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HomeMy WebLinkAbout19421-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19756 DATE: February 25, 1991 THIS CERTIFIES that the building ADDITION Location of Property 1945 BAYVIEW AVE. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 6 Lot 37 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 17, 1990 pursuant to which Building Permit No. 19421-Z dated SEPTEMBER 26, 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. The certificate is issued to PHILIP SAUCE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A a fit. ~.2Gy uilding Inspector Rev. 1/81 aoan[ tao. s TOWN OP 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 a Q 2 Z Date 19y1..~! Permission is hereby granted t ~a~.... . to l?,~~,-~........~~.....~ at premises located at ...........~.1~........eG~. .......................................................................n..../..^............................./.................................................... I County Tax Map No. 1000 Section /f/.f?...... Block Lot No. ,4 pursuant to application dated .........,~.~,7 19..;<.l, and approved by the Building Inspector. Fee S~t uil ing Inspector I Rev. 6/30/80 x ' ' '1 Form No. 6 e ,~,,.,.x ~ ~a ~1i TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT ~ ~z'""~"`~~~ ~ ~a~ TOWN HALL ,Y,~'~ 765 1802 ~~'-.,'y , t 41 .y E APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. B. 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. 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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction.... Old Or Pre-existing Building Location of Property..........~'~~?ceU....~::~ .......................!r?,vTrITVC/C........... House No. Street Hamlet . Onwer or Owners of Property.........~H/ct,/' sF~cicE County Tax Map No 1000, Section.....~0.~......Block....~°...........Lot.....~.~ Subdivision...Syvit6...i¢cRE3 ,Filed Map., yf. .Lot.. Permit No.. ~ 9y2~„...Date Of Permit... g~u~?~....Applicant...F:~'~::~a.. ~~D.' :c ~~`:C,,.. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...A~....... Fee S/u~bmitt1eyd^:(~ $.,~~0°,,,,,,,,,,,,,,,,,,,, ""v~ 110(.[/ ~ /'~~~~~uF/N N~O6//(iD„ LYNCy Hv..--mot SwJ e o ~ i ~ ~s ~ APPLICANT • TEL. 7G5-18Q~ ~~~~oi~. ~ << To~rrl o~~ sou~or.~ ;,~,"r,.~j' , ~ OPFiC1: OF DUILDING INSI'fCI'OR ~~~~~4 ~ P.O. BOY 1 t 7 9 , ~ TOWNIiALL ' "O ~ ~ SOliTiiOLD, N.Y. 11971 ~yo~ ~i `1.~0 Y~~~,-., Lynch Homes, Inc. 1725 Route 58 Riverhead, New York 11901 RE: PHIL SAUCE 'Po 59hom This May Concern, Ole are unable r.o complete your Certificatr_ o£ Occupancy because of the followiny reasons. /~ln application fur Certificate of Occupancy ^ is not nn file. (ENCLOSED) /,~o Underwriters Certificate on file. / the chcc;4; is;(mod/not oi~ file.) $25.oa No 11ea].th Dept. Approval on file. ' / / No final insl~rection ha:; been made. Plea:>c rontact our office on this matter. - Thank you for your cooperation. Ihcildir;g Perui.Lt.. Q 1 9 4 2 I_ Z (DECK? Building DcpL'. **kJ`-J slo Plumber :>older Certificate on file. ( a7.1 pnrmiL'c involv.i.ng plumbing beiny i~sucd after ~1pri.:l 1,1984 ) cc to: Mr. Phil Salice 244 Woodhull Ave. Port Jefferson Sta. N.Y. 11776 r _ .::s~x7~-'~rx.~+,drts:e~ei3?»ic4rF+We+~'rv;,nswtvs_..,.vs-r-~. < .„.~w.,.,,, FV+a,.i:..,swa~..t: `-~•=a,r~,.bYiks„.a..L+:awarx:.Z.:(:s '1:: Liz i".`'.. ~ .'_::;i i~J iii; ti~l E. td T.