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Home My WebLink About24197-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspe6tor Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25343 Date OCTOBER 30, 1997 THIS CERTIFIES that the buildin~ ACCESSORY Location of Propert~ 2879 RUTH ROAD EXT. House NO. Street County Tax Map No. 1000 Section 105 Block 2 Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 2.1 Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 1997 pursuant to which Building Permit No. 24197-Z dated JUNE 19, 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 STORAGE BUILDING IN FRONT YARD OF WATERFRONT DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. BARRY ASNESS (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25125 Date JULY 9, 1997 THIS CERTIFIES that the buildin~ Location of Propert~ 310 RUTH ROAD House No. County Tax Map No. 1000 Section 105 Subdivision RENOVATION MATTITUCK, N.Y. Street Hamlet Block 2 Lot 2.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 1997 ~ursuant to which Building Permit No. 24197-Z dated JXINE 19, 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 RENOVATION TO EXISTING SUNROOM OF ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. BARRY ASNESS (owner} SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 /~ Bui'ldl~g ~nspec~r ' FORM NO. ~J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING P£RMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) z 24191 // Permission is hereby gran~d to: . ............................ ..... ..~.~.~..x~..z~.././..~.~.~ ........ ~,~ ~.,~ ~.~~~ - ~J ....... ..d...~.~;)..~ ......... ....................... ~ ................. ,.,.,..,.~ ......... .,,, ...................... ~ .......................... ~..~,~:...~ at premises located at ..................... ~.6~....~...V ....... /.~....~-~...~ .~..,....~7L..~'.~.~~~-' County Tax Map No. 1000 Section ...... i'~".....~..... Block. ........... ~... Lot No.....~..~..,.~.. ......... to application dated .......... ~...~..~. ................. , 19.,~../~...., and approved by the pursuant V Building Inspector. Fee $.../,~'~.. ~ Building Inspector/ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 m'PLICATION FOR CERTIFICATE OF OCCUPANCY' ,. -$199~., . A'. ~his application, must be filled in by typewriter OR ink and s~bmitted ~nspector with tl~e followingr for new building or new use: i · . Final survey,of property with accurate location of all buildings, ~gperty lines, streets, and uuusual uatural or topographic features, 2. Flual Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of ~lectrical lustallation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/IO.6f 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer ~esponsible 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 Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buiiding and unusual natural or topographic features. 2.. A properly completed application and a consent to inspect sigpe~ by the applicant. If a Certificate of Occupancy is' denied, the Building Inspectdr shall state the reasons therefor in writing to tile applicant. C. Fees 1. 'C~rtificate of Occupancy - New dwelling $25.00, Additions to dwelling $25~00, ' Alterations' to dwelling $25.00, Swi,~ing pool $25.00, Accessory building $25,00~ 'Additions to ~ccessory building $25.00. Businesses $50.00. 2. Certificate~of Occupancy 6n Pre-existing Building - $100.00 3.' Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated'Certificate of Occupancy $50.00, 5.' ~emporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Mew Construction ........... Old Or Pre-existing Building..., ............. H6use No. Street Hamlet ,~"' ' Onwer or O~ners of Property ................................... ~,., ..... Codnty Tax Map No IO00, Section ...... · ...... Block ........ .Lot.. ,... ;if,' Subdivision .,~i : Filed Map Lot Healt~ Dept. Approval.. ~.