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HomeMy WebLinkAbout26067-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26836 Date: 12/13/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 3985 SOUND AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 121 Block 1 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 1999 pursuant to which Building Permit No. 26067-Z dated OCTOBER 21, 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 FREESTANDING ACCESSORY DECK AS APPLIED FOR "AS BUILT" The certificate is issued to DAVID & JANE TAYLOR STARWOOD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Z4 u' ding Inspector 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. 26067 Z Date OCTOBER 21, 1999 Permission is hereby granted to: DAVID STARWOOD & ANO. PO BOX 387 MATTITUCK,NY 11952 for CONSTRUCTION OF A FREESTANDING ACCESSORY DECK "AS BUILT" AS APPLIED FOR. at premises located at 3985 SOUND AVE MATTITUCK County Tax Map No. 473889 Section 121 Block 0001 Lot No. 002 pursuant to application dated AUGUST 11 1999 and approved by the Building Inspector. Fee $ 35 . 00 Auth zed Signature ORIGINAL Rev. 2/19/98 Form No. 6 r-- LLt TOWN OF SOUTHOLD �rBUILDING DEPARTMENT 6TOWN IMLL AW 765-1802APPLICATION POR CLR'1'IPICAI'G OP OCCUPANCYr:7 A. 'Chis 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 1nstnlJatJon from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains Jess 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-confor.mJ_ng uses, or buildings and "pre-existing" Land uses: 1 . Ar,curnte survey of property showing all property lines, streets, bullding and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the appl.iennr. 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 BuIldinn - $100.00 3. Copy of Certificate of Occupancy - .25C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentl 1 $15.00, Commercial f Commercial $ 5.00 Date . . . . ( qq / . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . oldorPre-existing Building. . A. . . . . . . . . . . . . . . Loca CJ.on of Property. . . . . . . �AU.. . . . .�JG f1� 1 I(. y.. .- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. �,{� �� ,� T�q '1 Street p hamlet Onwer or Owners of Property. . . . YV-�d. ,y.,, . ✓J�Ne; . II �Q�, .C�. � 4 ©�.� . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . Z . . . . . .Block. . . !. . . . . . . . . . . .Lot. . . Z . . I . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval.. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Fii erticate. . . . . . . . .`.�) Fee Suhmlued: $_ _ . . . . . . . . . . . . . . I . . . . . . . . . c� g3�r Arrr. . . . . . . . . . . . . . . . . . . . . . . . � APPLIC R 5�aaa. h�o��SpFFO(k9 y G Town Hall,53095 Main Road O Fax(516) 765-1823 P.O.Box 1179 Telephone(516)765-1802 Southold,New York 11971-0959 D �yC y�o� BUILDING DEPARTMENT TOWN OF SOUTHOLD December 2, 1999 David Starwood P.O. Box 387 Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : 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. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 26067-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. (2 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [�/FINAL [ ] FIREPLACES CHIMNEY REMARKS:'AJ J � DATE -INSPECTORlV I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Lv�l DATE ZOCo INSPECTOR LD INSPECTION REPORT DATE COMMENTS �• H u n 'NDATION ( 1ST) INDATION (2ND)______ ________ _______________________________________________________ -{ u z W >r n IGH FRAME & II---- II PLUMBING II _ it — I�I u I n—_— ii H iULATION PER N. Y. —VIII y STATE ENERGY _ I N N CODE lu- if it u it ------------- ----------------------------------- ___==________________ If -------------------- IIi It y U 11 -al 11 FINAL ADDITIONAL COMMENTS: r ra H H H O z ---- - d b FJbi Lli ly'j� LkJ: �6 �1615ati11L UHklb I lAN K LUHAHUL 1C' HAUL U2 ' ,. ,:r ',w7�pip., -k. ,•1 .. ..—._JL�.1l��._��-33.4 .._ l �Yyt . A ,i4 � lr Ghu jFt v r�t' 4h " , i14` r (f�'11 le 1 1 r'JwM'�' , 1 3 r i�1 i� }�:5 • ' +' ^'a !