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Home My WebLink About15423-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... ~159.6.q ....... Date October 29 ., 19~6. deck addition THIS CERTIFIES that the building ................................................ 2000 Pike Street i Mattituck~ N.Y. Location of Property/:/~tJs~ bio] ........................................................ 140 3Street 22 Hamlet County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fred in tiffs office dated 0. c..t.o.b.e.F' .2.3.,. ..... 15423 Z ....... 19 86 pnrsuant to which Building Permit No ...................... dated October 23 19 86 ............................... , 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 ......... Deck addition to existing one £am±ly dwelling The certificate isissued to Richard & Theresa Endris ................... of the aforesaid building. Suffolk County Bepartment of Health Approval .......................................... Rev, 1/81 l~Uxv NO. O TOWN OF SOUTHOLD BUILDING DEPART/v%ENT TOWN HALL SOUTHOLD, H. ¥. BUILDING P EiSa. IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15423 Z Permission is hereby granted to: County Tax Map No. 1000 Section ..... !...~....~.. ........ Block ....... .~ ...........Lot No.....?..;~ ......... pursuant to opplication dated .... .C)...~...~,~....~'..,..~ .............. , Jg.~...~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 October 31,19~6 ~......onNo. o.fi[~ 436922/86 N 776916 Richard Endris, 2000 Pike St., M~.ttituck~ N.Y. tt~s examined on October 28,].986 FIXTURE SWITCHES OUTLETS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 2 1 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS H0. OF FEET SERVICE DISCONNECT S E NO. OF CC, COND PER ~ R V I C OTHER APPARATUS: Richard Endris P.O. Box Greenport, N.Y.~ 11944 This certificate must not be altered in any manner; return to the office of the Board if incgrrect. Inspectors by their credentials. COPY FOR BUILDING DEPARTMENT· THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hail $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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 lines, streets, and unusual natural or topographic 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. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings iprior to April 1957), Non-conforming uses, or buildings and "pre~existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of ownor 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 required to prepare a certificate. C. Fees: 1. Certificate of oc_cupancy $5.00 2. Certificate of occupancy on pro-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 Data ..~..~....~. ..... ~.~. ...... '~ ' . ..... Oki or Pre-existing Building .... ~. · ..... Vacant Land ............. Location of Property ~..o...0.O. ~'/dC_ ~n,¢.'/-/. tYous~ No. ' ........... ' .................. ' ' ' ' · Street Hamlet Owner or Owners of Property .. .................. County Tax Map No. 1000 Section .../..c~.O. ....... Block .... Subdivision .................... Filed Map No ........... Lo,t Nor ............. Permit i~o ........... Date of Permit .......... Applicant ................ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ......... ~ ....... -.- ........................ 'OUNDATION (1st) 'OUNDATION (2nd) tOUGH FRAME & PLUMBING iNSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BUILDINq DEPT, INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: /~/~¢~r_ /~Z~/~ DATE INSPECTOR 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPE~rOR ~~0 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined. ~..~.¢.'-~:~-'.~..&.:~., 19~.~. Approved .0..q~....O.~i~.....~.~., 19~.~. Penni] No. l .~ .~..~..~..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ?. t..(~, c~.'(~.~.e.t?..., 19 .~.~ 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, use~d in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building ~tdr) APPLICATION IS HER'EBY MADE.to the Building Department for the issuance of a Building Permit pursuant to the Braiding Zone Ordinance. of th~ Tq~ 0f So~ttk'o[c~, S~q'l~ ~bunty, New York, and other apphcable Laws, Ordinances or Regulations, for the construction of buli'~lifi~','addiX~s~)o~fi~terations, or for removal or demolition, as herein described. The anulicant aerees to'comply wi,ill all;;applicabl~a,w.s, ordinances, building code, housing code and regulations, and to admit author]zed inspectors on premises and m ~q~g for necessary ~nsp ons.fl _/2 ~ ~ . . ; i~ ' .: :, (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ .,(4. . . ?>. . . .o. ........................................................... Name of owner of premises ... ~.c .~.~. ,g?.g...~.. J.~'-~.e..r'.~.~. ~.,_...~..,,3 dr'. ;.J ................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land ov,-v~Lh p~ot, u~cd wu~k MI1 b~d ....... ~ .6.0.0. ~.l ~e~..~..~.l.~. q.~/...t~..,..?//t..7/6,{..C ./~..,~).-.~'.. " '/,' House Number Street Hamlet County Tax Map No. 1000 Section .................. Block .................. Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Nmne) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy... ~ (..t~..a.:~...~.~..S.e- .~?.~.c.~ ........... : ................. b. zntended use and occupancy ............................... 3. Nature of work (check which applicable): New Building .......... Addition i .......... Alteration .......... Repair .............. Removal .............. Demolition .......... i .... ; Other Work ............... 4. Est ated Cost... (tO be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling u~its on each floor ............... If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each tYpe of use .................... 7. Dimensions of existing structures, if any: Front...,, .... ~, ....... Rear .... i ...... Depth .............. Height ............... Number of Stones ............... K .2..0 ................................ Dimensions of same structure with alterations or additions: Front .......... i ....... Rear ................. Depth ...................... Height ...................... Number Of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rear ...... i ......... Depth ............... Height Number of Stories 9. Size of lot: Front ........ /.~7.0 .......... Rear .... f..0 ............. i. Depth .. ~.~.2~,,~'. ............. I0. DateofPurchase . [-/t-~. ~ Name of Former Owner' 11. Zone or use district in which premises are situated ....................... i .............................. 12. Does proposed construction violate, anyzoninglaw, ordinance or regulation: .. .............................. 13.Will lot b regraded ....... f,,f./~..,..~._~, ....... ._. Wi.Il excess fill be remoyed from premises: Yes No 14. Name of Owner of premises/:'.tC.&a[cd $r.~.~¢ce~[.cc t~4~o~a~ ................... Phone No. ~.~. 7.~'./..'f~.... Name of Architect Address 'i Phone No Nmne of Contractor .......................... Address ............. i ......Phone No ................ 15. Is this property located within 3-.00 feet of a t:±da3- wetland? i~ Yes ..... No .,~. ~ If yas, Southold Town Trust:cas Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,lindicate all set-back dimensions from property 1/nes. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ! ~ NOTI~ BUILDING DEPARTM~T AT 7~5.1802 9 A~ TO ~ ~ ~R THE FOLLOWING INSPEC ~ FOUN~A~r~O~ ~O 2 ROUGH F~AMIN(~ 6 PLUMBING 3~ INSULA [IO~ THE RE(IUIREMEN'r$ (:~ tHE ~A~ CONSTRUCTION, ~, ENERGY n~IGN O~ CC-:~8TH~CThTN 5RRORS, STATE OF NEW,YORK .... S S .............................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ........................................................... ~ .............................. (Contractor, agent, corporate officer, eic.) of said owner or owners, and is duly authorized to perform or have performed th~ said work and to make and file this application; that all statements contained in this application are true to the best of ibis 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 · . ..................... dayof ........ 19~. Notary Public .................................. County (Signature of applicant)