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Home My WebLink About25225-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26139 Date: 12/02/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 1200 CARDINAL DR MATTITUCK (aOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 5 Lot 2 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 24, 1998 pursuant to whLch Building Permit No. 25225-Z dated OCTOBER 14, 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 REAR YARD OF AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT. The certificate is issued to NANCY E KUGLER of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Building Inspector Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS PERMIT NO. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 25225 Z Date OCTOBER 14, 1998 Permission is hereby granted to: NANCY E KUGLER PO BOX 80 MATTITUCK~NY 11952 for : CONSTRUCTION OF AN ACCESSORY STORAGE SHED IN THE REAR YARD OF A SINGLE FAMILY DWELLING "AS BUILT." at premises located at County Tax Map No. 473889 Section 115 pursuant to application dated AUGUST Building Inspector. 1200 CARDINAL DR Block 24 1998 MATTITUCK 0005 Lot No. 002 and approved by the Fee $ 35.00 - Building Insp~tor ORIGINAL Rev. 2/19/98 Ac Form No. 6 owN or sour.oLD BUILDING DEPARTMENT TOWN HALL BLDGDEPT.~m~LiC~ T,.~_~_~N~F_.S_~ 'ION 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 (prigr to April 9, 1957) non-conforming uses, or buildings and Ppre-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 applicant. If a Certificate 6f Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees i. 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 Building - $i00.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...... ~(?~ ............................ New Construction ........... Old Or Pre-existing Building ........ '~.tjq~" me,al shed Location of Property ..... l~QQ.C~K4%a¢%~rAE~,.y~xht~k~ck ...................................... House No. Street Hamlet O~er or Owners of Property ...... ~.a~.q~ ~% ~u~ ............................................. County Tax Map No 1000, Section .... )~ ....... Block ..... P~ ......... Lot .... Q~ ................ 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: $ 25.00 co 'a ,2 ,151 P , CANT 'N ~H~ NOII~qRSNI '£ pug ) 76S-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ] ROUGH PLBG. [ ] IN~SULATION [ ~INAL REMARKS: ] FIREPLACE & CHIMNEY INSPECTOR TOWN OF SOUTHOLD ' "~JG 2 BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ' BLDG. DEPT. ,. TEL.: 765-1803 ' OWN OF SQUTHOLD , Disapproved a/c ..................................... ~'FPLICAIION FOB BLllLDING'PERMII BbARD OF HE^LT4'[ . ,.~. ...... 3 SETS OF PLANS .......... SURVEY ................... CIIECK ..................... SEPTIC FORH ............... CALL ................... HAlL TO: Date . 8/24/98 ., 19.. 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 sti'eets or areas, and giving a detailed description of layout of property muir be drawn on the diagram which is part of this appli- cation. c. 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 a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southbld, 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 appficable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building four necessary inspection-st--------.,_ . -- (Signature of applicant, or nam'l~, if a corporation? ?.bg.r.a~.' . .Dqt. y.,...E.sg.. ,...PO.B...1.1.8.1 ,...O4.~qh. qrJu. e..,... (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. attorney for owner Name of owner of premises .... .N..a~.cy. E..K.ugl.e.r ............................................ (as on the tax roll or latest deed) If applicant is a corporation, signatj,h;Fof duly authorized officerJ ' gP-PR0VED ;~$ ~01r~.~. ............... : ..... .'' (Name and title of corporate officer) ~.~-~ NOTIFY BUILDING t~__BI_b~'T AT Builder's License No ................. 5.'-.,:,. ..... ~ 765-1802 9 AM 'fO 4 PM FOR THE FOr. LOWiNG INSPECTIONS: , . , 1. FOUNDATION - TWO REQUIRED Plumber s hcense No .......................... OCc~ ,~, FOR POURED CONCRETE Electrician's License NO ............... ~.