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HomeMy WebLinkAbout25787-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26668 Date: 09/07/99 THIS CERTIFIES that the building ADDITION Location of Property: 715 BAY AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 143 Block 4 Subdivision Filed Map No. __ Lot No. -- MATTITUCK Lot 3 (HAMLET) conforms substantially to the Application for Building permit heretofore filed in this office dated APRIL 20f 1999 pursuant to which Building Permit No. 25787-Z dated JUNE 11, 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 ADDITI~ TO EXISTING ON~ FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to MARTIN J TARPE¥, JR. (O~MER) 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. 25787 Z Date JUNE 11~ 1999 Permission is hereby granted to: MARTIN J TARPEY 715 BAY AVE MATTITUCK~NY 11952 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR "AS BUILT" at premises located at County Tax Map No. 473889 Section 143 pursuant to application dated APRIL Building Inspector. 715 BAY AVE Block 20 1999 MATTITUCK 0004 Lot No. 003 and approved by the Fee $ 75.00 Aut hori~fed Sigrf~ture ORIGINAL Rev. 2/19/98 FORM NO, 6 TOWN OF SOUTHOLD · . Building D~l)artmont " Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in Wpewriter OR ink, and submitted ~ ~ to the Building Inspec tar with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusua natural or topograpblc features. 2, Final approval of Health Dept. of water supply and sewerage disposal-iS-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters, 4. Commercial buildings, Industrial buildings, Multiple Residences and simi[ar bu~idlngs and Installs fleas, a certificate of Code compliance from the Architect or Engineer responsible for the 5. Submit Planning Board approval of completed site plan requirements where applicable. .For ex[sting buildings [prior to April 1957), Non-conforming uses, or buildings and "pre-existing land uses; 1. Accurate survey of p=operty showing all property lines, streets, build{ngs and unusual natural c topograpl~ic features. 2. Sworn statemcnt of owner or previous owner'as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent inform~ tlon required to prepare a certilicate, C, Fees: .l. Certificate of occupancv $25;B0-- BUS[NESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Cepy of certificate ef occupancy $ 5,'00, eve~ 5 years 5. Upd~te~ c.g. ~"50.00 Date ...... ~. .~ ..... NawCOns[~uc~ion ~ Old or Pre-ax[sting Buildina Vacant Land Location of Proper~/ ....... ~'.~.~.. ~*~Xg ~,~. ~.~.~ ~X ...... CoanW Tax Map ~o. l~O0 Section ...3.-A~ ...... Block . ...~ .......... kot ............. SuBdivision ................................. Filed Map ~o ........... Lot Permit No ........... Date of Permit .......... Applicant ................................ ,. Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval ........................ Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate .,...~ ......... ?~,~'. · .. Fee Submitted $.. ' .................... Construction on above described building and perch;t, meets all appllcabie codes and regulations. ..... ................. Rev. lO.le.?a 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 SOUTHOLD June 21, 1999 Mr. & Mrs. Martin Tarpey 715 Bay Avenue Mattituck, New York 11952 Please note, your Pre-existing Certificate of Occupancy can not be issued until your 2 open Building Permits have been issued Certificates of Occupancy. To Whom This ~ay 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 # 25787-Z DECK our office on this matter. Thank you for Please contact cooperation. SOUTHOLD TOWN BUILDING DEPT. ;~ - N'fOI',fuMEI,IT GUA~AN'T',~r:-D TO.TM~ SECUI2.tTY TITLE AND_,_".'. ~JAD.,At,~TY COI,,~.ImA. t-,P(' AND 'TO TME NOETN ' VAN TUYL ~ 50N . LICEnSeD LAMD'' ~U~V~YO~ .... ? ~lt-~D IlqS~PKCTION IB~PORT DATE CG~NTS ~Ot~NI)A~ IO1,] (iS'Y) f~AX3[O~ (2~U) 2~SULAT3[ON PER N. ¥. STATE ENERGY CODE FINAL ADDITIONAL CO~S: jgcq , ./ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 Exa,nined ~ ~. ~...~....., 19 ~-~ Disapprove[{ a/c .................................... BOARD OF IIEALTII -' ..... 