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HomeMy WebLinkAbout20730-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26260 Date: 02/08/99 THIS CERTIFIES that the building ADDITION Location of Property: 3855 MILL LANE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 4 Lot 3 Subdivision Filed Hap No. -- Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 18, 1992 pursuant to which Building Permit No. 20730-Z dated JUNE 18, 1992 was issued, and conforms to all of the requirements of the applicable provieione of the law. The occupancy for which this certificate is issued is UNHEATED PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NANCY E. BUTKUS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING PLUMBERS CERTIFICATION DATED N/A 02/04/99 ///ng Ins~ector Rev. 1/81 lvOB~ NO. B 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? 20730Z i 9o .~...~. Dote ..................;.b./. ............................... , / Permission is hereby granted to.' ~/. _,~ ..... ~,~...:.v.~ ............................. ...~~_.~_~~'~-~ ....... ./.z~.~. , ,o ................... :~ ............... ~~~¢.~....:~ ....................... .......... ~....~..~;L....,/,..~....: ......................................... ~ ........................................................... rem,se ate 3~..~....~.., ~:~ ~ ..'~..../...~..~:~.~. ~ atp ' s /o~ated at ...... ~.~,.~--~ ............................ ~ ......... ~ '. ....... ~ ......... : .... ~-~...' .~- //-,/,~..~- v ~-~. Z~.z:../.~ ,.,,~..z. ......................... County Tax Map No. I000 Section ..... /..~...~.. ....... Block ..... .~..~..'. ..... Lot No .....~..,~. .... pursuant to application dated ................. ~./Z.~. ....................... , 19...~.~..~ and approved by the Building Inspector. Fee $......~.... :.....~.. ..... Building Inspector Rev. 6/30/80 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, in~ustrial 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ypre-existing" la~d uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed applieatio~ 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling~u?~.00, Alterations to dwelling $2~5.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - = -ZS~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00 Date 9 Cons~ruction ..... ~.,,~..~-Old Or Pre-ex~ng Buil~in~...,~..... ~ation of Property ............................................. ' .... House No. Street Hamlet ........ '5"c ..... .............. ~bdivision .................................... Filed Map ............ Lot ...................... :trait No .............. ~D~ ~ Date Of Permit ................ Applicant ................... ~alth Dept. Approval....... .................. . Underwriters Approval ......................... arming Board Approval .... ~/-~ 65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU/GH PLBG. [ ] FOUNDATION 2ND [ ] ~SULATION [ ] FRAMING ~FINAL [ ] FIREPLACE ~/~_HIMNEY REMAI~KS: ~ DATE INSPE FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONA'L COMMENTS: 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 February 26, 1996 Ms. Nancy Butkus 255 W. 88th Street - Apt. New York, NY 10024-1717 2A Re: Building Permit 920730-Z - (porch add.) Premises: 3855 Mill Lane, Mattituck Suff. Co. Tax Map #1000-107-4-3 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. 765-J.802 BUILDING DEPT. /,,, ~N~SPECTION, ,,~NDATION 1ST [ ]' ROUGH PLBG.~ FOUNDATION ZND [ ] iNSULATION [ ] FRAMING [ ] FINAL TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the C.0.# Z14478 I .1 L~nd / ! BuiZding(s) I'll use(s) 6195 located at 3188 Wickham Ave. Mill Lane Street shown on County tax map as District 1000, Section Date June 5, 1986 Mattituck Hamlet 107 , Block 4 Lot 3 , does not conform to the present Building Zone Code of the Town of Southold for the following reasons: Tn~ffioq~nt total ~r~g, On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /~/Land /Z/Building(s) /_~/Use(s) existed on the effective date the~present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code, IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which -----------------this Certifi- cate is issued is as follows: Property contains a two story, one-family wooden dwellinE with accessory garage and barn. Property is in "A" Residential-Agricultural Zone with access to Mill Rd.; a town maintained road, The Certificate is issued to of the aforesaid building. ESTATE OF ARTHUR M. FANNING (owner, l(ev~Ys)~( ~ ~ )~ ~ ~ ~t~ Suffolk County Department of Health Approval N/A N/A UNDERWRITERS CERTIFICATE NO. Building Inspector To~vn Hall, 53095 Main Road P,O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD January 29, 1999 Nancy Butkus 225 W. 88th St., Apt. 2A New York, NY 10024-1717 Before your Certificates of Occupancy can be issued, a final inspection is required on open Building Permit #Z-20730 for the porch addition. 