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Home My WebLink About21822-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25729 Date: 05/20/98 THIS CERTIFIES that the building ALTERATION Location of Property: 5550 CR 48 MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 140 Block 2 Lot 13 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 22, 1993 pursuant to which Building Permit No. 21822-Z dated DECEMBER 7, 1993 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 FOUNDATION UNDER THE FRONT PORTION OF A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JACQUELINE JESTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A /Budding Inspector Rev. 1/81 FO~M TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAIL SOUTHOLD, N.Y. NO BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 21822 Z Permission Is hereby grc~ed to: 'E~.~,,c..F,..,.....~,..:....~...?....~......: ................... ...... I~.~......,~.~.....£~, .............................. ...~..~.~.....~,~n.~...~../...~ ~, ...... /..1.~..~ ..... to ....... ~.~.,~.,,~....~...,~,~..~...,~..~.~' /~, _~.~. ......... ~,:..~....~ . . . ~ ~ ,:.,.~. .......... ~. . . . . . ~. . ~ :. .,. .~ ...... ~. ~.~-//,~ ....... ~ .-:. . . . . . . ~:. ,~,~ ..... at premises Iocoted at ............. ...~:.....~.....~.....O.. ............ "~;~.~,~,,¢/..."~......~,.......~.~... ............................... Count/Tax Map No. 1000 Section ...... .~...~.. ....... Block ........... .~......~... ..... Lot No ........ .~..~,[. ............. 19.....~..~........; and approved bythe pursuant to application doted ................ .~.,?/Z...~...~... ...................... Building Inspector. Fee $.,,, .~.,~,~ .... // Building Inspeotor Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~7~w~ 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 lines, streets, end 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 UndeCwriters. 4. Sworn statement from plumber certifying that the solder used in system contains iess 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, o~ 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 Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15~00, Commercial $15.00 ~' Date ...~. I. ! .~ L.~/~. New Construction ........... Old Or Pre-existing Building ............ Location of Property .... S.~...~.~....~.9. i~..~ ..~ .............. ~.!.~..~..~...-~... ~...~. ....... House No. Street Ha~et -ro ert ,,n Onwer or Owners of ~ p y ................................................... County Tax Map No 1000, Section ............. Block ............. Lot .................. Subdivision .................................... Filed Map ............ Lot ...................... 2. J..~. a~- D m 1' ant~C~-J~-- ~5~ Permit No ......... ate Of Permit ................ pp mc ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ....... Request for: Temporary Certificate ........... Final Certicate .... X-.. Fee Submitted: $ .... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ~NAL//~-~, REMARKS: 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 February 10, 1998 Jacqueline Jester 102 Rutland Rd.~ East Hampton, N.Y. 11937 To Whom This May Concern: are unable to complete your Certificate of Occupancy 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 ~ 21822-Z (RANDALL) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. We because FOUNDATION ( ls t) FOUNDATIOI.! (2nd) 2. ROUGH FRAME & .PLUMBING 3. INSULATZON PER N. STATE ENERGY CODE FINAL ADDtTIONA'L COM~ENTS: 765-1802 BUILDING DEPT. INSPECTION ] FO/UNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE ~//~ '~ ~ INSPECTOR 7GSJ.802 BUILDING DEPT. .INSPECTION [ F~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL DATE/,h,h~/~ '/ -/- INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ..... . ./.-zT./Z .... ,19¢~. Approved ...... ./.~.~. ~. .... ,19 .~.~. Permit No..d/2~..~. J.~ Disapproved a/c ' _ . . . . y-ff/---...oI~spector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH 3 SETS OF PLANS .......... SURVEY ................... CI1ECK .......... SEPTIC ~ORH ...... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 se4s 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 s%i'eets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli- cation. c. The work covered by tkis 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 I)y 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 i~oections. , r"x , . .. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. .................................... iiOVED NOTED ....... (as on th~ tax roll or latestla~Ed) ~j-5~%9 BY: NOTIFY BUILDING DEPARTMENT AT If applicant is a corporation, signature of duly authorized officer· Plumber's License No ........... ffHOU ;CERIFICATE E,ectric,an's License No ......... OF'OOOUPANOY Other Trade's License No... .................... 765-1802 9 AM TO 4, PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION TWO REQOIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4..FINAL CONSTRUCTION MUST 8E COMPLETE FOR.C.O. ALL CONSTRUCTION-SlitALL MEET THE REQUIREMENTS. .OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DmGN OR CON TRUC*I O 1. Location of land on which proposed work will be done...,~.~.~.. 7~...0....~. ~...~/~./~ ~_..&... House Number Street Hamlet Cotmty Tax Map No. 1000 Section ........ Block ............ Lot ......... Subdivision ........ . ............................ '. Filed Map No ............... Lot ............... (Name) 2: Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exmtmg use and occupancy ~.C~/..~.. ~ff~q~Z..q ~"~ ~ ~ O~c~ ' · V.~ ....... :l'" '" t" '~ ............ ~ · · 3. Nature of work,,(,eheck which hpplicable). New Buildin'~, . ' · · ·: ......... Other Work .............. 4. Estimated Cost ~..~..(?~,.(~.: ....................... .~.~.~ ~ (Description) · Fee , . 5 Ifd lling numbe old elliI (to be paid on filing this application) g nits ' N mb fd Ill its hr · we , r w n u ....... u er o we ng un on eec oor ......... · If garage, number of cars .. i. '" ....... If business, commercial or mixed occupancy, specify na, tur, o_and extent of,each t,'~p~of use 7 Dnnenmonsotex]stlngstructures lfany:Front ,,~,.~.~'t~.. Rear ~r.~.'~.. Height Number of Stories ' ' .... ' ' '" ..... Dimensions of shme structure with alterations .................................................... Depth ' Height or additions: Front Rear ...................................... ,.. Number of Stories ' ' · 8. Dimensions of entire new construction: Front .............. ........ ' Rear Depth Height ' Number of Stories ............................................. 9. Size of lot' Front : -, , I0. Date of Pu'rchase ....... ' ............. l~ear. ,, .... ~,~_ · .; ........ Depth ................. one or use clmtnct in which premises are situated ....... , .............................. ,12. Does proposed construction vi~late any zoning law, ordinance or regulation: ~' · · · ' i ' ' ' ' Will lot be regraded .,~.O . . ................. 13. ~, ~^ ' ......... '/ ........ ', .....Wall excess fill b,e re~oyexl fronl,vr~mi~es: Ye s ;,~ Name of Architect i .................... Name of Contractor ~ Address ................... Phone No ................. ........ · ................. Address ................... Phone No ......... 15.· I.s this property within 300 feet of a tidal wetland? eyes ........ No..~...c)...,.. , · If yes, Southoid Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK i ' COU~oF. ~..~.['.~..\~.... S.!S ., · ....' ....... eingduly sworn, deposes says that he is the applicant (Name of individual signin~ contract) . above named. rte is the ' · ' (Contractor agent corporate officer ei~ ~ ............................ >f said owner or owners, ~d is duly ~uthofized to nerf~ ~ have perfo~ed the said work and to m~e and file this ~pphcation; that all statements containbd ~ this appl~cati~'['a~ true to the best of his knowledge and belief; and that the ~ork w~l be perfo~ed in the anner s~t forth in the application filed therewith. m ' ]wom to before me this .~--) . ' .... ............. ~ ot .~ ~ .~.~:~...., ~9 ~ '' 'O~ ONI~ilr)J. OV~IANVIN NMO~B 'O'N -'J/O/N o ,00'09 '3 ,, O~ ,~1 o£t"N '(OVON H£UON ) GrOWl 3'lOG lin z 0 .; ,bb'b rim