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Home My WebLink About26215-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27284 Date: 08/31/00 THIS CERTIFIES that the building ADDITION Location of Property: 925 BENNETTS POND LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Nap No. 473889 Section 113 Block 13 Lot 10 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 20, 1999 pursuant to which Building Permit No. 26215-Z dated DECEMBER 20, 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 ADDITION TO EXISTING SINGLE FAMILY DWELLING AS BUILT AS APPLIED FOR. The certificate is issued to PETER & BARBARA SWAHN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 4 ho ized 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. 26215 Z Date DECEMBER 20, 1999 Permission is hereby granted to: PETER & BARBARA SWAHN PO BOX 729 MATTITUCK,NY 11952 for CONSTRUCT AN ADDITION TO EXISTING ONE FAMILY DWELLING. THIS REPLACES BUILDING PERMIT #8397Z DATED 3/1/76 WHICH HAS EXPIRED, at premises located at 925 BENNETTS POND LA MATTITUCK County Tax Map No. 473889 Section 113 Block 0013 Lot No. 010 pursuant to application dated DECEMBER 20 1999 and approved by the Building Inspector. Fee $ 75 . 00 Authorized S' gnature VIT ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD MAY 3 0 2000 j$ BUILDING DEPARTMENT TOWN HALL ;. 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 pioperty 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. _�_____-----.�--E-- B. For existing buildings (prior to April 9, 1457) non-conforming uses, or buildings and "pre-existing" land uses: r 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 Building - $100.00 ` 3. Copy of Certificate of Occupancy - .25v w4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 . 00 Date . . . . . . . . .�. . . .. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . .1. . Old Or Pre-existt'ng Building. . . . . . . . . . . . Location of Property. . . I/C, / . . . 5' . . . . . . : ::� ✓A>7f. . U�. . /�.,z . . . . . . /1�9a� . . . . . House No. / I rJ�S/Jtreet �// Hamlet Onwer or Owners of Property. . . . 4. . . .f. ��/.�1N:Y:�7. . • A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . • County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . oZ(o Permit No. . . . . . . . . . .Date Of Permit. `off 4�: 7.r`/. . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . - Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .�.,^ - Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . Com V7a� . . . . . . . � � / . . . . . . . . APPLICANT y 5TI ff tl? 2-�` 67�3 M-11102 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ELATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: L/ &,kt, ~ t eC DATE INSPECTOR ------------ - ___ II II � ;:-- -----n---- --'��" - _ - --- - -- - - -- � SSU it DATION ( IST) II It _Ji______—..__ --- -- --'-- -'-- - I ----- II jj 11 II DATION (2ND) II I� It -�I-----'------- -- -------- ------ - - Io c� :R FRAME S 11 it II II PLUMBING n it __ _----- — II-_--Jj_-_ __ -_-_-_-------------- ---- II II II II II y II H ATION PER N. Y. Iii e y I — It _ STATE ENERGY it CODE I JI FINAL 4 ADDITIONAL COMMENTS: tr, H O y� 9 FORM NO. 2 m TOWN AF'SOUTHOLD .:. BUILDING DEPARTMENT TOWWCLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)` N° 8397 Z Date ...... ...:..... ,9�, . Permission is hereby granted to* I ................ - °. ..... . p es located,at ... .. ... ... .... ... ari semis ............. Q, ,. t ................................................. .. - pursuant to application dated ...... ! ,...! 19 ..... and approved by the Building Inspector. Fee.$:J ....... Building Inspector 15- CHARLES sCHARLES M. THOMAS, R,A. P.O. Box 877 jotnesport, New York 11947 (516) 727-7993 ..................................... ......... ....... _ March 30, 2000 Mr. Gary Fish Building inspector Town of Southold Fie: Swo nz Residence Mr. Fish• " -T his letter shall certify that work inspected at the residence of Mr. & Mrs. Peter Swahn ate Bennetts Pond La. Mattituck is in conformance with NYS. Codes. Please call with any questions Since ,(y _C.heK 6 Thome #�ef,rflw , o�oSUFFot,��, Town Hall,53095 Main Road p Fax(516)765-1823 P.O. Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 tp BUILDING DEPARTMENT TOWN OF SOUTHOLD April 17 , 2000 Mr. & Mrs . Peter Swahn P.O. Box 729 Mattituck, NY 11952 % rifp Before a Certificate of Occupancy can be issued a Building Permit must be taken out for your deck. We need a Permit application, 3 sets of deck plans stamped by an architect or engineer, copy of survey showing placement of deck and a fee of $75 .00 . 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) 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. °a (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26215-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FORM NO. t TOWN OF SOUTHOLD BUILDING DEPARTMENT 1, TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ! k..../ .......... 76 Application No. ..ELI ............... � 357 � Approved ............................./........., 19....(x... Pemit No. .......................,............ Disapproveda/c ............................................................................................ .. (Building Inspector) APPLICATION FOR BUILDING PERMIT q(.