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Home My WebLink About21392-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22926 Date MARCH 30, 1994 THIS CERTIFIES that the buildin~ ADDITION Location of Property 2500 SOUNDVIEW AVE. MATTITUCK, N.Y. House NO. Street Hamlet County Tax Map No. 1000 Section 94 Block 2 Lot 1.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30, 1993 pursuant to which Building Permit No. 21392--Z dated MAY 5, 1993 was issued, and conforms to all of the requirements of the applicable provisions cf the law. The occupancy for which this certificate is issued is ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES MOUNT & F~%ROLD ~ORDON (owRers) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-308255 - MARCH 23, 1994 PLUMBERS CERTIFICATION DATED Rev. 1/81 MARCH 16, 1994--K&K PLUMBING & ~RATING · 0~ NO. Il TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEP'r ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: · ~..~~.~ ........ ...... ~.~.....£~ ..~.......~ ....................... : ........... ,o ....... ~..:;~ ........ ~.;~...;~.......F~..~....~.. ot,,em,se,,~at~ at ........ .4~....~..~~..~ ............................ ...................................................... .~.~.~,....~.,.....~....::: ........................... County Tax Map No. Id00 Section ..~....~....~... ...... Block ..... ,.~',,..~ ..... Lot No....~'....%.~ .... pursuant to opplicotlon doted .... ~....~......~.. ............. , 19..~.,~., and approved by the Building Inspector. Building Inspector Rev. 6/30180 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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: 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. F If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees I1. Certificate of Occupancy - New dwelling $25.00,~Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00~ Accessory ~uil~.O0, 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 - $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 Date ~. ~H %~1~.~ . New Construction ........... Old Or Pre-existing Building....~..........,.. Location of Pro ert ...?-'.~.~..~. ~~LL7 AVJ~. .~..~7.!l?.~._ House No. Street Hamlet 0nwer or Owners of Property..~AKb~ ~T .... .......................... ............................. County Tax Map No 1000, Section....~..~..~. ..... Block...~........., Subdivision ...... .~.~. ................. Filed Map .......... Permit No..~J.~. .... ?..~...Date Of Permit . ~ ..Applicant ............. ~ ......... qlealth Dept. Approval .... .~. .................. Underwriters Approval...~..~..~'.?.~. ......... Planning Board Approval,,.~..~, .................. for: Temporary Certificate ........... Final Certicate....~. ...... Fee Submitted :(p S $' '"~'~' '~' '~' ' .............. ',''' '~ 2 ~ ~;~E;~y '~' ~t~"~" > ..... ...... .................... TOWN OF SOUTHOLD OFFICE OF BUILDIHG INSPECTOR P.O. BOX 728 · TOWN llALL SOUTIIOLD, N.Y. 11971 TEL. 765,1802, , Ipleas~ pr£nt) \ Ip~ease print) S cort££y that the aotd~.r u~ed in th~ water supply ins lOg~ than 2/10 of 1% lead. ml,,stem this " , / ~ ~ .. No~at'~ PubLic' otary Pubhc, State of New York No. 495~1364 Qualified in Suffolk Counw Commission Expires I~la¥ 22, 19 THE NEW YORK BOAR[ OF FIRE UNDER 1~744 BUREAU ~J= ELECTRICITY , ' ~-- 85 JOHN STREET. NEW YORK. NEW YORK 10038 Oat~ I~RCH 23,1994 ~pplicationNo. onfile 82306393/93 THIS CE~IFIES THAT o~y t~ el~tr~ ~a~t ~ ~scrib~ be~ a~ Jnt~uc~ by t~ ap~icant ~med o~ t~ a~ a C~S MO~, ~O~ A~, PO~-48, ~TTITUCK, N.Y. in the foJlowlng J.ca~io,; ~ B~,ement ~ I st Fl. ~ 2nd ~. O~ .Section Bilk ~s examin~ on ~ ~ ~ ~ ~ ~ and found t~ be in ~ompHance ~~t~ t~e Na~na~ Ele~tdca~ Code. ~ 44 4 16 3 .. 4 ~RVI~ DI~ONNECT 4/e OTHER APPARATUS: MOTORS ~ 2-F H.P. G.F.C.I~-10 TRACK LIGHTING: -60 EXHAUST FANS AMT. H. P DIMMERS 1 2/~wa RICHARD G. RELYEA P.O. BOX 372 LAUREL, NY, 1194~ LIC.#2148-E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION &ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] IN~U..LATION FRAMING [b]"~NAL ~OUOH FRAME & -PLUMBING ~SULATIO:; PER N. Y. STATE ENERGY CODE FI;;AL ROBERT T. BAYLEY A.I.A. Architect 150 Lakeview Terrace P.O. Box 595 EAST MARION, NEW YORK 11939 (516) 477.5024 ROBERT T. BAYLEY A.I.A. Architect 150 Lakeview Terrace P.O. Box 595 EAST MARION, NEW YORK 11939 ,i., ROBERT T. BAYLEY A.I.A. Architect 150 Lakeview Terrace P.O. Box 595 EAST MARION, NEW YORK :[1939 (516) 477-5024 ROBERT T. BAYLEY A.I.A. Architect 150 Lakeview Terrace P.O. Box 595 EAST MARION, NEW YORK ].].939 (§16) 477-§024 ROBERT T. BAYLEY A.I.A. Architect 150 Lakeview Terrace P.O, Box 595 EAST MARION, NEW YORK 1].939 (516) 477-5024 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~AL 765-~L802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. J ~F/OUNDATION ZND [ ] ,INSULATION / FRAMING [ ] FINAL DATE ~LI [ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~'~H PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: ' l ' 765..