--- P/q~Cy FID 2: ~OUGH - FRAMING &' PLUMBING Other Trade's License No .......... ~. ~ . 4. FIN~/L - CONSTRUCTION MUS~ AI~L. CONSTRUCTION SHALL..I.~E~ ..... l. Location of land on which proposed work wi ..... ~9~ REQ'O'IREM'E.~tT'S' '0¢:' ~'IE N,Y. ST:-ATE CONSTRUCTION 1200 Cardinal Drive, Mattituck, NY ' '- * &i ENERGY ............................................................ · ,m r- 'i6 ..... House Number . Street DFS~CONgTRUCTION ERRORS Connty Tax Map No. 1000 Section ... :1.1.5. ~. .......... Block ... 0.5. ' Lot.. 0;~ ............... Filed Map No. Lot ...... : ........ Subdivislon ........ . ........................................... (Name) 2; Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...6ne~family. ~:e~idenc~ ..................... :..%~LJ~L%~;} ................ one-famly residence with as built b. Intended use 'and occupancy .................................... ~,'~:,.- :c :M.~%~'~,,M~ ......... 11. .12. 13. '3. Natflre of work (check which applicable): New Bu ...... on . ' ' ....... ,... Alter.ion .... ; ..... Repair .............. Removal .............. . Demolition .... : Other Wor~ ..... ' ~ "~I(D 'pt' ) 4. Estimated Cost. ' F ' ~t'0 U~I id oh~lir~' ~)pli ) ' i . pa this a cation 5. If dwelling, number of dwellin units ............ . u erofdwellin sone '?'i~, ............ If garage, number of cars 6. If business, commercial or mi.x~d occupancy, specify nature and extent of,each type of use ....... 7 Dimensions of existing structures if any Front Rear Depth Height Number of Stories Dimensions of shme structure With alterations or additions: Front Rear Depth ' Height Number of Stories 8. Dimensions of entire new construction: Front .............. :. Rear ............... Depth ............ Height ' Nurpber of Stories Size of lot: Front i ' Rear Depth Date of Purchase ' ' Name of Former Owner Zone or use district in which premises are situated ' Does proposed constructton vmlate any zomng law ordinance or regulation. Will 10t be regraded ....... ; { ................... Will excess fill be removed from premises: Yes No Nmne of Owner of premises ~ Address Phone No Name of Architect Address Phone No Name of Contractor , Address ' Phone No ' 15.' I~ this property within ~00 feet of a tidal 'wetland? *Yes ........ No ......... *If yes,'Southold Town Trustees Permit may. be required. PLOT DIAGRAM Locate cleariy and distinctly Mil buildings, whether existing or Proposed, and. indicate all set-back dimensions from property Hnes. Give street and block inumber or description according to deed, and show street names and indicate whether interior or corner lot. ~'As built" 9.7' x 8.7' .met&l shed'- see survey annexed STATE OF NEW YORK, COUNIY OF SUFFOLK. S.S . DEBOP,.Z~ DOTY ' ' n u'l~. ........ . ..................... f .......... · ....,. ...... be~ g~d. sworn, depose~ and says that he is the applicant (N I ig ing t) amc ofindividua s n contrac ,. above named. .. i - " ': '"~' '~ ~"~ ' i th .a.t~P~Y i ~' *"' ' He s e... ................... ;......,- ..................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements contained in this'application are /rue to the best of his knowledge and belief; and that the work will be performed in the mannerlset forth in the application filed therewith. Sworn to before me~.~ . i ' ' ' . ' ...... . :, ~otary PubliCLY.. ',~..~ Cou~.~ · ~~aun~!//¥_~,f'.., .' ',,., , . . ' (Signatureof'hpplicant,, Lr)r 37 L( 'T 38 1.0T39 GARAGE BLUESTO~IE N 85° 22' I0 W i , /2.05 / ~ MATTITUCK ESTATES~ INC '-~/ FILE MAI~ #' 4155 FILED SEPTS, 1965 115 - 0,5-02 SURVEY OF LOT 56 MAP OF SUBDIVISION FOR MATTITUCK ESTATES, INC. SIfUATE ~ATTITUCK, TOWN OF SOUTHOLD SUFFOLK 'CQUN TY, NY ~UR~EYED FOR THOMAS g SILLECK SUSAN .K. SILLECK SURVEYED 6 AUGUST 1998 SCALE I": 4d AREA = 30~ 401.64 SQ. FT. or GUARANTEED TO THOMAS ? ~;I.LECK SU.~A~V K $1LLECK FIDELITY NATIONAL TITLE INS. CO, SURVEYED BY STANLEY J ISAKSEN, JR RO BOX 294 NEW SUFFOLK~N.Y. 11956 98 R 724