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Home My WebLink About14586-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16465 Date December 8, 1987 THIS CERTIFIES that the building ..... Ad, .d .~.t./.o..n ................................. Location of Property 3100 DEEP HOLE DR. MATTITUCK h~s~ ~oi ........................................................ Street Hamlet County Tax Map No. 1000 Section . .1.1.5. ....... Block .. l 7 .Lot 14 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated J a n. 27, 1986 pursuant to which Building Permit No. 14586 Z dated . .~.a..r 9)..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 ......... ~ddition and alteration to existing dwelling.Amended 6/17/87 The certificate is issued to JAMES H. & FAY V. SMALL ..................... k ................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ............... N./..A ................................ PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 1~0~ NO. ~ TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14586 Z Permission is hereby granted to: .....%. ~ .~,, ..~..~ ................ .....!..~i~."~ i ~...~.~..: ........ ~~Z~.,~..,....,..~..~.~...~ ..... ,o ..~~...~.~.:....~.~..~..~....~......~....~...~.~ o, premises 'ocate~ at ..~,2,~..]......~.....~.,,~.....~...r~ ...... ....~.~ ............ County Tax Map No, 1000 Section ......... I.J..~'~.. ..... Block ........... !.,~. .....Lot No ........ I...~. ........... Building Inspector. Fee $..~.... ............... Rev. 6/30/80 ~!ELD INSFECTION COMMENTS :' 0 U__N D A_.T I~O_N .-- (1st) ,'OUNDATION (2nd) ) <OUGH FRAME & FLUMBING iNSULATION ?ER N. Y. STATE ENERGY CODE FINAL~.~3 ADDITIONAL COMMENTS: FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southcld, N.Y. 11971 765- 1802 Bt.~. DEPT. ~N OF gOU~OL~ APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~am~a~ea to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate ~ocation of all buildings, property lines, streets, and unusual natural or topograph ic featu res. 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, ~ndustrial 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 reqgirements where applicable. B. Fur existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre.existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topograph ic featu res. 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 ofpccupancy New Dwelling $25.00, Accessory ,$I0.00 Business $50.00 2. Certificate of occupancy on pre*existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $~0.00 4.Vacant Land C.O. $ 20.00 5.Update~ .C.O. $ 50.00 Date .......................... New C o.~ e t r u ¢ t~ i on ......Old or Pre-axistin§ Building ............ Vacant Land ............. O ner or Own*s of Property . ,J.. //... l ....... ' ........ Map No. 1000 Section ..! ? .......... Block ............. Lot ............. County Tax Subdivision ................................. Filed Map No ........... Lot No Permit bio./.~.J..~...~. ~- Date of Permit . .Applicant ............. Health De ' J ' '/ pt. Approva~ ........................ Labor Dept. Approval ....................... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Cart[tic e .................... Final Certificate ....................... Fee Submitted $... ~ .................... 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION ]FRAMING [ ~FIN~L ~~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [.~INAL REMARKS: TOWN OF SOUTIIOLD OFI:I('F {)1: BUII.DING INSPECFOR I'.O. BOX 728 TOWN IIALL · '-;OUTIIOI.I), N.Y. 11971 November 30, 1987 Mr. James H. Small 3100 Deep Hole Dr. Mattituck, New York 11952 TEL. 765.1807 2nd notification To Whcvm Thi. z; May ~oncern, ['i~~. ;Iz'o_ tlllab],o~ t.o complete your Certificate of O(:cup.~l~cy })..c.du.,c.o" "' .of thc following, reasons, / ./ Ar'~ ,q,plJcat[on for Certificate of Occupancy i.~; :lot. ¢)11 ~i]f~.--encl°sed.,,. . / / U', lhul~:rw~ itel s Certificate On file. /'[/ T}:r, ch(,cl: .i:;(~a~not oil file.} / / t:c, Ui,,q].th Dept. Approval on file. /'/ ,, _. ~.~ final im;p(~ction has beell made. $25.00 l'l,:,~,:~ conl'acl, our office on this matter. Thank yc>u £or your cooperation. *~*/-/ rio l'lumbcr solder Certificate on file. ( all perm[ti; involving plumbing being issued after April 1,1984 ) ffi 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. TOWN OF $OUTIIOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 728 TOWN HALL SOUTIIOLD. N.Y. 1197t TEL. 765-1E02 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. ~~ /_-/ No Underwriters Certificate on fil.e~ /'_-/ No tlealth Dept. Approval on file. /-~/ No final inspection has been made. this matter. Pie.