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HomeMy WebLinkAbout15484-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 0fflce of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20580 Date MARCH 10~ 1992 THIS CERTIFIES that the bulldln~ ADDITION Location of Property 2850 DEEPHOL~ DRIlrE House No. Street County Tax Map No. 1000 Section 123 Block 4 Subdivision Filed Map No. MATTIT~CK~ N.Y. Hamlet Lot i3 Lot No. conforms substantially to the Application for Building Permit heretofore filed ~n thls off~ce dated NOVEMBER 7~ 1986 pursuant to which Building Permit No. 15484-Z dated NOVEMBER 12, 1986 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is · ssued ms ADDITION TOEXISTING ONE FAMILY DWF/J.INGASAPPLIEDFOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTME/q~ OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED EDWARD & CHRISTINE VIOLA PENDING - MARCH 2r 1992 N/A Building -Inspec~r - Rev. 1/81 lvO~ NO. · TOWN OF SOUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Yo BUILDING PEICMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 15484 Z County Tox Map No 1000 Section . .l ~,~.~.~... Block ..... ..~. .......... Lot No .... J...~ ......... Budding Inspector ~ee S~"'~./ Building Inspector Rev 6/30/80 Form No. 6 TOWZN OF SOUTIiOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicatzon must be filled zn by typewrzter OR znk and submztted to the buzldzng inspector with the followzng: for new buzldzng or new use: i. Final survey of property wzth accurate locatzon of all bumldzngs, property lznes, streets, and unusual natural or topographzc features. 2. Fznal Approval from Health Dept. of water supply and sewerage-dzsposal(S-9 form). 3. Approval of electrzcal installatzon from Board of Fire Underwrzters. 4. Sworn statement from plumber certmfying that the solder used mn system contazns less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bu~ld~ngs and znstallatzons, a certificate of Code Complmance from architect or engzneer responsible for the buzldmng. 6. Submzt Plauning Board Approval of completed szte plan requmrements. For exzstzng buildings (prior to Aprzl 9, 1957) non-conformzng uses, or buzldzngs and "pre-exzstmng" land uses: 1. Accurate survey of property showzng all property lznes, streets, buzldmng and unusual natural or topographzc features. 2. A properly completed applzcatlon and a consent to inspect szgned by the applzcant. If a Certificate of Occupancy is denzed, the Buzldzng Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certzfzcate of Occupancy - New dwellzng $25.00, Addmtmons to dwetlzng Alteratzons to dwellmng $25.00, Swzmmzng pool $25.00, Accessory buzldzng $25.00, Additzons to accessory buildzng $25.00. Busznesses $50.00. 2. Certifzcate of Occupancy on Pre-exzstmng Buildzng - $100.00 3. Copy of Certzficate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... U../~...~....~./., ./f?..~,. ....... New Construction. Old Or Pre-existmng Building.. ,.~. Location of Property ................................. House No. Street Hamlet Onwer or Owners of Property ..................... County Tax Map No I000, Section .............. Block ........... Lot .................... -- Subdivision ................................... . Filed Map ............ Lot ................... .. . Permzt No.~f.~,.~.~..~. ..... Date Of Permzt....~.. Plann~_ng Board Approval...... ............ .. . . .. Request for: Temporary Certifzcate ........... Final Certzcate .......... Fee Subm~_tted: $ ......... Oo ~. ............... ' ............ ......................... Co ~ 3d_5~'0 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Main Road PO Box 1179 Southold, New York 11971 FEBRUARY 8, 1989 DATE: NAME: EDWARD & CHRISTINE VIOLA ADDRE$S~ 2850 DEEP HOLE DRIVE _ MATTITUCK RE: BUILDING PERMIT ~ 15484Z ADDITION SEC. 123 BLOCK 04 LOT 13 This Building Permit has expired. You are now in violation of the Town of Southold Zoning Code. Please contact our office, this matter must be corrected. Victor G. Lessard Principal Inspector OUNDATIO ~ (1st) OUND^ TI 0I,~ ( 2nd ) OUGH FRAME & ?LUMBING NSULATION ?ER N. Y. STATE ENERGY CODE FINAL ADDITION~ COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~'~U~TION 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~,~TJ~N [ ] FRAMING /["-]I=!NAL~ REMARKS: ~ 78S4,802 BUILDING DEPT. INSPECTION [.~ON IST [ ] ROUGH PLBe. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS:~ INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS:O, FINAL ...,,,,:, ,./,;.,, VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hail, 53095 Main Road PO Box 1179 Southold, New York 11971 FEBRUARY DATE: NAME: EDWARD & CHRISTINE VIOLA ADDRESS: 2850 DEEP HOLE DRIVE MATTITUCK RE: BUILDING PERMIT ~ 15484Z ADDITION SEC. I23 BLOCK 04 LOT 13 8, 1989 This Building Permit has expired. You are now in violation of the Towu of Southold Zoning Code. Please contact our office, this matter must be Y o u~r s,.~.~r.~L¥ ~ Victor G. Lessard Principal Inspector THE Wt sYSTE~ CONFO, sUFFO SUFFO SEI~V CONST DATE ~SR' AP} ~C Examined b~.~ I ~. , 19~.t~ Approved 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 D~sapproved a/c APPLICATION FOR BUILDING PERMIT NOV ' 7 198S ~.