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HomeMy WebLinkAbout24653-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT O~fice of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25589 Date: 03/16/98 THIS CERTIFIES that the building ALTERATION Location of Property: 1100 HORTON AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 141 Block 2 Lot 4 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 1998 pursuant to which Building Permit No. 24653-Z dated FEBRUARY 9, 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 ROOF STRUCTURE OVER AN EXISTING DECK ADDITION OF ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROSEMARY BYRNES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 2460~ ~ BUILI~ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UN11L FULL COMPLE110N OF THE WORK AUTHORIZED) Permission Is hereby granted to: ........ ~ P..~ ~.~ ~.~ Y..,, ~.X ~,.N. ~.~. ............................................. ........ ~ ~..~..N....~.~ ................................................................. ....... ~ 8~ ~ ~.~ _~ ~,~ ~ ............................................. ...... ,.E.~., ......................................................... ! ..................................................................................... at premises located at ................ ~,~.O...O......,H...D. ~..T. ,0.. ,N,. ,.~.,E, ........................................ .M..~.T. ,T..~...T..LI...C., ,K.. ,.: .... CountyTaxMap No.....~?..~,.,B..B.~ ..... Section ...~..4..~ ............. Block .....,0..0...0...2. ........ Lot No..,0,.,0.,,4; ............... QANU~RY 9 1 98 pursuant to application dated .......................................................... 9 ................ and approved by Building Inspector. Fee $ ........ 7...5..",,.0,,©, ..... Rev. 6/30/80 BLDG. DEPT. TQWN QF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A4 This applica[ion must be filled in by typewriter OR ink and submitted to the buildi~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property line~ 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 build~ 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 April 9, 1957) non-conforming uses, or buildings Vpre-existing" land uses:. 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applica~ 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 Date .~..'-. :.~. '.~. f..~. . . New Construction Old Or Pre-existing Building .... Location of Property ............................................ House No. Street Hamlet Onwer or Owners of Property...~.~.~.4..'~..'g.../~..)f..~'...~.zi'4~./].~.~. .... ~.6-.f~..../~... ~ ............. co . y ,o 000, .... ....... ......... not... Y. .......... Subdivision Filed Map.'.. Lot . Pe~it No ~ Date Of Applicant . Health Dept. Approval ..................... ..~. . Underwriters Approval .................... . Planning Board Approval .................... .. .. Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... $ iq ............ APPLICANT FOUNDATION ( FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. .. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS O¢CU?A~G¥ OR USE IS LI~LAWFUL WITHOUT CERT~FICATE OF OCCU?A~C¥ I0 ' 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHPLBG, [ ] FOUNDATION 2ND [ ]~gl~'~JmlON [ ] FRAMING [~ FINAL [ ] FIREPLACE & CHIMNEY $ /r DATE ,, / NOTE~I. I= MONUMENT 2. SUFFOLK COUNTY TAX MAP / SURVEY FOR ROSEMARY d. BYRNES AT MATTITUCK OATE MAY 15~ 1984 TOWN OF SOUTHOLD SCALE. I" · ~0' SUFFOLK COUNTY, NEW YORK NO. 84-489 FIRST N L YOUNG e YOUNG RIVERHEAO,NEW YORK L ALDEN W YOUNGqPROFESSIONAL ENGINEER HOWARD W* YOUNG, LAND ~URVE YOR 1 I N,Y.$, LICENSE NO. 45993 FOPd4 NO. TO~N OF SOUTIIOLD BUILDING DEPARTNENT TOWN tlALL SODTIIOLD, N.Y. 1197 ! TEl.: 765-1802 1)i sapproved a/c ....................... ........... .......... BOARD OF [1EALTlt~ .......... :::::::::::::::::::::::::: CNECK ~. SEPTIC FORr~l .................. Oate.. /- ¢ 19 f.~. INSTRUCTIONS a. 'lhls application m~t be co~letely filled ia 1)y t~ypewriter or in i~ aed ~d~itt~ to the ~dlding Ius~ctor wicr 3 ~ts of pl~, ~ra~e plot pl~ to ~ale. F~ accordi~ to sdt~fle. b. Hot pl~ ~i~ l~ati~ of lot ~ of ~ildi~s ~ ~s, relationMfip to Mjoini~ prmisea or ~d)lic struts or areas, a~ 8iviq a &cailM &~ripCion of la~t of pro~rt~ ~t ~ dr~ ~ tim dia~an ~id~ is l~rt of thi[' applicat iai. ~ c. 