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HomeMy WebLinkAbout20697-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-22615 Date SEPTEMBER 24, 1993 THIS CERTIFIES that the building. ACCESSORY Location of Property 2740 EAST MILL ROAD MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 100 Block 5 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4~ 1992 pursuant to which Building Permit No. 20697-Z dated ~ JUNE 8t 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 ACCESSORY HORSE SHELTER & FENCED IN AREA 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 GEORGE & JUDITH FLAIG i~g Inspector Rev. 1/81 FOBI~ NO. ft TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~°. 20697Z Permission is hereby granted to: , ..... /.~?~._~~..~ ......... ....................................... ./...~.~ .......... ~..~. .~..~:. ................................................... Cou.~ T~x ~ No. ~000 S~.o..../~ ............ ~ ..... ~ ........ ~o~ No ....... ~ ........... Buildin9 Inspector. Fee Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTtlOLD 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. 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. Submit Planning Board Approval of completed site plan requirements. ,6. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and qpre-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 - Ne.w.~&w~lling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25].'~, 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 - $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 7 Date ...................................... New Construction...~.<~.~ ..... Old Or Pre-existing Building ................. Location of Property .......... · House No. Street Hamlet 0nwer or Owners of prentke, County Tax Map No 1000, Section.' ...... Block ..... ~.. Lot /. .......... Subdivision. · .~. · .~. -/../. · .... .~../i ·~ ................ Filed . Map ............... Lot /. ................. Permit No..~..O...~...~...~..Date Of Permit.~.~]~...~.~...~....Applicant..~'J/~;.~..~./~ ~{enlth Dept. Approval ......................... · Underwriters Approval ........................ . Planning Board Approval ...................... .. Request for: Temporary Certificate ..... Final Certicate. ?Ce Submitted: $ ....... '... . ........... ' APPLICANT INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building. Irapector 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 September 14, 1993 SCOTT L. ItARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 George J. Flaig 31 Watson Avenue West Babylon, N.Y. 11704 TO Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (outdated/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 ~ 20697Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING I~;SULATION PER N. STATE ENERGY CODE FINAL ADDITIONA~L COMMENTS g-Ill /411 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1g0:a Examined .... ~./: ...... , 19 .~.]-7. Approved .-. V~. ...... 19¢2~. Permit No. Disapproved a/c ...... ............................... APPLICATION FOR BUILDING PERMIT BOARD OF HEAL/It cIl C ........ t'O', ~ ,P¥=.~ CALL % .................. HAlL 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 publ/c streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. ¢. The work covered by this application may not be commenced before issuance of Bui/ding 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 wdrk. 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. A,PPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buil ' * ' · .. o . dina Permit pursuant to the Buil&n= 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 ,appl/cant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspections· ~, ~ x t ~ app icant, or name, ii a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· Nameofownerofpremises ...: (as on the tax roll or latest dee~J)~.' If applicant is a corporation, signature of duly authorized officer ~N~O~ri~dU~Lr~DiNG ~ ' PARTMENT~ · (Name and title of corporate officer) 0CC JPAI C¥ 0R Builder's License No...Q.t-~ .~..~-.~. .............~g~ ~g ~[g~]~[ IT O[ T CErTiFICATE Plumber's [~cc~sc Ho ......................... 0F 0CCUPA CY Electrician's License No ....................... 