Loading...
HomeMy WebLinkAbout13709-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z16581 Date .5.a.n.u..a.r.y. 15, 1988 THIS CERTIFIES that the building . . .A .1.t.e.r..a.~.t.q n. ................................ Location of Property 15400 Main Road Mattituck h ~ ~ fo ~'d ....................... 's't le~ i ............................ Hamlet County Tax Map No. 1000 Section ... 1. ! 4. ...... Block , . .0.9. .......... Lot . .0.0. l ............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .............Feb' 11, ....... 1985 pursuant to which Building Permit No. l.3.7. Qg.Z .... - dated ?.e.b. :. .2.6. ,...1.9.8.5. ............ 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 ......... Replace windows and doors tn an existing commercial building The certificate is issued to LINDA L. & NICHOLg,S J. g. LBO ..................... ?o~;.'o;, ~i~&~k¥itio't~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ......... ~ ./.A. ............................. UNDERWRITERS CERTIFICATE NO ................. N/A PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FOB~ NO. ~ 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) 13709' Z Dote ............ ;..........;..;.;.........-:'~... ...... , ~.~q-- Permission is hereby granted t.o.'..~.. ...... ~.../.,~. ~..,~...~.~ ..................... .................... .......................................... County Tax Map No. 1000 Section .../.../.../-~... ......... Block ..~..../~... ........... Lot No..,~,~.. ,/. ........... ,..uo., ,o opp,,.,,o. ~o,.d .... .~_.¢.~.........../... Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD 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 m~ 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 property 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: Additions $25.00 1. Certificate of OCCUpancy New Dwelling $25.00, Accessory ,$]0.00 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.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n ...... Old or Pre~existing Building ............ Vacant Land ............. Location of Property v~.~-....~..~.... Z~../.'~.../.. ,~.~. ............ <//~..~.~..,).~..H~ ........... House No, Street Ham/et Owner or Owners of Property . ~...//?~/~/ ,/-~..~./~,/C,~F~/~-$...~.~../~.~.,.~. ~ f. County Tax Map No. 1000 Section ............. Block ............ Lot .............. Sub ~wmon .......................... Filed Map No ........... Lot No .............. r ' ' ' .................. ' ' 'cate ....................... Fee Submitted $ ....... /.~; ,~. ................. LINDA L. ALBO AGENCY, INC. 514 Rte. 25A Rocky Point, New York 11778 744-4500 LINDA L. ALBO LIc. Real Estate Broker December 28, 1987 'Town of Southold 'fo~ Hall P.O. Box 1179 Southold, New York 11971 Att; Mr. Victor Lessard Re: 15400 Main Road, Mattituck, N.Y. Dear Mr. Lessardo: As per your request, enclosed please find Application for Certificate of Occupancy Form and a check in the amount of Ten ($10.00) Dollars both with reference to the above. If I can be of any further assistance to you~ please do not hesitate to to contact me. rim ,~LIN~~~ Eno. Licensed Broker P D Southold, N.Y. 11971 (516) 765-1938 June 11, 1987 Mrs. Linda~L~_~l~o ~-~ain Road Mattituck, NY 11952 RE: Site Plan for Linda L. Albo located at Mattituck Dear Mrs. Albo: The above mentioned site plan has been received and reviewed the Planner and Planning Board. It is requested that the surveys be revised to include the following information: 1o The wooded area as opposed to that area which is not wooded. This should be clearly delineated on the plan. 2. Street trees in front of the parking if there are none existing there now. 3. The Board feels that the grade in the south/east corner of the parking is too severe, (10% proposed). The Board would like to have less of a grade and requests that the revised plans indicate something more gradual. 4. The Board would like, in writing, an indication as to what types of erosion and sediment control will be used during the constructionof the parking area since the property to the South is owned by the Nature Conservancy. 