HomeMy WebLinkAbout16074-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARRRvIENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17536
Date NOVEMBER 22, 1988
THIS CERTIFIES that the building_
Location of Property 240 NORTH DRIVE
House No.
County Tax Map No. 1000 Section 106
Subdivision
ADDITION
MATTITUCK
Street Hsmlet
Block 06 Lot 31
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 27~ 1987 pursuant to which
Building Permit No. 16074Z dated JUNE 14, 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 ADDITION TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to
F. LYNN CURLEE/JOHN D. MARTIN
{owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
' Building Inspector
FORBS NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THF- WORK AUTHORIZED)
N_o 16074 z
Permission is hereby granted to:. ,~ ~
..... ..........
..~.~..o..~C.~ .......... ~....~..,. ............................
I~ . ,e_~. ..M... , . I oo l o
ot,rem;,,'ocate:' o, ...;~..~.O.....~.~..~ ........ ~.~ ..................
County Tax Map No. 1000 Section ...... ]...~...~. ........ Block .......C~...~.. ........ Lot No.....~.~ .............
pursuant to application dated ....... ~..~...~...'J .................. , 19.~...]..,--- and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
April 29, 1998
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Bridget Montifiore
9 Prospect Park W. ~9A
Brooklyn, New York 11215
Dear Ms. Montifiore:
A recent inquiry regarding you
Mat%ituck, 1000-106-6-31, has
Certificates of Occupancy for
The survey submitted for you;
Occupancy contradicts the sk
additions.
Please contact our office
matter.
Sincerely,
Southold Town Building Dept.
Edward Forres~cer
Director of Cede Enforcement
Jhed
his
EF/cs
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted .- ammmam 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 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling.$25.QO, Accessory I$]0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $100. O0
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.O. $ 20.00
5. pdated C.O. 50.00 Date .....
NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land .......
Location of Property '~ O ~ .,.' ~'~ ~
House No. ' ......
?
County Tax ~a~ No 1000 Section ./.' ,~.. . /O' 7;/'
........ Block ...... ~, ........ Lot.. ~. ..........
Subdivision ................................. Filed Map No ........... Lot No ..............
'~' d '2 ~/z Date of Permit
Permit No /
..................... Applicant .................................
Health Dept. Approval .................... Labor Oept Approval
....................... Planning Board Approval .....................
Underwriters Approval .
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Constructiononabovedescribedbuild,ngandp~e.[saH~. ica~.codesand regulations.
fo zf7~3~
TOIVN Ob' SOUTIIOLD
OFFICE OF BUILDING INSPECTOR
P,O. BOX 728
TOWN HALL
SOUTIIOLD, N.Y. 11971
May Concern,
TEL. 765-1807.
~qe are unable to comptote your Cartificate
of Occupancy becau3e .of the following reasons.
/
/_--//An application for Certificate of Occupancy
is not on fil~. ~~
/~/~/:lo Underwritcrs Ccrtificate on file.
~// Tho check .[s(~ot on file.)
/-/ Ho :Iealth Dept. Approval on file.
/.--_] No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperations'
Buildin[l Dept.
*~*/-_/ rte Plumber Solder Certificate on file.
( all permits involving plumbing being
.[s:;ued after April 1,1984 )
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST r ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
/
FRAMING [~/FINAL
DATE,
OUNDATIO:~ { 1st)
OU!IDATION (2nd)
OUGH
FRAME &
FLUMBING
iNSULATION PER N. Y.
STATE ENERGY
CODE
FL, AL
ADDITIO~A~L COMMENTS:
TOWN OF SOUTIIOLt3
~, ~:~L~,~ .z.~ OFF'ICH OF BUILDING INSPECTOR
~ ~/. ~k~ .e~/ SOUI'IIOLD, N.Y. t 1971
To Whom This May Concern,
TEL. 765.1802
l';e are unable to complete your Certificate
of Occupancy becau3e .of the following reasons.
/_--//An application for Certificate of Occupancy
is not on file. ~-4~
/~1,¢2 Underwriters Certificate on file.
~J__/ 'lhe chock .[s(~/-not ou file.)~-,~-~
/-/ i:o !Iealth Dept. Approval on file.
/_--_/ I:o final inspection has bee:l made.
P]ease contact: our office on this matter.
Thank you for your cooperation.~
BuildJ. nq Permit # _~ .~ ~ '7 .Y Z
Buildin~ Dept.
*"*/_-/ ~Io Plu. mber solder Certificate on file.
( all permits involving plumbing being
.[snued after April 1,1984
BOARD OF HEALTH .~...
