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Home My WebLink About14425-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. Z15867 Date June 19, 1987 THIS CERTIFIES that the building .... .P 9.r.c.h. ...................................... Location of Property 50 Breakwater Rd. & 105 Mill Road Mattituck ~/~s~ ~Jol ....................... ~treet Hamlet County Tax Map No. 1000 Section I 13 .Block .0.3 .......... Lot 007. 2 Subdivision Arlene Marvin--Minor .Filed Map No. 149 ...Lot No. I conforms substantially to the Application for Building Permit heretofore filed in this office dated October 28, 1985 pursuant to which Building Permit No. 14425z dated . .Iq qy .a .m.b.e.r...6... !9. .8.5 ......... 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 ......... Enclosed,porch as applied for. The certificate is issued to Michael and Joyce Mattes ..................... /o¥,;e;', ..................... of the aforesaid building. Suffolk County Department of Health Approval ...... N/A UNDERWRITERS CERTIFICATE NO P e n d i n g 6 / I 5 / 87 PLUMBERS CERTIFICATION DATED: N/A Building Iffspector Rev. 1/81 FOBI~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 14425 Z Permission is hereby granted to: ..~-7-.a~.~..~....~,~/. .~......~.~.~.~ ........................................ ...~.~,~.,.~..,..z,-._/.,~ ...... .,z../.?,.-~...-:~. to ..... ~..c.~:.o~.c~-~ ........... ~c~......~ ................ :~. ~ ..... County Tax Map No. 1000 Section ../..~.~... ........... Block(~>...~ ............... Lot NO. ~..~....?..:...~f.. .... ,-,,,ant to app,~o,on dot,~ ....C~.~.m.~..Z¢ ...... 2;.~....., ~.~.., o,d opp,o~e~ by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $0UTHOLD - 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 -, ~ 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 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, 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 p=operty showing all property lines, streets, buildings and unusual natural or topographic 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: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCgSSORY $I0.00 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 .......................... NewC°nstPucti°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ....~7~.....~g[.¥~...~..~.~. ~....~..~./....~..~..7~..¢-./..~..d~./.~I .... 1. ........ House No. Street Ham/et Owner or Owners of Property ...................................................... County Tax Map No. 1000 Section ............. Block ............. lot... Subdivision F.. ................................. Filed Map No .......... Lot No .............. Permit No.Z~'/.~.9..~... Da~e of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .... .~...'. ............. Fee Submitted $ ............................. Construction on above described building(afl~.m~ts a~p~~ulations. Applicant . H/.C.C/C.C~A¢~.~ ..................... t. Rev. 10-10-78 ELD ~[ N gl~] C TION COMMENTS FOUNDATION (?st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING 3. INSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL P~ASB TAKE NOTICE ~at your application dated .. ~. ~ ............. ...... ' ' ~mlet CounW T~ Map No. 1000 Section . .[ .......... Block ....... · . · ~ Filed Map No ~"~ ~t .......... Subd~v~aon .............. ' ................... "' is retum~ herewith aM d~approved on the fo~ow~g ~o~ds ........... .. ................... ' .,.,..,, RV 1/80 TOWN OF sOIJTttOLD OFFICB OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL sOUTHOLD, N.Y. 11971 TEL. '765-18132 To Whom This May Concern, ~ We are unable to complete your Certificate of Occupa~'cy because..of the following reasons. /--~ An application fosCertific~e of Occupancy - , ~s not o~ file. (~ ~c?~q~J /~' The check is(ou3~Dm~ed/not on file.)g~~ O 0 /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. please contact our office on this matter. Thank you for your cooperation. Building Dept. ***/5/ No Plumber Solder Cert~flcat on file. ( all permits involving plumbing being issued after April 1,1984 ) 7~ .¢ ;4' '~m .................. ~, 4.: APP/~VED AS 'NOTED NOTIFY' BUILDING DEPA~rMEHT AT 76§-'1B02 9 AM TO 4 PM FOP, THE FOLLOWING INSPECTIONS: ]. FOUNDATION - TWO REQUIP,ED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULAT!ON .4, FINAL - CON'STRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N, Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, .? 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ././/·6/. ......... , 1 .~.. Permit Nor~..~. ~..~.~.-~' Disapproved a/c . .~-~._~~_~_~ ..... ~ ...... , .... ........ .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEP"L TOWN OF SOUTHOLD Received ........... ,19... Pate .0.Q$~)l~.~.r..~{] ....... 198.5. 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 ~ 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 tins 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 ~ 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 Law% 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. (Signatureofapplicant, orname, ifacorporation) ..... (Mailingaddressofapplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... 1..a.e.r. ...................................................... Name of owner of premises . .M..i.o.h?.e..1..M.a.~.~?.s..&...J.o.y.c.?..M.a.t.~..e?.,..h..i?..w.i..f.e .......................... (as on the tax roll or latest deed) If applicant is a corporation, signatcre of duly authorized officer. ........ '(~ame an~ titi~ ;i ~;rporate officer) Builder's License No...57~...' ....... ' ........... 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 Hamlet County Tax Map No. 1000 Section .... t!.~. .......... Block ..... 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 One-family residence ? b. Intended use and occupancy ..... O.~. .e.-.f.a.~. ~.ly. .r. .e.$.i.d.e. .ng.®......... ~ ~. ~.. . ..e~. . . .o~. . .~. . .~,:~. ~. ppli ) ' ' X.X. 3. Nature o£ work (check which a cable: New Building . ......Addition..,. Alteration Repair Removal Demolition ' Other Work . (Description) 4. Estimated Cost ... ,. 99.0. ......................... Fee ...................................... '~ (to be paid on filing this application) 5. If dwelling, number of dwelli~g units ............... Number of dwelling unit~ on each floor ................ If garage number of cars ' 6. If business, commerciaI or mixed occupancy, specify nature and extent of each typ~ 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 ...................... Height ......... ..~ ........... Number of Stories ......... , . . 8. Dimensions of entire new construction: Front 2~,' t~, R~ar 2~'* /~"! Depth .~ ~'(J~.i ..... Height ~0.~ .8." ...... Number of Stories 1 .............. i 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................ Name of Former Owner . At?~.ORe..~.a~,.v.J,r~ ............ 11. Zone or use district in which premises are situated A.-.'l~e~ J. der~.~,t.~'~/..Ag~eul~q~'a1 .............................. .... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....N.O. .......................... 13. Wflllot beregraded ..... "~}ht[' '1' ..........~ .... Willexc~t~tl~jt~av~af&qtn premises: Yes (,N'~o 14. Name of Owner of premises~l.~yol .M~.~.~.. ~. Address . ~l~l[.~Rql~,. 1~ 1[.. Phone No... 2. ~.8.-./{.?.8~. ~ Name of Architect ....... ~ ................... Address ................. Phone No ................ Nmne ofContractor~J~*l, dJ..~,Oll~J, .l~llii.l,~l~lflg..&. Address 1~0 BO.X .~9 . Phone No..~.65.-~.8~5 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, in~ property lines. Give street and block number or description according to deed, and sho~ interior or corner lot. icate all set-back dimensions from street names and indicate whether STATE OF NEW YORK, COUNTY OF .~tUF.~.0t,K ....... . S.S ...... R.O..R.~..K.I~IN~I~ being duly sworn, deposes mad says that he is the applicant (Name of individual signing contract) abuv~ named. Oongrae~or ' He is the .............................................................. , ........................... (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 application; that ail 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. Sworn to before me this Suffolk