~g Rece3. ved ........... ,19.. INSTRUCTIONS a. Tins apphcatlon must be completely filled in by typewriter or m ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale· Fee according to schedule b. Plot plan showing locatmn of lot and of buddings on premises, relatmnsinp to adjoining premises or public stre- or areas, and g~vmg a detmled descnphon of layout of property must be drawn on the diagram winch ~s part of tins app cation. c. The work covered by tins apphcahon may not be commenced before ~ssuance of Bufldmg Permit d. Upon approval of this application, the Building Inspector will issued a Bufldmg Permit to the apphcant. Such pern shall be kept on the premises avadable for mspectton throughout the work. e. No budding shall be occupied or used ~n whole or m part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bufldmg Department for the ~ssuance of a Bmldmg Permit pursuant to t Bmld~ng Zone Ordinance of the Town of Southold, Suffolk CounW, New York, and other apphcable Laws, Ordinances Regulations, for the construction of buildings, additions or alteratmns, or for removal or demohtion, as hereto descnb- The applicant agrees to comply with all apphcable laws, ordinances, bufld3~g code, housing code, and regulations, and admit authorized inspectors on premises and m buildmg for necessary ms~ns (Signature of appllffant, or name, if a corporation) (Maflmg address of applicant) State whether applicant is owner, lessee, agent, arcintect, engineer, general contractor, electnman, plumber or bmld. Name of ownerofprem,ses .~.~/~f.~4 ~ ~../~/.~z/.~.~. ~/./,j~.q ... (as on the tax roll or latest deed) If apphcant is a corporation, s~gnature of duly authorized officer 2 (Name and title of corporate officer) Bmlder's, License No 'x~ ~zeEf/ Plumbers ~icense No .. . -~ ..... Electrician s,Llcense No __ ~ . Other Trade s License No . __ . '%<.. Location of land on which proposed work will be done House Number Street County Tax Map No 1000 Section / ~- 3 Block Hamlet · Lot Subdivision .... (N'am~) ....... Filed Map No ......... Lot . State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Ex, shnguseandoc&~hpancy / .7~/¢ /~C~/4~'7~-~E. ....... b. Intended use and occupancy /~32>//-~..A/ /--'~'' 3. Nature of work (check winch applicable) New Building ' Addmon..../..... Alteration Repair ........ Removal .......... Demolition ......... Other Work ........... ~/o/O/ -- .~.~_..~ (Description) 4 Estmaated Cost t~ Fee (to be paad on f'dlng tins apphcation) 5. If dwelling, number of dwelling units . .. / .. Number of dwelling units on each floor...¥..7'd"~7~....5. .... If garage, number of cars ................................................... 6. If busmess, commercial or mixed occupancy, specify natu[e and extent of eac_h, type of use .. 7. Dmaenslons of ex~stmg structures, ~fany Front . .Z~' . . Rear .. Height ........... Number of Stones Dtmenslons ofsfime structure w~th alterations or addinons Front ...2Z/~. ....... Rear...~.2.~ ............ Depth . . .,~f ........... Height . . ./.,.6-.,~, ,, ~, ...... Number of Stones ..... .~ ...... .~ ...... 8. Dmaenslons of entire new constructmn' Front .. f_/.6, ...... Rear . ...~.f .... Depth .. ~.../ ......... Height /~.. / Number of Stones ....... / ................. · ............ ............ ' e 72LC "' 9 Size of lot Front .... ,7~.~. ....... -,~ R ar .............. Depth .................. 10 DateofPurchase....A,{O.tf.e.~..~<~' /.5/fff,~:-. .... 13I~me of Former Owner .../)~/.~..~..k/.~-..~..'5. ....... 11. Zone or use district ~n winch premises are situated ..../(~.SY.O..~_77,'~/,_ .......................... 12. Does proposed construction violate any zoning law, ordinance or regulataon' ... ~/.~. ................. 13. Will lot be regraded ....,/V'~, . ............. Will excess fill be removed from premises' Yes (No) 14. Name of Owner ofpremise_s '5.~'~..W..~.~/. .5./~'~ .. Address .............. Phone No .......... ."7'". Name of Architect .... /:ri~...~..~.. ......... Address ............... Phone No.. ~. ~.'~"~... Name of Contractor . . .~.~..'~..~... -- ' :... Address ................ Phone No ............... PLOT DIAGRAM Locate clearly and dlstmctly all bufldmgs, whether exlstmg or proposed, and. indicate all set-back dimensions from property lmes, G~ve street and block number or descnptmn accordmg to deed, and show street names and indicate whether mtenor or coruer lot. STATE OF NEW YORK, S S COUNTY OF ........... ...... .~.t~./.~.--.~.' ~/.~..~ .............. bemg duly sworn, deposes and says that he is the applicant (Name of individual slgmng contract) (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and ~e this apphcatmn; that all statements contamed in this apphcation are true to the best oflus knowledge and belief, and that the work will be performed m the manner set forth m the applicataon filed therewith. Sworn to before me this .......... ~...'~ ...... day of ..... .'~....t?f~-~/. .......... 19..~ ~[otary Pubhc, ~.~2 ,~. /~)~- ~..d~.... County ~. 1,~.'~!~~ . ~ ~'tllttle. ~, ~ ~ ~ -'-' -:----'-- ' ature'°f apPhCant) OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE ~ neP, UPANCY PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY soLDER uSED IN wATER suPPLY sYSTEM cANNOT ExcEED 2110 of I% LEAD. APPROVED A~ NOTE~ If copper tubing ia used for water distributing system; piping shall be of types K or L only 1