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Home My WebLink About16433-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date October 2, I987 THIS CERTIFIES that the bmld~ng ..DECK ADD I T I.O.N ............... Locatlon of Property 6600 New Suffolk Avenue Mattltuck, New York House No .............. ~r~ t' .................... County Tax Map No 1000 Sechon .1 ! .5 . .Block I 5 .Lot 25 Subdavlmon..M/o De.ep Hole C.r.ee.k.E.s.ts.. . Filed Map No 42.5.6 Lot No...2.1 ...... conforms substantially to the Apphcahon for Budding Permit heretofore filed In tins office dated September 3, 1987 pursuant to wtuch Bulldmg Permit No. 16433 z dated September.. 7, 1987 was ~ssued, and conforms to all of the reqmrements of the applicable provisions of the law. The occupancy for wbach this certificate as issued is ........ DECK ADDITION TO EXISTING ONE FAMILY DWELLING Thecerhficatelslssuedto .. STANLEY & HELEN DANIELOWICH ......... ?own'dr) l X .............. of the aforesaid building Suffolk County Department of Health Approval . N/A UNDERWRITERS CERTIFICATE NO... N / A PLUMBERS CERTIFICATION DATED: N/A Building Inspector TO~'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 1~433 z Permission is hereby granted to' ~~..~.,~..,....~..~.~ ...... . ,, . '*~'~'~'"~'"'~~'"~ "n~-~'"~'"'~~r--~ ....... County Tax Map No. 1000 Sect,on ............ Block ....... ~...~ ......... Lot No .... ~..~..~. . pursuant to application dated ......~..~......~...2 ........... 19.~...~..... and approved by the Building Inspector. Fee $..~.~...~..~ ..... Building Ins~tor Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Buildmg Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUf~IOLD Instructions A. Thru apphcatlon must be filled ~n typewmter OR ink, and submitted m~ to the Budding Inspec- tor w~th the followmg; for new buddmgs or new use' 1. F~nal survey of property w~th accurate location of all buildings, property lines, streets, and unusual natural or topograph ~c featu res 2. Fmal approval of Health Dept of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrmal installation from Board of F~re Underwriters. 4. Commercial buddmgs, Industrial buddings, Multiple Remdences and similar buildings and mstalla- t~ons, a certificate of Code compliance from the Architect or Engineer responmble for the buddmg 5. Submit Plannmg Board approval of completed ate plan requirements where applicable. B. For existmg buildings (prior to Aprd 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showmg all property hnes, streets, buddmgs and unusual natural or topograph m featu res, 2. Sworn statement of owner or previous owner as to use, occupancy and condition of bu dd~ngs. 3. Date of any housmg code or safety mspect~on of buddmgs or premises, or other pertinent informa- t~on required to prepare a cert~fmate. C. Fees: Addit zons $25.00 1. Certfficate of occupancy New Dwellzng $25.00, Accessory ,$]0.00 Buszness $50.00 2. Certificate of occupancy on pre-exist~ng dwelling $ 5 0.0 0 3 Copy of cert~flcate of occupancy $ 5.00, over 5 years 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date NewConstructzon ..... Old or Pre-ex~st~ng Building ........ $10.00 Vacant Land ............ Hou~ No. Street Hamlet CountyTax Map No. 1000Section .../.Z/~. ...... Block ..... ./~. ..... Lot ...... ~...J ...... Subd,v,s on Map No. Lot No....Z./. ...... Perm it No./~'/.~(~. ~. ~. Date of Permit . f-..7.".~pp hcant ................................ Health Dept. Approval .................. Labor Dept. Approval ........................ Underwmters Approval ....................... Planning Board Approval ...................... Request for Temporary Certffmate .................. Final Certificate ..................... Fee Submitted $ ....................... Construction on above descmbed buddmg and permit meets all apphcable codes and regulations. Apphcant ............... Rev 10-10-78 333J3 FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE {1st) FI~AL ADDITIONAL COMMENTS: (2nd) ., ,-'1 .~,...:..,-: USE IS UN~WFUL WITHOUT CERTIFICATE OF OCCUPANCY LOT 2O ( vaaant ) bJ 0 0 0 NEW SUFFOLK AVENUE ZZ. ~4 I I N'87°Ig'20"W ll~'~,, 12000' 'il LOT 23 LOT 44 I I dwelhnfi ) dwelling LOT 22 i vOcont ) __. ~ _~.~mon 122 09' '' 0 CERTIFIED TO TICOR TITLE GUARANTEE LONG ISLAND MORTGAGE CORPORATION" MA P STANLEY L DANIELOWlCH ,JR HELEN E DANIELOWICH NYS P 0 BOX 909 MAIN ROAD SOUTHOLD, N Y. SURVEY OF LOT 21 OF DEEP HOLE CREEK FILED JAN 28 , 1965 FILE NO AT MATTITUC K TOWN OF SOUTHOLD SUFFOLK COUNTY , N, Y. IOOO 115 -. 15 25 SCALE I" = 40' JUNE 20, 1986 AUG. 14 , 198 6 OCT 30, 1986 JAN 29 , 1987 LIC NO 4966 ENGINEERS , P C ESTATES " 4256 11971 ELEVATIONS AN ASSUMED ~'repared in ac¢ord<]nce with the mmmmum s~andardj for title surveym al estabh~hsd by the Li.A. LS, clnd approved and odoptm for such u*e by The N~v Yom State Lan~ T'~lle Association, ARE REFERENCED TO DATUM 86 - 342 ~,s,c Approved~ 5~H~t-~. ~ Disapproved a/c BOARD OF HEALTH .. 