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Home My WebLink About22606-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23512 Date MARCH 1, 1995 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 1975 CAPTAIN KIDD DRIVE House No. Street County Tax Map No. 1000 Section 106 Block 01 Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 3, 1995 ~ursuant to which Building Permit No. 22606-Z dated FEBRUARY 3, 1995 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 ALTERATION TO FINISH 2ND FLOOR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to of the aforesaid building. JOAN SCOTT (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ~/a SEPT. 9, 1975 - BY J. KUEACKI N/A Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY FEB - 3 1995 8[.DC~ DFp~~ ~OWNOFso'~ '' No Z18949 Date APRIL 3t 1990 THIS CERTIFIES that the building. ADDITION Location of Property 345 LINDA RD./1975 CAPT. KIDD DR. House No. Street County Tax Map No. 1000 Section 106 Block 001 Lo~.. 12 Subdivision CAPT. KIDD ESTATES Filed Map No. I672 Lot No. 166 conforms substantially to the Application for Building Permit heretofore filed in this office dated J~NE 8, 1989 pursuant to which MATTITUCK Hamlet Building Permit No. 18217Z dated JUNE 15t 1989 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 DORMER ADDITIONr BATHROOM TO EXISTING ONE FAMILY DWELLING. The certificate is issued to of the aforesaid building. JOAN & ROBERT SCOTT (owner) SUFFOLK COUNTYDEPARTMENT OF HEAL~THAPPROVAL N/A UNDERWRITERS CERTIFICATE NO. H013265 DEC. 14r 1989 PLUMBERS CERTIFICATION DATED. MATTITUCK PLUMBING March 26, 1990 Rev. 1/81 ' // ~uilding Inspector FORM NO,$ TOWN OF BOUTHOU) BUILDING DEPARTMEN'/ TOWN HALL SOUTHOLD, N.Y. N£ 22GOG Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date. Feb~99~X..~, ............................... 19..~5 ..... Permission Is hereby granted to: Robert & Joan Scott 1975 Captain Kidd Dr. Nattituck, N.Y. ! 1952 to ......... C.O.~S.~.RU. gT..._~.'~.R~.,T.,I.,O.,N...,T.,,O..?IblISlt ,2,,..i~....~.LOOR O.F. ~XI~tlINI}..O1~ DIALLING AS APPLIED FOR "'AS BUILT" at premises located at ....... !.9. ~.5....g...~.' .T..~..I..bi....~..I...I)..D...~.R..I...I~.. ................... . .HIt...'l'..T..!...TU..g.K ,,..111., )F ......................... Count/Tax Map No. 1000 Section ......... I..0.~ ........... Block ...... 0.1 ................ Lot No. ,12 ....................... pursuant to application dated ........ ~.B.,R,.b,I. AR~....3,,. ........................... 19.....9..5. ........ and approved by the Building Inspector. Fee $.,....7..5..:..0..q ......... Rev. 6/30/80 FEB - 3 1995 BLDG, DEPT. FOWN OF SOUTHOLD 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 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 certzfzcat 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, 'j 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 - $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 X Bedrooms on 2nd floor as New Construction ........... Old Or Pre-existing Building ................. 1975 Captain Kidd Mattituck .... Location of Property ............................... Hamlet House No. Street Joan Scott Onwer or Owners of Property ............................. ' .................................... 1.0.0. 001 1.2 County Tax Map No 1000, Section ........... Block ................ Lot ..................... Filed Map ............ Lot ...................... Subdivision ' Of Permit . . .Applicant ............................. Permit No ................ Date ............. Health Dept. Approval ......................... ]Underwriters Approva~ ................. Planning Board Approval ....................... / Request for: Temporary Certificate ........... Final Certicate~..[;.. Fee Submitted: * ............. ~'0 "~'~)~'~0'~''~''''~'~'~' 'f~ ~'/' ., COTCHOGU£, L.I., N ¥, 119 ....... .... .... NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Town Clerk's Ottice Southold, N. Y. Certificate Of Occupancy , :,: EB 31995 No..Z..6.625. ..... Date .............. Sep.t.. ~ 2 .... , lg..7~ THIS CERTIFIES that the building located at . .¢ap.t .~i/~d .Dr. ~ .Linda. R~Btreet Est T.nf W,, 166 Mattituck N.Y. Map No. g~,l:!.~ .~.c~c].. Block No ................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ ~..m!.e... 3.Q, 19. ?~. pursuant to which Building Permit No..$03.~Z. dated ........... ~..u~..e... 3.0.., 197~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate issued is P.r. iva.te one family, dwelling... (first flpo~..o.n.~) ...... The certificate, is issued to .1~,~ .,T ,. ~,ons~r. uctinn. Cox'~ ..... ~uer.s ...... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . $~p.t .. 9... 197.~... by..I~ ,. Y.i~la .... UNDERWRITERS CERTIFICATE No. a. pp.rp.v.~t...S.c.p.t..9...1.9.7. ~...h~. J.,. HOUSE NUMBER ..... .19.9.5 .... Street ...~apt. Kidd. I~ ......................... Linda Rd BOAKI; dF HEALTH 3 SETS OF PLANS ....... FORM NO. 1 SURVEY .......... TOWN OF SOUYHOLO CHECK .......... BUIkDING DEPARTMENT SEPTIC PORM ............. : TOWN HAL[. $OUTHOLD, N.Y. 11371 NOTIFY TEL.: 765-1805~ CALL ................ MAIL TO: Disapl~roved ale ~ (Building Inspector) APPLICAIION FOR BUILDING PERI'MT Date . .F.e.b.cu.aFY..2., ...... , 19 .9.5. 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, relatmnsh~p to adjoining premises or public streets , or areas, and giving a de~ailed description of layout of property must be drawn on the diagram which is part of this appli- c. 'The"wm-k coxier~d by this applicatimi may not be commenced before issuance of Building Permit. d. Upop approval of this application, the Building Inspector will issued a Building Permit to the applicant, guch 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 fi)r 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, housir)g code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. · , ''' iSfg'~nature of ap'plic'a'n~[ ~); 'n~'e] itL~ ' 1975 Captain Kidd Dr Mattituck NY ' ' ' ' (Mailing address of applicant) 11952 State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · Owner. Name of Owner of premises . i .dp.a.n] .S.c9.t.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 No .......................... Plumber's License No.. ....................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... J .97.5. .C .a p !; .a .i p . .K .i .d .d . .D F : , . .[yl .a .t .t .i .t.u.c.k ~..Ny ......... .,...,..... 197,5 Captain Kidd Dr . . Mattituck ...... . . ~ ['louse Number .. Street Hamlet County Tax Map No, I000 Section . .19.6 .............. Block . 99J .............. Lot .. !.2 ............... Subdivision Cap.taM1. K.i~l.d. £5.t,a.t.e.s ................. Filed Map No. .1672 .......... Lot 166 (Name) 2.State existing use and occupancy of premises and intend2d nsc and occnpancy of proposed construction: a. Existing use and occupancy .s.ing.le. fam.i.l.y, re.s.idence .............................................. b. Intended use and occupancy sinole, fam.il.y, res.idence..with t~o heqrooms..qq .s.e. qqrlCl .f.I. QQr..as .cons. Lr.u.c~ ed 2 bedroem:s on ~econd 3. Nature of work (check which ap:plicable): New Building ..... ' ..... Addition .......... Alteration f.i,c~ar..o.s..,. Repair .............. RemOval .............. Demolition .......... C. hor ',wrY- constructed (DescrlpSion) 4. Estimated Cost .~. ]j ~, 0"0 Fee .. ~ ~ (t id gthi ppli ) ~ o be pa on illin s a cation 5. If dwelling, number of dwelling ¢nits ............... Number of dwelling units on each floor ................ If garage number of cars ' 6 Ifb i rcial mix d cy pecify and extent of ach type of , tls ness~ COmme or e occupan , s nature e use .., ....... ..,, ... ' 7. Dimensions of existing structurek, ifany. Front............... Rear Depth Height Numlber of Stories Dimensions'of same structore with alterations or additions: Front Rear Depth ' Height ..................... Number of Stories ' .......... ...... '"' ".8. Dimensions of entire new constr¢ction: Front ' Rear Dept. h " tleight Nu,n:ber of Stories ' .. . . 9 Size of lot: Front , Rear Depth 10 Date of Purchase ' Name of Former Owner 11. Zone or use district in which premises are situated ........... 12. Does proposed construction violh .......... ? ' ' '" .......................... te any zoning law, ordinance or regulation: ..................... , .... 13. Willlot be regraded i . . . ' . ' .... · ..... ~ ................. Wdl excess fdl be removed from premises ;'Yes ' No 14. Name of Owner of premises . Addre~q ~'- · · · ........................................ rnone rqo ............. .. Nmne of Architect ~ Address Phone No ' Name of Contractor ' Address ' ' Phone No 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No . .... · If yes, Southold Town TruStees Permit maybe required. PLO~F DIAGRAM Locate clearly and distinctly all Ibuildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. i ' In approximately 11976 applicant hired a contractor tofiaish:upstafrs of residence'. with two (2) bedrooms. Theicontractor did not obtain a building permtt or'C,O, and, a'cco~alh~Iy this application is being r~ade for same. ' Also a deck was conStrucfied when the original house was buill~ a's shown ohth~e s~r, vey:of. Alden Young dated Sept. 9,1975. Applicant request an updated C.O:',.to refleCt'the'deck, .,, which was not shown on ~he C.O. # Z6676 issued on Sept. M.7975. County ~~.., ' (Signature of applicant) Notary He is the owner i (Contractor, agent, corporate officer, etc.) . of said owner or owners, and is duff authorized to perform or have performed the said work and to make 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 p :1 i: forth in the application filed therewith. Sworn to before me t ~ o ' February f', ..................... I9...95 .. STATE OF NEW YQRK, COUNTY OF .S.U. FFOLK S.S doan Scott ~ bei g duly deposes and says that he is the applicant ................................................. n sworn, (Naneofi livid al ' 'ng t) ~ nc u s~gm contrac above named, i ., 1995 FEB - 3 BLDG DEPT. TOWN OF sOUTHOLE;,!.. ROAD