~.1~ ............... Underwriters Approval .... ~.[.~.. .... Planning Board Approval,. " Fee Submitted: $ ............... 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 building inspector with the following:' for new building 6r new use: 1. Final survey.of property with accurate location of all buildings, property lines, streets~ and unusual uatural or topographic features. 2. Final Approval from I{ealth 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 tile solder used in system contains less than 2/10 .6f 1% lead. 5. Commercial building, industrial building, multiple residences and similar building~ 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, buiiding and unusual natural or topographic features. 2.. A properly completed application and a consent to inspect sig~neJ by the appllcant~ If a Certificate of Occupancy iS denied, the Building Inspectdr shall state the . reasons therefor in writing ~o the applicant. C. Fees 1. 'C~rtificate 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 ~ccessory building $25.00. Businesses $50.00. 2. Certificate~of Occupancy 6n Pre-existing Building - $iO0.00 3. Copy of Cert~ficate 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 New Construction.~~-Old Or Pre-existing Building..~ ........... Locat'ion of Property..~.~.~. ........... ' ..... ~..~.~.~. [[ i ~ · H6use No. Street Hamlet Onwer or O~ners of Fro er County Tax Map No 1000, Section. W~.42~.. ' ~ ~. A ...... Block ................ Lot.. :. Subdivision (' Filed Map Lot Permit No, ,~,, ,~/i].~, ?, ,~., · ,pate Of Permit,, O,l~/,~. ,~,, ,Applicant E.~, ~.),~ ,¥,/~,~q.. ,a7~,, Healt.h. Dept, Approval,,,,~,~,),) ............... Underwriters Planning Board Approval ..... I.¥./.~. ....... ' ...... , , Request for: ~emporary Certificate ...... ~ ... 'Final rttcate ~ · Fee Submitted: $ ..... ~. ....................................... [;Ulllll Iljl~ ' ,' / 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [J FOUNDATION 2ND [ ~ULATION REMARKS. //.,~'~-4.//~/~,~-,- ~__~,/-'~~' o~/~ .~_~ 4.0. / DATE INSPECTOp~_~ 765-1.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~OUNDATION 2ND [ ,/'J FRAMING [ ]~R~UGH PLBG. [ ~/]/INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ,, :°2.N,D2j'°" i ,NA REMARKS. ~ ~ DATE~/~ //INSPECT~ 2i,i 2 3 i997 E;;amined . . Approved ./ Disapproved; FORM NO. 1 TOWN OF SOUTHOLD ; i BUILDING DEPARTMENT TOWN HALL q-~-:' 7'?;-,,. ............ : i SOUTHOLD NY. 11971 '/'~5,'.' ¢*Q~u.,' "~-, · , TEL.. 76o-1802 ~/.f , 19~.XPer,nit BOARD OF HEALTII ',' 3 SETS OF PLANS SURVEY ................... CIIECK HAIL ' Location of land on whid~ proposed work will be'done ....... TFIE RE{~U~REg¢~ 'NTS OF .......................... : ......... · ltouse Nmn bet Street , ~70f~:;... h U .rtON ~-hRORS. ty Ta lO00 ' ':'<'~ ' ' Coun x Map No. Section Block ...... Lot .. ' · Subdivision Filed Map No Lot (Name)~. State existing use and occupancy of premises and intended use and occupancy of proposed construction: . ,. ,. .... .... ...................... FOLLOWING INSPECTIONS: 1. FOUNDATION - TWo F~EOJJIRED FOR POURED CONCREt'E 3. ]NSULATIO~ INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets of plans, accura'.; plot plan to scale. Fee according to schedule. b. Plot plan ,ihowing location of lot and of buildings On premises, relationship to adjoining premises or public streets ,r areas, and 'v' ' ation, gx nag a detmled description of layout of property must be drawn on the diagram which is pa~ ~f t, his app~- c. The work covered by tiffs application may not be connnenced before issuance of Building Permit. .~ ' ' , i. ~ , d., Upon approval of this application, the Building Inspector will issued a Building Pe~it to the appUcant. 