3 SETS OF PLANS '~'~' FORM NO I SURVEY ...... TOWN OF SOUTHOLD C~ECF C]Z~- lc{/7~' ,~- BUILDING DEPARTMENT SEPTIC FORM ............. I0"0- ~oTU I17~ TOWN HALL $OUTHOLD, N.Y. 11971 TEL.. 7654802 ,193'1 ., 19'~.~ Permit No. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS NOTIFY CALL MAIL a Ttus application must be completely filled in by typewriter or in ink and submitted to the Budding Inspector, wit sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showmg location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc str, or areas, and glvmg a detmled descnphon of layout of property must be drawn on the dtagram which is part of this al: cation, c. The work covered by tlus 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 apphcant, Such pet shall be kept on the premises available eor mspechon throughout the work e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa shall have been granted by the Buildmg Inspector APPLICATION IS HEREBY MADE to the Bu?ldlng Department for the issuance of a Bmldmg Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buddings, additions or alterations, or for removal or demohhon, as hereto deseril The applicant agrees to comply w~th all apphcable laws, ordinances, bufldmg code, housing code, and regulations, an, admit authorized inspectors on premises and m budding for necessary inspections (S~gnature of apphcant, or name, ~f a corporation) (Mailing address of apphcant) State whether applicant m owner, lessee, agent, architect, engineer, general contractor, electrlcmn, plumber or bull Name of owner of premtses , S~"~/~- ~ ~a,~ ~/~,~t2- ./~ (as on the tax roil or latest deed) If apphcant m a corporatxon, mgnature of duly authorized officer (Name and tttle of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Budder's L~cense No . . .~t-°A'rt-~a~ .... Plumber's L~cense No. . . Electrlclan's License No Other Trade's L~cense No Locahon of land on which proposed work will be done House Nmnber Street Hamlet County Tax Map No 1000Section l/fi-- ~ Block Subd,v~mon~ ~ ~ ~F~tled Map No (Name) Lot ~:~/ 2. State exlshng use and occupancy of premises and ~ntended use and occupancy of proposed construchon a. Existing use and occupancy b. Intended use and occupancy 4 5. If dwelhng, number of dwelhng units ..... 6. 7 Nature of work (check which applicable) New Building . . . Repmr . . . Removal , . Demolition Estimated Cost · Addition ..... Alteratlon ..... .... Other Work t,6t00~ ~.~, (Descnp.tion) .. . Fee .. .... ... ... ... ...... · . .. ~ (to be prod on fihng this apphcatlon) ·. Number of dwelling units on each floor .......... If garage, number of cars .................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use .. DlmeEs~..rh%~,elilRteg~rrrfes, if any Front ........ Rear ......... Depth ..... ~4o.,,ttf~_~.~,dr][i ~ ~ : ?~,~JJt~;~l .~Iurnber of Stones .......... ' .~fW'l~,~,i I~',~_J ~d.liF~&~.l~r*-~'- ~ ~ ................ DLmi~l~IPrrg~l'~'rne structtOle,wjth alterations or additions Front ........... Rear ............ D~.(.~,~'"'a ~ ,~.~ ~,'~i~ ~')~,~ ' Height .......... Number of Stones ................. .,. '8. D]u~e~}½on~t~tne~Rt~re~ c~h~s~ructmn- Front ........... Rear ........... Depth ....... He~~~ber of Stones .......................................... 9 Sl~~~ . Rear ............ Depth ............... 10. Date--~of. Jll~t~l~ ............. Name of Former Owner ................. I 1 Zone or use district in which premises are situated ......................... 12. Does proposed construction wolate any zoning law, ordinance or regulation .................. 13 Will lot be regraded .............. Will excess fill be removed from premmes' Yes 14 Name 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 tzdal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permmt maybe required· PLO~f DIAGRA~ Locate clearly and distinctly all buildings, whether existing or proposed, and ~ndicate all set-back dunenslons fro property hnes Give street and block number or description according to deed, and show street names and indicate wheth interior or comer lot. STATE OF NEB' YORK, COUNTY OF S.S (Name of ~ndlvlduaI s~gnmg contract) above named ·. being duly sworn, deposes and says that he m the apl>hca He is the ....................... (Contractor, agent, corporate officer, etc ) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file t application, that all statements contained m this apphcatlon are true to the best ofhm knowledge and belief, and that t work w~ll be performed In the manner set forth m the application filed therewith. Sworn to before me this ........ 7 .... day of ... ~ Notary Pubhc, . ~--,~...~..~.~..~.~ .. H'm. EH ¢,. D~ VOE . N~. 4707878, Suflo~ Co~.~r~ ~¢~ Term Exp~m~ t~ch 30,19-..,~-/ ·.., 19t~/ Count~. (S~gnature of apphca