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HomeMy WebLinkAbout21217-z M FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23158 Date AUGUST 12, 1994 THIS CERTIFIES that the building ADDITION Location of Property 460 HORTON AVENUE MATTITUCK, NY House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 2 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 19, 1993 pursuant to which Building Permit No. 21217-Z dated FEBRUARY 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 A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOAN RUTHER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Buildi g Inspec r Rev. 1/81 FORM NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NN9 21217 Z Date ...ple 19. Permission is hereby granted to: f ..../l A.............................................. . to . yi ' . s of premises located at ......Y:~~....AA.....Ci................................................ EGC° r./...............................................................y.................... County Tax Mop No. 1000 Section Ile/....... Block Lot No...yyl.................. pursuant to application dated /Z// 19 and approved by the Building Inspector. Fee S••a 5!.t Bu' ng Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT pnnpi~ . I 11994 . TOWN HALL 765-1802 BLDG. DEPT. 9 TOWN OF SOUTHOLD y APPLICATION 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 17 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: 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 3welting $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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15~./0~0, Co ercial $15.00 Date f•+•~ New Construction... . . //Old Or Pre--existing B ilding Location of Property.... 7...........~•O/~...?l 10~. ~tTrf7'ULf House No. Street 'J~ Hamlet Onwer or Owners of Property '1mw 0~•,gnz! d< / County Tax Map No 1000, Section. .l Z:/.........Block... ..........Lot.. 7 Subdivision ....ry ................................p..//F}}iled Map............ Lot....... ....p........ Permit No~14`.O_Z_Date Of Permit..2'1QIC(101 .....Applicant.. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.X....... Fee Submitted: C'O' 4 Pow a 5g AVV TrauT C02 Fax (516) 765-1823 Town Hall, 53095 Main Road C2 P. 0. Box 1179 Telephone (516) 765-1802 Southold, New Yo* 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 29, 1994 Ms. Joan Ruther 460 Horton Ave. 9 Mattituck, NY 11952 19 '40 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because 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 # 21217-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. C2 Town Hall, 53095 Main Road Fax (516) 765-1823 P. 0. Box 1179 Telephone (516) 765-1802 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 29, 1994 Ms. Joan Ruther 460 Horton Ave. Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of occupancy because 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 # 21217-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: DATE -~/1 INSPECTOR -2j M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( I ROUGH PLBG. [ J FOUNDATION 2ND INSU ON [ ] FRAMING ( AL n REMARKS: / ~J~ leg" DATE / V INSPECTO FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT J (TOWN CLERK'S OFFICE (`////J p~/~S// SOUT LD,N.Y. G2 ~l~~°"L NOTICE OF DISAPPROVAL Date 19Q . To GyL ..FG moo....e, , .WX 1~ -2 PLEASE TAKE NOTICE that your application dated ......le,All . 199 3. . for permit to LG /i at Location of Property , , House No. /e Street % amiei County Tax Map No. 1000 Section ,l, ,T~~4l , , , , , Block Lot ..,7.......... Subdivision Filed Map No. , Lot No. is returned herewith and disapproved on the following grounds ..(l r !`tom. I ` . 4, ..rte.. . • ~i]~ing Inspector• vvv RV 1/80 h o m r t~ `J H yf If r] .avi' k ' ] ri~i v' f.1 O M ~ n• ~ ~ ~~a !v r4~ ,kI V `C N ~3¢E I o F ~,t i m o Gp~O o Q ,i Q3 6 0 0 0 \ So y ? Q iz 4 ~ ~ Q 2 0 N~~ a o 4a / Z9 0 l~J' m i0 IMF I in 00 2 h ~ h~ I O,V 3~ 3~m 40 ° tj RF 00 © FEi:f~ i~ J h Q q R L~ qj~ i p g Y~ Toe. Q 5 RoA c_-- 2 t J N~ „ O a a Q W '9: 3 °9ti v w. 0' u V 6 C ~ e `e 8 n c Q g a y° 0 ac ' e 4 q [ k << = W O ^ C Z g m i \ Q O V~~ : O C G 0_ N J~1\v)Q ~'J ~N s_' °"aa~ it ~1ELJ i::S.E G4i•iLNTC ''w• m a \ t`OUNbATION ( 1st Y FOUNDATION (2nd) - 1 [SOUGH FRAME & -PLUMBING N H m ~ m :11SULATION PER N. Y. STATE ENERGY CODE I ' FIiIAL A D D I ONAL COMMENTS: m S . aXX~~\1~6\dA, ' H ms '-3 S O m H 34 Y~{a ili~'':y,j BOARD OF HEALTH - FORM NO.1 3 SETS OF PLANS ` JAN 2 Q TOWN OFSOUTHOLD SURVEY . o/ BUILDING DEPARTMENT CIIECRi........... TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY: CALL Examined .