HomeMy WebLinkAbout20846-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22614 Date SEPTEMBER 24, 1993
THIS CERTIFIES that the building. ACCESSORY
Location of Property 2740 EAST MILL ROAD MATTITUCK~ NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 100 Block 5 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 23, 1992 pursuant to which
Building Permit No. 20846-Z dated JULY 23, 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 ACCESSORY BARN
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
GEORGE & JUDITH FLAIG
Rev. 1/81
/~ BuiJ[ding Inspector
~OB~ NO. ~
TOWN OF $OUY~OLD
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? 20845Z
Permission is hereby granted to: ~
....... z~.~~.~..7.: ..~....:.~.-~-_/. ....................
at premis~ ~;..~...~Z~ .......... ~...~..~ ...............................
~ ~ .. .
Co..~ Tox Mop No. 1000 S~.o..../~ ............ m~k ........ ~ ....Lot No ........ ~( ..........
Bul~d~n~ In,poctor.
/~-, ~
Fee $ ........................
Rev. 6/30/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA(m
8047827 BUREAU OF ELECTRICITY
~- 85 JOHN STREET. NEW YORK, NEW YORK 10038
Date ~*~'¥ 19,1994 /Jpplication No. onflie 05895994/94 H 04~941
THIS CERTIFIES THAT
o~y the electrical equipment ~ ~scribed be~w a~ int~uc~ by t~ applicant ~med on the o~e application n. tuber in the prem~es of
GEORGE PLAIG, 274~ EAET ~ffLL ROI~'), I~%TTITUCK, N.Y.
;. thefollowlng toca~io.; ~ B~sement ~ Ist FI. ~ 2nd ~. G~ SectionlO~ Bl~5
~s examined on ~[~ 1.~ ~ 199~ and found to be in compl~ce with the NaEonal Elect~c~ Code.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES
DRYERS
OTHER APPARATUS:
FEEDERS~. 1
B~RN - 1
PANf:LBOARDS: 1-2 (fiR. 60
S E R v I C E
~ec~ ^.w.o.
NO.OE COND o~ CC. COND
NO OF HI-LEG
A,W.G. NO OF NEUTRALS A.W G.
OF HI-tEG OF NEUTRAL
274~ EAST HILT, ROAD
M2~TTITUCK, NY', 11952 GENERAl. MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
.COPY FOR BUILDING DEPARTMEN?.__THIS COPY ......... OF CERTIFICATE MUST ~NOT BE ALTERED. ~ IN ANY MANNER.
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Bulk/lng Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
SCOTT L. HARRIS, Supe*visor
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
September 14, 1993
George J. Fla£g
31 Watson Avenue
West Babylon~ N.Y.
11706
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 ~ertificate on file.
The check is (outdated/not on file.)$25.00
No Health Department Approval on fileJ
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 20846Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOW/~ BUILDING DEPT.
'j'OW!',l OF 9;0';: P:
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~A-PPLICATION 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.
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.
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 .
ction .~./.£.5. Old Or Pre Buildi '
New Constru ..... -existing ng .................
Location of Pro-err· ~ 7~z~ ./.~',~. './,~/.:~./.~'
House No. Street Hamlet
Onwer or Owners of Pr - ~
operny .............. z. ........ ~-. .......
County Tax Map No 1000, Section. /~ .Block .~.i ..Lot..~. .........
Subdivision. ~-~/d ''~//~. /~/ ~ ........... ./. ..........
............................ F%led Map ....... Lot ..........
Permit o ................ p ce Of Permit. . .............
llealth Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ............
Request for: Temporary Certificate ..... Final Certicate.
o
~ e Submitted: $ .............................
FOU~DA'TION (1st)
(2nd)
ROUGH FRAHE. &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FI;;AL
~DDITION~L COMME~$TS:
~i' ~ JUL201992
TO'¢JN 0~: ' "" '
Examined ................ 19...
Approved .........
Disapproved a/c .....................................
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1805~
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
CHECK ................
CALL '. 2~;~"~"~ "3'~"~/~
HAIL TO;
. ~uildin,, Inspector)
APPLICATION FOR BUILDING PERMIT
:ti
Date 7'-2..~ .~..~..~....
.................. ,19
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 worl¢ covered 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
;hall 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
,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
]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
tdmit authorized inspectors on premises and in building for necessary inspections.
--' (Signature of applicant, or name, if a corporation)
.?. (..~. :! ~ .<':..~...4x~., .'¢:: ~. ~x .~...~:.>"-
(Mailing address of applicant)
State whether applicant i~ lessee, agent, architect, engineer, gen~ral contractor, electrician, plumber or builder.
........................................ : ............................ APPROVED AS N~tp
., ~ ~ ~/~ ~z~/~ ~,~ ~ F~/~ bX~;"~~' "i~'~,~'
~ame o~ owner o~ premises ...2 ..... 7 .................................... FEEr.:~ ~' ' · BY: '~
. (as on the tax roll or latest d~l~' BUILDING O~ffA~T~ENT ~T
f applicant is a corporation, signature ofdulO~{~¢~Y 0R FOLLOWING765'1802 9 AMiNsPE~iONS:~4PM FOR THE
UN WFUL ,.
