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Home My WebLink About22885-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. No Z-24258 ~ERTIFICATE OF O~PANCY Date APRIL 5, 1996 THIS CERTIFIES that the building Location of Property 1445 WICK~AM AVE. House No. County Tax Map No. 1000 Section 140 Subdivision ADDITION MATTIT~CK, N.Y. street Hamlet~ Block i Lot 4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~NE 27, 1995 ~ursuant to which Building Permit No. 22885-Z dated JULY 12~ 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 "AS BUILT" EXTERIOR STAIR ADDITION & DECK ADDITION AT BASE OF STAIRS TO EXISTING ONE FAMILY DWELLING AD APPLIED FOR. The certificate is issued to PAUL J. & KIM A. GAYDOS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.$ TOWN OF SOU'[HOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. NO~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL ....... 22885 Z Permission Is hereby granted to:/~ ......... ~~....~~..Z .................. .......... ~~:...~...~~~~ ............. ......... ~.:.~..~~....~ ........................... :~ ...................................... ~~~~ ~ ff / : ....................................................................................... -- ............ ~~ ...... ~;.;;~.~;;;.;;;~;~;/..............2~........../....~~........~.............~...... ...................................................... ~~~ .............................................. Bulldln~nspector. ~ Fee $..,,/,.,..'~,. ............ Rev. 6/30/80 :' " TOWN OF SOUTIIOI,D 130 ! Id) I NG D EP/~II'rHENT i ' 'JUN 2 7 19,{)~7 765-11102 e r'{'~''lr: I ,; ~PD[,ICA'I['fON FOR CERTIFICATE OF OCCUPANCy A. This application must be filled in by type~;riter OR i.k and submitted to the buildiug inspector with tlm foilm~ing: for ne~ buildieg or ne~ use: ' I. Final survey of property with accurate location of all building~, property lines, 2. Final Approval from llehith Dept. of water supply and se~*erage-disposal(S-9 form). 3. Approval of electrical iostallatio, from Board of Fire Underwriters, 4. Sworu statement from/plumber certifying that the solder used in system contaivs less than 2/10 of 1% lead. 5. Commercial building, industrial buildi g, multiple residences,an similar buildings responsible for [ g ~ 6. Submi~ Planning Board Approval of completed si~e plan requtremenEs. 'B. For exts~t.g buildings (prior Eo Aprtt 9, ~957) non-cotfformtng uses, or but].diegs and l. Accurate survey of property showing all properEy lines, streets, buildieg and 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is de.led, the Buildieg I.spector shall ~tate the reasons there[or in writing to the applicant. C, Fees 1 Certificate of Occupancy - New dwelling $25.00, Additions to dwellin~:~ Alterations to duel. ling $25.00, Suimming pool. $25.00, Accessory buiidisg $25.00, Additions to accessory bui]di.g $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing guildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupaocy - $50.00 5, Temporary Certificate of Occupancy R ' ' - esldentl, al $[5.00., Co~,ercial $15.OO' , . ~ ......................... dew Construction .. Old O{ Pre-existi~g luild~n. - - ................ Location of Property ..... [~,. House No, Street Hamlet ...... Onuer or Ommr~ ~.,f Proper~y .................... Subdivisiou ....... ' , ...................... /'il co Hap ............ LoE ................... . . .Applicant; . Heaich Dept. Approval ............. .... · ......... UaderwriCers Approval ............. 'lancing Board Approval ' (equest'f°r: Temporary Certigicnte ........... Final Certicate...~ .... ~ee Sub itt d - .................. FIELD iNSPECTION REPORT DATE , COMMENTS FOUNDATION FOUNDATION (2ND} ROUGN FRAME & PLUMBING INSULATION PER N. Y. ~ STATE ENERGY CODE SDRVEY WALTER E. BUCKNER E~ MURI,EL G. BOGkN£R MATTITUCK . :~ ,. ". ,., TOWN .OF' SOUTHOLD. SUFF, CO.. ,.N,Y, , INTER-COUNTY TITLE " SCALE,, 1' ~ 40" MOEI'~AGE ~. ,. ' ., APRIL I, 1965' '~ .' r~*/ ~' .~ .,,,,, .~,~' .?,..:,,:. ~,,, ,,,. ~:.. ;,,..:,. :~.::%,,:.:~,:;t ~/z,E~ :'., :.L,,?,. ,~, .... *' ' .: *" ~;,~, * :;*'.;~* PROFEtJ~IO[~/EI:~H,~R AND i ,. ,&,;..:,~,~:~q=... ,;LAIO~TU~VEYO~,NyS. LC[.iO. ~,~, .~ ..... .,.,: ........ RI~.,,,t.A.)t ~.y, FORM NO. 1 TOWN OF SOUTHOLD BUILDING D£PARTMENT TOWN HALL ": : SOUTHOLD, N.Y, 11971 / /./ , / TEL.: 765-1802 Examined . . Disapproved a/c ...... ! ............................... BOARD OF 3 SETS SURVEY CIIECK SEPTIC /~ Date ~- 2'.5- ., 197-5- // INSTRUCTIONS a. Tiffs 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. t b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sti'eets or areas, and giving a detailed description of layout of property must be drawn on tlie diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will i~sued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No buikling 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 the Town of Soothold, 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, housing code, and regulations, and to admit authorized inspectors on premises and in buildh~g for necessary inspectio~ ~ , ... ...... "~ ~ ~ pp ' , n e, it a corporation) (Mailing address of applicant) / / ~-2. State whether applicant is ow,her, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... 47..~...,~..~Z/.~ ............ ' .................................. . ....... , .................. (as on the tflx mil or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) 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 .................................................. .. ,4',*. ~..~.....~..~.<~.;-~. ~. :~. ~.....-~..~.<:-~..,c.~ ........ ~ .--~... C~.~.<~.- . .xc...~' ~47~ ... House Number Street Hamlet County Tax MapNo, 1000 Section ... :~..,'. .... Block ...... .... .:..'.:... Subdivision ~ Filed Map No. Lot (Name) , 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. .. , ................... ~ ............... b. Intended use and occnpancy .................................... '~% ....... : ...................... ' 3. Nature of work (check which appiicable): New Building ......... Addition/.}.d. ....... A teration ..... Repair .............. Removal .......... . Demolition ............. Other Work ............... ' (D ipti ) 4. Estimated Cost...r~ .,.'-- ...... :I ................ Fee .................................... [ (to be paid on filing this application) 5. If dwelling, number of dwelling uhits ...... t .......... Number of dwelling units on each.floor ................ If garage num bet of cars J ' 6. If business, co~n,nercial or mixed ~ccupancy, specify nab re and extent of.each type ~of use .... · .... ~.. 7. Dimensions of existing structhres,i if any: Front o~ .o: f. ........ Rear . ..~..~..'.~. ...... 'I~epth Height Numb~er of Stories ' ./ ' Dimensions_okshm~ structure with alterations or additions Front ~ .......... Rear ~ ~" .3 ..... Depth.. ~.~. .............. j. Height ........... ' ........ ;.. Number of Stories .... i i].'~i i i i i i ....... 8 f ti bti R pth · Dimensionso en re newconstru on: Front ....... ; ...... ; ear ............... De ............... Height .............. Numb!er of Stories ..... ~... .......... . . . 12. Does proposed construction violaie any zoning law, ordinal~ce or regulation: .,./g(,.d. ......................... 13. Will lot be regraded ..... ..~gg'. ~¢~. ................. Wi[[excess fill be removed from premises: Yes ~o2 Name of Archit~ct ...... e------ . ......... Address Phone No ........... i .... ..... ! ........ Address ................... Phone No. . 15. I.s this property within 3~0 feet of a tidal wetland? *Yes ........ No.-'~/.~ .... *If yes, Southold TOwn Trustees Permit may be required. 'i PLOT DIAGRAM Locate clearly and distinctly all ~uildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block npmber or description according to deed, and show street names and indicate whether interior or corner lot. ' OCCUPAN ',Y OR USE IS UNLAWFUL W)THOUT JCERTIFICATE OF OCCUPANCY. NOTIFY 8gILDING OEP~T.-A~ 765-1802 9 AM TO 4 I~q'FOR · FOLLOWING INSPECTIONS: I. FOUNDATION . TWO REQUIRED' FOR POURED CONCRETE 2. ROUGH. FRAMING & PLUMBING 3. IMSULATION , 4. FINAL CONSTRUCTION MUST SE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONS/RUCTION ERRORS STATE OF N~Sg'x?-~RI~/; / 1./ .. ~ ' ...... ~~...-~~.~. · .' ......... being duly sworn, deposes and says that he is the applicant (Name of indivi~al sigding contract) ' above named, He is the . ~ (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 all statements contained in ~his application.are t'rue to the best of his knowledge and belief; and that the work will be perf0med in the manner[set forth in the application filed therewith. Sworu to before me th~. ; ' . N~Publio, State~NewYor~ ' ~: L ~_ / / .[~.~ ..~;..~. ' . / .. . ........ Ouallfi~ In Su~ ~nW 6~ t~' "' ~Signature of applicant) ~mmi~ion ~ires O~m~r 8, 19