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Home My WebLink About20449-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20557 Date MARCH 2~. 1992 THIS CERTIFIES that the buildin~ Location of Property 550 SUNSET AVENUE House No. County Tax Map No. 1000 Section 115 Subdivision ADDITION Street Block 3 Filed Map No. MATTITUCK~ N.Y. Hamlet Lot 4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 24, 1992 pursuant to which Building Permit No. 20449-Z dated FEBRUARY 26~ 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to RUSSELL & SUI~E NINE & MICHAEL & LINDAHAND of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 /~ ~uilding Inspector I~omlJ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PEBJ*XIT (THIS PERMIT MUST IBE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 20449 Z pursuant to application dated ..... ~......-~...~... ................................ , 19...~....~7 and approved by the Building Inspector. Fee $..~...~... Rev. 6/30180 Form No. 6 TOWN OF SOUTHOLD BOlLDING 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, 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. 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, Swinging 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 ate ..... ...................... . New Construction ....... "'''~7~.Old Or Pr e-exi{ti~g .~..~[ .~..~. ,~Building~%)~ ................. :~ :~.~ %~' ~_j--I.~ Location of Property ....................... .tX.. , ......... House No. Street Hamlet County Tax Map No 1000, Section ......... Block ...... ~ ........ Lot .................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ............. 765-~802 BUILDING DEPT. INSPECTION ]FOUNDATION 1ST [ ] ROUGH PLBG. J FOUNDATION ZND [ ] INSULATION ] FRAMING [~]I~NAL INSPECTOR MAIN ROAD ( N.Y.S. RTE 25 ) 0 30.2 N/O/ SHELIA W dwelling ( dwelling ) N/O/F LAND OF NINE S,88 37 40 E. 28.3 ) S T ~b' ,,,,,: ' ~'~,: CP N.88 37 40 W, N/ O/F SHEILA ~'/~ 191.90 /,~,~ ~9, 5 ----~i. ~?,~' ~1' ~'~ test hole I 2 07, 28 ' A. WIRSING dwelling 29.81 I-- hJ Z TEST HOLE 30DO 2.3 ' AR£A: 26,225 SQ FT SURVEY FOR RUSSELL dUNE NINE AT' MATTI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 Ihe [,}, A. L.S. el:icl applo'/c.d and oJ:;.lc ] for toch uso by lbo Now Yolk Stalo Land Title Association. (516)~o P. O. BOX 909- MAIN ROAD SOUTHOLD ~ N.Y, 1197l - 115 03 04 SCALE l" = 40' JULY' 18 ,1986 SEPT. ZS, 1986 OCT. 23, 1986 NOV. 21 , 198 6 CERTIFIED TO S. LIC.NO. 49618 ENGINEERS , P.C. '~HICAGO TITLE INSURANCE COMPA N Y TITLE NO. 8608 - 07468 SOUTHOL O SAVINGS BANK RUSSELL NINE JUNE NINE ELEVATIONS ARE TO AN ASSUMED REFERENCED DATUM. 86 - 374 J.J)r~ ~il TOWN OF SOUTHOLD I~li~'~ ~r-n .~. ~ ? J~ BUILDING DEPARTMENT U ~~,.~ SOUTHOLD, N.Y. 11971 BLDG, D~P~ ~ TEL: 765-1802 , ~u o¢~b~O~D j Approved.. ~/~ ...... 19~2. Permit No..~ ~ .~ Disapproved a/c ..................................... BOARD OF HEALTH ......... 3 SETS OF PLA~S SURVEY ................... CllECK .................... SEPTIC FORH .............. CALL ......... FLAIL TO: . ( uildt~ Inspector) APPLICATION FOR BUILDING PERMIT Date .... (-~./. ~. H ....... 197~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 ~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be c~mmenced ,before issuance of Building Permit. d. Upon approval of this application, tlie Building Inspector will issued a Building Permit to the applicant. Such permit hnll 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 hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York. and other applicable Laws, Ordinances or {egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ?he applicant 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 neces~j~pe, ct~nsy~ j / ~ ................ --' (Signature of applicant, or name, if a corporation) · %0....%.ox .... H ..... (Mailing address of applicant) ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Wame of owner of premises ..~.~ ¢_~..~.., .r',e., .~c.t.~ e-. ~--,~.',.~ .e,,..,.~r,.~,.c.~...~.%tl(~..~,:, m ~.c+./~.