~.802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ]FINAL DATE lq :~ INSPE~O ~0~o \ EUFF CO, TAX MAP NO. OlSl~. IO00.$EOT094 BLK.O2LOTI.I ~,1.3 MONUMENT SURVEY FOR CHARLES MORRIS MOUNT HAROLD S, GORDON AT MATTITUCK ~I~WNOF $OUTHOLD SUFFOLK COUNTYt NEW YORK DATE~ OCT ~l,198E SCAL~ I't 40' NO. 8§-1344 400 OSTRANDER AVENUE YOUNG e~ YOUNG .,w..~,~o,.~,YO.K ALDEN W, YOUNG~PROFESSIONAL ENGINEER AND LAND SURVEYOR N,Y.S. UCENEE NO. 12645 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 1197~1 TEL.: 765-1802 Examined ................ , 19... Approved · .~ ~...., 19 .~ff.. Permit No '~' / ..,~.¢d ? Disapproved a/c ..................................... B~)ARD OF HEALTH ........ 3 SETS OF PLANS ........ SURVEY CIICCK _ (Building Inspector) APPLICATION FOR BUILDING'PERMIT INSTRUCTIONS '~ a. Tltis 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 st~reets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appl/- 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. c. 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 descr/b~d. 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 inspects.·-;:_. ,--... . ] . .--. ·. . -- ' (Signature of applicant, or nahne, i~a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builderl (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' (Na e mi title of corpora officer) B ~lde~ s L, eense No...~.f...~. lc~..kd...~.c~. Plum ber's License No. I ~ Electric an's License No Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .. '. ' m House Number Street Hamlet . ../.. County Tax Map No. ]000Sect/on . .(..-?.~...~'. ......... Block .{~)..~. ..... ' L~ Subdivision ................... '. Filed Map No. (Name) .............. Lot ............... .~;_~qlate e×Lsti~.lg us_e and occupancy of premises and intended use and occupancy of proposed 2onstruction: a. E×istin§ ,~e an,~ occupancy ... ~'t .~.4~ C~....~..A'. N IL.'['... 17.. F.=~l p~ ~¢~,.,.,~. .... ,,:, ,.,. ................ b. Intended use and occupancy .. - ..... · 3.Nature of work (check which ap.- ica ....... '; ' ' ~" ' ' ' Repmr .............. Removal ' ,-, .... ' ' ~v: ~ k' Alteration .... ~. 4. Estimated Cost. .. i escr on · , ' (to be paid on filing this applicatit~n) 5. Ifdwelbng, number of dwelli~ unlt~ [ ' N ..... ....... . umber of dwelling units on eac · Ifgarage, numberofcars ...i ..... ' ...... ' h floor .............. 6. If business, commercial or mi~ed occupancy, specify nature and extent of.each type of use ...... · ... · .............. 7. Dimensions of existing struct res, if any: Front ~.~_~ . Rear .... Depth ... ' . Height ............... Number of Stories. 2 ..... ' ....... · ........... Iwith alterations or additions: ........ ' ..... Dimensions of shine structure Front .~ .~--~....~..I,5~¢' ................ ....... Rear . . Dimensions of entire new congtruction: Front .~ti~..l?04Fq~ ; Rear ... 10. Date of Purchase ...,. , · . ......... ................ ' ......... Name of Former Owner .. ,. ........................... I 1. Zone or use district in which premises are situated ...... ' 12. Does proposed construction vi,,late ....... :- ' ' -' " ................. . ................. ' ' · 13. Will 16t be re~rade~ k~r. ~' ""~"~nance or regulation: . ..~., ...... · ......... 14. Name of Owner of premises ~./'~'tTm'ZCF.-~ lq ..[~°~l~, ~ I exsess fill be removed from premises: Yes 15.' Is this pro err withi ' ~ ~ · · ........... r~mnemo... .............. · P Y n i300 fe .... a tidal wetland? *Yes ........ No...,~.... · *If yes, Southoldl~own Trustees Permit may be required. ' '' "'. i PLOT DIAGRAM Locate clearly and distinctly ali buildings, ~heth~r existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blockI number or description according to deed, and show street names and indicate whether interior or corner lot. i .. ........ being duly sworn, deposes and says that he is the applicant is the..... .................... " . . (Contracto corporate officer, etc.) ' ' ......... . said owner or owners, and is duly ' · ~ ' · ~uthonzed to perform or have performed the said work and to make and file this ~plicafion; 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 filed therewith.' wom to before me this [ , ~ , // ............ --- . · _ .... . ' NO. 4879505 i "X ' ' / ...... ) · Qualified n Suffolk County