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HomeMy WebLinkAbout19414-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19918 Date MAY 20, 1991 THIS CERTIFIES that the buildin~ ADDITION Location of Property 160 SEBASTIAN COVE ROAD House No. Street County Tax Map No. 1000 Section 107 Block I Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 24 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 18~ 1990 pursuant to which Building Permit No. 19414-Z dated SEPTEMBER 25~ 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROV~ N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 LEON & PAULINE KREMENTZ //uil~ing Inspector FOB,M NO. 0 TOWN OF SO~T~Ot.O BUILDING DEPARTMENT TOWN HALL ~OUTttOL,D~ bi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne- 1 941,; Z Permission is hereby granted to: ~. .z~......¥.~/~....~..~ ~/.'~...~:~:...,...~/..~ . at p,e~,,,,~ated o,...Z~..~. ...... .~~ ....... ~......~ .............................. Cou,ty Tax Mop No. ~000 Sec,o, ..... /~...,Z.. ...... BIo~k .......... /. ........ Lot No ...... ~ ....... pursuant to application doted ...~ .~... ................ ~ .................. ,., 19,~..:~.., and approved by the Building Inspector. Fee $..~..~ Rev. 6/30/80 Form No. 6 .; ~. ~ . i. TOWN OF SOUTIIOLD ~ ' ~ ~ I ~ BUILDING DEPARTMENT :.:' I 61991 TOWN ALL ~v~WN'O~ SOUS~? ~t ......... ~ ~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 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. Co~erciai 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 si~e 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 applican¢. 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. Dste ..................... ~ew Construetion.....~. ..... Old Or Pre-existing Building ................. Location of Property .... /~..~. .............. ~¢~z~...~¢..../~.. ....... /~.4~.... House No. Street Hamlet .)nwer or Owners of Property ............. ]ounty Tax Map No 1000, Section..~.~..~. ...... Block .... ~Z ........ Lot...~.~. ............... ;ubdivision .................................... Filed Map ............ Lot .............. ~ ....... 'ermit No../.f.?'/.~..~..Date Of Permit. ~.~.=~6'7. v~.~..Applicant.. ~.¢p~...~,~ f/~ .... £ealth Dept. Approval .......................... Underwriters Approval ......................... 'lanning Board Approw, 1 ........................ ',equost for: Temporary Certificate ........... Final Certicate ........... 'ee Submitted: ........................ AeFL~ANT TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN }{ALL SOUTItOL~), N.Y. 11971 May 2, 1991 LEON & PALrLINEILR19~NTZ 160 SEBASTIAN COVE RI). MATTI~ICK, N.Y. 11952 TEL. ~,765-1802 To Whom This May Co,~cern, We are unable to complete your Certificate of Occupancy because .of the following reasons. //An application for Certificate of Occupancy is not on file. (ENCLOSED) /_--//No Underwriters Certificate on file. /7 The check is(cX~l~/not on file.) $25.00 /-_/ No flealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on Thank you for your cooperation. Building Permit It ! 9 4 ! 4 Building Dept. ***/5/ this matter. Z No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 ]May 2, 1991 LEON & PAULINE KREMENTZ 160 SEBASTIAN COVE RD. MATTITUCK, N.Y. ] 1952 TEL?765-1802 To Whom This May Cogcern, We are unable ko complete your Certificate of Occupancy becauso .of the following reasons. / /? An application for Certificate of Occupancy is not on file. (ENCLOSED) /~//~o Underwriters Certificate on file. /~-/ ~he check is(oXq~/not on file.) $25.00 /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit St I 9 4 I 4 Duildinq Dept. ***/~/ Z No Plumber Selcter Certificate on file. ' ( all permits involving plumbing being issucd after April 1,19~4 ) 110 MAIN STREET * PORT WASHINGTON, N.Y. 11050 * (516} 944-3700 MEMO TO: DATE MEMO FROM: T~/,E DIME DOES IT.~LL AND DOES IT I'¢ELL! 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~F~.FINAL DATE INSPECTOR ?OUNDA~ION (1st) ?OUNDATION _!2nd ) ~OUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE FILIAL ADDITIONA'L COMMENTS FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 ~.~.~...~.. TEL.: 765.1802 Examined · · , ....., 19 ~.~ ^pproved ..., l,,¢?.Permit /2 ...... Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK SEPTIC ....... NOTIFY~ CALL .... INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to tlie Building Ihspector, with 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 public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/- cation. c. 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 ~hall be kept on the premises available for inspection throuv, hout the work. e. No building shall be occupied or used in whole or i~n part for a.ny 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 ~:emoval 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 necessary i spection · . (Si=nature of hplJli~7 or fi~n~e', (Mailing address of applicant) State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name ore,vnet ofpreml= ..... ..................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .... (Name and title of co'orate of~cer') ........ Builder's License No .... ~./ff~. zq4'. ~..~. ........... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on wlffch proposed work will be done; · ..... .o .... ........ . /_, ............................ }louse Number Street, Hmnlet " Map No I000 Section /..~./~'.. Block /. z~;f. , County Tax ........... . ............... Lot ........... ,... Subdiv s on .................................... Riled Map No. (Nzane) .............. Lot ............... 2. State existing use and occupancy of premises and intended use and occnpancy of proposed construction: A. Existing use and occupancy...JSP/".d.x, ff~ .~*... ~r~r'/~...'.... ............. B. Intended use and occupancy. .~.~¢~. ... O/~le-...../f4'. 7 ~.~-~'.~. ': .,.~.,q/~J..~./,~ ....... 3. Nature of work (check which app!icable): New Bui ding .......... Addition .......... Alteration ......... '. · R ' R~em v, al D '' Swmm_n OD epa:r .............. o .............. cmo ion ............ o P ....., . ,,.,.'' Tennis Court ......... A~ccessory Building .......... Fence ....... Other Work~.~. 4 Estim d C ~o : (to be paid on filing this application) ' N 5. If dwelling, number of dwelling units ............... amber of dwelling units on each floor ................. If garage number of cars J ............ 6. If business, commercial or mixedioccupancy, specify nature and extent of each type of use ...................... 7 .... ~ if any' Front Rear ..... · . Dimensions of eXlstmg stmctures~, · · ·, ................................. Height ............... Number of Stores ............................ · ............. Dimensions of same structure ..... · Front Rear w~[h alteratmns or addmons ..................................... Depth ' ~ HeiSt Number of Stories ................ ' ' ' ' Front Rear Depth 8. D~menmons of entire new constn~ctton: .............................................. Height Number of Stories ' Depth ....... 9. Size of lot: Front;, .~..,' ................. Rear ............... 10. Date of Purchase ,. ~Za/~ ~Z ............... Name of Fo~ner Owner .~a~.~ .... ~<~... ~ · 1 I. Zone or use district in which premises are situated.. ~.e.~ t ~<~ ~q~ ......... ; ...................... 12 Does proposed construction viol~te any zoning law ordinance or regulation: ~ - 13. W~I lot be regraded . ~ .... [ ....... ~ ......... Will excess fill be,removed from premises: . Ye~ .... No.. N~e of Architect Address Phone No · ·. Nme of Contractor i ' Address Phone No · 15.Is this property loeaged within 300 feet of a tidal wetland.* *YES .... NO .... · If yes, Southold Town~ Trustees Permit may be required. ~ PLOT DIAG~M Locate cle~ly ~d dist~ctly fll~bu~d~gs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y Enes. Give street ~d block ~umber or description according to deed, ~d show street ames and ~dicate whether interior or comer lot. ~ , , /, ~ ~ ~ ' ~ ~ r~ -. FEE', ...... BY: ,, NOTIFY BUILDING DEPARTMENT i AT 76~-1802 9 AM ~ 4 PM FOR THE FOLLOWING iNSPECTIONS: ~ I. FOUNDATION ~ ~OREQUIRED For~ pou~t) co~c~r~ 2, ~OUGH - FRAMING ~ PLUMBING 4. FINAL .- CONSIR~mN..M~T ........ BE COMPLETE FOR C,O. : STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORs or s.s COUNTY OF ................ ................................................ being duly sworn, deposes ~d says that he is the applicant (Name of md~wdual s gmng contract) above na~ed. (Contractor, agent, corporate officer, ctc,) of said owner or owners, ~d is d}dy authorized to perform or Imve performed thc smd work and to m~e and file this application; that all statements co,rained in this application are true to the best of his knowledge and belief; and that the work wUl be perfommd in the m~er set forth in th~ application filed therewith, Sworn to before me this Note, Public ...... ~.. ~ ....... County .. . ..... (Sigfiature of applic - lOT 4 STK, JET MAP .Oh' · MATTIT'WCK r o WN .O~. SO ur HO~ ~ sU,,"F ,~. ~,, .,vz v:'