Loading...
HomeMy WebLinkAbout21679-zFO1AM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANC~ No Z-23244 Date SEPTEMBER 21, 1994 THIS CERTIFIES that the building FOUNDATION Location of Property 1480 FACTORY AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 142 Block 1 Lot 4 Subdivision Filed Map Ne. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 14, 1993 .pursuant to which Building Permit No. 21679-Z dated SEPTEMBER 24, 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ROBERT N. KRUDOP (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A /~ Butilding I nspect°r Rev. 1/81 FOBM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, N.Y. 21679 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ........... ..................................................... ........................................................... .../~...~.~ ................................................................... CountyTclxMapNo, 1000 Section ....,/,.C~?,~ .......... Block ....... ..~.../, ............ LotNo ........ ...~..,..~... ......... pursuant to application dated ........... ,,.~,~.-~.....Z~.r......./.~... ................... 19....~ ..... and approved bythe Building Inspector, Fee $....~.,,¢~,,. ...... Rev. 6/30/80 Form No. 6 TOWN ALL 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 used in system contains less than 2/10 of i% 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. 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: 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 denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees i. 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 Buildinz - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15o00; Commercial $15.O0 · New Construction ........... Old Or Pre-existing Building ..... ~ .... Location of Property o~ , House No. - ....... Street ......... Hamlet Onwer or Owners of Property..'J~.~..~...~,..~.r~.'.~. ........................................ .. . . · . County Tax Map No 1000, Section ......... Block .............. Lot .................. Subdivision .................................. .. Filed Map ............ Lot ............... .. o. . .. Permit No...~1 ~.~ .~.~ ..... Date Of Permit... 9./.2.~/.~.-~ .... Applicant...b f~.. · .~.,.b.~. ............ Health Dept. Approval ........................ . . Underwriters Approval .................... .... . Planning Board Approval ....................... . Request for: Temporary Certificate ........... Final Certicate....~..... Fee Submitted: ~ ..... ~ ..................... v,?/ i ..................... Town Hall, 53095 Main Road P. O. Box 1179 Southold, New Yo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 19, 1994 Mr. Robert Krudop P.O. Box 1042 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 XX not on file. (Enclosed) No Underwriters Certificate on file. 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 # 21679-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~,,~AL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ] F/OUNDATION ~.ST [ ] ROUGH PLBG. / FOUNDATION 2ND [ ] INSULATION ]FRAMING [~_ ]FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE ~OUMDATIO:! ROUGH FRAME & -PLUMBING .~SU LATIO:; PER STATE E~iEEGY · CODE., FI:;AL ;%DDITIO~tA'L COMMEPlTS: Examined ....... ,~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180~ Approved .... , 19~.. Permit No. Disapproved a/c ' p or) APPLICATION FOR BUILDING PERMIT B~ARD OF HEALTH 3 SETS OF PLANS SURVEY ....... SEPTIC FORH INSTRUCTIONS Date ............ , 19~.4 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 sti'eets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ?tion. 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 cpde, housing cods, and regulations, and to admit authorized inspectors on premises and in building for necessary inspect'~/~./.. ,/d//~ . ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractoL electrician, plumber or builder. ....................... . . APP, ROVEI) AS IVOTED Name of owner of premises ................... a~"' ?aGs()n' ;~e' ~a'x' ~o'F'''; "' 'F~.' ' '~,'t~':'' I IV:' '~ .~.~Z~.. t t or lates~-BUlkOlNG D~i~AR'T.~I~NT, AT If applicant is a corporation, signature o£duiy authorized officer. 765-1802 9 AM TO 4 PM FOR THE ................................ Bm}der s L~cense No. ........... Electrician's License No ......... Other Trade's License No ...................... FOLLOWING INSPECTIONS: I. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH ~ FRAMING & PLUMBING 3. INSULATION 4. FINAL COt~4STRI. ICTION MUST ~E COMPLETE FOR ALL CONSTRUCTION SHALL THE REQUIREME~S' OF THE N.~ STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1. Location of land on wliich proposed work will be done .................................................. House Number . Hamlet County Tax Map No. 1000 Section . ~l~t.~, ........... Block .... t ......... i... Lot.. ¢ ............... Subdivision ........ . ............................. Filed Map No ............... Lot ............... (Name) . 2: State existing use and occupancy of premises and intended use and oc'cupancy of proposed construction: a. Existing use and occupancy .... /~/.~ ...... ~... ::~r....,. , b. Intended use and occupancy ................... "" ...................... · .. · ·· ; .... w'.'.x .. ........ .. '3. Nature of work??