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Home My WebLink About19399-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19404 Date OCTOBER id 1990 THIS CERTIFIES that the buildin~ ALTERATION Location of Propert~ 3435 ELIJAHS ~ MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 04 Lot 7.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 14, 1990 pursuant to which Building Permit No. i9399Z dated SEPT. 14~ 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 EXTEND ROOF RAFTERS TO ROOF OVER DECK & ENTRANCE. The certificate is issued to GRACE PARKS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 TOWH OF SOUT~OLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PEIU~tlT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ 19399 Z Permission is hereby granted to: .,...~..~...~..~.~..~ .......... : ..~~........~.....~ ....... ~./...~..~.: ........ ,o at p~mise, ,~ated at ...~.~ ...... ~..~.....~~~ .............. ~ ~.~ .~.~ cou,~ T~ ~,p No. lO00 S~tio, ..... L~.2 .......... Gl~k ..... ~.~ ......... L,~ No..~r..~ ........... Building InspeCtor. Fee $.~'.~.:...;~. Building Inspector Rev. 6/30/80 BUILDING DEPARTMENT TOWNHALL 765-1802 BLDG. DEPT TOWN OFSOUTHOLD : ...... '--"~- ~PLICATION 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 buildinga, 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 %lectrical installation from Board of Fire Underwriters. $ 4. Sworn state~ent from plumber certifying that the solder used in system contains i~ less than 2/10 of 1% lead. 5. Commercial building, indus·trial 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. B. For existing buildings (p~ior to April 9, 19~) non-conforming uses, or buildings and 1. Accurate survey of property showing ali 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. C. 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 ~. puac~ C~r~ificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia~ $15..~,0, Commercial $15.00 ' · ' ,,. - Date CZ_z. . _ --~,~. ~u~__ur ~re-%x~st~ng Suilding./~ ............ ' House No. ~treet Ha~2;' p ~ . '~L. . . Onwer or Owners of roperty.. ... '''-~ ......,~...% ................................... ... cou.ty Tax .e 1000. SubdiVision ....... ~ ..... ~ ........... . ........... Filed Ma .. ' ' ' ' Permit No.J.~.~..-~J~....Date Of Permit~././~./~.~i .... P .... [~o~.3 ....... '~ ......... ~'' ,.. ' y-, ~. Appncan~.~.. ~.";V... ~..4¥/.d~..<.'.~. ~ea~th Dept. Approval ~ t '~ · ........................... Underwriters Approval ........................ ,f .. Planning BOard Approval ' [equest for: .Temporary Certificate ........... Final Certicate ~ ¢d~77 ' " ~ . .... /ob~Co · ,_~.~..~,~ · PLICANT ' '. ?~iELD FOUNDATION ( 1st ) FINAL FOUNDATION 2. ROUGH FRAME & (2nd) ADDITIONAL COMMENTS: .PLUMBING INSULATION PER N. STATE ENERGY CODE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1B02 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK SEPTIC ....... NOTIFY, ......... Examined .._~...../.~,..., 197.9 MAIL TO: ¥ 19% ...................... Approved . / Pcnnit No. Disapproved a/c ................................... .-,-. ~.~.~ Date ...... I.9 INSTRUCTIONS a,. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Ihspector, with 3 sets 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 pubIic streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is parr of this appl/- cafion o. The work covered by this application may not be commenced before issuance of Building Permit. ' d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit 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 Occupancy 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neces~k,~ insp~):tion~c~ ~ ~' ~i~ u ' ,',_v'.' .......'-: ............. · . ~,~i ~nat re o~pphcant, or name, if a corporation) (Mailing address of applicant) State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ C>i'¢. ~..,...-:-.~; .t~. , -.~-- Name of owner o remises .. ...: p. ............ . ............ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) u.- B rider s L cerise No. . . ' ,~i{ .. ~ ........ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work xvill be done: tlouse Number Street ................................................... Hamlet ' ' County Tax Map No. 1000 Section . ~O.~.r.<...~ Block .................. Lot ................ '. Subdivision ..................................... Eiled Map No ............... Lot ............... (Name) 2. S ate exis · . ' ' · tm= use and occupancy of premtses and intended use aud occupancy of proposed construction- B. Intended use and occupancy .......................... ~t~t~ttI~ ................ 3. Nature of work (check which appl{cable): New Building .......... Addition Repair. ....... ' R~mova~l .............. Demolition ......... Tennzs Court ['.'.'.':i... Accessory Building .......... Fence . 4. Estimated Cost..~.~:~.O~v! ~) ................... Fee ........ ' (to 5. If dwelling, number o£ dwelling u~its ...~ ........... Number of dwelling u If garage number of cars 6. If business, commercial or mixed Occupancy, specify nature and extent of each 7. Dimensions of existing structures,jif any: Front ............... . Rear ....... Heieht ............... Number of Stories ._ ........................ Dimensions of same structure witfi ,alterations or additions: Front .......... Depth .................... . Height ...................... Number 8. Dimensionsofentircnew~qpnstru~tion: Front ............. ii Rear ' ' ' He~eht ..... umber:of Stones ..................... 9. Siz~oflet:Front ..~[.~..c. .... !..~ ....... Rear .~ .... .. 10. Date of Purchase ........... J~..i. '} ............... Name of Former Owner 11 Zone O~r use gisti"iot-in which premises are situated .................. 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded ....... ~...1 ......... Will excess fill be re.~m 14. Name of Owner of premises (~,~4~[,~. ?h '/~]~'i · Address,~",~.~2 Name of Arcintect ; - -,...... ,,...-. ........... .... Address . ~. ........... Name of Contractor ~-.~.C;,/.~..~....~'..6L{(,~..o3.. ~...~. Address 15.Is this property located within 300 feet of a tidal · If yes, Southold TownlTrustees Permit may be require PLOT DIAGRAM Locate clearly alld dist'mcfly M1 .buildings, whether existing or proposed, and property I/nos. Give ~treet and block ~umber or description according to deed, and interiororco e ot. NEXV' K STATE ~ 1~[~ COUNTY. Q:IF .,~ · .~%4% q.'* .~:\ S.S m ..... ..... (Name of individual sigpmg contract) above named. ' ........ being drily sworn of said owner or owners, and is dilly authorized to perform or have performed application; that all statements coatained in this application are true to the best Work will be perforn~ed in the man(er set forth in the application filed therewith, S~vorn to before me th~s [ ,. ............. ..... _ ........ · . , .... Count ] .... g pool ........... ~ . · ..... Other Work; ....... ...... · e pa~d on fihng thru application) lits on each floor .............. . . ype of uso ....... ; .......... ......... Depth .., ......... ....... Rear ............... >f Stories ................... ........ Depth .............. ...... Phone No ..... d. indicate all set-back dimensions from iow street names and indicate whet~er deposes and says that he is the applicant the said work and to make I i ,f his knowledge and belief; and that the 0