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Home My WebLink About15565-zFORM NO. 4 TOWN OF SO~TEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17887 Date MARCH 27, 1989 THIS CERTIFIES that the building FOUNDATION Location of Property 3040 BUNGALOW LANE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 123 Block08Lot 28.6 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 4~ 1986 pursuant to which Building Permit No. 15565Z dated DEC. 10~ 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 NEW FOUNDATION UNDER AN EXISTING ONE FAMILY DWELLING. The certificate is issued to WILLIAM N. DRUM ESTATE (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A / ~ilding Inspector Rev. 1/81 FOF,~ NO. Il TOVv'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15565, Z Permission is hereby gr~nted to: premises pursuant ,o application dated .~..~.~.....u~J.. ............... , 19.~..k4~., and approved by the Building Inspector. Building Insl~ector Rev. 6/30/80 TOWN OF SOUTHOLD TOWN OF SOUTHOLD BUILDING DKPARTMENT TOWN HALL SOUTHOLD, NEW YONK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OK PRE-EXISTING BUILI)Ilig~ .... VACANT LAND ........ HOUSE ~0. STREET HAMLET ~o~~o. ,000~.o~/~.~.~o~ ~ ~o~ ~ Subdivision ....................... Filed }{ap ........ Lot .......... ltealth Dept. Approval ................ Underwriters Approval Planning Board Approval ..~...~. ......... Request for Temporary Certificate ....... Final Fee Submitted: $ .................... Certificate rev. I0/14/88 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 7, 1989 Mr. Henry Drum 2615 Mill Road Mattituck, New York 11952 RE: Building Permit #15565-Z ~17219-Z Tax Map ~100-3-17 Dear Mr. Drum: During a review of our files, it was noted that a Certificate of Occupancy has not been issued. According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for construction and alterations to an existing dwelling. It is unlawful to occupy a dwelling until a Certificate of Occupancy has been issued. Your final inspections have been made. Please fill out the enclosed application for Certificate of Occupancy and return to this office with a check for $50.00 ($25.00 for each CO). Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. VRW:gar encl. Vincent R. Wieczorek Ordinance Inspector OUNDATtON ( 1st ) OUNDAT%ON (2nd) OUGH FRAME & PLUMBING iNSULATION FER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold. NewYork I1971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD DATE: JANUARY 12, 1989 NAME: HENRY DRUM ADDRESS: 3040 BUNGALOW LANE MATTITUCK, N.Y. ]1952 RE: BUILDING PERMIT # ]5565Z SEC. ]23 BLOCK 08 LOT 28.6 This Buidling Permit has expired. You are now in violation of the Town of Southold Zoning Code. Please contact our office, this matter must be cor- rected. Yours truly, ~ Victor G. Lessard PRINCIPAL INSPECTOR b ' b FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined~'~: .I.q.., 19 .~.~. Appro~~... }..O., 197.%. Permit No./..~.".~.-'~..~."..~:t. Received ........... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 Buildh~g 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 Permit 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, ordinances, building code, housing code, and reeducations, and to admit authorized inspectors on premises and in building for necessary insp~ / ....... · .'7. ..... (SignOt re, O;2ppli,~, Or name, ifa corporation) ...~. ~./. ~.~ .~.~., ./.././¢./.A, .......... ...... (raa~3_xng address or appxxcant) State whether applicant is owner, lessee, agent, architect, eiggineer, general contractor, electrician, plumber or builder. Name of owner of premises..~-'.~..~.../~...'q..~, z.//~.~. ~..~¢r'..../~. c....~...~...,~..../~. · .................... (as on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. P.~.../~...~/. "5~"',7'" Plumber's License No .............. - ........... Electrician's License No ....................... Other Trade's License No ...................... 1. Locationoflandonwhichproposedworkwillbedone../.c~..J-J.../.~.¢..~.~ff,~_J..d~.d~.~cd.~ ................. .............................................. House Number -- Street Hamlet County Tax Map No. 1000 Section .... .z/o2-. · ~. ...... Block Lot c~..t~,. ~. Filed Map No ............... Lot ............... Subdivision ................ (iq'a~) ................ 2. State existing use and ~ccupancy ~f~remises and intended use and ~`ccupancy ~f pr~p~sed c~nstructi~n: I a. Existing use and occupancy ,~...k4.~{ ~-.o?~../.~'..'~...~..,5...~..~..~:2....c~..~ ......... m .................... b. Intended use and occupancy .~.~..~?. 4~'.~ 4~d.../'~. ~ ?.( .¢..~...~2..~...~.. '7. fl??'. -~'LJ07 'cPY' · '~'c'4~'*~ ......... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... ~.e._p_~r ~.~_~.~ ..... ;. Removal .............. Demolition .............. Other Work ............... '- (Description) 4. Estimated Cost./..,~...~ ...................... Fee ................................... (to be paid on filing this application) 5. If dwelling, number of dwellin~ units ............... Number of c/~/elling units on each floor .............. If garag b f e, num ero cars .... : .................................................................... 6. If business, co,m'/~.~l o,r mixbd occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existin~u~es, if any: Front ............... Rear .............. Depth ............... Height ........... ,..., .~.er of Stories ........................................................ Dimensions of same structure W~t~ions or additions: Front ................. Rear .................. Depth ......... ,.... ...... ,. ~,~ ...................... Number of Stories ...................... 8. Dimensions of entire new co,,nstru, ction~:~ ,F~ ~,~ ............ Rear ............... Depth ............... Height ............... Number of Stories ...................................................... 9. Size of lot: Front ..................... Rear .'"~¢~,..,._. ............... Depth ...................... 10. Date,'of Purchase .......... ~: .... , ......,.. ] .~ ....N~f Former Owner ............................. 11. Zone or use district in which plremises are sit. uat?d... :.. .... ' "':~'<(' i ..................................... 12. Does proposed construction violate any zoning law, o~.c,e or re,on: ................................ ' 13. Will lot be regraded ....... ~ ................... ~.~W~!l_l__exc se s fill BL~r~oved from premises: Yes No 14. Name of Owner of premises . 'i ................. ,Ad, d, ress ...........~ .... Phone No ................ Name of Architect ........................... Address ............... .'~q... Phone No ........... Name of Contractor ....... i .................. Address .................. ."P,h. one No ................ 15. Is this property locate~ withinl.00 feet of a tidal wetland? * Yes ...'~. No ..... · If ~es, Southold Town T~ustees 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 bloc number or description according to deed, and show street names and indicate whether interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL HOUT CERTIFICATE .... (f;CU?ANCY A P$OV D AS NOTIFY BUILDING Dt~PARTM~T AT 76~-180~ 9 A~ FO ,,& PM '~R ~E FOLLOWING ~$~CTIONS~ FDU~JI~A'rlO,~ 'tWO ~EQDRED RO~JGP, ~:~-~,MI~(~ & PLUMBING a~G~q OE CG~T~UCTtON ERRORS, STATE OF NEW YORK, i S.S COUNTY OF ................. 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, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this apphcatlon; that all statements continued m thru apphcat~on 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 .............. '.'~.. ....... dayif .... D~. ........... 19 .~.)~ Notary Public,..~..~... ~. ~..~.~h~- .... County ~. (Signature of appli. t)