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Home My WebLink About20888-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No E-23125 Date JULY 28, 1994 THIS CERTIFIES that the building ACCESSORY Location of Property 1100 HORTON AVENUE MATTITUCK, NY House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 2 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 1992 pursuant to which Building Permit No. 20888-Z dated AUGUST 13, 1994 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 ACCESSORY TWO CAR GARAGE IN THE REAR YARD AS APPLIED FOR. The certificate is issued to ROSEMARY BYRNES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N308283 MARCH 23, 1994 PLUMBERS CERTIFICATION DATED N/A . 4ild' g Insp ctor Rev. 1/81 DORM NO. 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) NN? 208888 Date .0 19.9E Permission is hereby granted to: 1-49 ..../Z ~l .c~-~ - / ..........~~.~...........ll..P. to A. 6 !J.........a -I ...~L.r ~irr, 'A~ ` f<... . at premises I ated at ~ R!CG~z... . l .....County Tax Map N o. 1000 Sectio.... . Lot No. ...(1....7` pursuant to application dated ...................Y`1.........................., 19..1, and approved by the Building Inspector. Fee $ ...lk'°•• ilding Inspector Rev. 6/30/80 5 a o-a. x(60 1 ?5 R Form No. 6 `in^F' ` 9~~ l5 TOIM OF SOUTHOLD II BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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. If a Certificate of Occupancy is denied, the Building Inspector shall state the 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 $25.00, 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction./yE:"-a Old Or Pre-existing Building Location of Property.. IZ.~)............. 1~/^0T1..df~.......... ywc............... House No. Street Hamlet Onwer or Owners of Property. , . 5 - SG/ . . . . . County Tax Map No 1000, Section... ........Block... U ;.........Lot.................. Subdivision ....................................Filed Map............ Lot...................... Permit No.<2p b Date Of Permit.. ..ApplicantkENYw/L j~/}u!?............ Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $.cy? a.0 (Z~-~? ugt9 f~,~' APPLICANT THE NEW YORK"`BOARD OF FIRE UNDERWRITERS PAGE 1 1000144 BU U OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date MARCH 23,1994 Application No. on file 05611394/94 N 308283 THIS CERTIFIES THAT the electrical at described below and introduced by the + only equipment applicant named on the oboes application number in the Promises; of RICHARD SCHWARTZ, HORTON AVENUE, POLE 4, MATTITUCK, N.Y. in thefollowinq location; ® Batement ® let Fl. ? Yrrd £l. GAR/OUT Section Block Lot was examined an MARCH 21 , 19 9 4 and found to be in compliance with the National Electrical Code. FIXTURE R%TtiRES RANOES COOKING DECKS OVENS DISHWASHERS EXHAUST PANS OUTLETS ECE/TACtES fTFlT016 INGNDlSClNT FlUO11ESCEHT OTHER NAT. K. W. AMT. K. W. NAT. K.W. NAT. K. W. AMT. R. P. 4 2 2 4 2 DRYNS PJRNACE MOTORS FUTURE APPUANCI 1 SPWAL REC'PT TIME CLOCKS R[O UPET HEATERS MIIL140UTYT DIMMERS AMT. K. W. On H. P. 0445 H. P. AMT. NO. A. W. 0. AMT. AMP. AMT. AMTS. TRANS, AMT. H, r. NO OF NOT AMT. WATTS 2 20 SERVIp OKCONMa HO. CP S E R V I C E GAM7. AAV. lY!! 1 / tW t / 3W ] / Tv ] / nv NO' OPEJACOND. OF M . 6. D NO. OF H"M O ~W G NO.OF HENRAIS Oi NWEUTMI 1 100 CB OTHER APPARATUS: FEEDER-1 PAN114BOARDS11-4 CIR. 125 G.F.C.It-4 do'( RICHARD G. RELYEA LIC.12148-E P.O. BOX 312 LAUREL, NY, 11948 084OM MANAGER 11 Per This certificate Mutt not be offered in any manner; return to the office of the Board if incorrect. inspector may be identified by their credentials. COPY+OR BUILDING DEPARTMENT. THIS COPY OFCERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Z;L6 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAM6NG [,,~AL REMARKS.: DATE 171;4-'1? INSPECTOR T of"2 BUILDING DEPT. INSPECTION ^ U [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: Sir ~~C~,9 c LhZn 6i~ C/ ) e &244 41 T-~ •ca or DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ 44OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ) FINAL RE ARKS: zz~ ble - ' DATE INSPECTOR 1 1' ?Z~ i ~ d ~ O t% r c 1cL i::.`•, c _~::i PA: J I~ i::•1aENTC H FOUTIDATIOV (1st 1 ' ` ; , y FOUtlDATIOIJ ( 2nd ) o POUCH FRAME & -PLUMBING ti H m n II1SULATION PER H. Y. ` j STATE ENERGY CODE ' 4, I -~r ale M H FINAL 41 • ~ ~ .S''e ELF. _ ADDITIONAL COMMENTS: m x ' t» N SJ b f~ O . •I x [Tl • T m -v H i ~\,~jl.`_sl~: BOARD OF HEALTH FORM NO.1 3 SETS of FLANS TOWN OF SOUTHOLD SURVEY AM f4! BUILDING DEPARTMENT G1ILCk _ y=am' TOWN HALL serric roan _ _ _ u '-d. pP SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:oTIFY; p~l CALL Examined ....Q~l 191.x! MAIL TO:~~ Approved 19ZyPermit No. ~MaT. Fe V~ t / 41~! ,f 1V . . Disapproved a/c (Bui]Qing Inspector) APPLICATION FOR BUILDING PERMIT Date . -..7.........., 19 a INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street or 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 wilI 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 o. 