~.~ (as on the t,a~x roll or latest deed) applicant is a corporation, signature of duly authorized officer· (Name and 'title of corporate officer) Builder's License No .......................... Plumber s L~cense No ......................... Electrician's License No ....................... Other Trade s Lzcense No ...................... Location.of land on which proposed work will be done ................. ' .... .... ' .. House Number Street Hamlet County Tax Map No. 1000 Section .... [ [,.,~.~-~. ........ Block .... .(~...~. ......... Lot.....W--D...~ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ~xisting use and occupanc~ .... ~...C.o~,.L..~....~ ~ .~.V:'"' ~ - '22' ,_ \-./'- (' ';"'.5'J:.:",'"',"'"'"':?:~"/,i .......... b. Intended use and occupancy ...'. ,~..C~(~- .... Q'-&~3'AS]" · 'c/':C~' .L .~'~;~-... :".:.'. ::~':'.: ....... "--" ' ' gl , '~ ' ''' 3. Nature of work (check which applicable): New Building Addition . a,t~':~'~ Repmr . .. Rem6val ~ '' ......... , .............. Demolition .............. Other Wor~..i ..... j (t0 b~ ~id on fihng this.app~i~at,on) J 5. If dwelling numberofdwellin~unJte ......... ,~r,~?t~,~3z o v .................. t~umoer oJ aweumg umts on eacn'floo~'. .... *:~ .... If garage number of cars ' 6. If business, commercial or mixe4 occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmcture~, if any: Front ............... Rear .............. Depth ........ ....... Height ............... Number of Stories ................. D~en i fs tm t re with alt ti additi ( ............................... ' ....... sons o ames c u . era onset ons: rent ................. Rear ........... ' ....... Depth ' Height .................... ~' Number of Stories 8. Dimensions of entire new const~ction. Front ................ Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front ........... j ........... Rear ...................... Depth ............... , ....... Date of Purchase ........... , ................. Name of Fo~er Owner ...................... ....... Zone or use district in which oremises are Does proposed construction violate any zoning law, ordinance'dr'r~/,[~dd.'.' ................................ Will lot be regraded ~ ..... ,.,.. °2~77 ............................... .... ..................... wm excess nn ce removed from premises: Yes ~ No fp N~e of Owner o remises ... ~ ............. Address ....... ~ . · · · ........... Phone No ................ N~e of Architect .......... ~ ................ Address ................... Phone No ................ N~e of Contractor ......... ~ ................ Address .................. Phone No ......... ~ ...... [5. ts chis property within 300 Zeat o~ a ttda~ wottand? ~Yes ........ No ......... ~t~ yes, Southold Tbwn Trustees Permtt may be required. PLOT DIAG~ Locate clearly and distinctly ri build~gs, whether existing or proposed, ~d. indicate fll set-back d~ensions prope~y Hnes. Give street ~d block n~umber or descfiptio~ accord~g to deed, and show street n~es and indicate whether interior or comer lot. ff ~ 10. 11. 12. 13. 14. contract) APPROVED AS NOTED ,~ NOTIFY BuIr. DI'NG DEPAFT]~gfEI~IT AT 785~1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: : 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE : 2, ROUGH - FRAMING & PLUMBING 3, iNSULATION 4, FINAL CONSTRUCTION MUST SE COMPLETE FOR C.O. J ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE NiY. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS being duly sworn, deposes and says that he is the applicant bove named· is the 1~).~. ~ ,/.. ' I (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly quthorized to perform or have performed the said work and to make and file this 9plication; 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 s~t forth in the application filed therewith. worn to before me t~ ~/~ ! ......... ...... °tary Public~'~(~--~/~'.. '~' ;~...'. County ..'=:.../. .......'. .... i: .... · _ ....... ,~--~ ~ ' (Signatur~yof apphcant) Commission Expires Deoem~e , i