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Home My WebLink About20287-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20382 Date NOVEMBER 27, 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 1172 BAILIE BF2kCH ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 3 Lot I1.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 18¢ 1991 pursuant to which Building Permi% No. 20287-Z da%ed NOVEMBER 21, i991 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to JOHN WOHLFARTH (owner) of the aforesaid building. SUFFOLK COUNTY DEPART~4ENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTq~ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20381 Date NOVEMBER 27, 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 1172 BAILIE BEACH ROAD House No. Street County Tax Map No. 1000 Section 99 Block 3 Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 11.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 18, 1991 pursuant to which Building Permit No. 20287-Z dated NOVEMBER 21, 1991 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificats is issued is ACCESSORY DETACHED DECK AS APPLIED FOR. The certificate is issued to JOHN WOHLFARTH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HFaALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ' // ~uilding Inspector FO~.M NO. II TOWN OF $OUTHOLD 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~ 20287 Z Permission is hereby granted to:// ..~./..,...,~ ....... ~.......2~.....~ ............. ~ Z .......~"~~~'~~'w'r/~ at premises l~ated at ....Z~..Z~....~~( .............................. ................................................. ........................................................................ County Tax Map No. 1000 Section ......... . .~....~.. ..... Block ...... ...-~.... ......... Lot No ..... ,/..//~..,~ ..... pursuont to application dated ..... .ff/././...~'. ..................................... , 19Fl.., and approved by the Building Inspector. ~/,~ F~ee $.....~..~,~.....~.~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: 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: I. 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. 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 .,ew Construction ........... Old Or Pre-existin~ Buil~-~ ~2~ J~f~]), ~',J~-,Y~ · Location of Prooertv .~.~ k~__v ~C~C '~ ~(~ ~ House No. Street Hamlet Oswer or Owners of Property ..... County Tax Map No 1000, Section..P..~.~ ..... Block....~.~. ........ Lot...~.~.~.O..~ ....... Subdivision..~. ............................ · . . . . Filed Map... .~. ....... Lot .... ~.. ............... Permit No ................ Date Of Permit ................ Applicant..~..~.~.~. . ~.f.~.~.~.~.~..~.F.~. ..... . . !{ealth Dept. Approval .......................... Underwriters Approval ................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... Form No. 6 TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: 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 1. Cer~tificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00,~%~5~-~l~Thg--~ 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 Occupanc}- Residential $15.00, Commercial $15.00 New Const'ruction ........... Old Or Pre~existing Building.. ~tI~ Location of Property.. ~.~ ....... .~.f~<%e.,..~_.~C.~ ....... House No. Street Hamlet Onwer or Owners of Property...2l~?>.~ ......... County Tax Map No I000, Section .............. Block ............ Lot... : ....... Subdivision ........................ ... .. .. .. .. . Filed Map ............ Lot .................... .. Permit No ................ Date Of Permit ................ Applicant. ~.~./Z~./. ............ ~.~ ~L f~ ~ ..... Health Dept. Approval ......................... - Underwriters Approval ..................... . . .. Planning Board Approval Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ............... 03 FOUNDATION FOU~DATIO:~! 2. ROUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMME~TS: INSPECTORS Victor Lessard - Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 Nr. aohn Wohlfarth, ar. 162 North Lee Avenue Rockville Centre, N.Y. OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 11, 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 11500 Re: Premises 1172 Bailie Beach Road, Mattituck, N.Y. surf. Co. Tax Map %1000-99-3-11.2 Dear Mr. Wohlfarth: A deck addition and accessory shed at the above property location apparently was constructed without a building permit. According to Article XXVIII Chap. 100-281 of the Code of the Town of Southold, a building permit is required for a deck addition and accessory shed, and an inspection and Certificate of Occupancy is also required. Please contact me as soon as possible so that we may resolve this matter. Thank you for your cooperation in this matter. Very truly yours, SoUTHOLD TOWN BUILDING DEPT. GaryVa. Fish, Building Inspector GJF:gar NO / t 8 99 '.:i NOV 899 ~ Approved. · '////'~./. ........ 19 ~1. Permit No. Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 B~A,~D SF HEALTIt ......... SETS SF PLANS .......... ~--'SURV EY ................... S,~PT I C FORH .............. t,O, ~ FY: CALL ................... HAIL TO: .fldB uildi~l~'Inspector) · . APP CAT Or~.[-KO.~ 8UILD!NG-PER-MIT D'~te ......... '.' ......... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;etas 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 application may*not be c~>mmenced 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 work. 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 luilding 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. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ;dmlt authorized inspectors on premises and in building for necessar~lnspections. -- ·: .................. ,.. -' \,(~ignature of applicar~ or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................. O. LO~?.'.,C ........................................... : ........................ Name of owner of premises %k~.~...~k~. klt-~.'~..0r~qt .............................................. (as on the taxx roll or latest deed) [f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .C?~.L-...~.~ ............ Plumber's Licens~ No .... .¥~3 .b. ................ Elcctncmn s Lmense No. Other Trade's Liccnac No ...................... Location of land on which proposed work will be done. llouse Number Street Hamlet County Tax Map No. 1000 Section . l 0.0 ¢.~T ...... g~o~k .... ~ ............ ~ot...1. (.'.~ ..... L... Subdivision ..................................... Filed Map' No ............... Lot ............... (Name) State existing use and occupanc7 of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy.....~..~.~.~}.~5... . .. : b. Intended use and occupancy .............. 3. Nature of work (check which applicable): New Building .......... Addition ' ~ ....... ~ ,%~Repair . ............. Remloval ........... r~o,~,,.,~.. . ......... Alteration ... ~l¢~td~ceZW-~t:~ ,,'f~la.~.ta ~~:~ ...................... ~ ....... OtherWork ..... 4. Estimated Cost. ._~ '1 ' '" '~'~ _ . ~ ~ ~ ~ escnpnon~ ~'~l~ ..................... Vee ~ ~ ....... ~ (to be paid on filing this application) 5 If dwelling number ofdwelling~units Number of dwelling units on each floor ' If garage number of c~s ~ ............... 6 [ bus~nyss commercial or mixeld ;c~u~ancy spei y nature' d ex{ent ;f'each t;;;'2;;; ...................... 7 ~imenmons of existing structures if any Fr'ont ~ '~- ........... Height , ................. tqear .............. Depth .. ~umber of Stories ............ D~ ensi;~i ............ ' ..................................................... ofsamestmctur w~ithalterationsoradditi~fs: Front Depth HeiSt ................. Rear .................. 8 ................... ~ ........................ Nmnber of Stories · Dimensions of entire new construction: Front ...................... ............... Rear ............... Depth ............... Height ............... Number of Stories ................ 9. Size of lot: Front ........... ~ ........... Rear ....... ' ........ De ............... ............... pth ....... 10. Date of Purchase . Name of Fomer Owner 1 I~ Zone or use district in which pr{raises are s~tuated ............................. Does proposed construction viol3te any zoning law, ordinance or regulation: .................................. 13. ~¢;~;~;;d~fpr;~i}~s~ ~jl~ ~G[ ~ ~:(. Will excess 011,be re,oyeS ~q~ premises: Yes No 14.. ....... ~:~.. L[ Address [~)~ .¢~ ~hone No ~'? [ .~ Nme of Architect .......... ~ ............... .. Address ................... Phone No ........... j j j.~. N~e of Contractor ........ , ................. aaaress ................. Phone No ......... . ....... 15. Is this property within ~ feet of a tidal wetland? *Yes ....... '.' No...~... · If yes, Southold ~bwn Trustees Permit may be required. PLOT DIAG~ Locate clearly ~d distinctly fil ~build~gs, whether existing or proposed, ~d. indicate fil set-back d~ensions from prope~y ~nes. Give street ~d block humber or descfiptiofi accord~g to de~d, and show street nines and indicate whether interior or comer lot. rOI L(')WING ~NSPEcTIONs: 1. FOUNDATION "'l'14tO REQUIRED FOR POURED CONCRETE 2, ROUGH. FRAMING & PLUMBING 3. INSULATION 4, F~NAL . CONSTRUCTION BE COMPLETE FOR C.O, MUST ALL CONSTRucTION SHALL MEET T~E REQUIREMeNTs OF THE N.~ STATE CONSTRU~ioN & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS TATE OF NEW YORK, OUNTy OF ................. .............................. ~ .................. being duly sworn, deposes and says that he is the applicant (Name of individual signin contract) is the ' ~ (Contractor agent corporate officer etc ) said Owner or owners, and is duly acthorized to perform or have performed the said work and to ~nake and file this plication: that all statements contained in this application are true to the best of his knowledge and belief; and that the )rk will be performed in tim manner selt.f.~rth in the application filed therewith. ~om to before m~ this ~ual~l~ ip N~u ~u~ ~ ~ (Signature of applicant) 516 7~6 169~