HomeMy WebLinkAbout14233-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17954 Date APRIL 18~ 1989
County Tax Map No. 1000 Section 113
THIS CERTIFIES that the building ONE FAMILY D~LLING
Location of Propert~ 2110 COX NECK ROAD MATTITUCK
House No. Street
Block 10
Hamlet
Lot 002
p/o
Subdivision TOTJ.~WOOD Filed Map No. 175 Lot No. 72-73
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUG. 2~ 1985 pursuant to which
Building Permit No. 14233Z dated SEPT. 5~ 1985
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 ONE FAMILY DW~J~.INGWITHATTACt{ED GARAGE.
The certificate is issued to THO~S F. & SALLY J. BURNS
(owner, ~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-SO-132 APRIL 12~ 1989
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N725964 DECEMBER 11~ 1985
WALTER L. DO[~f~ JR. FEB. 6~ 1986
Rev. 1/81
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
14233 Z
Permission is hereby granted to: ,.--. ~
.......................... .................
.....~.......~..~......~o ~ ................................................
......%....~....~.;.~.;....~.!..~..~..'..~ .....
~,~ ~,~ ~ .~. ' .... ~ .......
at premises located at .................... ~ .............................................. ~ ..................
..~:..~. ..::...~: ~ ...........................
· -- Block J. /-P Lot No
County Tax Map No. 1000 Sectto, p~....,.l...~ ........... ....... ............ .......................
to application dated ..~.~ ........................... , 19.~.~.., and appr~ by the
pumuant
Building Inspector.
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN RALL
SOUTUOLD, NEW YORK
765 - 1802
11971
U?HOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND
..... ' ..... .;. 93.
ROUSE NO. STREET HAHLET
County Tax Hap'-No~-Ii .on Block . Lot
Subdivision ....................... Filed Hap ........ Lot ..........
Per.it No. -
..... .ate of PermltgZ.~:~.~.o.Applicant ............
Real6h Dept. Approval ................ Underwriters Approval
Planning Board Approval
Request for Temporary Certificate .......
i Fee Submitted: $ ....................
Final Certificate
THE NEW YORK BOARD OF FIRE UNDERWRITERS
10013~1 BUREAU OF: ELECTRICITY
---O,~85 JOHN STREET, NEW YORK, NEW YORK 10038
.,,,. ~ 11, ~8~ ~,,.,,,,.,,,,.. ~o.,,.~,. ~4~/85 N 7 2 5 9 6 4
THIS CERTIFIES THAT
mdy tile td~ctric~d ~lU~me~t ~ deseri~ad be[o~ and introduced by the apldiCa~t nam4Mi on tile abo~ application number in the premises of
in the.following location; [] Basement ~lst Fl. [] ~nd Fl. Section Block Lot
was examined on ~ 5, 1985 andfoundtobeincompliaflcewiththerequirementsofthis~oard.
RXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
29 55 39 29
DRYERS FURNACE MOTORS FUTURE APPUANCE 1~8EDERS
TIME CLOCKS
MULTI-OUTLET DIMMERS
SYSTEMS
HO. OF NET
SERVICE DISCONNECT S E R V I C
OTHER AFPARATUS:
2~, 1-~ Da~'~_,,~'tx~
I i I i
JOC~ ~:~ttllo
11952 Lic 2800
Per 11
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
CERTIFICATION
TEL. 765-1802
~OWN OF ~OUT~OLO
Building PermitNo.
Owner r~
(please prin~)
Plumber ~,/;X_7-~F~ Z. Z~)O,,9","~ ~-m.
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
- (plumber~ ~
~~ ,~ ~g~atur~~
Sworn to before me this
Notary Public,
County No. 4889960
Qualified in Suffolk County
Commission EXpires March
FIEi TION COMMENTS
FOUNDATION (1st)
FOUNDATION ( 2nd )
ROUGH FRAME &
PLUMBING
3.
INSULATION PER N.
STATE ENERGY
C,ODE
FINAL
ADDITIONAL COMMENTS:
BUILDING DEPT.
INSPECTION ·
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] 'FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING //~FINAL
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTROLD, NEW YORK
765 - 1802
11971
TOWN OF ~OU'I:I:/OLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE ....
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
.ous~ ~o. "5' "; "s~ ...............~.~,~ ......
Connty Ta~ .ap No. '000 S~ctio~ ..~V. ~loek Lot ..~ .....
Subdivision ....................... Filed Map ........ Lot ..........
Health Dept Approval ~.s~ /~ Under~riter~ Approval.
Planning Board Approval ................
Request for Temporary Certificate ....... Final
Fee Submitted: $ ....................
