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HomeMy WebLinkAbout24423-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25663 Date: 04/21/98 THIS CERTIFIES that the building ADDITION Location of Property: 2095 ELIJAHS LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 20, 1997 pursuant to which Building Permit No. 24423-Z dated OCTOBER 23, 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 ON THE REAR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to VITO & EVELYN DELUNA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Buildi g Inspe f or Rev. 1/81 FORM NO.3 i TOWN OF SOUTHOLD BUILDING DEPARTMEM TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24423 Date......OCTOBER.......23.......................... 19...97... Permission is hereby granted to, VITO & EVELYN DELUNA ........................................................................................... 148 WOODCLIFF DRIVE ....................... ................ . ............................................... MATTITUCK,NY 11952 .................................................................................. to DECK ADDITION ON THE REAR OF A SINGLE FAMILY DWELLING AS APPLIED ............ .......................................................................................................................... FOR AND (AS BUILT) .................................................................................................................................................................. .,. . .... .,.................................................••........I....................• ................................................................. .................................................................................................................................................................. ................................................................................................................................ ............................... 2095 ELIJAHS LA MATTITUCK atpremises located at.......................................... ....................................................... . ................. ................................................................................................................................................................ County Tax Map No. .... 473889 Section ....P: ........... Block ......0004..... Lot No. „007.012... pursuant to application dated .....AUGUST..........20....................... 19.......97..., and approved by the Building Inspector. 75.00 Fee$......................... ....... '�. . . . ..!. . ...� ......................... Building Insp for Rev. 4/30/80 Form No. 6 ';mOmaA L10I5 TO TOWN OF SOUTHOLD �5 k 2-cLa 1 e- G-b MQ Z BUILDING DEPARTMENT c���� •n�4k �Q S TOWN HALL 765-1802 ' �( APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. Ftnal 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. B. For existing buildings (prior to April 9, 1957) 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - _ 450,'. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. . .. . . . . . .. ... .. . . . . . .. . .. . . . . .. . . . . . . . . New Construction......... . Old ,,Qr Pre-existing Building...... .. ... .... . Location of Property... .5 ........ ��� 5. .......... . .. . ... . ... . .�J'�,,... . . . House No. Street Hamlet Onwer or Owners of Property.. .. .. .. . . .. .. ... . .. . . .. . . .. ..11... .. . .. .. .. . . . . . . .�... . . . . .. . . . . . . . County Tax Map No 1000, Section-1.9Z. .. ...Block. .. .. .1... • . • • •Lot. . . . .I. .�C�.• • • • • • • • • • - Subdivision.. . . . . . .. . . . . . . . . . .. . . . . ... . . .. . . .. .Filed Map.. . . . . . .. . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.;' .�Z3. .Date Of Permit. . .. . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . ... . . .... .. . . .. . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. .. . . ... . ... . . ... . . . . . . . vv Request for: Temporary Certificate. ... . . .. . Final Certicate.�. . . . . . . . Fee Submitted: Qom. . . .. . . .. . . . .. Q�QiC - -SJ . . . . . . . . . . . . . . . . . . . 3 APPLICANT ro�a.��63 765-18a BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBti. