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Home My WebLink About27255-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27654 Date: 05/08/01 T~IS CERTIFIES that the building ADDITION Location of Property: 535 ELIJAHS LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 12 Sut)division Filed Map No. __ Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 7, 2001 pursuant to which Building Permit No. 27255-Z dated APRIL 20, 2001 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 ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". The certificate is issued to DOROTHY CONNELLY & KAREN MASTON (OWNER) of the aforesaid building. SUFFOLK CO~ DEPANTMENT OF ~IEALTH APPROVAL ELECTRICAL CERTIFICAT~ NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A no,zed S ~gnat ute Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL PERMIT NO. 27255 Z Date APRIL 20, 2001 Permission is hereby granted to: DOROTHY CONNELLY 698 SYLVAN AVENUE AKRON OHIO, 44306 for : AS BUILT DECK TO A PRE-EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 535 County Tax Map No. 473889 Section 108 pursuant to application dated FEBRUARY Building Inspector. ELIJAHS LA MATTITUCK Block 0004 Lot No. 012 7, 2001 and approved by the Fee $ 75.00 Rev. 2/19/98 ORIGINAL :t~ ['! t~q p' ~ -)]-~ [! BUILDING DEPARTMENT ! . ~ t~ ,~ TOWN HALL ~ ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY .:~ BLDG. D~PT. ~ , This application must be filled in by typewriter OR ink and submitted to the bu inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2.Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3.Approval of electrical installation from Board of Fire Underwriters, 4. Sworn statement from plumber certifying that the solder used in system cont, less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar b~ and installations, a certificate of Code Compliance from architect or engin~ 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 buildi~ '.'pre-existing" land uses: 1._ A~curate survey of property shoMing all~roperty lines, streets~ bqild_i~g~a~ unusual ~a~u~al-or 'tOpographi~ features. _ 2. '~ properly completed application and a consent to inspect signed by the app] If a Certificate of Occupancy is denied, the Building Inspector shall state reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.0( Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existing Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - , .~5¢, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ld Or Pre existin D::e ~'/'~/~'~4~ ........ ' ' i ........ oeation of Froperty. i. ..... ................. House Ho. Street Hamlet Onwer or Owners of Property ........................................ 0ounty 1000, .... Subdivision .. Filed Map Lot .. Permit No Date Of Permit Applicant · · Health Dept Approval Underwriters Approval · .. Planning Board Approval ... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: APPLICANT ROUGH FRAME & PLUMBING II Jl - ~ II INSULATION PER N. Y. ~! ~' STA~ ~R~ II FINAL ADDITIONAL COld, gNus: ' . [ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~.N,SULATION [ ] FRAMING [ ~/] FINAL [ ] FIREPLACE & CHIMNEY BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ~.~/.Z._ ,206'3 Approved ~:/.20 ,20 ~! Disapproved a/c DUILD~qU t'V. KIVIII AI"FLI(..;AflON (SHECKLiS Do you have or need the following, before applying Board of Health ~ . 3 sets of Building Plans ~ey ~C-fi~ck Septic Form N.Y.S33.E.C. Trustees Contact: %one: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a, This application MUST be-c-omplxetely filled in b.y typewriter or in ink and submitted to the Building Inspector with 3 sets of plans accurate plot plan to scale. F:ee. aoco~ding to scliedule. b. Pl?tt plan showing location of lot and of'buildinga on'premises relationship to adjoining premises or public streets or areas, and v,,~terways. ' % The work covered by this applic~/tion may not be commenced before issuance of Building Permit. d. Upon appt, oval of this application, the Building InSpector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection througho.ut'the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildip. g. Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk?ounty, New York, and other applicable Laws, Ordinances or Regulations, for the c~nstmction of buildings, additions, or alterations or for removal or demolition as hm etn described. The applicant agrees to comply with all applicable laws, ordinanc~es, building code, housing code, and regulations, and to admit auth°rized inspect°rs °n premises and in building f°r neces'sar~ inspec~~ ~~t~ ~/~. (Sigr~t~.r~Jof applicant or name] if a corporation) '" (Mailing'addreSs o?applicant) F State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of pi'emises ' ' -(a~..,on the tax roll or lat6st deed)' ' If applicant is a corporation, signature of duly authori4~d o.fficer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. which proposed work will be done: / 1. Location of land on House Number '4S{'reet .' ~ ' Ham[et County Tax Map No. 1000 Section /~7[ rPf) ' Block r7 ,~,dD Subdivision ' . Filed Map No-. (Name) Lot State existing use and occupancy'of premises and intended use and, occupancy of proposed construction: '/~a.' Existing use and occupan :y ,.~' '~rOf/)/ b. Intended use and occupa~ :y. licable): New Building. Demolition Fee Addition Alteration Other Work -- (Description) k( Nature ofwor check which apl: Repair Removal '- L E~'~stimated Cost COD , O~ ,. if dwelling, number of dwelling If garage, number of cars ,. If business, commercial or mixed nits (to be paid on filing this application) Number of dwelling units on each floor '.w'l~mensions of existing structuresI if any: Front Height ~ O' Number of Steries enslorls el same structure Depth .'~t~ / ! Rear / occupancy, specify nature and extent of each type of use. /O. ~ Depth. with alterations or additions: Front / 4eight '2 O Height ~ of lot: Front. O, Date of Purchase Dimensions of entire new construction: Front ! Number of Stories ' I Name of Former Owner ~'5~. ,,.4' / Rear Number of Stories / Rear Depth Depth / l. Zone or use district in which pren~ises are situated 2. Does proposed construction wolate any zomng law, ordinance or regulation: 3. Will lot be re-graded ~ameS of Owner of p. remises me of Architect Name of Contractor this property within 100 feet of · IF YES, SOUTHOLD 6. Provide survey, to scale, with acc~ 7. If elevation at any point on proper Will excess fill be removed from premises: YES NO Address Address a tidal wetland? *YES NO Phone No. Phone No_ 7 ~ 7 '-" '7 7 ~, [ Phone No. tOWN TRUSTEES PERMITS MAY BE REQUIRED .rate foundation plan and distances to property lines. y is at 10 feet or below, must provide topographical data on survey. being duly sworn, deposes and says that (s)he is the applicant above named, TATE OF NEW YORK) SS: /~YOF ) -- (N~me ~ i'ndiw~d~ual sig~ing contract) M , g)IIc is the/q Q~-'JL , (Contrac{or, Agent, Corporate Officer, etc.) 18 du I f said owner or owners, and ' ly authgrized to perform or have performed the said work and to make and file this application; ~at ali statements contained in this application are true to the best ofh s knowledge and belief; and be :rformed in the manner set forth in the alplication filed therewith, tbat the work will worn t bo~,~fqre me thi,~.r Notary Public HELENE D, HORNE Notary Public, State of New YO~k No. 4951364 Qnalified in Suffo k County! Commission Expires May Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 April 12, 2001 BUILDING DEPARTMENT TOWN OF SOUTItOLD Office of the Building Inspector Fax (631)765-1823 Telephone(631) 765-1802 Mr. Brown 313 Doctors Path Riverhead, NY 11901 Dear Mr. Brown, Please take notice that in review of your permit application dated February 7, 2001 for an As Built Deck addition to the property located at 535 Elijah Lane, Mattituck, N.Y. County Tax Map Number 1000 - Section 108 Block 4 Lot 12 The application for a permit will not be written until the following is submitted: 1) Three new sets of certified construction drawings reflecting all as built conditions in accordance with NYSBC and Town of Southold codes. If there are any questions you can contact us at (631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. Building Inspector CC:file i'~1oOo o I=loqoq I~-IoOo~- x~, '--.,'Ox,,-` I ~1 r'r' ~_0 0 I-- C.) 0 i__ ~ o z