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HomeMy WebLinkAbout19901-zFORM TOWN OF SOUTBOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No E-23997 Date NOVEMBER 1, 1995 THIS CERTIFIES that the building ADDITION Location of Property 1780 MAHRATOOKARD. House No. Street County Tax Map No. 1000 Section 123 Block Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 1991 ~ursuant to which Building Permit No. 19901-Z dated MAY 29, 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FBANK &MARIE MEYER N/A N/A Rev. 1/81 Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERAAIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WOP. K ~UTHOP~IZED) NO- 19901 Z County Tax Map No. 1000 Section ..... ../....,~.~J~.. ..... Block....,.........,......./' Lot No ........ ~ ......... pursuant to application dat~l ........ ~...:~.. ............................... , 19~.~...., and approv~:~ by the Building Inspector. Fee $...~ Re~ 6/30/80 Form No. 6 TOWN OF SOUTUOLD 1995 BUnmNO DEPARTMENT TOWN HALL , 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink amd 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 ~hat 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 denled, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I 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-existinR Buildine - $I00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial $15.00 Date ......................................... W · ew Constructzon ........... Old Or Pre-existing B~ilding ................. ltouse No. Street tlamlet ')nwer or Owners of Property.~~/)~/~/~-- Bo ooo, .......,../ ..... ................ )ubd±vis~.on .................................... Filed Map ............ Lot ...................... Permit N0,.J,I ........... gate Of Permit ............... ApplLc~[/. ........................... qealth Dept. Approval .......................... Underwriters Approval ......................... 'lansing Board Approval ........................ ~equest for: Temporary Certificate ........... Final Certicate ........... "ee Submitted: $ .... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 26, 1995 Mr. & Mrs. Frank Meyer 1780 Marratooka Road Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not 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 % 19901-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. fi£LP - ' ';~ .... ' FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 0 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] IN/~ION [ ~INAL [ ] FIREPLACE & CHIMNEY REMARKS'- DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL REMARKS: ~ .~ DATE /~/.~ ~//~;~INSPECTO. ' / /' OCCUPANCY OR USE IS UNLAWFUL V~THOUT CERTIFICATE OF OCCUPANCY FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 xa ' · ?J~/'~'~ TEL.; 765-1802 · nmctl~',/..., ........... ,19 ,pproved ................ 19 ~.~. Permit No ........... qsapproved a/c ..................................... BOAKD OF HKALTII ......... 3 SETS OF PLANs .......... SURVEY ................... ClIEcK ',:;24 ............... ,/ HAIL TO: · (Buildijg'ffInspec~ ~ ,. - APPLICATION FOIl BUILDING PEFtlVIlT Date . .............. , 19... INSTRUCTIONS ~. ~s application must be completely filled in by Wpewfiter or in ink and submitted to the Building Inspector, with 3 s of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan show~g location of lot and of bullrings on premises, relationship to adjoining premises or public streets areas, and givNg a det~led description of layout of property must be drawn on the diagram which is part of this app,- ion. e. The work covered by tNs application may not be c~mmenced before issuance of Building Pe~it d. Upon approval of this application, the Building Inspector will issued a BullriNg Pe~it to the app~eant. Such pe~it Jl be kept on the premises ava~able for inspection throughout the work. e. No building shall be occupied or used in whole or in p~[ for any purpose whatever until a Certificate of Occup~cy 11 have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bulldog Dep~ment for the issuance of a B~ld ~ ' [ding Zone Ordinance of the Town of Southold e-~ ........... In= Pe~t pursuant to the ;ulahons for the construction of buld~.~ ~a~i~;~.~ ~..