^. ,Q E- - - ~i m . ~ a ~ \ _ H OUtIDATIO"! (1st) • c 'OUNDATI011 (2nd) o ~ TOUGH FRAi~fE & PLUMBING H m n H :115ULATID;1 PER N. Y. STATE EPIERGY CODs I r ~ ~ C~ \ FZ;lAL ADDTTI011AL COMMEPITS: x x~ ~v . H n, A `UyN;",` A O N~ • ~ m r '-3 - ~ • O m ' .D H _ ~ t o~~F~ou~~o VICTOR LESSARD ~ L Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ ~ P.O. Box 1179 ~ ~ Southold, New York 1 1971 (516) 765-1802 BYO ~ FAX (516) 765-1823 j0~ ~ ~a~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 19, 1990 Mr. Phil Salice 244 Woodhull Avenue Port Jefferson, N.Y. 11777 Re: 1945 Bayview Avenue Mattituok, N.Y. SUFF. CO. TAX MAP #1000-106-6-37 Building Permit #18742-Z Dear Mr. Salice: Please be advised that the above building permit does not include deck. Permits are also required for gazebo and fence. Please contact the building department to discuss this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher, Building Inspector TJF:gar cc to: Lynch Homes, Inc. 3. Natutc of worS: (ehec3: which applicsbie): Ncw 13uitding Y Addition Nteratio ' p Remoxai Y . , . Demolition Other 1S'atk • . Re air ......1,..:... :s:t:pisor 1•• ,Y1 4. EStltnatCd Co$t ".J•`~•O•••1.......,.1, Y1Y••1'CC •1. 1......, •1x11111 {to be paid on Cling this application) 5. If dsvcllin>, nwnber of dsvelline units , • I•Iumbar of dwcUing units on each fipor . If nor«">C1 nUmi)CT of CIITS .+...1. •....•..1.... •..,......1YY., Y.,.......1..... If buslncs$. CO1nmCrClal Dr mI\Cd aCCUpanCy, spcGtfy natntC and a:~tCnt OC C0a11 typC Of U$C ~ . Dinsen$ians of existin8 structures, if any: Front Y . • , Roar . • • Depth . . Hai;itt ......,,1...... Number of Starics,.,,1,•1,11.I.Y.,Y.....Y.II.Y•,.I Y•••y.•Y•••... 11 Dimensions of same structure with aitorations or additions. 1=rant . . . . Rcar , • Depth Y Y Y Ileigitt , • Number of Stories , ~ ~ • . • Dimensions f cr~re Hero construction: Ciont ....(Q; 1Y. Rcar • • • • • . Y Depth • • • ~ • Y • • . • • . Hai„1st Num cr of Stories lV~,~.' ' : . O' %~I~•'(.t,7' `9. Sixaoflat: Front C~a•~e~` Raar, .../.Qla•R7. ...,..~Dcpth . 10, Date of Purchase Y .a • asrsc of Fprmcr Owrscr . . 11. Zona or use district in which premises arc $ituatad . , $~t~.~tt{L~4-~. • • / . • • • • • • • • • • . • • • • • , . . i Does proposed construction viotata any zoning law, ordinance ar regulation: . Nz~ • • • • • • • • • • • • • , • • • • • • . 13, 1~ iti lot be regraded , , • . SS'ill excess Cl~{b~C CCemovc~Q m premises: Yes ' 14. Name of flsvner of premises .~'n;lj p,~l?-1,d,C2 t ,bl ;eQQ,. P~c~to.:~:~~.: ?:~4? . . Addross Name of Architect . , Address bona ?game of Contractor . ~:~~G(~I.4~1::seS.~. pddxoss 3~S Co.~.3`~~,5~~:, phone iro..c~.~.~ Qp°:~, . I5.Is this prapertq laaated within ~tl4 Scot: of a tidzsl wetland? *YES.~':.ti0.... *T.P qes, Sacxthold .TaWn xXUStGes Permit' may be' raquix'ed. PLOT 17IACR.~sI+1 . Lacsta clearly and distitsetil' all buildusbs, whather existing or praposad, and.indicata all sef•back dimension, fror. property lines. Gire street and block number or description aaaording to deed, and show street names and in~.casc whcthc interior or comer lat. • • • • rti-f~ flr ~L~~~ Y©izly, s.s ~v,~rY ar : • . • , , . , , j Iacin ;duly swatrt: daposes and says that he is the aPplicar a 4~atrtc of individgal si;ning aoniraat) >ove named. ~tS t{tGY•i. Y,1., Y1Y11•.YYYY,IY I.Y Y,I I.YY• ,1Y •1 •.YY II,IIII,Y.YIII.I Y1, •..1.011Y1•\Y111Y•,.1., • (Contractor, agent, corporate offiaar, eta.) said owner or owners. and is duly autlsorixed to rarform or itavc performed tha Sail work and to make and file th ~lication: that aA statamcnts conta'sssad in tlsis application arc trua to the best of iris knowle~ga and bcIiaf; and tisat tl .:k will be pcriarntcd its tiro mattnar sat forth in tha applicatiars fllcd ihcrcwith. orn to bciorc ma this .