HomeMy WebLinkAbout21423-z Town of Southold 10/12/2016
P.O.Box 1179
53095 Main Rd
"Or", Southold,New York 11971
. ....... ................ .... ....
CERTIFICATE OF OCCUPANCY
No: 22436 Date: 10/12/2016
THIS CERTIFIES that the building HISTORICAL
... ..........
Location of Property: 155 Tall Wood Ln, Mattituck
SCTM#: 473889 Sec/Block/Lot: 111-7-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/12/1994 pursuant to which Building Permit No. 21423 dated 5/20/1993
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:
AN ADDITION TO-AN-EXISTING ACCESSORY BUILDING AS APPLIED FOR.
CORR 1:1�CTED 1 12/2016 FOR OWNEIZ,S NAML,-JWX MAP NUMBER AND ADDRESS ONLY.
The certificate is issued to Michaels Landscaping Const LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A, Lit Wrized Signature
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22436 Date JULY 1~ 1993
THIS CERTIFIES that the building
Location of Property 55 TALLWOODLANE
House No.
County Tax Map No. 1000 Section 113
subdivision Filed Map No.
ACCESSORY
MATTITUCK, N.Y.
Street
Block 7 Lot
Lot No.
Hamlet
14
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 14, 1993 pursuant to which
Building Permit No. 21423-Z dated MAY 20, 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 ACCESSORY STORAGE BUILDING IN REAR YARD AS APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
MICHAEL & LUCY NEUDECK
f /~ilding Inspector
Rev. 1/81
IPO~M' NO. S
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)
N°_N? 21423 z
Permission is hereby granted to: .
................... ~ ........ ~i...~.~ ......................
...Z.~.ZC..@z......./...z.~......~......~:
.. ~
· .....................
../'~.....zZ..~ .................... ~ ....................................................... ~ ......................................
at premises located at .......... ....~.....O~........~,~..~j:~,..~.......~.~.. ..............................................
............................................................ z'22.~./.~ ......... ~......././.~ .......................
County Tax Map No. 1000 Section ....Z./.~.. ........... Block .....,~,,.Z ........ Lot No ......... Z .~.,. ......
pursuant to application dated ................. ~ ........................ , 19..~.., and approved by the
Building Inspector.
Rev. 6/30/80
Form No. 6
~, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ALL ' 1993
5-1 o2
. ~PLICA%ION FOR CERTIFICATE OF OCCUPA~ ......... ~..~ z?'. ,
{his application must be filled in by typewriter Ol ink and submitted to the building
inspector wiZh the following: for new building or new use:
1. Final survey of property with accurate location of alt buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and seweraga-Risposal(S-9 fo~).
Approval of electrical installation from Board of Fire Underwriters.
4. Sworn ~tatement from plumber zartifying that the solder used in system contains
lass than 2/10 of 1% lead.
5. Comercial building, industrial building, multiple residences and similar buildings
and installations, a ~tifiz~ta of Code Compliance from architec~ or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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 Inspec[or 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, Accessor~ 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 - $5.00 over 5 years ~ $10.00
4, Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Conm~ercial $15.00
zq
Date ... '~'~.~.P~ ..........................
New' Construction....~.~..~./.. Old Or Pre-existing Building .............. . . .
Location of Property ................. ............. ~.~- 7~..~J.~..~..~. ~.. ~ .... /~.~C/~ . .~ .. .
House No. Street Hamlet
f ty ' ' '
0nwer or Owners o Proper ... ~....... ....................
County Tax Map No 1000, Section ..... ~..~.i~. ..... Block ..... ~...~. ..... Lot ...... /.~. ............
Subdivision .................................. - . Filed Map ............ Lot ......................
No. ~ /~ ~ ~ .... ~.~/./... ~pplzcant.. .~.. {'~.~.~...~.~..~.o'.C.'~.~./.C~.
Permit · ~.% ........... oate Of Permit.. ~5-- · ~* ~' . ..
Health Dept Approval ~ Underwriters Approval
Planning Board Approval ..... .......; ...... .. ...
Request for: Temporary Certificate ........... Final Certicate ...........
· ......
Fee Submitted: $ ....... ~ .'
~ APPLICANT
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
21, 1993
LUCY NEUDECK & ANO
1975 COX NECK ROAD, P. O. BOX 537
HATTITUCK, NY 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
~ An application for Certificate of Occupancy is
not on file. {Enclosed)
No Underwriters Certificate on file.
The check is ~au~not on file.)$25.00
No Health Department Approval on file.
No final inspectio~ has been made. .:
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT ~ 21423-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TO~A~ BUILDING DEPT.
