The URL can be used to link to this page

Home My WebLink About19923-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19950 Date JUNE 6, 1991 THIS CERTIFIES that the building. Location of Property 235 MARATOOKARD. House No. County T~x Map No. 1000 Section 115 Subdivision ADDITION MATTITUCK~ N.Y. Street Hamlet Block 4 Lot i Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3, 1991 pursuant to which Building Permit No. 19923-Z dated JUNE 5, 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 TRELLIS WITH LEAN TOO ADDITION TO EXISTING ONE FAMILY DWELLING AS BUILT. The certificate is issued to of the aforesaid building. JOAN BRUNS (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /Budding Inspector Rev. 1/81 TOV/N 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) Ne- 1992~ Z / Date ...~.~./..~' ~"'-"' ........................................... , 19 ..~-~- Permission is hereby granted to: ~.....~..../....~.~ .... ., .......................................... ...~~..~..~.~ ...... ././..~.~ ~ . ~.._~.~...~~....~...~....~ ............................................... o, ,,~,,, ,~o,~, ...~..;..~~....................~ ...................................... ......................................... ~...~.~.~... ........................................................................................ County Tax Map No. 1000 Section ........... ././~ .... Block ...................... ~ Lot No. .Z. ................... pursuant to application dated ........ ~../.~. .................................. , 19~../..., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ILALL 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)· 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 archiuect or engineer responsible for the building. 6.Submit Planning Board Approval of completed site plan requirements. 3. 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, Addifions 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 $15.00 ~ B, ~991 Date ...................................... ew Construction ........... Old Or Pre-existing Building ................. 235 ocation of Property ....... MARATOOKA RD. MATTITUCK, N.Y. Douse No. Street Hamlet mwer or Owners of Property , JOAN BRIIN$ ~unty Ta~ Map No 1000, Section ..... 115 4 1 ......... Block ................ Lot ................... ~bdivision ............... ..................... Filed Map .......... Lot ................. ~rmit No ................ Date Of Permit ........... Applicant ................... ~alth Dept. Approval .......................... Underwriters Approval ......................... arming Board Approval .................... ,quest for: Temporary Certificate ........... Final Certicate ........... CO~-)~0 k/ APPLICANT, ' FORM NO. 1 JUN - 81991 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL,: 7G5-1g02 .......... 19 Permit No ..... mapproved a c ..................................... . .,lXmd '~. spector) APPLICATION FOR BUILDING PERMIT 80ARD O? HEALTII ......... ~i SETS OF PLA.NS .......... · .q UI~. V E ¥ ................... CHECK SEPTIC P 0 R,'I CALL Date ' INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in iuk and submitted to the Building Inspector, with 3 s 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 publ/c streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/- ion. 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 ~l 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 il 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 lding Zane Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :ulations, for the construction of bu;idings, additions or alterations, or for removal or demolition, as herein described. .' applicant agree~;, to comply with all applicable laws, ordinances, buildin,, code ousino e Wt authorized inspectors on premises and in building for necessary ~sUp~c~.°~°.usi:° ode,ppnd re~,~a,~0t~, and to '" ,,. ......................... .. i , --' ' ' ~Signature of applicant, or name, if a co~oranon) . J....ll(,J-C '3'* .. ~ (Mailin, fi addrg, s~ 9f applicant) ~ ' ' ' :e whether applicant-is Owner, lesseb, agen}., ~rchitect, engineer, general contractbr, dlectrician, plumber or builder. 