3 SETS OF PLANS .......
'FORM NO. 1 SURVEY ..........
TOWN OF SOUTHOLD CHECK -'~- ........
BUILDING DEPARTMENT SEPTIC FORM .............
TOWN HALL
NOTIFY
$OUTHOLD, N.Y. 11971
TEL,: 765-1802 CALL ~-~:~,~'. · .....
Examined.~[~..., 19~7. MAIL ~:
~,ov~d .~'~ ,,,~7 ~=~t~o ~.~7~ ~[~F~
Disapproved a/c ................................ ..~ i XiMAY ' ~
.......... U
"~" (Builaing insp' ~ - ~ · ' ~t;;~ ........
APPLICATION FOR BUILDING PERMIT
Date ................... 19...
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 Itt 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 uhtil a Certificate of Occupanc:~
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 o~
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 tc
admit authorized inspectors on premises and in building for necessary in,spe~ions.
~i~pplicant, or name, if a corporation)"'~/'/~' ~
· .,g,..o..q. ,g..z.. .,,
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ....~..~...~/V/,/q/...~. ~.~/.~.O./~J ...... ~~....
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 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 NumberK.~,,Street O~&- ~,4~Z///.~/) Hamlet
County Tax Map No. I000 Section .../..~..~.. ........ Block .... C:~. ~. .......... Lot...~ ............
' Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use nnd occupancy of premises and intended use and occupancy'of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy .. ~D..~ ~ ~ ....... : ........................
3. Nature of work (check which applicable): New Building ..... ' ..... Addition .. · ~ .... Alteration ..........
Repair .............. Removal: .............. Demolition ............ Other Work ...............
(Description)
~- Estimated Cost .(~/~:P ~ ~ ' Fee
' (to be paid on filing this application)
;. If dwelling, number of dwelling uuits ............... Number of dwelling units on each floor ................
If garage, number of cars ........................................................ 7 ...............
5. If business, commercial or mixed occupancy, specify nature and ext,ent of each type of use .....................
7. Dimensions of existing strUctures, iflany: Front ..... /.~ .~ ...... Rear .... .,~,57../. ....Depth .. ~ o..( .......
Height ............... Numberlof Stories ...... /. .................................................
Dhnensions'of same structure with alterations or additions: Front ................. Rear ..................
Depth ................ ~ .... tteight ...................... Number of Stories .....
L Dimensionsofentiren$wco~st*ructiOn: Front ........ . ..... Rear .............. iDepth'iiiiiiii~ilJill
Height ................ Numberiof Stories ........................................................
). Size of lot: Front ..... /.aD..~...: ........ Rear ....... /.(4.0.: ......... Depth w'{-M/~'-~,~.../.:~..5.
). Date of Purchase .. ::5'~'~. T. .... /. ~.~.~. ......... Name of Former Owner . .. ~.SZ.z/.~ ...............
1. Zone or use district in which premises are situated .....................................................
L Does proposed construction violate any zoning law, ordinance or regulation:
~. Will lot be regraded ............................. Will excess fill be removed from premises: Yes No
~.~Name of Owner of premises Z.~A/A/..t~'~/~f.~.~. _'~_. .... . Address . .. Phone No. ,~.FI'~. ~. ~.~.2..~.
Name of Architect ............. , .............. Address, i i~i.. Phone $o.~..,~/..Z)~°~.~'. ~'~..~g'
Name of Contractor .......................... Address .... : .............. Phone No ................
i. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..~...
· If yes, Southold Town Trustees Permit may_ be required.
PLOT DIAGRAM
Locate clearly and distinctly all bui. dings, whether existing or proposed, and~indicate all set-back dimensions from
operty lines. Give street and block number or description according to deed, m~d show street names and indicate whether
ter/or or corner lot.
~ATE OF NEW ~ORK,
_s.s
........... '~''''/-~'~'/t'/d~' · '~-~/~ ......... being duly sworn, deposes and says that he is the applicant
(Name of individual signing eontract)
ore nanled.
is the ...... dP. (,ii ~ .~..~.. .... : ....
"... ~ : <Co~;r~;igrl ;~;~t', 'C;;l~;;a't; 'o'fh;;;,'et;.') ............................
said owner or owners, and is duly au:thorized to perform or have performed the said work and to make and file this
plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
~rk will be performed in the manner seti' forth in the application filed therewith.'
/om to before me this '
....... .7 ............. day of ...............
~tary~}~,~.~ · ~ ........ Count~~
N.ot;Iry Publlo, Stete of New York //
~0, 4822563, Suffolk County
Term Expires De~ember 31,