HomeMy WebLinkAbout24184-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25081 Date JUNE 13, 1997
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Propert~ 505 MIRIAM ROAD MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 99 Block i Lot 35.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 5, 1997 pursuant to which
Building Permit No. 24184-Z dated JUNE 12, 1997
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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
"AS BUILT".
The certificate is issued to
ELIZABETH TWOMEY
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED
Rev. 1/81
FOPd4 NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
C~RTIFICATE OF OCCUPANCY
No Z-25082 Date JUNE 13, 1997
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property. 505 MIRIAM ROAD MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 99 Block 1 Lot 35.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 5, 1997 .pursuant to which
Building Permit No. 24184--Z dated JUNE 12, 1997
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 STOEAGE SHED IN HEQUIRED REAR YARD, "AS BUILT"
AS APPLIED FOR.
The certificate is issued to
of the aforesaid building.
ELIZABETH TWOMEY
(owner}
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspec~r
Rev. 1/81
FOCal NO. ~
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)
N.° 24184 Z
Dote June 12, 19.?..7...
Permission is hereby granted to:
Elizabeth T~omey
505 Miriam Rd.
lqattituck, N.Y. 11952
construct a deck addition to existing one family dwelling as applied for.
and an Accessory shed in the required rear yard "as built"
at premises located at 505 l~irlam Road lqattituck, N.Y.
County Tax Mop No. 1000 Section ........ .9..9. ............ Block ...... ! .............. Lot No...3.,5.:..I ................
pursuant to application dated ....... .iune..5, .................................. , 19..9.7..., and approved by the
Building Inspector.
Fee $ .......~..5..... ~ .0....D.~ .CK,
35.00 ACCY Shed
2 CO' S P. EQUI~D
Building ~,pector '~
Rev. 6/30/80
,}~ .~ .... TOW~ OF SOUTEOLD
" 765-~802
~spec~or wi~h ~a~--~bil~.~ng: for new build~g or new use:
1. Final su~ey of property wi~h accurate iocau!on of ail bui!d~gs, property lines,
screens, and unusual natural or =opograp~ic features.
2. Final Approval from 5ealah Dept. of ~-a=er supply and saweraga-disposa!(S-9 fo~).
3. Approval of electrical ias~aliasion from Board of Fire Underwriters.
4. Sworn s~atamen~ from plumber cer~ify~g tha~ the solder ~sed ~ syst~ contains
less than 2/10 of i% lead.
5. Co~ercia! build~g~ ~dustrial building, ~itiple residences and s~m5!ar buildings
and insnallauions, a certificate of Code CovAlence from architect or engineer
responsible for ~he building.
6. Submit Planning Board Approval of c6~!e~ad si~a plan requiremen=s.
For existing buildings (prior to April 9, i957) non-conforming uses, or buildings and
'~pre-existing" land uses:
l. Accurate survey of property showing &il property lines, streets, building and
unusual natural or Topographic features. -
2. A properly completed application and a consent To inspect si~ed by The applicant.
If a CertificaTe of Occupancy is denied, ~he Building inspector shall sta~a the
reasons Therefor in ,~iting To the applicant.
Fees
[. Caruificaza of Occupanc7 - Ne,g dwelling S25.00, AddiTions ~o d~ei!ing ~.00,
A_l~erations ~o d%'el!ing $25.00~ S~-immin~ pool $25 00, Accessory building
Additions To accessory ou~!=lng $25.00. 3uslnesses $50.00.
2. Certificate of Occupancy on Pra-~istin~ Bui!din~ - $!00.00
3. Copy of Certificate of 0ccupancy - ~
~. Updated Car~ifica:a of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $~5.00~ Commercial
D ~ 5-29-97
Cons~ruction ........... OLd Or ?re-ex~sting Building...P.R.E..E.X..I.S.I.T.N..G..SHED
505 MIRIAM ROAD MATTITUCK
Location of ~roperty .........................................................................
House ~o. S Tree~
Ouwer or Owners of Property ...... ELIZABETH TWOMEY
Connty T,= 000, °. ...... ......
Subdivision. CAPTAI.~ KIDD ESTATES ........ Filed Ymo !672 .Loc..~*. 26,. %l ......