3e of owner or prem ises ~'~ ~ V). ~, . ~ (as on tile t~t roil or latest deeaj ~plicant is a corporation,,~si~,tlat[l;v~ o,fid, ullk aeaflbrizcd officer (Name and title of corporate officer) B Ider s,Llcense No .......................... Plumber's License No ........... : ............. Electrician's License No ....................... Other Trade's License No ...................... ............. .... .... ouse Number Street Hamlet ounty Tax Map No. I000 Section ..... /[ .......... Block .. :bdivisinn ..................................... Filed Map No. (Name) .............. Lot ............... ate existing use and occupancy of premises anti intended use and occupancy of proposed constrnction: ' ' Existing use and occupancy ...... · . l,~.~.~ ,,~ Intended Use and occupancy ...... ' "'7/~' '~' ~ ~ ~'" ~ / / ' '* tulTe et work (check which applicable): New Building ........ r, upatr ....... . .... Removal .... · · ~,,,o,, ..... ,\lterat on ........ · I ............. uemonnon ... OherW~k' ,I. Esti, mAted Cost i .~-, ~. {~'~'e [{{ 3' i" ..... : '~' ' ' ...... (Description) . (to be pa d on this '" 5, If dwelling, number of dwelling u'nits .... Number of dwelling umts on each floor .......... · Ifgarage, numberofcars ..... , , . . . . . S. IDfi~.u~sj.n..e..s.s.._ c_o.~:!~.e~.ylaI or m,xedbccupancy' specify nature and extent of each tye of se .. i. '''' u~.,,,, ~, *cs ii any: Fro At ........ . po;,,; ,, .............. ~cb, n[ ........ · · Nu ..~. ~ .~.. . ' ..................... .uepth Dtmensmns of Same structure w~th alterations or additions: FrOnt .................................. Depth ...... , u . , ............. Rear 8. om:ens~ons otenhre new constn {:tion' Front t'/,/~.;~t_ ..... mmloe.r p] r'~t.~o.rj~5 .......... ~. . 9. -Height ..... ~' Number of'Sto es "{j' '/' 'I'":-'"' Rear .... Depth '. S ze of lot Front /O"O ............... ' ......... D · ' ..... ! .... ~ ....... Rear ~ .............................. 0. ate of Purchase . l~ 7q ......... t/. ............. Depth . . ~..J~... I. Zone or use district }j ~11 ~-~',~[~: '''q' ............. Na~e of F9,rmer Owlmr ...... ' ................. 2. Does proposed Construction v o at~ any zonine law or~;-~ '~' 3. Will otbere-raded ............. orre;tlato ,, ~ , ' ..... 4. Name of Owner of premises . i ............ Wdl excess .... . .............. Address Name of Architect i ' · .................. Phone No ................ ......... , .............. Address ................... Phone No ................ Name of Contractor ........... i.. · ....... Address ,.... '~ ............. Phon~e~ ............... 5. Is this property within 30b f'e'e't'of' a tidal wetland~ ' Yes ........ No..¥ ...... ' · If yes, Southold To~n Trustees Permit may be required. '". i PLOT DIAGRAM Locate clearly and distinctly all braidings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block nm aber or descriptiot~ according to deed, and show street names and indicate whether ~terior or comer lot. OCCUPANCy OR WJm0UT OERT)Fi ATE OF OCCUPANCY' APeD AS .O1'F. ' FEE: _ BY: 765-1802 9 AM ~ 4 PM FOR THE FOLLOWING ~NSPECTIONS: 1. FOUNDATION . ~0 REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION 4, FINAL CONSTRuC~ON MUST BE COMPLETE FOR ~.0. ALL CONS~UC~ON ~HALL ME~ THE REQUIREMEN~ OF THE ~TA~ CONS~ON & ~ERGY CODES. N~ RES~N~IB~ FOR DESIGN OR ~U~ON ERROR8 (Name of individJ:Jl signing co ~}/ac}) ......... being duly sworn, deposes and says that he is the applicant e named. . the ................. i ' , (Contract orporate officer, etc.) ' .................... id owner or owners, and is duly authorized to perform or bare performed the sakt work and to make and file this zation; that all statements contained i{~ this application are true to the best of bis knowledge and belief; and that the will be perforated in the manner set f?th in the application filed therewith. a to before me this ~On E~ires Oeoor,: L 8, ls~ . (S~gnamre of applicant)