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HomeMy WebLinkAbout19287-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23332 Date NOVEMBER 7, 1994 THIS CERTIFIES that the building. ADDITION Location of Property 2475 COX NECK ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 7 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25, 1990 ~ursuant to which Building Permit No. 19287-Z dated AUGUST 1, 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 FIMEPLACE & CHIMNEY ADDITION TO EXISTING ONE FAMILY DWELLING AS A~PLIED FOE The certificate is issued to MARY CATHERINE HINDERLITER (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 TOWN OF BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~'28'/ Z Dote ....~..~.~.~ ........ ~ ........... ! 9..~...~. Permission is hereby granted to: , _ ~, '~ ....~- ~....~..~...~. ....... : ......................................... -~ ~.~~.....u.:.~..:......u..~...~.~ ........ .......... ......... at p ' o~ d a ....... .~ ......................... ~ .......... ~.)~. ............... cou,,ty Tax Mop No. ~ooo Section ..... .~.!.~ .......... B,o~k .....~ ........... Lot No....~ ............. pur~uont tO oppli¢otton dot~-~l .................... .~ .............. , 19..~..~..~ ~nd appro¥~d blt Building Inspector, Building Inspector Rev. 6/30/80 ............. , Form No. 6 BLDG. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 iines, 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 a~d 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 '¥re-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. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 ste .... ............ New Construction ........... Old Or Pre-existing Building ................. Location of Property .................... .~. ~(...~Q....~..~...&..~ ........ ~/'.~.~..~..c~ ........ House No. Street Hamlet Onwer or Owners of Property...~.d~....~.~ ~ .w~.~..w_~ .... ~.. ~..~..{~.~. County Tax Map No i000, Section .............. Block ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No..l~.~.~.?.~.....Date Of Permit ................ Applicant ............................. Health Dept, Approval .......................... Underwriters Approval ......................... Planning Board Approw~l ........................ ~equest for: Temporary Certificate ........... Final Certicate...' ........ ~ee Sabmitted: $ ............................. FOUNDATION (1st] COM~gNT~ FOUNDATION (2nd) ROUGH FRAME & ,PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: DATE INSPECTOR Town Hall, 53095 Main Road P. O, Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone {516) 765-1502 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 3, 1994 Ms. Mary Hinderliter P.O. Box 184 Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19287-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 27, 1992 Mary Lindsay Hinderliter Box 184 Mattituck, N.Y. 11952 Re: Building Permit ~ 19287-Z Premises: 2475 Cox Neck Road, Mattituck, N.Y. Suff. Co. Tax Map ~1000- 113-07-09 Dear Mrs. Hinderliter: During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures or new dwellings, and it is unlawful to occupy or use said structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTffOLD TOWN BUILDING DEPT. GJF:gar Gary J. Fish, Building Inspector FORM NO. 1 TOWN OF gOUTHOLD "" BUILDING DEPARTMENT TOWN HALL d~ $OUTItOLD, N.Y. 11971 ~ TEL.: 765-1802 Examine . 19 (Building Inspector) APPLICATION FOR BUILDING PERIMIT BOARD OF HEALTIt ............ 3 SETS OF PLANS ............ SURVEY SEPTIC FORH NOTIFY: HAIL INSTRUCTIONS Date ..... 2~ .... a. Tlds application must be Completely filled in by typewriter or in ink and submitted to thc Building, fitSPector, with sets o£ plans, accurate plot plan to scM& Fee according to schedule. b. Plot plan showing location of lot and of bufld~gs on premises, reJafionship to =djoinlng prcm~ or pubEc or areas, and giv~g a det~led description of layout of property must be drawn on the diagram which ~ of t~s appH- ca,on. ~ c. The work covered by tMs applicatlon may not be commenced before issuance of Bu~ding Peril - ' ~ d. Upon approval of this application, the Building InspeCtor will issued a Building Pc~it to the appfi~L Such pe~it sh~ll be kept on the premises available for inspection throu~out the work. e. No buildMg shall be occupied or used in whole or i~ part for soy purpose whatever until a CeRifi~ of Occup~cy shall have been g~ted by ~e Bulldog Inspector. APPLICA~ON IS HEREBY MADE to the Bulldog Dep~ment for the issuance of a B~Iding Pe~it ~uant to the Buildlng Zone Ordnance of the Town of Southold, Suffolk County, New Yo~k, ~d other applicable ~. Ord~ces or ReguJati~s, for the const~ction of bufld~gs, additions or alterations, or for ~emoval or demolition. = ~ described. The applicant agrees to Comply with all applica~e laws. ordinances, bu~dMg code, housin~ code, and ~aons, and to admit authorized ~pecto~ on premises and ~ buildMg for necessa~ i~pections. . · (Swn ........... : · ~o~ · ../y , - 3~ ~ t~v~e~s o t appl~t) S ' ' ~; ' · ~ ..... ,u~[, caomeer, genera-Contractor, electr:cian, plumber or buildeL ...... . Name o[ owncr o~premjses ...... . .