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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,