Permi: ~o ................ Da:a Of Permit ................ Applicant ......................... ....
Hen!ah Dept. Approval .......................... Unde_~-riTers Approval .........................
Planning Board Approval ........................
Request for: Temporary Car%ificate ........... Final Car:icaTe. X
Fee Submi==ed: $ ..... L6. o., 9.o ................. ~/.~...Z~....~//// rs .~ L/ .
co -2J3o$ /
,':~'~ ..... TOW~ OF SOUIHOLO
~ ~ -.~ :;: TO,AN EL,~LL
765-1802
.....,--, ~. ~PLICATiON FOR CERTIFICATE OF OCC~:~CY
This appl~' mq~.~ be fiiled in by ~ewri~ar OR ink and submitted to the bui!din~
insoect'or with ~a f'ollo~ing: for new buildin~ or new use:
Final su~zey of property wigh accurate !oca~ion of al! bui!d~gs, proper~y lines,
s~reet$, and unusual natural or ~opograp~ic faagures.
2. Final Approval from ~eal~h Dept. of ~atar supply and sewerage-disposal(S-9
3. Approval of elec~rica! installation from Board of Fire Underwriters.
&. Sworn statement from plumber certify~g that the solder used in sys~ contains
less than 2/10 of i% !sad.
5. Co~ercial buitd~g~ ~dustrial building, multiple residences and s~ilar buildings
and installations, a c~r~ificata of Code Compliance from architect or engineer
responsible for ~he building.
Submit Planning Board Approval of c6mp!enmd si~e plan requirements.
For existing buildings (prior to April 9, I957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completsd application and a consent to inspect signed by the applicant.
If s Certificate of Occupancy is denied, the Building inspector shall stats the
reasons therefor in ,mriting to the applicant.
C. Fees
1. Cer~mzlca~e of Occupant7 - Ne~ dwelling $25.00, Additions to awe±lln§ $~.00,
.t-lterations co dwelling $25.00~ Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Car~ifica~s of Occupancy on Pre-~istin~ Suildin~ - $!00.00
3. Copy of Certificate of Occupancy - ~ .25~.
4. Updated Cartlficate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ......... .....................
)lew Consc~ction ........... Old Or P~e-~sting Building PREEXISITNG.~¥~ED~J& DECK
Location of Property. 505 MIRIAH ROAD MATTITUCK
~ouse No. Street ~am_let
Onwer or Owners-of Property ......... ELIZABETH TWOMEY
09900 0100 033, 034, 035
County Tax Map No 1000, Section .............. Block ................ Lot ......................
Subdivision..C.A?. T..A .I .N.. K..I p.D...E .S.T.A.T..E .S ........... Filed Map ..... ! 6. .7 .2... Loc..2. 5. ,..2.6.,..2.7. ........
Pe-~nit No ................ Dace Of Permit ................ Applicanc .............................
gee!th Dept. Approval .......................... gnde_~.-riters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Cart!cate. X
$ 160.00 //~ - '~
./
FOI(N frO.
TOWN OF ,qOlJ'FIIOl.lJ
BU 1 L1H lq(; I)]r, pAR'J'HEHT
TOI4N llAI,I,
~O}IT}IOI,I), 1,1.¥.
'I'IU,: 765-
I)isapprov~d a/c ..................................
.... ...................
t{OAIU) OF IIEAl/lll ...............
3 SI'~T.~ OF PLANS ...............
SIJRUEY ........................
CHECK ............. , ............
.UF. PTI C F()IIH ....... ~ . .'
HO'I'I FY:
CALl ...................
10. JEFFREY B. HULSE
HAII ......................
· .a.o. 7.5.. y..~.!.~.~..~.~..s...~S..~...~.~. Y ....
. .~.0..N.K..O.N..K.O.~;~ :...~.~...~..V ? ~ .....
