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Home My WebLink About22030-zFO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24963 Date APRIL 3, 1997 THIS CERTIFIES that the buildin~ Location of Property. 5575 SOUND AVE~u~ House No. Street County Tax Map No. 1000 Section 121 Block 1 Subdivision Filed Map No. ADDITION ~ATTIT~CK, N.Y. Hamlet Lot 3.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 1994 pursuant to which Building Permit No. 22030-Z dated MAY 2, 1994 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JAMES T. & APRIL L. CONNOLLY N/A N/A N/A Rev. 1/81 FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N°- 22020 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZEDI Date ....................... .~../~.. .............................. Permission Is hereby granted to: to ...... ~'~..~ ........... .~ .......... ~ ...... ~.'.~.~ ......... ~ ......... ~ ........................ ...... ~,~ ........... ~'.,...~ ....... ~/.,.~ ........ ~<......~ ......... ~ .... a~remlses~ocote~ at ......................... ~ ........ ~J......~: .................................... County Tax Map No. 1000 Section ~,,,z~/ Block ,..~...~.. ........... LotNo. ~'~ Building ~nspector. Fee 8.., Z~.~ ........ / ~ Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN RALL 765-1802 APPLICATION FOR CERTIFICATE OF OCC This application must be filled in by typewrite~ OR ink and submitted to the building inspector with the following: for new building or new use: i. 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: 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 year? - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. Location of Property 5575 SO~ AVE MATTITUCK, N.Y.11952 House No. Street Hamlet Onwer or Owners of Property...JAME$.To.g~D.A~gIb.~,.~P~p~LY. ................................ . County Tax Map No 1000, Section..%21.D0 ...... BlockO~0P .. Lot 003.002 Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit .............. .. Applicant ........................... . . Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... ' · ...................., James T. Connolly 5575 Sound Avenue Mattituck, NY 11952 T(')Wt~ OF SO; ":-~OL ~ 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 March 25, 1997 James & April Connolly 5575 Sound Ave. Mattituck,N.Y. 1195~ To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 * No Health Department Approval on file. No final inspection has been made. No Plumber solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22030-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. · ATTACHED IS OUTDATED CHECK ~4474 DATED 4/14/94. r OUNDATION ( ls t } BOUGH FRAME .PLUMBING COM~£~T2 ~ INSULATION PER'N. y. STATE ENERGy {{ CODE FINAL ADDITIONAL COMfIEr. ITS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ROUGH PLBG. ]/~NSULATION FINAL DATE ~//~///~' INSPECTOR ~Y/~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSU/LATION [ r~FI NAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR · ," ~, ~ ' FORM NO, 1 !('!~~ , :7 TOWN OF SOUTHOLD ' /~ ' ~ J~ BUILDING DEPARTMENT ~ 'L ] ~g::~:~l~ ~',:!]j SOUTHOLD, N,Y. 11971 7~eer~it No ~& Approved ..... , 19~ee .......... .'" Disapproved a/c ', APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ~.-$URVEY ......... CIIECK .......... SEPTIC FOR,tl .............. MAIL TO: Date .................. , 19... 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. b. Plot plan showing location of lot and of buildings 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 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 shail 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 shail 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 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. -- (Signature of applicant, or name, if a corporation) 5575 SOUND AVE MATTITUCK, N.Y.11952 (Mailing address of applicant) State whether applicant is lowner,.lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . JAMES. -T~ AND APRIL Lo CONNQLL7 (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~].LAC,T~...~-.e...,~.~.: ........ Plumber s Lmense No ......................... Electrician's License No ......................... Other Trade's License No ...................... Location of land'on which proposed work will be done ............................................... ...... 5575.SOU~I).A.V..E. MATTITUCK N.Y. 11952 House Number Street Hamlet County Tax Map No. 1000 Section 121.00 Block 01.00 . Lot 003.002 Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State ex/sting use and occupancy offi~remises a~d intended use and occupancy of proposed construction: a. Ex~stmg use and occupancy --~~---~ ~ .