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Home My WebLink About20461-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22184 Date MARCH 9~ 1993. ADDITION THIS CERTIFIES that the building Location of Property 820 NEW SUFFOLK AVENUE MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 12 Lot 07 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated_ MARCH 2, 1992 .~ursuant to which Building Permit No. 20461-Z dated MARCH 2, 1992 was issued, and conforms to all of tha requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is FOUNDATION UNDER AN ~I~TING DW~I.LING 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 CHRISTOPH BIE~TI.LRR & BEVERLY VLCEK Rev. 1/81 FOB~f 1~0. 0 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~ 20461 Z Permission is hereby granted t~ ...~....~,~-,, J_ .~. ......~..~.....~..,..~.,.....~.~..~..~..~ .... .~..~ ...... ~....~.~,....~~..,..~.....~. '~.)~ et premises Iocate~ at ....~.~,.~,....t~,. ,,~Sff~....,,~,,/~,....,C~[.~l~ ....... ~~.~.........(~, ........................................... County Tax Map No. 1000 Section ....... ././..~.. ........ Block ...... /...:;~ ....... Lot No ......(~.."]. ............. pursuant to application dated .... ~,3,/J..L,e..i..l~.~ .................... , 19.~.....2:~, and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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, er 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. tfa 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 - $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 Date ..... ~.'/~. ~. ....................... Loc~tlon of Property. i %~-~....~..~..u~...~.~. ~...[.~;~;/~..?..~ ....... i i i..'.~.'. ..... ~.-. House No.~-. [..'. / / ,; !~-). ] Stfee~l f_ Hamlet Onwer o{ Owners of Property ...... .].~.!?i..P~.J.ll..~..../..~.~..~..~-.-~.~ ......... Subdivision Filed Map Lot . . ~.~b~.~ Date Of Permit Applicant Permit No ..... Health Dept. Approval......... ............. .... Underwriters Approval ........................ . Planning Board Approval ..... · ........... Request for: Temporary Certificate .......... . Final Certicate...~. ...... Fee Submitted: $.~ ........................... wsf ....... ......... ............. · INSPECTORS Victor Lessard Principal Building lns[~ector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD FEBRUARY 24, 1993 BEVERLY NLCEK & CHRISTOPHER BREHILLER 820 NE~ SUFFOLK AVENUE HATTITUCK, NY I 1952 PLEASE NOTE: CO FOR FOUNDATION ONLY (DECK NOT DONE) 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 ~x~W~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 $. 20461-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION { ]st) FOUNDATION ( 2nd ) ROUGH FRAME & ·PLUMBING INSULATION FERN. STATE ENERGY CODE Ye FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION ZND [ ] I~JLATION [ ] FRAMING [//~FINAL INSPECTOR FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ...../q APPLICATION FOR BUILDING PERMIT INSTRUCTIONS §OARD OF HEALTH '''''''' ]/I1 SURVEY ................... CllECK .................... SEPTIC FORH .............. NOt ~ MY: CALL ................... HAIL TO: a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 3ts 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 applicati~>n may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the appl/cant. Such permit hall 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 :Jail 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 :uilding 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 author/zed inspectors on premises and in building for necessary inspections. ~,~ _~ . ' - (Signature~ --~f applicant, or name, if a corporation) .... ?.4 .... t .a r.r .tr (Mailing address of applicant') ' r~' to~, ;tate whether applicant is owner, lessee, agent, architect, engineer, gene lectrician, plumber or builder. ~ame of owner of premises . .,ti ~'.//.I.~/~. ~.~. .... .~..t..¢.i~ ....... c./j. ~ j $~..[/.~Jj.t~r.j~.....~..]/~..kn. l ~.~.~,~..... (as on the t.w.x roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electric an s L~cense No ....................... Other Trade's License No ..... .~, .~..,7~, .'-./~, ,~7'... , Location of land on which proposed work will be done· . .~¢... House Number Cg0 Street ~t~ ....... J ....... mo k ..... tV ........... lot .... 7 .............. County Tax Map No. 1000 Section Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ~ · · · · · · b. Intended use and occupancy ........................... . Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. RemoVal .............. Demolition Other Work ............... i ' $ (Description) 4. Estimated Cost ........ Fee .:. ~ ............... · i . (to be paid on filing this application) $. If dwelling, number of dwelhng uplts ............... Number of dwelling units on each floor ................ · If garage, number of cars ...... ~ .................................................................. 6 Ifb d~ ify d f htyp · usiness, commercial or mixe ccupancy, spec nature an extent o eec e of use .......... f ; if R D pth ........... 7. Dimensions o existing structures any: Front ............... ear .............. e ............... Height ............... Numb!er of Stories ........................................................ Dimensions of same structure with alterations or additions Front · Rear Depth ~ i Height .................................... ............................................ Number of Stories ...................... 8. Dimensions of entire new construction:, Front ............... Rear ............... Depth ............... Height Numbbr of Stories 9. Size of lot: Front ............ i .......... Rear ...................... Depth ....................... 10. Date of Purchase ............ ........ ......... Name of Former Owner ............................. 11. Zone or use district in which prenBses are situated ..................................................... 12. Does proposed construction violate any zoning aw, ordinance or regulation. . .. 13, Will lot be regraded. ! .... , ....... ' ................ *' ' '~' ' ':~ ........ .............. WIll excess I111 De removed from premises: 14. Name of Owner of premises .... ~ ........ Address ................. Phone No .............. Name of Architect ........... ; ............... Address .................... Phone No ................ Name of Contractor .......... ~ ............... Address .............. 2/... Phone No ................ L5. Is this property within 3010 feet of a tidal wetland? ~Yea .... ~... No ......... *If yes, Southold To~n 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 lines. Give street and block nt~mber or descriptioh according to deed, and show street names and indicate whether interior or corner lot. N(][~FY BL.tJLO~NG DEPARTMENT AT 76~-1802 9 AM TO 4 PM FOR THE 1, FOUNDAYION TWO REQUIRED FOR POURED CONCRETE ~, ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRUCTION MUST 8E COMPLET~ FOR C.O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE SLATE CONSTRUCTION & ENERGY ! COOES. NOT RESPONSIBLE FOR , DESIGN OR CONSTRUCTION ERRORS TATE OF NEW-cS/Ot~t,h'~)/'/..- .ouNtY' .'Ty-ra [.a...sYsi ...... %a~m ~.&...~..t.j~/~l~. ......... ... being duly sworn, deposes and says that he is the applicant of individual signing ~ontract) >dye named· Ik,~Contractor~agent, corporate officer, etc.) · said owner or owners, and is duly autho-~f/e~l-to-~er~orm or ,..,..~ ,. ......... 'r, . . ?. . ,aw p=norm=u me said work and to make and file this },,cauon; mat all s[aremenrs contalne9 m this apphcatlon 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. eom to before me this No, 487950~ i ~ ............ ~lon ~lre~ u~m i~ 8, 19~ (~ignature of applicant)