Certificate ................
rev. 10/14/88
TOWN OF SOUTIIOLD
OUI:ICH OF BUILDING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUI'IIOLI), N.Y. 11971
TEL. 765-1802
To Whom This May Concern,
We are urlable to complete your Certificate
of Occupancy because .of thc follQwing reasons.
/~// An application for Certificate of Occupancy
is not on file~.
/--/ :;o Underwriters Certificate on file.
/~_~,'l'he check is(outdated/not on fil_e_~
/~No Ilealth Dept. Approva'l on file.
/_--/ i'k; final inspection has been made.
Please contact our office on
Thank you for your cooperation.
Permit ,, ,.[, ~ X ,%3 .~ Z
this matter.
Juildinq
Building Dept.
***/~/ Ho Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,19S4 )
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 23, 1989
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Mr. T. Burns
Mr. R. Boscola
2110 Cox Neck Road
Mattituck, New York
11952
Re: Building Permit ~14233-Z
Suff. Tax Map 9113-10-2
Dear Mr. Burns & Mr. Boscola:
During a review of our files, it was noted that the above
building permit has expired and a Certificate of Occupancy has
not been issued.
According to the Code of the Town of Southold XIV, 100-141
and 100-144 a Building Permit is needed for construction of a
new dwelling and it is unlawful to occupy a dwelling until a
Certificate of Occupancy has been issued.
We have the underwriters certificate, and plumbers
certification. What is needed is the application, which is
enclosed, a check in the amount of $25.00, and your final Board
of Health Approval.
In order to avoid any legal action, you must correct the
above violation immediately.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BLDG. DEPT.
Vincent R. Wieczorek
Ordinance Inspector
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 23, 1989
Mr. T. Burns
Mr. R. Boscola
2110 Cox Neck Road
Mattituck, New York
11952
Re: Building Permit 914233-Z
Suff. Tax Map 9113-10-2
Dear Mr. Burns & Mr. Boscola:
During a review of our files, it was noted that the above
building permit has expired and a Certificate of Occupancy has
not been issued.
According to the Code of the Town of Southold XIV, 100-141
and 100-144 a Building Permit is needed for construction of a
new dwelling and it is unlawful to occupy a dwelling until a
Certificate of Occupancy has been issued.
We have the underwriters certificate, and plumbers
certification. What is needed is the application, which is
enclosed, a check in the amount of $25.00, and your final Board
of Health Approval.
In order to avoid any legal action, you must correct the
above violation immediately.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BLD, G/ D~T.
Ordinance Inspector
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
December I0, 1987
TEL. 765-1802
A. REILLY & SONS, INC.
BOX434
MATTITUCK, N.Y. 11952
Dear Norm:
RE: B.P.#t4233Z T. & S. BURNS
2110 Cox Neck Rd. Mattituck
I am re'turning your application which you sent to us
2/6/86 along with the underwriters and plumbers.cer-
tificate for the above permit. Check is now outdated.
To date we have not received a final Board of Health
approval and therefore we could not do a C.O.
Please get the final Board of Health approval for us.
Return it to us along with a new application which I
am enclosing and your check for $25.00 so that this
can be cleared up. Thank you.
Yours truly,
Secretary
?
' FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
,, ~OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined....a~. ........
Approv . ..~.., 19~.~. . Permit No ............
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Received ........... ,19...
Date ................ 19
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
~ets 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
)r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ation.
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
hall 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
~hall 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.
~he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
dmit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, dr name, if a corporation)
(Mailing address of applicant)
Itatearchitect, engineer, general contractor, electrician, plumber or builder.
whether
applicant
is
owner,
lessee,
agent,
................. . c9 / z- Z> e .
qame of owner of premises . ~:".. ~..O.~..~.O..~.4~ 7 ..... .~":. /~..LJ,~.A/...~.. ~ ................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate qfficer)
Builder's License No ...... ./.3 ................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ...................... ,~ [/
Location of land on which proposed work will be done.. ~....(..O..~....~. ?...C..~. .... .~..~.. ............
House Number Street Hamlet
County Tax Map No. 1000 Section .//.3 :..O.O..Q ...... Block ../. O..~.O.O.O ..... Lot. O..O.~... ~ ~.~ ....
Subdivision...'~.6-~..~..5..~.. .............. Filed Map No.. ?.~.. ....... Lot
'7.2.3
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....................................................................
b. Intended use and occupancy ............. . ......... ~,.~ t ~
3.
4.
5.
10.
11.
12.
13.
14.
N i~ut~'~fwork (check which applicable): New Buildmg .... .~". · . . . Addition .......... Alteration ..........
R ~4tF{ . .~111~,_ ~, _.. Re~val .... Demolition ...~ ........... Other Work ..
