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Home My WebLink About25256-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY , No: Z-26204 Date: 01/07/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 75 BLOSSOM BEND MATTITUCK {HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 5 Lot 17 Subdivision Piled Map No. -- Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 1998 pursuant to which Building Permit No. 25256-Z dated OCTOBER 20, 1998 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 ACCESSORY STORAGE SHED IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to HARRIET TUTHILL (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. 25256 Z Date OCTOBER 20, 1998 Permission is hereby granted to: HARRIET TUTHILL 75 BLOSSOM BEND MATTITUCK,NY 11952 for : CONSTRUCT AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD AREA OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 115 pursuant to application dated AUGUST Building Inspector. 75 BLOSSOM BEND MATTITUCK Block 0005 Lot No. 017 28 1998 and approved by the Fee $ 35.00 /v Bulldlng Inspector ORIGINAL Rev. 2/19/98 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. 25256 Z Date OCTOBER 20 98 Permission is hereby granted to: DAVID C TUTHILL 5650 NEW SUFFOLK AVE MATTITUCK,NY 11952 for : CONSTRUCT AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD AREA OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 5725 County Tax Map No. 473889 Section 115 pursuant to application dated AUGUST Building Inspector. NEW SUFFOLK AVE MATTITUCK Block 0005 Lot No. 011 28 98 and approved by the Fee $ 35.00 Building I~or ORIGINAL Rev. 2/19/98 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 December 8, 1998 Harriet Tuthill 75 Blossom Bend Mattituck, New York 11952 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 # 25256-Z Thank you for Please contact our office on this matter. cooperation. $OUTHOLD TOWN BUILDING DEPT. , BUILDING DEPARTMENT 765-1802 ~~ APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 .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 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. For existing buildings (prior to ~ 9, 1957)' non-conforming uses, or buildings and P~re-existing" land uses: ~ ' 1~ Accurate survey of property showing~ut-1 property lines, streets, buildmng 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. Fees Ii Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~m~,4ug pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Butldinz - $100.00 3. Copy of Certificate of Occupancy - , -25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00 Construction ........... Old Or Pre-existing Bui, lding...~ .......... marion of Property .................................... × ......... Street l~mlet ~wer o~ Owners of Property....q~-.';~-'-~'~--~...~- .... ' ..... ~ ................................... ~unty T~ ~p No 1000, Section ..... ] ]~ ...... Block ..... ~ .......... Lot ..... ~2 ................ Filed ~p Lot. · - · · · ibdivision ................................................................ 25256Z _ -. 10/20/98 .... ~IET ~ ..... ~mit No ................ Date Of ~emz~ ................ mppA~can~ ............. · ....... Unde~riters Approval · mlth Dept. Approval .......................... ' ....................... tanning Board Approval ........................ aquest for: Temporary Certificate ........... Final Certicate ........... FOUNDATION (2nd) ROUGH FRAME & .PLUMBING' IMSULATION PER N. Y. STATE ENERGY CODE 'FINAL ADDITI¢ 765.1802 BUILDING DEPT, INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [[]] ~ORAUNM~;~ION 2ND [[,~FiNAU~ATION [ ]FIREPlACE&CHIMNEY DATE INSPECTO HOTIFY: HAIL TO: .................... ~ INS'I'RUC rIoHs a. 'B~t$ a~li~cl~ ~t ~ ~letely ftll~ in by t~riter or tn [~ ~! 3 ~ta of pl~ ac~rate plot plan to ~ale. F~ accordl~ to b. Plot pl~ d~{~ l~ti~ of loc ~ Of ~ildt~s ~ ~s, ~latl~dp to ~joini~ p~i~s or ~flic strata or areas, ~ givi~ a ~ta}l~ ~riptt~ of layout of pro~rty mint ~ dr~ ~ tim divan ~dd~ ia ~rt of this a~)l lcati~. e. 'B~e ~ ~r~ I~ fids a~licati~ my ~t I~ ~ ~fore ta~e of Mildi~ ~mlt. d. U~ a~al of fids a~l. ieatl~, tl~ I~lld[~ lu~ctor wllI ia~ a ~ildl~ ~mit ~mll ~ ~pt ~ tim ~8 ~all~le for i~tt~ theft Om ~rk. e. ~ Wiidi~ ~mll ~ ~pi~ or ~ in d~le or in ~rC ~r ~ ~ ~mC~er ~il a ~laci~s, for cl~ ~c~ci~ o[ hdldi~, ~ici~s or alCeraCi~, or for ~al or ~ri~. ~ ~ppli~t ~a to ~ly vi~ all a~li~ble 1~, ordi~9, ~tldi~ ~, ~i~ ~, a~l (~ili~ ~s~ of a~lic~tl State ~O~r a~li~nt ts ~er, lea~, ~ent, archit~C, engi~r,'gel~ral ~tr~tor, el~trici~, plier or ~ ~ ~ T t~ . .' ........ ' ...................... ..................... (~ a~ title o~ ~ra~ oiit~) ' ~ 7e~ ....... ~29AM~FOR~E · -/ ........ .USE {S Um~.,c.. ~. ~ou~uA~,o. ~zil~rs l,tce~ ~ ............. ,,~l[~ F~ ..... Z -,- OE OCCUPAmeVa.':,Su~aoN ' ~L~crze:~e~ m ................... . .... 4, F{~AL - ~N~U~ON MUST Otlmr ~ Llce~ ~ .................... B8 COMPL~ie~R ~0. ,. ....................... .... · : ........ :' ': ....... ~ ~ ............. ~;~;'~ Y.$X ~' '~ ........... c~6~;~, ~i~i,i~ ...................................... HI~ ~p ~ .......... ,.,,.. I~ ............... . ; ..... ~,-~- . ~o~ b~r..~g~..; ........ . ........................... .. F~tt~ ~ -~c~<y .................... ~ ......... .¢ ~. ~: Z~ ~o,s ~... ....... .~.e...~..~.~ ........... , ....... b. Inte~ t~ a~ ~ ,,, ~.~ I~ ~lldlfl~ ,,.'~ ..... i~Jltlon ......... , Alcaratlon ...... .. .... !l",eeer I pa ion) (t:o be paid on Hllnf~ thla appticat:loo) I)J,qafln[~m o~ ~ otn~ ~lt'h altaratJ~e or '~J~ione: ~r~ ............... ~ar ............... I~l)Lh t~J~ ~tt~r o~ ScorJea · t~ of ~tr~tor ' , ~ PI.OT i)ro[~rty ll~a. Ol~ at~t ~[I)1~ ~fMr or ~serlptl~ flcco~in~ to ~. a~ ~ ~tr~C ~ a~l J~llcnte Interior or ~r loc. ........ ..... ,,,,,,, (Nm~ ol: i,xllvJ&~t sl§nh~ ~tr~ct) , .;.' (C~tract()r; n~ent~c )r~rnte of Hoer. etc.) , fllq)l tcetithi;: flint-aLl atatmmtta ~ta L~ in thin nl~)llcntl~l are tam to the trent o~ his kill,ge os~ I~ttef~ olxJ that Lh~ ~rk will I~ ~rgo~l In tim n~r, mr ~t f~rth in Lite fl~ttcnti()n fl]~ B~ND .> TOTAL P. 02