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Home My WebLink About20095-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20720 Date MAY 12, 1992 THIS CERTIFIES that the building ADDITION Location of Property 2275 OLE JULE LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 5 Lot 13.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated A~GUST 16, 1991 pursuant to which Building Permit No. 20095-Z dated AUGUST 16, 1991 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 WITH INGROUND POOL & FENCING AS B3PLIED FOR. The certificate is issued to WILLIAM WILSBERG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-206516 - OCTOBER 3, 1991 Building Inspector Rev. 1/81 FORM NO. S TOW~ OF SOUT~OLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. 'if'. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 20095 Z Date i 9..~./. Permission ..~ ~ is hereby granted to: ...~.:...~...~....r~....... ~ ............ ,o ..~~.:...,.:¢~.....~~....~...~~ ....... ~.~ .~......~ ................. ~~..~.._~ .................................. :. .................... at premises located at ...g~..:-2zr..~..~.. ....... ~.~.~...~......~.~ ..... County Tax Map No. 1000 Se~n .../...-~...~ .......... Block ....~...~.. ........ Lot No. ~../....~....*-.A~.../. .... pursuant to application dated ~.~-~...../...(~ ............... , ,9.~.../.., and approved by the Building Inspector. Build n~fi'g In.q:mctor Roy. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 1992 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: i. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 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 Vpre-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, 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 New Construction ........... Old Or Pre-existing Building ................ . Location of Property....~..%.7.. House No. Street Hamlet Onwer or Owners of Property....~.', County Tax Map No 1000, Section.. ;~.~. .Block. .~,~.. .Lot... L.~.~..~. Subdivision ............................... .. · . . Filed Map .......... .. Lot .................... . . Permit No .... Date Of Permit ................ Applicant.. ~.&f.~.. '. .~.~.~.. Health Dept. Approval .......................... Underwriters Approval . ~.r~.. ~ ~ Planning Board Approval ....................... . Request for: Temporary Certificate ....... Final Certicate....~... Fee Submitted: $ .......... ~. ~. ~ .d~..0. ........... q3 ................... 0 INSPECTORS Victor Lessard P~incipal Building Inspector Curtis Horton Senior Building Irapector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD MAY 4, 1992 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 A. REILLY & SONS, INC BOX 98 MATTITIICK, NY 11952 RE: WILLIAM WILSBERG To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~x An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~_~,Xnot 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 $ 20095-Z Please contact our office on this matter. cooperation. CC: WILLIAM WILSBERG Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [~ ] FOUNDATION AND ['] FRAMING REMARKS: ROUGH PLBG. INSULATION DATE (~/~'~/~J' INSPECTOR ~..~~/~ FOUNDATION ( ls t ) FOUNDATION (2nd) 2. ROUGH FRAME & -PLUMBING ® INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND[] INSULATION FRAMING [~'~]"F~AL / / DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 n~/~... TEL.: 765-1802 Exami ... [.(P., 199. ] : .'\pprov&~SfCf../q..W~' .1.~.., 19~]'/. Permit No.o~...C~.. ?..~.."~' Disapproved a/c''~~' c''''~b/' ~ . ....... (BuTFding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CllECK .................... SEPTIC FOR~t .............. CALL ................... flAIL TO: a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 zts 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 applicatibn 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 applicant. Such permit haJl be kept on the premises available for inspe, ction 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 !]all 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 authorized inspectors on premises and in building for necessary inspections. . ./2.:./~7/~.z. ?'. e...5'..~.n,.x. ~ .~.v.'c:, ............ (Signature of applicant, or name, if a corporation) · f...o..... (Mailing address of applicant) :tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... 6"..Z.:V. k~. ~?.~... ¢.'~.. 'z-z~:o.~ ...................... : ........................ lame of owner of premises ........ .[~../.6/L.'.t.~v. ..... .~./..65. ~kg~ ....................................... (as on the t,;¢ roll or latest deed) / (Name and title of c'orporate ~i~$r) Builder's License No ..... Z.~..~. ~ //,.~" ......... Plumber's License No ....... ~ ................. Electrician's License No. . Other Trade's License No ...................... Location of land on which proposed work will be done. 0t~,L~ ."~ &&? L/~)k~£: . ./~./3,?...~.../..~.. (... ,~. .... .............. .... .... ........... .......... llouse Number Street Hamlet Couuty Tax IVlap No. 1000 Section ..... /~.~. ........ 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 . . . .F .~./.~.~7..( .4'.'.'.'.'.'.'.'.'~.. ........................................... b. Intended use and occupancy ....... ~. ~./,g'~t~;rvj.~.7.,~. ~..)t .t?.ff. t~tT//g.., 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. ,~'6otm"}~q~G ~'OB/~Removal. ff J"O o .......... ~eq) '/:'7". :/),~'C4'(~' ' ' Demolition .............. Other Work ............... (Description) 4. Estimated Cost .......... .~..~)L,~.,:O.~ ................. Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number o f dwelling units on each floor ................ · If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of nsc ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ............................................. , .......... Diraen~ions Of same structure with alterations or additions: Front ................. Rear .................. Depth .............. Height ...................... Number of Stories ........... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ......... ~ ..... Height ............... Number of Stories ......... i .' ............................................. 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase .................... ......... Name of Fenner Owner ............................. I 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... , ............ , .............. 13. Will lot be regraded ..... ~..~ ................... Will excess fill be removed from premises: e~) No 14. Nmne of Owner of premises /,4).: .~55..I.qq~'~.6~ft,. ~ ... Address ................... Phone No ................ Name of Architect .. Name of Contractor ~i' ~:~;~i~.' ~-i~ ..... i' Address ................... Phone No ............... 5. Is this property within 300 feet of a tidal wetland? *Yes ........ No..4~ .... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from >roperty lines. Give street and block number or descriptioh according to deed, and show street names and indicate whether nterior or corner lot. FATE O F NEW YORK . OUNTY s.s ..... .... y~, li/q ~'~.~.. ~. ~' ~'~' '~''' .~.:... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ,eve named· , is the ..................... .X/i ................................................ (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to ~nake and file this plication; that all statements contained in fifis application are true to the best of his knowledge and belief; and that the Irk will be performed in the manner set forth in the application filed therewith. ~orn to before me this LOCATION MAP SCALE ~ I"-- 600' MAP SHOWING ALTERATION OF BOUNDARY PREPARED FOR WILLIAM WILSBERG AT MATTITUCK TOWN OF SOUTHOLD~ SUFFOLK COUNTY, N.Y. LINE SEPT. 5~1989 OATE = AUG. I, 1989 SCALE: I'-- 30' NO. 89 - 0754 400 OSTRANDER AVE,~,RIVERH/AO ,~N.Y. ALDEN W. YOUNG ~ N.~S. P, E. ~ L.8, LIC, NO. 12845 HOWARD W, YOUNG~ N.Y.S.L.$, LIC. NO. 4§893 THOMAS C. WOLPERT~ N,Y. 8. P.E, LIC. NO, 61483 J 60230 A~PR~)VED AS NOTED DATE' ~]/blc~l BP# FEE: ~ NOTIFY BUILDING DEPARTM iN'~; Ar 765-1802 9 AM TO 4 PM F~)R FOLLOWING INSPECTIONS. 1. FOUNDATION TWO RE ;IUIHED FOR POURED CONCRETE 2. ROUGH - FRAMING & PL ~IBING 3. INSULATION ALL CONSTRUCTION SH~t MEET THE REQUIREMENTS OF ITHE STATE CONSTRUCTION &lENERGY cOOES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTi7 ERRORS ~-~ LLI 0t: 0Ccttt At'tc' '~0 E EXISTiN6 PRO Willio~ Wi .'~,rea = I& 600 - 122 - 5