HomeMy WebLinkAbout14906-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N,Y.
Certificate Of Occupancy
No. z-16264 Date October 6, 1987
THIS CERTIFIES that the building GARAGE ADDITION & ADDITION TO EXISTING DECK
LocationofProperty 3400 Ole Jule Lane Mattltuck, New York
House No. Street Hamlet
County Tax Map No. 1000 Section 12 2 .Block 0 4 .... Lot 02 0
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
May 20, 1986 14906 g
...................... pursuant to which Building Permit No ......................
dated May 20, I 986 was issued, and conforms to all of the requirements
of the applicable provisions of the law. The ocbupancy for which this certificate is issued is .........
GARAGE ADDITION & ADDITION TO EXISTING DECK TO PRIVATE ONE FAMILY
'I~WELL'I'NG' A'S' 'APP'L'IED' 'FOR ....................................................
The certificate is issued to ANTHONY L. MACARI
..................... ?o¥,~;, ~ o~g,~;~)~ X X ...................
of the aforesaid building.
Suffolk County Department of Health Approval ... N/A
UNDERWRITERS CERTIFICATE NO... N/A
N/A
PLUMBERS CERTIFICATION DATED:
/ Bu~l~ng Inspector
Rev. 1/81
1~0~ NO. ~
TO~N O~ $OUT~OLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING FER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
1~.o 1~906 Z
Permission is hereby gronted to:
........ ~.~.~..~:.../~.~.~.~ ........
........
,o .... ~..~......~....~.~..=.~.~.._~.~Z~.....,~,~_.?..~ .~...~.....o...~ ......
..~..~.~..c~.._F~u~.~./.../,~ .............................. ~ .......... ~....;: ....... ., .................................
~, premises located ot ................. ./...~..~....~.. ...... , .~...g~.....~..~..~.(~.....~,~..,.! .............................
......................................................................................................... ~.~,..~..~.,..~.,.~.
pursuant to application dated ...... ~,~t~,,....,,~,,,,O. ......................... , 19Z~,,., ond approved by the
Building Inspector,
udding nspector
Rev. 6/30/80
Memorandum from....
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
TOWN HALL, SOUTNOLD, N. Y. 11971
765-1802
/1372_
This is to certify that the house at 3120 Ole Jule ,
Mattituck, N.Y. 11952, Tax ~122-4-20.1, Owned by An6hony Mac,ri,
formally built for and owned by Barbara and ErnestWilsberg by
William Krause, builder in 1952 llas the original framing and.
founda6ion as of September 18,19~7.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CE~TII::ICATE OF OCCUPANCY
Instructions
This applicatiOh' must be filled in typewriter OR ink, and submitted I ~ to the Building Inspec-
tor with the following; for new buildings or new use:
I. 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.
For existing buildings (prior to Agdl 1957~J. 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 features.
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 required to prepare a certificate,
C. Fees:
1. Certificate of occupancy I~i~0~-- BUSINESS $50.00 ACCESSORY $10.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Lancl C.O. $ 20.O0 ~.~/~.~..~.~.
5.Updated C.O. $ 50.00 Date ....... ? ..........
NewC°nstruction ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ....
House No. Street Ham/et
Owner or Owners of Property . .
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No..?.~.~f~.~.. Date of Permit .......... Applicant ..................................
Health Dept. Approval ....... ~..~ ........... Labor Dept. Approval .... .~..~ ...............
Underwriters Approval . '/~ .Planning Board Approval
Request for Temporary Certificate ........ Final Certificate
Fee Submitted $
regu
lations.
Rev.
10-10-78
FIE~D I%SPECTION iDATE COMMENTS
FOUNDATION (1st)
FOUNDATION ( 2nd )
ROUGH FRAME &
PLUMBING
3.
INSULATION PER N. Y.
STATE ENERGY
FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ I~'~NAL
DATE
INSPECTO _~~~
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
June 12, 1987
TEL. 765-1802
Mr. Anthony L. Macari
75-]4 Roosevelt Avenue
Jackson Heights, New York
11372
Dear Mr. Macari:
As per your request for updated CO on your property located
at 3120 Ole Jule Lane, Mattituck, New York, please be advised we
will need an updated survey showing locations and size of buildings,
decks, etc.
Sincerely,
Thomas Fisher,
Building Inspector
Southold Town
TF:gar
A~ISTRACTERS' INFORMATION SERVICE, INC.
