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Home My WebLink About22052-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town ~all Southold~ N.Y. CERTIFICATE OF OCCUPANCY No Z-23456 Date JANUARY 19, 1995 THIS CERTIFIES that the buildin~ Location of Property 550 SALTAIRE WAY House No. County Tax Map No. 1000 Section 100 Subdivision ACCESSORY Street Block Filed Map No. MATTITUCK, N.Y. Hamlet 1 Lot 36 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 1994 .pursuant to which Building Permit No. 22052-Z dated MAY 10, 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 ACCESSORY STORAGE BUILDING IN REAR YARD AB APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WILLIAM G. & PATRICIA M. YOUNG N/A N/A Rev. 1/81 FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT N~ 22052 Z (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: , ...... ............................ ...... ~o.. ....... ~.~..~.~..~..~y... ........... ~......Z~..~~.~ ......... ~ ................ to.....~.~.~ ........... ~.....~~.,~. .......... ~...~.~..:. ......... ~ ............. ...... /.-~.~ ....... ,~..~...~.... .......... ~: ....... ../..~..o.~ ........ ~,<., ....... CountyTax Map No. lO00 Section ....~.....~.. ............ Block ......... ..~...~.. ......... Lot No ....... ..~.,..~.. ............. pursuant to application dated ........... .~....'~...-'~......~........,~,.~ ............ 19...~., and approved by the Building Inspector. F~ ~....~ ~, ...... ........... ~~~';~;;; ...................... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Con~nercial 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. 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 Pr&-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 $15.00., Commercial $15.00 ate ..... ........................... New Construction...../. ..... Old Or Pre-existing Building ................. Location of Property ..... ~..~.~j~.~...~..~? ...................... ~.~..~.~ .......... House No. Street Hamlet Onwer or Owners of Property..~?. !~..~.....~..~.~.~[~...~. ~.. ~.Q~..AT~ .................... County Tax Map No I000, Section .... ~9~ ...... Block ...... ( ......... Lot ..... ~.~. ............. · - Filed Map Lot ...... Subdivision .............................................................. ............... oa~ Of Permit .... Applic nt .......... ' .............. Health Dept. Approval .................... .. . .. . Underwriters Approval ......................... Planning Board Approval ....................... . Request for: Temporary Certificate ........... Final Certicate...~ ....... Fee S bmitted, , ..... ................... ...................... FOU_~I~DATION (1st) FOUNDATION ( 2nd ) ROUGH FRAHE &. .PLUMBING INSULATIOH PER N. STATE ENERGY CODE FINAL ADDITIONA'L COM~IENTS: 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ J FOUNDATION ZND [ ] I~H. ATION [ ] FRAMING [~/FINAL REMARKS: ~---~~ ~ DATE ~/~-~//~/~/ INSPECTOR ~-,,~ ~ / RE.. APPLICATION FOR PF~T TO BU!T,r] ACCESSORY SHED LOCATION: 550 Saltaire Way, Mattituck CONSTRUCTIONs Foundation~ Floor Joists: Walls~ Roof~ 4" x 6" pressure treated!umber secured by 1/2" x 20" anchor bolts set in 6" diameter by 36" deep concrete. 2" x 6" pressure treated lumber, 16" om center covered with 3/4" pressure treated plywood. 2" x 4" lumber 24" on center covered by 5/8" Tl11. 2" x 6" trusses covered with 1/2" CDX plywood and asphalt shingles. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE ~OF OCCUPANCY RE= APPLICATION FOR PFARMIT TO BUTLn ACCESSORY SHED LOCATION= 550 Saltaire Way. Mattituck CONSTRUCTION~ Poundation~ Floor Joists: Walls: Roof, 4" x 6" pressure treated 1,!mher secured by 1/2". x 20" anchor bolts set in 6" diameter by 36" deep concrete. 2" x 6" pressure treated lumber, 16" on center covered wi~h 3/4" Dressure treated plywood. 2" x 4" lumber 24" on center covered by 5/8" Tl11. 2" X 6" trusses covered with 1/2" CDX plywood and asphalt shingles. OCCUPANcy OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ,APPLICATION FOR PERMIT TO BUILD ACCESSORY SHED LOCATION: 550 Saltaire Way, Mattituck County Tax Map No. 1000 Section 100 Block 01 Lot 36 subdivision "Saltaire Estates" Filed Map No.4682 Lot 33 BLDG. DEPT. TOWN OF ~OUTHOLD Examined ..... -: ~,) ...... , Approved ...... .5//.(~, .... ! 19 .~.. Permit FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... BOARD OF REALTIt . SURVEY ..... Cll C : ' t.3 f 5: ............. SEPTIC FORH .............. t:OT~ ~:V :~.