Loading...
HomeMy WebLinkAbout15164-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulld~ng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20951 Date THIS CERTIFIES that the building. Locatlon of Property 4995 SOUND AVE. House No. County Tax Map No. 1000 Sectzen 121 AUGUST 19~ 1992 STORAGE BUTT,DING MATTITUC~ NEW YORK Street Block I Lot 3.4 Hamlet Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permmt heretofore fzled in thz~ office dated JULY 31~ 1986 . pursuant to whzch Buzlding Permit No. i5164-Z dated AUGUST 2, 1986 was zssued, and conforms to ail of the requzrements of the applzcable provzszons of the law. The occupancy for which thzs eertzfzcate issued zs NON-HABITABLE GARAGE & STORAGE BUILDING ON EXISTING FOUNDATION AS APPLIED FOR. The certzfzcate is zssued to GUY W. SOBERING (owner) of the aforesaid buzlclzng. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-030122 - JULY 28~ 1992 PLUMBERS CERTIFICATION DATED N/A Bunspector Rev. 1/81 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.o 15164 Z Permission ~s hereby granted to' ~.~...~.:q,..J.:..'l~ ....... at prem,ses I~at.d at .............~ ............................... ~ ...... ~.~ ..................... County Tax Map No 1000 Sect,on . .J ..'~'.) ..... Block ........C~...J ...... Lot No....'~...L.~. ......... m Budding Inspector. Fee $ ..' .... Building Inspector Rev 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the bumlding inspector with the following: for new bumlding or new use: 1. Final survey of property wmth accurate location of all buzldings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certzfying that the solder used in system contamns less than 2/10 of i% lead. 5. Commercial building, zndustrzal building, multiple re$zdences and smmmlar buzldings and installations, a certzficate of Code Complmance from architect or engzneer responsible for the buzldlng. 6. Submmt Planning Board Approval of completed smte plan requirements. · For exzsting buildmngs (prmor to Aprml 9, 1957) non-conformmng uses, or buildzngs and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buzldzng and unusual natural or topographic features. 2. A properly completed application and a consent to inspect szgned by the applmcant. If a Certmficate of Occupancy is denzed, the Buildzng Inspector shall state the reasons therefor mn wrzting to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additzons to dwelling $25.00, Alterations to dwellmng $25.00, Swimmzng pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Busmnesses $50.00. 2. Certifzcate of Occupancy on Pre-exzsting Bumldmng - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $I0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~/ Date ./~..~../.~././.~ ............ .. . New Construction ........... Old Or Pre-existing Building ................. Location of Property...~.~.? .~. .............. ~.~.~.~.~. House No. Street Hamlet Onwer or Owners of Property...~.~..~.....-~..~..~/~.~.~.. .......................... · ... . . .. ... .. County Tax Map No 1000, Section..f. .f ....... loe ...07 ........... not .... ............. Subdivision ............................... . .. .. F~led Map............Lot...... .............. .. Permit No./~/~. ~...Date Of Permit~. ~/~. ~. ..... Appllcant.~-~-~.~.~..~.~..~.I .~. ........ tIealth Dept. Approval .......................... Underwrmters Approval ......................... Planning Board Approval .... Request for: Temporary Certifzcate ........... Final Certicate..'