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Home My WebLink About14977-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. ZI6861 Date May 12, 1988 THIS CERTIFIES that the building . .A..d .cl..t.o...a.c.c.e.s..s .o.r.y. ........................... 605 Maple Lane Mattituck Location of Property ................................................. House No. ' ' ' ' 'S't/e~{ ..... Hamlet County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Ma~ No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 3, 1986 pursuant to which Building Permit No. 14977Z dated June 12, 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 ......... Addition to existing accessory structure,(attic of garage is non-habitable Thc certificate is issued to COI~STAI,ITINE g. ~LOIJTELY {owner, ~Xeddt(~ of the aforesaid building. Suffolk County Department of Health Approval ...... N./..A ................................. UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A ~ ~fiilding 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) 14977 Z Permission is hereby granted to: ..... ~..o...t<......~..2.do ..................................... ..... .**~***....~...~.!..T..~.~./~...,..~**...~,.....t.~/'~'~. ~o ..... .C..~.~.~...~..C~..~...~.T......../~.....~ ~.. ~.'~..L .~.~ .......'~.. o......l~.~.~.~..~..L~.~ ...................... ........... ...~....~.~..~?~.~ ~.c-~.~ ....... ;~":~c:~...~..~-'~...~..~_. ................................................ at premises located at ....(~.~...~'~.. ........ ~:~...t~...i'~....~,-~.~.....,~4C'~ ........................................ ............................................................................................. tm,~ ~,..,x ~ .-~...t ..'-~...~...c_.~,,,......r... ~....'~,. ..... County Tax Map No. 1000 Section .... .J....O.....~. ........ Block .... ..~.,.,..~ ......Lot No....O...1...~'... ...... pursuont to application dated ....~..'l~..J~l.~.. .......... Z ................, 196.~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD 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 m ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. FinaJ 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: t. Accurate survey of property 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 ALTERATION $25.00 1. Certificate of oecupancy New Dwelling $25.(10, Accessory,,$10.O0 Business $50.00 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 CoO. $ 50.00 Oate ...~.~.~. //. .............. NewCons truc tionf~.... Old or Pre-existing Building ............ Vacant Land ............. County Tax Map No. 1000 Section ..... /~). ~ ..... Block ..... ..~. ....... Lot.../../~. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. . . Date of Permit pplicant , . . Health Dept Approval Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ,,/ ................... Construction on above described building and Qermit meets.all app ic,~ble co/~s a0dT~ -- Rev. 10-10-TS F-IRLD,INSPE~IO~ DATE COMMENTS ~/~ INSULRTION PER N. Y. STATE ENERGY QODE ADDITIONAL COMMENTS '1 7G5-~802 BUILDING DEPT. INSPECTION~, [ ] FOUNDATION zST [ ]'ROUGH PLBG. [ ]; FOUNDATION ZND-[~]_~TION [] FRAMING [~'~ FINAL DATE//,~ INSPECTOR BUILDING DEPT. INSPECTION FOUNDATION IST [ FOUNDATION 2ND FRAMING REMARKS: ROUGH PLBG. INSULATION FINAL 7GS-1802 BUILDING DEPT. INSPECTION ]~UNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS:.,, [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ I~AL DATE, GENERAL f)Ei~CR ].PT I ON gat' aqle. The present sty uctu)' e is 5 'fq:,,gt frorJ'l 't;l')~, u~,?s't I:)r,':,p(n' lihe. When the new additic, n is added tl.')e back em'id of the strut tu~e will I.')o greater 'then 200 f~:,~¢'b frc:,m the te~Ai" property ],:Lng. BUILD]:NG [)ETAILS The acJdJ, tion ,,~11i have 'f'oot.ings 3' de~p to m~'tch the -sx:i. sbing garage. The foot:i.r~gs al'id f].ooY Lvi].]. be pot..rred as !:5'b y'e' c, f o;~t m :L nsul at :L on wi].l be ~ l,)S b al ]. <*d a~ong t J.'ig p<¢¢r~me't;er of the slab. Then a 4 JL)y 4 :L[l(;:h C]:l]:~ 'treat+:d h'memJ.;)er will be ]aJcJ down on the slab and attached with hooked that were placed into tl",e '~c, otiK)gs,, "Fh~;~ c:8:L].iKiCI joist a~d roof raft(~*rs of the. new construction will be tied ~nto simular c,f the existing structure (Se~. enclosed plc, t J.,)l~]l"J ),. The fc, llouir)g material!s ,::,r equivalent will be used fc, r ,::: c, ns'b r uc t :i. on. See ~1,')(': I c, sed c:h"aw:L rigs fc,¥ addi t i ,:::,rta] (:let aii Sm, F'c.:::,tings 3~ (:le:*~.p by 8" wide Fl,::,or 3" th:i.c k Sill ,':1." by 4" Ir'late 2" by 4" Wall. studs 2" by 4" Garag~ Dc:,(:))" header 2" l")y 8" CCA ( (::h::)ubTe ) ( s:i. ngle or doul:)le :i. f requ:i, red C:e:L 1 ing jo:L Re, of r a f't e*r s s i d i n g 2" by 2" by 8" ,::[~ by E)' I,:)y '3/4" [)lyu,:::.::,d ,:$~ by 8~ I:)y 5/S" te×ture TI-:L:I. (s,~:lmc~ ~s exis'L;:Lng s:Lding) Mi 1 1 C)verh~:,ad door (:]"' [:)y '7~ F'ir)(~~ tr:LIYi ~A~5 required F' <.:., 1 t I:;?.c, 11 r ,::-:.) fi ng 90:1'1: J::'l. ash i ?]g as '(;<~rmi te sl"ii (,~1 d as:~ r*~,(:lu:L r ecl FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ........ (Building Inspector) APPLICATION FOR BUILDING PERIVllT INSTRUCTIONS Received ........... ,19... 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 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 binlding 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections,4 ~ ........................ (Signature of applicant,~or name, if a corporation) .. 4.4. . l/eGg. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or ..... .............................................................................. Name of owner of premises ...~.:.'ifft7..~..fl . . ~/...~...C{. '~ ~.~.. (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... ~)...CSd...~...~../~. ......... Plumber's License No ..... .~...//~.. .............. Electrician's License No... ~..~& .......... .... Other Trade's License No .... .~...'~. ............. Location of land on which proposed work will be done .................................................. ....................... ................. House Number Street Hantlet County Tax Map No, I000 Section .,.//..0. 2 ......... Block .... .~.. ........... Lot ..... (..~. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: t [ /Z/~'/el ~ {-' ~. /~btd ~ a. Exis ing use and occupancy ........................................ r ............. ~ .............. b. Intended use and occupancy .... .~...'~...f.~ . .~. )~ · .~. ~9~./~ "---' ~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. RemOVal .............. Demolition .............. Other Work ............... ~ (Description ) 4. Estimated Cost .... ~ Fee ~--' . ..... ; dl (to be paid on filing this application) 5. If dwelling, number of dwelling units ........... .~. 2. Number of dwelling units on each floor ................ If garage, number of cars ..... i .................................................................. 6. If business commercial or mixedioccupancy, specify natur~ and extent of each ty?e of use ............ z ....... 7. Dimensions of,,~xisting structures;, if any: Front .... .~..~. ....... Rear . ~..~ ......... Depth. ~..~ . . . Height ./. ~ ........... Number of Stones .... ¢97,.. ................................................. Dimenmons of same structure with alterations or additions Front .. . ~.. . Rear ,~ . . Depth .... ?-/.O ............ ~. Height ..... [.~. ............. Number of Stories .... ~ ............... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height Number of Stories .............. 9. Size oflot: Front .x [.0,.O.."! . Rear ..... J.Q..~.:.iiiiiiii 'n;~it~ .... ~2/i~'." 'i '"i .... 10. Date of Purchase . .~. !].S~.... Jfff.l~.~ ...... Name of Former Owner'/~7. i. 1 1. Zone or use district ~n whicl~ premises are situated...~./.~/k~..7~/]-~..C. .... ~d~'.? .... O.].J. iT. ............... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... /I/.O ..................... 13. Will lot be regraded ...... ~.,~0.... ....,.~...4,.:..,..Willex~s_sflll.b_g,eretn_gyedfrompremises: ~_ Ye~ No 14. Name o'f Owner of premises . f&.~..t~....~./,,0.~.t.g.~.¥. Address~..~./~.T4 ~..j~..C.~. .... Phone No.~. Y.~..-~..6.~.7. .... Narne of Architect .......... :/.I ............... Address ................... Phone No ................ Name of Contractor ......... j ~. I ............... Address ................... Phone No ................ 15. Is this property located ~ithinl.00 feet of a tidal wetland? * Yes ..... No .~.. · If yes, Southold Town Trustees Permit may be required. i 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 ~umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. .............................. i ................... being duly sworn, deposes and says that he is the applicant (Name of individual signir)g contract) . above named. He is the ...................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that all tatements contmned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner iset forth in the application filed therewith. Sworn to before me this . ............. · '~. ......... day of 'i" .,~v,~.~ ........... 19 ~;.~. $otaryPublic, ..... ~4.~...~.'t/D~...~...~..d~... County .... 1.7... iiI