125-10 QUEENS BOULEVARD · SUITE 224 · KEW GARDENS. N.Y. 11415
(7t8) 268-8355
(516) 794-0046
DATE
COMPANY
TITLE NO.
'tOW~ OF SOl TF c g
PLEASE PROVIDE COPIES OF ALL CERTIFICATES OF OCCUPANCY AND CERTIFICATES
OF COMPLETION ON THE FOLLOWING PARCEL:
ADDRESS:
DESCRIPTION:
SECTION:
BLOCK:
LOT:
LOT SIZE:
IF THERE IS NO INFORMATION PERTAINING TO THIS PARCEL CONTAINED IN
RECORDS PLEASE PROVIDE LE'I-I'ER ADVISING SO.
PLEASE INCLUDE TITLE NUMBER ON ALL DOCUMENTS AND CORRESPONDENCE.
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 ~ 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted I~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5.Submit Planning Board approval of completed site plan requirements where applicable.
) For existing building o Non-conforming uses, or buildings and "pre-existing"
land uses: ~ --. --
1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or
topographic featu res.
2.$,.worn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. [~te o~a~' housin~ co-E~-d~-e or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00
New Dwelling $25.0.0, Accessory ,$I0.00 Business $50.00
1. Certificate of occupancy
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5 00, over 5 years $10 00~
4.Vacant Land C.O. $ 20.00 '
5.Updated C.O. $ 50.00 Date ........ .~/..~...~/-..o..~. .....
NewCOnstruction ...... Old or Pre-existingaui]ding ..,y~... ..... Vacant Land .............
Location of Property .... .~./.'..O~. '.~ .... ~ .~.4...'~../~/:-¢.. //~ ~....../~../~./..-?/~..C~/...-(, .............
House No. Street , Hamlet
Owner or Owners of Property ..............................................
C tyT Map No 1000 Se ti ' Bi k Lot
OU n ex · C or~ ............... oc .........................
Subdivision ...................... ~ .......... Filed Map No ........... Lot No ..............
Permit No./ .......... Date of Permit .......... Applicant ... ~"~.~/....~-~..~.-'-¢.r../....~..,~£.~.~.<.'..
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Cerl~ificate .......................
Fee Submitted $ ........................... 7~-
Construct.ion on above described building~~~ _ ___and ermit meets II a Ii le codes and regulations.
Applicant ~. ~.~,/,,~ ............... ~ ..............
Rev. 10-10-78 ~''
Examined/~.~;~... ~ .~...
Approved · · ./~...~'.. · .~..0...
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
£OUTHOLD, N.Y. 11971
TEL,: 765-1802
., 1 ~.. Permit No. ~.~. ~.~J~...~
Received ........... ,19...
Disapproved a/c ....... -77:...,~7. ~ ....... ~. ........
(Building Inspector)
APPI. ICAT~oN FOR BUILDING PERMIT
INSTRUCTIONS
a. Tkis 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 applfcation 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 occupie'd 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 ~r demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, homingf~Bde, ~¢l,~gulations, and to
admit authorized inspectors on premises and in building for necessary inspe~ti~9.11s~ ......... :~ ;~'~ ,
r~ ................... / .........................
fi,/~/Za~,~t~~/~'//~¢~ ~ ~- ~'(Signature ofal~c~nt, or name, if a corporation)
.............
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or
Name of owner of premises ........ :.. /~ ~/9 ~ ,
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate o7ficer)
Builder's License No ........ ~ ...... ....
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 /~' Block Lot . .~.c.~.
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
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 ............ /.../~.w~..~.Qy.....,~...~...~. .......................
o
4 Estimated Cost .... ~-~.,~/--0,~. F ~..~..~ .~.---'i~..
(to be paid on filing this application)
If dwelling, number of dwelling units ......../ ...... Number of dwelling unit~ on each floor
If garage number of cars 1
6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear ....... 4 ...... Depth ...............
Height Number of Stories ,
Dimensions of same structure with alterations or additions: Front ............ ~ Rear
Depth ...................... Height ...................... Number of Stories ......................
i 8. Dimensions of entire new construction: Front ............... Rear ........ ] ...... Depth ...............
Height Number of Stories
9. Size of lot: Front ...................... Rear ...................... Depth_ ......................
10. Date of Purchase ............................ Name of Former Owner . i .~.7-.~.t,.~-. .... (,~.K'.,.~. t~./.,~ ......
1 1. Zone or use district in which premises are situated ......................... q.
