HomeMy WebLinkAbout25073-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25967
Date: 09/11/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 9900 SOUND AVE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 122 Block 2
MATTITUCK
(HAMLET)
Lot 8.2
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 30, 1998 pursuant to which
Building Permit No. 25073-Z dated JULY 30, 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 GARAGE AS APPLIED FOR.
The certificate is issued to MARY KAREN LAND
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
H 061508 09/09/98
N/A
Building Inspect/
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. 25073 Z Date JULY 30~ 1998
Permission is hereby granted to:
MARY KAREN LAND
9900 SOUND AVE
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN ACCESSORY GARAGE AS APPLIED FOR. THIS PERMIT
REPLACES BUILDING PERMIT 15354-Z
at premises located at
County Tax Map No. 473889 Section 122
pursuant to application dated JULY
Building Inspector.
9900 SOUND AVE
MATTITUCK
Block 0002 Lot No. 008.002
30 1998 and approved by the
Fee $ 47.00
B~yng~nsDector
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the buildin/
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 buildir
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, oK ~Buildings an
Vpre-existing" land uses:
1. Accurate survey of property showing ail 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 Buildinm - $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
New Construction ........... Old Or Pre-existing Building ...........
Location of Pro-ertv ......
House No. Street Hamlet
Onwer or Owners of Property ............................................................
/¢?.?..
County Tax Map No i000, Section .... Block.. .Lot .... '~ .....
Subdivision Filed Map Lot
Permit No Date Of Permit Applicant
Health Dept. Approval ................... . .... ..Underwriters Approval..... .............. . .. .
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
A~PLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS
.UREAU OF EL CT.,C.*Y
40 FULTON STREET, NEW YORK, NY 10038
Date SEPTEMBER 23,1998 Applicatio, No. on file 16788698/98 H 061508
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
K~EN L~D, 9900 SOLr~D AV~FOE, HATTITUCK, 1~
in the following location; [] Basement [] 1st Fl. [] 2nd Fl. GE Section Block
was examined on SEPTEMBER 11,1998 and found to be in compliance with the National Electrical Code.
Lot
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FIXTURE RECEPTACLES SWITCHES
OUTLETS FLUORESCENT OTHER
DRYERS MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT, TIMECLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R V I C
NO. OF CC COND.
PER {~
OFCC. COND.
NO. OF HI-LEg
OF HI-LEG
NO. OF NEUTRALS
AW.G,
OF NEUTRAL
*NO VISUAL DEFECTS, "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
KAR~N LAND
P.O. BOX 913
MATTITUCK, NY,
11952 11GENERAL MANAGER
Jeer
not be altered In any manner; return fo the office of the Board if incorrect. Inspectors may be Idenfified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
7GS-1802
BUILDING DEPT.
INSPECTION
[~uNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
, REMARKS:
FINAL
.~ 76S-1802
~~ INSPECTION
FOUNDATION ~ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[]FIREPLACE&CHIMNEY
REMARKS: f/.~.~
DATE
INSPECTOR
lNG DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] I~U, ATION
[ ~INAL
DATE
· 765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLA~/i~ & CHIMNEY
REMARKS.~~'
/ ?
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] ROU.G~LBG.
[ ~,~ULATION
[ I,/J FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: (~~/~.
INSPECTOR
LD INSFECTION
~DATION (Jst)
COMMENTS
4DATION (2nd)
iH FRAME &
PLUMBING
3LATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL 'COMMENTS:~
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
September 3, 1998
Mary Karen Land
9900 Sound Ave.
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)
XX 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 # 25073-Z
Thank you for
Please contact our office on this matter.
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 10, 1996
Bruce & Mary Land
9900 Sound Avenue
Mattituck, N.Y. 11952
Re: Building Permit #15354-Z (ACCESSORY GARAGE)
Premises: 9900 Sound Avenue, Mattituck, N.Y.
Suff. Co. Tax Map #1000-122-2-8.2
Dear Mr. & Mrs. Land:
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
GJF:gar
(Cert. Mail)
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
DATE: APRIL 3, 1989
NAME: BRUCE A. LAND
9900 SOUND AVE.
ADDRESS:
MATTITUCK, N.Y.
RE: BUILDING PERMIT # 15354Z ACCY GARAGE EXPIRED 10/3/88
SEC. 122 BLOCK 2 LOT 8.2
This Building Permit has expired. You are now in
violation of the Town of Southold Zoning Code.
Please contact our office, this matter must be
corrected.
.YoUrs truly, .~
Victor G. Lessard
Principal Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDinG PER~iT
CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL
COMPLETION OF THE WORK AUTHORIZED)
N9 15354
Permission is hereby granted to: /~
................... '"_" ......... ' ...... ~'2 .........................
....cl..~.~...o......~..4....,,~..: ....................