~..5.(;.f.6. CALL ~ II ............ HAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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, relationsinp 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 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 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 ail 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, ISr name,Uif a corporation) · (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises ~4'/IILL~I~q' ~-~' ~ ~f~T~/CIR /Cl. (as on the tax roll or latest deed) A OVED AS If applicant is a co~oration, signature of duly authorized officer. DAG' ~B.P.~ .OT,. BUILDING DEPARTMENT AT 785-1802 g AM TO 4 PM FOR ~E FOLLO~NG INSPE~ON8: 1. FOUNDATION - ~0 REOUIRED FOR ~URED CONCR~ 2. ROUGH -'~MING & PLUMBING 3.INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPL~E FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. I. Location of land on which proposed work will be done .................... ~A~E' ~NSTRUCT~ON .&- ENEROY. · 5~0 ~:T~IEE~R~ ~BTTtT~Q~DES. NOT RESPONSIBLE FOR ............................................................... ~61GN .~R .GQNSTRUCTION ERRORS.. Itouse Nmnber Street Hamlet County Tax Map No. 1000 Section IOO Block O ~ Lot Subdivision .~.~1.~. ~~ .............. 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 ~l~C~ ~mlL~ ~ffSl~CE b. Intended use and occup~cy ~TO~Ce ~flS~ ~k ~WD ~O~' ~C~ (Name and title of corporate officer) Builder's License No. C)¢4JMtziP" OCCUPANCY OR ................ U'SE'I'S' UNLAWFUL Plumber's License No ................ WITHOUT CERTIFICATE Electrician's License No .............. OF'OCCUPANCY Other Trade's License No ...................... I0. 11. 12. 13. 14. 15. property lines. Give street and block humber or description according to interior or corner lot. Nature of work (check, which applicable): New Building .......... Addition ......... '."~t,. ¢~.. Repair .............. Rem:oval .............. Demolition .. Other w,,,~, ,~/d,E D !': .......... , ?~.ei~.., ..... "/~'o~ .D.O. ' ~,..z~ ~., p~ion) ' Estimated Cost ........'. ....... ' ................... Fee ~ (to be paid on fihng thls,appheation) If dwelling, number of dwellingi units ............... Number of dwelling units on each floor ............... If garage number of cars If business, co,mmercml or m]xeld occupancy, specify natq{e and extent of each typ. q of use .................... Dimensions of existing structures, if anv' Front UB. q ~o~ 5g ' q Depth ~ I...8..'.... Height Number of Stories I Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front /to Rear 16, Depth [.o Height .............. Number of Stories ..... ; .................... ~ .... Size of lot: Front .... i.iii ...... De th i ....... Date of Purchase ...].4-. ].&.: .~ .~ . Name of Former Owner L%u~ o~t ~ ~T ~,~,o~Ho~ Zone or use district in which pr~mises are situated ~- Does proposed construction violate any zoning law, ordinance or regulation: ...N.o. ............................ Will lot be regraded . .~.9 ..... ! .......... , ......... Will excess fill be removed from premises: Yes '(~ Name of Owner ofnremises~/~'~P~'r~c ~ ¥O u t~f~ ~, ,Sep ~qttuTP~ ~' t,O~DY .... ................... ddress .~ ................. Phone No..~ ?. ........... Name of Architect .......... i ................. Address ................... Phone Nz ................ Name of Contractor ......... ! ............. , ....Address ................... Phone,No ................ Is this property within ~00 feet of a tidal wetland? *Yes ........ No..F' ...... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions frbm deed, and show street names and indicate whether STATE OF NEWO"DRK~.f'x,/' J,-'"-6 e ·COUNT. Y 0E ...,,.XOLTTA~...C .~, ..........w G. (Name of individual sig~ing contraOO above named. ....... being duly sworn, deposes and says that he is the applicant Heis the ................... ~)~ ......................................................... (Contractor, agent, corporate officer, et~.) of said owner or owners, and is dulyI authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner!set forth in the application filed therewith. Sworn to before me this,. Notary _ Notary Public, State of New York .................... .. No. 4879505 i .~ /- (Signature of applicant) _ ~uallfied n Suffolk County t;omm~sJon Expires De.cember ~ I