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Home My WebLink About19514-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buiidinq Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219511 Date NOV. 15, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1350 CAPTAIN KIDD DRIVE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 10b Block 002 Lot 044 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 9 1990 pursuant to which Building Permit No. I9`~14Z dated NOV. 15, 1990 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 EXISTENG ONE FAMILY DWELLING. The certificate is issued to ARLINE G. RIESE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A i ding Inspector Rev. 1/81 ,roast xo. s 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°- 19514 Z Date .....rl~~l.~ .9~. Permission is hereby gra/n~t~ed/t~o: r w'L.f.P~f1.~~...R.~/r....~4~'~r~ to .6' of premises located at ......~.~c~.v..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section Block Lot No.........~.7..... pursuant to applieation dated ........~/.~~y~ 19.~.P., and approved by the Building Inspector. xx d~ Fee ;..~.:/..Q.. /uil ' g Inspector Rev. 6/30/80 ~ z Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ` TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY :1. 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. i. 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, 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 Date ~/;~~9~ ;ew Construction... Old Or Pre-existing Building~./. .ocation of Property.. /35"?~.,,,,,,.....~~¢'~~~,Q:~..!(.?Ol ...........::.1•`:%. House No. y Street Hamlet sU t Jnwer or Owners of Property......... C:~:t.~-S-z~R.-. .4Q'?~2' :ounty Tax Map No 1000, Section... /G~ ......Block......~........Lot..'7.7 ;ubdivisionyn .........................Filed Map............Lot...................... 'ermit No./.9 6.!~~....Date Of Permit. ~l~ a/~~....Applicant iealth Dept. Approval..... ............Underwriters Approval.. Tanning Board Approval....,. /~/.'Y equest for: Temporary Ce~r/t/ificate........... Final Certicate........... 'ee Submitte~ $...°.?S..S-~`.'~.:~~:bl.......... .~.v~.:.~~.~ n ~ (tea-c_. ~4 C O 2 ~ /rS/f APPLICANT ii/~3/90 CR4ss r, i„„ I S~P~C ~l' b 13t ~ gg~ a.~y q q~ ~/Y 7~ ~<<v;iwL 2y~o J"-LOC.R JuisrJ' Ctrnc .~T' I~~c'i't7 .3 Y°''i ~J FIJ`U li :c .wO f..b lJt t. ~ G" pK~~r,~~ i~ ~ G.-' c' A r ~7 I _ _ _ i~ _ i . ~O NW f) E ~ E ~ ~ ~ . j ~~li„ P, ~ r Tr «s NM,,t t~ ~ L UN~cN R~n~.... ~-~oin~~ froe~iw M C~oil# Pv'P3~ ~xti PoS~r W h ce. i ~ ` V1 1 ~ ' = o J 1., t.. w v ~ cy 1 1 ~ to I ~ 1~ o ~ ~ ~ z w ~ ~ 1 ~ l~l ` Y _y i 4 ' ~v Q v ~ ~ ~ d N ~ d, ~ ~ l1~ ~ V ~a ~ C'W d 4~ tt i~t ~~y~ ~ = 1 t i7 f 4 N pW41~ f- z g ~ '-c" 4 ~k? ~,~x^ ~,x.. 5 ~ . ~ ~f, `o . -lT~{ ~ ~ O ..o V ~ ~`c' zj.r ~ 2~ ~cw~&- ''1 ~ ~ r~ t~ i~ ~i~. G~ `tfM.tau~.i= ¢R~pOSF ~J i~ BOARD OF HEALTR C~ ~~~~h,,r=~; ~!",i~f , 3 3 SETS OF PL.1NS • • • • ~ t`j FORM NO.1 SURVEY TOWN OF SOUTHOLD h~IIECK ~9~ QU{LD1NG DEPARTMENT SEPTIC PORPI ~ t y,~§~~~-,`~i TOWN HALL BLDG. OtN'T. $OUTHQL.D, I~L.Y_ 11271 t.aT I PY ~ TOWN OF SUUTHOLI7 TEL.: 7G5~1II02 CALL Examined . I/~''.//........, 19p~Q MAIL T 0 • • • • . Approved ..~~,/!7........, 197. ~ Permit No. ~~iy/Y~ . DisapProvcda/c// . D of ~ ~ ~~yf~o (Bui no Inspector) APPLICATION FOR BUILDING PERNIIT ll Date (.9.. 75~L INSTRUCTIONS a, Tlris application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plate, accurate plot plan to scale. Fee acconfiing to schedute. b. Plot plan showing location of lot and of buildings on premises, relationship to ad}oining premises or public stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app. . cation. c. The tivork covered by this application may not be commenced before issuance of Building Permit. -d. Upon approval of tltis application, the Building Inspector will issued a Building Permit to the applicant. Such perm 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 Occupant 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describes Tate applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tc admit authorized inspectors on premises and in building for necessary i spections. ~ ~ ' 4~. Q-'+7.