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Home My WebLink About23397-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24451 Date JUNE 20, 1996 THIS CERTIFIES that the building ADDITION Location of Property 6200 NEW SUFFOLK AVE. MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 13 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 1996 pursuant to which Building Permit No. 23397-Z dated APRIL 30, 1996 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 WITH FIBERGLASS ROOF PANEL SYSTEM TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FREDERICK HEINZ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ,41-- /� riopli g Inspector Rev. 1/81 FORM NO.3 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° 23397 Z Date ....... .......................... 19...Y.... Permission Is hereby granted to: ..................... c..... .-5 .........I......................... - To u :Gr '...Gr�-F�4%FG �.. .. G ='L< O�ttJ.. �' . .., . ter.................... . ............................................................................................ .................................I. at premises located at.......... ....... ......................... ............................................................ ....................... v............................,.,.........................,. County Tax Map No. ,1000 Section .....11. Block.......... ....... Lot No. .. ............. pursuant to application dated ............... .1.�...... 19...76....• and approved by the Building Inspector. Fee$... i�.•.... .... . ........I.....,,. ................... Building In ector Rev. 6/30/80 }/ cors No. 6 7 TOWN 0= SOliTHOLD BUILDING DE?ARTMEENT TOWN 3_ L �� 765-1802 w 41996 :_ BLDG.DEPT. APPLICATION ?OR CLRTI'ICATL Or OCCliPANC`_' TOWN OFSOUTHOLD _. his aPPlication must be =_.'_ed in by typew^ter OP, ink and submitted tc the build-ng _rspector wick the =oliow'_n_: .or new 'Duiiairg or new use: 1_ . Final survey of property with accurate location of all buildings, Property Lines, streets, and unusual natural or topographic features. . -nal Approval 'rom Health Dent. of water suppiv and sewerage-aisposal(S-9 =o-nj Approval o electrical -nstallatior. `nom Board o= 7,._e Underwr-cars. Sworn statement from plumber certifying that the solder used in system cortains Less than 2/10 of lead. .. Commercial building, iildrstrial 'Pll ilding, malt-Ple residences and similar buildin'2s and installations, a certificate of Code Compliance from architect or engineer responsible for the building. .,. Submit P'_annir.; Board Approval of completed site plan requirements. 3,. ^or existing ouildings (prior to April 9, 19571, non-con_-ormirg uses, or 'buildings anc "bore-existing" lane uses: '_ . Accurate survev of property showing property Lines, streets, building and unusual natural or topographic features. '_. A properly completed apDlicacion and a consent to inspect signed by the applicant. a Cartificace of Occupancy is den-ed, the Bu-Icing Inspector sha_1 state the r=easons thers or in woofing to the appLlcant. _ . Certificate of Occupancy - New dweii_zg 525 .00, Additions to dwelling S_S.00 , Alterations to dwell_ng 525.00, Sw-mmirg pool 525.00, Accessory 'Du_lairg S25 . 00 , Additions to accessory building 525.00. Businesses $50.00. , _. Certi_`icate of Occupancy on Pre-existing Buildina - $'00.00 3 . Copy of Certificate of Occupancy - .25c Undated Cert_=-cafe of Occupancy - S50.00 :. Tamporary Certificate of Occupancv - Residential S15.00, Commercial 515 .00 �( Date . . . . . . .� -. �?'�` .L. . . . . . . . . . . . . . . . . . . yew Construccion. . . . .r.�, Old Or Pre-e.Zisting 3ull '2.ng. . . . . . . . . . . . . . _ocatioa of Property. . . . . .9.�00 NeU7 'lv�tU. ( �. . . . . . . 1,.l V. '�, - . . NNa " House No. . . . . . . . . . . . . . . . Street Hamlet inwer or Owners of Property. . . . .� . . I. j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;ounce Tax Kap No 1000, Section_ �! . S . . . . . .Block. . . . . `. 