%se contact ()ur office on Thank you for your cooperation. Building Permit Ii .~/ _~_ ~-- ~:~ ~ Z Building Dept. ***/--/ No Plumber sol,der Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL *,,OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..'~qu~.&..:~...., 19'.~..~ Approved .~a,~...~...., 19B.~. Permit $o.l .q .~..~..~..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWN OF SOUTHOLD INSTRUCTIONS 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 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 ~spections.. .... ~ a,:~....~..~....~,..~.....Y-/5~... ...... _. ........ /(~Sjgnature of applicant, or name, if a corporation) .... ixke~ 17~.'~.~d~:.2 /V.,~ IIF~. :.~.'. ............ · ' (Mailing address of appliqant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ·, .................... f ........................................ ... Name of owner of premise~/~] .~...~.~..'..S~.~././~. ..... ~ .J.~. ~4~.q.~..~...~. ~..\1... V.'.. ~(. (~ .1. [.~ (as on the tax roll or latest deed~ ,t If applicant is a corporation, signature of duly authorized officer. [x,~~ (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's LicenscNo. Other Trade's License No ...................... 1. Location of land on which proposed work will be done.~./ff.¢ .~.~.~t~ ./~..t~.. ......... ; ................... .......... ...... .............. House Number Street Hamlet { . County Tax Map No. 1000 Section ...... .~.[.h. ........ 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 o~cupancy . . .0. ~..~.~. ' 3. Nature of work (check which applicable):.New Building ' ~ Addition ...~ ..... . .~. Mteration ~.;. 'Repai R 1 De olition ~' Othe W k r .............. emova ..... , ........ m ............ . .~ r or ............... ~t .~.~. ~. '.~..~..' .7 ~ .~. ...... ~... (Description) 4. Estimated Cos ............... Fee ...... :...'. ........................... '~ (to be plaid on filin~ this application) 5. If dwelling, number of dwelling units .. / ............ Number of dwelling uniti on each floor. ~ .............. If garage, number of cars ..... .O ............................. 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ ofuge .. ~ ....... i ....... 7. Dimensions of existing structures, if any Front. ~g..t ........ Rear ~. ~....i ...... Depth ~. ~ ........ Height ~ ~ Number of Stories ~ t D~ensions of same structure with alterations or additions: Front . .~P.* ....... ~ .... Rear ~ ............... h ~ · Dept .~. ~ ............... Height . I ~ .... / ............. Number of Stories. ] .................... 8. Dimensions~of entire new construction: Front . ~ ........... Rear ~ ~ ! ...~ ...... Depth .~ ............. Height t~ ............. Number of Sto~es...t ................ ~. ~... ........................... 9. Size oflot' Front [~,~'~ Rear ~ . ~ -~ .................................... ~eprn t~g ......... , ........ 10. Date of Purchase .~.~ ~g~. ...... Name of Foyer Owner ~0~ ~ - ~*~.~ .. 11. Zone or use district in~hic~ premises are situated ~ .............. ~ ....... ."~'..''" 12. Does proposed construction violate any zoning law, ordinance or remdation' ~ ...................... 13. Will lot be regraded ...... , ................ ..~. ~ ._.~ess fill be removed~from premises: '~s 14. Nme of Owner ofpremises~ ~ I~ ~(~ ...... Phone N~~ Nme of Architect ........... k..t. .. Addr ......... 'j ..... Phone N~[ ~"~J ...... Nme of Contractor .......................... Addrtss-. .......... ;~}~[~PhoneNo~ ~.~..~[~[~ ' Locate clearly and distinctly all buildings, whether existing or proposed, and, indlcate all set-back dimensions from' property lines. Give street and block number or description according to de~d ~and showlstreet names and indicate wheth6r interior or comerlot. . i ' ' ' . STATE OF NEW.YOiI. lf~ z/./ ~ ~ COUNT',' OF... .... ......... · 'X]~' 0blt4"./..../¢.'-.. ~/¢M_~ .~. ,////. ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) I ' ' ~bove named. ; Pie is the .... .~./'7...'T.. ? ~ ..... ~ ........................... (Contractor, agent, corporate officer, etc.) >f said owner or owners, and is duly authorized to perform or have performed the smd work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ¢¢ork will be performed in the manner set forth in the application filed therewith. gwor¢ to before me this / "',l.a /?.e; f ~rotary Public,. · · .i · ..~.~ ............. County/~ · ' ', ¢ Quolif/od i,* Suffolk Counf~ (Signature of applicant)