~- . . (Signature of applicant, or name, if a corporatton) (D ailing address of applicant) 1 i `7 State whether app]cant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 4~-:~,~~~~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_~.~~':~~.~5-?'~-~-~~~ Plumber's License No . . Electrician's License No . . ' Outer Trade's License No . . 1. Location of land on which proposed work will be done; Slouse Numbc~?y~~ Street. ~SHamlet • • County Tax Afap No. 1000 Section t.~ ~P......... Black , , , , , , , • , Lot ..y :7:........ • Subdivision F.ilcd Plap No. Lot . ..lN:uncj . Stttc c~isting use and occupancy of premises and intended use and occupancy otprop-{o-steed construction: A. Existing use and occupancy. `~;~'s-~: fl B. Intended use and occupancy.~..Y•~~'i•h~r'~~• • • • C7z~~~y~~ { 3, Nature ohvork (check which dppiicable): New building Addition . Alteration , Repair RFnoval Demolition .......Swims Pool . Tennis Court• Accessor , , , , , , , , y Building. .Fence .Other Work:, 4. Estimated Cost ~ ~ Dom...' Fee . (in be paid.Qq_(tliilg.t)lis.aAplication~ 5. IC dwelling, number of dwcllin~ units 1.......... Number oC dwelling units on each floor . If garace, number of cars . ,4":~c'ti.Q , 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dintcnsions of existing structu~cs, if any: Front . Rear Depth . , , , , , , , , , , , , , Hcigltt ...............Nu~nbcroCStorics....................................................... Dimensions of same structure with alterations or additions: Front Rcar . Depth Height ......................Nuntbcro(Stories.............'........ 8. Dimensions of entire new cons~tntction: Front Rcar Depth , , . , Height Nujttber of Stories o'......... . 9. Size of let: Front Rcar Dcp'th 10. Date of Purchase . . ...Name of Former Owner . 1 1. Zone or use district in which premises are situated . 12. Daes proposed construction viblatc any zoning law, ordinance or regulation : ~ , 13, Will lot be regraded .~,Y , , , , ,Will excess fill be remove from premises' Yc•6~ • . • , 14. Name of Owner of premises ~'l~,tmC.~l„~-tQ p~ , , .Address J.`.3 ~C : ~~~Il Phone No~~~: ~ J• . Name of Architect • . Addressl~r~Z.l .....Phone No... • . Name of Contractor . , , ...Address . .Phone No.. , . . LS_Ls this property Loc',ated with in.3pp feet of•a tidal•wetland? ^YGS....NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA64 Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimension:; is , - property lines. Give street and blocl: number or description according to deed, and show street names and indicate a::c::. interior or corner lot. ~/p ~ 1/ AS INOTED . DATE:. 9,° B.R # ~1s`~ ~ FEE: BY:~ NO'ffFY BU( G OEPART TAT ,765.1£301 9 AM TO 4 PM FOR THE FOLt.tDWINC, lN88~ECTIONS: 1. FOUNDATION ~ TWp REQUIRED FOR POURED CONCRETE 2. ROUGH • FRAMING ~ PLUMBING, 3. INSULATION 4. FINAL - CONSTRUCTION MUST • BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION A ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATL• OF NE YO^~,1;, COUNTY OF~~.4a.1t_~.,.... , S.S (Name of individual sip ' ' ' ' ' ' • • • • being duly sworn, deposes and says that he is the applica: • • }niitg contract) . about named. Hcisthc ' (Contractor, agent, corporate officer, cte.)• ~ ~ • • • • • ~ ~ • • of said owner or owners, and is djily authorized to perform or have performed the said work and to make and file tl application; that all statements cor?tained in this application arc true to the best of his knowledge and belie!; and that U work will be pcr!'orntcd in tlic manner set forth in [hc application filed therewith. Swom to bciorc me this ~ ........day Qf ~t4'~?~;ti...... 19 .~l Notary Public, ....IACC.L~P~I•!.Lt::.N•4:r/K~.......... County N~LEN K. DE VDE ~ ~Q,t~/y~ ~ . NDTARY PU841C, State of New Yak • • • • • • • • No.41D7878, SutlolkCeunty I (Si;nature of applican Term Expires March 30,1 , i