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Home My WebLink About15138-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-16408 Date: 11/17/87 THIS u~TIFIEE that the building ADDIITONS Location of Property: 175 SOUNDVIEW AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 99 Block 3 I~Dt 1 Subdivision Filed ~ap No. Lot No. conforms substantially to the Application for Buildin9 Permit heretofore filed in this office dated JULY 9, 1986 pursuant to which Building PeIl~it No. 15138-Z dated JULY 25, 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 2ND STORY ADDITION AS APPLIED FOR. (8/4/9, CORRECTED TO INCLUDE GARAGE AND BREEZEWAY ADDITION TO DWELLING.) The certificate is issued to VIRGINIA S MEYRAN ( OWNER ) of the aforesaid building. S~I~)LK C~)U~Y DBPART~T OF ~%L~{ APPRO~-AL N/A RT.Rt-r~IC~%L C~TIFICAT~E NO. N 788162 01/13/87 ~ CqERTIFIC-ATION DA'r~ 11/03/87 EAST END PLUMBING ized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building De A. For new building or new use: 3. 4. 5. Final survey of property with accurate location of all buildings, property lines, ,, topographic features. Final Approval from Health Dept. of Water supply and sewerage-disposal Approval of electrical installation from Board of Fire Underwriters. ~,~mo unusual natural or ] ~ BLDG. DEPT. TOWN OF SOUTHOLD Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. B. For t. existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and" ' ' " pre-existing land uses: Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate 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 o£ Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: Locationoferoperty: /~'~ ~dc/ Ua t/l qfC/ /~/"~'- House No. Street Owner or Owners of Property: (J/[ ~_~ t-/./~ ~ Suffolk County Tax Map No 1000, Section Block Subdivision Permit No. ] 5 I ~ ~ Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~[ Date. (~q f (J 1 7'/ (check one) Lot Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: ~' (check one) t gignature b TO'~'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDiiNG PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15138 Permission is hereby granted to: .... j..~.~.T...~.~...u...~.....C~ ........... .~.~.....~.....~.:...L~.~.~..~.. ........ at premises located at . ./...~.. . · County Tax Map No. 1000 Section ..... ..~..~.~ ....... Block .,.,..C~,,...~,. ......... Lot No ...... ~,..~ .......... pursuant to c~pplication doted ..... ....~..,~.....~. ...................... , 19.~.~..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date November 17, 1987 THIS CERTIFIES that the building CONSTRUCT 2nd STORY ADDITION Location of Property 175 Soundview Ave. Mattituck, New York 099 03 01 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 9, 1986 pursuant to which Building Permit No. 15138 z dated ..... 4 u..17..2.?.,..1.9.8..6 ......... 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 ......... 2nd STORY ADDITION AS APPLIED FOR The certificate is issued to WILLIAM Ro & VIRGINIA S. MEYRAN ..................... /o'.;n'o;.'~k,~¥;.:fi,~x .................... of the aforesaid building. Suffolk County Department of Health Approval ... N / A N788162 UNDERWRITERS CERTIFICATE NO .................................................. 11/3/87 - East End Plumbing PLUMBERS CERTIFICATION DATED: Rev. 1181 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765 - 1802 ~ ?OW~O~Jl~IOLO APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted --,..-.-~.~ 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 property showing all propertv 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 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$]0.00 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 C.O. $ 50.00 Date .......................... NewtOns traction ...... Old o/r, Pre-existing Building ..~ .......... Vacant Land ............. House No, . // ' . Street Hamlet Owner or Owners of Property <~.'./~./~./.,~./.?./f. {~I,/.~ ~,../../L~/;/~......~./~%//.~ .,~../L,/ ................... County Tax Map No. 1000 Section ...... ,~..~ ..... Block..\-? ........... Lot..]'. ............ · Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ate of Permit . cant ......................... 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 ,permit meets all applicable code/~vd regulations,l Rev, 10-10-78 I t[o / TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. 15~38 z Owner WILLIAM & VIRGINIA MEYRAN (please print) Plumber EAST END PLUMBING (please print) I certify that %he solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 19 ~. Notar Public, (plumber's ~iqnature) County NANCY J. BUSH Qualified In Suffolk THE NEW YORK BOARD OF FIRE UNDERWRITERS .0("~'~'] BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed be~w and i~troduced by the applicant ~med on the a~ appllcat~on number in the premises of ~illi~u ~e~'an, :~v~c~ Ave~e~ Mattitu~ in thefollowlnglocatlon; ~ Basement ~ Ist Fl. ~ 2nd ~. G~e Section Bilk Lot was examined on J~u~y ~ ~ ~87 and found to be in compliance with the rettuiretnents qf this Board. FIXTURE OUTLET~S ECEPTACLE$ SWITCHES 18 FIXTURES 13 DRYERS FURNACE M~TORS FUTURE APPLIANCE FEEDERS _~A~T K.W. 0,~ H P gA. H. P, AM'[, NO A, ',~/. ~, SERVICE DISCONNECT NO. OF S METER RANGES ~PECIAL REC'PT NO OF CC. COND