HomeMy WebLinkAbout13889-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18029
Date MAY 16~ 1989
THIS CERTIFIES that the buildin~
Location of Property 2045 MARRATOOKA RD.
House No.
County Tax Map No. 1000 Section 123
Subdivision
ADDITION
MAWITUCK ~ N.Y.
Street B~ml et
Block 2 Lot 3
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 20~ 1985 pursuant to which
Building Permit No. I3889-Z dated APRIL 23~ 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 DECK ADDITION TO EXISTING O~E FANILYDWW3~JNG
The certificate is issued to ALICE M. C~RR
(owner)
of the aforesaid building.
SUFFOLK COUNTT DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Bu~z~fdi-ng Inspector
Rev. 1/81
FOB, M: 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)
NB 13889 Z
Dote .............................. , 19
Permission is hereby granted to:
......... .Z./~.~......C..~. ....................
~.0..~ _ ~.
.......... ; ................... ~.~. .......... ~.~ ..............
_ . ...... ~..~.z.~.~Z~.~.:..Y,.......~.z~.....,z~.
ro . ....~., .. 7- ' ,,"// ~)
.... ~...~.z/~....~. ......... ~..~...~.~.. ....... ~/.: ...... ~...,.~ ...................
..~,,z~ .:r~.~ ...... ,:~.~.~ ......................................................................................
ot premises Iocote/a, ....... (~...~...~.' ............. ~.*~..~ ..~.~.~....~: .................
................................................................................................ ~.~.~e..Z....:~:..y..-. ......
County Tox Mop No, I000 Section ...... /...~....~- ...... Block ....(~....'~... ..... Lot No....~......~.. .........
pursuant to appflcation doted ..~~.....Z.~....., 19 ...... d approv~ by the
Building Inspector.
Building Inspector
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 features.
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.
Bo
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Acourate su~ey of p~perty 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.
Fees:
1. Certificate of occupancy $5.00
2, Certificate of occupancy on pre-existing dwelling
3. Copv of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
$15.00
Date
New ..... .'~ ....... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ~o H~' ~ . ./~...,~j~..,~.~.o.0 .~.~.....~. ?. ~ .~i~,?~c~ ....
House No. Street Ham/et
Owner or Owners of Property ...........................................................
County Tax Map No. 1000 Section . ./..t: .3.?? ....... Block . .o.A.~H. ....... Lot .~.~. ?.. ?.o.o. .......
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No../?.~. ~.?..7.-~. Date of Permit . ./.'hZ/.~ .~..Applicant./..+~.. ?....c.~ ...................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regu lations.
Applicant ......... '-~...~...~ .~..~. ........................
Rev. 10-I0-78
COMMENTS
~IELD INSPECTION ~
0 U__~ D AJ I.O_N .....
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
Absent:, if any: Applicants: ~' '~"~ ~'%
requested and ~ocation:~--~' ~ --~: ' ,
Resolution made by:
Seconded by:
Charles Serge Robert Gerard Joseph
Grigonis Doyen Douglass Goehringer Sawicki
/
( )
ACTION:
( ) Approve as applied
{ ) Deny as applied
( ) Deny without prejudice
[ ) Deny
Subject to County Planning Referral
Subject to Planning Board approval
Subject to D.E.C.
1,'lithdrawn ¥;,'ithout Prejudice as requested
Approve with the following Conditions: .~ ~.~:~~
Special Exception criteria applicable
Prior application conditions applicable, if any
NOTES:
VOTE OF THE BOARD: Ayes: (~' J CG
Nays: ( ) CG
Abstain: ( ) CG
Absent~, ( ) CG
Resolution was passed: (~/) unanimously
Resolution was not passed: (
This application was recessed until
( ) SD ( ) RD ( ) GG
( ) SD ( ) RD ( ) GG
( ) SD { ) RD ( ) GG
( ) by majority vote
(c~-j S '
( ) JS
( ) JS
( ) JS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y,
NOTICE OF DISAPPROVAL
.....
PLEASE TAKE NOTICE that your application dated ........ '~ .......... 19 .....
for pe~it to - . ........................ at
Location of Property
co~t~ Tax ~ ~o. 1000 S~tion .. / .?.~ .... ~lo~ .C ?. ........ ~t .~q.g. .......
Subdivifion .... ~ .......... Filed Map No ..... ~ ..... ~ Lot No.. ~ ............
Building Inspector
RV 1/80
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1603
INSTRUCTIONS
I~LDG, DEPL
~' ~FOWN OF SOUTHOLD
Received ........... ,19...
Date .... F.e.b.r.u.a.r.y..gq,..., 198.5..
a. This application'must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
ts 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
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
tion.
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
all 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
tll 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
Jlding 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.
he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
[mit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
.... ~..0..~.o.x..?).6... ?.a.t.t.%ty. qk.,. ?..~. ).?.5.2. ........
(Mailing address of applicant)
rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
tame of owner of premises Alice M .C.a.r.r. ....................................................
(as on the tax roll or latest deed)
!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. 2.0. q5..~.a.r.r.a.t.o.o.k.a..Rtl. ...............................
2045 Marratooka Rd Mattituck
House Number Street Hamlet
County Tax Map No. 1000 Section .... 1.2.3.0.0. ......... Block . .0.2.0.0. ............Lot ....0.?.q0. .........