~Yr~ .day of ...S.fP/~E,.+~€,e....., I9~d •Y a S u f~oL,C • Y County • t}• Public, • Y • NIt~IMYf~fE0FNE1NY9Al< ~ ~^naturc of applicax w1ENM~wR'ES~~2818 ~7~iL(•%/ /U~~~•' ~Y /j~ TOTRL P. Flt 1 . _ tt~8~ 90<\RA OF K LTti ~y y p? { . j ? S4TS OP {"4/1l\S ?'1.?1Yl Yl1• PORht N0. S SURVEY ~~y TOWN OP SOUTHQIq CIIECX ~ :~~,7.~, , , , , , , , EiUlLpkN.G 4HpARTM[;NT SEPTIC FORM . . . . ' ~ I' Tp1VN HALL ^i SgUTH©Lq.N.Y.11A71 NOTIrY Q~~~jj TEL.: ?G5•lIIg1 _LL . rtn ~xamincd.~~~0 ,t~.`Y GAIL TOr °;r~ ~ roved . I pl. P ~crmic Na~Q~'~I~ ~ 1 ~ " , ~ ,'r~,~ PP 4 ~isapprAYada~a 1...1,1.1,.,...1•~1.,r• ..rr•.1,11,11 ~~';t,~(\\t S~.p 1 i~`y ~ Ig54 ~ U ~y~bC~.QEPT. TOW FSC7FupU'r,,,mN~,,,, . ' ~ t3ulld'~ t spcgt r} AppL1CATiQN OR 84111giNG pERN1lT a • ~ ~ Date 1~I.....I9 ~O INST12CiC"['lQNS 1 a. Tltis application must be completely Blled 9n by type~vrItcr or in, ink and subrnittad to the Bulidin> Inspector, with cats aF plans, accurate plot plan to scale: Fee accarcling to schedute, ~ . • • • • b,.. Plot plan showtng lacatioh.oP lit and of buildings an. prctnises,xelatioushlp to adjoining' premises or public strec• ar area s, and giving a detailed descriptipn gf,lxyaut of property must be drawn on the diagrarzi which is port of this appl .at{an. " c.:The work covered by this appHc~tian may not be commenced before issuance of Building Permit. ' , d. 1Vpon appzavat of this nppiication. the Building Inspector will issued a Buflding Permit to the appGaant. ,Such pcrmi shall be kept on the premises available for irsspectian throughout the work. ~ • c. Na building shall be aeaupieii or .used in whglc dr In part far any.purpase whatever until a Certificate of Occupant; shall have been granted by the Building lnspettar: APFLICr1TTQN IS HER)MBY hIAD~ to the Building Aepartment for the issuance of a Bui}ding Permit pursuant to tit. Building zgne Otdinance of the Tawn of Southold, Suffolk County, New Xark, and other applicable Laws, Ordinan~.es a lttgulatfans, far the canstruatian of buildings,'additians az altoratinns, or foi remove! ar demolition, as herein desctibcd -ihe applicant agrees to camAIy with all appticatile laws, grdinances, building code, housing code, and rc;ulatfans, and tc admit authotzed inspectors on premisea~ and in building for necessary insp • Lions. fit-, .~~?n ~~~,H-, G~ yrl~ . < ~m~;r {Signature of applicant, or name, if a torporstian)1 • • + ~ ~ ~ ~ {Aluiling address of applicant} State•whethei applicank ijs~owner, les~ee,,agent, architect, engineer, ga.nezat contractor, aleatzician, plutnber ar builder. . i . , C ~~g;~,.11 . , . , . 1; :Varna of awnar of premises L~.. ~.~.h C`~r i . r . . . . . {as an the tax roil .or latest deed? . ~ " • if agplican: Is a cgrporation,'slgnattiie pf duly authorized nj'Picer. ` • {Nome and title of carparat~ afficer)~ Builder's Liccnsc Na. , , Plumber's License No. 0~~1~'~ r , 1rlcetrician's Lfcense No. ..~`~.~~r~• • • • • ~ • . ,4fgtharTradc Licen.,cNa. s ~l war}. will be dano• C-l i`ec~ V~e- Lgcatian pf lond on which prp osu P .house Number Stz~te ' : Han?let y p .~..Q~...f..... 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