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Home My WebLink About15401-zFORM NO. 4 TO~IN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17899 Date MARCH 29, 1989 THIS CERTIFIES that the building Location of Property 13175 MAIN RD. House No. County Tax Map No. 1000 Section 140 Subdivision ACCESSORY MATTITUCK Street Block 03 Lot Filed Map No. Lot No. "Hamlet 38 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 14~ 1986 pursuant to which Building Permit No. 15401Z dated OCT. 14~ 1986 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 STORAGE BUILDING. The certificate is issued to of the aforesaid building. ROBERT & CORNELIA WADDINGTON (owner, X~) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL SLZP 3/29/89 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDibIG P EiU~(IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 1,5401 Z County Tax Mop No. 1000 Section ...... L..~...o.. ........ Block ...... ..0'.....~ ....... Lot No......~..~ ............. pursuant ,o application dated ....~..~....~......I...~ .............. , 19.~...~.., and approved by the Building Inspector. Fee Building Inspector Rev. 6/30/80 LT BLDG. OWN OF $OUTHOLD FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in Wpewriter OR ink, and submitted ~ ~ 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 Fines, streets, and unusual natural or topograph{c 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. Commercia~ buildings, Industriat buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Enqineer 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 p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 requ ired to p rep are a certificate. C. Fees: Additions $25,00 POOLS $25.0OALTERATION $25.OO 1. Certificate of occupamcy New Dwelling $25.Q0, Accessory '$~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.v o nt o.o. 20.00 · 5.Updated C.O. $ 50.00 Date ...... Cg ....... NewConstruction ...... Old or Pre-existing Building ............ Vacant Lahd ........... . . Location of Property Owner or Owners of Property ~ .~ ~-~ County Tax Map No. lO00Section ..... 1.~.-0. Block ...~. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. /~.. · Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Tem~,~r,, ~orti{i¢~t. ...................... Final Certificate ..... ~ .............. Fee Submitted $ Con struction on aouvc u-~., ............ s ~, ,u p ~ ~/~./~/.~xe,s au app{icab~ le codes and ,,gu lation s. Applicant · .......... ..................... ¢ o NFORMATIONF,'.OR BUILDING DEPARTMENT~ ~A~W~~ OF, ISSUING ....A COMPLIANCE FOR THE ELECTRICAL INSTALLATIom COVERED ~N ~ nP~UC~T~ON FILED ., '~ DISTRICT OFFICE. THE NEW YORK BOARD OF FIRE UNDERWRITERS DATE, [ ' IN~CTOR , ~ ~; "~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTIIOLD, N.Y. 11971 March 23, 1988 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ~of the following reasons. /~f An application for Certificate of Occupancy is not on file. ENCLOSED /~ No Underwriters Certificnte on file. /~ Tile check is(outdated/not on file.) $50 /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~t I 5 4 0 I Z Building Dept. ***/5/ ~Io Plumber Solder Certificate on file. all permits involving plumbing being issued after April 1,1984 ) METRO RENTAL LITD. BOX 38 Mattituck, N.Y. 11952 FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT. TOWN HALL o..OUTHOLD, N.Y. 11971 TEL.: 765-1803 qsapproved a/c ................................. . - . ~-) (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 ts 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 . areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- lion. c. Thc work covered by this/lpplication may not be commel~ced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit mil 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 ~ Certificate of Occupancy .ail have been granted by the Building Inspector.' APPLICATION IS HEREBY MADE to the Building Department for the issuanfe/~a Building Permit pursuant to the sliding Zone Ordinance of the Town of Southold, Suffolk County, New York, fijfigvffther applicable Laws, Ordinances or emulations, for the construction of buildings2 additions or altei'ations, or for r/e//Q~/df/~l or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building/xjdfif/of/housing code, and regulations, and to hnit authorized inspectom on premises and in building for necessary inspec~/// _.