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL (V,0a6-2-y-cl-& [ ] FIREPLACE & CHIMNEY REMARKS: DATE �� 3 S � INSPECTOR I- 1111.11 i INA. 111111 Ill�l'1111'I' i►�11:_ , _ l lllll'1 l _ (r JV 1 '^•'. .`T-.�T+rr.n.wnnTT+�twwr lr�__n 1TIT-------- ----------- ------------- --- ---.-,--n-_--n-n--------w---- •d_n nw.- nn-nR•-------w-------------------ww_ _ww._-w_ww_w_------------. 1' t 11:r1Il.n'I 11111 I'KIt 11. Y . 1-I !f'I'A'1'II. I�IIi;ItIrY f:11111! ..n---n....•_nn.. v Ir t tint. _ -_,-..--------- ------- -------- ----------n-----------------_- _---------__------- �. ' n111)1'I'I(Illnl. I;I)f itll;lt'1'li t 2' ----••.-----n--w._----w-_-- -nw-----.--------www---------------------n—_w.___—__w_--n-_--------n- 1 t•� ppp\\\\WWW___"'] ow^ u � t 1 BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . ....... TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . - . . - - . . . . . .. TOWN HALT. SEPTIC FORM AUG 20 1W SOTEL L765-1802 11971 NOTIFY: CALL Exanined:.j l 19. ` �MAIIRd1'O . . . . . . . . . . . . . . . . . . . . Approved f-�� ., 19.... Permit No. l..T:P.:.✓. ......................... Disapproveda/c .............................. .................................... .......................................... ...... .... • ilding•Inspector)•• t APP CATION FOR BUILDING PERMIT Date. . . . . . . . , 19 INSTRUCTIONS a. This application mist be &n pletely 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 application. 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 issue 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 HERM MANE 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildi r ssary inspections. . ..... .4vrla................ .(Signature licant, or name, if a corporation) iJ.. .... E .. r ls� . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber r builder. ....D.. i.►l. . . ..............V ..... .... .. .............................................................. Ne of owner of ...... . .. .....�......(. .. ....................... 1�P RO D AS NOT Name (as on the tax roll or latest deed) DATE.�� if applicant is a corporation, signature of duly autt rA� S CERTIFICATE [4 �IAILDING DEPA A7 //.—, E�UIRE� 765-1802 9 AM TO 4 PM FOR THE (Nare-and•title•of-corporate•officer) ..•-. •..•. - `` ' FOLLOWING INSPECTIONS: 1, FOUNDATION • TWOREQUIRED FOR POURED CONCRETE Builders License No. ........................ P. ROUGH - FRAMING & PLUMBIN^� t" y SULATION Plumbers License No. ......................... � I � Q . s 'gA - CONSTRUCTION M'1w+' Electricians License No. Br' COMPLETE FOR C.O. ,4.. ry� 1' TV Other Trade's License No. .................... /n - REQUIREMENTS OF THE 111,V, 1. Location of land on which proposed work will be done.....e?- de (iP— E CONSTRUCTION & ENERGY N01�D9 "7/ ani ` L� - -'�� o ........................... ..�...�.. . ..�.�..1 .. CONSTRUCTION........ lkxuse Number Street Haanlet County Tax Map + No. 1000 Section cc.A0.'Q0�,,Q.Q.. Block .Dy 4.Q...... LotD1aaZ Subdivision 0i 5..lam:..W :.... Filed Map No. � ..('�.' Lot .....1......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed const ti a. Existing use and occupancy ...... �. ... ....F.�/ / .�1�:�! 7 .... Y r b. Intended use and occupancy ..... ���/ .. � /. .. f!//�� ;� ...... k�iiJ1W isp'1't 3. R►lure of work (ci►eck ul►id► applicable): New I1oilding .......... Acklition ..�O.. Alon Itelxiir ............ Itc„►oval ............. ile►mlttion ............ Other Work ...1� .tera iG. .QY. Eff�', '(Description) 4. Estiu4►ted Cost .J�x?............. fee ............................. ................. // (to be paid on filing this appticatiIjO 'i. If: ckx ling, rrrnirer of. dwellir►g units .....1...... i7►nirer of chaelling units on each floor ................ Ifgarage, timber of cars .................:7................... 6. if bosiness, crmrercial or mixed occupancy, specify nature and extent of each type of use...................... cc 7. Dimensio►ls of existing str►rctures, if any: Front.....oI Y.... Rear ..... .e...... DepU► ...1 7.......... Ileigl►t ......................... Nu►ber of Stories .....�.......... Dimensions of sane structure with alterations or additions: Front ..... ...... Rear .... ....... Depth .......0.1....... height ...................a N►nber of Stories ....Zr ...... 8. Dimension dt entire new construction: Front ....T--?5........ Rear ...44J....... Depth ..�Z$5........ Ileito►t ......................... Unber of Stories ..................... 'c 9. Size of lot: Dint ......1� .. 5 ...... Rear .....1�5. ........ Depth ..... ?I. .......... 10. Date of hirc.hase .A V.1_1-.13..... N.-me of Former (X.n►er `�C`�'� `\;.�!1 CMA�n............... 11. Zone or use district in wl►idi premises are situated ........................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...:[/O............... 13. Will lot be regraded .........I .... ..... Will excess fill be removed from premises: YES /YEES NO 14. Nates of (Mier of premises ...V�:1.�!. �pi.��l�G. Ackiress .9-20 ...�:��'(.r!1�:�[. Phone No.298.. �..... \,,� J-- M:r►►e of Arc3►itect ............QkM,2,................ Address .............................. Yfux-te No. .............. Note of Umtractor ... Acklress ..........lime No. .............. 15. is this property within 300 feet of a tidal wetland? * YES .......... NO�.�.. *IC YI;,S, S(l1llil(1i.D•IMN IRDS IM-3 PE-1441T MAY i3E RE(�JIRIiD. PLOT DIAGRAM I,cx.ate clearly and distinctly all. buildings, whether existing or proposed, six] indicate all set-back dimensions fraro property lines. Give street and block nrnber o description according to teed, and slow street nacres and irxlicate iA)etlwr interior dr corner lot. SS COI IN IL6,A...–T .... ..T, e Lk�..........Ix'.ing duly sworn, (kaposes arxl says that he is the applicant (Mine of i►xlividual. signing contract) alxrve iurrred, Iki, the ................. .... ....................................................................... (C,rnagent tracu , ..corporate officer., etc.) or said cm►er or omx-rs, nrxl is ch►ly mithorized to perform or have performe-d the said work and to make arxl file this -iIq)I ication; that all statements ccntairx-d in t1►i.s application are true to the best of his knimledge nix) lxil.ief; roil that the work will be perfonr►ed in the nwimer set forth in the ap l.icatiom filed therewid►. Sk,Rrn I_o Iref .p nr_ this `.day 119.. Notary 1'►d►l tc ......... (S ;i►ature )pi •ant) .. . 1Mit A \1Ot 0 0 8^ .o, .gym. 26p. o 0 �\ r z " coro s`ro 4��ti S.t5 ` •� �Ot Cr LO N gLv =PRevelEb Dec SURVEY FOR SCIFOLK COUNTY C"ARTML-, LI ter. VIM DELUN.4 Q EVELYN DELUNA LOT NO. 9, EL/✓AHS LAN£ ESTATES,SECT. / AW /3,1904 FOR APPROVAL OF CONSTRUCTION ONLY AT MATT/TUCK DATE: DEC. 21,/905 TOWN OF SOUTHOLO SCALE: / "=SO DATE HS REF. NO SUFFOLK COUNTY, NEW YORK N0. 83-1123 N UNAUTHORIZED ALTERATION OR ADDITION TO THIS 64VARANTEEO SURVEY I{A VIOLATION OF SECTION 7209 Or THE C/NCAw T ANCE CQ APPROVED NEW YORK(TATE EDUCATION LAW SIE O iv% *COPIES OF THIS SUMVEY MOT KAMN{ THE LAND S4 M►'` SUR VE VOM'S IMKEO SEAL ONEMBOSSED SEAL SMALL HOT Of COP DEMO TO K A VALID TRUE COPY D W O MGUARANTEES INDICATED HEREON SMALL RUN ONLY 10 O� `O 1 - HEALTH DEPARTMENT-DATA POR APPROVML TO CONSTRUCT THE PERSON FOR WHOM THE SuRvEY If PREPARED G AND ON NIS BEHALF TO THE TITLE COMPANY,GOVERN- I M NEAREST W�T� rAHN MI.'t * OUNCE OF WATER I PRIVATE ►UBLIC� MENTAL AGENCY AND LENDING INSTITUTION LISTED p R BUFF CO.TAK MAr 01{T�SCAIOM LQL BLACK 4 LOT N[REON,AMD r0 THE ASSIGNEES Or THE LENDING NTHEME Alli MD DWELLM{ WITHIN 100 FEET Or TICS PROPERTY WS7ITUTNON. GUARANTEES ARE MOT TMANSFERABLE OTHER THAN THOSE SHOWN ,)IEREDM. TO AM TIONAL INSTITUTIONS OR SUBSEQUENT M TME WATER SUPPLY AND SEWAGE DHSPO{AL SYSTEM FOR THIS NO OENCE OWNERS .�. WILL CONFORM TO THE STANDMN Or THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY UNE{ ,matt OF HEALTH SERVICES. TOEKI{TING STRUCTURES ME FOR A SPECIFIC � �• PURPOSE AND ARE NOT TO E USED TO ESTABLISH APPLICANT- PROPERTYLINESOR I" THE ERECTION OF FENCES D IAA'D SVR')E+0� ADDRESS TI` 400 YOUNG a YOUNG RIIVERHEEA�NEW YORE NOTE, Bl+MONUMENT 6+STAKE ALDEN W.YOUNG,PROFESSIONAL ENGINEER SUBOJV/S/ON MAP)"/LED/N THE OFA7CE OF THE CLERK AND LAND SURVEYOR N.Y S.LICENSE NO.12845 OF'SGLF•F" COGWTY ON FEB.14,1974 AS P7LE NO.0065. HOWARD W.YOUNG, LAND SURVEYOR M THE LOCATION OF W4L(W),KrrIC TAMK(ST)GCESSPOOLS(CF){MOWN HEREON N.Y.S.LICENSE NO.I5093 ME PROM MELD OKEMWTIOM{MOOR DATA OBTAINED FN711M OTHERS RRANDIS A SONS INC. 1046 --------------------------- x`I CCA i -r- -- - -rv— T1--,-_7 r, _ do i 5� x CC A Ra115 �- i Eli ,r 16 / � ITx CorkW'1'`� ) CCA G -- M on Ce'r4e-r a - a am 5 CC A 1 — a"x UD \CA L \ui 6` Lc,�s \61 on em s"r s 4 U cli GAS AGS.. T Qi Sc� 1 =10