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Home My WebLink About21268-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24814 Date DECEMBER 18, 1996 THIS CERTIFIES that the buildin~ ALTERATION Location of Property. 800 FOX HOLLOW ~D. House No. Street County Tax Map No. 1000 Section 113 Block 6 Subdivision FLied Map No. MATTITUCK, N.Y. Hamlet Lot 21 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 10, 1993 pursuant to which Building Permit No. 21268-Z dated MARCH 16, 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 SCEEEN IN PORCH ON AN EXISTING DECK OUTSIDE DINING ROOM AREA ONLY OF EXISTING ORE FAMILY DWELLING. The certificate is issued to FREDERICK & MILDRED COWAN of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 IvOw~vr NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N, ¥. BUILDING PERMIT (THIS PEI:b~IT MUST BE KEPT ON THE PR. EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N? 21268 Z Permission is hereby granted to~;~ · . .... .~.~..~..~.~.......~/.. ............................. ro .......................... ~: .............................. ~/, ...................................................................... .....>..~ ...... ....~....-:...-.>...r.~:~ .......... ~ ......... ~ ....... ~..,~...~i.~.~........~ ..................... at premises located at ............... ?...~...~. ........ ...~......-~.....'....~...~...~.....x~....., .......................................... ............................................................. ............. .................................................. County Tax Map No. I000 Section ,..,./,,/~...'~.. ...........Block ........~.. ......... Lot No ........~../... .......... pursuant to application dated ............... .~..-.....~. .......................... , 19 .......and approved by the Building Inspector. Rev. 6130/80 OF BOUTHOLD SCiLD!NC DEPB~TMENT 763-1802 _~PPLiCATiON FOR CERTIFICATE OF OCCUPANCY This application must be filled in ~y typewriter OR ink amd submitted co the building inspector with the following: for new buziding or new use: !. Fica! survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposa!(S-9 form). 3. Approval of electrical instal!anion from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system oon~ains less than 2/!0 of 1% lead. 5. Commercial building, industrial building, ~uiaipla residences and similar buildings and-installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Sabmit Planning Board Approval o'f completed site plan requirements. For existing buildings (prior co April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing al! ~roperty lines, streets, building and unusual natural or topo§raphic 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 raisons therefor in writing to :he applicann. C. Fees 1. Certificate of Occupancy - New dwellinE $25.00, Additions to dwelling $25.00, Alterations to dwelling S25.00, Swimming pool S25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Bui!din~ - $100.00 3. Copy of Certificate of Occupancy - .25¢ 4. Updated Certificate of Occupanc7 - $50.00 5. Temporary Certificate of Occupancy - Residential $!5.00, Commercial S15.00 ....................... New Construction ........... Old Or Pre-~xis~ing Building ............ :o~a~ion of Prope=y... ~.~. ~ .~..¢....[..~.~ ~ .................... b2gr...~...~ .......... House No. Street ~am_iet Omwer er O~ers of ~ro~ert? .... .~.~.~ .... ~ ~..~.a.~ ...................................... county T~ ~ap ~o ~000, Section...l~3 ........ ~lo~ ..... ~ .......... :oc..~.J ................. Subdivision .................................... Filed Hap ............ Lot ...................... Permit No ................ Date Of Permit ............... Apolicanc ............................. Health Dept. Approval .......................... Under,ri:ers Approval Plannin6 Board Approval ........................ Faa Submitted: 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 October 3, 1995 Mr. Frederick Cowan P.O. Box 1499 Mattituck, NY 11952 Dear Mr. Cowan: Enclosed is the Certificate of Occupany application you requested. Also, in order to close out your open building permit #21268-Z, you need a final inspection. In your conversation of 10/3/95 with Thomas Fisher you had mentioned that a man & a woman had already been out to inspect. They were not from our department. We believe that they were from the Tax Accessors office. Please call us when you are ready for your final inspection. We are open from 8:00AM to 4:00PM Monday thru Friday. Our number is 765-1802. Please have your building permit number ready to identify your file. Thank you. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] I~TION [ ~FINAL [ ] FIREPLACE & CHIMNEY DATE 'OUNDA~ION (1st) ~OUNDAT!ON (2nd) IOUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 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 Mr. Frederick Cowan 5 Fox Hollow Rd. Mattituck, NY 11952 September 28, 1995 Re: Building Permit #21268-Z Premises: 800 Fox Hollow Road, Mattituck Suff. Co. Tax Map #1000-113-6-21 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of $outhold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher Senior Building Inspector '\, -I Repair .............. Removal ....... Demolition .... ..' ......... Other Work~f'~-d~. 