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Home My WebLink About20228-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25508 Date: 02/02/98 THIS CERTIFIES that the building ALTERATION Location of Property: 4040 DEEP HOLE DRIVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 115 Block 17 MATTITUCK (HAMLET) Lot 4 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 1991 pursuant to which Building Permit No. 20228-Z dated OCTOBER 23, 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 REMODEL KITCHEN & DINNING AREA IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM F. & JUDITH MACOMEER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-199856 08/13/91 PLUMBERS CERTIFICATION DATED N/A /Budding' Inspector Rev. 1/81 FO~M NO. ~J 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~. 2 0 2 2 8 Z Date ..../.~/..~..~ ................................... , ~.~/.. Permission is hereby granted to: -/q _//:,~./ /~- ~ ...~z ...... ~_~ ......... ~... ,o ~._/~~..~~....~......~~_.~...~ .......................... ~, pr, m,, ,~,~ ~, ..~...~.....~,~..../~~ ~ ...................................... ............................................. ~~~............................~ ................................................ ~ ~= ~op ~. ,000 ~,,o~ ....... ~ ....... e,~k ......... Z.X .... ~o~ ~o ......... .~.~.. punuont to eppllcction d~t~ ............... ~.~ ............................... , 19.~, on~ oppr~ ~ ~e Building Insp~tor. '7-'- / ' ~~~m'~m;;; ......................... Rev. 6/30/80 8LOG. DEDT. TOWN OF SOUTHOLD TOWN OF SOUTHOLD BUILDING DEPARTFLEi~ TOWN HALL 765-1802 ?PLICATION FOR CERTIFICATE OF OCCUPA~YCY 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, 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 $25.00~ Swimming pool S25.00, Accessory building Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .~.~.~ ~ .. ~. f.~ .~.~..~. ................. -ew Construction.~. Old Or Pre-existing Building .... ~ ..... House No. Street Ha~et nwer or O~ers of Property. ~..~ ~. .... d.[ .-. ~a~.~.~ ......................... ounty T= Map No 1000, Section...~.~ ....... Block .... J.~ ......... Lot .... Q~ ubdivision ........ ~ . Filed Map ~ Lot ............... ............ Date Of Permit ................ Applicant ............................. ermit No .... 'ealth Dept Approval Underwriters Approval lanning Board Approval ..................... ... equest for: Temporary Certificate ........... Final Certicate ........... Submitted: $.... ~.~: ..O~.. ................. .............. Co' 35o[ 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) N9 017822 Z Perrnission is hereby granted to: / , .~,~..~..~......~.~.~ .... ....~.~..~.~.:..~.:~_~~,, ...... ~.z.~.~.~ ...... ,o.~ .......'"'~ ~ ~~.....~..~.....~,...~...~..~~.."' - ........ ................ / ~, ~,~, ,=~,~ ~, ..~.~..~L.~.~....~.~....,~ ............ ~z..).~ ............... County Tax Map No. 1000 Section ....... lJ...~.. ....... Block ...... ~...~ .......... Lot No ......~..~.. ............ pursuant to application dated ....'~'..~....~ ................. , 19~...(J .... and approv~ by the Building Inspector, Rev. 6/30/80 INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 17, 1991 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 William & Judith Macomber 4040 Deep Hole Drive Mattituck, N.Y. 11952 RE: Building Permits 917822-Z & 17823-Z Premises: 4040 Deep Hole Drive, Mattituck, N.Y. Suffolk Co. Tax Map ~1000-115-17-4 Dear Mr. & Mrs. Macomber: On November 1, 1990 we notified you that the above building permits had expired and Certificates of Occupancy have never been issued. According to the Code of the Town of Southold, it is unlawful to occupy or use said structures until the Certificates of Occupancy have been issued. Please contact this office immediately so that we may clear up this matter. Enclosed is your outdated check ~595 in the amount of $75.00 dated Nov. 28, 1988 which you submitted for a Building Permit and Certificate of Occupancy for alteration of garage under house to a bedroom. This permit has never been issued. Please send in a new check in the amount of $50.00 so that the Building Permit may be issued. A separate check in the amount of $25.00 is required for the Certificate of Occupancy. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. VL:gar encl. Victor Lessard, Principal Building Inspector INSPECTORS /,516) '/65-1502 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. V~rlECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH 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 November 1, 1990 William & Judith Macomber 4040 Deep Hole Drive Mattituck, N.Y. 11952 RE: Building Permit ~17822-Z (Alt) ~17823-Z (Add) Premises: 4040 DeepHole Drive, Mattituckr N.Y. Suff. Co. Tax Map ~1000-115-17-4 Dear Mr. & Mrs. Macomber: During a review of our files, it was noted that the above building permits have expired and Certificates of Occupancy have never been issued. According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures, alterations or new dwellings, and it is unlawful tO occupy or use said structure until the Certificates 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. Gary J. Fish, Building Inspector GJF:gar 1 '7 ?z---z-- 765-t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~'~'NSUL.ATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. Vv'IECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building lnspecl:ors THOMAS FISHER GARY FISH SCOTT L. HARRIS, Supervisor $outhold Town Hall P.O. Box 1179, 53095 lviain Road Southold, New York 11971 lax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 1, 1990 William & Judith Macomber 4040 Deep Hole Drive Mattituck, N.Y. 11952 RE: Building Permit ~17822-Z (Alt) ~17823-Z (Add) Premises: 4040 DeepHole Drive, Mattituck, N.Y. Suff. Co. Tax Map ~1000-115-17-4 Dear Mr. & Mrs. Macomber: During a review of our files, it was noted that the above building permits have expired and Certificates of Occupancy have never been issued. According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures, alterations or new dwellings, and it is unlawful to occupy or use said structure until the Certificates 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. Gary J. Fish, Building Inspector GJF:gar EI.L., ~.,-, ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.; 765-1802 .