HomeMy WebLinkAbout22839-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25516
Date: 02/04/98
THIS CERTIFIES that the building
Location of Property: 205 CR 48
(~OUSE Ho.)
County Tax Map No. 473889 Section 113
Subdivision Filed Map No. __
AGRICULTURAL BLDG
MATTITUCK
(STREET) (HAMLET)
Block 12 Lot 10.4
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 8, 1995 pursuant to which
Building Permit No. 22839-Z dated JUNE 19, 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 AGRICULTURAL BUILDING TO MEET ALL SETBACK REQUIREMENTS IN LB ZONE.
The certificate is issued to THOMAS & ELLEN TALBOT
(OWNEH)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Bui]R~ing In~ctor
Rev. 1/81
FORM NO.$
TOWN OF $OUTHOLD
BUILDING DEPAgTMENT
TOWN HAU.
$OUTHOLD, N.Y.
Ne 22839 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED]
Permission is hereby granted to:
~c.~...~/../.....~e........~~...
..~...~...~fi ........... :~:......z../.~z/. ......
.~~.~,...-.. ........ ~ .......... ~-~..~.~..~.~.~ ....... ~/...~5 ......
../~.......~.c ....... ,~/././... ......... ~..z-.~......~,~.~.,~,~z-..~.....~.~
~...~ ......... ~.., .......................................................... .(...... ..................................................
County Tax Map No. 1000 Section......./,../...'~'.. .......... Block...../~... ............. Lot No.....Z/~..:.~ ........
pursuant to application dated ............... .~.../....~..... .......................... 19...~..~.~....~., and approved bythe
Building Inspector.
Fee $.,.~:....'~... .....
/ ~/ Bu'~'ding Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
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 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 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
i. 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 $i5.00
Date ......
New Construction ........... Old Or Pre-existing ...... s ................
Location of Property ..................................
House No. Street Ha~et
Onwer or Owners of Pro~rt~ / ~
.. . .....
County T~ Map No I000, Section.. ~/.~ ....... Block.. .~.~ ...... Lot ......... ~ .....
Subd~v~a~on..~: ............................. F~led ~ap ...... Lot ....................
Health Dept. Approval ........................ .. Underwriters Approval ..................... .. ..
Planning Board Approval .................... .. . .
Request for: T~mporary Certificate ........... Final Certicate ...........
.,,
Fee Submitted: $ ......................
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
Thomas & Ellen Talbot
150 Hobart Rd.
Southold, N.Y. 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
be~se 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 Department Approval on
Health
file.
No final inspection has been made.
No Plumber ~older Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 22839-Z~*
Please contact our office on this matter. Thank you for
cooperation. ~
SOUTHOLD TOWN BUILDING DEPT.
*BEFQRE ,CO CANBE ISSUED, a~ SECOND SURVEY IS REQUIRED SHOWING
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 13, 1997
Fax (516) 765-1823
Telephone (516) 765-1802
Thomas & Ellen Talbot
150 Hobart Rd.
Southold, N.Y. 11971
To Whom This May Concern:
We are unable to complete your Certificate of
because of the following reasons:
XX
Occupancy
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.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 22839-Z *
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
*BEFORE CO CAN BE ISSUED, A SECOND SURVEY IS REQUIRED SHOWING
LOCATION OF STRUCTURE.
FIELI~ INSPECTI. ON REPORT DATE COI4HENTS
FOUNDATION { Is'r)
FOUNDATION (2ND)
........
II
ROUGI1 F~HE & .........
PLOMB[NG
CODE
FINAl.
ADDITIONAL COI, iI'.iENTS:
765-~.802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] ROUGH PLBG.
[ ] INSULATION
[ ~]'~NAL
[ ] FIREPLACE & CHIMNEY
DATE
765-1802
BUILDING DEPT.
INSPECTION
[~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] INSULATION
] FINAL
[ ] FOUNDATION 2ND
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
REMARKS ~
PLANNING BOARD MEMBERS
RICHARD G. WARD
Chairman
GEORGE RITCiqIE LATHANi, JR.