~ ,'; ~ ~,'~ 7 '. , ~ , ,~, ~ ' b. Intended use and occupgncy .. ,D.E.C.K..OUTSIDE KITC.It.E.N. DOOR ,," " " ' ~ ........ 3. Nature of work ( heck which applicable)· New Buildin . .. Repair ! · g ....... Addition .... ; ..... Alteration .~ ........ .............. Removal .............. Demolition .......... ':.: ~tfi'gr Work - ^ 1~ ~ , , (Descnp,don) 4. ~stimated Cost,, 4.~J,I,O.O. .... I (t~ paid tin filing this apphcahon) $. ~t owelhng, number of dwellin~ units , , x~.._,.' ~ ......... · *- ............. ~.m.oer o~ aweumg ,u~n_l:t~o~aa~"fl~or ......... 6. If garage, number of cars .......... . .., .....~{l .'~. If business comme ' ' ". ............. ·'": ~' .............. · . , . r.clal or mlxled occupancy, specify nature and extent of eacl~~!~! Dlmensmns ot emstlng structures, if any: Front ......... ' ...... Rear ..... . ......... Depth ........ ' ....... Height Nu' ~ ~ ~ ............... ~,ver ol ~tones ......... . .................................. Dimensions of same structure W~th alterations or additions: Front ............. Depth : . ................. Rear Height Number of Stories ' ' ' ' '' ............. 8 Dimensions'of entire new construction: Front ........ ' ..................... Rear '" Depth Height ' Number of Stories ' 9 Size ofl : ............. ' ........................ ;: ............................. . · Front Rear . I0 Date of P~rchase ....................................... Depth .......... . ........ ' Name of Former Owner .... 11 Zone or use district in which premises are situated .......... ' .................... 12. Does proposed construction violate any zoning law, ordinarice or regulation ........... 13. Will lot be regraded ...... l .................... will excess fill be removed from premises' y~; 14. Name of Owner of premises . .~ · ............. ,~uuress ................... Phone No.... .............. Name of Architect ......... i ....... Address ................. Phone No ................ Name of Contractor ...... I Address ' ' Phon~ No ........... !300 ................... · .... 15. Is this property within feet of a tidal wetland?. *Yes ........ No ......... · If yes, Southold ~own Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all property lines. Give street and block . interior or corner lot. buildings, whether existing or prot~osed, and. indicate all'set-back dimensions from r description according to deed, and show street names and indicate whether STATE OF NEV~TV'ORI~ (Name o f individmil signin cohtract) ' above named. ' being duly sworn, deposes and says that he is the applicant is the :, 0 : .......... ' ................. ( ont'ractor .............................................. , , agent, corporate officer, etc.) said owner or owners, and is duly lu~horized 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 knowle~lge and belief; and that the york will be performed in the manner s~t forth in the application filed therewith.. ;worn to before me this ('z.) L~ ow.o~gtn~ot~ ~y ~I~ING DEPAR~ENT AT ~765-1802 I ~ ~ 4 PM ~R ~E ~ FOUN~ ~TION - ~ R~UIRED F~ ~ URED ~ ~. ROUGi - ~MING ~ ~ ~NSUL ~N ~ ~ NA~ - CONSTRUCTION MUST ' BE CO ~PL~ ~R C.O. ALL COl ~STRU~ION SHALL ME~ THE RE{ ~IREBENTS OF ~E N.Y. STATE (pNS~U~ION · ~ERGY CODES. ~NOT RES~NSIBLE FOR. OCCUPANCY )R USE iS UNLI NFUL WITHOUT CE fflFICATE OF OCCUPANCY SOUND AVENUE NOTE' I. · =MONUMENT ~I'OTAL AREA -- 44,910 S.E :5. SUFFOLK COUNTY TAX MAP DISTJOOQ~,SECT 121 BL : LOT 3.2 SURVEY FOR JAMES T. CONNOLLY E~ APRIL AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK CONNOLLY OATE AUGUST I$, 1984 SCALE' I" = 60' NO. : 84 - 77 I YOUNG a YOUNG GUARANTEE D~llO, ' m:~ A~,,..CON,O~ C.~8~RACT '"C. ~r ~l ,.. . . '~5' ' ' Y 400 OSTRANDI: R AVt. NL)E RIVERHFAI/,N[W YORK ALDEN ~YOUNG,PROFESSION4L ENGINEER AND LANDSURVEYORN¥SLICENSENO. 12845 HOWARD W, YOUNG,LAND SURVEYOR N.~5. LICENS~ NO. 4589~ Z OTF ¢ Alq~OVEO AS NOTEO ~ FEE: NOTIFY BUILDING DEPARTMENT AT 765-1802 ~)AM TO 4. PM FOR THE ~.~.FOLLOWIN~ INSPECTIONS: -~--..1. FOUND, ATION - TWO REQUIRED "~ FOR ~,P~JRED CONCRETE ~5~. ROUGt - FRAMING &' PLUMBING INSUU ,TION ~ FINAL - CONSTRUCTION MUST GE COl ALL CO(~ THE REG STATE C CODES i DESIGN ~IPLETE FOR C.O. TRUCTION SHALL MEET IREMENTS OF THE N.Y. NSTRUCTION & ENERGY qOT RESPONSIBLE FOR iR CONSTRUCTION ERRORS OCCUPANCY ~R USE IS UNLAWFUL/ WITHOUT CERTIFICATE OF OCCUPANCY - FYs'r~4