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HomeMy WebLinkAbout19456-zFORM NO. 4 TOW/q OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20065 Date JULY 11~ 1991 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 260 ELIJAH LANE MATTITUCK, N.Y. House No. Street County Tax Map No. 1000 Section 108 Block 3 Lot H~let 5.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 13, 1990 pursuant to which Building Permit No. 19456-Z dated OCTOBER 12~ 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 ACCESSORY HORSE BARN & FENCE AS APPLIED FOR. 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 WILLIAM & EILEEN VILLANO · // ~uilding Inspector Rev. 1/81 · 0~3~[ NO. ~1 TOWN 01: $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, Ho Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ 1945C 7. Permission is hereby granted to: ~....'.~..~...~...~..../..~.~... ............ ....... .~.~~.....,.~.~, ,o ..~~...~ ....... ~~:...~...../...~.....~ ......... _~.~ ........ ~ ........ ~~......~ ................................................................... at premises I~ated at .....~ ......... ~~..~ ............................................. ..................................................... .................................................................... Co~ Tox M~p No. ~000 S~t~on ....~.~ ...... B~k ........... ~ ..... Lot No ......... .~.~.. pu~uant to application dat~ .......... ~.~ ............................. , J9 ...... an~ appr~ by the Building Inspector. Fee $..~...~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTblENT TOWN IL~LL 765-1802 APPLICATION FOR CERTIFICATE OF!occUPANC TOWN OF SOUTNOLD [[ \. 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 instal, lation 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 C'~pliance from archiuect or engineer responsible for the building. 6. Submi[ Planning Board Approval of completed site plan requirements. ;. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-exzsting' 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 Inspecfior shall state the reasons therefor in writing to the applicant. .. Fees 1 Certificate of Occupancy - New dwelling $25 O0~A]~' Alterations to dwelling $25.00, Swimming pool $~5'~ .uo, Accessory buildiug $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing BuildJng _ $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 ew Construction ......... Old Or Pre-existing Building ocation of Property.. ....... House No. · .... Street ................ ~wer or Owners of Property .... .~..~ .~. 4 ~unty Tax Nap No i000, Section. . .Block. O~ ............... · .. .l alth Dept. Approval .... ' ...... ...... ~ Underwriters Approval anning Board Approval quest for: Temporary Certificate ....... Fi ~ .... nal Certicate. . Submitted: $ ..... TOWN OF $0UTHOLD OFFICE OF BUILDING IN~'PECTOR P.O. BOX 728 TOWN ttALL SOUTItOL~), N.Y. 11971 Hay 2, 1191 TEL;365-1802 Bill & Eileen Villano 260 glijahs Lane Hattituck, N.Y. 11952 To Whom This May Co,ncern, 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. /~/ The check is(~Xnot on file.) $25.00 /5/ No IIealth Dept. Approval on file. /5/ No final ins.pection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit tt I 9 4 5 6 Z Buildinq Dept. ***/5/ biO Pluinber Sol. der CoKtificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & -FLUMBING INSULATION PER N. STATE ENERGY CODE FI;;AL ADDITIONA'L COMMENTS: FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y, NOTICE OF DISAPPROVAL PLE^S~ T^K~ NOT~CE that your application dated for pe~it to ~%.~ . ~. ~.~ .~,q . .~..~.. ~ ..... at Location of Property . Ho~o ~o. ~ ' ~/~;i ' ' County Tax Map No. 1000 Section ... } ~.~... Block ~.~ ........ Lot ~' ~ .... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the follow/ng grounds . ~az.,.~~.5. ~..~..~.~ ~..~. Building Inspector RV 1/80 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765.1802 Examined · .¢ ........... 19 .~.~.. Approved./~/../.'~. ...... , 19 .~.-~Y. Permit No..ff..~/f, ff..~..~['~ Disapp?oved a/c ..................................... BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK · ); fi ............. SEPTIC ............ NOTIFY~ MAIL TO: INSTRUCTIONS a. Tiffs application must be completely filled in by type~vriter 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 publ/c streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. ¢. 