~'.....~:(u~..' 't3~.--~ !.O.., 19 ?.ul. Permit No. Approved Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ........... 3 SETS OF PLANS ........... SURVEY .................... CHECK SEPTIC FORM ................ NOTIFY CALL ........ INSTRUCTIONS a. Tlds application must be completely filled in by typewriter or in ink and submitted to the Building Inspe.ctor, 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, relationship 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 demolition, as herein described. The applicant agrees to comply with all appli~at~'le laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessaw inspections.__ ~ ~' (Stgnature o~ apphcant, or name, tfa corporanon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...¢. c¢/?e..t:7. ................................................................................... Name of owner of premises ~.~)//. ¢..r~...'¢'.-~'-~Og~ .... ~ ~'~XI/qq ./9.¢...r" ................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer, (Name and title of corporate officer) Builder's License No ....... ~.~ .......... Plumber's License No ......................... Electrician's License No.. ~.././~. fi.~...4J2¢*¢'~ Otlier Trade's License No ...................... 1. Location of land on which proposed work will be done. ' . ¢.o. . . . . . ./¢.¢.?._ .... , ....................... z'.'D¢/< ................. House Number Street. Hamlet County Tax Map No. I000 Section ....... /..]..D-] ...... Block ...... 1.7 .......... Lot /~/ Subdivision ..................................... F. iled Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .r..~.~. , ............................... b. Intended use and occu anc 3. Nature of work (check which apphcab e) New Bu lding .. ' ........ Addition .......... Alteration . . . Repair ............. RemovaI .............. Demolition .............. Othe~¢6rk; .~ ..... ' (Description) 4. Estimatdd Cost // .......... z ...... Fee 5 If dwelling number of dwelling units / (to be paid on filing this application) · ' ............... Number of dwelling units on each floor ' If garage number of cars ~ ............... 6. If business, commercial or mixed occupancy specify nature and extent of cae t o ,ures, if y F .'..' ....Rear : ..... : D pth " · menslons o existing struct an rom..,.. . · · e Hight N mb of Stori /' " e ............... u er es ............ ' Dimensions of same structur rations or additions: Front- ...'vv,-,-. Rear ........ Depth · . ........ ......... ~ ... height ...................... Number of Stories ..................... 8. Dimensions of entire new co struction: Front ..... ;~ ......... Rear ............... Depth .............. Height ............... N~mber of Stories_.,...' ......... ; .... i ............................. 9. Size of lot: Front ...;~,...~ ............. Rear ................. Depth ... !" 10. Date of Purchase . /.t,/?~ ................... Nam of Former Owner .................... 11. Zone or use district in which Premises are situated .................. ' ' 12. D°es pr°p°sed construction violate any zoning law, ordinance or regulation: ............... 13. g ' ' '~t'~.;,' :,&L': ' ' '! .... Will cxce, ss ll~bc remo, v,ed from premises. Yes c .... ·. dress -Name of Architect ...... i.. · .... Name of Contractor [ ................. Address ................... Phone No ................ ........................... Address ................... Phone No ............ :... 15.Is this property lo~atefl within~o0 feet of a tidal wetland? tYgS .... NO .... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearl~ and distinctly 011 buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, COUNTY OF ............ S.S ........................... . ' i'. .................... being duly sworn, deposes and says that he is the applicant (Name of individual mgnmg contract) above named. lie is the ~ ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements conWined in this application are true to the best of his knowledge and belief; and that the Work will be performed in the mannir set forth in the application filed therewith. Sworn to before me this ............... ........ day oi... '" Notary Pub ic ~ ~ ~ UO_C ......... 19 ............................... County NOTARY PUI~IlC, Stat~ ot New '{0~k .. , No 4707tY1~. Solt01k Cotm~/~q (S ..nature of apphcant) THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ' Applicatio~ No. THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant ~med on the a~ve applicat~n number in the premises of in hefol owb g I,cationj ~ ~ser~ent ~ Ist []. ~ 2nd FI. (){~T ,Section Bilk rot ~s ex. mined oil and found to be in compliance with the requirements of this Board, FIXTURE SWITCHES OUTLETS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS: E R V I C AWG. Of CC. COND. OF HI-LEO JN~ OF NEUTRALS AWG. OF NEUTRAL SOU'{'It~ , b ¥,W, 'il<}'/'! 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 DEPARTMENT. THIS COPY OF CERTIFICAT:EMIJST NOT B'E ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [~~"~NAL~ [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE INSPECTOR ,- _ / FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: