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Home My WebLink About15557-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18625 Date DECEMBER 7, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 525 NEW SUFFOLK AVENUE MATTITUCKr NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 11 Lot 019 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 8, 1986 pursuant to which Building Permit No. 15557-Z dated DECEMBER 9~ 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 BAY WINDOW ALTERATION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to JOHN F. HELENE D. deREEDF~R (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH ~LPPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 FOF,~ NO. ~ TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15557, Z Permission is hereby granted to: ....... at premises located at ...~......~..........~.'.~~-..~..,.~.~ ...... County Tax Map No. I000 Sechon ........................ Block ....... ) .............. L t N ..............Ck. ....... pursuant to application da~....~ ................ , 19.~...~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTNENT TOWN HALL SOUTHOLD, NEW YORK 765 -- 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY .County Tax Map No. NEW CONSTRUCTION ....... OLD OK PRE-EXISTING BUILDING~'....VACANT LAND ........ Locntion of Property ........... HOUSE NO. STREET HAMLET ,000 ~o../~.~. ~o~ ..//... ~o~...?~ .... ~ubdivision ....................... Filed Map ........ Lot .......... -' ApPti Dealth Dept. Approval .................. Underwriters Approval .............. Planniug Board Approval ................ Request for Temporary Cerglficate ....... Final Certificate ...~.... .......... Fee Submitted: APPLICANT. rev. FORM NO. 6 TOWN OF SOU~IOLD BUILDING DEPARTMENT TOWR IIALL 765- 1802 APPLICATION FOR C~RTIFICATB OF OCCUPANCY INSTRUCTIONS This application must be ifiled in typewriter OR ink and submitted to the Building Iuspector with the following; for new buildings or new use: ]. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Hca%th 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 certifying that solder used iu system contains less' than 2/10 of IZ lead.. 5. Commercial buildings, iindustrial buildings, multiple residences and similar. · buildings and installations, a certificate of code compliance from the Architect orlEngineer responsibie for the building. 6. Submit Planning BoardlApproval of completed site plan requirements. For existing buildings (Prior to April 9, 1957~ non-conforming uses~ or buildings and "pre-existing" land ~ses: ]1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed ~pplieation, a consent to inspect signed by tbe applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, ]957. · If a Certificate of O~cupancy is denied, the Building Inspector shall state the r~asons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informationj required to prepare a certificate. For Vacant Land Certificate of Occupancy: ]. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstrlaet of title issued by a title company showing single and separate ownership o~ the entire 10t prior to April 9, 1957 shall also accompany the application. If la Certificate of Occupancy is denied, the Building Inspector shall state the reasdns therefor in writing to the applicant. FEES: [~ CERTIFICATE OF OCCb~ANC¥ - New D~elllng $25.00, Additions to Dwelling $25..00, Alteration to Dwelliug $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certiflc~te of Occupancy - $5.00 - over ~ years - $]0.00 4'. Vacant Land Certificate of Occupancy - $20.00 5. Updated C~rtific~te of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential ' $50.00 Commercial 10/14/88 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 Mr. & Mrs. John DeReeder 525 New Suffolk Ave. Mattituck, New York 11952 To Whom This May Co~cern, We are unable o complete your Certificate of Occupancy because ,of the following reasons. /5/ An application for Certificate of Occupancy is not on file. ~ENCL0_ ~ /5/ No Underwriters Certificate on file. /~/ The check is$~K~/not on fi~i,~) $25.00 /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. P/ease contact our office on this matter. Thank you for your cooperation° Building Permit ~ I 5 5 5 7 Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ali. permits involving plumbing being issued after April 1,1984 ) OUNDATION (1st) OUNDATION ( 2nd ) OUGH FRAME & PLUMBING iNSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: 'OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: DATE FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approve...c-~.....~.., 19~ Permit No. ~ .~.'"~...'~.~7. ·~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received. INSTRUCTIONS a. Tins 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 tins 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 used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Perurit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinancf~ )l~'c~J-n~ code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa~ t~pec)t{~nsF"~ ' .... . ' ...................... f applicant, or name, if a corporation) ............ '. .................. ........ (mail:~ng address of appllca ) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner o f premises . .~.Q%p i ..~..C~..~.~...e-<..~..~.. · . ~.~..~! .eeq.~ · .'-~.:..~..¢T~"~ .'.4~...'~.. · .~. · · ............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer· (Name ~ind title of corporate officer) Builder's License No .... O't.~'q~O~/ ............ Plumber's License No .............. - ........... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. · ..........: .... ......................... House Number Street Hamlet County Tax Map No. 1000 Section .... ~1..q ........... Block ....... 1.1 .......... Lot...O.. [.q ............ Subdivision ..................................... Filed Map No ............... Lot . ·: ............ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy. ,, . .IC..~.~. ! .~..C.q,r..~mc.,~ ........................................... b. Intended use and occupancy .... [.~.vs..~ ........................ '.:., 77; '. ....................... 3. Nature of work (check which applicable): New Building ......... Addition .......... Alteration ....... Repair .............. Removal .............. Demolition .............. Other Work ............... i (Description) 4. Estimated Cost .... ~.. ~.-/. Q,. ........................ Fee ...................................... (to be paid on-filing this application) 5. If dwelling, number of dwelling units ...... I ....... Number of dwelling units 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....~.~. t.'~or~-~.. Rear . .L5..+~.~.¢,... Depth .~% .+..}~cv~. .... z~, N~mber of Stories Height ..................................................................... Dimensions of same structure with alterations or additions: Front . ~;.~ .~.~ .......... Rear . .~.~-.~..~ ............ Depth.. ~.a~.~. ....... Height..aq~..~. Number of Stories. ~.~.~.~.. 8. Dimensions of entire new conitruction: Front ............... Rear .......... Depth ........... Height ............... Ndmber of Stories ........................................................ 9. Size of lot Front lid..., i.. . Rear ~1%. ............. Depth ~9.O. .......... 10. Date of Purchase . .~[.~.~.l.~.~. . ................. ,,./lN,~ame of Former Owner . (q.~.<~..AF...~.~..~,%.. i ......... I 1. Zone or use district in which premises are situated., r.~ .............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ................... 13. Will lot be regraded . .~.~... i ......... ._. ..... ..... Will excess fill be r~.n~oved from premises: Yes 14. Name of Owner of premises .'~.~.~,;~.~..~)~.~...~ .... Address . ~.?~ff .10.~.g. ~[lq~.~.. Phone No..%.~BT'.~X~.~.... ';. Name of Architect ............ ~ ............... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No .............. 15. Is this property located withinl;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. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE O~ COUNTY~ above name, NEW YORK, S.S · .~.~.". ~ ) .~.~...~A~..~. ................. being duly sworn, deposes and says that he is the applicant Name of individual si~ning contract) He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this applicatio¢; that all statements corttained in this application are true to the best of his 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 ................. . ....... ..................... , ~r~r ~[.t.~ ~. ~E rOE ............................ ~,g~lk .~u_ ~ty g: ,..' (Signature of applicant)