PER ~/ 2-G.F,C.I. 1-Smoke 1)~ector AWG, OF cc CONDo_ TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS A~MT. AMpS TRANS. ND. OF FEET V I C EXHAUST FANS DIMMERS A W G, OF NEUTRAL paul Burns 275 To%m t.Iarbor Lane Southol(l, N.Y, 11{)71 GENERAL MANAGER f'-~ 11 I'his certificate must not be altered in any manner; return to the office of the Board if incqrrect. Inspectors may be identified by their credentials. CERTIFICATE MUSTNOT BE ALTERED IN ANY MANNER TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~ An application for Certificate of Occupancy is not on file. /5/ No Underwriters Certificate on file. /_~/ The check is(outdated/not on fil_~e.) $~ /5/ No Health Depto Approval on file. /5/ No final inspection has been made. Please contact our office on Thank you for your cooperation. Building Permit Building ***C/ No this matter. Dept. Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Occupancy or use is unlawful without a Certificate of Occupancy. Clear up this matter as soon as possible so that legal action does not have to be taken. Thank you for your prompt attention. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~NAL REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION I* ] FRAMING REMARKS: [ ] FOUNDATION 1ST []ROUGH PLBG. [ ] FOUNDATION 2ND []INSULATION []FINAL FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: / 'FORM NO. 1 TOWN OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y, 11971 TEL,: 765-1803 Examined · '" 19 Approved ..... ~.?..., 9~(*. Permit No. Disapproved a/c ..................................... Received ........... ,19... (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 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 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 inspection, s. (Signature of applicant, or narde, if a corporation) ...... ............. (Mailing address of applicant) State whether applicant is__owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises.. ~ .... '~' '/'' '~(as on 0/he ta~ ;~ i~t~;t' ~:dd) ......................... If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ~. Builder's License No ..... '.~7~L.~d,t~ Plumber's License No ............ .t { ........... Electrician's License No. ~ ~ ~ Other Trade's License No. If ~ ~. ,"~ C~ ' Location of land on which proposed work will be done. / ~..~. / 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 in/tended use and occupancy or, proposed construction: and ~x.s,.ns occupancy ........ 'x~' ,- ;.y*; ................. o. tntenaea use and occupancy ..... /~/~ .~.~'~,. ,. ~.;. :'.'. :-:'...' ..... ~ ................. 3. Nature of work (check which applicable): New Building ' Addition ......... Alteration .......... Repair .............. Rembval .............. Demolition .......... Other Work ~.~... (Description) 4. l~stimated Cost ...... ~ ................. Fee .~.~..O.:..~o.. ! i // (to be paid on filing this application) 5. If dwelling, n mber 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 type 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 ................... i · · Height ...................... Number of Stories ...................... -' .8. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... Height Number of Stories 9. Size of lot' Frt~nt ,~ ~ ' Rear ~ ) .... '~ '~'7' 'x ................................ Deprn ...................... 10. I~ ate of Purchase .../..~/..(~.~. ................. ,~,~ne of Former Owner ............................. 1 1. Zone or use district in which pr~mises are situated... ~-~./ ...................................... 12. Does proposed construction viotate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ......... i ................... Will excess fill be removed from premises: Yes No 14 Name of Owner of premises' Address ' Phone No Name of Architect .......... .i ................. Address ....... ............ Phone No ................ Name of Contractor ......... i ................. Address . ..: ........... Phone No ................ 15. Ils this property located within 300 feet of a tidal wetland? *Ye~ ..... No ~... · If yes, Southold Town Trustees Permit maybe required. i PLOT DIAGRAM Locate clearly and distinctly allI 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~//~9~,K., ~. S S cou 'ry .... i (Name of individuar signi,ng contract) above named, l He is tlie ...................... : ................................................................... : (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be;perfo~ed in the m~ner set forth in the application filed therewith. Swom to before me this Nota~Public, j ~ ,~ ~~' ~~ ~ ~/ g~ ~, ~g~ ................. % .................. , ~. ~, 8~ ~u~ ~ re of applicant) ~ ~mm~n ~ O~ 31,1~ 'D J I {I --0' l OCCUPANCY OR USE IS' UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY SOLDER la~ED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. PLUM~ER ~ lION ON IF. AD CONTENT BEFORE' tliRCATE OF OCCUtMI~¥ ~t~ plain{ Bhmll Im I'K)TII:Y BUILDING OEPARTME~NT kT '/66-1802 9 AM TO 4 PM FOR 'HE ~OLLOWING iNsECTIONS: .~ FOU~iDA~iON TWO REQUlREO FOR ~OUBED CONCRETE ' I ~. INSULAr'ION ~, FIN~ CONSTruCTION NIUST ~l~ COMPLETE FOR C.O, ALL CONSTRUCTION SH~L ME~ ~ ~E REQUIREIGEN~ OF ~E N.~ ~A~ CONS~UC~ON & ~ERG~ cOD~. NOT RES~NB~LE ~R U,~Tr~' - 11. 14. 15, 1