5. An elevation of the entire structure including the proposed addition is also requested. Upon receipt of the above (6 copies of the revised site plan) we will again review this~matter. Mrs. Linda L. Albo Page 2 6/11/87 In order to conduct a coordinated review on your proposal, it is requested that you contact the Building Department since approvals from other Town Departments may be required, ie. Town Trustees, Board of Appeals. If you have any questions, please don't hesitate to contact our office. V, ery truly yours, BENNETT ORLOWSKI, JR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary cc: Building Department Board of Appeals Town Trustees COMMENTS FIELD INSPECTI.O~I ......... FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE 4. FINAL (2nd) ADDITIONAL, COMMENTS: LINDA L. ALBO AGENCY, INC. 514 Rte. 25A Rocky Point, New York 11778 744-4500 LINDA L. ALBO L~c Real Estate Broker August 7, 1990 Southold Town Building Department P.O. Box 1179 Southold, New York 11971 Re: Permit # 13709 - 15400 Main Rd., Mattituck Dear Lynn, As per our conversation of today, please send me a copy of the C.O. on the above referenced. I have enclosed Check # 0276 in the amount of Ten ($10.00) Dollars and a stamped self addressed envelope for your convenience. LLA:rjm enc. Thanking you for your cooperation in this matter, I remain; Your ru~"? Licensed Broker ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... Date .... ~ ...... 19 .~dC'""-- 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 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 c,¢o~te, h~ousing 9o'~te, ar~ regulations, and to admit authorized inspectors on premises and in building for necess~.~ C_~_~,~ ~/(Signature of alYlSlicant, or name, if a corporation) (Mailing address of'a0plicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .Z//~/~.~.~.. ~. (~..~.~.f..'....~..~./..~.~. .... ~.c~:rb~z~. ~ ...... (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 .......................... Plumber's License No ...... /~../~f-~. ......... Electrician's License No ..... ~ ....... Other Tratle's License No .... .~../~..~...~...~.... Location of land on which proposed work will, be done. ~..~.~... ~...~..o~.. ........ -- ~ .................... I. ..... .;. ........... .............. .............. House Number Street Hamlet County Tax Map No. 1000 Section ..... /.'/..¢ ....... Block .... ¢ ............ Lot.../ .............. Sl~odivision ..................................... 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.·'il,,/,-,- ~,, ~>..~.. ,L'?~Z~_~ .... ~~..~..... ............................ b. Intended use and occupancy . ...~.~.~--r .'.'. ~ ............................................. 3. Nature oft,~,~.(check which a~plicable):. New Building ..... ' ..... Addition .......... Alteration . ./-:-~.'. ...... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost .... .~.4.~ ........................ Fe~... ~ .7... ' (Descripti°~l ~' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If gar?ge, number of cars .... ! ................................................ . ................ 6. If business, commercial or mixed occupancy, specify qature~ and extent of each type, of .use'~. i~. ~ .... 7, D~menslons of ex]stmg structures, if any, Front, .~,6, gE ........ Rear ,~. ~,, ~, .... Depth/~,',4',~j7, Height ............... Number of Stories .... ~ ........................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. D pth ' Hight Number of St ties 8. Dimensions of entire new cons~rnction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front .~,~o~.'. .~...~.~. ....... Rear ...................... Depth ...................... Date of Purchase .... ,.-~. fq~.~-: ............... Name of Former Owner .~~: ................. Zone or use district in which premises are situated ......................... ~. ~ ...... ! ................... Does proposed construction violate andy, zoning law, ordinance or regulation: .../~..~..' ....................... Will lot be regraded . ....i' ' ' ~..b'.~. ............Will excess fill be removed from premises: Yes N f P ' Ph ame of Owner o remises . .: .................. Address ................... one No ................ Name of Architect ......... I .................. Address ................... Phone No ................ Name of Contractor ........ ! .................. Address ................... Phone No ................ 10. 11. 12. 13. 14. PLOT DIAGRAM Locate clearly and distinctly al~l buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether inter/or or corner lot. ~ STATE OF NEW YORK, i S.S COUNTY OF ................. ,,- ~I, PPROVED AS DATE: ....... B.P.I.#/.. ~FEE: BY: NOTIFY BUILDING D~ 765-1802 9 AM TO 4 PM FOR Tlql~ FOLLOWING INSPECTIONS: g'/. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE R. ROUGH - FRAMING & PLUMIJlNG O. INSULATION 4. FINAL - CON'STRUCTION MU~T BE COMPI ETE FOR C. O, ALL CONSTRUCTION SHALL THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOI~ DESIGN OR CONSTRUCTION E~O~,~. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual ' ' ' signing contract) above named. He is the .......................................................................................... (Contractor, 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 con!ained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this i · County (Signature of applicant)