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Home My WebLink About21763-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22716 Date NOVEMBER 10~ 1993 THIS CERTIFIES that the buildin~ Location of Property 440 COX NECK ROAD House No. County Tax Map No. 1000 Section 113 Subdivision ALTERATION MATTITUCK~ N.Y. Street Block 14 Lot Filed Map No. Lot No. Hamlet 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 1993 pursuant to which Building Permit No. 21763-Z dated NOVEMBER 8~ 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 CONVERT ATTACHED GARAGE TO HABITABLE AIVING SPACE IN EXISTING ONE FAMILY DWELLIING AS APPLIED FOR. The certificate is issued to RANDALL & CAROL FEINBERG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-294006 - OCTOBER 29r 1993 /Budding Inspector Rev. 1/81 FO~M TOWN OF SOU*IHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 21763 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Count/Tax Mop No. ~000 Section ...... ./..,/...,-~., ......... BlooI~ .......... ,~., .~... ....... Lot NO ...... ~ ................... pursuant to application dated J~ ,~,, ........................... 19,,?',.-~, ...... and approved byfhe Building Inspector. Fee 0...~..~..,.~,, J ~j~lding Inspector Rev. 6/30/80 Form No. 6 TO~CN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 · ~PLICATION 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 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" 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 den\led, the Building Inspector shall state the reasons therefor in writing to the a~plicant. 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 Building - $100.00 3. CopM of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 0-IS- ?.?.. few Construction ........... Old Or Pre-existing Building...~ ....... House No. Street Hamlet % · ounty Tax Map No 1000, Section..............Block ........ .-. ... Lot ............... ...... ubdivision ' .~...~. ~ ..................................· . Filed Map ........ Lot ..... · ............... ealth Dept. Approval .......................... Underwriters Approval ......................... lanning Board Approval ...................... .. equest for: Temporary Certificate ........... Final Certicate ........ ~.. Submitted. $ " -.- FOUNDATION (1st) · FOUNDATION (2nd) 2. ROUGH FRAME & 'PLUMBING INSULATION PER N.Y. _ m .. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS Approved . .'././/~. ....... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 7654803 ., 19 .?.~ .,Permit Disapproved a/c ' BOARD OF HEALTH ......... 3 SETS OF PLANS ......... SURVEY ................... ClIECK .......... CALL . . . . HAIL TO: Plumber's License No Electrician's License Other T ade s License No ............. F{')LLOW~'~G FOR POURED 2, ROUGH -. FRAM~G & PLUMBING 4, FINAL CONSTR~tCTiON - BE COMPLETE FOR A[.L CO~S'TRUCTtOhl SHALL THE REQUIREMENTS OF THE N,Y. S'TATE CONSTRLJCTJON & ENERGY CODES, ~(~ RESPONSIBLE FOR 1. Location of land on which proposed work will be done. ..:.'. OFt e,'n~ O14. CO~qt:;.T[tU~.TIOb~" : .ERROB.:e .... . ltouse Number Street Hamlet County Tax MapNo. lOOOSection ...i[.~3 ......... Block ..J.H. ' Lot.-~.q ............... Subdivision ........ . ............................ '. Filed Map No. · .~. ~ ........ Lot '... ~i ......... (Name) State existing use and occupancy of premises and intended Use and occupgncy of proposed construction: a. Existing use and occupancy ' ~~.~. ................ ~'~ ~',:¢~',~t~b~ ~ .................. " . b. Intended use ~nd occupancy . ~.~. (Name and title of corporate officer) · . Builder's License No .......................... ,.,'~ ~, ;,: {'?'