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Home My WebLink About15509-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ZJ5141 Date D.e.cemb.e.r 29 198.6. THIS CERTIFIES that tile buridmg....WpOD....ST.O.VE. . ....... ..................... .... ,.. Location of Property ............................................................. 240 NORTH DRIVE MATTITUCK House No. Street Hamlet County Tax Map No. ]000 Section .... 19.6 ...... Block .... 06 ..Lot . .0.3] ..... Subdivision ............................. FLied Map No ......... Lot No .............. conforms substantially to the Applicatton for Building Permit heretofore Fried in this office dated 19 8.6. p hichB IdingPe itNo 15509Z · .Npy....17 ursuant to w m rm ........... dated .Npy .................18 .... .. 198.6.. , was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is issued is ......... To install a wood stove. The certificate is issued to JOHN D. MARTIN/F. LYNN CURLEE (owner, of thc aforesaid building. Suffolk County Department of Health Approval I'I./A . .. UNDERWRITERS CERTIFICATE NO .N/.A · · Rev. 1/81 1~0~ 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 THE WORK AUTHORIZED) N~ 15509, Z Permission is hereby granted to: _ ...... ................. ...~....o..~-T.....~...;....~.~..4.......~F..~.. ...... !..-..~ .....~..~......~......__..~.....~.:~.;...,.~.?.., .-.. at premises located at ....~,. ........... ..~ ........................ County Tax Map No. 1000 Section .../...,.0...(o ... Block ..... ..~...(F. ....... Lot No ...,~....~...I pursuant to application dated .... ~..~...~.~4~.... I..~ ....... , 19.~...g.., and approved by the Building Inspector. Fee $.~.,..~.~. .......... Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLO Building Department Town Hall Southold, N.Y. 11971 TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR ReceiptNo. 51 01 2 Tow. Hall --- Southold, New York 11971 ~ Date../~..~./~.eZ[~' ........... ,ce,ved of ...~...'....~... ~ ..... , ..................... '~"~'"'¢ ....... ~'/"~'~""~ ........... ""'"' D '~ ............... /100 Dollars Fee for Fee for 3 Yard Sale [] [] ~ch~k 0-4'7 .5-; ye ............ Fee for Fee for [] H I C [] Budding Permit [~fof O~fmate ccupancy [] M~sc Budding Inspector 3. C~y--Ef dbrdfic'~ite~of occupancy - ~ i.uu 4.Vacant Land C.O. $5.00 5 .U,odated C.O. $[5.00 Date ./'/~Z~/ ¢.~ .......... NewCons~ucb~on ...... Old or Pre-exist~ng Budding ........... Macan[ Land ............ Location of Property .., ~ ...................................... Hou~ No, Street Hamlet Owner or Owners of Propem . .__~.[0 {¢~. ~. Co. ntv T.x ~.. No. mOO S.ctio... (. ~. ~ ...... moc~ ~..~ .4'. ....... ~ot...¢..E./. ..... Subdiws~on ................................ Fded Map No .......... Lot No .............. Perm,t No. /.~J'O.~ . . Date of Permit f/. ~..~¢.Applicant . , . ~/~.~ ................ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certihcate ..................... F~nal Certificate ....................... Fee Submitted $ .................. ~ .......... Construction on above described building and ~.~m~f eets all/~C/~/lcab~,~odes and regulations. Rev. 10 10-78 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST []ROUGH PLBG. []FOUNDATION 2ND []INSULATION []FRAMING []FINAL REMARKS: INSPEC~TOR /~~ OUNDATION (1st) OUNDATION (~nd) OUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. An application for Certificate of Occupancy is not on file. C~-%~)x /Z/ No Underwriters Certificate on file. /~ The check is~&~Lud/not on file.) ~O O /~/ No Health DeRt. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ _~ 5 ~_~_ Z ! Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) ITHOUT CERTIFICATt:_ OF OCCUPANCY NOTIFY ~IILDING DEPARTMENT 7~-1~0~ 9 ~M TO 4 ma r-OR ~. FOLLOWING INSPECTION.~ FOUNDA~OI~ TWO ~FQUIRED FO~ POURED CONC~ ~ ~ ROUGH CRAMIN(.-' ~ =LUMB,~NG '"'-~. FINAl L;~JNSTRUCT~OIV MUST ~'SE COMP~£3'E C'OR C 0 A~£ CONSTRUCTION ~HALL ~.~,~ET THE RE(2UIp~IENTS Of- ~'HE N Y S'I~ATE ,,.Obi.~ r~[.~("rlON & ENERGY Examined I0~"~...~[ ~[, Approved /0 o'*'M~ ./a'A~. -]-$ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N Y. 11971 TEL.: 765-1802 , 19~?b Permit No/~~.~--.0 ~/~ Disapproved a/c (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date [/. .% ../.7 .,19.