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HomeMy WebLinkAbout21002-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26847 Date: 12/20/99 THIS CERTIFIES that the building ALTERATION MATTITUCK Location of Property: 10270 SOUND AVENUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 122 Block 2 Lot 12 subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 6, 1992 pursuant to which Building Permit No. 21002-Z dated OCTOBER 6, 1992 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 INSTALL WINDOWS IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WENDY DAVIS of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Inspector Rev. 1/81 FOaM NO. ~ TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N°-NY 21001~Z Permission is hereby granted to: / .... ../.~.~ .7.~ .... ! . . ~. · , ....... ...~~..~,~.,..~ ....... z~- _ ,o at premises located at ~' ..... ~,,4::~,..::~,.~.,r/ .~, ....... , ,c~,, .~....~,/,,, .......................................... County Tax Mop No. 1000 Section .... ~,,...~,,..~. Block ....... ~ ........ Lot No ....... ,/,,.~..,~ ....... pur~uont to ~ppU¢otion dot~:l ............................................ , 192~ end opproYed by the Building Inspector. Fee $.~.~.. Rev. 6/30/80 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 DEC. 1, 1999 MS. WENDY DAVIS 10270 SOUND AVE. MATTITUCK, N.Y. 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 # 21002-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. , '~ [~ [~ F~ ~1 f," TOWN OF SOUTHOL Pt~-!~?~._.I,'!~ ]~ '" !~ ~:BUILDING DEPARTMENT i: ~i ) ~: TOWN HALL TOWN C~F SOU'FHOLO This application must be~IT~Tn by typewriter OR ink and submitted to the build inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for~ 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Co~ercial building, industrial building, multiple residences and similar buil, 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings Upre-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 applic. If a Certificate of Occupancy is denied, the Building Inspector shall state th reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25,00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.0' Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Qccupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conm~ercial $15.00 D ' Ik: ...... New Construction ........... Old O[ Pre-existing Building..J.~¢~.~-~.~.~. ocation of ................. ....'"' House No. Street Hamlet County Tax Map No i000, S~ction...~..~.~ ...... Block.-.~.-~. ......... Lot."%'''~'=~' ........ Subdivision. . · . . . Piled Map Lot ........... Permit No....~.[.0~.."a. Date Of Permit..[O.~-~7-~. ?-.-..Applicant~''er(~'''~'c-'ff· ~' ~''' Health Dept Approval Underwriters Approval .... Planning Board Approval .... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ..... : ............... OUNDA~ZON (1st) OUND~TIOU :OUGH FRAME & .FLUMBING .'ZZSULATION PER N. Y. STATE ENERGY CODE FI;IAL ADD~T~ONA'L COMMENTS 765-1~02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [/J/~RAMING REMARKS: [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG, [ ] INSULATION [~FINAL DATE 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 March 28, 1996 MS. Wendy Davis Sound Avenue Mattituck, NY 11952 Re: Building Permit #21002-Z & 17099-Z (alt's) Premises: 10270 Sound Avenue, Mattituck Suff. Co. Tax Map #1000-122-2-12 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 Southold, 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. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined I.'fl~.. [/_~ .......... , 19 .~..2-- Disapproved a/c (Building Inspector) BOARD OF HEALTH ......... 3 gETS OF PLANS .......... SURVEY ................... ClIECK ...................... SEPTIC FORH .............. CALL . . ~ ....... MAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s~ts of plans, accurate plot plan to scale. Fee according to schedule. r b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, 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 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. APPLICATION IS HEREBY MADE to the Building Depm'tment 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 cod% and regulations, and to admit authorized inspectors on premises and in building for necessary jns~.n~/- -~. ~/ ........ /../. ................ --' (Signature of applicant(, or flame, if a corporation) ......... ............. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~..~..~D...~..~/...~..~.~. ).~. .................................................... (as on the tax roll or latest deed) if applicant is a corporation, signature of duly auth~orized officer. ... ....... (Name and title of corporate officer) Builder's License No...I..~.~'~...~..~....~..."~.. ...... Plumber's License No ........................ Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ................................................. ............ }louse Number Street Hamlet County Tax Map No. 1000 Section ... f~ .......... Block ... ~ ............ Lot./~. .............. Subdivision ..................................... Filed Map No ............... Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy .~~ .... b Intended use and occupancy ' 10. Il. 12. 14. I5. property lines. Give street and block m interior or comer lot. Nature of work (check which applicable): New Building .......... Addition ...... Alteration .......... Repair ........ Remov~l .... ' .......... Demolition .......- ...... · · er Work ........... , (Description) Estimated Cost , Fee (to be paid on filing this application) If dwelling, number of dwelling ufiits ...... /.. Number of dwelling units on each floor ..... · If garage, number of cars ...... ! .................................................................. If business, commercial or mixed Occupancy, specify nature and extent of each type of use .................. lif .'~ 8.- '..~ " Dimensions of existing structures, any: Front ........ Rear .............. Depth ..... ' ....... Height Number of Stories .I ' ' Dimensions of same structure with alterations or additions: Front ....%.k-;..F~..~,,. ..... Rear ............... ' ' Depth i Height Number of Stories" '' Dimensions of entire new construction: Front Rear Depth ' ' Number of Stories ........................................... Height ..................................................................... Size of lot: Front" Rear Depth Date of Purchase Name of Former Owner Zone or use district in h ..... w ich premJses are situated ..................................................... Does proposed construction viola!e any zoning law, ordinance or regulation: ... ~ ~ ...................... Will lot be regraded ........ .1'~. i.? ................ Will excess fill be removed from premises: Yes Name of Owner of premises .~-~..~...~/x0. L.¥... Address . 1 9.g.~.~..~..~...~[. Phone No. ~7.~..~,'-~... ? Name of Architect ' Address Phone No Name of Contractor . .¥~ig~ ~.~.'[3..~D. ~ ...... Address .Z.~.t[.~4~'~.o~.... Phone No..7~...¢.G..q'. ~. Is this property within 3010 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Town Trustees Permit may be required. ... i PLOT DIAGRA/Vl Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from mber or description according to deed, and show street names and indicate whether APP V_,, b AS NOTrD FEE: BY' '765-1802 9 AM ~ 4 PM ~ THE FOLLOWING INSPECTIONS; 1. FOUNDATION ~O FOR POURED CONCRETE 2, ROUGH - FRAMING ~ PLUMBING 3. tNSU~TION 4, ~tNAL CONSTRUCTION MUST BE COMPLETE FOR ALL CONSTRU~ON 8HA~ ME~ IHE REQUIREMEN~ OF STATE CONSTRU~ON & ~ERGY CODES. N~ R~ffiN~B~ FOR DESIGN OR C~U~ON ~RO~ STAT~ OF N~--Ar~R~'~.~__,, [ I -.,q S , coumv OF,. m X , ........ ...... . ........ (Name of individual signinl contract) above named· He is the ....................... ·.... being duly sworn, deposes and says that he is the applicant uthorized to perform or have performed the said work and to make and file this of said owner or owners, and is duly application; that all statements, contained, in this application are true to the best ofhis~ knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thi~ . i -- ......... :.. £ ' ..... ~... d~y~..:)~ .... ,19... ~ / // ~W Publ ~ Sm~ o~ ~ y~ ...... ~ ~./ .....-. · .~. {... ~.~ . T ............... . ~ No, 4879505 : "' /' ~ ' ' - (Signature -~ ' "' ~alifled In SuffolkCou~ ~/ ~ g t ~ o~appncan~)