-. .,., . .., ~. (as on thc t=x roll o~ latest deed) J~applican[ is ~ co~oradop, Sj~h~ture ~[ duJy ~uthodzed o~Qcer. ( amc. and bric ~F orate offi~ Plumber's Licen;~ No ........... t ~c~x~ ~ 7 Loeatlon of land on wlfich proposed work will be done; ~&H ...... a u'h~ber Street. .... Hamlet ............. 7T . OUn axMap No. 1000 Section ........... Block .................. Lot SubdNision .. .................... Eilcd Map No. '.. ~ late ex'' ' {Name) .............. Lot ......... ' · l~tl~g u~e a~d occupancy o intended tl~e and oceu~aneu S f premises and a ' ~ ~' _ __, of proposed construcfiom Xl~tlng USC a~d OCCUD3Heu ~. ' ................................. '-' ...... b. Intended use and occupancy ............ e · 1. Nature of Work (check which ap:)licable): New Building .......... Addition .......... Allcrat,on . ..,e~.e~,~.....'. R_cpaJr..... ............ g~motr, l .............. Demolition . .. ............ Swi=rain?, pool ............ · xenn:.s uourr~ .......... ?ccessory l~uilding .......... F~.nc ~4. ~', , r.,e.~ c_e ....... Other t4ork..~, d~'~_~ Estimated Cost ./.,~... ..... [ .................... . 7 (to be paid on filing this application) $. If dwelling, number of dxvclling t~nits .......... l .... Number of dwelling units on each floor ................. If garage, numbcr of cars ..... ~ ............... 6. lC business, commercial or mixedi occupancy, specify ,att,re and extent of each .type of t,se.:: .~/~ :::::::. ? Dimensions of existingstmcturei if any: Front · , .., ............ Rear ............. .. Depth . Hci,_'ht NumSer of Stories D,mene,ons of same structure wiih alterations or additions: Front Rear .................... :. tie · ' t;,I ........... 2 .......... Nu,nhcrofSto,es..r;i,.t;,.;2222222 22222' 8. Dimensions o entire new cons clio,: Front .............. Rear ............... . H .iN. 6 f Sto~ri e[ght .............. u,n er o cs , . si 7.a.o:'"Z": ...... i'ii: .............. :i? bZ:2: ....... 9. ze of lot: Front ........ R ].<la..1 ' ........ e .......... Depth ....... . IO. Da,eof Purchase ........ · -. 7 ' ' i ................ Name cf Former O~vncr ............................ t 1. zone or use dmtrict in w~ich premises are situated .... ; ................................................ 12. ,D.,.o, es, propos~d:co,structlon violate any zoning law, ordinance or regulation· . ....................... t3. Will lot heP;graded .;...t~,ol ....... : ' .. . ~..~ · · z ..... · .......... Will excess fill be removed from premises: Yes .... 14. Eame.ox Owner of premises ..¢fi--~¢... ~.~ .~6rdross..C, ac .t0~.~.. ,d-~. rhone No. ~ff~..~,g'.~. .... ~ame of Architect ......... i ~ · ~ ................ Address ................... Phone No ................. Name of Contractor ......... 4 ....... ~ ........ Address ................. Phone...No ..... ,%.. ;,.j.,~... · IS.Is Chis property located within tO0 feet ~f'a tidal wetland? ~YES .... NO~.. · If yes, Southold TownlTrustees Permit may be required. . ! PLOT DIAGILAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fror.'a property Lines. Give street and block dumber or description according to deed, and show street names and indicate whether interior or cotuer lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT iCERTIFICATE OF OCCUPANCY STATE OF NEW, YOm k' ' COUNTY OF ~o.-~.~.~[!~ SLS ......... ~.~O. * ............. (Name of mthv~dual mgni~{g contract) above na~ed. [ '. APPROVED AS NOTED FEE"' BY: .... NOTIFY 8tJtlLDING OEPARTMENT '~ 765-1802 9 AiVi 'FO 4 PM FOR THE FOLLOW NG INSPf{C1 tONS. 1. gOUNDATtON FVVO REQUIRED FOR POURED CONCRL.:'TE 2. ROUGH · FRAMING & PLUMSING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS being dnty swotu, deposes and says that he is thc applicant He is the ~)co ~ W0---" ! ' .1~ (Contractor , agent , corporate officer . etc . ) .................. · ' of sgid owner or owners, and is duly lauthorized to pe.rform or have performed theJ;id wo~ and to m=~a app[ica~:on; that all statements contai,?d in thi~ npplicatio, are true to the best~fi(kn0~ge and be~:~ ?tn will be perforator in the me,er ~et forth in the applies, on filed therew t~ ~~'~'~= ..... ~ ~ ~, ~r i ~,, ~ ' ~ NOTARY PUBLIC, State 0f N~w~0rk ; ~ ~ N0. 4824320, Suffolk C~y' gotary Public, ...... /./., .............. County Commission Expires 3/30Z~7~ .-- .-..-' (Signature of applicant)