765~1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTIONS: 1. FOUNDATION - lrlNO REQUIRED FOR POURED CONCRETE 2. ROUGH ~ FRAMING & PLUMBING 3. INSULATION 4, FINAL : CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STAT~ CONSTRUCTION & ENERGY Other~Trade's License No ...................... C~7~S. NOT ~ESPONSI~LE FOR · Location, onand on which proposed ,ork w il / d. E .5 House Number Street Hamlet Cmmty Tax Map No. 1000 Section . ~0 · ...... Block ~ Lot Subdivision ~ ( ' ................................... F led Map No ............... Lot .. . (Name) State existing use and occupancy of premlses and intended use anH occupancy of proposed construction: a. Existing use and occupancy . -~/~ - ,- ~/ ' ~ ~ · ............. ..1,~ · .A ~zt~t~x~... ~ l~f.~ ............. "" ' ......... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work 2~.q'~.~.~' ....... "'~'4'-O g~ .,~ [ (Description). 4. nsnmatea ~ost .'~.. , (to be paid on filing this application) 5. If dwelling, number of dwellingiunits ............... Number of dwelling units on If garage number of cars each floor ................ 6 ' If busine'ss ......................................................................... · , commercial or mixed occupancy specify nature and extent of each type of use 7 Dimensions of existing structures if any: Fight Rear ..................... Height Numl~er of Stories ............................. Depth ............... Dimensions of same structure wlth alterations or additions: Front ................. Rear .................. Depth .................... i.. Height ...................... Number of Stories .............. ? ....... 8. Dimensions of entire new construction. Front tie~ght N ..................... Depth -- · ~ Rear ............................. ......... mq ber of Stories i ' 9 Size oflo~: Fr(~nt .... ' .................................................. 10' Date of Purchase ........... i .......... Rear ...................... Depth ...................... ' Name of Former Owner 11' Zone or ............................. · ............................ · use district in which premises are situated ...................................................... 12. D · , ~ . ocs proposed constru~n violate any zoning law, ordinance or regulation ....... 13. Will lot be regraded ... i ...... : .................... ' ~ ....... ' ' '. S~S~' L ..... 1- .... : ...... wm excess fill be removed from vremises' ----vt; ~-'~f^~ 14. ,,m.e m~awner o~prem~ses .°7.:-¢.~f/~. {F~..q(a- aaa,-,~?4~o/~-,x,.z,~/,~,, ,.,,. M .... ,v , _t..~ . , ........... ~.,.~-oo ................... Fnone No'.~. ......................... Address ............ Phone N Name of Contractor· ' ' ........ i .............. Address ..... ., ........ ' .....Phone No .............. 15. Is this property within 300 feet ~'f'a tidal wetland? Yes ........ No ......... '' · If yes, Southold ~own Trustees Permit may be required. PLOT DIAGRAM' Locate clearly and distinctly all ibuildings, whether existing or proposed, and, indicate ail set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. TATE OF NEW Yc~l~ 'oum'¥ OF ...... s.S ........................ ' .... :.l.n ................ being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) bore named· , e is the ...: .................... , ..... ~,~-.~ ............................. J (Contractor agent corporate officer ) ........................... I , , , etc. · said owner or owners, and is duly a'uthorized to perform or have performed the said work and to make and file this ~plication; that all statements contmnad in this application are trne to the best of his knowledge and belief; and that the vrk will be performed in tim manner s4t forth in the application filed therewith. vorn to before me this HEALTH DEPARTMENT- DATA FOR APPROV~L TO CONSTRUCT TEL NOTE. /~ :STAKE ·: MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE ~1,1990AS FILENO. 8963. SURVEY FOR GEORGE J. FLAIG 8~ JUDITH A. FLAIG LOT NO.I, "WOLF PIT POND ESTATES" AT MATTITU CK TO'WN OF SOUTHOLD SUFFOLK COUNTY, NEV/ YORK CERTIFIED GEORGE JUDITH CHICAGC YOUNG s YOUNG ALDEN WYOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S LICENSE NO 128~ ~ ~, o~, /o o su Y for ~z~ ~ GEORGE J. FLAIG ~ JUDITH A. FLAIG .... FEB 3~ 1992 ~ 0~ ~- / LOT NO. I, WOLF PIT POND ESTATES OCT 17, [991 AT MATTITOCK 'D~T[. OCT. 8, 1991 ~N ~ SOUTHOLD SC~L[- I"= I00~ SUFFOLK COUNTY, NEW ~RK ~0 9~- 0~54 su~v[~ ~ · v~o~ ~ S[CT~O~ ~ZO~ ~ ~ GEORGE J F~TM , '~ ~ NEW YO*K STAT[ E~CATION LAW .JUDITH A.~I'~ rO~ NOTE: ~ =STAKE I = MONUMENT ALDEN WYOUNG, PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE ~l, ~90AS FILENO. 8963. ANDLANO SURVEYORNY. S UC/NS/ NO 12845 HOWARO W. YOUNG~ LAND SURVEYOR ~ ~ ~(~),~mC T*~(S~)m C[~S(~) ~M ~ N Y S LICENSE NO 4589) SRANDIS & SONS INC. 8%~ # 115~:)#~ LOCATION MAP SCALE, I" = 600' , SCEN lC & '~  CONC. PAD NATURAL VE. GETATION PAD S.[8 40 II NATURAL 557,69' VEGETATION 200' ~.°~' A\ ~c,. 5,007--~ PROPERTY ROAD LINE TYPICAL PLOT FLAN TYPICAL WELL DE