Loading...
HomeMy WebLinkAbout19561-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19559 Date DECEMBER 5~ 1990 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 1450 WICKHAM AVENUE House No. Street County Tax Map No. 1000 Section 139 Block ~ Subdivision Filed Map No. MATTITUCK, NEW YOR_K Hamlet Lot 47 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 3, 1990 Building Permit No. 19561-Z pursuant to which dated DECEMBER 4, 1990 was issued, and conforms to all of the requirements of %he applicable provisions of the law. The occupancy for which this certificate is issued is EXISTING ACCESSORY STORAGE STRUCTURE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid buildinq. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A PETER & CYNTHIA WADELTON Bualdlng Inspector Rev. 1/81 i~O~3J[ NO. ~ TOWN O~ $OUTHOLD BUILDING D£PARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PER, MIT (THIS PERMIT MUST BE KEPT ON THE PREM]SES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 19561 Z Permission is hereby granted to: ...~...~..~...~.~:~.....~,,.~.....~., .~ ,.....%.~..~. ..... ~,~' ' .-..'..~ ............................................ .....~.~.~ .... ..~..:~... .... ,..~..~..~.~ ........ .,~.~.~.~,~..~.~.~ ....................... , ..... ~...~ ......... ~ ................ ~ ............... ?.~ ..... ..;. .......... ~,,r,~,,,,,~,,~ ~, ...L~.~ ..... .~.~~.~~...:. ........ ~.~.~ ........ County Tax Map No. 1000 Section .... J....~.~. ........ Block ...... ..~.....~.., ...... Lot No ...... ..~..7.. ........... pursuant to application doted ~.'i.'."~,~g.~.....~.. · ..... ~ .......... , lO..?...~,., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 December 2, 1990 BLDG. TOWN OF so._uq?~ot Southold Town Building Dept. Main Road Southold, New York 11971 RE: Application for Certificate of Occupancy Premises: 1450 (fmly 1370) Wickham Ave. Mattituck, New York SCTM# lO00-139.00-03.00-Lot 047.000 Sirs/Madam: In connection with my client's application for a Certificate of Occupancy for a shed on the above premises, I have enclosed the following: 1. Application for Building Permit 2. Application for Certificate of Occupancy 3. Consent to Inspection 4. Survey dated 6/26/80 showin~ shed 5. $50.00 fee for building permit and C.O. (ck #4664) I have also enclosed check #4665 in the amount of $50.00 to obtain an amended Certificate of Occupancy. Please amend Certificate of Occupancy No. Z 1016(cop¥ attached) to include ~the detached ga_r_age .... Please advise me if there is anything further you need to obtain the above. Don~d M. McGayhey DM~: sgm encs. TOWN O~$OUT~OLO, -- APPI.,IOATIO~ ['OF, CERTTFIOATI;: OF 0CCUPAHC'Y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. 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 11/19/90 Date ................................. .. .. ... . ~ew Construction ........... Old Or Pre-existing Building .......... . ....- . ,ocation of Property..%~9 (~y,1370)Wickham Ave.~ Mattituck, New York House No. Street Hamlet Peter B Wadelton and Cynthia L Wadelton ,nwer or Owners of Property ...... ' . ' ' ;ounty Tax Map No 1000, Section.~.'PP. ...... Block..PP;9? ......... Lot.9~:999 .............. ,ubdivision ...................... Filed Map Lot 'ermit No Date Of Permit Applicant 'ealth Dept Approval Underwriters Approval lanning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate .... ~ ...... APPLICANT FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-19560 Date DECEMBER 5, 1990 THIS CERTIFIES that the building. Location of Property 1450 WICKHAMAVE. House No. County Tax Map No. 1000 Section 139 Subdivision ONE FAMILY DWELLING Street Block 3 Filed Map No. MATTITUCK, NEW YORK Hamlet Lot 47 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 1960 pursuant to which Building Permit No. i180-Z dated SEPTEMBER 23~ 1960 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 ONE FAMILY DWELLING WITH DETACHED GARAGE * The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A PETER B. & CYNTHIA L. WADELTON *THIS CO UPDATES CO Z-1016 DATED MARCH 15, i961. Bui lng Inspector Rev. 1/81 Form No. 6 , i~: ~ ~ ~ ~ APPLICATION FOR CERTIFICATE OF OCCUEANCY TOkrN OF SOUTHOLD BUILDING DEPARTMENT TOWN RALL 765-1802 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. J · 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 .... ....................... .. .. . ~ew Construction Old Or Pre existing Building - ,ocation of Property 1.4..5.0 (f.,.l.ly !3..793 Wickham Ave., Mattituck .New .Y.o,r.~ House No. Street Hamlet Inwer or Owners of Property..P.e.t.e.r.B. Wadelton and Cynthia L. Wa.d.e.lto. n. ~ounty Tax Map No 1000, Section..1.3.9...0.0. .... Block..0.3..0.0 Lot 047.000 ,ubdivision .................................. - . Filed Map ............ Lot ..................... . 'ermit No Date Of Permit Applicant [ealth Dept. Approval ...................... .... Underwriters Approval...~ ..................... lanning Board Approval ................. .... ... equest for: Temporary Certificate ........ ... Final Certicate .... ~ ...... APPLICANT FOUNDATION ( 1 st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF soUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHQL.