HomeMy WebLinkAbout21140-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPART¥~NT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26263
Date: 02/08/99
THIS CERTIFIES that the building ADDITION
Location of Property: 1470 PARK AVENUE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 113 Block 8 Lot 3
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 11, 1992 pursuant to which
Building Permit No. 21140-Z dated DECEMBER 11, 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 UPGRADE HEATING SYSTEM IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MICHAEL CURTIN & OLGA KAMMERER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
PENDING
N/A
ng Inspector
02/02/99
· Ol~J~ NO. ~
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? ~1110Z
Permission is hereby granted to:
~.~.~,.,.L......~.: ........ ~ ...............
at pre~ ~ a)...~.~.~.~~ ......
County Tax Mop No. I000 Section ..../....~..',~ ......... Block ..... ..C~...~... ........ Lot No...~...~ ..............
pursuant to application dated~~..~........!.~. .................. , 19.~..~ and approved by the
Building Inspector.
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMEN~f
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPA}[CY
Ao
Bo
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.
6. Submit Planning Board Approval of completed site plan requirements~
For existing buildings (prior to April 9, i957) 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.
Fees
i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling_~5-D~< Swimming pool $25.00, Accessory building $25.00~
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existin~ Buildine - $100.00
3. Copy of Certificate of Occupancy - ~ .25~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building..~q~.~q~qg.~rmit #21140Z
Location of Property...!~q.~.~.~.~.~ .................................
House No. Street Hamlet
Onwer or Owners of Property. Michael Curtin and Ol~a Kammerer
County Tax Map No 1000, SectiOno..!~qq ..... Block..9~:qq ......... Lot..PgP:PPP .............
Subdivision..~??~.~.~.~ ...... Filed Map 11/1/05 .Lot 14
Permit No. 21140Z ..Date Of Permit ................ Applicant .........
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate....x .......
0..o ....................... .......
LAW OFFICES
WICKHAM, WICKHAM 8~ BRE$$LER, P.C.
10315 MAIN ROAD, P,O. BOX 14E4
ivlATTITUCK, LONG ISLAND
NEW YORK 11952
516-298-8353
TELEFAX NO. 516-298-8565
516-249-9480
TELEFAX NO. 516-249-9484
February 4, 1999
Town of Southold Building Department
53095 Main Road
Post Office Box 1 !79
Southold, New York 11971
Attn: Building Inspector
Owner: Michael Curtin and Olga Kammerer
Premises: 1470 Park Avenue, Mattituck, NY 1000-123-8-3
Dear Sir or Madam:
In connection with Building Permit #21140Z issued to upgrade the heating system at the
above premises, I enclose the following:
(l)
(2)
Application for Certificate of Occupancy;
Check to your order for $25.00;
Please call us when the C.O. is issued.
Very truly yours,
Abigail A. Wickham
AAW/dmc
encl.
30/shtbd
Town Hall, 53095 Main Road
P,O. Box 1179
Southo[d, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF 8OUTHOLD
Feb. 2, 1999
Mr. Michael Curtin
1470 Park Avenue
Mattituck, N.Y. 11952
To Whom This May Concern:
We are unable to complete your Certificate of
because of the following reasons:
XX An application for Certificate of Occupancy is
XX
XX
Occupancy
not on file. (Enclosed)
No Underwriters Certificate on file.~-~l~/~
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.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 21140-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1602
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 7, 1996
Mr. Michael Curtin & Olga Kammerer
1470 Park Avenue
Mattituck, NY 11952
Re: Building Permit #21140-Z
Premises: 1470 Park Avenue, Mattituck
Suff. Co. Tax Map #1000-123-8-3
File currently under Hettie Wells Finn
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.
OUNDA~ION (1st)
OUNDATIO~! f2nd)
OUGH FRAHE &
·PLUMBING
I;SULATIO~! PER N. Y.
STATE E~IERGY
CODE
Fi;;AL
ADDITIO~;A'L COMRE~;TS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] INS/ULATION
[ ~NAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~/0 ,./~ ~_~
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ]ROUGH PLBG.