3. . . . . .Lot. . . . . . . . . . . . . . . . . . . uodivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .?aile�dj dap . . . . . . . . . . . . oc. . . . . /./. . . erm_t N 3.3.9. . .Date Of D=_ /.7�1� !. . . .ADt)I cant\\� &Pekb.4;I.`O .? .. &)eecle ._a-th Dept. Approval. ,,l�. .Ne. . . ,,... . . . . . .�.1. . . .underw-iters Approval. . . . . . . . . . . . . . ann_ng Board ApprovalboA. NCS. . . . ,e011eSt .Or: Temp OrarV Ce_r___QZte. . . . . . . . . . . _ _=a_ Cert'_dat=. . /. . . . . . . . eeSuDm_tted : $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . si�{yd . . . . . . . . . . . . . . . . . . . PO k avvs/ o��S�FFO(,�cG Gym Co H x Town Hall, 53095 Main Road p • Fax (516)765-1823 9y �aO� Telephone (516)765-1802 Southold, New Yolk11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 14, 1996 Mr. Jim Brockbank P.O. Box 252 Mattituck, NY 11952 Re: Frederick Heinz - SCTM#1000-115-13-24 Prem: 6200 New Suffolk Avenue, Mattituck To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is (outdated/not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23397-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. h II(LIP I Illi l'CC't lull 10;I'OICI Un I IS fry -- -- e,c "(; Ill ll�lllli ----- I ' rolllll,n'II OII ( I"'I') ' --...._..._ . ........_... _.. .. IFouinl'nrioil > mMym >F > IU)IICII rltnHlS A a 'I.IIHIII IC - - ----._.._... ----- -- -- — -- -- - - -- --- C'J Insul.n't'IOn PER if. Y . -----�---._ --_.--- CI - - s rn l is r.lniucv _ � ruulilk - - - --- m. rIIInI, _> _m-_>- >___M »,b>A> >e�m>.,�n�na> >..- ----,a» >-__---->------- Allol'I IOIInI COIII❑±tl , IN _...............----- - - ---- ----------------------------__ ... -------- - -- ---- — - -- -- --- --- - - --- - i _ . .... .. ...------- -- ------ ---.._...._-.. . ..--._. ...... ..____ _ dim Brockbank Construction P.O. Box 252 Mattituck, NY 11952 7 G f Gd 298-4768 J APR 1 51996 BLDG DEPT �� rOWNOFSOUTHOLD S 6 51cS/ /est Hra u iPi4i � `ts to 3eii I I I f I �XG,�ii� �1Rov✓ �M�b r/ 1 r /� ( 34 Y�/aria �'o•ucKe % o ' � %-oa7iv� z t7gXa tie y« \d N®rsE .Uew goof' syn ccs i � ,3a o/.S� Sr GCfF e^�s A-4w 6,4 `iauSe I?eck --r_^3 - x a <V ' a , •e*t „�.T. h _ .{ if �`` .t 6 - _ - a , Z 4,7 yy 1 s . ` 74'"' � t N.'- .a� ..y4Ka: ;P ,.a3:b ♦. ,�a f +?E+ ��`$. AP �. On aw , Mme-rT► `TUC_K 046 Of : i ' . CAL � 40=s lkof4 Ptd w a' , %d/ I{j Y 3 J. te • x X APR 2 19b4 �� : < - 4 a� Otto W. F'.. ,:..e �Y . �' . . � GreenpQt j. t ; N " .. a p VI N U on ," • 1 .53 4 • x.. . 49 AP OFr LAW W D + v t FOR Ar 02 C,A C F 40 =1it D i 00 e J m Ul i t <c APR 2 4 9b4 i .�. :. " ; ,�.. ; Otto W. Van Tuy! & Son Greenport, C. 1., N. Y. _ _ b rr�1 � Rl5 0 R BOARD OF HEALTH . .IS FORM NO. 1 3 SETS OF PLANS . . • • . . . ; n �I TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . LA am. 5 BUILDING DEPARTMENT CtIEcr . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 w TOWN OUUTTHOLD TEL.: 765-1802 rtyTIPY i �7/ CALL . . . . . . . . . . . . . . . . . . . Examined . . c /� . ., 19 /,,�o MAIL TO : Approved . . 1� � . ., 14/Permit No<;�.33 l; . . ♦ . . ' . • . . . ' . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . uilding Inspector) APPLI ION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 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 streets 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 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 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 regulations, and to admit authorized inspectors on premises and in building for necessary i peclions. ( i nature of applicant, or name, if a corporation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,Ceneral contracto electrician, plimiber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . ASNOTED. . . . . . DATE: �' B.p.# 3 JA. 1�J Name of owner of premises . . . � ±�' . . ... .?� .... . . . . . . . EE (as on the tax roll or latest BUILDINQ D6P EN If applicant is a corporation, signature of duly authorized officer. 765'4802 9 AM To FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REOUIRED (Name and title of corporate officer) Vit, U FOR POURED CONCRETE q Oce, I 2. ROUGH - FRAMING & PLUMBING L11B01Q �b . ! .N. 3. INSULATION uilder's License No. ✓. . UNLAVIFUL a 4. FINAL - CONSTRUCTION MUST ® t BE COMPLETE FOR C.O. Plumber's License No. 1^w s.�. ONSTRUCTION SHALL MEET Er Electrician's License No. . . . . . REQUIREMENTS OF THE NX STATE CONSTRUCTION & ENERGY " a eUPANCY CODES. NOT RESPONSIBLE FOR Other Trade's License No. . . . . . . . . . . . . . . . . DESIGN GR CONGTRUCTION ERRORS I. Location of land on which proposed work will be hone. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q . . . . . . . . � ��. �� . . . . : . . . . %40*� . ... . . . . ... . . . . . . . . . . . . . . . Ilouse Number Street 2 Hamlet County Tax Map No. 1000 Section . . . :��5 . . . . • • • . Block . . .�?. . . . . . . . . . . . Lot . �z• • • • • • • • • • . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2: State existing use and occupancy of premises and intended usese�and occupancy of proposed construction: a. Existing use and Occupancy .��C . .`S . . .t. 1 1��'y 4.v� . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . �A?= k vT'i . x+ ;F t? + , .... . . . . . ys,.h• sti :N�sI3i�.".t7[.,7�'a�fi .oui f,i ,tf,�e.tb�i traaltix:I m1el' 3. Nature of work (check which applicable): New Building • . =Addition , . . . . . . 'rYkeratisl"^ Repair . . . . . . . . . . . . . . Removal Demolition . Other Work t� c7 ti (_ �D't4 iption) 4. Estimated Cost . (n 0�� :. . . . . . . . . . . Fee . . 5, If dwellin number of dwellin (to be paid on filipg,# t tion) S units . . . . . ,� r- Number of dwelling units on each floor . . , . If garage, number of cars �;.-_;: • • • • . • • • 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use , 7. . . . . . . . . . . . . . . . Dimensions of existing structures,if any: Front . . . . . . . : . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height nber of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure With alterations or additions; Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . , . . Depth . . . . . . . . . . . . . . . . . Height . . . . . . . . . , :. . . . . . . . .. . . Number of Stories . . . . . . . p ruction: Front . . . . . . . . . . . . . . • Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . , . . . 8 1leithtlsions of entire new cons�ber of Stories . . . . ... . . . . . . . . . 9. Size of lot: Front • • • • " " ' " • • . • • . • • • . • • • • Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 1/. Zone or us. Date of e district in which r • . ' ' ' ' • • Name of Former Owner p enrises are situated . . . . . . . .. . . , . . . . . . . , .12. . . . . . . . Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded , . , , , , ; ;rte.. , , , , , , , , Will excess fill b ren oved from premises: Yes No 14. -e� } Name of Architect ^� . �i ✓�_ Address ./, O—4, 1 , , , , , • Phone No ��,� Address . . . . . Phone No. Name of Owner of premises�.�.' Name of Contractor , W , ck,(yt71 Ad `- Phone No. f , . . id dress 15. Is this property within 300 feet of a tidal wetland? *Yes, , , • „ No *If yeso Southold town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all l buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block(cumber or description according to deed, and show street names and indicate whether interior or corner lot. IRM_ X"P�. cctA c � PV&) Flb�v2�1�5si�.d� F to (— AcA., pled 1S _ N Fle,,), o time~ STATE OF NEW YOt S COUNTY OF . . . . . Ne at. of individi gring contract) . ' • • ' being duty sworn, deposes and says that he is the applicant above.nai.iied. /J ' r He is the . . . . Sley" _6'q �O f. . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to stake and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . . . . . . . . �.5.\. ~. . . f. . l 1 � . . . . . . , 194:6. Notary Public, . . . . . . . . . �. . County ROBNOTARY PU I ,JR. . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ERT SLI tate of N.Y. (Sig ature of applicant) No.4725089, uffolk Cou Term Expir$ May 31, 19