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Home My WebLink About26245-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27688 Date: 05/15/01 THIS CERTIFIES that the building ADDITION Location of Property: 390 ALOIS LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 123 Block 6 Lot 4 .13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 26, 1999 pursuant to which Building Permit No. 26245-Z dated JANUARY 6, 2000 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 GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHRISTOPHER & ANDRIENNE M. REHM (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 05/11/01 PLUMBERS CERTIFICATION DATED N/A C Authorized Signature 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 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26245 Z Date JANUARY 6, 2000 Permission is hereby granted to: CHRISTOPHER REHM PO BOX 36 CUTCHOGUE,NY 11935 for CONSTRUCTION OF A GARAGE ADDITION AS APPLIED FOR. at premises located at 390 ALOIS LA MATTITUCK County Tax Map No. 473889 Section 123 Block 0006 Lot No. 004 . 013 pursuant to application dated NOVEMBER 26, 1999 and approved by the Building Inspector. Fee $ 75 . 00 Authoriz66,/SignatuV6 ORIGINAL Rev. 2/19/98 1 �� 1 �� •� �l � n�� Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT .• ___ . .-� I TOWN HALL nc 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. Final 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 similar 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. 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. C. Fees 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. Certificate of Occupancy on Pre-existing Buildinu - $100.00 3. Copy of Certificate of Occupancy — .25. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . .. Old Or Pr -existinguilding. . . . . . . // Location of Property. . . l.0 . . . . : iS. . Fes. .::. . .. . . . . . . . . . ./ /G fiCst C. . . . . . . . . . . . . House No. y// Street Hamlet Onwer or Owners of Property.C/'O�S fo�✓!�,P . . . . . . . . . vr. . . . e . . . . . . . County Tax Map o 1000, Section l2.3 . . . . . .Block. . . . . . . . . . . . . .Lot. . . / .( . . . . . . . . . . . . Subdivision. l�&I,/C� . . : I.;K4rlof. _e^tIFiledMap. . . . . . . . . . . .Lot. . . . . Permit No P.��'I . . . . .DDa/te /Off Permit.f. .55 Of/ . . .Applicant. . .�r. . . . L1^ . . . . . . . Health Dept. Approval. . . lY ./�T'./. . ./. . . . . . . . . . .Underwriters Approval.z�� f . . . . . . . . /. . . P� Planning Board Approval. . . . . . ./. ` . . . . . . . Request for: Temporary Certificate. :. . . . . . . . . Final Certicate. . .�. . . 7 Fee Submitted: $. . . . . . . . . . . . . . . . . . . . t"v` r - / Ll •APPLICANT co � a�(o6� co Town Hall,53095 Main Road Fax(631)765-1823 P.O. Box 1179 Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RAY 7, 2001 MR. CHRISTOPHER REHM P.O. BOX 36 CUTCHOGUE, N.Y. 11935 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) XX No Underwriters Certificate on file. XX The check is (not on file . ) $25 . 00 No Health Department Approval on file . No final inspection has been made . No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26245-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ IINSULAPON- FRAMING [ AL [ J FIREPLACE & CHIMNEY REMARKS: . IMNEY REMARKS: `✓ 1 DATE C INSPECTOR FIFLD'7NSPECTI6N REPORT DATECOMMENTS v '__-----_-------____________________________________=_____ 4 ice_ n ro FOUNDATION ( IST) ii FOUNDATION (2ND) H /7_Ji z W u o ROUGH FRAME 6 �-----�I O PLUMBING - --ii - I II INSULATION PER N. Y. STATE ENERGY H n CODE H I H exl I H I FINAL I --ADDITIONAL-CONVENTS: �N Q V ea ro H r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. XOU NDATION 2ND [ ] INSULATION MING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: _ ,DATE - INSPECTO J`J 7 S� �//i�.fa.'� -fi-/ "�,t.<�:.�df ,t4'' Fes✓ ('x p K' ,,,?.- -l - ,._ Y✓ fN '',� '.+') _ t' ems/" / fh C��C a+ L''-Y.O Y P '3C'rf $. C f n _ t i; 1 .�., ' JAN 1 9 M �o i(}241. r � 2 !o 1?1 a7� � r e lam jtnj cat 611-el Ile �Qk I 12 % t^ t . . i! at rc<7�a i Yyj� 't M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ Z OUNDATION 2ND [ ] INSULATION RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Q„a a d1� C,242, , DATE INSPECT /� ."/tf3•�r.r �'F �' tY ., r � •e"' rr m .� r!'.e"Y. o,2��s`� --___� ./'3d��-f'yea G✓ ,CS�f+xt-rsla.�4�h-_ .-.�_ 1_.�?nCl1_... L�aa ff _�rrc. w c{� aZee�+ JAN 1920 y Sc6TI10!.n w� iv)r N ?- Vit; D NJ f tidkt u t !A } k. �� lr • ' + D, S fW,G9i� �a Boo � GVo �� - -- - ---- S /� (/�Jr BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 L TEL: 765-1802 NOTIFY: _ �!/cr'f• CALL 74s �GC !.. ��//�n�nn�. Examined yfjDO . . . . .2 ?s .�/s"3 `!'. . . / // MAIL TO: . . . . Approv .. .. Permit No. �v T �7.SC ��t rq Disapp ed a/cG� r fr�Clf .................................. . ..... ..................... (Building I tor) APPLICATION FOR BUILDING PERMIT Date. . . . .C,�-?s . . . . . , 19�.�� INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 mist be drawn on the diagram which is part of this application. 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 issue 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 MALE to the Building Department for the issuance of a Building Permit pursuant to the Building ?.one 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 remval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, ,cod regulations, and to admit authorized inspectors on premises and in buildin for necessary inspections (Signature of licant, or name, if a corporation) �oAIgwg n: .... .. IVB 9 (Mailing address of applicant) State whether applicant i owner, lessee, agent, architect, engineer, general contractor, electrician, plmnber or builder (U)rXk/............................................................... .......................... .......... Name of owner of premises .1..7.dirv.f7n....L!I.Y.Y..�.�:..1,..k1.10)-O. er... . O. (as on the tax roll or latest deed) C v� If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. .J. P ...,1., ... 1. Plumbers License No. ..ll YL P1ArY �.P.A-.. Electricians License No. M I1QUh.......... Other Trade's License No. .................... 1. Location of land on ich proposed wo/ k will be done.............................................................. .....1 ............................................. House Number Street // et County Tax Map 1000 Section .�off.. 3........ Black ......CR........ Lot ... ..� ...... subdivisionp�Gt/Gh,ru �V(l!G � h Filed Map No. ............... lot ...3......... (Name) 2. State existing use and occupancy of prmisea and intended use and occupancy of proposed construction: a. Existing use and occupancy ...../.LQ/.71. ............................................................... b. Intended use and occupancy ;._:................. a9.Q..........................................." Nature of work (check which applicable): New Building .......... Addition .......... Alteration .. ... . Repair ............ RemovalDemolition ............ Other Work ..��.Q. ¢!..�yj-. ptl • (Desc iption) Estimated Cost /Y'00.0 Vii..... fee .............................................. (to be paid on filing this application) If ck,,elli omits ............ Number of dwelling units on each floor ............. ... rhg, If garage, nnixrr of cars irhg units ............ If business, commercial or mi.✓xxeed oFcupmhcy, specify nature and extent of each type of use...................... Dimensions of existing structures,liif any: Front... .v.. 7d 4 Rear ............... Depth ....I......... Height ...Y:.............. ... �]udher of Stories ............. Dimensionsstructure with slterationp or additions: Front .... ....... Rear ... : Depth ...... Height .....2 O ........... htniher of Stories ..... ........ Dimensions of entirenew construct ion- Front ....�.�r.../.... Rear .�'.Z:�.-....... Depth .2�....... Ileight Llnber of Stories ......!.... Size of lot: Front .!2.7g:. .... Rear ..2� l 2 ........... Depth .1P��`.!F.?. premises 3. Dace of Purchase .. ............ i.... Nape of Former Owner ..a..... f�lCr�,gt�5.h r I. Zone or use district in wihich are enlisted ...G�SJ.Ur�r7.�lQ:C.......................................... 2. Does proposed construction violatei any zoning law, ordinance or regulation: .0.0.................. 3. Will lot be regraded ...,. 1.Q........... Will excess fill be removed from premises: YES M o i. Names of owner of premrsesl.`hrr �a ei.r �ren�e ' dm8a3l9. 1�.�s..4an1?hi r,e No. a??.16.3,6 Nwe of Architect .. i......... Address .... .. Phone No. ........... Name of Contractor // /�/ /tom i= — 39dif�S o �Y/a✓d Cltr/S O.!`�y ... Address ...............................Phone No. 5. Is this r within 300 feet dif a . .. property f a tidal wetland? * YES .......... NO }-,...... *IF YES, SOLMU D TOWN 18118 MS PMU MAY BE MQHRFD. Locate clearly and distinctly 4e.2; �- rom property lines. Give street arc N ( PQ1VA-1 -.-, (LD.J. .LAW hether interior or corner lot. t-1 5•6J 36IG1 (w• 27 C),2lclir'e, r� y 3 Comer � iN.ne./q .Z�i Im � / PovLs -- IR �6Q'i aTor4Y Fr.NO. l I'1'�PY/t r Gc f � � I .4v1„t1.e/ua�G.t�t-, •,� �cc !' 754 �d ' T• ' 'WFhL S MIE Or MW YORK, h rl Ss ss MY Or ...... .............. ...................... ................Ii..................being duly sworn, deposes and says that he is the applicant Vane of individual signing contract) xrve named, e is the ........ .......................:....................................................I............... (Contractor, agent, corporate officer, etc.) F. said weer or owners, and is duly authorized to perform or have perform' the said work and to make and file this pplicatiwh; that all statements contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in the t�hanner set forth WgAhg lication filed therewith. Notary Publt,$tats of NeMro1R worn to before a this No,4990735 / n!�� y 0ua99ed 6 Su1NIN po" C2'69.!....d f i7.0"t'!:�T... 19, ../.... VairmisslonMires May 26,20� Notary Public ...KuXlY)!1 (S�re of A i.cant) ��/�� BUILDING PERMIT REVIEW CHECK LIST Applicant/ / (/ • �/.�, / Date Owners Name: 1. C �"� Reviewed: Architect/ Date Engineer: Submitted: SCTM #: District: 1.000 Section: Block: Lot: Project �j�J Subdivision Location: /" '� Name: Single&separate Required certification: (Yes/No _ Zoning District. [Lot size: 0 0 Actual �/�" J (Lot coverage��roposed Req �yf //�,,�I RN `s f f �� Req. f i (Front Yard w Proposed 00 l (Side Yard Proposed: /) [Rear Yard �� Proposed: �3 J Project Description: - Q AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning PP Board approval: Flood Plane Elevation ??? Flood Zone: �J ore Notes: " — r =x •: SUFFOLK CO. HEALTH DEPT. APPROVAu eP f is 4 .._ 1, _ �...