~ I~-'%,,%~'~'r~ APPL CAT ON FOR BU LD NG PERMIT ~J~' (~}~"¢ ~J '-- INSTRUCTIONS a. T~s application must be completely filled in by Wpewfiter or in ink and submitted to the Build~g Inspector, with 3 ~ets of ptans, accurate plot plan to scale. Fee according to schedule. ~ b. Plot plan show~g location of lot and of build~gs on premises, relationship to adjoining premises or pubfic streets or areas, and giv~g a det~led description of layout of property must be drawn on the diagram which is pa~ of this appli- cation. c. The work covered by t~s application may not be commenced before issuance of Budding Pemit. d. Upon approval of this application, the Building Inspector will issued a Bufld~g Pe~it to the appficant. Such pemit sh~ be kept on the premises available for ~spection throughout the work. e. No building shall be occupied or used in whole or in p~t for any pu~ose whatever until a Ce~ificatd of Occup~ey shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bulldog Dep~ment for the issuance of a B~lding Pemit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other app~cable Laws, Ord~ces or Regulations, for the construction of bu~d~gs, additions or alterations, or for removal or demolition, as here~ described. The app~cant agrees to comply with all applicable laws, ordinances, bufld~g code, housing code, and regulations, and to admit authorized'~spectom on premises and ~ bulldog for necessa, ~io~. (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generai contractor, electrician, plumber or builder. '/e;~ 1802 9 AM 1~0 4 PF~ FOR THE '3. Nature of work (check which .pPlicable): New Building .......... Addition .......... Alteration ....... Repair .............. Removal ........... Demolition .... : ......... Other Work.. 4. Estimated Cost .... escription) ..... ~ ................... Fee ........... (to be paid on filing this application) 5 If dwelling number of dwelling units Nurhber · ' ............... of dwelling units on each floor If garage number of cars : ................. 6 ' If busine'ss ............................................................ . , commercial or mix6d occupancy specify nature and extent of each type of use 7 Dimensions of existing structures if any: FrOnt Rear ' ' .................... Height ./. Numl~er of Stories ............... Depth Dimensions of shine st~cture ~ith alterations or additions: Front ~ O .~ Rear ~ ~ ~ Depth ;~ ~ .~ .'... HeiSt ~ ~ .................. 8 Dimensions of entire new const~ction: Front .......... · · · .' ........ Number of Stories...~ ....... '.; ...... ' Rear Depth Height Number of Stories ............... ' ................ 9 Size of lgi: ............. ' ........................................................ Front ' Rear ' 10' Date of Purchase .......... ' ' ' ' · ............. Depth .. ..................... ' · ............................ Name of FomeLOwner 11. Zone or use district in which pr~mises are situated ' ' ............................ Does proposed construction violate any zoning law ordinance or regulation' ~ o 13. Will 10t be regraded ...... ~ .~... · ~...,~. ..... Will excess fill be removed from premises: Yes Nme of Architect .......... ..... .. ~ddress Phon Nme of Contractor ~..~o.~ .... Address ............ : ...... Phone No ....... 15.' I~ this property within 300 feet of a tidal wetland? *Yes ........ No..~. ' ........ · If yes, Southold ~own Trustees Permit may be required. '''' ..-. PLOT DIAG~ Locate clearly ~d distinctly ~1~ buildMgs, whether existing or proposed, ~d. indicate M1 set-back d~ensions from prope~y fines. Give street and block humber or deschption accordMg to deed, and show street nines and indicate whether ~tefior or corner lot. ~TATE OF NEW ~vo RK, o '~OUNTY OF...~.~..mY. 9/.~. ,. ......... .' ·: . '.--. ~ ...... ' ......... being duly sworn, deposes ~d says that he is the applicant (Name of ~nd~v~dual mgmng contract) above named. He is the ' : (Contractor agent ....... 5 ............................ , , corporate officer, etc. of said owner or owners, ~d is duly authorized to perfom or have perfo~ed the said work and to m~e and file this ~pplication; that all statements contained ~ this'application are true to the best of his knowledge and belief; and that the ~ork w~l be perfo~ed in the manner s'et forth in the application filed therewith. ' ~wom to before me this ...~.l.~. .day of. ~mmlssion,Expires Nov: 30, /'