HomeMy WebLinkAbout14909-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z-16511 Date December 17, 1987
THIS CERTIFIES that the building CONSTRUCT ADDITION TO EXISTING REAL ESTATE OFFICE
10200 Main Rd. & 50 Marlene Lane Mattituck, N.Y.
Location of Property ...............................................................
House No. Street Hamlet
County Tax Map No. 1000 Section 143 ..... Block 03 .Lot 0 I
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
May 20, 1986 pursuant to which Building Permit No. 14909 z
dated May 2 I , I 986 was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which tlfis certificate is issued is .........
ADDITION TO EXISTING REAL ESTATE OFFICE AS APPLIED FOR
ROBERT A. CELIC
The certificate is issued to ..................... [oWn'of','l~Pr't~t~x ....................
of the aforesaid building.
Suffolk County Department of Health Approval N / A
UNDERWRITERS CERTIFICATE NO .... N 8108 I 2
N/A
PLUMBERS CERTIFICATION DATED:
Building Inspector
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)
14909 Z
Date
County Tax Map No. 1000 Section ...]...~..~. .......... Block ..... ...~..,.~. ........ Lot No. ~:) I
pursuant to application dated ...... ......~.....~.....~...~.. ..................... 19.~....~.., and approved by the
~J
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1~02
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 (prior to April 1957), 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: Additions $25.00 POOLS $25.00
1. Certificate of_occupancy New Dwelling $25.00, Accessory ,$ ]0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50. O0
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 Dec. I7, 1987
New~ .... ~n~t~uction. ..... XX Old or Pre-existing Building ............ Vacant Land .............
10200 Main Ro'ad & 50 Marlene Lane Mattituck, N.Y.
Location of Property ................................................
House No, Street Nam/et
ROBERT A. CELIC
Owner or Owners of Property ..........................................................
County Tax Map No. 1000Section ]43 Block ...,03 Lot OI
Subdivision ................................. Filed Map No ........... Lot No ..............
5/21/86. .. Rob. err, .A: Celic
Permit No. 14909 Date of Permit .......... /~\ppllcant
Health Dept. Approval NA App
....................... .Labor Dept. royal ........................
Underwriters Approval N810812
........................ Planning Boerd Approval ......................
Request for Temporary Certificate ................ ' ..... Final Certificate
Foe Submitted $ 50. O0
Construction on above deschbed d regulations.
....................
R~v. 10-10-78
FIELD INSi~ECTION
FOUNDATION 1st)
COMME~UTS
FOUNDATION (2ndl
2.
ROUGH FRAME &
FLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITION[L COMMENTS
THE NEW YORK BOARD OF FIRE UNDERWRITERS
].].~502~. BUREAU OF ELECTRICITY
BB JOHN STREET. NEW YORK, NEW YORK ~O03B
THIS ~EHTIFIE8 THAT
o~ly the e~ectrical equipmen~ ~ ~scribed below a~d intr~uced by t~ applicant ~d on ~he a~ application number in the premises of
in thefollowlng location; ~ Basement ~ Ist FI. ~ 2nd ~. ,Section Bl~k Lot
a~s examined on ~ 1]~ ~ 1~$ 7 aadfou~td to 6e in compliance wi~h the requirements qf this Board.
FIXTURE FIXTURES
OUTLETS SWITCHES FLUORESCENT
RANGES OVENS DISH WASHERS EXHAUST FANS
SYSTEMS
NO. Of FEET
E
OTHER APPARATUS:
E R V I C
2 O0 MC~I
1-5 Ton A/C thd. t, 2-.2~ Ton A/ C t~nit:e
pane]boerds: 1-.27ctr. 200~nps, 1-gcir. 125amps, 1--6cfr.
Electric l~ater .Heate_rs: 2r2C0kw
125e~aps
AW, G
OF HI-LEG
Three "C"
ROUTE ~l Box 45~, Bound AVE~Ue
Riverh~d, N.Y. 11901 Lic, 3327E
This certificate must ~ot [e altered in any manner; return to the office of the Board if incorrect. Inspectors may be ~fifie~ by their credentials,
COPY FOyeR:BUILDING DEPARTMENT. TH S COPY OF CERTiF, , , CATE: ~UST~ ; NOT. BE ALTERED IN ANY MANNER.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTItOLD, N.Y.
NOTICE OF DISAPPROVAL
. .?m..~.~...~.-.~: .}.~.~ ~-..- ......
PLEASE TAKE NOTICE that your application dated ... O ........... ~ ....... ,19. .
for permit to ~ ¢..~.C.' ~ .'~.....~....~. ?.'~, .~..~...~ ............ . ....................... at
Location of Property . l .':Ir..'?.* ..... .hg....~,~.'..~..~ ..... P"'; ~ C ~ ...
House No. ' ' ' ' 'S't/o~i ...................... him/et
County Tax Map No. 1000 Section .... ~ .~ .~ ..... Block ..... ~. ....... Lot ....I ..........
Subdivision ................. Filed Map No ................. Lot No ..................
is returned herewith and disapproved on the following grounds, .~-~..~....~.~. ·
/r~-//a.~.,. ,~,a~ .~...~.~..~...~%~. ..~p....~..:.~..,.~..o..~.... ~.,~.