'~OUNDATION (1st)
~OUNDATION (2nd)
~OUGH FRAME &
·PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FI;;AL
ADDITI0~;A'L COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
INSPECTOR
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11977
' TEL.: 765-1803
Disapproved a/c .....................................
APPLICATION FOR BUILDING PERMIT
B~]ARD OF HEALTH ........ ~"~
3 SETS OF PLANS
SURVEY ......
SEPTIC FORH ..............
CALL ...................
HAIL TO:
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 sfi'eets
or; areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
o. ' 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 i~sued 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 un-til a Certificate' of Occupancy
shall have been granted l?y 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 South61d, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions o~; alterations, or for removal or demolition, as herein descrifi~d.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
. , .. .........
· -- · . (Signature'(~pplicant, or name, if a corporation) ' '
. (Mailing address of applicant)
State whe;~her applicant is owner, lessee, 'agent, architect, engineer, generai 'contractor, electrician,, plumber or builder.
N ~meofow rofprem e .~.' .~ff'"~..~. ~..~Z'~/~. / ~g~ .~..~. ~. ~ .~..~. ~
·
· . ...... ;;; .................
ne is s . ,~e -,- ( n the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.'
' ' (Name and title of corPorate officer') .......... '
.Builder's License No...~..Od'.' .ePee.-...' .........
Plumber's License No ....... . ..................
Electrician's License No .... ...................
Other Trade's License No ......................
.Couhty'Tax Map No. 1'000 Section : ...... Block . .~.~ · · ' Lot .........
Subdivision... .., ..." '. Filed Map No. Lot
(Name) ~ .:. .
Statd existing use and occupancy of premises and intended use and odcupancy of proposed construction~ ' (
· 3. Nature of wot check which licahl,~. ~Jm ~,
4. Estimated Cost
I (to be paid on filing this application)
5. If dwelling, number of dwellin~ units ................ . Number of dwelling units on each floor ................
. If garage, number of c~ , . .............
.business, commercial or m~x~d occupancy, spcc~y nature and extent oF,each typo ofuse .....
7. u~mens~ons of existing st~ctur~s if an-' Fron+ ~ - ~ ................ ' .....
D~ensions of shine st~cture With alterations or additions: Front ................. Rear ..................
..... ' ' ~ ..... '~'~ ....... ~., .' ........ ~ · · Number of Sto~es ........... ~. , ......
8. u~menmon~ent~re new const~ction: Front · · ~ ~ .. : Rear ~ ~.~ ~ ' '
· ,~ .............. D th .,
11 ..... oa ua~ ulStrlCt m wmcn premmes are mtuated../~. . .' . . , . ....
.12. propo o. tru ion violin zom aw, or in ;; dr .........
13. · ..........
?a, ,~t ~, regra~d . ...... ;. ................ Will exc~s fill be removed from premises: ~es No
N~e of ~chitect 1
......... ~ ................. Address ................... Phone No.. ..:.
Nme of Contractor..~[ ....... , ......... Address ........... , ...... Phone No.,
15.' I9 this property within ~00 feet of a c~dal Wetland? ~Yes ........ ~o .........
· If yes,~ Southold ~own Trustea~ Permit may be required.
, PLOT D!AG~
Lo,at= z~ady ~d d~sfin~fly ~1 bulldogs, ~he~h~r ~x~sting or proposed, ~d.~ndiza~o MI s~-ba=k d~ns~ons f~om
prop~y Hn=s. G~v~ st~o~ ~d blook mmber or deso~pfion a~oord~g ~o d~d, and sho~ s~eo~ n~es and ind~ua~ ~h~thor
~teHor or corner lot.
STATE OF NEW YORK. ' ' S :S ' ' '
...... /.-...
(rome of individual si:~:~in co}:'~::;c:~i ..... ' ..... bei~:g duly sworn, deposes ~d says that~e is the applica.t
above named. -' ,.
He is the
(Contractor agent corporate officer etc)
of said owner or owners, and is duly ~uth0rized to perform'or have performed ' ' '
the said work and to mak~e, and file this
application; that all statements contained Lu this'application are. t'rue to the best of his knowledge and belief, and that the
work will be performed in the manner s¢t forth in the application flied therewith.
Sworn to before me this " l
./G..I~ .. . :, No. 4~O~ll~. . ,. "/~'~':'.....y...~.w.,~...;:;L:.~.~.'~:.. ........ ..
· '.~ . .: . . . ~!!~l.,la~D~, ' '.."~ -- '/', ~,'.'. ::~-:~ ''(SignatureofapplieanO.