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. - (Signature of: applicant, or name, 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 .I~USrc 7?'It}?....:~.11GrS. S .wvq+2.:..:................... (as on the tax roll or latest deed),: If applicant is a corporation, signature of duly a"'uthorized 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 . I . Location of land on which proposed work will be done . ............:.1 2? n R41-F - !??!~~C................... House Number Street Hamlet County Tax Map No. 1000 Section Block Lot S~'~ . Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use anti occupancy of proposed construction: a. Existing use and occupancy .....6?.S l.a.P.fl/. a t'. . b. Intended use and occupancy !t ./~jL.... Fu K ....C. S...,..-............. . 3. Nature of work (check which applicable): New Building ? Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cosy. as Fee (to be paid on filing this application) 5. If dwelling, number of dwellin units Number of dwelling units on each floor . .Ifgarage, number ofcars 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 ofStories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories . 8. Dimensions of entire new construction: Front .....2.t/ Rear A y. Depth . 3e~ Height Number of Stories . 9. Size of lot: Front Rear Depth . IV. Date ufPurchase .............................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. Will lot be regraded ...N.9 Will excess fill be removed from premises: Yes 14. Name of Owner of premises Address Phone No............... . Name of Architect Address Phone No............... . Name of Contractor Address Phone No............... . 15. Is this property within 300 feet of a tidal wetland? *Yes........ No..Zi4.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM' Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property liries. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. S~ 19 i74 cNFC) StJILv~ APPROVED AS NOTED g ^sy DA 3 YB.P.q ~~Z' 5,m3y OR FEE 1~V t e~ NOTIFY BUILDING DEPART ENT AT t i tr a. 6n8 R -765-1802 9 AM TO 4 PM FOR THE E FOLLOWING INSPECTIONS: -1T 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE aP 2. ROUGH - FRAMING & PLUMBING kv 1 3. INSULAf10N 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY UNDERWRITERS CERAf1CATE CODES. NOT RESPONSIBLE FOR REQUIRED DESIGN OR CONSTRUCTION (ERRORS ;TATE OF NEW YORKW.-.25 / S.S :OUN'OF ...Z;i G G ~being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. le is the ~C................................................. (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this npiication; 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. worn to before me thhi Gj l.. ....day otary Public, County CLAIRE L. QLEVH . NohryPublic. State of Now York No.4879506 (Sig ature of applicant) Qualifled in Suffolk County Conuniwlon EVkes December & 19 wFSrpNq`,q glrE NUF ~ - °O1 aA' I `I \ aP c P i ~ y°nnO n ~y 9 ok" O R4R ,68 , RENDS / IT i 41 Y r i 1 M GO, U 4r6° IN ` 2 OF •4 r Sam/ R i his 39301, Il' ° IOU „o 0 4 cr r ! dy 200' as, N ",w/~ nOk, \ 30n w. t°~/heyj, 1616~ Q -"Or..0h Q O~ SURVEY FOR ROSEMARY J. BYRNES NOTE, I. MONUMENT AT MATTITUCK DATE MAY 15, 1964 2, SUFFOLK COUNTY TAX MAP I +401 DISTJMSFCTI41 6LK? Lo4.04 TOWN OF SOUTHOLD SCALE II SUFFOLK COUNTY, NEW YORK NO. 64-469 A UNAUTHORIZED ALTERATION OR ADDITION to THIS GUARANTEED TO, SURVEY 19 A NEW YORK StAtf EDUCATIONS['Rrlon ttoE or rH[ ROSEMARY pvnRfs''EIv N COPIES OF THIS SURVEY NOT REARING THE LAND CHICAGO TLFitqg NCA. PANY - IUNVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL FIRST N TIC WIDE $ Vlf?7j NOT RE CONSIDERED TO RE A VALID TRUE COPY ADUARANtEEs INDICATED HEREON SHAD. PUN ONLY TO ,z f v THE PERSON FOR WHOM THE SURVEY IS PREPARED, ;0..A Y T' ANO ON H135ENALF TO TH E TITLE COMPANY,GOVERN, I..•j((~j MENIAL AOf NCYANOLENDINO INSTITUTION LISTED H'~f N NEREON,AND t0 THE ASSIGNEES OE THE LFNOING IN S II T U I ION. GUARANTIES ARE ROY YPANSFERASLE ~ TO ADDITIONAL IMSTITVTIONS OR SUNSIOUENI OWNERS ~A. ry0 4~9> M DISTANCES SHOWN HEREON FROM PROPERTY LINES t0 EXISTING STRIICTURES ARE FOR A SPCCIFIC ZP~IA' PURPOSE ANO ARE NOL TO RE WED to [STASLISH N U PROPERTY LINES OR FOR THE ERECTION OF FENCES 4011 OSTRANDER KUE VERHEAD, NEW AVENUE YOUNG a YOUNG R ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR NYS.LICENSE NO 12645 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE NO. 45693 vm•Ir 11 a SONS "P o r ~ s c i tM ~ o g s ~ , t~ --I C:: mow;.. CJ z rn C"":) --1 Cr1 i 1 i s I~ _ % . ly L L -I p e 0 f I i t ~ t ~ i - III -41 J~ ` ~ I J r ti~ V a. ' "~+'M1y ~y v r f~ r 3 : ~ i I Oki i qi ~ I 1 N ate. ~ J SS/~ , .P. Y ~ ' .Y.~..._,.......,.. III 1 i t i T i till I I _a - I f ~I i i of J r I i I I ~ i