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 (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 20730-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971' TEL.: 765-180:3 (BfiSlding Inspector) APPLICATION FOR BUILDING PERMIT BOAgD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. HAIL Date ................... 19... · I 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 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. c. The work coverdd 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 s?tail 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 sh, all 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 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 i~pections.'~' -- (Signaturg,bf applicant, or name, if a corporation) N.., Y.,.. ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pinmber or builder. .......................................................................... AP.F. ll0¥ED.A$ ~IIlED. ..... · . ., Nameofownerofpremises .~. .o%.V l.~. .~ Lt ~h 'aoL °~ o~ ~ ~ a.hc iz ........................ ......... ..... (as on the tax roll or latest RUILDING DEPARTMENT AT If applicant is a corporation, signature of duly authorized officer. 765-1802 9 AM 119 4 PM FOR THE · (Name and title of corporate officer) Builder's License No. /;a_ 7, 7 z-H. z, OCCUPANCY OR ....................... [JSE IS IINLAWFUL Plumbers hcense No ...... ~ ,'~..~. .......... .~}THOUI[ ~[[~TI[~A]'[ UNDERWRITERS CERTIFICATE Other Trade's License No ...................... REQUIRED FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO 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. STATE CONSTRUCTION & ENERGY CODES, NOT 'RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Location of land on which proposed work will House Number Street Hamlet County Tax Map No. 1000 Section . ..l.0. ~ .......... Block .... .L/. ............ Lot..~. .............. Snbdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use an~t occupancy of proposed construction: a. Existing use and occupancy ........... /~* :~ .l.~l.~.~.' .~.~. ~ ................ .~ ......................... b. Intended use and occupancy ........... ~'~. e.~. 3. Nature of work (check which applicable): New Building .......... Addition ......... Alteration .......... Repair .............. RemoVal .............. Demolition .............. Other Work ............... · ' (D ~cripti n) ~. OO~ e o 4 E ti d Cost ~ . s mate ...... ~. ..... ......................... Fee ............................ .'. ..... .. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ · If garage, number of cars ..... i .................................................................. 6. If business, commercial or mixedI occupancy, specify nature and extent of each tFpe of use ..................... 7. Dimensions of existin~ structur~, if any' Frnnt ~ ~ ..... r~ r~? ° ~ .................................... Depth.. D~menmons ~f ~n~e~ st,re., c~¢re wiih alterations or additions. Front ~' ! Re-~ .~ F~ t ........... 8. Dlmenmonsc/f~er)tirenewconstmction:Front .... /.~.~..~/~. Rear /~.:'~ ff~// De~th ..l.3'-'.~.~f~/'/'' e~ght ... 1.~'. ......... Number of Stones ~. ...................................... 9. Size oflot: Front /. ! ...... ., .... ~ .......... Rear ...................... De th ... 10. Date of Purchase .... ,/.~fv¢.. · ri .... ' .... ' ......... Name of Former Owner i .................. 12. Does proposed construction violCte any zoning law, ordinance or re-ulation: ./~ .~.'. 27 ................... 15. Is this property with±fi 3130 feet of a t~dal wetland? ~Yas ........ No..'~fi ..... '' · If yes, Southold Tbwn Trustees Permit may be required. ! PLOT DIAGRAM' Locate clearly and distinctly all ~uildings, whether existing or proposed, and. indicate all set-back' dimensions from property lines. Give street and block number or description accord_J~,~to~d and show street names and indicate whether STAT OF ¥ORr, COUNTY OF ......... ........ ......... L~..~--.0~-1~. ~.. .'~. ~rT.J~. ............ being duly sworn, deposes and says that he is the applicant tbove named. · . .; C' o,,u d c To Ieisthe ........................, .. ................................................... . . ... i (Contractor, agent, corporate officer, etc.) ff said owner or owners, and is duly huthorized to perform or have perfommd the said work and to make and file this =pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed therewith. ;worn to before me this ............... ~t/~ ... County 4otarYr P_ublic _o.N 4822563,. S ~ffo~ t;oun ~ U . (;Signature of applicant ) Term Expires Dec~ bet 31,