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Home My WebLink About21739-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCf No Z-22693 Date NOVEMBER 4, 1993 THIS CERTIFIES that the building. Location of Property 1330 SIGSBEE ROAD House No. County Tax Map No. 1000 Section 144 Subdivision ADDITION MATTITUCK, N.Y. Street Hamlet Block 1 Lot 5 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1993 pursuant to which Building Permit No. 21739-Z dated OCTOBER 27, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A JAMES E. & PATRICIA M. LITCHHULT /~uil~ing Inspector Rev. 1/81 FOBM NO.;, TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N_o BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Dote .,./.~.~ ........................................... 19..~.-~..... 21739 Z ~ Permission is hereby granted to:.. ~ .~ . .............. ................... ............................................................ ...-c~.,/..~ ................................................................ Counh/Tax Map No. 1000 Section ......... ..~/._~..~. _~.. Block .......... ~ ........... :. Lot No.....,~.... ................. pursuant to application dated ......~ ~ .................................... Building Inspeotor, Fee $....Z~...~,~ 19..?~....'~.. ....... and approved bythe ~ Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Occupancy THIS CERTIFIES that the building located at .~./.S...S~.gs..bX .R.q~.d. ......... Street Map No~4a.t.t.:. Pk..P.r. °~ock No ........... Lot No.22..&.. p.t.2~ ..... ~a.t.t.~.tuck. (. Laurel 11 ) requiremen~~ilv dwe]~~s o .on fas' v w ]1' ~, ou ' conforms substantially to the ~~FL~e~~~e~X~°de built ,. , c~er,t ~i.fic~te ,9-~., occupancy dated . .b.e.f.q.r?..A.]~$'.. ....... 23 , 19.~?. pursuant to wmcn ~~ 1~o-z.727~. ·. dated ........... 0..~.t....~ ..... , 19.7.6., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...P.r.i.y.a.tp..q.n.e..f.a..m;[.l.y., .dw.e. lling...& .ac~.essor. y. gar. age .............. The certificate is issued to .E.d..w.a.r.d...&..M.a. 4.e~,ine. ~,.itchhul.t .....O. wner~ ........... of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) · .p..r.er..e..x.i~.t.i..rig ................... UNDERWRITERS CERTIFICATE No..~.r..e.-..e.x.i..s.t.i.n.g ............................ HOUSE NUMBER ..... 1. 33.0. .... Street .. $igsby. Road ........................... Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT -- .... ~TOWN HALL 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. 4. Sworn statement from plumber certifying that the solder use~ 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to ~we]J. ing Alterations to dwelling $25.00, Swim/n~i~poo~ $2~.--007-A~%es.~_~ry building $25.00, Additions to ~accessory buildi~$2~O0. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Deck as Date ...$¢p~q~.~,.~} .......... ~lggConstruction ~ Old Or Pre xisting Building ' Location of Property..~P~q ............. Siqsbee Road Mattituck House No. Street Hamlet 0nwer or Owners of Property.. JD;B~$. ~ .~&~bb¢~.% .~..~&~. ~....~$~.~bU~ ........... County Tax Map No I000, Section 144.00 ...Block. 01.00 ..... Lot. . 005.000 Amended Map of Property of ......... Subdivision.~Vla.t~g~c~p~rk. ~Qi~J~i~P~. %~: .... F%led Map..~O~ ....... Lot.~Y..~.P~.q~.~ ..... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ......... ; .............. Request for: Temporary Certificate ........... Final Certicate...~ ....... ?ce Submit ted: $..2.5.: .0.0. ....................: ~--~' ,.~~ ' ~ ' ~'q ?mSS .E' .Litchh~ (}IGC, 032---- " ' ..... ~"~ ............. ~ .................. APPLICANT J FOUNDATION ( ls t) FOUNDATION 2. ROUGH FRAME & .PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined /q ./..~..~' ......... 19 .~/.' .~ Approved.. ,/./?~.. ...... 19~.. Permit No..~./..7..~.~. ~ Disapproved a/c ......... ' BOARD OF HEALTH ......... 3 SETS OF PLA. NS .......... SURVEY .................. ClIECK CALL .................. MAIL TO: (B'uildi(ag' Inspector) APPLICATION FOR BUILDING PERMIT Dat~ September 24, 19 93 INSTRUCTIONS . - a, This application must be completely filled in by typewriter or in ink arid 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 of property mu~t be drawn on the diagram which is p~rt of this appli- cation. ¢. 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 l~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!l.v/~tion,s,5~.r.~.~' .... . _. ................... _l,;~gnature or.appliCant, or name, if a corporation) 46~ O-ceans~de Street . Islit~' Terrace, New York 11752. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Nam¢ofownerofpremises James E. Litchhult and Patricia M. Litchhult (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. N/A ' (Name and title of corporate officer) Bu der's License No.' ...... ixl/.A ................ Plumber's License No ...... Iq/,A ................ " Electrician's License NO... ~IXJ./A ................ Other Trade's License No....~J./A ................ 1. Location of land on which proposed work will be'done. 1330 Sigsbee Road ' Mattituck · ' · House Number Street Hamlet County Tax Map No. 1000 Section ....1.4.4.1Q 0 ........ Block .... 9.1...qq .... :... Lot ..... 0.QS... 9.qq ...... P ,S~bdivisigq...Agr~..d..ec~...Ma. lp.qf..P.r.q.mgr, t.y..qr...Ma.t.t..it.u.c.k. Filed Map No. 801 Lot 27 &.p~.rt of ¢~ ar~ vroperrzes, Inc.' (Name) ............ : ............ 2; State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ' Deck as constr'ucted ' b. Intended use and occupancy ~eck as constructed . · 3. p ): g ......... Addition .......... Alteration 7.. . ' Nature of work (check which a' plicable New Buildin ". ' ' · ' - . ..... ,. Repair ..... 7 ........ Removal .... '~ ......... Demolition ...'~: ........ Other Work....D¢.c.k..as .... , .... ConstrUcted (Description) N./b. i ' Fee 4. Estimated Cost ...................................................................... i (to be paid on filing this application) 5. Ifdwelling, numberofdwellin~units .... hl/k..; .... Numberofdwellingunitsoneachfloor. .N./.A.... · If garage, number of cars .. ~./.A.. ,..: .......................................................... .... 6. If business, commercial or mi,xed occupancy, specify nature and extent of,each type of use .... ~./~. ............ 7. Dimensions of existing structures, if any: Front..Z2 ! .......... Rear . .20: ......... Depth .. 1-5.' ........ Height 1.6 '.' Number of Stories ~/.A Dimensions of shme structure with alterations or additions: Front ... N,/A .......... Rear .. iq/.A .......... Depth ' ~/.A ! Height ]N./A i Number of Stories iXl[A ' 8. Dimensions of entire new const~, ction: Front.. ~q./.-~ ........ : Rear .... IxJ../.A ...... J i .D. epth...I',J./.A Height . ixl/.A .......... Number of Stories . ...I,//A .............. , ................ ;,-} j ........ 9 Size of lot: Front 5.5.'... ~ ' Rear .55.' Depth 14..3 28: ........ 10. Date of Purchase .... .7./.262~B ........ , ......... Name of Former Owner Dgl~q~l:ql. ~.[,~qte$~a3~.I~.~ccbg;tu~g.. 11. Zone or use district in which pr~mises are situated..ttx,~ {3 ........................ , ............ ' 12. Does proposed construction vioiate anS, zoning law, ordinance or regulation: .... I~1o .......................... 13. Will lot be regraded ..... ~ff"~'~ 't~: ....................Will e~;~e~.s flC~sr~o~[.f~8~ premises: ~ No 14. Name of Owner of premises ~.~-eJ.a .[l~.u~.~iu.~gAddress ~t~:~,,~ij~e~.. Phone Nd. SJ-6). 277-~..' Name of Architect N,/A ' Address . .-.'~ .... ..t..t.~.~.Z.. Phone No....~':. ' ..... i. Name of Contractor 17].g. I Address :%- .. Phone No -- ' 1.5. Is this property with±n 300 feet of a t±dal wetland? *Yes ........ No...~; ..... '~If yes, Southold Town Trustees Perra±t may be requ±red. i' PLOT DIAGRAM Locate clearly and distinctly alli buildings, Whether existing or proposed, and, indicate all set-hack dimensions from property lines. Give street and block aumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ COUNTY OF .$UFF.QhI~.. ;.S See' attached map of Stanley J. Isak.sen, J~. dated 11 Sept., 93. F( )Et.OWiNG ~NSP~CT~ONS: ?. FOUNDATION.. 1~0 ~EQU~RED FOR POURED CONCRET~ 2, ROUGH ¢ FRAMinG & Pt.UM[~NG 4: Fi~,~AL CONSTrUCTiON ~lJST ALL CONSTRUCTION SHAEL MEET THE ~EOUIREMEN~S OF THE N.% ST,~FE CONSTRUCTION ~ ENERGY CC'DES. NOT RESPONSIBLE, FOR DEranGE OR CONSTRUCTION ERRORS .... JAblES. E...LI2CHHUL.T . . i (Name of individual signing contract) above named. ' being duly sworn, depose~ and says that he is the applicant lleisthe 9~¢ q~ ¢.h.~. (Contractor agent corporate officer etc ) ~fraai&mam~er~:exxxmmm% and is dulyI authorized to perform or have performed the said work and to make and file this 'pphcatmn; that all statements contat~ned m thls'apphcatmn 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 .24.th .day of ' September ' I J E. Lmtch~u~t ........... Cornmbs~ Expires Octot~r 31, 1~ ' ROAD $ ~4.~' t' :' '~" ~Ooo (M~$on~y) £0° 38'£ I STORY ~ wooa FRAME · ' ~ RAIL FENCE, ' EAST. I .~'~ 29'. '"' 20~ ~t N/F. ' HUSING SURVEY iS t~tle lending to the a~signees ,o~ additional ~tit~ or Co~ ff ~ ~ey map' , ~ be ~emd ~ MA TTI TUCK SURVEYE~ SCALE~ i,~=,