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Home My WebLink About16542-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17831 Date MARCH 10, 1989 THIS CERTIFIES that the building Location of Property 13200 8OUNDAVENUE House No. County Tax Map No. 1000 Section i41 Subdivision ACCESSORY MATTITUCK~ NEW YORK Street Hamlet Block 4 Lot 32.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 16~ 1987 pursuant to which Building Permit No. 16542-Z dated OCTOBER 19~ 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 ACCESSORY BUILDING AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A MATTITUCK PRESBYTERIAN CHURC~ Building Inspector Rev. 1/81 TOWH OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~16542 Z Permission is hereby granted to: .... .. .':~.~ ...... ~.:.~.:.....c!?.-.~ .......... _ .~-~ County Tax Map No. 1000 Section ...... L.~../ ......... Block ..... ...(~.....~.. ...... Lot No...,~..'~..:.../. ......... pursuant ,o application dated .... .~....~....~,/~.....J....~. .............. , 19..~..'~., and approved by the Building Inspector. fee ,..~.:....~. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property . ..]3200 Sound Avenue Mattituck, New York HOUSE NO. STREET HAMLET MATTITUCK PRESBYTERIAN CHURCH Owner or Owners of Property ................................................. County Tax Map No. IO00 Section . 141 Block 4 Lot 32.1 Subdivision ....................... Filed Map ........ Lot .......... Permit No. 16542Z .Date of Permit ]0/]6/87 .Applicant JEFFREY HALLENBECK Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ XX Request for Temporary Certificate ....... Final Certificate Fee Submitted: $.. I0.~? rev. 10/14/88 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]~] FINAL DATE INSPECTOR May 24, 1988 Southold Town Building Dept. Main Rd. Southold, N.Y. 11971 DearSirs, Please change plans for Building Permit #16542 for cement block building from 16 feet x 24 feet to read: 20 feet x 24 feet. Thanks you for your help to this matter. Sincerely, Jeff Hallenbach Helen Wolff Trustees TO'~rN OF SOUTtlOI, D OFFICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOUTItOLD, N.Y. 11971 TEL. 765-1 Hatch 6, 1989 To Whom This May Concern, We are unable r.o complete your Certificate of Occupancy because .of the following reasons. /k_-x/ An application for Certificate of Occupancy is not on file, ENCLOSEH /_--/ ~lo Underwr';~ters Certificate on ~ile. /~_~ The elleck is(outdated/not oil file.) $10.00 /.~/ No Ileal. th Dept. Approval on file. /~/ No final inspection has been made. Plea'de contact ()ur office on this matter. Thank you for your cooperation. BuLldir, g Pormi. t }t I 6 5 4 2 Z Built]Lng Dept. ***/~/ SHED Ho Plumber .~3older ~ -'-' uer~'.~f~cate on file. ( all permits involvJ, ng plumbinq being issued after April 1,1984 ) FOUNDATION (1st) FOUNDATION 12nd} 2. ROUGH FRAME & ~?LUMBING INSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS Approved .O..~....~....~.3 .... 19~. ?. Permit No./.~..~.-.~..&..~. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEpTTC TOWN HALL NOTIFY &OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... FORM - Disapproved a/c ..................................... (Building Inspcctor) APPLICATION FOR BUILDING PERMIT ~ ~'~' Date ...0.c.tp.b.e.r..9.th ..... , 19.8.7. 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 neces~sgr~insvections.~.~ ,~.~ ______ .... : ........ ... ~ 7/S~ature of applicant, or name, if a corporation) Mat titu'.e.k..P.r.e.s.b....C.h.u.r.c.h..M.a}p..Rd....M, aJ:.t}.t.u.c.k.,..N..y...1.1~,52 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Trustee Name of owner of premises . Iggl:¢$guck. I?r~abyterian. Church ........... . ................................. (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 RUST 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 .................................................. ~3 2_'oo .. ?.~a. ~. t. ~. t>. o.k. ,e.r.e.s.b.y.t.e.r.~.a.n..qh>.r.c.~ ...... S. ?n.d. >.v.e.n.~. ~. ......... ~.a.t.t.~.t.~.e.k....~.?..~.o.r.k.. ! !9.5.2. ........ House Number Street Hamlet ..-. ..... . . z/ County Tax ~ap'Ne,. lO00 Section .... /. ......... Block .................. Lot ................... .... ::,.,,_, :$dbdlV~sm~, .... ! ............................. :ileal ~ap No ............... Lot ............... _-: ' '" (Name) 2. 'StCt~.existifig. _ _u?qand'°ccupancy of premises and intended use and occupancy of proposed construction: a. Eiisti~xgXi~e ~nd occupancy .. ya. c..au. ¢ .I~ol; ......................................................... b. Intended use and occupancy .~gg~g~.~b~4.~P~.Og¢~¢~gY .......................................... 3. Nature of work (check which applicable): New Building . .XX ' Addition .......... Alteration .......... Repair Rem6val .............. Demolition .............. Other Work ............... -~ ~-~D 0 : (Descriplion) F ' 4. Estimated Cost ..................................... ee ............................. · (to be paid on :filingitt~is application) 5. If dwelling, number of dwelling !units...i'to.r~ ........ Number of dwelling units on each floor ................ If garage, number of cars ..... ! ................................................................... 6. If business, commercml or mixed occupancy, specify nature and extent of each type of useI '. ? .. .... : .............. 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 ...................... Dimensions of entire new construction: Front...2.4.' .......... Rear ...2.4.'. Depth . .1.6.'. 8' Number of Stories o.n.e '. Height ................................................................. 9. Size of lot: Front .......... J .......... : Rear ........................ Depth ...................... 10. Date of Purchase .......... ~ .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..N..q ............................ 13. Will lot be regraded ...Np....: ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ?[a,t.t.,..P.r.e.s.b....E.h.u.r.c.l~ Address .~a.i.q .R. 4,' .~a.t.t.: .N.Y.. Phone No. 2.9.8.-:~1. z~5. ....... Name Of Architect ......... i ................. Address ................... Phone No ................ Name of Contractor ' Address : Phone No 15. Is this property located iwithin 300 feet of a tidal wetland? *Yes ..... No .31X,.. *If yes, Southold Town Trdstees Permit may be required. : PLOT DIAGRAM ' Locate clearly and distinctly all buildings, 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. (See attached Map) OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED A~ NOT~ ola/!i ... * / ~OTI~ ~ILDING DEPARTM~ AT FOLLOWING INB~C~ONS: FOR POURED CONCRETE INSULA [IOt'~ AL~, ~;O~,K~l RUCllON SHAcL M~ET STATE OF NEW YOigK,/ . ~ ~ 3,., , COUNTY OF ..... '.~. .......... ........-- "'~ '~{9y..eo..~f./f.~..~., ~..~.f/.i.~..~(.c~.. ........ beingdulysworn, deposesandsaysthatheistheapplicant (Name of individual signing contract) above named, i He is the ................... "J .Y.U..ST(. ¢-~ ........................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du!y authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........... ,4. ........... day of ..... T .T ............... 19... N otal-v m ublic ~.~..~~....~.. Counter // :t~ _//' , , ~ ' .......... /,/5:~ "~ .......... / /~..,//~Y /~' I// //H~ //,,C // /////'~X/ /I ,~ Ne 48e?~,~4 ? ~ /~/' ~ (signature oz appiican[)