! lDa~ hinllton..~.~). 11050 August, 1988 Office of Building Iinspector Town of Southold Dear Sir: Re: 795 Saltaire Way Mattituck Enclosed please find a check for $344.24 for building permit at the above address. Please also extend the building permit for garage. Thank you. William J bfeyran~ 795 Saltaire Way Mattituck, New York ..... TOWN OF 'so/J'fi~OLD 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 .(~.~ .6 .... , 19~.~.. Permit No. )..~..~..~..~--.. Approved Disapproved a/c ..................................... ...... ....... . ................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY ' CHECK .......... SEPTIC FORM NOTIFY CALL - 3.:29Tf.s7 MAIL T 0: &~,'//,'~ ~.~ ~'-, TOWN OF 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. (Signatu/iof applicffnt, or name, if a corporation) (Mailing address of applicant) // State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises . ..~'. r'f./(.°-.'t'...t~.,~..e-d/~.e~..,-~...~../.~..a.'7..~.~..~.,.,..,~...~.~.~.~. .................... ,/ (as on the tax roll or latest de4d) 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 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[ ................................................. . .,CAvff.,. ?. . ..... : ......... · ..k) ....................... Street' Hamlet House Number County Tax Map No. 1000 Section . ./..O.o...q.q ........ Block . p./.,..o.D. .......... Lot.. ?..2..O...Q.o..c.,~ ..... Subdivision· ~a. f.q'.~.~i .r'.e. , ~.a-f..~.5. ............. Filed Map No. g'f.~ · ~-. ........ Lot .~.2..o.,..ca..~. ..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy/of proposed construction: a. Existing use and occupancy ................................................... ;'., .... ~:'..) ........ b. Intended use and occupancy . .~: .................................................... ' 3. Nature of work (check which applicable): New Building .. ~ .... Addition : Altaration ,. ......... Repair .............. Removal .............. Demolition ............ Other Work ............... , ., /~,~ ~ (Description) 4. Estimated Cost ..'>".~ . .O. ?.· .~. · ' · ................. Fee .. ............................ .... .. . ~ · (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ......................................................................... 6. If business, commercial or mixed ~ccupancy, specify nature and extent of each type'of use ... ': ..... ' .... ' ........ 7. Dimensions of existing structures, if any: Front, . ~ .~.. ~ .... . . Rear .... .~. ocr'....... Depth ..~.i .......... Height ............... Number of Stories ................... ' ............................. ] ....... Dimensions'of same structure withl alterations or additions: Front ................. Rear .................. Depth ...................... i Height ...................... Number of Stories ....................... ,& Dimensions of el~,t~e~neW construciion: Front i.~i! i .2~.iii'iii'' Rear.../. 7~ ........ Depth ....~..o. ......... Height .... '.. ?..*. { ':":'.. Number of Stories ....... . .................................. 9. Size oflot: Front ... o. .....i ......... Rear.~../&~ .... ;. .....: ..... Depth ..~.2..c-~.. .............. 10. Date of Purchase t~ ac' .~./~,~../. ~ .~ ............ Name of Former Owner .7.'~-~,~,,~ aa..J .--~.~¢~-. ~ ~...~.q .r-5 11. Zone or use &strict in which premises are situated ..................................................... 12. Does proposed construction violat~ any zoning law, ordinance or regulation: ............................... 13. Will lot be regraded ........... : ................. Will excess fill be removed from premises: 14. Name of Owner of premises ..~/'/6'c~.T.,~..,+/~.~.,t,,,-. Address4O. $,?.~..~(q./.~., .~.,. .. Phone No..~.~.957/. ~'... · Name of Architect ..,..--L-7.. ..... I ............... Address ................... Phone No ................ Name of Contractor : ne3~o ........................... Address .... : .............. Phc ................ 15. Is this property located wi!thin 300 feet of a tidal wetland? *Yes ..... (~)~ ..... · If yes, Southold Town Trustlees Permit maybe required. ' PLOT DIAGRAM Locate clearly and distinctly all b¢ildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. -~ STATE OF NE~yORK, S.~ cou v OF r ...... . .~dff~ ~q ~., .~.~.~ ~ ..... ~ .................. being duly sworn, deposes (Name of i~vidual signin~ contract) ttbove named. and says that he is the applicant ~e is the ......................................................................................... ~ (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly uthorized to perform or have performed the said work and t~m~ke and file this lpplication; that all statements contained in this application are true to the best of his knowledge~d~ef; and that the ~:~ork will be performed in the manner set forth in the application filed therewith. ~worn to before me this i t, / ....... ~.~...(./.~4.~./ .... day of. 'I, '(~}: '~' '~'' '~' ~." ~/~,~.~,~.'~/'~ q~tary P .... ,~ NOlIW P~blt.~J!~lt of N~ ¥~ ...... ra.,~ · I..'. · ;-.../.~ · .- ........... No, ~0-4~04609 ~/ - ~' t~i,,-ature of applicant) , Qualified in Nassau County ~.?/ Commiss;on Expires March 30, tO ~ ? ?