'Such pemit [~1 be kept on the premises ava~able for inspectioo throughout the work. % e., No building shall be occupied or used in whole or in p~t for any purpose whatever until a Certificate of Occup~cy mil l~ave been granted by fire Building Inspector. APPLICATION IS HEREBY MADE to the Bulldog Dep~hnent for the issuance of a B~lding Pemit pursuit to the uilding Zone Ordnance of the Town of Southold, Suffolk County, New York, ~d other appUcable ~ws, Ord~ces or .egulations, ~r the construction of buUdbags, ddmons or alteratmns, or for removal or demolition, as here~ described. he app~cant ~g[ees to comply with all applicable laws, ordinances, bu~d~g code, housing code, and regulations, and to Jmit authorized ~specto~ on premises and ~ build~g for necessaw inspections. . (Signature of applicant, or name, if a corporation) tqO (Mailing address of applicant) tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. amc of owner ofprcmises - . . ~ (a~.h~x~est deed) APP~n~ t~ame and title ozcorporate officer) ~sc~ N~'tR BUILDING OEPA~ 765-1802 9 AM ~ 4 PM FOR THE 3. Nature ofw hock which app ieable): New Budding .......... Addition .......... Alteration ........... Repair ..,..Lt... . Removali ........... Demolition ............. Other Work .............. (Description) I Estimated Cost q~..~ .QC).O- .0~. ', ! (to be paid on filing this application) ;. If dwelling, number of dwelling unit!s...............~ Number of dwelling units oil each floor ................ · I f garage, hUm ber of cars ....... fi~.,~, .......................................................... i. If business cotmnercial or mixed oceopa icy, specifx nature and extent of each typ. e of use .... /~. ~'-i t ....... ' Dunenslons el existing structures, If any: Front...-,~_.~: ~. ...... Rear .... 81~..~. Depth ..... .~. 2~..~.,. lteight ..: ............ Number of Stories .... r~. ................................................. Dhnensions of same structure with ~lterations or additions: Front .Nl.O. . ~ ['{t{ .N.6;.~... Rear . .~.O....C..t-;(~'.~.~ .' Depth ... ~ .D...~.~. ,,,~ ,~1.~ ....l:Ieight ...N.~..C.'q-(..&~.c~,~. ...... Nunl~!~/r~$tories.,, ~..~... I.HetghtDimens' oils.. ~kJ ~'-°f entire ...... new CONn.tlstructibn:ber]of Stories' Front.. ..... ~N~'I~, ........ :.R ~ r.i::a ?i"'::'i" .D.e p. th... ~,J(~, ......... L Size of lot: Front.... i........ P, ear /.~-/,. ' ...... 8.~. .......... Depth . 6. ~'A.~'.g ............ t Date of Purchase ' · Name of F~.er Owner Zone or use district ill wh'ch prenusis are situated l~'-w 4~. ' ' . D.o. es proposed construction violate 9ny zoning law, ordinal?ce or regulation: .... bO.o. ..................... 'i. · Will lot be regraded ...... _.. ~..O.i.: .............. ~,yfll excess fill be removed from premisesr bJ oAz?~s , No . Name of Owner of prenlises(.2&R~q~i.~.iBAg8~. {lc6'~91~l:]~ress ~lO.. [q,o. T.~. ~..C?... Phone No. '2~8. Name of Architect ....... 5 ..... I .... ~ ......... Address ................... Phone No ......... ' ....... Name of Contractor ~19 9: .~..~.'t.. !' [~ ': ........ Addres~ P.%o...t.q,9. ['~..c~..~3~.. Phone No.~/.~.4 .~,4~.'7.4'. .... Is eh'Is proport, y wil:h'ln 300 ,feel: of a l:±dal wel:land? ~Yos ........ No ......... ~][f yes, Soul:hold Tomi Trustees Perm±t: may be required. ''' ' i PLOT D IAG IL'MM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from operty lines. Give street and block nmn ~er or description according to deed, and show street names and indicate whether ~ [crier or corner lot. (Name of individual signing c0ntracl) ve named. t ...... : being duly sworn, deposes and says that he is tho applicant : Is the... ~.,. I ontractor,I , agent, corporate o cer, etc. ,: ;aid owner or owners, and is duly aut[lorized to perform or have performed the said work and to make and file ,this~ lication; that all statements contained h~ this application are true to the best of his knowledge and beliaf; and that, tho k will bo performed Jn tho manner set forth in tho application filed therewith. ,, , , ,! ,~?~!t,~.~ ~m to 5efore me this 96 ,; * , ' 'N ¢(I70NJROS B373A VBI O£gl 606 XO~ '0 'd --gg2 (91£) % / / eX ,~/