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,