....................................... FOR POURED CONCR~E
(Name and title of co~orate offic 2. ROUGH - FRAMING & PLUMBING
Builder's License No... ~.~...~I.THOUTCERUFICATEI
FINAL - CONSTRU~ION MUST
.... OF 'OCCUPANCY
Plumber's License No. f~f{~ ALt CONST"U~ION SHA~
Electri~ian'sLicenseNo.......................~'~ THE REQUIREME~$ OF ~E N.~
Other Trade's License No. E ~/Z~ 0N~ERWRI~SCE~IRCMERE~IREO COOES.STATE CONSIRUC~O~N~ RES~NglB~ & ENERGYFOR
..................... DESIGN O~ C~STSU~ON ER~O~S
Location ofland on which proposed work will be'done. Z~/ 'd~ ~od~ ~¢
llouse Number Street Hamlet
County Tax Map No. 1000 Section /~ Block ~
....................... 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 ,.~
......................................... V',f<..-. c ,,'v. ~' . ..
b. lntended use and occupancy ............................ ~q~' (~.~/~g ~ ~~f~':
10.
12.
13.
14.
15.
property lines. Give street and block fiumber or description according to
interior or corner lot.
Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Rem6val .............. Demolition .............. Other Work t ..... . .........
'? ' ' ' ~ (De~ ipti
r, ~,o ~ r on)
Estimated Cost ./ ........... ~ ......................... Fee .................................../'' '
(to be paid on filing this application)
If dwelling, number of dwelling Units ............... Number of dwelling units on each floor ................
If garage number of cars '
If business, commercial or mixed, occupancy, specify' nature and extent of each type of use
Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height Number of Stories
Dimensions of same structur~ with alterations or additions: Front Rear ..........
Depth ' i Height ' Number of Stories
Dimensions of entire new construction: Front ,gO
............... Rear ~o Depth
Size of lot: Front . .~?.~.'../.~.... ' ........ Rear .' ~,'~i~ "'~,' ........ l~anfh ~'[~/~'~-'~ ............
Date of Purchase ./.(.'~ .~/.?'/... - ........................................
....... Name of Former Owner .............................
Zone or use district in which premises are situated .....................................................
l~t
Does proposed construction vie e any zoning law, ordinance or regulation: ...............
Will lot be regraded . · . .................
....... ,,~. ·: .~.~. · :,., ..., ....... Will excess fill be removed from orem~ses' Yes No
NameofOwnerofpremises o-.,?,~.~..a?~'. ~--,z,,~/~- a~ ~79t~ ~ ,.~r/I,e~ ,,; ,. ':~ ~,,,o,,, -'-
...... , r-~,~ ,~y','~rrk one mo ................
Name o~ Arcmrec~ . , Addres - ~'-
......................... $ ................... Fnone iNo ................
Name of Contractor ........ i i ................ Address ................... Phone No ................
Is this property within 3;00 feet of a tidal wetland? *Yes ........ No .........
· If yes, Southold T:own Trustees Permit may be required.
--. PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
deed, and show street names and indicate whether
STATE QF NEW YORI~, F",//,/' ,
cou v
........ ~.' ,'. ,:. · '~,.::.;, ...... ;', · .'. · ~ .................. being duly sworn, deposes and says that he is the applicant
?,(Name of individual signing contract)
above'named '. ,':
He is the ~ ~ ~ ,,
' (Contractor agent corporate officer etc )
of said owner or owners, ~d is duly huthorized to perform or have perfo~ed the said work hnd to m~e and file this
application; that all statements contmn'ed ~ this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
.......... ....
Note. Public, ~.~,.~ounty
Quailed nSuffolkCou~ ~ ~ (Signature of applicant)
~ml~ on E~lres o~m~
J~E 7~/o--/ /O:) SURVEY FOR
GEORGE J. FLAIG I~ JUDITH A. FLAIG
FEB 3, 1992
~ ~'/'~ ~ LOT NO.I, "WOLF PIT POND ESTATES" OCT 17,1991
/ AT MATTITUCK DATE OCT 8, 1991
TOV/N OF SOUTHOLD SCALE m"= I00'
SUFFOLK COUNTY, NE~ ~RK ~0 9~- o854
NE~ 'fORK STATE E~CATION LA~ JUDITH A. FLAIG
HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUC T ~NO ~ HIS ~HALF m THE TITLE C~P~Y, GOV~N-
J YOUNG YOUNG
RIVER~AD, NE~ YORK
NOTE: ~ =STAKE ~ = MONUMENT ALDEN WYOUNG, PROFESSIONAL ENGINEER
SUBDIVISION ~P FILED IN THE OFFICEOF THE CLERK
OF SUFFOLK COUNTY ON ~UNE 21, ~90AS FILENO. 896~. ANOLANO SURVEYOR NY.S UCENSE NO 12845
HOWARD W. YOUNG, LAND SURVEYOR
~ c~ ~L(w),~c t~l~a C[~S(~) ~ ~ N.Y.S. LICENSE NO 45893
~ ~ FI[~ ~TI~S ~ OR DATA OIT~O F~ OTHEIS
BRANDIS & SONS INC,
C o/_ t.,/~.,t/
5:o "s~,
F oo-l-~,o ~: