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Home My WebLink About14767-zNo M20025 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date JUNE 24, 1991 THIS CERTIFIES that the building Location of PropertK 305 NORTH DRIVE House No. County Tax Map No. 1000 Section 106 Subdivision ADDITION MATTITUCK Street Hamlet Block 06 Lot 18 __Filed Map No._ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16~ 1986 pursuant to which Building Permit No. 14767Z dated APRIL 21r 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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING, The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 MARGHERITA & FRED RUTHER _ NFA N/A N/A '"~~Bil~i~ng~I~nnspector FORM NO. 0 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) 14767 Z pursuant to application dated l'~ ............................. , 19..~...~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. ~ TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN ltALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY \. This application must be 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 of i% 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 bu:'.lding. 6. Submi~ Planning Board Approval of completed site plan requirements. ;. For existing buildings (prior to April 9 1957) ~aon-conforming uses, or buildings and pre-exmsting' land uses: 1. Accurate survey of property showing all property liees, streets, building and · unusual ngtural 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 Building Inspector shall state the reasons therefor in writing to the applicant. '. 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 BuildJng - $100.00 3.Copy of C~rtificate of Occupancy - $5.00 over 5 years - $I0.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ·.. 0 Date .............. { ......................... aw Construction ...... ~ ._ld Or Pre-existing Building ...... ~ .... 0 ' ocation of Property..[~ ..... ~....~. ............. ..................... House No. Street Hamlet ',,.er er Owners of Property. ~tll~'.~..~.t..~. .... ~ ....... ;,nt~ Ta~ ~ap No ~000, Seetion../..O..~. ....... ~loc~ .... ~ .......... ~et ..... ~.tI ............... ~bdivision .................... Filed Map ·. Lot ............. ~rmit No.../.~.f.~.f.~.Date Of Permit ............. Applicant ......................... 'alth Dept Approval · ' ...... · Underwriters Approval anning Boa~d Approval .............. orary Certificate .... quest f,or: Tem~ ....... Final Certi~te ........... ' ~_ ~/~o~'. · . ~/~ ~/~/ ' .... . ................ INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building I~tspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TO~-N OF SOUTHOLD June 28, 1991 Dear Mr. & Mrs. Ruther: On 6/26/91 I sent you a Certificate of Occupancy. When I was entering it in the books I noticed I had made a typo on the address. It should be 305 and I put 306. I have made a correction and I am sending it to you. Please return the incorrect one in the enclosed envelope. Thank you. E~C · Yours truly, Helen De Voe Secretary COMMENTS FIELDPINS4ECTION 1. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: PENNY LUMBER MATTITUCK, N.Y. 11952 (516) 298-8559 CUSTOMER PHONE NO .................................... NO .................................... .AME ,ADO.ESS .~:~?..~.~.~ .~'~."~.~;~: ...................... ........................ ~''~'~i ..... ~:'~"~ '~' ........................ Delivery DateOrdered Date BLDG. _ TOWN OF SOUTHOLD 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ', TEL.: 765-1803 Examined~ · ..&.J .... , 19 Approve~~.. y~..I ..... 197.~. Permit No. ] 4-/.~..~..:~. Disapproved a/e ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Oate~. !.Ce. ....... 19~.. INSTRUCTIONS r*:'*~ ~ · · · sets of plans, accurate pJ2t~Plali t~tall~O~/~,ing to schedule. b. Plot plan sho~f0{~c[c~[t~l~!~t ~Lof, huildings~ ~ on premises, relationship to adjoining premises or pubic streets or areas, and giv~g a ~?~1~ ~i~5~,ofl~:~,~m~e~ty~must be drawn on the diagram which is pa~ of this appn- cati . ' .. .' ' .'" [ "'-..7. .... . shall be kept on the Cr~$il~a~lfl&a~-,f¢~ ~sp¢cti?n ~hi0ughout the work. e. No build~g shali~ be 'oecupigd 3&:g~ed~iff'~hole or in P~t for any purpose whatever until a Certificate °f Occup~ shall have been granted by the Building Inspec~0k. APPLICATION IS HEREBY MADE to the Building Depmtment for the issuance of a B~lding Pemit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable La~¢Ord~ances or Regulations, for the construction of bufld~gs, additions or alterations, or for removal or demolition, as heroin described. The applicant agrees to comply with all app~cable laws, ordinances, bufld~g code, housing~de, ~d regulations, and to admit authorized inspectors on premises ~d ~ bulldog for necessa 'nsp~c 'OHS. ~ .... (Signature of applicant, or name, if a corporatio~ ....... }..t ........... (Mailing address of appl~ant) ' ~ State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises . .V..~.%~... ~.~. ~o'~ ~ ......................... (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 ...................... Location of land on which proposed work will be done .................................................. .............. .~..o..s." .......... tO. o¢,t.~. ~ r,,.J..~-. ....... ...'7~......~rc~.~.f,c ............ : House Number Street Hamlet County Tax Map No. 1000 Section ..... /...1~..[¢ ....... Block ........ ~ .4 ...... Lot .... [..~. ............ 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 .... ./~. ?....~...~m..) ./.'/..D~....,~..tl~.~~ ................................... q b. Intended use and occupancy . .~..a4..% ,./..~..%l,d..e.[/..; ....W.;.'?.~...~[.,.rg.c.~ .... ~..'i~. ,~..~.~. ...... 3. Nature of work (check which applicable): New Building ... ' ... Addition .. ! ........ Alteration .......... Repair .............. Removal .............. Demolition ........... '... Other Work ....... , ........ -is ~ ~ (Description) 4 Estimated Cost ! ~Y'O Fee ~"D, . ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units · · ' . .............. ............... Number of dwelling umt,s 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 ............ i ..... Rear .................. Depth ...................... Height ...................... Number of iStories ...................... 8. Dimensions of entire new construction: Front ............... Rear ........ i ....... Depth ............... Height ............... Number of Stories ......................................................... 9 Size of lot: Front Rear Depth ' 10 Date of Purchase Name of Former Owner ' 11 tin hp d · Zone or use distric whic remises are situate ..................................... 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 of Owner of premises .................... Address ............... ! .... Phone No ................ Nmne of Architect Address " Phone No Name of Contractor ................ ~ ......... Address ............... ! .... Phone No ........ . ........ 15. Is this property located within }00 feet of a tidal wetland? * Yes ..... 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. occoPmcx OR WITHO CERTII:ICA'T[ 01: OCCUPANCY STATE OF NEW YORK, COUNTY OF ................. S.S (Name of individual signing contract) above named. NOTED B.P '~ "76 '7-?:, 1 FOUNDA'rlON ~O FOR ~O~j~F:D CON~E~'E ~ ROUG[,~i FqAMING ~ PLUMBING 3. INSIJLA rfo~ ~, FINAl. ~(;O~JST~{UCT!ON MUST STATE CONSTRUC'rlON P~ ENER~ mES~GN OR CONSTRUCTION E~RORS, being duly sworn, depdses and says that he is the applicant He is the ......................................................................................... (Contractor, agent, corporate officer, etc.)' 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 hi~ knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........................ day of ..................... ,19... (Signature of.:applicant) S 83'5i'i5'E t77.06' 40~. 7' 203,42' SCA'LE: ol.O N F- O Z NAP OF LOTS 23,24,25 AND 26 AS SHOWN ON "MAP OFSHORE ACRES"* SITUATED AT MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK CERTIFIED TO HARGARIT,A RUTHER CHRISTINA FRANCESCONI GREEN POINT SAVINGS BANK :-]RST AMERICAN TITLE INS. CO. T~TLE No.560-S-2542(S~9844) CHAP No.4J FILED ~/3/&4 BERNHARD H.HENN L.S, 12~ EDDY DRIVE OlX HILLS, N,Y. N.Y.S. LIC.NO. 49~75 DATE 9/20/85