BENNETT ORLOWSKI, JR,
WILLIAM J. CREMERS
KENNETH L. EDWARDS
Town Hall, 53095 Main Road
P.O. ]]ox 117§
Southold, New York 11971
Fax (516) 765-3136
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
TO:
FROM:
RE:
Thomas Fisher, Senior Building Inspector
Robert G. Kassner, Site Plan Reviewer ~
Agricltural Equipment Repair Shop
Route 48, Mattituck
SCTM# 1000-113-12-10.4
DATE: December 3, 1996
Please review the attached for certification.
Attachments:
FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN IIALL
SOUI'HOLD, N,~'. 11971
TEL.: 765.1803
APPLICATION FOR BUILDING PERMIT
ItOARI) OF IIEALTII .........
21 SE'~S OF PLANS .........
SII. RVE¥ ..................
ClIECK ...................
SEPTIC FORtl .............
CALL : . . . .
HAIL TO:
INSTRUCFIONS
a. This aPl;lication mustbe completely filled in by typewriter or in ink and submitted to lb~ Building Inspeolor, with 3
sets of plans, nccurato plot plan to scale. Fee according to sclmdulo.
b. Plot plan showing Ipoation of lot and of buildings on promises, relationship lo adjoiniog premises or public st}eels
or areas, and giviog a dotailed d:scription of layout of property mnsl b~ drawn on ll~e diagram which is part of this appli-
cation.
o. Tim work covered by this application may not bo oommenced beforo issuanco of Buildiog Permit.
d. Upon approval of this applioaHon, the Building Inspector will issued a Bnilding Permit ~o tim npplioant. 8ucb permit
shall bo kept oo Hm premisos availablo for iospeetion 1hrougboot tho work.
e. No building shall be oqcupied or used ill whole or in part for any pur'pose whatever until a Certificate of Occupaocy
shall have been granted ~y the Bnilding Inspector.
API'L1CATION IS ItEREBY MADE to the lhdlding Department for t ~e,isst aoce of a Building Permit i>urs,mnt to the
Building Zone Ordinance of the Town of Southbld, Soffolk County, New York, aod other applicable Laws, Ordinaoces or
Regulatioos, for the construction of buildings additions or a re'at ons or for removal ~[ denolitio~ as he-e ~ described.
The applicant agrees to comply with all ap)licable laws, ordinances, bt ding code honsing code and regular oas, and to
admit atttborizet i ~sl)ectors on premises and in building for necessa~ inspections.
........
., .. ,, ~ .... (Signature of a ~plicant or name, if a corl~ora
(Ma 1 ng address o'ffa
State whether appJlcant is '.ow~ler, lessee, 'agent, architect, eogineer, general contractor, elect[iOjf[f; ~lm}l~'~'6r Bdi'lder.
or or ". ........ ..... ....................................
(aS on lhe lax roll or latest deed)
If applicant is a corpomlion, sigoalfire of duly aulbori~ed officer.'
(Name and title of corporale officer)
Builder's License No ..........................
Phunber's License No .........................
]ecl ~cl )sLcenseNo .......................
BLDG, DEPT.
TOWN OF SOUTHOLD
Other Trade's License No ......................
1. Location of hind on which proposed work ',viii be done ......... (-/..~.. .~ :
I louse Number St 'eet ............ ,',' ' '~' .'"' ........................
(Name) ........................
2. Stale exisling use and occupancy of premises add inlended use and occtlpaocy of proposed constmclion:
a. Exisling use ami occupancy .......................
int~ior o~.~,q,orner lot.
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICAT
OF OCCUPANCY
STATE OF NEW Y. OP, I(, · ~ ' L m
COUNTY OF . . ~~;o' ~
, .........
:: (Name of individual slgntng contracl)
NOTIFY 'BUILDING DEPART.ENT AT
765-~G02 9 ~ TO 4 P~ FOR THE
FOLLO~NG INSPE~ONS:
1, FOUNDATION - TWO REQUIRED
FOR ~URED;CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSU~TION
4.. ~NAL - CONSTHUCT~ON UUST
ALL CONS;m~C;;ON SHALL
THE ~EOUffiD~ENT$ OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES. NOT H~PONSIBLE FOR
DESIGN O~ CON~TRUCTIO~
being duly sworn, deposes and says ti at he is the apl!licant
above named. /I ] i ..~
lie is lira ..~., ....... , ......- ................................... . ..............