./.. ..... Fee Submmtted: $ ..... INSPECTORS Victor Lessard Principal Bmtdmg Inspector Curtis Horton Semor Bml&ng Inspector Thomas Fisher Bud&ng Inspector Gary Fish Bmld:ng Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant F~re Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Superv:sor Southold Town Hall P O. Box 1179, 53095 Mmn Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 4, 1992 Mr. Guy W. Sobering 4995 Sound Avenue Mattituck, N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 15164-Z * Please contact our office on this matter. cooperation. Thank you for SOUTI{OLD TOWN BUILDING DEPT. *THE ABOVE BUILDING PERMIT HAS EXPIRED. PLEASE APPLY FOR CO ASAP. IT IS UNLAWFUL TO OCCUPY OR USE BUILDING WITH A CERTIFICATE OF OCCUPANCY. THANK YOU. INSPECTORS Victor Lessard Pnnctpal Bmkhng Inspecr0r Curtis Horton Semor BmMlng Inspector Thomas Fisher Bmldmg Inspector Gary Fish Bmldmg Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Superv,sor Southold Town Hall P.O. Box 1179, 53095 Matn Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOVv~q OF SOUTHOLD ~OVEItlBgR 25, 1991 G1JYW. SOBERING 4995 SOUND AVENUE MATTITUCK, NY 11952 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 flle. (Enclosed) No Underwriters Certificate on file. The check xs ~W~l~Wa~Fnot on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT $ 15164-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 'iELD " ~' FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & (2nd) FLUMBING INSULATION PER N. Y. STATE ENERGY CODE Fi~{AL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ~ZND [ ] INSULATION FRAMING ~NAL INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS ~',~ ~[]-~-/ BUREAU OF ELECTRICITY r--- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIE~ THAT Lot FIXTURE LECEPTACI. ESJ SW TCHEE I FIXTURES [ RANGES ~OOKING D~CKS { OVENS I DISH WASHERS EXHAUST FANS ~RVI~ ~ONNECT ~ ~ O~ ~ S E R V I C E OTHER ~OT~RS ~JY ~[~TTIT~C{<, NY, ~ MANAG~ It cerhf~¢ate must not be altered m ~ny man,er, return to the office of the Boor8 ~f incorrect inspectors mc~¥ be ~denhhed by their credenhals COPY FOR BUILDING DEPARTMENT~ THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN At'Pr MANNER z1~,9 THE NEW YORK BOARD OF FIRE UNDERWRITERS kh BUREAU OF ELECTRICITY NO%Fa~E,[' 13, [98~5 JOHN STREET. NEW YORK. NE~38 m t~efollowmg hw~on, ~ ~so~. ~ Iht Il ~ 2nd ~l ~tton Bilk Lot { C)OT~TS RECEPTAC~$i SWITCHES FIXTURES RANGES / OVENS DISHWASHERS EXHAUST FANS OTHER AF~ARATUS Pf~4EbB~I~OS. 1-1cir., 70 amps. E R I C E J~s P. Sa~e 519 Stellin$ Pl. Gzeenpor~, N.Y. 11944 lic. ~3§35E This certificate must not be altered m any manner, return to the office of the Board ~f ~ncorrect Inspectors may be ~dentdmd by their credenhals COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER Exammed~'~' ?'w.. , Approved~~ ~ , D~sapproved a/c .... FORM NO I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N Y 11971 TEL.: 765-18011  ector) ' ' APPLICATION FOR BUILDING PERMIT TOWN OF $O~'l.~,~c?k~ ...... Received ........... ,19.. Date INSTRUCTIONS a Tins apphcatlon must be completely filled m by typewriter or in ~nk and submitted to the Budding Inspector, w~th sets of plans, accurate plot plan to scale. Fee according to schedule· b Plot plan showing location of lot and of bmldmgs on premises, relatmnship to adjoining premises or pubhc street or areas, and gxvmg a detaled descnptmn of layout of property must be drawn on the dmgmm which is part of this appl · catmn. c. The work covered by tins apphcahon may not be commenced before ~ssuance of Buildmg Permit. d. Upon approval of th~s apphcation, the Bmldmg Inspector will ~ssued a Budding Permit to the applicant Such petrol shall be kept on the premmes available for mspechon throughout the work. e. No budding shill be occupied or used in whole or an part for any purpose whatever unt~l a Cemficate of Occupanc-_ shall have been granted by the Bmldmg Inspector. APPLICATION IS HEREBY MADE to the Budding 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 apphcable LawL Ordinances o Regulations, for the construction of buddings, addxtions or alterations, or for removal or demoht[on, as hereto described The apphcant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulations, and t, admit authorized inspectors on premises and in building for necessary inspections (Signature of applicant, or name, if a corporation) (Mailing address of apphcant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or builder. ....... Name of owner of premises F"~T['/t.~ . ~¢~..~O;f~.f'~.//l/.~. ..... ............ . ..... (as on the tax roi1 or latest deed) If applicant is a corporahon, signature of duly authorized officer (Name and htle of corporate officer) 7 Builder's License No ' ....... Plumber's License No Electnclan's License No Oilier T~ade ~ t~lce l~ ~u ......... Location of land on which proposed work will be done House Number Street County Tax Map No I O0{J Section / -~./.. Subdivision (Name) Hamlet · Block / .. Lot · F~led Map No .... Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which apphcable). New Budding ....... Add~tmn ........ Alteration .... Rep~r ..... .~ ... Removal ........... Demolition ........... Other Work ........ (Description) 4 Estimated Cost .............. Fee ....................... ' (to be pa~d on fihng this apphcatmn) 5. If dwelhng, number of dwell~g umts ....... Number of dwelhng umts on each floor .......... If garage, number of c~s .......................................... ~ 6. If business, commercml or maxed occupancy, specify nature and extent of each type of use ........ 7. D~enslons of ex~stmg structures, ~f any' Front ..... Rear ..... Depth ....... Hm~t ........ Number of Stones .................... D~ens~ons of same structure w~th alterations or additions Front ............. Rear ............. Depth ............... He~t ........ Number of Stones ........... 8. D~ens~ons of entire new constmctmn Front .. Rear ............ Depth .......... Height .......... Number of Stones ......................................... 9. S~ze of lot' Front ........... Re~ ............ Depth ................ 10 Date of Purchase ................ Nme of Fomer Owner ....................... 11. Zone or use dmtnct m which premises are s~tuated 12 Does proposed constructton wolate any zomng law, ordinance or regulation ....................... 13. Will lot be regraded ................ Wtll excess fill be removed from premises' Yes No 14 Nme of Owner of premises ............ Address ............... Phone No. Nme of Arch~tect ................. Address .............. PhoneNo.. .. .. Nme of Contractor ............... Address .......... Phone No ............ 15. Is th~s property Zocatad wSthxn 300 ~ee~ o~ a t~dal wetland? ~Yes ..... No ~.. *If yes, Southold To~ Trustees Permit maVba required. PLOW BIAG~ Locate cle~ly ~d d~stmctly ~1 buddings, whether ex~stmg or proposed, and mdmate ~I set-back d~ensmns from prope~y hnes G~ve street ~d block number or descnptmn according to deed, ~d show street nmos and red,cate whether tntenor or corner lot (Name of mdlwdual signing contract) tbove named being duly sworn, deposes and says that he as the applicant te as the ........ (Contractor, agent, corporate officer, etc.) if smd owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and file ttus pphcatmn, that all statements contained m this apphcat~on am true to the best of has knowledge and belief, and that the york will be performed m the manner set forth m the apphcatmn filed therewith. ;worn to before me this ......... day!f.:. ....... County ... : ............. . DTES. LOCATION MAP Area = ( __- 30 .... " 'Or /Ik}' I f~ TOTALAREA; B 9111 ACRES DILAPIDATED CHICKEN COOPS NOT SHOWN HEREON SUFF. CO TAX MAP CONTOURS G LINE OF WOOD5 SHOWN HEREON ARE FROM "TOPOGRAPHICAL MAP- FIVE EASTERN TOWNS" PREPARED FOR THE GUFF CO. DEPT OF PUBLIC WORKS THE WATER SUPPLYAND SEWAGE DISPOSAL FACILITIES FOR ALL LOTS IN THIS DEVELOPMENT COMPLY WITH THE STANDARDSANDREQUIREMENTS OF THESUFFOLK COUNTY DEPARTMENTCFHEALTH. HOWARD W, YO~NG,N.'LS/~_.S LIC.NO,45893 TEST HOL~ ? ? TYPICAL PLOT PLAN TYPICAL WELL DETA/L SUFFOLK COUNTy DEPARTMENT OF HEALTH SERVICE~ Hauppauge, Nev~ Y~'k ~ -- 175.$ AVENUE L: 58 APpROVeD ey MINOR SUBDIVISION PLAN PREPARED FOR' GUY SOBERING & RUTH SOBERING AT MAT~TUCK TOWN OFSOUTHOLD SUFFOLK COUNTY, NEW YORK JAN 1441985 DATE : OCT 22, 191~. SCALE: I " : 60' NO. : 84 -987 YOUNG e, YOUNG ALDEN W YOUNG~PROFESSIONAL ENGINEER 400 OSTRANOER AVENUE RIVERHEAD, NEW YORK ~'C~/~,O~/.~C/~'°~, FINAL CONSTRUCTION MUST THE REQUIREMENTS OF THE N.Y :STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR ~S!GN OR CONSTRUCTION ERRORS