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Home My WebLink About22217-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-23230 Date SEPTEMBER 16, 1994 THIS CERTIFIES that the buildin~ Location of Property 1330 SALTAI~E WAY House No. County Tax Map No. 1000 Section Subdivision ACCESSORY WATTITUCK, N.Y. Street Hamlet Block i Lot 27 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 10, 1994 pursuant to which Building Permit No. 22217-Z dated J~-L¥ 30, 1994 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie issued is ACCESSORY HTO~AGE SHED "AS BUILT" The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 H. ARTHUR & ANN MELOSH N/A N/A N/A Buildin~ ~nspector~ ~ FORM NO,~ TOWN OF $0UTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT (TH $ PERMi3' MUST BE KEPT ON '[HE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 22217 Z Permission is hereby granted to: ARTHUR HELOSlt 13~0 SALTAIRIg II'AY I~. ARTHUR & AI'II, I I~LOSIt at premises located at .......... ?,3..0....8.../~...T..~..I...I~.... ~ .................. ~.~.. ~..~ ........................ Coun~Tax Map No. 1000 Section ............ lgg. ....... Block ............ ~ ............. Lot No ....... ~ .................. pursuant to application dated ....... ~...}.~...~ ........................ 19 ................ and approved bythe Building Inspector. Fee $.~....'~..,, Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 lihes, 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and · .pre-exzst~ng 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.~ Alterations to ~welling $25.00, Swimming pool $25.00, Accessory build'ng~[~ Additions to accessory building $25.00. Businesses $50~OO. -- 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50,00 5. Temporary Certificate of Occupancy - Residential $15-0~mmercial $15.00 Date .... .~./..~./..~..~.. New Construct~n= ....... '~-~ / .... ~''' ..................... ............. .~o~ or Fre-exmstzng Building. L ' ~ ~ ~ , ocatzon of Property .... ~.~..~~/~..~ ..... House N~ ~ ~ ........ "''~''~''~'' ~.-... ~. ~treet ~- ~ Hamlet Onwer or Owners of Property..~..~~ ................. ~.~ 000, ..... .... Subdivision ........................... Filed Map ............ Lot ..................... Permi~ No .... Date Of Pe~it. ... .Applicant. . Health Dept. Approval ....................... Underwriters Approval ........ Planning Board Approval ......... Request for: Temporary Certificate.' · · · Final Certicate .... ................... 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 3, 1994 Mr. Arthur Melosh 1390.Saltaire Way Ma~Cituck, NY 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22217-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-~.802 BUILDING DEPT. INSPECTION COPY Lot · -' ACONUMENF SUBDIVISION MAP FILED IN THE OFFICE ' ' OF THE C~.HRK OF SUFFO£K COU, VTY ~'"-~ ' ' YHE [OCATIO~ OF W~[~ ~D C~POO[~ AU~ ~ 1966ASFI~NO ~8Z. OCT 2 ~',t973 DEC.27~1973 YOUNG & 400 OSTRANDER AVENUE, ~' SUR~EY FOR:,"": ~ ' ' PAUL KNIGHT ~ UARY KN GHT ' ~' ~"' "h",,'~';~;' ' ' , t' '. ",- ., GUARANTEED TO: ', , ' ^,r - ' , MATTITUCK ] SOUTHOLD SAVINGS BANK ' ' ~_ ' . · SECURITY TITLE ~ GUARANTY CO.' rowNor SOUTHOLD ' I '" : ' ' " ' ' ~.%~:.. !..-- ,,o, .0^Toe-,. ,,.,~,~ I"o. ~,~-~,~."./~._ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 . .~../ ............ TEL.: 765-1802 Exa nined .~ ~. ,19~.1.~ Approved.: .~/ ....... 19 .~. mermi! No. ~. ~Z. Disapproved. a/c ..................................... (l~uildin~fspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... /3 BETS OF PLANS ...... .... SURVEY CIIECK .................... SEPTIC FOR~I CALL ............... blAIL TO: Date ................... 19... ~ INSTRUCTIONS a. This apl~lication must be completely fiiled 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, relationship to adjoining premises or public sti'eets or areas, and giving a detailed description of layout bf property must be drawn on the 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 issued a Building Permit to the applicant. Such 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 Buildfng 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 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signatur~ of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authoriied officer. (Name and title of corporate officer) Builder's License No. t~'~ ' Plumber's License No ......................... Electrician's License No ........ ./, ............. Other Trade's License No ...................... Location of land on which proposed work will be'done ................................. : ................ House Num bet Street Hamlet Cou'nty Tax Map No. 1000 Section ....I:.Q.Q.,.o..o...:.. Block .O I r.O.~.. ' Lot..~..~(~ t .O.O. qS. ..... Subdivision ........ . ............................. Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...................................................................... b. Intended use and occupancy ..................... · .......... ,- ...... , .... -3. Nature of work (check which]applicable): New Building .......... ,~ddition .......... Alteration ' Repair .............. Removal .......... I .............. Demolition ..... :. Other Work $~o~0 c~6r, · $~' i ..... . . (Description) 4. Estimated Cost ....3. p.?..'.[..: ..... I ................. Fee ............................. i (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ · If garage numberofcars /..~-'~'- c--.------ . t 6. If business, commercial or mi~ed occupancy, specify natur%and extent of.each type of use . t..._t... . 7. Dimensionsofexistingstruct~res, ifan,,. Front lt~ 3 ,~__ qq 3t ~. ' /' ~...'t ........ 'gl i : ..... : ......... r~ear · · .. ........... Depth,...&'l .... Her it ............... Nqmber of Stories ...~. ! e/~ ~fi ~]c ~ ...... with ' .. '~i .......... ~;-~''''' ' '"'' ' '' ' ..... Dxmenmons of shme structure alterations or additions Front ................... ~ ........... pth ight De .... ~ .............. i... He ~ ......... , · · Number of Stories ' cons' ............. ......... 8. Dimensions of entire new truction: Front .............. ~ Rear ............... De ... Height ............... Nu pth ............ mber of Stories .................. . : . . Size of lot: Front ...!.'TorT.t. ..... . i..i.. Rea? ...2e. J, .q'.t ' ' "'3- ' -' ' ','-~ ............ Date of Purchase ' '0.~']71~. I .q..3.~. · ·' ........ '. Name o] ~'o'r~e'r (3~v~;; ' ~.~i~ '4{'i'~ ~4 ~' Zone or u~e district in which p :em~ses are situated ............. ' . . .......... Does proposed construction vi, flate any zoning law, ordinance or regulation · ~.0. .......... Will lot be regraded ...... ~ -'~ · ' .................... Wall excess fill be removed from premises: NameofOwnerofpremises ,0'rl"/)g?.t'!°'~'..~.~.°.~Address .{~.~..-7~..r'(4. qe.~.....PhoneNo. ~'8-~'tt, 6 Name of Architect ......... : t~" · ...... Address .. c~-- ... Phone No....'-27'7.... ama of Contractor ...... . ........ Address ..... 7:'7. .......... Phone No .... ~ .... ' 15. Ip this property wx~hin 300 feet of a tidal wetland? *Yes ......... No....LF~--. .... · If yes, Southold !Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alI buildings, Wheth'er existing or proposed, and. indicate all set-back dimensions from property Hnes. Give street and bloekl number or description according to deed, and show street names and indicate whether 10. 11. .12. 13. .14. interior or corner lot. AP,, RO,V D AS NOTED / M~)~:I[:Y ~UII2DIN(~ D~PARTM~T AT 7¢5-1802 9 AM TO 4 PM F~R THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~O REQUIRED Fort POIJRED CONCR~E~' 2. ROUGH - FRAMING & P~UMBING 3. ~NSUL.ATION 4. FINAL CONSTRUCTiO~ MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALLI ME~ THE REQUIREMENTS OF 'THE N.Y. ~TATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION E~RORS STATE OF NEW YORK ~ -- ..... . ......... being duly sworn, deposes and says that he is the applicant (Name of individual signiqg contract) above named. i (Contractor agent ....... ') .......... "" ............ , , , cori~orate officer, etc. ~f said owner or owners and is duly [autl~orized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner ~et forth in the application filed therewith. ~worn to before me this