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Home My WebLink About15114-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22183 Date MARCH 9, 1993 THIS CERTIFIES that the building ADDITION Location of Property 828 NEW SUFFOLK AVENUE MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 12 Lot 07 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17~ 1986 pursuant to which Building Permit No. 15114-Z dated JULY 19, 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 BUILDIN~ AS APPLIED FOR. The certificate is issued to CHRISTOPH BIEMTLLRP & BEVERLY VLCEK {owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Buiiding Inspector FO~,M NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERt'lIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15114 Z Permission is hereby granted to:- , ~...~~.....~.,..V.,...../../..~.~..~ .... to ..... ...................................................................................... :~ .~ .............. .[ ....... f. ~....~...~...~..~.~ ................................ ,~,~,~, ~--~,~~~ ........................ .~...i...~ ............... , ............. : ........... County Tax Map No. 1000 Section ....... [.!...~. ........ Block ..... ~.....~:.. ......... Lot No ....... ..0...2 .......... pursuont to opplicotion doted ..... ~/~ ..0.~..~.~...l.2 ....................... ond Building Inspector. approved by the Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must b~ filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health 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 the solder used in system contains less than 2/10 6f 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer · responsible for the building. ' 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings~and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buiiding and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Bui%ding Inspector shall state the reasons therefor in writing to the applicant. Fees 1. C~rtificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1~.00~ Commercial $15.00 ate ..... I ........................ New Construction ........... ? Old~(t~Or Pre%exAMTtiBg~a~..~ Bu~ldingo~_~ ................ .... ~ ~.~. .~..L ' Location of Property.. ~.~. ................ ~.1 ........ ~ ~ ............... House No. " Hamlet ~ £treet Subdivision .......... Filed Map ........... Lot ........ Health Dept Approval .. Underwriters Approval .. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...~. ...... Fee Submitted: $ ........ ..... . APPLICANT INSPECTORS Victor Lessard Principal Building Ins/3ectcrr Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD FEBRUARY 24, 1993 SCOTT L. HARRIS, Superviscn Southold Town Hall P.O. Box 1279, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823. Telephone (516) 765-1800 CHRISTOPHER BRF~ILLER 820 NE~ SIIFFOLK AVENUE MATTITUCK, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xax An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 15114-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FIELD INSUECTION FOUNDATION ( 1 st) IIDATE, !1 FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND FRAMING [ ] ROUGH PLBG. [ ] IN~SULATION [~FINAL REMARKS: NOTIFY ~U!~.DING I:)EPARTM!i!~_'r AT' THE ~EQU REMENT~-~ ~ATE CONSTRUC~ON & ENER~ ~DES. NOT ~NS~E ~R ~IGN OR C~)NS~TION ~RORS, 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL,: 765-1802 ^pp,oved .. Disapproved a/c . . . (Building Inspector) APPLICATION FOR BUILDING PER~IT Date ................... 19... 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 givhig 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 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 ~oI~moval ~olition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, ~"d~g cede, ho s~r~de, and rerg,ulations, and to admit authorized inspectors on premises and in building for necessary~i'nspe~,t~on~. <2~ ~ [,/ M {M~ilin~ a~l ss of.a~ulicant), m ~ State whether applicant is owner, lessee, agent, architect, engineer, g ne al cont a to, ele ' ia , p ' . Name of owner of premises .......................................................................... (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 Lice,~e No ...................... 1. Locationoflandonwhichproposedworkwillbedone...~.~-'D~-~...~.~.~...~.~..fr~../.~..~.Lf.'~- .......... .............................................. ................ ............. House Number Street Hamlet County Tax Map No. 1000 Section .... ~.~. ~ ......... Block ...... ~.'~ ....... Lot...'( ~ ~ ...... 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 ..... ~.~ ..................................................... b. Intended u~ and occupancy .~.~ ~ ~ .......... ~ ~ · . 3. Nature of work (check which applii~able): New Building ..... ' ....t Addition :} ........ Alt}ration .......... Repair .' ............. Removal ...... Demolition ..',-~ -,d. .... Other Work ............... (Description) 4. Estimated Cost ........................... Fee ...................................... I '- (to be 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 olccupancy, specify nature and extent of each type of use .................. 7. Dimensions of elisting structures if any: Front .... ~'3' ~' .. ear . [.'~ .......... Depth..~-~ ......... Height .... ~.../.ti . . Numbei of Stories ........ i .'~-.' .': ~ .................................... Dimensions'of same structure with'alterations or additions: Front · · .~.~ De th O, w.-.~--- ~ · . ....... P ....... ~ ............. ,, Height ...... ':,._~.. ........ Number of Stones ...... ~ ........... - 8. Dimensions of entire new construc[ion: Front ... '.?M~-. ~.~'¢5.% .... Rear ...~ .,~x. ~.. ..... Depth . .~¢..'~4. ~,-_ ..... Height . .. ............. Number. of Stories ...... ~ ............................................. 10. IJa~e m l~Urcnase . . ..~..1..1~...~ ............... Name of Former Owner .... I .x~0,~q~[ ?,...~ ........... 1 I. Zone or use district in which premises are situated ' ' \ 12. Does proposed constructmn vmlat~ any zomng law, ordinance or regulation: .............. ~ .......... 13. Will lot be regraded ...... ~' '!'u~ ' ' ' '~- ......... Will ex_.cess fill be r~engcv.et:t fi'om premises: Yes No Name of Architect ............ i ............... Address ................... Phone No ................ Name of Contractor ! Address ' Phone No 15, Is thi~ property located within 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trust~es Permit maybe required. I PLOT DIAGRAM Locate clearly and distinctly all bfiildings, whether existing or proposed, and, indicate all sci-back dimensions from property hnes. Give street and block nu?ber or description according to deed, and show street names and indicate whether interior or corner lot. ~TATE OF NEW Y, ORK, , 8 ~ ' 2OUNTY OF. ~.. 'i ............. '.', .................... being duly sworn, deposes and says that he is the applicant (Name of individual signingi contract) ~bove named. is the ................................. i (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to m~e ~d file tMs pplication; that all statements contained ~ this application are true to the be~[ of his knowledge and belief; and that the york wHl be perfo~ed in the m~ner s{t forth ~ the application filed therewith. ,worn to before me this ....................... day of..i~ ............ 19~ 4ota~ Public ................ ~.. County _ ~ ~z ,8~lk Court