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 .. g~idence ..........................................................
adjoining deck
b. Intended use and occupancy ....................................................................
3. Natur'e of work (check which apphcable): New Building .......... Addition . x ........ Alteration ..........
Repair ....... '.. 5 .....ROn~ovai .............. Demolition .............. Other Work .. J3gi;[~t. ~l~gl~...
~ l ~ (Description)
4. Estimated Cost ....... .$~99.0,~ ......................... Fee .~...~.(~. ~'~
L--~d, ~" (to be paid on filing this application)
5. If dwelling, number of dwelling units ........... Number of dwelling units on each floor ................
If garage,, number of cars .... i ....................................................................
6. If business, commercial or mixqd occupancy, specify nature and extent of each type of use .....................
" - 65'8"
7. Dimensions of existing structures, if any: t~ront ............... Rear . 52' Depth 47' 8"
Height Nuraber of Stories 2
Dimensions of same structure With alterations or additions: Front 65 ' 8" Rear 52 '
Depth 61' 8" .... Height ..... Number of Stories .2 .., · .....
8. Dimensions of entire new construction: Front Rear Depth
Height ............... Number of Stories ................................................. ,:......
Size of lot: Front 100' R~.r 100'
................................................ Depth .. $25.' .................
Date of Purchase .... .8/.29/.8.1 .................. Name of Former Owner ...R.o.b).n, .C.a.ry .................
Zone or use district in which p!emises are situated ...... B.~.i.d.e.n.tj..a.1 .................
Does proposed construction violate any zoning law, ordinance or regulation: . 7.e~ ............ ................
Will lot be regraded ........ i..N.o ................. Will excess fill be removed from premises: Yes No
14. Name of Owner 0f premises i Alice N Cart Address2p.4.5. g. arr.atooka Rd .PhoneNo. 298. 46?4.
Name of Architect ...S$.ey.e..T.s.o~$.a.k.5.s .......... Address .R.o.a.n.o.k.~..Ay.e.,.R. iy.e.r.h, elal~One No. 72.7 7411
Name of Contractor Owner
........ .................. Address .2.0.4.5..M.a.r.r.a. tpp.k.a..Rd. Phone No...2.9.8. ?.6.8.~ ......
.-- i PLOT DIAGRAM
Locate, clearly and distinctly ail buildings, whether existing or proposed, and. indicate ail set-back dimensions from
10.
11.
12.
13.
property li~es. Give street and bloc~
interior or corner lot.
STATE OF NEW YORK, 1S.S
COUNTY OF... Suffolk
numberordescription accordingto deed, andshow streetnamesandindicate whether
See attached plan of 2045 Marratooka Rd Interior Lot (see survey)
Harold T Cart being duly sworn, deposes and says that he is the applicant
' (Name of individual signing contract)
above named. :
Owner
He is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is du[y authorized to perform or have performed the said work and to make and file this
application; that all statements corn dined in this application are true to the best of his knowledge and belief; and that the
work will be performed in the mann0r set forth in the application filed therewith.
Sworu to before me this
~ ~.q ?..~ ...... da ...~. ?.~. ? ~r~ ~/ ..... 19~?.
$otaWPublic, ~..~~.iii ; i. 'Cou;ty"
l~rm Expires March 30, ~9~ . (Signature of applicant)
7&~]802 CAM TO 4 PM FOR TH~
2. ROUGH - F~M~NG & PLUMBING
4, FINAL _ CON~TRL;CT~ON MUS~
DE COMPL~E ~OR C.O.
ALL CONSTRUCtiON SHALL
~AT~. CONSTRUCTION & ENERGy
~ODcS, NOT RESPONSIBLE FOR
DESIGN OR CON~RU~ION ERRORS·
nau fized alte~tion
eddltlon fo this document is a
violation of se~ion 72~ of
the New York State Eduction - .
Copies of t~s document not
beadng the eng~nee/s
seal or embossed seal ~all
be considered valid cop~e~
'1,
-T
J
NOTES:
SITE DIMENSIONS FROM A SURVEY BY R. VANTUYLE DATED NOVEMBER 1, 1984.
ALL MATERIAL SHALL BE PRESSURE TREATED (CCA) CONSTRUCTION GRADE
SOUTHERN PINE.
ALL FASTENERS AND CLIPS SHALL BE HOT DIPPED GALVANIZE COATED.
OCCUP CY OR
USE
Wi'G;g : C .RTiFiCATE
OF OCCQJFAH,CY
DATE:*/~_.B,R-
FEE:~ ~r '~ BY{ ' ':~
NOTI~ BUILDING D~ART~ENT
765-1802 9 A~ TO 4 P~ FOR THE
FOLLOWING IN~ECTIONS:
L FOUNDATION - ~O REQUI~ED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CON'STRUC~ION
BE COMPLETE FOR C.O. '
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF TH~ N.Y,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR,
~. OR. CQNSZRUCT~Ot ~
Unauthorized aiteratmn or
addition'to this document is ·
vioi~ion ~f section 7209 of '
~he New Yore State Education
bea ng the englneer's Jnke~
sea or embossed seal shal not
be considered valid