I[ll ~[ ~ , ,l',~ : (Description)
'~g~OY ,' (to be paid on fihng this apphcatlon)
It .... ~'~
~i~, number of dwelling units ............... Number o f dwelling units on each floor ..............
If garage number of cars
If business, commercial or mixed occupancy, specify nature and extent ~f each type of use ....................
Dimensions of existing stmctules, if any: Front ............... Rear .............. Depth ..............
Height Number of Stofles
D~ensions of same structure ~ith alterations or additions: Front ................. Rear .................
Depth ...................... HeiSt ...................... Number of Stories .....................
Directions of entire new cons :rncfion: Front Rear~. Depth
Ho~ght ........... ~u nber of Stories .............................................
siz~ o~ ~ot: ~ont ... ~ ~~.~ .3 e ......... ~a~..//~. ? .... ~ .... ~Vt~ P ~ ,~..' /ZO.''"~.-~ ....
Date of Purchase ......... ' ...... Name of Fo~er Owner .............................
Zone or use district in which p'cruises are situated
Does proposed construction vi~ date any zoning law, ordinance or regulation: ................................
Will lot be regraded ~ . . Will excess
..... ~ ................. fill be removed from premises: Yes
N~n~ of Architect ......... ~ ............ ~ ..... Address ................... Phon~ No ................
Nm0 of Contractor ~..~ ~ . ~. Address .~f~2
PLOT DIAGRAM
Locate clearly and disth~ctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blocf number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
COUNTY OF ................. ;' S.S
..... ~. ?.. ,~...,~...~..~....,4~. i...,~..~./..~, f' .~.. ..... being duly s'
(Name of individual signing contract)
above named.
yom, deposes and says that he is the applicant
He is the ..................... i ...............................
,~ (Contractor, agent, corporate o; l'icer, etc.)
of said owner or owners, and is drily authorized to perform or have performed the said work and to make and file this
application;that all statements conltalned in this application are true to the best of his knowledge and belief; and that the
work will be performed in the man~er set forth in the application filed therewith.
Swum to before me this
........... .o? O,~ ...... day 9f .... ~ , 19
.. cou t,
' ~ ' ~ (S~gnature'of pl~hca'~(t)
-
,~1_ o , ,' ~/ form bO the standards of the Suffolk
9~ ~lll N. ~ z$~ ~20 W. ~,0~'~,~ County Oep~ of Health Services.
~ ~ Il/ Services- or approval of Construction
~ '~a~ ¢ : ,.t'., Owner's Adclross:
~ ~ Tese Hole Seal
BOHN & BONACC! P.C ~.,0.~. v.~ ........ ~TiQN
TITLE NO
,3
I~ , 7'T ~ ~ *¢ ' o o E...
P/o LOT 75
F
BON~CC~,
SURVEYORS tt PLANNERS
l
JOB NO
DATE ~'-11-¢5
l) i.
Owl
I , ' ~G~--~
~ooP ~ · ~
.... BONACCI
BOHN &, , P.C. 'T~¢~¢~¢~A-VIOLATION~~OF
~O~ULTA~Ts I ~URVEYOR~ · PLAN~NERS~~*
~AP,Of:' ~ ~ ~ ~ ~ v~yo~'s S~GNATUR~ AND
~ILBD: '~U~P~ CO. ]~'~[~NO, tT~ .~ANKO, BONACOl DONSlOEREDAVAUDTRUECOPY
~'~'~ ~' ~"~ uo~ NO, 89~O~'~ .......
DR,~ '6H ..... SCALE 1" ........ ~¢' DIS%/%%'A~ .[pOd SEC. (~.OO BLK lO. OO LOT O0~.OOO,;,,, ,
APPROVED AS NOTED
D~TE: c~/~-~.~- B.P ~ /~'~'~-
N[OTI~Y BU~LU~'
76~-1802 S AM TO 4 PM ~R THE
=OLLO~ING INSPECTIONS:
1 FOUNGATION 'i~NO REQUIRED
FOR POU~ED CON~ETE
2 ROUGH ~RAN,[NG & PLUMBING
3. iNSULATION
CO?~S~RUCTION MUST
~, FINAL ' ~ 0
~ CO~.~E ~OR C. ·
~L~ CONS~RUCT~ON SHALL MEET
REGUIP~MENT5 OF THE N.Y
YHE & ENERGY
STATE COnSTrUCTION
CODES. NOT RESPONSIBLE FOR
OESiGN OR CONSTRUCTION E~RORS,
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIRCATE
OF OCCUPANCY
PI. tlMIER OER?IRCA TION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
~ t~ED IN WATER
SUPPLY A'Y~EM CANNOT
EXCEED 2/fO o~ 1~ lEAD.
6
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