4. Estimated Cos .~.0. · .... Fe/ 7~.t.~..~... ~(Description) (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 ........................ i ............................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .... 7. Dimensions of existing structures, if any: Front ..... . .......... Rear .............. Depth .... Height ............... Number of Stories ......... ' .......... Dimensions of srime structure with alterations or additions: Front pth ................... Rear .......... ight 2.' '~i .... De He Number of Stories ....... . 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height .......... : .... Number of Stories ..... . ..... , ................................. 9. S~ze of lot: Front ..... . ............ Rear .................... Depth . ' 10. Date of Purchase ............................. Name of Former Owner .................... 11. Zone or use district in which premises are situated ................. ' ......... 12. Does proposed construction violate any zoning law, ordinance or regulation' . ................. 13. Willlot be regraded . ' .............. ....... ' ...... [ ........... Will excess fill be reml~ved from premises: Yes No 14. Nam e o f Owner o f premises .~.,p&.¢..~ [K. D./~./)... Ad dress 3.3.3.3.3.3.3.3.3.~ ~L.C?0../~ ~ ph,,,,~ ~,, Name of Architect ~ Co0d/'l~. ~_~_ "'g~'~.~ft~-y~fQ ................. to · rr: ......... ~ ........... tininess ,. t.~:: ).. ......... Phone No ......... . .N~ame.°f Contractor ~/~)/Prr/2zO../~¢-~..~.~.~,g'(F,L. Address ].~7. q5~.~(/;~.~. Ph,,.,~ ~,, 15. xq t~is property within 300 feet of a tidal wetlandS' ,~'~f)~f~..'~!~'t~i~ .......... ''" ~''¥~'~.~'--~ . *If yes, Southoid Town Trustees Permzt may be required. '' PLOT DIAGRAM Locate clearly and distinctly all 6uildings, whethe~ existing or proposed, and. indicate a]l ~et~back dimensions from property lines. Give street and block number or desc~ption according to deed, and show street names and indicate whether interior or corner lot. -. ;TATEOFNEX[/q'50~e5 [~ SS :OUNTY OF.. ~..L~.~... .... -. ,. · ~ ....... · ·· ............. being (Name of individual signing contract) hove named. duly sworn, deposes and says that he is the applicant agent, corporate officer, etc.) ............... f said owner or owners, and is duly authbzized-to-~rform or have performed the said work and to make and file this >plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application flied therewith. .yom to before me this(' ~ lC)',< .......... y.. 'r.,...~ ..... day of./..../~2~ .... _ 04 ...... C~,mml~lon FORM NO. 1 TOWN OF SOUTHOLD HAR i 0 1993 ,BUILDING DEPARTMENT 11~ TOWN HALL ii ~ SOUTHOLD, N.Y. 11971 { '10 .............. ~ TEL.: 765-1802 Examined ,,. Approved ., 19 Penni No Disapproved a/c ............... '' './(IRfilrllng Inspector) . APPLICATION FOR BUILDING PERMIT B0,~RD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC. FORH .............. FLAIL TO: Date ............ State existing use an ~ ' .s ' ntended use and occupancy ofpropos d occupancy o emme and i .e,d construction: '""-z-e.---r---- ' a. Existing use and occupancy ,,. :~t ~,.,,,:,..,,,,:~ . , ~, / ...................... . ...... L" ~"'~ ', ~'?' "..-.i*0'~%~,~ ........ b. Intended use and occupancy . ....-Id .~......~, "' ~?'-~'~*~O ........... Lot . ..~.~/. ............ .............. Lot............... County Tax Map No. 1000 Section ,..~l~ ............ Block ..~... Subdivision ..................................... Filed Map No. (Name) ' INSTRUCTIONS a. This application must be com letely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sits of plans, accurate plot plan to scale. Fee according to schedule· b. Plot plan showing location of]tot and of buildings on premises, relationship to adjoining premises or public ~treets or areas, and giving a detailed'descripltion of layout of property must be drawn on the diagram which is part of this appli- cation, i c. Tlie 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 availablelfor inspection throughout the w6rk. 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. ,. ,A, PPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ~uiming 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/c~de, and regulations, and to admit author/zed inspectors on premises and in building for necessary inspections, -[-][~-~% .¢~! ~'~ ~ff~.~.~ -- (Signature of applicant, o~r nam:, ifa c~raSion) · (Mailing address or applici~;) .... State whether applicant is owner, lessee, agent, architect, engineer, g electrician, plumber or builder. Name of owner of premises ' I (as on the tax roll or latest deed) If applicant.is,a~4~llora~, signlgure bf duly autt?rized officer (Name and title of co/'ifef~t¢ officer) Plumber s License No...~. ..... } ............... e~ Electrician's License No .... Ct er Trade s License No ..................... · Location of land on which proposed, work will be done House Number Street Hamlet