12 Does proposed construction violate any zoning law ordinance o~ regulation:"
13. Will lot be regraded .... ................... Will excess fill be removec~ from premises: Yes No
14. Name of Owner of premises ..................... Address ............... i... Phone No. ' .....
N '
amc of Architect ........................... Address ............... ~... Phone No ........
Name of Contractor .tb~.o/~-~<'..4.,q. ~/t~/g...9".'. ..... Address ............... i". 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 DIAG RAIvl
Locate clearly and distinctly all buildings, whether existing or proposed, and~in~i~ate alLset-back dimensions from
property lines. Give street and block number or description according to de~I~ 'an'~d-jh-~W ~si~eeP~tlmes and indicate whether
interior or corner lot. i , ? -- ~ W~- i 'X i
(~h
Nature of work eck which applicable): New Building .......... Addition ......... Alteration ..; .......
Repair .............. Removal .............. Demolition .............. Other Work.,~¢ (Description)
and says that he is the: applican't
STATE OF NEW YORK, q S ': ..... 5 ,
COUNTY OF , '-'" ~ ~ ~ - ,'
................ z ,
.......... ~ ..................................... being duly sworn, deposes
(Name of individual signing contract)
above named.
He is the ............... ~... ~..~..~..~../. .................... , ............................
(Coniractor, agent, corporate officer, etc.)i
of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this
application; that all statements contained 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 filedtherewith.
Sworn to before me this
...... . ...... . . .~..~. ...... dayof ....... .~... ~ ...... : ,, 19 .~..~. '~~
Notary Public, . ..... ~.... ,~:...~),-~. ~./~.~ .... County _/
· "c.~ 7' ~x,:~ ............ .lt '7 ......... [ ....
Ism £xpir~s M~II ~0,19 "~/~ i' (Jiighature of apphcailt)
oF. LAk;I
5 U IL',' rc'f ~ 3 FOg.
~T~-LL E L.
1
gilu~T~ AT
'[OWN ,qF ¢~OU~LJOLD .N.y.
5CAL~' 40' '"
z
o
S, 84 °$8'
15.8Z '
? N/O/F
/
.'~ N. 89°12'.~0"E.
LAND
AREA= 35, 666 SQ. Fr.
OR O. 8188 ACRE
TO TIE LINES
Prepared In accordance with the minimum
Standards for title surveys as e~tablished by
the L.I.A.L. $. and approved and adopted
for such use by The New York .State Land
Title Association~.
P.O. BOX 909
MAIN ROAD
$OUTHOLD, N. Y.
...... N.Y. 3. LIC. NO. 49618
~YORS 8, ENGINE'ERS, P. C ~
020
11971
OF ZAHRA
176.46 '
179.38'
Co II ~ mt.
0
SURVEY OF PROPERTY
AT MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Yo
I000 - I22 - 04 - 0~0
SCALE i'~ 40'
DEC. 9, 1985
JULY 6, 1987.
CERTIFIED TO:
FIRST AMERICAN TITLE
INSURANCE COMPANY OFNEW YORK
TITLE NO. 350 S 0856
STATE SAVINGS, F.A.
8§ - 417A
OF ZA'HRA
N/O/F &'AND
176;
AREA= 35, 666 SQ.
OR O. 8188 ACRE
7'0 TIE L/NEE
PrepOred in aCcordance with the minimum
standards for title 8u~eys as mtablished by
the L.I.A.L.S. and approved and adopted
for such use by The New York State Land
Title Assoclation~.
SURVEY OF. PRO.PERTY
AT MATT! TUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
I000 '~.122 - -04 - 020
SCALE I"= 40'
DEC. 9, 198 5
,JULY 6;1987,
CERTIFIED TO:
FIRST AM'ER'lOAN TITLE
INSURANQE COMPANY OF NEW YORK
TITLE. 'NO. 350 $0856
STATE~ SA¥'INe$, F.A.
'ORS
020
P..O. BOX 909
~,UIN? R O'A D
THOLD~ N. ~. 11971
N.Y. 3. LIC. NO, 49618
~ ENGINE'ER$~ P C.
&Lo~ ~..
~o"r!~Z~ ^~, "to ,¢ Y'.";."-'
;,. , ~U~_,~, ,ON ~-.~,,~-iON MUST
coNS :'e,s~ ~ I0 ~F I~E N,-'
sTATE uO~'c2 oEs?ONSIBL~ ~
Iq, O T P_.. ~:
~L.~ VA'~ t 0 ~4