'fire ~rk c~r~ ~ fl~is a~lication my ~t ~ c~ ~[ore issue o~ ~ildi~ Pemit. d. Ul~ a~r~al o~ this a~li~tia~, tbe ~ildi~ lns~ctor x~ill is~ a Milding Pemlt to the applicant. ~ch i~it ~mll be ~pt ~ tim ~i~s avail~le for in~ti~ fl~t fire ~rk. e. ~ ~ildi~ ~all ~ ~pi~l or ~ in ~le or in ~rt for any ~x~ ~mt~er until a ~rtificaCe of ~y Mlall h~e ~u gr~t~ by tim ~ildi~ Ius~tor. ~H,xc~'rl~ Is I~g ~ to t~ ~ildi~ ~r~nt for ~e is~nce of a ~ilding Pemit ~rs~nt to the IMildlng 7~ Ordi~e of t~ T~ of ~tl~ld, ~ffolk ~mry, ~ York, a~ other a~licable l~s, ~i~es or ~lati~s, for tbe ~st~ti~ of ~dldlngs, m~liti~s or alterations, or for r~al or ~lltion, as herein ¢~scril~. 'Dm appli~t ~s to tally Wi~ all a~flicable l~s, ordi~es, ~ildlng c~e, I~iug cede, a~ re. latins, ma to ~it ~ri~ in--tots on ~i~s ~ infer ~c~s~ ius~{i~s. (Sig~mture of a~licant, or r~. if a co~ " ) / (~ili~g ~ress of ~%{~~}~..,, :~ Skate ~mtber a~licont is ~er, les~, ~enk, ar~fitect, engi~r, 8eteral contractor, elec~r~c~, pictor or be~lder. ~:~ ~~-~.~-.-~-.'- ~ o~ ~ o~ pr.~.~ ............. ~: ........... . ...................... ~-~~~ (as ~ ae ta~ ~tl or la,est ~) ~ ~ ~ ~ [f appticant is a coq~oration, signature of duly autlmrized officer. and t/tie of corporate offtcer) OCCUFA CY OR USE IS UNLAWFUL l~dlders I,icense No ................... ~¥]THOUT OERTFICATE P, rs OF OOOUFANOY Otlsar Trade's License DO ..................... 3. IN$UL~ON 4, FINAL - CONSTRUCTION Muir ,.. BE COMPU=i~: FOR C.Oo ALL CONSTRUCTION SHALL MEET, THE REQUIREMENTS OF THE N,Y.' STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DLSIGN OR CONSTRUCTION ERRORS I. Iz)cation of latxl on ~hich proposed ~ork will be done ................................................... k- ......... ......... !./.o..o. ........ !./. ~. & Z g.~. . .... ~ ~ ~ ......... ~ /yZ Z/. ;?. . ~ /. 4 .............................................. llomse lqt~,er Street ll~nlet County Taxt4ap DO. 1000 Section ..... I..~../ ....... mnck .... .~..~. ....... l~t ....~...~. ........ Subdivision ...................................... Filed [4ap Do ................ l~at ............... (mm) 2. State existing use and occupancy of premises 'and iutended use aed nccupancy of proposed cc~mtrnction: a. F~xisting tm and nccupancy ............................................................................. b. Intec~cl use aed nccupancy ............................................................................. I0. II. 12, 13. 14. 15. I~rml properLy line~, wlmtlmr interior or corner lot, t4c~ IIt~l hhng .......... Nkh t ion ......... Estin~t~l Cnsr ~ ' f~ ............................. If I~Jsi~sa~ ~mercial or ml~l ~mqm~y, 8~ci~ ~t.ure m~ ~tent o~ each ty~ of use ....................... l)in~n~l~m o~ existing ~rn~mres. ii any: 1R~r .... ~.~ ...... ~ar ......... mprh ......... Bia~n~i~m of 8am 8tn~turo ~i~l~ alterati{~8 or ~itlon~: Front ............... ~ar ............... Din~nsi~m of entire ~ ~st~t~a~: l~t ................ l~ar ............... ~pth l~lto o~ 151reha~ .............. , ....... ~ 7~ or u~ district in Oddx p~mi~a are ~s pro,mi c~mc~ci~ violhte any ~ing 1~. onli~e or re~laLi~: ........................ · x~es of ~r of p~n~s .... ~ ....................... ~klress .............................. l~m ~ ......... i ...... o~ Ardiit~t · ~ of C~tr~ror ............ ....................... ~klress ............................... [tm~ ~ .......... . ..... ~s this p~rty within ~ f~:t of a till x~tla~l? PI.Ory DIAGIIA~ l~ate clearly a~d distimrly a~l ~tl(h~8, Gi~ st~t a~ bl~k ~t~r or ~scripti~ acco~ling to ~l, a~ ~ street ~ at~l i~icate ;' ~,**,'~i~* ~:~* '~':* ~t~ ~;~'~ ~J:~'~ ..... ** ' '~,' ~1 ..................... I~ icg duly ~}m, del~}~s m~l nays that Im i~ tbs appl iem~t t~}~, df.;l~v~'dt~.l signing e~tract) (Clnltraetor~ agent, ~,:or~ral'e officer, ere,) of ~aid i~mr or ~ra, ar~l i~ dilly mihoriz~l to I~rEonn or Ilav¢ I~rl'on~ Lhe ~id ~rk m~l Lo n~ke taxi file OHs appl ieation; thaL att state.nfs eo.t li~xal in Lhls alq}licat:i~m are t n~ to Ihe I~nl: of his ktx~l~lge mM Imllefl mxl IhaL L[~e ~}rk will I~ I~rfon~l in tim u~su~r ~C fort.h iit the application fil~l tlmr~iO~. BARBARA STEPNOWSKI Notary Public, Slae of N~wY~ No, 01ST4~4752 Oualifl~ in Suffolk Counl~ Commls~on Expires ~pt. 30, (Sig~mLure of ^pplleant)