[ I FOUNDATION 2ND
[ ] FRAMING
[ ] INSULATION
[ ~/~l~C
[ ] FIREPLACE & CHIMNEY
INSPECTO '~
THE NEW YORK BOARD OF FIRE UNDERWRITERS P~l
a~743~ .U.~AU OF E'~CT.,C,TY
V 40 FULTON STREET, NEW YORK, NY 10038
Date FEBRUARY 10,1999 Application No. on file 17642999/99 H 063098
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
I'!ICHAE"L T. CURTIN, 1470 PARK AVENUE~ HATTITUCK, NY
in the following location; [] Basement [] 1st Fl. [] 2nd Fl. SecHon Block Lot
was examined on F~BRUA~Y 03,1.999 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST TANS
OUTLETS RECEPTACLES SWITCHES
DRYERS
OTHER
SYSTEMS
OTHER APPARATUS:
E R V I
.o. %%co.o. ^ w. ~.
OF CC COND. NO OF HI-LEG
C E
A, W, G NO OF NEUTRALS
OF HI-LEG
147~ :>~RK AVENUE
~,f~'ITUCK, ~', 11952 GENERAL MANAGER
This cerllfic=te must not be altered in eny monner; return fo the oNice of the Soord if incorrect, Inspectors moy be identified by their credenfiols.
COPY FOR ,BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER
FORM NO~ 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
^pprov . i9 Permit No. !! 5.
Disapproved a/c ...................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH
3 SETS OF PLA;,'S
SURVEY ...................
CHECK ......
t~O?IFY~
~IA I L
a. Tiffs 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, relation'ship 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 covered by tiffs 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
shall 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
shall 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 d, emolition, as herein described.
The applicant agrees to comply with ail appl/cable laws, ordinances, building code~ housjt(g code, and regulations, and to
admit au tho riz ed insp ec tots on premises and in building for ne cessary i~f --~.~~~..~
~-- . (Signature of applicant, or name, if a co~oration)
_ , Uvia~-lng address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .~.~..~. Z~....~.~
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly auth~orized officer.
(Name and title of corporate officer) ,
Blder s License No ..........................
Plumber's License No ......................... ;
E ectnc an s License No ..............
Other Trade's License No ...................... :
House Number Street Hamlet
County TaxlMapNo. lO00Section ..d~..~. .......... Block' ~. ............ Lot ...................
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 . ·'
3. Nature of work (check which ' ' ~
apphcable): New Building .......... Addition .......... Alteration .......
Repair .............. Removal .............. Demolition .............. Other Work ...............
· S mate ost ...... ~, c on
~, - (to be pa~d on filing this application)
5. If dwellino, number of dwelling units ..... ~. ........ Number of dwelling units on each floor.. . ,
6. If bXas~ess, commercial or mixed occupancy, specify nature and extent of each type of use ...............
Height .... · -~. · · f-.,. Nnmber of Stories .......... j .......
_Dimensions of same'"~ture with alterations or additions. ~'r;~[ ........... ~>'~' ',~ .....................
nmgnt .............. Number o~-C~ories .......... >.~..... . · ·
9 Size of lot: Front ......... 7.~7. 7~ ~'~- o ..~ ....................... ' ..........
u. ~ate mrurcnase ...... , . · ...........
,. ~ ~ .~..~'"~.... Name of Former Owner
i ,. Zone or use district in which premises are sitar'ed. ~. . .............................
~ .... ' ..... .Will ex~e~s fill be removed from premises: Yes No
14. ~'sT~.*~').. · Phone No ......
15. ~¥'e's'~'.' LPhone No ................
PLOT DIAGRAM .. '
Locate clearly and distinctly all ~uildlngs, whether existing or proposed, and. indicate all set-'back dimensions from
property I/nes. Give street and block number or description according to deed, and show street names and indicate whether
interior or Corner lot.
;TAT~ OF N:.W ¥CmK.. . - -
:OVNTy or. 52~ J..b.~. E-... ':'
(Name of individual signing ]9ontract) being duly sworn, deposes and says that he is the applicant
bove named. .:
(C tractor nt ~c )" ' ...................
on , age , corporate o er, etc.
said owner or owners, ~d is duly aOthofized to perfom or haveperfo~ed the said work and to m~e and file this
~plication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the
Ork will be perfomed in the m~ner se~ forth in the application filed therewith·
W°m t° beC°re me thit: ~ '
· ' , .......
.. ..... -:--..
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