� 't '.I re • ' IT1. r 3.. '.. , 35 az ALQFS ._ iF I E s � ..i , STATEMENT 9F INTENT --... .85.0 THE WATER SUPPLY AND SEWAGE DISPOSAL l�vis i SYSTEMS FOR THIS RESIDENCE WILL G. f. # CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. \ 90 # � rx , 1S1 APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES FOR APPROVAL OF GS °ILS ppp��F a.ONSTRVCTION ONLY 'pe Il i l' A� i �.+R.REF. NO:. a ii' ��x.+ �r' Gln ^,� ? ?1P(+R4VED: TAX MAP DESIGNATION: BLOCK PCL. 01 (�' � •. � ri3O.1`1�1�,MA!�1 , _ . CUI`LFIOGUE', N Y 119sS DEED: L'ZQ11.9 P, 21& (QvIrly .t TEST HOLE STAMP ' I C.., 1 -'�y •,/ � • ,S �.....I C/ ;f�. � Z^~ 4�.�� `'l. ,yr i\'.}A... I��! 1�. �_� Y ��\, TJ F'�l.'l i.. /E ... ..,r,. '�AZ' "i '' :=lC LOAD-I I I' MAG' AHI:NDED MAY2!L1986 NOV.7, 1986 SEAL F10i J5 A,.,i 1 r /�Fr'r!�•f_` �r �y rti _ - t a _ - r ., IT f �^ .Y F• \c N'j �'i 1JNUlE�[l q-Nl E=C U TrJ 1JF! 1:1 r r MC TGFt__ � _ I y� 'Kvgz °v t-lfPJ.)Z'_�i116tAQP, S NICAGOT(ILE IN5UQAi ICE rOc ELEVAT14/45 2f Er4 TJ ^C'A` L.P. �'i_ ,: . /� +}�L.�GY_f''Jf: i;.�'i1j z✓��yfi. — _dj'r?1;: Sa�� + � ° , RODERICN TUYL. P.0 LICENSED LAND SURVEYORS A ��GAND SJP GREENPORT NEW YORK - • --. Y9 > SUFFOLK CO. HEALTH DEPT. APPROVAL,,, IR ! Y 35' V0.? AL.OI S _ j - ,}... ' .c i STATEMENT OF INTENT THE.WATER SUPPLY AND SEWAGE DISPOSAL ,. SYSTEMS FOR THIS RESIDENCE WILL ° , CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (Sl S Q E" { ' APPLICANT W.Fit c }:; � SUFFOLK_ .COUNTY DEPT. OF HEALTH r + SERVICES –' FOR APPROVAL OF CONSTRUCTION ONLY 1 . ta , J ,• DATE: 7, per! S.REF. NO.: .50 25 C+I ^ 3 't r /C°M' „ APPROVED: 75 p FOLK OJAX MAP DESIGNATION: BLOCK PCL. �. `� i:7 !�Irt! If" r} 'r:P � A��Ic._F1,>F..:•.N1.-�ti � �'w" �• I �x tq �:��'.��1 1 '�: ' 260.0 . . 1.�,b�° .t� 222.00 t;— gsc ^,ti"' s. �►p ES&: . Y P.a sow 56 (�`•, �� '� _ i-iA�.`'�fZ.MA.hI , . . CUT�HOGUE'�.Y, !Ig35 DEED: L.2499 P. ?8 CP-F—K)` pr4 1 , r ;)E r =c TEST HOLE STAMP Iii. ! ,.. _� i.�...lf , I\✓ � �� >� � `4 �\ -..j „ 1`�1 l�_��..... .I\'� TOr 5i:ii_ Al, SAT`1D r . I✓,A{�' AMENDCU- h1AY ?'��9h6 - J - - -- NOV.7, i9e(b SEAL A--4L—F �� OF NES ---- -- – 1P0GNICUEI.EF;':JJE Go U KSf��ANVIE"E`fE Cwv T� fALEN I=NI�U, rL'�Ai: ICE;CNKEoN1P1i< S(J6L%I1Pt- ONnc_Ko va �ti co ELEVAT!GtJSP_EF €rte 1 - — RORIC}( VAN TUYL. P.C. 4S 256 LICENSED LAND SURVEYORS { sF�CANDS GREENPORT NEW YORK \\11 1 3 , I � ' r:, �o a✓!c � — --- —�—T�- --rte__-- ti T �' I I _ I o O n z ch ul .- m ----- - --- ------ J O vel ux 3 g- - W 9 azo - --- g 13-1 I -� r APPROVED AS NOTED DATE: 6.P.N 's PROVIDE Tb HR. FIRE ' FEE` Of �� nuR EN RATED SEPARATION TO NOTIFY BUILDING DE EN Tse-1102 B AM TO 4 PM FOR THE PART 717.3 (f)(1) CODE. r ll f OLLOIMNG RRiFEenoNs: N.Y. STATE BUILDING _ I FOUNDATION - TWO REWIRED '� -q J . I, T— I _.. i - _� F011►OIRIED CONCRETE ff iV � I �I' 2- ROUdI . iRAfIN10 #I /LAMNBING i1 II � ! �I h I, �) - 3. INSULATION 4. FINAL • CONSTRUCTION MUST I i _ BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET --' — '- — -- � _----- --�— ---- -.--_- _,.T� THE REQUIREMENTS OF THE N.Y. - / STATE CONSTRUCTION A ENERGY y CODES NOT RESPONSIBLE FOR w DESIGN OR CONSTRUCTION ERRORS �7 � I _ O OCCUPANCY OR x USF IS UNLAWFULUNDERW REQU RED CERTIFICATE / WITHOUT CERTIFICATE OF OCCUPANCY 3 >i y.,. C( 0 � 1 i Gry� i au i i '`' r' "• a nc�r tiv11� 1� Ri�'U�_.. � .� 4 az o PW 77 w CDe 1R� � W I Std 15gt ROU.. F r. ou WAU, d p x LL P PIL 2Xr( Vi '"I �Z Q rAZ 'I �� '�✓iA1c3Yi,P7 rLDC�:Nu - ,� �' Fi �a�p'� � N r (hA1'C u'4 Lel- gip{ u (5),C'. i i l - — — ------ ._ _----I / 4i!(m 1 T — —� - --- 4 t t P 124 vLrrri. � Yz� �� X96rU c•cl a� �-w]Y,1u 0• Naw I� - -- -- -- -- - I - _ . . --- -- - - -+- - -- -- ---�-- -- '--�' � ' .. rr r. mom^ I 3 a 0 I oa_ c