Building Inspector
RV 1/80
JUDITH T. TERRY
TOWN CLERK
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPHONE
(516) 765-1801
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON OCTOBER 22, 1985:
WHEREAS, Robert A. Celic has requested that this Board waive the provisions of
Local Law No. 14 - 1985 with respect to his application pending before the Southold
Town Planning Board and Southold Town Building Inspector, and
WHEREAS, this Board finds that the applicant proposes to construction an extension
to his real estate office building, and ~
WHEREAS, this Board deems such use consistent with the uses in a B-I District as
proposed by Raymond, Parish, Pine & Weiner, Inc.'s Master Plan Update Zoning Code
revisions,
NOW, THEREFORE, BE IT RESOLVED that the applicant be and he hereby is granted
a waiver of the provisions of Local Law NO. 14 - 1985 to the extent of permitting such
uses on said premises as set forth in his application presently pending before the
Southold Town Planning Board for site plan approval and the Southold Town Building
Inspector for a building permit, subject, however, to the applicant obtaining any and
all permits and approvals required by all Town and other governmental agencies
having jurisdiction thereof.
Southold Town Clerk
JUDITH T. TERRY
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPHONE
(516) 765-1801
October 16, ,1985
To: Southold Town Planning Board
Southold Town Zoning Board of Appeals
Southold Town Building Department ,~
From: Judith T. Terry, Town Clerk
Re: Request for Waiver, Local Law No. 14 - 1985
Please submit all I~ertinent data in your files pertainirig to the waiver
request of Roberi'A. Celic.
¢flc Realtors
MAIN ROAD and MARLENE LANE MAIN ROAD
RECEIVED ~.0. BOX 7s~ ~.0. ~OX ~0
MATTITUCK, NEW YORK 11952 GREENPORT, NEW YORK 11944
~1 1~ ~ 516- 298-8000 516- 477-9400
October 11, 1985
Southold Town Board
Judith Terry, Town Clerk
Main Road
Southold, NY 11971
Dear Gentlemen:
I am herein requesting a waiver of the provisions of Article XVI
regarding the moratorium outlined in Section 100-162 & Section 100-
163 of the Southold Town Code.
The plan entitled "site plan for Robert A. Celic" was originally
submitted in February, 1985 and is presently awaiting certification
by the building department. This plan has been reviewed (numerous
times) by the planning board and is a ~equest for an addition to
my existing building located at Main Road and Marlene Lane, Mattituck.
The proposed zone in the master plan remains the same - "B-I".
I would appreciate a "go-ahead" so construction can begin before
winter arrives.
Thank you for your consideration.
cc: Southold Planning Board
765.t802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ]/~OUGH PLBG.
/
[ ] FOUNDATION 2ND [t/J INSULATION
[ ] FRAMING [ ] FINAL
DATE
7GS,.'~802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST []ROUGH PLBG.
[ ]FOUNDATION 2ND []INSULATION
[]FRAMING []FINAL
REMARKS: ~/~
765-1802
BUILDING DEPT.
INSPECTION~
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FO~DATION ZND [ ] INSULATION
[//]/FRAMING £ ] FINAL
REMARKS:
/
°0
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Received ........... ,19...
Date ..................
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.
e. 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 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 alteration~h-or-for-4~moval or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordin~,.bu~/d!n.g c~p~te, ho/j~ing~e~le, an~l~gul~.i,ons, and to
admit authorized inspectors on premises and in building for n~cessary ~1~. -~ ~ / _'~ f
~1 ~a~_ ~pplir~.~°r~n~if a c°rp °rati°n )
.................... ......
.......
(mailing add.tess ~of applzcant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
· 'ii ............. ..........
e (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 ...................... ~ ~ --
1. Location of land on which proposed wgrk will be don~.~.-..t~f/~'~ ~.~/..~...~.
.......................... ..............
House Number Street Hamlet
County Tax Map No. 1000 Section ....~..'~..~.~. ....... Block .... ~ ........... Lot ..... .~.. ...........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy 9.~ises,and intend¢~l use ~nd occupancy of proposed construction:
b. Intended use and occupancy ... ~ ....................................................
'
3, Nature of work (check which applicable): New Building .......... Addition., ......... Alteration ..........
Repair .............. Removal .............. Demolition . ......... : ....Other Work ...............
' ' ~4~ i (Description)
4. Estimated Cost ...... ' ............ Fee .... i ...................
(to b~ paid on filing this application)
5. If dwelling, number of dwelling units ............... 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 t~pe of use .....................
7. Dimensions of existing structures, if any: Front .... Rear , Depth
Height Number of Stories '
Dimensions of same structure with alterations or additions: Front ........... , ...... Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
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 ; ............................
hp
11. Zone or use district in whic remises are situated ........................ ~ ............................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...I ............................
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14 Name o'fOwner of premises Address i Phone No
Name of Architect ........................... Address .............. 4 ....Phone No ................
Name of Contractor .......................... Address .............. i ....Phone No ................
15. Is this property located withinL00 feet of a tidal wetland? *iYes ..... 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 OF NE'~'IDR~ ~w'~'-~ ~
COUNT. Z.12 .
..... >x%
(Name of individual signing contract)
above named.
.... being duly sworn, deposes and says that he is the applicant
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
................... . ..... day of ......... f: .~..~., ......19
(Signature of applicant)
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
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
~Y 2 9198~ ~, I !~
TOWN OF SOU'FHOLD
$OLDER U~ED IN WATER ' FE~: , ~/ ,~ , __, e¥. ~ C, /- .
_
SUPPLY SYST£M CANNOT NOT FY 6U..DING
E~YCEEO 2/10 of 1% LEAD.
FOLLOWING INSPECTIONS:
1 FOUNDATION TWO REQUIRED
~ · FOR POUREu CONCRETE
2 ROUGH FRAMING & PLUMBING
~, INSULATION
~4, F/NAL CONSTRUCTION MUGT
6E COMPLETE FOR C.O, '
ALL CONSTRUCTION SHALL; MEET
OEP,~RTMENT AT
765-1802 9 AM TEl 4 PM FOR ,THE
I
/