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Home My WebLink About25719-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTFd~NT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26594 Date: 07/26/99 THIS CERTIFIES that the building ADDITION Location of Property: 475 WILLIS CREEK DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 17 Lot 17.15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2g~ 1999 pursuant to which Building Permit No. 25719-Z dated MAY 12, 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 FA/~ILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to SAL TUSA of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRIC2%L CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A W/A N/A FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25719 Z Date MAY 12~ 1999 Permission is hereby granted to: SAL TUSA 11 REGAL COURT ST JAMES~NY 11780 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR "AS BUILT" at premises located at County Tax Map No. 473889 Section 115 pursuant to application dated MARCH Building Inspector. 475 WILLIS CREEK DR MATTITUCK Block 0017 Lot No. 017.015 29 1999 and approved by the Fee $ 75.00 authorized Signature ORIGINAL Rev. 2/19/98 TOWN HALL ~ 765-1802 ~%) APPLICATION FOR CERTIFICATE OF OCCUFAiNCY ~O ~ ~ This application must be filled in by typewriter OR ink and submitted to the buildl inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property lin, 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 ~nstallation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain: less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buil, and installations, a certificate of Code Compliance from architect or engineer responsible for the building. %. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings '!pre-existing" land uses: I. Accurate survey of property showing all preperty lines, streets, building and unusual natural or topographic features. 'i 2. A properly completed application and a consent to inspect signed by the applic If a Certificate If Occupancy is denied, the Building Inspector shall state th 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, Sw4~ing pool $25.00, Accessory building $25.0 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $I5.00 House No. Street Hamlet On.er O ersof,opert, ¢ -' County .o ,.000. .... Subdivision d ~p ............ Loc ........... HealBh Dept. Approval .......................... Unde~iters Approval .................. Planning Board Approval ........................ ~ Y Request for' Temporary Certificate Final Ce~icat ......... Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTItOLD July 20, 1999 Sal Tusa P.O. Box 473 Smithtown, NY 11787 RE: 475 Willis Creek Dr., Mattituck. 1000-115-17-17.5 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. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25719-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ] FIREPLACE & CHIMNEY DATE -/' /// INSP£CTOR/~~~ REPORT DATE COHHENTS OUNDATI ON (]ST) OUNDATION (2ND) OUGH FPa~4E & PLUI~INC NSULATION PER N. Y. STATE ENERGY coD~ Il FORH NO. I TO~/N OF SOUTHOLD EBILDING DEPARTI4ENT TOW~ HALL SOUTHOLD, N. ¥. I ] 97 I T~L: 765-1802 Ot~m~ed a/c ............................. .. . . SURVEY ......... C~IECK ...................... SEPTIC FORH . .. I{AIL TO: .................. APPLICATION FOR BUILDING PERHIT I leOU~DAllO~ - ~ REQUIRED 4. FINAL -. CONSTRUCTION MUST RE ~)M~LETE FO~ C.O. ALL CONffrRUCTION SHALL MEET Other Trad~'s Lice~e tb ..................... ' THE REQUIREMENTS OF THE N.Y. I ............ ~'I'AT~ CONSTRUCTION &, ~NER~¥ · ~c~ or i~ ~ ~z~ ~ ~ ~11 ~ ~ ......................... ~Eg,--~T-~e~i~. ~ ~r S~t ~let ~~. ,~ ~,~ ...Z~ .... ~ ...ZZ ....... ~, 2. S~e ~sti~ ~ ~ ~ of ~s ~ ~t~ ~ ~ ~ of ~ ~t~tim: a. ~st~ ~ ~ ~ ............................................................................. (I~ and title of corpm'ate officer) OCCUPANCY OR USE IS UNLAWFUL Buil,~,~ uce~ lb ................ WITHOUT CERTIFiC~,T~. Electricians Liaman No ............ .OLO. O. CU PAN t' ! a. This application must be ~e,,?.letely filled in by t-ype~iter or in ink and submitted to the Building Inspae£oL 3 ants of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan abo~ing lecatico of lot and of buildi~s an premises, relatielmhip to adjoining premlans or public streets or areas, ~d giving a detailed descrip~ico of layout of property m~st be dra~u co the dingr~ ~hich is part this applicat ico. c. ' The ~rk covered by this applicatiee my not be cameneed before issuance of Building Pemlt. d. Upo~ at. royal of this applice£ioa, the Building Iuspector will issue a Building Permit to the applic2mt. pamit shall be kept co the pravi.ans available for ianpectiee thret~beut the ~,~ork. e. ~Io building shall be occupied or used in ~aole or in part for any purpose ~aatever until a Certificate of Oeeupancy d~ll ha~e been p,~'a,,r~d by the Building Inspector. APPLICATI(~I IS ~ ~ to the Building Pepartm~nt for the issum~e of a Building Permi~ purs~n[ to the Building Zo~ Ordii~nce of the To~ of flouthold, Suffolk C0~t-y, ~ York. and ocher applicable La~s, Ordinaries'or Re~ulatlo~s, for the censt-mctico of buildi~s, additions or altaracicos, or for rem~al or ~litico, as herein described. ~e applicimt ~greea to ~,~ply with all applicable la~, ordinal?cee, building code, hc~sing code, and regulati~us, aedto ~it anthorized inspectors ~n premises and in bu~r~ary inspecticos. .........~Y~ c//~ ..~.~ ....................... · "~Signa'tore of'applle~t, or na~, if a corporation) (t~aillng addre~ of appllcent) State ~hether applicant i* ~,a~, le~, agent, architect, engineer, general ccotractor, elecrriclan, plmber or ....................................... ....... If applican~ is a corporation, sigan~a~re of duly anthorized officer. ' ~_ 7% , BY:. ' ~ ~ DEPAI~MENT AT ......................................................... · t,~.'l~O~ ~ AM TO 4 PM FOR THE 3. Itature of work (check ~lfich applicable): ~ Duilding .......... Niditioo .......... Alteration .......... Repair ............ ltwa~al ............. l~m~litloo ............ Offer Nork ~)~.~. ...................... 4. I~st i.~ted Cos ~. ....... fee .............................................. (to be paid un filing this application) 5. I[ d~llin&, ntmber of d~elling units ............ Ii.abet of d~elling traits ~m each floor ................ If garage, nt~ber of cars ...................................... 6. If business, ~,~ercial or mi~cl occupancy, specify rmture and extent of each type of use ...................... ?. Dimensions of existing stt~ctures, if any: Frcmt ................ Rear ............... Depth ................. [leight ......................... limber of Stories ...................... Dimeneione of same st~uctu~ vtth alteratione or additions: Fro~t ............... Rear ............... Depth .................... BaiEht ................. ~/_____;'2' Number of Stories ............... 8. ,.nei of enti t=ti : Mt Rear ............... Da,th Beight ......................... Rm/0er o£ Stories ..................... 9. . Size of lot: Fro~t .................... Rear .................... Depth .................... f0. Date of Porchase ..................... Nare of Former Omer ........................................ I f. Zone or uae district in ~hich pr~ises are situated ........................................................ ' ...... 12. Does ~ co~structioo violate any zoalug la~, ordinance or regulatioa: ........................ 13. ~/ill lot be vegrnded .................... lJill e~ene fill be removed imm premises: ~- 14. Ita~ of O~mer of p,'e,~ises . . i~drnes ......................... Phone No. ~ o~ Architect Nldress 15. Is this t,~operty wlthiu 300 feet of a tidal ~tland? * ~E5 .......... ~ ...... PLOT DIAGRAH Locate dearly ~ distinctly all buildlnga~ ~hethor existing or p~opesed, and indicate all set-back di~nsious fr~ property lines. Ci~e street a~l block t~ber or daseriptiou according to deed, and sho~ street nan. s and indicate ~/aether interior or comer lot. ,July ?~rn, detx~.~, ar~! .~ay.~ that be_ is tim applicant · 9~rn to before me this ........... of .... . ~ ~ot~y ~li¢ ......... .~../td...~.. .............. KATHRYN $. TUSA NOTARY PUBLIC, 5'ate of New York No. 52-4867§56 ~gnature of apptieaut) (Contractor, agent, corporate officer, etc.) of said o~er or ~mers, and is duly authorized to perform or have perfon~nd the said work and to me!m and file this application; that att state~ents contained in this application are true to the best of his kn~lndge and betiefl and that the work wilt be performed in tt~ mariner set forth in the application film therewith.