�'S'� r 1 ally 7�',) � ,r rk,. �iY:t y r f� r,r i;.k^1 i4, y '- 1 R•. r I "h: klwpl �CJII TV Vx r AI1VF ►�D h �A�fE,. TASCLOs t U IE��1(, `Co ` '1� t ;° 4�. 'INB.' 00, OF N .'Y'. PvlliA. t 9A„ J: � OWN BLOCK TIUw'::-XATTXTTJ0K '�'dW�{ OF°"80U'TttoLD, Stll�l�1141�, C�. N.Y. t ` ttn► ! o k. RATI 3/9!74 .'NbTE r 'N o rimmarASPI) ARADPI. STPYET MAINTAINEIr BY TOWN 4 -- S 85 O'4.0'40oc 208. 96 1 `4 NV^ W *QV N :tipGy�y• Q � •r'ato%r�K,y , ' � ' tz e fy a; nl f�iFJ.'87 1''rY Yfff Iil ti ' S !5 �yCCi4 } ` I y' i1i ,,r Mµ!f yr � S'M1�I��,. M1i{5 1 ' .' r, i - YM'7 7'Y• <:r ,y ( N 3 l 4 ,M Y(V 1(.� f . i 4 Y 1 1 . {I i (tl��`' I t .�•t�Ir�rY ���'• ,!�°' y Yr'tY�4• Ail, �� yS +�,pj w x 4• � 1 I� . � rY 1 "fr,r•,r J 1 1 ♦ ...555555K p., i+ d r r I ".ylg� M1r +' �t•'y'i�" rye '-,W k}}�'d1c� r:YY-Y ,��' i A.'M1 S �'�j� s.��. �F'; Ory c S;.ry q t_ 7 . R 5 r�,1; `.«"a• . .•. ?;,; 'h ^Ir'i . . �,'�I'!'.I o > I.� .• .4 I', l ..� • .� •�:�V9i�,`''rAl�'�" i3.°fbfl�Nl�dmt::'%';irk=' 7!V�' Ymm.lw:•,. ;:! tea- _ ,, _ '• 777, m i g x - N N , F } @ Z �$ U ffi R � d x � o � '1 o a `fl R _ x ;IRA 4� 33 % I / BOARD OF UEALTII . . . . . . . . . . . . . . FORM NO. 1 /3 SETS OF PLANS . . . . . . . . . . . . . . TOWN OF SOUTIIOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CIIECR . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . SOUI'1101,D, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL O 27.C= . Examined.................. 19.... t�1 �l MAI1. TO: . . . . . . . . . . . . . . . . . Approved...ItZiZ"...... 191 Penult No. .C1SRY.J(..�2... ............................... Disapproveda/c .................................. ............................... ...................................................... i 1 (1luuilding 1 .:h'or) . APPLICATION FOR BUILDING PERMIT BLDG. DEPT. Date. . . . . . . . . . . . . . . . . 19. . TO'.:"r' Or SOL'7HG D INSTRUCTIONS n. 'finis application must be completely filled in by typewriter or in iult mal admitted In the Bailding ❑mliewt( 3 sets of plans, accurate plot plan to scale. Fee according to sitedul.e. b. Plot plan aluowirng location of lot and of buildings on premises, relationship to adjoining premises or prl,li(.. streets or areas, and giving a detailed description of layout of property mint be drawn on the disgran wlricli is part this application. c. 'lire work covered by this application may riot be cavmnced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. ' permit shall be.kept on the premises available for inspection thror>gtxxit tire work. e. No building shall be occupied or used in Miele or in part for arty purpose whatever until a Certificate of Occupant' Shall have been granted by Line Building Inspector. APPI.ICNriN I5IgREBY MARE to the Building Department for Lire issuance of n Building Permit pursmit to the. Building Zane Ordinance of Nue Town of Southold, Suffolk County, New York, and other applicable laws, Ordinances or Regulations, for the construction of buuildings, arklitions or siteratims, ,for removal or demolition, as herein described. lire applicant agrees to comply with all applicable laws, or mar s, ilding , housing code, arxl regulations,.and to admit authorized inspectors on premises and in lxui n or 'Ban ...c .............................. (Signri 4!e of applicant, or name, if a corporatio 39 5,So uP.,g�e... l► —�� !c (Mailing address of applicant) State whither applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, ptudmer or tau ........................0 W 0el} ............................................. .................................... Name of owner of premises ....... 4 V 1 I> J�%f3�U�©4Y ............... .......................................................... (as on tine tax roll or latest deed) If applicant is a corporation, signature of rkily authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ......................... Pluabers License No. ......................... Electricians License No. ..................... ONuer Trade's License No. .................... 1. Location of land an which proposed work t will be done.....'