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HomeMy WebLinkAbout23159-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY NO Z-25237 Date SEPTEMBER 4, 1997 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 825 SEBASTIANS COVE RD. MATTITUCK, N.M. House No. Street Hamlet County Tax Map No. 1000 Section 100 Block 3 Lot 11.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 21, 1995 pursuant to which Building Permit No. 23159-Z dated DECEMBER 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 ACCESSORY STORAGE GARAGE IN REAR YARD AS APPLIED FOR. The certificate is issued to NEAL & CAROL ~%FFE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H-05554! - JUNE 4, 1997 N/A Rev. 1/81 ~lding Inspector FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23159 Z Counh/Tax Map No. 1000 Section,,,,,/~ ..... Block ........,.~,, .............. LotNo, ,./Z¢,..,/,.,,~,, ........ pursuant to application dated ................... ~~"~..~. ......... 10,...~.,~ and approved by the Building Inspector. Rev. 6/30/80 y Building Inspector/ Form No. 6 BUILDING DEPARTMENT TOWN HALL BLDG. D[P~ ~ .~;i. 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 Depc. 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 lg 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 Ypre-existing" land uses: 1. Accurate purvey 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 - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commerci8 Uate New Construction ........... Old Or Pre-existing Building ................. Location of err House No. Street Hamlet Onwer or Owners of Property .... ~--~-..............~d--.............~,~"'f~_...... ............................... . County Tax Map No 1000, Section .... ./.~.. ...... Block .... ~. .......... Lot ....... ].~.i/.~ ......... Carol Raffe P.O. Box 338 Mailit~ok, NY 11952 , Subdivision ...... Filed Map Lot ......... ................ Applicant ............................ Health Dept Approval Underwriters Approval .......... Planning Board Approval ......... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. THE NEW YORK BOARD OF !'FIRE UNDERWRITERS ~)~)~6~t(~ BUREAU OF ELECTRICITY -- 85 JOHN STREET, NEW YORK, NY 10038 Oat~ ,'llJlql~l (~4 ~ 1997 ~pplicutioa~o. onyi~e~ ~39~7397/97 ~ THIS CE~IFIES THAT o~y t~e electricaJ ~uipment ~ ~scri~ ~e~ a~ i~t~ced ~y t~ app[icant ~ on the a~ appl~at~ n~ber i~ ~ pre~s o~ N~ ~ C~OL ~]~'E, 825 SE~ASTI~ COV~ RO~, ~TTITUCK, N~Y. ~s examined on ~Y 29,1997 and found to be in compliance with the Na~onaI Elect~cal Code. OTHER APPARATUS: ~OP~ ~fiOP~ 1 ?ANELBOARDS: 1-13 CIR~ 100 RANGES SPECIAL REC'PT. E 8 COOKING DECKS I OVENS l DISH WASHERS IME CLOCKS ~LL UNIT HEATERS MULTI*OUTLEt' OF CC COND. EXHAUST FAN~ EIMMERS NEAL ~ CAROL RAFFE P. O. BOX 338 ~TTIT[/CK, NY, 11952 ~ERAL ~AOER Per J T~~er; return to the office of the ~ard if incoirect, inspectors may be i~ntlf~ed by t~ir credentlais. COPY FOR BUILDING DEPARTMENT. THIS C0PY OF CERTIFICATE MUST NOT BE ALTERED IN ~Y ~NNER, Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 12, 1997 William Kelly, Morton Builders 22355 Cox Lane-Unit 94 Cutchogue, N.Y. 11935 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 (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 # 23159-Z * Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. · TRUSS CERTIFICATION REQUIRED BEFORE CO CAN BE ISSUED. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING ROUGH PLB~/ ] INSU~ [,~'I~NAL [ ] FIREPLACE & CHIMNEY BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] I/~IS~LATION ~/FINAL [ REMARKS: ] FIREPLACE & CHIMNEY OAT, ~.d/~/_/~. ~ INSPECTOR. 765-1802 BUILDING DEPT. INSPECTION [ ]~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ~~ ] INSULATION ] FINAL DATE INSPECTOR Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 12, 1997 William Kelly, Morton Builders 22355 Cox Lane-Unit #4' Cutchogue, N.Y. 11935 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 (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 # 23159-Z * (RAFFE) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. · TRUSS CERTIFICATION REQUIRED BEFORE CO CAN BE ISSUED. FOUNI)A'r ION (2ND) ROUGII FllAiql,.* & PLUHB '[ NC, [N.qIII,A'F10H PER lq. Y. $'I'ATI~ E NEII. C,Y (~ODE II .......... ........................... ::::::::::::::::::::::: ....... © 1992 Morton Buildings, Inc. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 Examined . Approved ... ,it No...,~...~.../. ?~..'2' 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. NOTIF¥~ CALL HAIL ...? 