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 applfcant. 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. Tile 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 inspections. (Signature of hpplicant, or name, if a corporanon) '(Mailing address of applicant) . State whether applicant i lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done; '- House Number Street. Hamlet ' ' County Tax Map No 1000 Section } ID"~ Block .C).~ 5f ¢ Lot ' Subdivision ..................................... Riled Map No ............... Lot ........ (Name) ....... 2. State existing use and occupancy of premises and intended nsc and occupancy of proposed construction: A. Existing use and occupancy...~...~.. ............... : ........ , ........................... B. Intended use and occupancy.6,J.~a..[.~l..;(. ! .'~.'.~.rx..C.(~...'/~..~_~. ................... Nature of work (check which applicable): New Building Addition Alteration '. Repair. ........ ...~mo.Val ......... ; ..;. Demolition ............. Sw mining poo? .............. Tennis Court .'.'.';~] .. ~ccessory Bulldxng .......... Fence . 4.,~'...Other Work;~t\ 4. Estimated Cost .,.i~,~..I ........................ Fee ..................................... ' ' (to be paid on filing this application) 5. If dwelling, number of dwe ng ffnits ............... Number of dwdling units on each floor ................ If garage,, number of cars ..... I .................................................................. 6. If business, commercial or mixedloccupancy, specify nature and extent of each type of use ..................... ?. D,mens'onsofexisting,=cture ,,ifany:Front. ............... . ............... Height Number of Stones . · · Dimensions of same structure " ' or additions: Front Rear with alterattons ................................. ' Number of Stories Depth ~ Height ............. ' Depth 8. Dimensions of entire new construction: Front ............... Rear ........................... Height Number of Stones Size of lot: Front ~ Rear Depth Date of Purchase ! Name of Former Owner ........ Zone or use district in which premises are mtuated .................................................... Does proposed construction violets any zoning law, ordinance or regulation: ................................ Willlot be regraded ........ i ............ . . . .. . Will excess fill be removed from premises: . Yes .... No.. Name of Owner of premises ' Address Phone No · Name of Architect .l. Address. Phone No ................ Name of Contractor I ' Address Phone No 15.Is this property loea~ted within 300 feet of a tidal wetland? *YES .... NO .... ~If yes, Southold Tow4 Trustees Permit may be required. , PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and. indicate all set-back dimensions from* property lines, Give street and block inumber or description according to deed, and show street names and indicate whether, interior or comer lot. I 10. 11. 12. 13. 14. STATE OF NEW YORK, S.S COUNTY OF ................ .......... ~"t ................... being du sworn, eposes and says that he is the a cant (Name of individual s'~nmg contract) above named. late is the I ' · ) i (Contractor, agent, corporate officer, etc. of said owner or owners, and is diily anthorized to pe,rform or have performed tbs said work and to make and file thi~ application: that all statements contained in this application are true to the best of his knowledge and belief; and that tho- ~vork will be performed in the man6er set forth in the application filed therewith. S~vorn to before me this i ........................ day pf ...................... 19 · Notary Public ........... ~ ........... County NOTARY PUBlIC, State 0L (Signature of applicant now or formerly Edward SandbereJ HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT a ~EAR¢sT W~'e~ "~m__U~. -* #SOURCE OF NOTE: ~= MONOMENT ~ : STAKE SUBDIVISION M~P FILED IN THE OF THE CLERK OF SUFFOLK COUNTY ON 0CT. 7~1977 AS FILE NO. 6609. MAIN ROAD 5~,~ so ~ SURVEY FOR WILLIAM VlLLANO. & EILE,E,N VlLLANO LOT NO.2"GREENBRIAR ACRES' AT MATTITUCK TOV/N OF SOUTHOLD SUFFOLK COUNTY, NEW YORK MAR. $~1988 SEPT. i7~ 1987 DATE' JUNE 25, 1987 SCALE: t"= 40~ NO, 87 ' 690 ~4 LJ~AUTHORIZEO' ~,LTERATION OR AOOLTION TO THIS r GUAR . ' E~~MPANY' Jh].YOUNG YOUNG RIVERHEAD, NEW YORK ALDEN W, YOUNG; PROFESSIONAL ENGINEER AND [/AND SURVEYOR NY.S, UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR N.Y.~,' LICENSE N0.45893