~.. L~L,¥. Ltq7 'L TEL.: 765.1802 Approve ..... 19~P. Pc~it No..I.~.1. Disapproved ale ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. CALL ................... MAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to thc Building I~p~_ctor, wi. ti sets of pl~nn, :u:curata plot plan to scale. ~ according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public strc: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is parr of th.is apl: cation. c. The ~vork covered by th/s application may not be commenced before issuance of Building Permit. si. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perrr 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 m3y 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 pu.'xuant to t.~ Building Zone Ordinance of the Town of Southold. Suffolk County. New York, and other applicable Laws. Ordinances r Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describm The applicant agrees to comply with all applicab"le laws, ordinances, building code, housin~ code, and regulations, and t admit authohzed, i.nspectoz~ on premises and in building for necessary inspectionS. ,' / / ,,f / . . (Signatur~'of applicant, or name, if a corporanon) (Mailin~ address of applicant) State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Owner Peter B Wadelton' and Cvnthia/Wadelton Name of owner of premises ' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. · ~ame =nd title of co';rate Builder's License No ........................... Plmnber's License No ......................... Electric an s L cease No ....................... Other Trade's License No 1. Location of land on which proposed work will be done; 1450 (fmly 1370) Wickham Avenue., Mattituck, New York House Number' Street ............................. Hmnlet County Tax Map No. 1000 Section 1.39 . .. ' Block 03.)0 .. Lo~ 047. 000 ,' Subdivision ..................................... Filed Map No. . ....... Lot .. (Name) 2. St;ut existing .se and occupancy of premises and intended use and occupancy of proposed construction: A Existing use and occupancy ......... Accessory Structure (Existing) B Intended use and occupancy ...... 3. Nature of work (check which a cable: New Building .......... Addition ......... ,'alteration ....... ~.. Repair' Rbmfval Demolition Swinuaing pool. Tennis Court ......... IAecessory Building ~i Other i ......... Fence ....... Work; ......... 4. E~timated Cost ........... · ~ ......................... Fee ....$.~, 9P ........................... ,i (La hc paid on filing this a~plication) S If dwelling number ofdwcliing;units Number of dwelling units on each floor If garage number of cars ' 6. If business, commercial or mixe~ occupancy, specify nature and extent of each type of use .................... 7. Dimensions of exm~,~ ..F[ont . . , ............ Rear .......... Depth ........ Dimensions of same stmctur~ w.~th affl~tmns or additions: Front ..... ~ ..... Rear .......... Depth .......... ~ ~.. ~ }Ief~t .......... Number of Stories ..... 8. Dimensions of criterion Uon.,Front Rear .............. ............. ~umber oP StoNes ........... , .... Rear .5~.A3 ............... 10. DateofPurchase .~/yp~4...i222[f2 ........ Name of Fo~er Owner V 1 I. Zone or use district in which pr~mises are situated 12. Does proposed construction vioiate any zoning law ordinance , or regulation: ............................ · .- 13. WHllot berenraded . . i ' 14. N~e of O,v~cr Of pre~ey~?E::; ......... .J' ....AddreeeWill excess~ickhamfill be removedAve, from pr~:298_. ....... . ........... Phone No .............. N~e of Architect ......... ; .......... ~ ...... Address ~~. ........ Phone No ............... N~e of Contractor ........ ~ .... · ..... Address ................... Phone No .... '; .... ~ .... · If yes, Southold Tow~ Trustees Permit may be required. PLOT DIAG~M Locate cle~ly ~d dist~ctly al bulldogs, whether existing or proposed, ~d. indicatc MI set-back prope~y Hnes. Giw street ~d blocknumber or descgption accord~g to ~cd, ~d show street n~es and ~dieate w:::::. mt~nor or comer lot. SEE ATTACHED S~VEY APPRO, VED AS' NOTED FEE: ,, N~IFY BUILDING DEPARTMENT AT 766-1802 9 AB TO 4I'PM FOR THE, FOLLOWING:INSPECTIONS: 1, FOUNOATION TWO FO~ POURED CONCRETE 2. ~OUGH - FRAMINGi & PLUMBING 3. INSULATIO~ 4, FINAL CONSTR:UCTION MUST BE COMPLET~ FOR ~; O ALL CONSTRUCTION ~SNALL MEET THE R~QUI~EM~NTS~OF THE N,Y, STATE CONST~UCTIO & ENERGY CODES, NOT ~fSP(~NSIBL~ FOR DESIGN O~ CONSTRU( :TION STATE OF NEW YORK, COUNTY OF ............ . .. .. . (Nameofindividualsig above named. S.S liug contract} being duly sworn, deposes and says that he is the applies: He is tile.' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dully authorized to pc;form or have performed tile said work and to make and file th application: that all statements con!ained in this application are true to the best of his knowledge and belief; and that work will be perl'ormed in tile manner set forth in tile application filed therewith. Sworn to before me this ........................ day oT ...................... 19 Notary Public County (Signature of applican