~ INSTRUCTIONS a Tins application must be completely filled in by Wpewnter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public street or areas, and giving a dettuled descnphon of layout of property must be drawn on the diagram which is part of tins appli cation. c. The work covered by tkis application may not be commenced before issuance of Building Permit. d Upon approval of tins apphcation, the Bmldmg Inspector will issued a Building Permit to the applicant Such perml shall be kept on the premises available for inspection throughout the work. e. No bmldmg shall be occupied or used in whole or in part for any purpose whatever unti~a Certificate of Occupanc5 shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Buddmg Department for the issuance of a Bmlding Permit pursuant to th. Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o, Regulations, for the construction of bmldmgs, additions or alterations, or for removal or demolition, as herein described The apphcant agrees,to comply with all apphcable laws, ordinances, bmldmg code, housing code, and regulations, and tc admit authorized inspectors on premises and m building for necessary lnspe~/lo~s. /~ .... (ffa. g_~ature &f applicant, or name, if a corporation) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as Off the tax roll or latest If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No .... Plumber's License No Electncmn's License No Other Trade's License No Location of land on which proposed work will be done ttouse Number Street County Tax/Vlap No 1000 Section Subdiv~smn (Name) Block Hamlet .. Lot Filed Map No Lot State existing use and occupancy of premlses and intended use and occupancy of proposed construction a Ex,sting use and occupancy ~'./,t..~__.. t~'fz~'~Z~ ~ ~ ~ -~--~ b Intended use and occupancy ./ . 3. Nature of work (check which apphcable). New Budding .... Add~tmn Alteration .. Repair ..... Removal ..... Demoht~on . Other Work.. . ~ .. . 4. Estimated Cost . .~)/~ { ~ ............... Fee .................................. (to be paid on filmg th~s apphcatmn) 5. If dwelling, number of dwelhng umts .... Number of dwelhng umts on each floor ....... If garage, number of ca~ ................................................... 6 If business, commercml or m~xed occupancy, spec~y nature and extent of each type of use ................ 7. D~ensmns of ex~tmg structures, ff any Front .... Rear ......... Depth ...... He~t ... Number of Stones ................................. D~ens~ons of same structure w~th alteratmns or add~tmns Front ......... Rear .......... Depth He~t ........ Number of Stones ............... 8. D~ensmns of entire new constmctmn Front ..... Re~ ............. Depth .. He~t .... Number of Stones ............................ 9 S~ze of lot. Front .. . Re~ ............ Depth .... 10. Date of Purchase .... Name of Fomer Owner ...................... I 1. Zone or use d~stnct m which premises are s~tuated ................................... 12. Does proposed construction wolate any zoning law, ordinance or regulatmn ..................... 13 W~I lot be regraded . WIll excess fill Yes No ..... be removed from premises 14 NmeofOwnerofprem,sesATMM.~ . .Address .......... Phone No. ~)~ ~.~. N~e of ~ch,tect ............ Address Phone Nme of Contractor ............. Address ............. Phone No ............... 15. Is th~s property iocated w~th~nt00 feet of a tSdal wetland? * Yes ..... No ..... · If yes, 8outhold Tom Trustees PermSt may be required. PLOT DIAG~M Locate cle~ly ~d d~s~ncfly fll budding, whether ex~stmg or proposed, ~d, mdicate fll set-back d~ensmns from prope~y hnes. G~ve street and block number or descnpaon accord~g to deed, ~d show street nines and md~cate whether ~ntenor or corner lot. STATE OF NEW YORK, S S COUNTY OF ....--C~ ~-~'¥/V~k-J C~.~Q~'~-~ ......... being duly sworn, deposes and says that he ~s the apphcant (Name of ~nd~wdual sigmng contract) above named He ~s the ..................... (Contractor, agent, corporate officer, etc.) of smd owner or owners, and ~s duly authorized to perform or have performed the smd work and to make and file this apphcatmn, that all statements contained m th~s apphcatmn are true to the best of tus knowledge and behef, and that the ~vork w~ll be performed ~n the manner set forth m the apphcatmn filed therewith. gworn to before me th~s ...... ~7... dayof...'~t~M-~.. ,19~,~ ~lotary Pubhc, . ~;~ ........... ... ~~ '~' ' '~ '~-~' ....... ~r~V~JStI~,~.~.~nV~ t/ ] / (Signature ofap~p'l>licant)