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Home My WebLink About23047-zFO~M 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 TH;: WORK AUTHORIZED) 23047 Z Permission is hereby grained to:,, fl~,~ ~. uSe/Is to....~¢ ................ ~ ............ ~.~ ........... ¥~.....~/.. ....... ~.?~ ......... ~ ........ .... ~ ........... ~.5~ ............ ~.Z~ ............. ~(LL~ ........... ~ ........... ...~<..~ ........... ~. .................................... L ................................ ~ .......... ] ....................................... .............................................................. ~!..A. Tr.~.rq..~ ................................................................ CountyTax Map No, 1000 Sectlon,,,,,/.'..~....~',.. .......... Block...., ./...~... ............. Lot No ...... l~.. ................ pursuant to application dated ........ ?~'"~...... ~ .................... 1 9..2..~......, and approved by the Building Inspector. Fee $......~..~....a~...... Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Bouthold, N.Y. tU~{TIFICATE OF OCuuFANCY No Z-25251 Date SEPTEMBER 9, 1997 THIS CERTIFIES that the buildin~ Location of Property 310 u~uAR DRIV~ House No. Street County Tax Map No. 10 Lot Subdivision Lot No. ADDITION MATTITUCK~ N.Y. Hamlet 1000 Section 106 Block 19 Filed Map No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEmbER 22~ 1995 pursuant to which Building Permit No. 23047-Z dated OCTOBER 5, 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 2ND STORY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID & MIu~E WELLS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-054785 - APRIL 14, 1997 PLUMBERS CERTIFICATION DATED SEPT. 4, 1997--UuTCHOGUE EAST PLUMB. & ~AT. Buildfng Insp~tor Rev. 1/81 TOWi~ OF SOUTHOLD BUILDING DEPARTMENT TOWN FaLLL 765-1802 .~PPLICATION FOR CERTIFICATE OF OCCUP.~NCY This application must b~ filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or mew use: i. Final survey of property with accurate location of ail 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 i% 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 dwetling $25.00~ Additions to dwelling $25.00, A-Iterations 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-existin~ Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - . .25~ 4. Updated Certificate of Occupancy - ~50.00 ~. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Houme No. Street RaCet Subdivision ....................................Filed Map ............ Lot ...................... Permit of Permit. ' ...... Health Dept. Approval .......................... Unde~zriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate.. >~ APPLICA~NT Co i~ TOWN OF SOUTHOLD OFFICE OF BUIII)IHG INSPECTOR P.O. BOX 1179 TOWN II,\LL SOU'I'IIOLD, H.Y. I ~971 TEL, 765-1802 C E R T I F I C A T I O...N {please print} (pieas~ print) ' I curtify that the solder used in the water supply system contains less than 2/10 of 1% lead .... O ,,, ,, ,,~ crun+~, .~4 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1:~5~:[~ BUREAU OF ELECTRICITY --- 85 JOHN STREET, NEW YORK, NY 10038 THIS CE~IFIES THAT D~V~. WE[,[,~ 3~ CEDAR DRD;E, }4ATTITUCK, N.Y. tees examined on AUGUSq' '~(~, 1'~96 and found to be in compliance wi~h the National Electrical Code. Lot DRYERS J FURHACE MOTORS FUTURE APPUAHCE FEEDERS $ERVIC~ DISCONNECT ] NO. OF I S OVENS [DISH WASHERS 1 EXHAUST FANS RANGES SPECIAL REC'PT. E R V I C OF CC.COND A. WG O~ HI4EG NO, OF FEET ~*T. ] WATT~ - m 1555 LOCUST AVg. BOH3~HIA~ NY, 11716-2162 Per 11 GENERAL ~LtqAGIR certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTEREO [~ ANY t4AH~R. DaLe ~ ~? ~L THIS CERTIFIES THAT THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Lot RANGES ~PGCIAL REC*PT R TIMECLOCKS KELL UNIT HEATERS MULTI*OUTLET ¥ I C OF CC. COND EXHAUST FANS DIMMERS This certificate must not be altered in any manner; return to the office of the 3oard if incorrect. Inspectors may be identified by their credentials, COPY FOR BUiLDiNG DEPARTNENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY HANNERL Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 13, 1997 David & Michele Wells P.O. BOX 1259 Mattituck, N.Y. 11952 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) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23047-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ R~~OUGH PLBG. ]~UNDATION 2ND [ FRAMING [ []FIREPLACE&CHIMNEY REMARKS:~ /~~ / ] INSULATION ] FINAL INSPECTOR 765-t802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ~FJ~u LATION DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ~NAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR NSUI.ATIOt,f PER ti. ~. ,STATE E '~ERC'~ COl)F, AI)I.~I~.'[ONAL COHHF~NTS: AVENUE 1 NOTE, · : MONUMENT SUBDIVISION M,~P RI~D IN THE OF~CE MAY I, 19~3 ~ Yl~ NO, ?YS SUFFO~ K C~ TAX MAP DIST I~ SECT I0~ BL I0 ~OT I~ SURVEY FOR DAVID B. W~L t $ £0 T NOLO. ~t a 9, "MATTITUCK DEVELOPMENT C~ AT MA TTITUCK TOWN OF SOUTHOLD s~ SUFFOLK COUNTY, NEW YORK N( J:ORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT. TOWN tlALL $OUTliOLD, N,Y, 1197J TEL.: 765-11302 BOARD OF IIEALTII ,.,:.,~ ..... 3 SETS OF P~'N~,4 ...... SURVEY . ........... t:OTl FY; CALL ................ HAlL TO: · (~ui~dino Inspector) APPLICATION FOR BUILDING' PERMIT Date ' INSTRUCF1ONS a. This applicafion must be ¢ompletdy filled in by typewriter or in ink and submitted to the Building Inspector, wil sets of pimps, accurate plot plan to scale. Fee aeeordlug lo schedule. b. Plot plan showiug location of lot and of buildings on premises, relationship to mtjoiniug premises or public st'r~ or areas, and giving a detailed description of layout of property muht be drawu on the dia§ram which is part of this ap cation. c. The work covered by tiffs application may not be commenced before issuance of Building Permit, d. Upon approval of this application, the Building Inspector will igsued a Building Permit to the applicant. Such per sbatl 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 unti! a Certificate of Occupa ~hall bare been granted by the Building Inspector. APPLICATION IS IIEREBY MADE to the 13uilding Department for tile issuauce of a Building Permit pursuant to [;uilding Zone Ordinance of the Town of Souttmld, Suffolk County, New York, and other applicable Laws, Ordinance P, egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descril 'fire applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, an,. admit authorized inspectors on premises and in building fornecessary inst~~...~.~.tious. -- (Signature of applicant, or name, if a corporation) ~ ', 'P. C9. ~ow 126-?. - /~^r~/racte , Al // (Mailiug address or applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or built ........ Name of o,vner of premises...~..~.~ .~ .~.... ¢....~..~.(-:4..~.~..L ...~. .... . .~..~::../:..C..~. ........... ' ................... (as ou tile tax roll or latest deed) If applicant is a corporation, signature of duly authori~.ed officer. (Name and title of corporate officer) Bt lder s License No .......................... I1 ~ bet s License No ......................... Electrician's License No ..... ~.~ ............ Other Trade's License No. 1. Location of land on which proposed work will be done. 0 ' ' ............................ / ...... . ................... I louse Number Street Itanllet Filed Map No. Lot Subdivision ........ . ........................................................ (Name) ~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy......"~......~.~./.h...~-~.,.~ ............................................ b. intended use and occupancy .............. lO'{~/~' .3. Nature ol wink (.check which applicable): New Building .......... Addition .......... Alteration .... : ..... Repair .............. R~moval .............. Demolition .... : ......... Other Work ............... · ~ ,~P 2 ..... (Description) 4. Estimated Cost ....... ].?./. ....... ~.,.' Fee ................ (to be paid on tiling this application) 5. If dwelling, number of dwelling units ..... ! ......... Number of dwelling units on each floor ................ · I[ garage, number of cars ........................................................................ 6. If business, commercial or mixed occnpancy, specify nature and extent of each type of use ................... 7. D,mens,ons ol extstmg structures, ff any: Front ..... L. ~ ....... Rear .... .i~.g.. .......Depth ....:~..~. ........ Ileight .../.oO.t.~. ....... Nmnber of Stories ..... i ....]. ......... .... .......... '. .......~.~, .......... Dimeasions of shine structure with alterations or ad~titions: Front ....<.<.~.2:: .......... Rear .................. Depth .... ~ ................. Ileiglt ...~..~ ........ Number ofStor es . ~ .... .2 t . . . 8. Dimensmns or entire new construction: Front .... .7'-:..7-:. ...... : Rear .... .2. ......... Depth ...~{g. ......... Height .... .~.'.d: ........ Nmnber of Stories ........ ] ............................................... 9. Sizeoflot: Front ...... ./.O.O~ ............ Rear ...... /..QO....; ........ D.epth .... ./.'ff.¢ .............. 10. Date of Purcimse . . ./.'~./..L //i~'.?.. ................ Name of Former Owner . ./Sq..~.~'.Z'.~. ..... .c_! 0..~...t:3. ...... 1 I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction riff. late any zoning law, ordinance or regulation: .... ~ .. ........................ 13. Will 16t be regraded ...... ~.Q .......... ,. ........ Will excess fill be removed from premises: Yes . ~ No 14. Name of Owuer of premises .D~..~.~.~.. ~....l~'~-f.c'-5.... Address ...... Phone No..~_c~q~..:. ~17..7 . Name of Architi~ct ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ 15. I.s this property within 300 feet of a tidal wetland? *Yes ........ No..~<% ..... *If yes, Southold %own Trustees Permit may be required. PLOT DIAG RAM Locate clearly aud distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street atones and indicate whether interior or corner lot. ~TATE OF NEW YORK, S S ..... ~.~J%~.t'.-O...2~.. ~ ............. ........ beieg duly sworu, deposes m,d says that he is the applicant (Name of individunl signing contract) hove named. le is the ............................. - ..................................... ' .............. (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained ~ this application are true tO the best of his knowledge ~nd belief; and that the ,ork will be performed in the manner set forth in the application filed therewith. worn to before me this Ho. 4952246, Surfak ~un~ (S~gnature of apphcan t) ~i~ June 1 Z 1 ~7