~.~.~0........ ,19 MAIL TO Approved 19 Permit o............ ~l r' Disapproved a/c .~=1 12V % . 3 (Bu' g Inspector) APPLICATION FOR BUILDING PERMIT /7. Date ~..I.......... 19 .73 INSTRUCTIONS a. This 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 areal , 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspec ' ns. ........oz........... (Sig ure.of applicant, or name, if a corporation) , q~ ~y (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .-e:............................................................................... Name of owner of premises e.,t c. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .................~Q....................... (Name and title of corporate officer) Builder's License No . Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be ddo~nJe. S.S. J~Di~TD!!J ...../p 7. cr GL~ ........!•i!t a N r House Number Street Hamlet County Tax Map No. 1000 Section l ~'l.......... Block Lot 7 Subdivision N1A Filed Map No. Lot !''/r4... . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . p . , . b. Intended use and occupancy ....../.Z~X2L!. ' s Nature of work (check which applicable): New Building , Addition Alteration Repair oval Demolition Other Wog, (Description) 4. Estimated Cost.... h(<.6 Fee...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units . Number of dwelling units on each floor If garage, number of cars . , , 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front ...lj~, , Z ......Rear Depth ZY./ Height Dimensions .of....same. structure with Number otio es adds Front . Dimensions Depth th alterations or r additions: Front Rear , . whi Height . Number of Stories 8, Dimensions of entire new construction: Front . . . Rear De th Height P Number of Stories 9. Size of lot: Front Date of Purchase y/0.0 / Rear I P.Q........... Dept 2 O I . 110. Zone or use distract in which Z . • • ' ' ' • . Name of Former Owner .5 T misesaresituated 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . 13. Will lot be regraded Will excess fill be moved from premises: Yes No 14. Name of Owner of p m' es Address . (oD Phone No. jB S. , Name of Architect W Address ' gyp. Phone No..7.Y1 . . . 15. is othis f property within 3 Address Phone No 00 feet of a tidal wetland? *Yes........ No *If es Southold Town Trustees Permit may be required. PLOT DIAGRAM r Locate clearly and distinctly all 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. i I~ I • ~I! I i STATE OF NEW YORK, S COUNTY OF SS i¢pc li/G4 (Name _,4~ f.. individual signing O s~ • ' ' • • being duly sworn, deposes and says that he is the applicant contract) ibove named. `ie is the !Q 6, 19: T . (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly Authorized to perform or have performed the said work and to make and file this ipplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner set orth in the application filed therewith. iwom to before me this day o .I 19 L3 Votary Public, County A sa NOTARY pu uc, state of Now York (Signature of applicant) QRelifNo in Suffolk Coin No. 52-4601 ' Corm"Wobn Uv~e% ...3~ mil!^II '32 ° Ij I4N' P.47 L.. I I A A c.aµ 064-w- _ ~I~~-¢x4" PeS'!z ~I M l p, I F iI ldb4pe, ALA m r~;T Wi?DoW wt?DoW~~-_ ~E.y~15fn-+Cn H46.w+~4W. IN R~Q: I '~a ~C9-d" N.2 S. W p i'~ vd ice. S"pAjbFLAI4<,r L EIS Ap ~t ED AS NDTED/ _."Oy - NFL 1".wG aR' q L DATE: 7f B.P. M G" 'f2tL ^XG } 81~Ln .i 0 F FEE: Al NOTIF BUIL ING OEPART `¢"IF~. .~4. y1-1 • .6/=(w"' ~I~ SmlSlS I V" !J_ t.' . 765-1602 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS 1. FOUNDATION "Aff- FlFOUIRED POR FC ('ONiL 2. HOUGH GH - FftF.MING F, F+ rl_Uiv181NG CAPS aA. SUIe{ - 4"K 4• ? INSULATION 6nl pBF~. P ' q FINAL - CONSTRUCTION MUST BE COMM ETF FOR C.O fIhDF. /j dwCP ALL CONSTRUCTION SHALL MEET y- . THE REQUIREMENTS OF THE N.Y. < ~_G. FTY.IS STATE CONSTRUCTION m ENERGY S''~lND12K3 4~x 9-~ cc61 Pc STS CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS t 1. l.A,...'.~TJrs[B-feaTi I J 6CALV APPROVED BY: DRAWN BY - DATC: REV16CD DRAW IND'NUM6cR. Lii~ Mmtmcx'. +R~CI+Airely! x y ~ ~ la o- „ ~ jl.