.1.........../......................................... U. .. c✓.Q� !? n.3u�. /.... T�, t��.lc....!u �....................... ..... ............. House Number Street Unlet County Tax Map No. 1000 Section ....1.Lj........ Block ...!............ Lot .... .......... Subdivision ...................................... Filed !trop No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use anxl occupancy of proposed construction: a. Existing use arid occupancy ....... ................................................... ........... b. Intended use and occupant' 1 F�F.... ?. n r.0 .ID ec - I`f 7c 2 .............. ......................................... 3. Noture of work (dueck witirit applicable). New Wilding ........... ltiWition .... ... A teration .......... Repair ............ Removal ............. Demolition ,........... Other Work �C . ....................... (Description) 4. tistimated Cost .......................... fee .............................................. (to be paid on filing this application) 5. if dwelling. urber of dwelling units ............ Hurdler of dwelling units on each floor ................ Ifgarage, umber of cars ...................................... 6. If Ifusioess, arnrercial or mixed`occupancy, specify nature and extent of each type of use......... 7. Df minfiaus of existing atructures. If any; Font.. .............. Rear ............... Depth ................. Ikeight ......................... Nullifier of Stories ...................... Dinensiaus of sure structure with alterations or additions; Front ............... Rear ............... lleplh .................... Deight .................... Nrber of Stories ............... If. Mueusiona of entire new construction; Front ................ Rear ............... Depth .............. IleighL ......................... Nruduer of SLories ..................... 9. Size of lot; Firm .................... Rear .................... Depth .................. � l� 10. Wile of Puritaie ..................... Marm of Fonder (Mier .. ... ................................... If. Zone or use district in w1iidr premises are situated .............................................................. 12. Does proposed construction violate any un(ng law, ordinaoce or regulation; ........................ I.J. Will lot ire regraded .................... Will excess fill be removed from premises; YES NO 14. Nines of (Mier of premises ........................... Aikiress .............................. 1lo ne No. ............ Nine of ArrluitecC .................................... Addreas .............................. Dane No. . .. ... .. .... Nine of Contractor ................................... rluldress ................................Mane No. ........... , 15. is this property within 300 feeL.of a tidal wetlmxl? * YES .......... No .......... *IF YL+S, NIUIIttfin mm 1131sms mLRHrr Mt1Y ge Rapim). PLOT DIAGRAM l.a;ate clearly and distinctly all buildings, ullelher existing or proposed, and Indicate all set-hack dimensions fron property lines. Give street and block nnber or description according to deed, and slaw street naves and indicate wluetiwr interior or corner lot. / ./ / FCL' 57i9t1D/ �Q ��F' � 2 `� PES 71' S0.et,ey A �� 'Q, SI'Klli M- N31 YIMtK, �(r SS (1JIINIY (A? ...��'.l....� �W ` �©I/....lueivyl duly sworn, deputies affil says Uwl' he is the appl.iamit. (Mmm of individual. signing contract) idxive fumed, liein Life ................ ................................................................. (Caulractor, agent,-corporate officer, etc.) I I of said trmier or owners, sal is duly nrLiarized to Ive.rformu or hive pxerfurulad Liv; said work mxl La nuke and file this application; LhaL all aLatemnts crut:a(ned in Lhi.a application are Lone to Live hest of hie knowledge and hfilieN and that. the work will lie performed in Life manner set forth in the application filed dierewildt. Sworn to before me tills r� .......... .......day of ....199 .... Notary Public ....... , (Silifwd:ure of Applicant) PAUL A. CAMINITI NOTARY PUBLIC, State of New York No. 5581910 Qualified in Suffolk Count Commission Expires June 30,