� t1 Dote . . ........................0..................., 19.3. ..... INSTRUCTIONS a. This application must' be'completelyfilled in by typewriter or in ink and submitted in triplicate 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 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 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 code,housing code,and regulations,and to admit authorized inspectors on premises and in buildings for necessary inspections. Fri v w ias Ho SES I NL. ........................................................................................ (Signature of applicant,or name, if a corporation) U.......+: uo:.....N:Y... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. G �r w 4?Aa,lr C— ora 1 AAwC ,� ...................................................... .................................................................................................................................. Name of owner of premises ... 1{:.1..+;.r!L ..+ ,.1},I� 2 a,,,,,;5,�+✓ A t 1tJ . ............................................................................ If a lica t is a corporate, signature of duly authorized officer. !!tA. ................. (Name and of cord rate offic tl le er) Builder's License No. . Plumber's License No. ........................................................ Electrician's License No. ................................I.................... Other Trade's License No. ...................... ... . . " � Ep ap hl ...�?�?,N IV t : 5..... .cpy�1}� L.la ..Municipality................. 1. Location of land on which proposed work will be done. Ma No...................................... ... ...Lot No. ............ Streetand Number ..... .. .. . ... .... .................'................ . . . .... . . .......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................... b. Intended use and occupancy ..C .IV l'- +� o ..t'L....1�..n!:).�.1.ti.e. `!...-....� 4v i= NCS<.......................... 7 p o d l S7. 1-1 u v ,, r 3. Nature of work (check which applicable): New Building ....................... Addition ...+.!............... Alteration............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) 4. Estimated Cost .......y..4.,...0..0..... °� .. ..................... Fee ......... ....,.................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ................. Number of dwelling units on each floor ......................................... Ifgarage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of e9ch type of use ............. 7. Dimensions of existing structures, if any: Front ...rO............ Rear ..... 5................. Depth ..kg........................... Height1.4........ .. Number of Stories ...1... ....e.l.nz..........................V............................. Dimensions of same structure with alterations or additions: Front ...,D.................. Rear 1:� ....._........................... Depth . ,....... Height /.G.............................. Number of Stories ....� ..Z�� B. Dimensions of entire new construction: Front ......................... Rear ............................ Depth ................................. Height . r. '............ Number of Stories ....................................................... y Size of lFront x ............... Rear ....I.�.C'.............................. Depth ...a.qA ................................ 10. Date of Purchase 1AL.:. o.770......... Name of Former Owner ............................................................................ 11. Zone or 12. Does proposed construction i u which premises are situated ..................................................................................................... p violate any zoning law, ordinance or regulation: ....NO................................................. 13. Will lot be regraded .___Nk. ...._............... Will excess fill be removed from premises: [ l Yes [ ] No 14. Name of Owner of premises 1 .4?=�:, I..�Jk?Ii�t�RA...�`1.�vrSNtrl ...................................................... .......................... (Address) r _ (Phone No.) Name of Architect .. ......ly. t;R;S ..�.�S r hlG:...'�1 l�k.l.cl...A1)....,7�,t..I t-IoCt> �/o Jr ,x233 4?... p J U ,.�. t (Address) ` (Pho�niNo.) Nameof Contractor ................................................................................ .................................................. ............... (Address)( Phone No.) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according t( deed, and show street names and indicate wheth- er interior or corner to . o—r * S hgPoF �'� �S }7oN1� ®.; 5a t `F Nnu }gy;t ST ICN f6 133 i STATE OF NEW YORK, SS _ COUNTY OF .............................................�1.y ✓ ,,........) 13 GI")N r rw( S POND Name of individual.st ii """""""""'• being duly sworn, deposes and says that he is the applicant above named. ( contract) Heis the ................... .G. A •..................................................................................................................................................... (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 contained 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, ......................................day of .................................................. 19 ............., NotaryPublic. .............. ...... .........•..................................... County ..4y ......:......... ..� ........................................... 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