The URL can be used to link to this page

Home My WebLink About26126-zFORM NO. 4 TOWN OF ~OUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26785 Date: 11/15/99 THIS CERTIFIES that the building Location of Property: 3965 MILL LA (HOUSE NO.) County Tax Map No. 473889 Section 107 ADDITION MATTITUCK (STREET) (HAMLET) Block 4 Lot 2.8 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1999 pursuant to which Building Permit No. 26126-Z dated NOVEMBER 4, 1999 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ARTHUR & LAURETTA J BAUER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A 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. 26126 Z Date NOVEMBER 43 '99 Permission is hereby granted to: ARTHUR & LAURETTA J BAUER 3965 MILL LANE MATTITUCK~NY 11952 for : CONSTRUCTION OF A DECK ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 3965 MILL LA MATTITUCK County Tax Map No. 473889 Section 107 Block 0004 Lot No. 002.008 pursuant to application dated SEPTEMBER 24 99 and approved by the Building Inspector. Fee $ 75.00 Authorized Signature Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE or This application must be filled in by typewriter OR ink and submitted tO t~ai~ g inspector with the following: for new building or new u~e: 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 i% lead. 5. Coramercial building, industrial building, multiple residences and similar building 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 '!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 i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $~.%0.0, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. $'~'~" ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 Date..C~' / .~'.0- / .~ ~ ............................ New Construction ..... Old Or Pre-existing Building ................ Location of Property.. i..~. .~. ~. ~ ........ ~..~. ~.~..~. ........ .~.5 ...... ~-~.~'-~-'~. ........... House No. Street Hamlet Onwer Owners of perty~.-f .~ ~ ~..~.~.~..~.~.~-.~..~- · · or Pro ................................ County Tax Map No 1000, Section...~..~.P ...... Block....~ ........... Lot..~.!.~- ............. Subdivision .' .~...~..~...~. J.~....~. -~..~.~. ........... Filed Map .~.~;1 ........ Lot ..... .~. ............. Permit No..J~. ........ Date Of Permit... .~ [ ...Applicant ........................... Health Dept. Approval...~..~..~. .................. Underwriters Approval.~..~....~[~- .~-.]'~ .......... Planning Board Approval ... Request for: Temporary Certificate ........... Final Certicate..~. ....... ~[ee Submitted: $ .~5.~..~.'· ................... ~ ~ ~C g~-r'] 105 APPLICANT '% ,/ d APPROVED AS i~OTEO 7~.~- 802 9 AM TO 4 PM~ FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO {EQUIRED FOR POURED CONCRETI 2, ROUGH - FRAMING & 3LUMBING 3. INSULATION 4, FINAL · CONSTRUCTI3N MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SH, kLL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 'M/~TT[Tt,,I(~K, I'IY 119(~ INSPECTION REPORT DATE INDATION ( I ST) I~ ti .................................... ___ __ INDATION ( 2ND ) II It SULATION PER bl. Y. STATE ENERGY CODE FINAL ADDITIONAL COI~IENTS: 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING [ ] ROUGH PLBG. [ //]/FINAL ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ~~~/~ -FORM NO ~ I TOWN OF SOUTI~OLD BUILDING DEPARTMENT TONN HALL SOUTHOLD, NoY. I ]97 ! TEL: 765-]802 ~nined .................. 19 .... ~ro~od ..... lt:.t ........ ,o.~? Pe,~t,o..~./.~ Disappr~ed a/c ............................... .. · .... (Bulldin~ I~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... CALL ............... MAlL TO: .................... a. 