3 .q:.c/ao.o.... TO: Disapl, roved a/c ..................................... · 'l;,~;" 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 buildiugs 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 wl, ich is part of this appll- cation. c. The work covered by this application may not be cmnmenced before issuance of Buildiug Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept ou the premises available for b, spection 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 tl{e 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 coraply with all applicable laws, ordinances, buildi~e~de;housing co.~},~ regulations, and to admit authorized inspectors on pre~nises and in building for .,Z. Z..s..~.'%......d~. x...L_,~¢~.._,,., o, tsr-."/.. ~.z4... ., (Mailing address of applicatLt) (_.crrr__ht¢~O ~,/Oq", 1 I~.~ lesse~rchitect, engineer, general contractor, electrician, plumber or builder. State whefiler applicaut is owuer, Name of owner orl, re,nises .N~-ff-~.. ~....~.~.~:::~...~ ................................ (as on the tax roll or latest deed) If applicaut is a c~rl;o~tion, slgeatnre of duly authorized officer. (Name aud title of corporate officer) Builder's License No../~.. · .~..7.~.T~. · ....... Plumber's License No ......................... Elect '~c an s L ce ~se No. Other Trade's License No ...................... 1. Location of laud on which proposed work will be done ................................................. . · ~z.~7 .......... .~..~.-r~-d-~3...~.~......,.P.O...A4~T-~. ~.~. - . ~/~;~ llouse Number Street ltan, let Cotu,ty Tax Map No. lO00Sectiou ../~.0. ~ Block .... 5 ............ Lot../.['../..Ct)- .......... O~..~;¥g~:::~"-~Cq~ ...~..~r.~. Filed Map No ............... Lot ............... Subdivision ........................... (Name) 2. State existiug use and occupancy of premises and inteuded use and occupancy of proposed construction: a. Existiuguse and occnpau~y ~~~ ........................................... b. lnteuded use and occupancy . .~. ~r~./7*-~- ....................................................... 3. Nature of work (check w!rich applicable): New Building . ,~ ..... Addition .......... Alteration Repair Removal Demolition Other Work .......... 4. Estimated C .~I~. (Description) · est . .~.. 't ~' ..... , ....................... Fee ...................................... ! ./_ (to be paid on filing this apph.cat,on) 5. If dwelling, number of dwellLn_g u.nli/,a .... ~/..1['J7 ..... Number of dwelling nnits on each floor: .J,)/~. · If garage number of cars i~/'~.i.~, r,- ........ If business, commercial or mixed 6ccupancy, specify nat.ute and extent of each tyler of nsc . . 7. Dimensions oJ'~x~, t~og structures, if any,: Front...,,,~Z[. ...... Rear ../t.)~. ...... 'l~&I;t'h' ' ],,~.' ...... lteight .... ~M,/./(q ...... Numbdr of Stories..2M;g't; .............. ./ .............. ]'. ....[[ ....... Dimensions 90~(Sa~e structure with! alterations ,or additions: Front .... ~/¢~- ....... Rear ~ ........ Depth... ~¢1,..~. ............. ! Height ...... ~ ............ Nt,,(~;r of Stories.. ,~. ] ............. 8. Dimensions of tn}ire new.construe!ion: Front .. W?.q..t .... Rear ,2.~. ........ Depth . ~ ~ . Height ..././'/ ......... Nu,nb~r of Stories .~.Adi~ ............................... ' ......... 10.9' DateSize of lot: of PurchaseFr°nt [] ])~j/,~]] ] ] ] .i.; ......... Rear ...................... Depttl~/.~. ...................... , ....... ' ......... Name of Fenner Owner ................... :,... I I. Zone or use district in which premises are situated. '. 12. Does proposed constrncti6n violat~ any zoning law, ordinance or regulation: . ~]~ ......................... 13. Will lot be regraded ..~1~-..~....i ................. Will excess flll be removed from prendses: Yes ~ 14. Name of Owner of premises . tXl~/~...~---~--~_,... Address /V~7/'~./.,~'J~-,_.. Phone No ................ Name of Arc dtect ...... i ....... Address .................. Phone No ........ Na ne of Contractor ]ld~,~. ~'7~ i~ ~.' ..... ....... Address rhone No. ;Z,Txk/:. 15. la tbls property within 300 feet o~ a tidal wetland? *Yes ........ bio ......... *l.f yes, Soutt)old To~n Trustees Permit may be required. PLOT DIAGRAM Locate clearly and d~stmctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and Dlock nuh~ber or description according to deed, and show street names and indicate whether iuterior or corner lot. STATE OF NEW YORK, , ~ S! COUNTY OF ............. (Name of individua,l signing contract) tbove uanled. i (Contra~, ~orp~te officer, etc.) ~f saki owner or owners, and ~s duly aothorized to~ performed the said work and to make and file this application; that all statements ?ontaine~ in this application are true to the best of his knowledge and belief'; and that the work will be performed in the ~an ler se~ forth in the application filed therewith. Sworn to before me this : eoC '~, :.m[ ~tpires December 31, 19~ ',.J .I