~, .. ~ , , herapphcable ~ws Ordm~ces or : applicant agrees, to comply with aH applicable laws, ordinances, building code, housing code, and regulations, and to nit authorized Nspectom on premises and N build)lB for necessa~ inspections. ~ _. ..... (Signature of applicant, o~ame, if a .... (Mailing address of applicant) te whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · aeofownerofpremises ~~/~ ~ ~/~ ~~-~ o. ;elf ii ii ' i) ........... ~plicant is a corporation} signature of duly authorized officer. ,' (Name and title of co¢orate officer) Builder's &icense No ...... Plumber's License No ........... : ............. Electrician's License No ....................... Other Trade's License No ...................... · ocation of land on which proposed work will be done .................................................. ouse Number Street ....................................... Hanllet otmty Tax Map No. 1000 Section .... (.~ ....... Block ~ .... ~bdivJsion ..................................... Filed Mnp No. (Name) .............. Lot ............... ate existing use and Occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ~W~ o~' ~ff~ Intended Use and occupancy ~ ~0/~ 3. : ature et work (check which applicab e)' New Bud ng . · Add Repair .... n , · ...... ition .......... ,\Iteration · ~em°iva! .............. Demo tion ... . ..... Other Work .~.. ~ ......... 4. Estimated Cost .. /~-~, ~ , (Description) ....... · ' ' Fee '"-~'~ ' . ~>. i' (to be paid on filing ..... 5. If dwelling, number of dwelling this application) · If qnits ............... Number of dwelling umts on each floor. garage, hum ber of cars .... . ............................................ 6. If bus ness commercia or mixed occt pancy, specify mture nd extent et cach~type o ............... Dimensions of existing structures~ if any: Front ............ ' ...... 7. f use ..................... Height ............... Numl}er o f Stories .............. Rear .............. Depth ..... Dimensions of same structure w/th alterations or additions: Front ............................. ~D.epth., .... 5' ' '. ........ :...i. Height ......... ' ................ Rear ............... 8. uimenmons otentire new constru~tinn: Fron}'....~/,~. ..... ' Rear ../.,~.....~. ..... Depth ""' ''. .... 9. Sizeoflot: Front /.4)/', ~,-~> . D~._' ') -,'f,">".¢ ........ . ........... i"' :0. DateofPurchase .'~.._¢7'/9~-~ ......... ~..-4 ........ ..Depth .~q~'. ~o .......... Name of Former Owner ~.~'.~./-. ~ .,'~...~..~../D..t' ~..~..//.~. .... 1. Zone or use district in which premises are situated .. '~ Does proposed construction violate any zonin, law ' ' ' ' ' 3. Will lot be re~raded AP O i g , ordinance or regulation: .~..q: ........ ., .... 4. NNa~i~ DE .Owner of prem~ses~?.'~.' ./l/~ ~ .~.~.',~.'/.~-~ ~.'?.~.' j-.~l~dg~ls~.~.~ll~.~. ~,~.~cd~c[/om~,prem~scs:..,q~ o~Architect . ./~'..d .~.~' ' ~ ~ ,~¢- ;"r~:~' ..... rhone No.,~.F: ~.~.. Name of Contractor . .~. ~../~ .] ............. ~moress ....... ~ .... ............... Phone No .............. - ' ' ' ' ~ ......... Address .................... Phone No .......... ~. Is this property within 300 feet ~'f'~ tidal wetland? *Yes ......... No.~... ' ..... ~If yes, Southold To~n Trustees Permit may be required. ' .... .... i PLOT DIAGRAM Locate dearly and distlnctly all b~ildlngs, whether existing or proposed, and. indicate all set-back dimensions from roperty lines· Give sti'eet and block nu ~nber or descriptio~ according to deed, and show street names and indicate whether ~terior or comer lot. AP O t D AS NOTED . DATE. d~?/,z.q/g~/.... B p, # 76,6-1802 9 AM TO 4 PM FOR 'THE FOLLOWING INSPECTIONS: 1, FOUNDATION ~'WO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTIRUCTION SHALL MEET THE REQUIREMENTS OF THE N·Y. '1','STATE CONSTRUCTION & ENERGY cODES. NOT ,~RESPONSIBLE FOR ' DESIGN OR ¢,ONSTRUCTION ERRORS tory OF ~~.... S,S ] 'e named(.N;une ofindividual sig~g c~ntract) · ·. being duly s~vorn, deposes and says that he is the applicant : the .......................... i .......... i (Contractor, agent, corporate officer, etc.) ....... id OWner or OWners, and is dtdy out lorized to perform or have performed the said ~vork and to make and file this cation; that all statements contained iil this application are true to the best of his knoxvledge and belief; and that the will be performed in the manner set f6rth in tim application filed therewith. a to before ]ne this ....... · 74: ..... ......... / / ........ ,.. · County No- 7:~g:~?~//of New York ................ nlm,.;;-.. ,:'~-%h,.>Z3300 t (Signature of applicant) t,r.~.~;~'!neo In .ouffplk Coun~ .........