: (Contractor, agent, corporate officer, etc.)
of said owner or owuers, and is dul~ authorized to perform or have performed the said work and to make and file this
applicalion; Ihat all statements cont(ined hi this'application are true to the best of his knowledge and belief; and tha{ the
work will be performed in the manne~ set forth in the applicalion filedtherewith.
Swam to before ~this
........ ....
HELENE O. HOHN~ .......................
NoraW Public, StatebfNewYork (Signature of applican )
No, 4951364 ~ '
Qualified
Commi~ion Expires M~y
LOT (~
176.46'
S. 87'16'40" W.
150.54'
MIDDLE ROAD (~C.R. 48)
AREA = 56,029 sq. ft.
CERTIFIED TO'
THOMAS TALBOT
ELLEN TALBOT
NATIONS TITLE INSURANCE OF NEE YORK
SOUTHERN NEW ENGLAND FARM CREDIT, A.C.A.
SURW Y OF-
LOT
"MINOR Stl~]j~N FOR ADAM A$SOClATES"
FI~ED FEB. 7,1991 MAP NO. 9061
A T MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000- 115- 12- 10.4
Scale: 1"= 50'
Jan. 3, 1995
ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION
OF SECTION 7~09 OF THE NElc YORK STATE EDUCA T/ON LAWt
EXCEPT AS PER SECTION TEog'sUBDIVISION 2. ALL CERTIPICA TIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF' ONLY F
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
ADDITIONALLY TO COMPLY lC/TH SAID LAI~ THE TERM 'AL TEf~D BY'
MUST BE U~D BY ,4NY AND ALI. SURVEYORS UTILIZIN~ ,4 COPY
OF ANOTHER SURVEYOR'S MAP. TERMS SUCH ,~S "INSPECTED' AND
'BROUSHT'TO'DA TE# ARE NOT IN COMPLIANCE lCITH THE L,4lC.
(516l 765 - 5020
P: O. BOX 909
MAIN ROAD
SOUTHOLD, N. Y.
S. LIC. NO. 49618
P.C.
1197'1
LOT ~
176.46'
$.87"16'40" HI,
150.54'
MIDDLE ROAD ( C.R. 48)
AREA = 56,029 sq. ft.
CERTIFIED TO~
THOMAS TALBOT
ELLEN TALBOT
NATiONS TITLE INSURANCE OF' NEW YORK
SOUTHERN NEW ENGLAND FARM CREDIT~ A.C.A.
SURVEY OF
LOT 4
"MINOR SUBDIVISION FOR ADAM ASSOCIATES"
FILED FEB. 7,1991 MAP NO. 9061
A T MA TTITUCK
TOWN OF SOUTHOLD
.~. SUFFOLK COUNTY, N Y.
looo- 1~3- ~2- ~o.4 ._
Scale, 1"= 50'
Jan. 3, 1995
JAN 21, 1998 ( final barn )
ANY AL TERATION OR ADDITION TO THIS SURVEY I$ A VIOLATION
OF SECTION 7E09 OF THE HEF/ YORK STATE EDUCATION LAI~
· XC£PT AS PER SECTION ?~O~-$UBOIVI$ION~. A~.L CERTIF, CATI.ON~.$~IC
HEREON ARE VALID I~GR THI$ kC4P AND COPIES .THEREOF ONLY IF
SAID MAP OR COPIES B~AR THE IMPRESSED ,SEAL OF TH£ SURVEYOR
WHO~ 8t~NA TUR£ APPEARS HEREON.
ADDITION,~LL Y TO COMPLY FIITH $~ID LAW THE TERM 'AL ~O BY"
MUST ~ U$ED BY ANY AND ALi, SURVEYORS UTIUZI_N~_ A C~O~, Y -
r516)'~
P.O.'I,
MAIN
SOUTHOLD; N.y,
LIC. NO. 49618
P.C.
86 - 582 E