............ :.~., ....... 1/..9..~-....~ ..........
at prem,ses located at .....~..~./Z~ .......... · ........ ~ ....................
County Tax Map No. 1000 Section .... ~......~...~ ..... Block ..,0,....~.. ........... Lot No.....~..:...~ ......
pursuont to opplicotion doted ....~.~..,~..~,~......~...~ ........ , 19..~..~0., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO. 1
TOWN OF SOUTHOLD
'BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved .e:~.~...~..., 19? .b. Permit No. ~ ~ .~.t) ..:~.
Disapproved a/c .....................................
~eceived ........... ,19...
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted 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 the diagram which is part of this appli-
cation.
~. 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 issued 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 g Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY M~DE 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, bufld_'mg code, housing code, and~gegultOJons, and to
admit authorized inspectors on premises and in building for necessa~~ (f.~.. ~ ~.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.......... ........................................................................
Name of owner of premises .~. {~. C..~. · · .~.: · . .g~/~'~''~'' ........... ; .~...~.././~..4~.. ............
· ' (as on the t6x roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..... (,9 (~d...~. · .i~ (.~.. ......
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done· . .~. ~. ~..tO.....~. O ~-/-~..~7 .... ~...~. ~ ...........
.......................................................... z-./'/. ........
House Number Street Hamlet
County Tax Map No. 1000 Section ]..~.-..~.-..?'. ~ ... Block .................. Lot ...................
Subdivision ' . ............. Filed Map No ............... Lot ...............
(Name)
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
3. Nature ofworl~gycheck which ~pplicable): New Building .......... Addition .......... Alteration ........
Repair ............ Removal .............. Demolition .............. Other Work ...............
' ..' .....(Desc ptlon)
4. Estimated Cost. O~. ~..~.. ......... Fee .............................
~ (to be paid on filing this application)
5. If dwelling, number of dwellin!g unit.s .............. Number of dwelling units on each floor ................
If garage, number of cars ...ii. '~" ..............................................................
6. If business, commercial or mixed occupancy, specify na. tur$ and extent of each type, of use .......... '-' ' ' >~t .....
7. Dimensions of existjngt~structu.res, if any: Front .... .~.~. ....... Rear .../ff~'~ f. ..... Depth .,~.f. ~'ii .......
Height ..... g~. ~. .... Number of Stones ........ .~. ..........................................
Dimensions of same structure With alterations or additions: Front . .d~.~2 .-:~..'r~ ....... Rear ................ '..
Depth .................. ~... Height ............. ., ........ Number of Stories ............... t .... ~ ·
S. Dnnenmons of ent~ret~ew con~tructxon: Front ~/~ . . Rear .. ~.?,/ . Depth ...~[ ~....; ....
I-Ie~ght ...... /.~. :~6, Number of Stones. /. ............................ ~.
9. S~ze of lot: Front ...... ~gt ~. ~ ....... Rear .... .~, ~,~.~. .......... Depth ..../.~.,.4~. .......
10. Date of Purchase ...R./. ~. 7/4..~. ] .............. Name of Former Owner ~.u~..-4. ~P.~.~ ~..~¢
11. Zone or use district in which ~remises are situated ................................................... i ·
12. Does proposed construction vi~late any zoning law, ordinanceor.regulation: ...fiL/tl ...................... !.
13. Will lot be regraded ....... >~.~.~...~, ........... Will exC~eSS fill be remfl.ved from premises: Yes No
14. Name of Owner of pr~mises ~.~,e~,. $.~.,~. ~F.... Addressog~2¢.t~ttT/~..'~7< ./.~t../~.,/.. Phone No.
Name of Architect .,~/q...~/.0~ ·/~.,~ff. · ~. ¢.~./{.r.t~ ~dress ................... Phone No ..............
Name of Contractor ......................... Address ................... Phone No ......
15. Is this property located withinl~0 feet of a tidal wetland? * Yes ..... No
· If yes, Southold Town T~ustees PermitpLoTmay DIAGRAMbe required.
'1
Locate clearly and distinctly a~l buildings, whether existing or proposed, and. indicate all set-back dimensions fro
property lines. Give street and bloc~ number or description according to deed, and show street names and indicate wheth
interior or corner lot.
STATE OF NEW YORK,
COUNTY,OF ................
..... .
(Name of individual sig~
S.S
/
'*~. · · ~..~. ,,'~..~:~. ..... being duly sworn, deposes and says that he is the applicant
ing contract)
above named. ~
He is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is du'y authon,'z~d to perform or have performed the said work and to make and file this
application; that all statements cont ~ined in ('this application are true to the best of his knowledge and belief; and that the
work will be performed in the manta r set forth in the application filed therewith.
Sworn to before me this
Notaw Public, .... ~f,~...~.
I~tl~.~t~ I (Signature of applicant)
~ Exl)ires M~rch 30,19