APPI,IGAT1ON Felt BUII,I)IH(; PF. RHUF
I N S'J'IIIJCT 1 ()NS
a. 'lhls application mast be cctnpletely fitted in by tYl~.~ritor or in ink mxl subu[tt~ to the ~dldlng lnsl~ctor with
3 v~ts of plmm. ac~rnl:e plot plon to .c.l~. Fee ~ccordb,~ to ncl,~lule.
b. Plot l)l~n slain8 ~tt~ of lot ~1 of Imtldm~9 ~ pre~,ines, relotm, mlup to
slr~ts or nreo~, n~l Bivin~ n detsil~l description of In~,t off ptol~rty ,mst I~ drmm ~ the dlngr~ ~dd{ i9 l~rt of
this n~l icot i~,.
c. 3he ~rk c~rol by this n~)] }col;ion l,ny 1~)1: ~ comunc~l I~Fore is~mnee of }kfihHnR Pemit.
d. }illin .~umai of tlu~ ~l~hC. tXo~. the ~lldtn~ Ingl~ctor uill i~m~e ~ I~dhffng Pem[6 ~o the .Rhc~nt. ~h
~mlt slm]l I~ kept ~ tl~ pronir~ .vn{lnl)le for innl~etlm Ihrc~3~l~lt Iho
e. ~ I~ihllng ~m{I I~ ~:u~Jl)i~l or u~ in ~]e or in Imrt ~or nny ~lrl~e ~mt~r tmtll n (~rtificnte of
AI~I~'I'I~ ]S I~U~ ~E to the ~n dtn8 ~l~rb~n[ For the is~mnce o~ a l~Hdmg P~t line.ant to the
Ikdlding 7~,~ O~i,m~e of O~e 'l~a~ of ~tl~hl, ~ffl'olk (~.,ty, ~v York, a~l other aR~l icable l~, ~dlrm~es or
~Jloti~s, for tl~ c~mtn~thm of Ix~ildlngs, mklil:icm~ or alternl:ionn, or for r~al
~kscril~. 'lhe oppllc~nt ogre9 to c~)ly ~{th .11 .{~llcnble I~, ordlnnnce~. I~dldin~
rc~H..tiu~., .,~ to mhit m~tlurlz~l in~l~ctors m ~m~m..,~1 .....
(Sig~ure o[ n~licant, or ~e. ir , corlx*ratlm)
Stnte '&elher np1)licant {.q trotter. ]csp~e. n~nt. nrehilect, en{~ilmer, general contractor, electric{an, plumier or hdlder.
O~NER
ELIZABETH T~ONEY
~ O[ ~r o~ pr~n}~ .............................................................................................
(n~ ~ I.he LOX mil or lal'e.t de~l)
I f {~l~l{cmK i9 ~ corl~rati~t. ~Jgmtore of duly nuthori~l officer.
title of corlx)r,~te
Ikdhlers I,{cense I~ .................. ' ........
lq.,ber.q l.{cense fie .................. ; .......
Electric{an.q l.}cense ~ ......................
Other '1'~'. l.lcenrm ~ ...................... ~
I~nl {m~ oK Im~l <m ~fieh prolx)ml ~)rk will I~ do~,. ............................................. .............
505 MIRIAN ROAD ,t "NATTITUCK
C~mtyTax~up~. I~ ~l:{~ 09900 lll(~k 0100 . ~, ~ O3b./
~l~Iivishm CAPTAIN KIDD ESTATES Fil~l)hp~). 1672 10t~,:26; 27-
n. Existi.g .sm md ~O~lm~ry DECK & SHED
DECK & SHED
(Io lr~ Imid on I:ilhq~ Ihi~ appl
Il:
,
.
I)1,()'1' I) IAGllAH
[~IA'II~, OF I~',T4 YO~;
C(AINI~ OF ............... !
"' r ~ ' ......... I ................. I"~in~ d(dy [~)lii, (lelx}~Je~ fl[~l ~;flyl; Illal. he i~; Ihc~ al)pi i('itnl
Ik~ i~l lhe ................. .~.~ ......................................................................
((~ll li](~tors fll~(~lll'~j (:orlx)ralo o[;fi(:{~r, et.(:,)
ill)pi it:fit [oil; Ihfll: fll J tJlJ]L(~l[~lil, tl (:Oll aJlx~(I lit IIILB iq)pi it:ill io~) fire ll~ I o Ihe In~ll: ()1: hJf; kix~lc~lse lil~J Ix~l. Jefj taxi
Ihill lbo ~)lk will I~ i~l'oillE( ii1 I.lo II,lilies[' lle~ J'orlh iii Ih~ iq)pi J(:~ll. ioii fiJod II~re~ilh.