'this application mint be caupletely filled in by type~iter or in ink and submitted to the Building Inspector witl 3 sets of plans, accurate plot plas to scale. Fee according to schedule. b. Plot plan shooing location of lot and of buildings ee premises, relationship to adjoining praaises or pablic streets or areas, aod giving a detailed description of layout of property rmst be drla~a on the diagram vtfich is part of this application. c. ~e ~ork covered by fl~is application my not be ccr~nced before issuance of Building Permit. d. ~ approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Buch permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in ~ole or in part for any purpose ~hatever until a Certificate of Occt,'pascy shall have been granted by the Building Inspector. APPLICATIC[~ IS I~i liallB ~o the Building Department for the issmmce of a Building Pemit pursuant to the B~ilding Zone Ordinance of the Toan of ~on~old, Buffolk Camry, Ne~ York, and other applicable La~s, Ordinances or Regulatioas, for the construction of buildings, additions or alterations, or for raroval or demolition, as herein described. ~tm applicant agrees to eonpl¥ vlth all appllcable la~s, ordi.~ee, building code, housing code, and regulations, and to admlt suthorized inspectors on premises asd in ?~~nspections- (Signature of applicant, or name, if a corparatlo~) (Mailing address of applicast) )lt~ ~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Na~e and title of corporate officer) Builders License No .......................... Plu~ers License NO .......................... Electricians License No ...................... Other Trade's License NO ................ .. . . 1. Location of land on ~hich proposed ~ork will be done ................... i~'~ .... [''"~'i ~'} ........ ; .... 7~' ....... ~4~cc_ C q /JoeM, tJ ~ . .3~ cS q ~ TI ..... ~....~ ........... fl.51 ........ ~ ~ion ...... Bi~ ....Ur. .......... ~t .'.a..:~. '"t~' ....... .................... ,iied No ............. ....... a. Existing use and occupancy ..,..- ...... ~-c;..,...-~. .................................. ,%i,?d~l'?t,, ,~ .... ~ propert~ lines. Give street ~d ~e~ber interior or corner lot. I~palr ............ P~val ..... ~ ....... De~lition ............ O~her Work " (~ripti~) If garage, t~t~r of If beairmsa, ~rcial or Din~nsi~ of ~ st~re ~th[ altera~s or ~xtxons: ~ont .,~..~.. ~.. ~ or u~ district in ~id~p~x~s' ' am si~t~ ............... ....................................... ~ PLOT DIAGRAM 1~ ~r or ~scripti~ acco~ing to ~, a~ ~ strut ~s ~ i~ica~e ~FA'IE (!F I~ YOt~K, ................................... J ................... bei~g duly s~rom, delos,s and .says tlmt be is lA~e applicant (Nane of it~lividual aigniig contract) ' is t,,e ....n ........................................................ ~agent, c?'(C~tractor, rporate officer, etc.) of .,mid om~er or owners, and is duly aOtborlzed to perfom or have perfoxv~d lam said work and to make and file this apphcat~on; that all statc~nants conta ned in this applicati~ are tree to the best of his knowledge al~.l belief, m~] that the WOrk will I~ perfonne4 in the ]maturer set forth in la,e appl. ication filed therewith. ,9~m to before ae this ~-. '~ i ^ Notary IMbllc ...................... , ......... IIIANE ~. PAWI~ { ~0. OlPA~m~ { ~--J " Yo'~l,"~ ~c Yo't,t~, ,[,~l~d ~ 516-~2~-2303 ~ 66 ~ ~' ~ ~ $ ~ ~ ~ ~ . '1 ~ F~IUAR ~ SE ~*ND~DS r~ *PPROV~ AND ~NS~UC~ON ~/ LOT NOD, WOLF PIT POND ESTATES ~~ ~~, LO~ lO ~~~~ ~ / A[:MATTiTUCK Tow~ of: SOUTHOLD o Suffolk County, New York LAURETTA d. BAUER ~ ~% NORTH FORK BANK 6TRUST C OM.NY Lot 12 ~ ~ / 2 m = MONUMENT FOUND :~ COMMONWEALTH LAND TITLE INSURANCE COMPANY 4, P~DDOCK ~NCES NOT SHO N HEREON. ! ~ ~ ~ JULY 5, 1995 JOB NO. :9~ 0209