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Home My WebLink About13888-zForm 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 inspector with the following: for new building or new use: 1. F%nal 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 1% lead. 5. Commercial building, industrial building, multiple residences and s/miiar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '3pre-existing" land uses: 3. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2~o 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. 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. Certifieate~ of Occupancy on Pre-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .............................. Const ctinn ........... . Old Pre- ist g uilding .~.~ ? ~ ~7 " ation of Property ............................ House No. Street Hamlet of Property ' · ...... T= ~p ~o 1000, Section. 2~..~ ....... B~oe~ ..... .~.~. ....... ~ot .... ~.~.-[ ........ Filed Map Lot ...... .vision ................................................................ No ............. Date Of Permit. % ~ ...Applicant ............................. Dept. Approval................. ...... ...Underwriters Approval ......................... Board Approval ........................ for: Temporary Certificate ........... Final Certicate ........... S ubmitt_~ ~]~\ed: $ ............................. THE NEW 8070572 Date APRIL 15,1998 THIS CERTIFIES THAT YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Application No. on file 15786898/98 Id 059503 PAGE 1 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of RALPH TUTHILL, 45'75 WICKHAM AVENUE, NATTITUCK, NY in the following location; [] Basement [] 1st Fl. [] 2nd Fl. Section Block was examined on APRIL 07,1998 and found to be in compliance with thc National Electrical Code. Lot FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE RECEPTACLES SWITCHES OUTLETS ;LUORESCENT DRYERS MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'P! TIMECLOCKS UNITHEAIER$ MULTI-OUTLET SYSTEMS NO, OF FEET DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUS: *NO VISUAL D~FECTSr "An electrical survey has been made of the exposed electrical equipment in the premises indicated," "No obvious unsatisfactory condition was found. A, W, G, NO. OF HI-LEG OF CC. COND, OF HI-LEG NO, OF NEUTRALS OF NEUTRAL RALPH TUTHILL P. O. BOX 26 t,~ATTITUCK, NY, 11952 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 MUS'~,, NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 April 9, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Ralph Tuthill, Jr. P.O. Box 26 Mattituck, New York 11952 To whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~ XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. ~/ XX N er Solder Certificate on file. ~lving plumbing being¢~ ..~-~'~ issued after April 1, 1984). ~ BUILDING PERMIT #13888-Z KITCHEN Please contact our office on this matter. Thank yo(~u ~or cooperation. 8OUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southotd, New Ya~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 March 27, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Ralph Tuthill, Jr. P.O. Box 26 Mattituck, New York 11952 Re: Building Permit # 13888-Z ADDITION TO KITCHEN Premises: 4593 Wickham Ave., Mattituck Surf. Co. Tax Map #1000-107.-4-8.1 During a review of our files it was noted that the above building permit has expired, and a Certificate~of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. IELD INSPECtiON COMMENTS 'OUNDATION (Ist) FOUNDATION (2nd) OUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS.'____ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~I~NAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 'FORM NO. 1 TOWN O}: SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 ~...~.<L: Z~ 19~C"~- ~9 Examined , Received ........... , · · · Disapp rev e d a~.."'~, ...... · ·: ' · · ~,?/' (Building Inspector) APPLICATION FOR BUILDING PERMIT Date~.~.g./.~.....~..'~. ..... 197.I7 INSTRUCTIONS 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 sckedule. 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 d!agram which is part of this appli- mtion. c. Thc work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of tkis application, the Building Inspector will issued a Building Permit to the applicant. Suck 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 ErOding 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 [egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 7he 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 nccessary inspections. a,~,~ ~ ~ · :£..,e-~-....~ :~~ .... ~.., ......... (Signatur' e of applicant, or name, if a corporation) · 4.~,~..4~..~ MA ?.r t~..q..c.~ .,.~: .y....Ltf~. .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... O.W. ~.~,~ ............................................................................ '/~lame of owner of premises /~.d6 .s'~.. K/-. · .77v'.r. h~./.~. .~. · .,.J .~. .............................................. (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 ..... ~.q~..Lr'. -~- · ............ '/Plumber's License No ..... ,,~.~..t_..~. ............. ,/Electrician's License No....~...~.~. ?. ............. Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. /..*..~.7 .~. .... .w./..c~ ~ .~.,..~v..~..,. ~...m..~ .-c..r.t. ~. ~. c../.< ......... ,~..../k"... ............... House Number Street Hamlet County Tax Map No. I000 Section/.. 79.'] ;-..~.7 .~: .I .... Block .................. Lot ................... Subdivision ................ (iq'a~) ............... .. Filed ~ap No ............... Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... ~Q.O.S.~Tl~.°.g,. ?. . w. ........ .~. . ~. ~),~.. t., ~ .... 0.¢¢-?. ?A4d~ y ............ b. Intended use and occupancy ~t.fi.~,9..~/t2r.~.,~.e..~.. 7: ..... ,~.. ~o.~. a..~.~.~...t.9..~p.O..P..,p.o/.c,,~... '', ........ .8. 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building ..... ' ..... Addition . .~.. ...... Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... Estimated Cost / . .r.~.... Fee ...... *'~ (to be paid on filing this application) If dwelling, number of dweiling!units ............... Number of dwelling units on each floor ................ If garage number of cars If business commercial or m~xe~' ' occupancy specify nature and extent of each type of use Dimensions of existing structures, if any: Front .......... ..... Rear .............. Depth ............... Height ............... Number of Stones ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front .......... ~ ........... Rear ...................... Depth ...................... Date of Purchase ~ Name of Former Owner Zone or use district ~n which pr.em~ses are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will 10t be regraded ........ .................... Will excess fill be removed from premises: Yes No Name of Owner of premises · ·: .................. Address ................... Phone No ................ Name of Architect ......... i .................. Address ................... Phone No ................ Name of Contractor ....... ' ................. Address ................... Phone No ................ PLOT DIAGRAM I clearly and distinctly nl'l buildings, whether existing or proposed, and, indicate all set-l~ humbert or description according to deed, and show street names Locat property interior o: STATE OF NEW YORK, i S.S COUNTY OF ................. N. ack dimensions from and indicate whether ....... ' .................... ; ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ........................................................................................ (C:~tractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements coatained in this application are true to the, best of his knowledge and belief; and that the work will be performed in the manCer set forth in the application filed therewith. Sworn to before me this 1 .......... O~ .~,, ......... .Cay of ....~ ......... , 19 ~,,,~''' Notary Public, . ......... :.County ...... HELENK. DEVOE '! ~..~ ,.~ ~ i'tOTARY PUBLtC, State of Now York ....... ' ........... , No 8707878, $1ttiotk CoulltJ (Signature of ?pplicant) i Term Fxp~res Marctl 30, l~t:'_-~ ,~d i