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Home My WebLink About24052-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No Z-25179 Date AUGUST 4~ 1997 THIS CERTIFIES that the building. ADDITION Location of Property 2005 NEW SUFFOLK AVE. House No. Street County Tax Map NO. 1000 Section 114 Block 9 Subdivision Filed Map No. MATTITUCKr N.Y. Hamlet Lot 11 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3r 1997 pursuant to which Building Permit No. 24052-Z dated APRIL 17~ 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 DECK OF ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DANIEL MURRAy (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 !~0mM NO. J TOWN OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24052 z Do,e ...~../:Z ................... ,,27 Permission is hereby gronted ...... ~_~..,,-.-f ................. : ................ ~..~ Building Insp~tor. Fee ..................... "~ii~ ....... Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ,.:~TIF~CATE OF O~UWANCY No Z-24079 Date DECEMBER 13r 1995 THIS CERTIFIES that the building ADDITION Location of Property 2005 NEW SUFFOLK AVE.& 735 REEVE AVE. MATTITUCKr N.Y. Rouse No. Street Hamlet County Tax Map No. 1000 Section 114 Block 9 Lot 11 Subdivision Filed Map No. Lot ~o. conforms substantially to the Application for Building permit heretofore filed in this office dated DECEMBER 11~ 1995 pursuant to which Building Permit No. 23176-Z dated DECEMBER 12r 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is APPLIED FOR. The certificate is issued to ~KNOR SAL(]gIONf DECEASED (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A '~ - UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 TO~ OF SOUTHOLD BUILDING TO~qN F~LL 765-i802 APPLICATION FOR C~RTiFr-CATE OF OCCIPP:~YCY This application runs: be filled in by typewrir-ar OR ink and submitted to the building inspector with the following: for new building or new usa: 1. F~na! sur-zey of property with accurate iocacion of all bui!d~_ngs, property lines, streets, and unusual natural or topographic faa[utes. 2. Final Approval from ~qeai[h Dept. of water supply and sewerage-disposai(S-9 form). 3. Approval of electrical installation from Board of Fire Unde-~.-ri~ars. 4. Sworn statement from plumber certifying that the solder used i~ system contains less than 2/t0 of i% lead. 5, Commercial building~ industrial building, multiple residences and s~m~!ar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the buildf_ng. 6. Submit Planning Board Approval of c6mp. leted site plan requirements. For exis:i~g buildings (prior [o Apr'--! 9, i957) non-co~_forming uses, or buildings and qpre-axist~_ng~' ia~d uses: i. Accurate survey of proper~-y showing ali proper~'£ l~_nes, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect si~aed by the applicant. If a Certificate of Occupancy is denied, the Building ~nspec~or shall sta~e ~he reasons [herefor in wrizing to [he applicann. C. Fees 1. Certificate of Occupanc7 - New dwelling $25.00, Additions to dwelling $25.00, Al caranions to dweliLng $25.00, S~m~ng pool $25.00, Accessory building $25.00, Additions co accessory bu~_lding $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-~is~in~ Bui!din~ - $t00.00 / 3. Copy of Certi£ica~a of Occupancy - &. Updated Cer~i£icate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Com~ercial $15.00 pete .. AV/ t. . .Z. . r.? ................. ~ocatiom o~ ~rope=~..~.q~:.~. .......... .~...~.....r..~.?/A~...&~...: ...... ;~ ~-~7--~-- ~ouse No. Onwer or Ov~lers of Property..' .~z.~.~..~.....~...°z.~....~..~ .............................. ~ ....... oo=,y ~= ~p ~o tooo, Section .... (~.~.. ..... ~oc~ ..... ~ ......... ~ot ..... ~< ............... Subdivision .................................... Filed ~p ............ Lot ...................... Permit Of .... ~ ' ' ' ~ea!~h Dept. Approval .......................... IIade_~rr±ter$ Approval ......................... Planning Board Approval ........................ Reques~ for: Temporar7 Carti£ica~a ........... Final Carzlcace ........... Fee Submi[ted: $ .... .?~..~.~. '. ~.~. ............... r ~ .......... ~7," .......... C 0~ 7~ 765-1802 BUILDING DEPT. iNSPECTION [ ] .~JNDATION 2ND [ ] INSULATION [ c.,-]"'FRAMING [ ] FINAL [ ] FIREPI'ACE & CHIMNEY REMARKS~: ~~---- DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNn~ATION 2ND [ ] Il ~SULA'I'IOI [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~. ~~) [ ] I~SULATIO" [ ~FINAL ~/~*.~ ~ ,INSPECTOR 765-1802 BUILDING DEPT. iNSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY RE:MARKS,~ ~/~' ~ [ ] ROUGH PLBG. [ ] iNSULATION [ ~INAL ~/~~~ DATE-~///~ INSPECTOR WILLIAM J. JACOBS Builder ~.~0 Depot ]Lane Cutcltogue, N.Y. 11935 Mr. Wiffiam $. Jacobs Depot Ln. Cutchogue, NY 11935 - TOWN of SOUTHOL[~ I' t;~,F--- BmL[~IN~ DEPAR'mENT I,' TOWN HALL ] ' I',SOUTHOLD, N,Y. 11971 I ~____ I _ ~::'~ __i ~ TEL.: 765-1802 Examined ~~ Approved' ~./..7., 19/.~ .~PPermit No..(~...."~..~..'~7~ Disapproved a/c~ ......................... /,~ ......... APPEIC/ATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH 3 SE?S OF PLANS ........ SURVEY ................. CIIECK .................. SEPTIC FOCal ............ CALL ................. HAIL TO: a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with: 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 street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli cation. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such penni 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 Occupanc*, 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 thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances o, 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 tc admit'authorized inspectors on premises and ~building for necessary ..... insnections.. "~' ~'('~" ' '~'t 7~i ~ ~ 'c~:r ' ~ ;a'ti~~'~'A~'" .... (Signature of applifoh , dlpfiame, ' p ' ) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... ............................ , ........................ Name of owner of premises .... ~.~...t~...../((. './.O/.._/~.. ~'.: ....................................... (as on thett .ax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. l-?':-I..~.~.q.[.ff., J.' ........ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which propo.ed work ~dl be done .................................................. .. 7. ................... . .............. . .......... House Number Street Hamlet County Tax Map No. lO00 Section ....... .//. ~. ...... Block ........ f. ........ Lot ..... /.( ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupan,c6; of premises and intended use and occupancy of proposed construction: '--/..- . a. Existino use and occupancy ..... /..,.~.. :-.. .... ~-- · -0~-,,::'¥:.2 · ·: .................................... v~ r~zrrc _ b. Intended use and occupancy ..../'f..~.:..~..~ .... ~. ~ .C.--.'~. ~: ........................ 3. Nature of work (check which applicable): New Building .......... Addition ..... ..... Alteration ......... Repair .............. Removal .............. Demolition .............. Other Work .............. (Description) 4. Estimated Cost.... ..- ...... ................ ........ Fee ..................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... · If garage, number of cars ..................................................... '; ................. 6. If business, commercial or mixed occupancy, specify n~ature and extent of each kvpe of use .......... ,.., ...... 7. Dimensions of existing structures, if any: Front.· .,. ~.O..' ....... Rear . .~..~. ......... Depth ~..0. ~...'T. ~.~!-~ Height .. ~[c. .......... Number of Stories ../. ............... ^ .................................. Dimensions of same structure with alterations or additions: Front . .~. ?.' ............ Rear . .~, .... : ..... -. Depth .,~0..~. ..... ~.~.~ .~-... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear .... t[.~. ........ Depth , t'f. ........... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner . --~,~.~.C .~/...' ............... I 1. Zone or use district in which premises are situated .... ~i.~..n~.. .................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .,A~..d.'. ..................... 13. WUl lot be regraded .. ................... Will excess fill.be removed from premises: Yes ~ 14. Name of Owner of premises ~.../27. ~1...~'~.~..~..,. Address .7. .~.C.( .~....~..~../ff-~/5'Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor . ~-¢0--.~'~ .......... Address ~ ~,~7pF./..~. ~ct~Phone No. 7. ).~.: ~.'~../;.C~.... 15. Is this property wi~hi~/300 feet of a tidal wetland? *~es ........ No ......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether 9xisting or proposed, a. nd, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coruer lot. ~OUGH - FRA~,~G & CONSTrUCTiON ¢'O~:PLETE' FOR C.O. ~ON~'~UC~ON SHALL F, EOU¢REMEN~ OF TH~ HOT RESPONSIBLE STATE OF NEW.YORK, COUNTY OF .~~.. S.S ..... '.~.!.......(('~/w~. .....-~.. ,-~ .d~..~?.'~ ?. ...... .... ........ being duly sworn, deposes ~d says that he is the applicant ' (Name o f individual signing contract) above named. Heis the .................. ~..~ ................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perfo~ or have perfo~ed the said work and to m~e ~d file ~is application; that all statements contained ~ this application am true to the best of his ~mwledge and belief; and that the work w~l be perfomed in the m~ner set forth in the application filed therewith. Sworn to before me this 'ota~ Public, ~~ ~.~, .~ ...... y ,f~.ff~ _ ~¢_ ~ ~. , ,,