3 SETS OF PLANS ..L'.... SURVEY .......... CHECK .......... SEPTIC FORM ............. NOTIFY ... MAI To: APPLICA'I tON FOR BUILDING PERMIT' · ~ INSTRUCTIONS : a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 t'o adjoining pr'emises or public streel or areas, and giving a detalied~description of layout of property must be drawn on the diagram which is part of this appl cation. ¢. Tile work covered by this application may not be commenced before issuance of Building Permit. dj Upon approval of this application, tile Building Inspector will issued a Building Permit to the applicant. Such perm 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 CertiBcate of Occupanc shall41ave been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for tile issuance of a Building Permit pursuant to tl- Building Zone Ordinance of tile Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for tile construction of buildings, additions or alterations, or for removal or demolition, as herein deseribe~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary inspe~/~ '~' '' (Signature o[,a~ica" n~,~or~',~il; &'Corporation) State whether applicant is owner, lessee, agent, architeot, sngineer, general contractor, electrician, 'plumber or builde .................... (as on th~ tax If applicant is a corporation, signature of duly authorized officer. ~ ~.l~lO ~'~AR~IENT"~I (Name and title of corporate officer) · Builder's License No.. . Plu,nber's Liceuse, No ........ USE 'IS' 'UNLAWFUL Electrician's License No. .... WITHOUT CERTIFICATE ~'l~ $ ~ TO 4 RM FOR THE ~ I#aI'C-CDONS: t ~ - ~O REQUIRED [ ~-~& ~MBING 4. FIlL. CONS?RUCTION MUST ~ ~ ~R C.O. ~ , ' A~ ~NSTRUC~ON SHALL MEET ~E REOUIREMENTS OF THE KY, ~ATE CON$TRU~ION & ENERGY Other Trade's License No ...................... I. Location of land on which propo o ........... DE.SIGN. O.R..CONSTr .,,J.C..~ ~ .EJar ;,.,..o. , 'House Number ' Street . {I;in'l;t' .......... ....... ..... County Tax Map No. 1000 Section ............... Bloc ............... Lot ............... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing usc and occupancy of prenfiscs and intended use and occupancy of ~roposed construct~ofl: a. Existing use and occupancy ...... ~. · .~ .... ; -'- ·; .............. b. lntended use ann occupancy· · .. · .~. ... ............................. ~.~ tcheck which applicable): New Building .......... Addition .......... Alteration .,,qatar .............. Removal .............. Demolition .............. Other W'ork ............. .~'~.~:9 (Description~ Estimated Cost ............................ Fee .................................... (to be paid on filing this application) If dwelling, numbe'r of dwelling units ............ i.. Number of dwelling units on each floor ............. If garage, number o~ cars ...................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............ Height ............... Number of Stories ...................................................... Dimensions'of same structure with alterations or additions: Front ................. Rear ............... Depth ...................... Ite~ht ...................... Number of Stories ................... '-.& Dimensionsofentirenewconstmction: Front ~ ~ ~v /3~ ~s Depth . Height .. ~. ........ . Number of Stories ...................................................... 9. Size of lot: Front ...................... Rear ...................... Depth 10. Date of Purchase ............................. Name of Fomer Owner .......................... 1 1. Zone or use district in which premises are situated .................................................. 12. ~ Does proposed construction violate any zoning law, ordinance or regulation: ............................. 13. Will lot be regraded ............................ Will excess fill be removed from premises: 14. Name of Owner &premises .................... Address ................... Phone No ............. Nme of Architect ........................... Address ................... Phone No ............. N~e of Contractor .......................... Address .... : .............. Phone No ............. 15. Ia this property located within 300 feet of a tidal wetland? *Yes ..... No .; ... *If yes, Southold To~ Trustees Pe~it maybe required. ~ ~ ~ ' ~ PLOT DIAG~M . Locate clearly and distinctly MI bulldogs, whether existing or proposed,~ an&indicate all set-back d~ensions fr prope~y lines. Give gtreet and block number or description according to deed, and show street names and indleate whet integer or corner lot. ,: , ,-.' , ~, , ~ STATE O F NE~f~22 ~ above n~ed; ~ '-~ tlc is the 9 ~ ................................ (Contractor, agent, corporate officer, etc.) of said owner or owne~, and is duly autho~zed to perform or have performed the said work aha to make and f application; that all statements contained ~ this application are true to the be~t of his knowledge and belief; and t work will be peffo~ed in the m~ner ~orth in the application filed therewith. Sworn to before me this / / . .. Notau Public, . .,.~ County Qualified in So,elk Gom~ /~ t g ~ I (Signature of ap ,' ~mission Expires M~ ~. ,_ /~