__ '.. (mailing address of sppli ) late whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · · .0..~..~.~ ........................ , .................................................... "7/7 ................. (as on the tax roll or latest deed) applicant ff~/c~rporatio~/,//g~'] ~ignature of dtjly authorized officer. ...... ........ ~/5~fa~ne and title of corporat .office) Builder's License No .............. i ........... Plumber's License No... ¢..~.?.~..~. ............ Electrician's License No ....................... Other Trade's License No ...................... · Location of land on which proposed work will be done .................................................. ...... ................ ................. .................... [louse Nmnber Street Itamlet Couuty Tax Map No. 1000 Section ....... ./.4.~. ~ Block ...3 ............. Lot..~.~.. ............ Subdivision ..................................... Flied Map No ............... Lot ............... (Name) "~tateexistinguseand~ccupancy~fprem~es~/~di~tende~and~ccupancy~fpr~p~sedc~nstructi~n:~ ~ a E×istingusean,~occupancy ....... t't'e.~..,.,s.I. .... ~.~..'?. ............................ ......... b. Inte~jded use and occupancy Nature of x0~°rk (check which applicable): New Building ......... Repair .. ............ Removal .............. Demolition Es e os ................. Fee Addition. ...... Alteration .......... · Other Work ............... (Description) (to beI prod on flhng th:s application) If dwelling, number of dwelling units ............... 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 ..................... .... if any: Front Rear ~ Depth D~menslons of ex~stmg structures, ..................... . ....................... Height ............... Number of Stories ........................... Dimensions of same structure with alterations or additions: Front ........ ... I. Rear Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear .... !. Depth Height ............... Number of Stories ........................... i ............................. 9. Size of lot: Front ...................... Rear ...................... ] Depth ...................... 0 Date of Purchase Name of Former Owner 1. Zone or use district in which premises are situated .............. i ..... 2. Does proposed construction violate any zoning law, ordinance or regulation: ... ] ............................. 3. Will lot be regraded ........... ......... Will excess fill. be removed from premises: Yes No 4. Nmne of Owner of pr~retnises . ~l~/C~r~l?~...~. ~.~,a'."k'~dress ]~'~..{9~..~l'.~.~.~.. Phone No, ~.. ~>.". q~.~.?-~.... Name of Architect .~/~_*ft~,~...('(¢l(.(~ ........... Address .............. ..... Phone No ................ Nmne of Contractor .. ~ ~ ~ .~.~. .............. Address .............. ! .....Phone No ................ 5. Is this property located within 1.00 feet of a tidal wetland? *, Yes ..... No .~,,... * If yes, Southold Town' Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. ihdicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and sh6w street names and indicate whether ~terior or corner lot. TATE OF NEW YORK, ~ S.S OUNTY OF . . .~ .............. ~ ........... . . . (Name of individual signing c¢l~tract) oove llanled. ,corn to before me this ' .~/.c/...~,.....day of.. ' ..... . .~...~.. ....... , 19.~. otary Public, ' .... ~,--~....~.,...../0...,~. J.~...~___V~___81 ~.. ~'~a# IllllN & ~ VO~ ~' --~ 1, '~ ' County ...... being duly sv ~rn, de~os~ and says that he is the applicant ~e is the ' (Contractor, agent, corporate officer, ere!) f said owner or owners, and is duly authorized to performor have performed ~eisaid work and to make and file this ~plication; that all statements contained in this application are true to the b~s~/~hisknowledge and belief; and that the ork will be pei'formed in the manner set forth in tho application filed there~~ (Signature of applicant) - I F F APPROVED AS NOTED NOTI~ BUILDIN6 DEPA~TM~T AT ~6B,1802 9 AM TO ~ ~ ~R THE, FOLLOWING INSPECTIONS: FOUNDATION ~'WO R~RED FO~ ~EO CONCRETE 2 ROUGH F~AMIN[A A pLUMBING A,,F~C CO~RUC~ION MUST -~COMPLE, E FOR C,O ALI. CONSTRUC~TION S~-IALL MEET THE REQUIREMENTS C~: THE N.Y ~ITA'r~ CONS'rRUCTION & EN1ERGY CODES, NOT ~NS~E ~R I~~IGN OR CONS~ON ERRORS, t ~o~ Fp&U,45 2.-G -0 l OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY D \ / I f i h L W/ ~ - ~r~ ~v,/, J