Loading...
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 ~: