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Home My WebLink About23844-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25491 Date: 01/16/98 THIS CERTIFIES that the building ADDITION Location of Property: 640 HARVEST LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.12 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 18, 1996 pursuant to which Building Permit No. 23844-Z dated DECEMBER 6, 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to AMB PROPERTIES LTD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 14392 12/10/96 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FOu'M* NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. N: BUILDING PERMIT ('THIS PERMIT MUST BI: KI:PT ON THE PRI:MISI:$ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 235~t Z Do,e ......... .~...~..~ ........................ , ,9..~.~. Permission is hereby granxt)ed to: ~ __ . ,, , a x~) ~..~..~.Z-..~e.....~..~,.~.,.~,..~~ z ~. ,~. ........ ~Zz..~~.= ...................... ~' ~/~'~ ~ ~ . ,....~.~.,4.~x..z~.~?~ ........ ....... ' ................................................................. ~~~~~.....~( ................. ........................................................................ ~~~ ................................................ co.~w m~ ~ ~. ~o~o s..o. ..... Z~g. ..... ~ ...... ~ ........... Lo, ~..~..~.~ ..... Building Inspector. Fee $.~...~...~.. Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25490 Date: 01/16/98 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 640 HARVEST LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.12 Subdivision Filed Map No. __Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 18, 1996 pursuant to which Building Permit No. 23844-Z dated DECEMBER 6, 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 ACCESSORY INGROUND SWIMMING POOL AS APPLIED FOR. The certificate is issued to AMB PROPERTIES LTD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 14392 12/10/96 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 /~g InsPector Form No. 6 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 or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health D~pt. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire UndeCwriters. 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. 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - , 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............................. New Construction ........... Old Or Pre-existing Building ................. Location of Property.. &.~. · ...... ~.~.~....~ ..... ..~....~.'~. l JJ~. ·~. ....... House No. Street Hamlet Onwer or Owners of Property............. ............................................. .... . .. . ,,, County Tax Map No 1000, Section...1...~..~....Block .... .~. ........ Lot.. , ........... Subdivision ................................. .. . Filed Map ............ Lot ...................... No~.~..~.. Date Of Per it'! .~..'~. ~.~ Applicant Permit ... m ................................. Health Dept. Approval........... ............ . . . Underwriters Approval...~... ................ .. Planning Board Approval .. . Request for: Temporary Certificate ........... Final Certicate.....~.. .... .... 6 zc. s5 ¢0 ..... :'- .......... Form No. 6 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 or new use: 1. Final 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 UndeCwriters. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - . .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ¢ Date .... ~ .~.'..~. ~.~. ~. ................ New Construction ....... ~... Old Or Pre-existing Building .... .~..!'~J.~. ~.]''~'~'''~'~'~.~.~. Location of Property.. .Z'?.., ........................ House No. Street Hamlet Onwer or Owners of Property .... ....................... County Tax Map No 1000, Section. I ,~.~..Block...°~ .~. .Lot. Subdivision .................................... Filed Map ............ Lot ...................... Permit No2.~.~..~..~.~.... Permit ~.~..~.~.~. ............................... Date Of ... Applicant Health Dept. Approval .......................... Underwriters Approval ...... ~..~...'. ............. Planning Board Approval ..................... ... Request for: Temporary Certificate ..... Final Certicate...' .~... Fee Submitted: $ ..... ~ ~ ~ ~.~,lL~'~3gqo APPLICANT co 14392 d~pJ~LICATIO~No, . ':" . .. '... was~camined~n 22/10/96 andfouridtobein'complfanc¢withthcNat~onalEleCtn~catCod~ LOCAtiON: 'Bats,,. l~t 2~d 3rd A~b': :.. '" 'i,'2 ':'" . D~t Garag¢ Not Tub Pool J~' , . - ]::'. ...: ~BLUR O~OtNAL Y~LLOWCOPY' PINK COPY OFFICE .E)EFECTS ~ .... t~RE$IDENT' Ir I IIAI. BUILDING ,DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :)ND £ ] INSULATION DATE ///~--O/~/ I NSPECTOR-~~~ ~ //~UILDING DEPT. ~ ~/~NSPECTION [~/~ FO/IJ~N~DA~TION,lST,~ )-~ ~/~/,-- [ ] ROUGH PLBG. [ ] F~DA~o"ND-~'~ [ ]INSULATION [ ] FRAMING [ ]FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGhinG.~ [ ] FOUNDATION2ND [ ] INS~ATION [ ] FRAMING [ ~NAL [ ] FIREPLACE & CHIMNEY REMARKS.' /~/~ ,/"~~- ~n~ ,.~'/ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FIREPLACE & CHIMNEY R~MARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [,~Jc [ ] FIREPLACE & CHIMNEY DATE INSPECTOR ~0~ 0F $OUT~OL9 765-;,802 ~ 1t'7%~ ~P~ZCAT:0~ mz cr~:Fzc,z~ OF occu~,.,,,~ . "Ch&s"appl£c&tLon must be filled in by ~ypewtiter 0g *nk and submitted ~o -.-.Z.' ~lnal,App:oveL ~rom Haal:~ Dope, o~ racer supply and ss~ereBe~d~spos&l($-9 £orm), app~icaclou'and a conae~ :o i~npec: slEn4~ by ~he applicant. B of Occup&na7 -Rew d~lltns $15.00, Additions co dwelling tG dvlllinS"$25~) $w~i pool ~2~,00, ~c~asory bulldi~ $2~.00. [icame o[ O~bpincy'' $~O.O0 Certificate o[ Occupancy - lastden=ial ~lf.O0, Co~e~ctal $15.00 ...A~. ............ ~.~..~ X~ ....... : '. " Hou88 Ho, S g~ec Ka~et · [~oper~y .... " ~i ,0~ ~.' ~o ~1000 .... ~k ............ ~o[ ........... '.. '.~ ~. ~. ",. ~. ,r~¢H~.~ .............. ~ac, f .......:..,,~.i ,.. . Nov- 13-g6 JUL. Plus/C,World 203 4~9 1184 516 499 9113 TO: 516 369 $940 ~f ~ho afo~eaatd ~Lld~. Approved FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL ., 1,.~,,.. ermit No ........... BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... FORM ............. TO: Disapproved a/c ................................... ' ',,~' '('l~ii~ing Inspector) AP~CATION FOR BUILDING PERMIT INSTRUCTIONS a. This 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 appl cation. c. The ,,wgrk.c, qv~z;ed ~y, ~tfis application may not be commenced before issuance of Building Permit. d. :iSl~b~J'~pp~o.~.~!'bl<fhl's~application, the Building Inspector will issued a Building Permit to the applicant. Such perm shall be kept o~':fi~&*l~i~emises 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 tls, Buildihg Zone Ordinance of the ToWn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describer The-applicant a,grees to comply with all applicable laws, ordinances, build~..g code, hous~ code, and regulations, and t admit authoi]zea inspectors on premises and in building for necessary insl~tigns./~ ,~,'l}t'''~ ~fi' ' . . ~ o~f a corporation) State whether applicant is_.owner, lessee, agent, architect engineer ge~¢rg[,,.contractor, electrician, plum~er or builde ...... ........................... ................................... Name of owner of premzses ..~ ~fi~[ ~_~-. l...~'~'~' ''~t~ '~' ''¢' ........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License t DrI ......... :.. Plumber's License No. ~./z~ ................. ' .... Electrician's Uoense No. ......... Other Trade's License No.../~../.h ............. 1. Location of land on which proposed work will be done~ ................................................ House I~umber Street Hamlet County Tax Map No. 1000 Section . ./. ~ .......... Block Lot.. ~.,. ] ~ ........ Subdivision ........... )~ L~ .................. Fi~ed Ma'p ~o ........... '... [ Lot .............. -. (Name) ~ ' ' -2. State existing nsc and occupancy of premises and intended use and occupancy of proposed construction: Existing us(and occupancy .& le .......... c ................. b. Intended use and occupancy ............ [.~r..~S O.[ ~1~..~t....W.[ .~ ....... 3. Nature of work (check which iapplicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. OtheV~igb*lC~ I..x~.... ' ~ ~ ,(Descrip~tion) 4. £stimated Cost ........................ Fee ...................................... I ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ number of cars If garage, · ·., ..................................................................... 6. If business, commercial or mi>~ed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structqres, if any: Front ............... Rear .............. Depth ............... Height ............... Nqmber of Stories ........................................................ Dimensions'of same structure iwith alterations or additions: Front ........... ...... Rear .................. Depth .................. I ....Height ...................... Number of Stories ...................... '- 8. Dimensions of entire new conitruction: Front .......... ' ..... Rear ............... Depth ............... Ha ?bt ............... Number of Stories ........................................................ 9. Size of lot: Front ......... i ............. Rear ...................... Depth ...................... 10. Date of Purchase ......... i .................... Name of Former Owner ............................. 1 I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ....... i ..................... Will excess fill be removed from premises: Yes No 14 Name of Owner of premises 'i Address Phone No Name of Architect ........ ~ ................... Address ................... Phone No ................ Name of Contractor ....... ~ ................... Address .... : .............. Phone No ................ 15. Is this property locate wzthin 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit maybe required. .. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street agd bloqk number or descrip[ipn a%cording,to deed, and show street names and indicate whether interior or corner lot. ~. ~ ~ ~/~fi~/ a~'-~c~/~ ) UNDERWRITERS CERTIFICATE ~ t ./ REQUIRED "IMMED TE v,, EN'CI,,O~E POOL 111 ;',~Re STATE OF NEW YORK, o o' COUNTY OF..SO~[IC., · a.a ..... ............ · '~gl~ ~ · .r~4~..~.. ........... being duly (Name of in[dividual si~ning contract) above named. I APSROgED AS NOTED 765-1802 9 AM ~ 4 PM FOR THE FOLLOWING INSPE~IONS: 1. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE 2, ROUGH. FRAMING & PLUMBING 3, INSULATION 4. FINAL CONGTRU~ION MUST ~ COMPL~E FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREME~ OF ~E N.~ STATE CONSIRU~ION & ENERGY CODES, N~ RESPONSIBLE FOR sworn, deposes and says that he is the applic&nt tie is the .......... (~n._.., ,1...~ (Contractor, agent, corporate officer, etc.) of said owner, or owners, and is duly authorized to perform or have performed the said work and to make and file this application;' that alt statements conttained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manr~er set forth in the application filed t~he[ewith. Sworn-to befo?e me this ' ' ............. I.~['..~... .... da Notary Public, . I Ii,I.} ."j, lJ~.l ,.'~ Il. J J'.lill I ~ Ill., 'j,,.J I J Joist Gi~dor spans ~, or Ix)si spacing ' ' 8' ~ - Girdor Cap I Orrck;r or 51)ilClllg S(;l'OO! iTg oi' II}~IXlIIIUil! (JlSIJliICI-~ between !ailing IllOlilbui'S ~, /~