~Winch applicable): New Building . ~ ........ Addition. ........... Alteration .... Repair ..... ~ ....... Removal ........ Demolition .... : ........ Other Work ......... 4. Estimated Cost ..... Fee .... I (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ' I Number of dwelling units on each floor If garage number of cars ' '' 6. If business, co,,mmercial or mixe~ occupancy, specify natur, e~_and extent of.each type~of use ............ , ..... 7. Dimensions of existing stmcture~, if any: Front ..... ~z5 ...... Rear .... ~.,.~ ..... Depth..q.G, Height ............... Number of Stories ..... ~ ..... J ............ · ............................... Dimensions of shine structure with alterations or additions: Front .. g~ ~.~ ..... Rear . . ~.., ~.. .... 8. Dimensions of entire new construction: Front .............. ; Rear ............... Depth .... ; ......... .Height ...; ........... Number of Stories .................................... :-. ......... 9. Size of lot: Front ........... ........ :.. Rear .................. i... Depth .................... 10. Date of Purchase ... (~.,4ox.. ~./..I.q.~.~... ...... Name of Former Owner /2 e%..~4~q~....'}/..o~?, vsso ' Il. Zone or use district in whiL-~h premises are situated ....... .. "i ." ii ..... 12. Does proposed construction viol~te any zoning law, ordina~ce or regulation: ..~.? ................ ~ ........ '13. Will 16t be regraded ...... .~.~-~; ................ Will excess fill be removed from premises: ~ No 14. Name of Owner of premises .~o~e~r~. 14.,. ](.ro~r~.&~ddress J.q~l~. ~rv ~¢~... Phone No ~q.~.- (~ .~.~..~7 .' Name of Contractor ......... ! ................. Address ................... Phone No.~q~ .... ....... ' .... 15.' I9 th±s property within 3]00 feet of a t±dal wetland? *Yes ........ No., .~..... ' *If yes, Southold ~own Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all l'buildings, Whether existing or proposed, and. indicate all set-back dimensions from~ property lines. Gl.ye street and block Oumber or description according to deed, and show street names and indicate whethel interior or corner tot. I '. ' -( STAT OF NEW- OR 'il~'; S COUNTXoF.. . e' ....... . . ......... (Name of individual sig~iag contract) above named, i .. ......... being duly sworn, deposes and says that he is the applica6t He is the ' ' (Contractor agent corporate officer otc ) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements contained in thisapplication are /rue to the best of his knowledge and belief; and that the work will be performed in the manne~ set forth in the application filed therewith. Notaly Publlo, State of N~V York ' "' '/' ..... ~ ............ No, 4879505 /3~//~ ~ * ' . · ~/'* (Signatur6 of applicant) , Qualified in Suffolk County '-')'/-4~ ' , ' /~ , Comml~lon Expirea Oeoeml:mr 8,1 g ~.~ [ , . . CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. DISTRICT 1000 SECTION 142.00 BLOCK 01.00 LOT 004.000 NOTE* FIRE LOSSES~ This form of contract contains no express provision as to risk of loss by fire or other casualty before delivery of the deed. Unless express provision is made, the provisions of Section 5-1311 of the General Obligations Law will 'apply. This section also places risk of loss upon purchaser if title or possession is transferred prior to cIosing. THIS AGREEMENT, madethe /~? dayof /ff'~/-~/ ,Rlneteenhundredand n~.nety-three BETWEEN -- / LETITIA YARRUSSO, residing at 285 Stillwa/cer Avenue, Cutchogue, Now York 11935 hereinafter described as the selier, and ROBERT H. KRUDOP, residing at RFD 2, ~ox 583, (no ~) Pennys Landing Road, Riverhead, ]~ ~ ~ New York 11901 hereinafter described as the purchaser, WITNESSETH, that the seller agrees to sell and eenvey, and the purchaser agrees to purchase, all that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being ~ at Mattituck in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a post set in the easterly side of Factory Avenue distant 150 feet more or less southerly from the corner formed by the intersection of the southerly side of Sound Avenue, also known as North Road and the easterly side of Factory Avenue; RUNNING THENCE North 74 degrees 14 minutes 30 seconds East along land of C.R. Coutts, Jr., 142 feet to a'post and land now or formerly of A. RUNNING THENCE South 17 degrees 18 minutes 20 seconds East along land now or formerly of Ao Williams 50 feet to land now or formerly of V. Williams Estate; RUNNING THENCE South 74 degrees 14 minutes 30 seconds West along land now or formerly of V. Williams Estate 142 feet to the easterly side of Factory Avenue; RUNNING THENCE North 17 degrees 18 minutes 20 seconds West along the easter]fi side of Factory Avenue 50 feet to the point or place of BEGINNING. 1. This sale includes all right, title and interest, if any, of the seller in and to any land lying in the bed of any street, road or avenue opened or proposed, in front of or adjoining said premises, to the center line thereof, and all right, title and interest of the seller in and to any award made or to be made in lieu thereof and in and to any unpaid award for damage, to said premises by reason of change of grade of any street; and the seller .will execute and deliver to the purchaser, on dosing of title, or thereafter, on demand, all proper instruments for the conveyance of such title and the assignment and eolleetion of any such award.