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Home My WebLink About19290-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 6ffice of the Building Inspector Town Hall Southold, N.Y. CERTIFICAT~ OF OCCUPANCY No Z-23331 Date NOVEMBER 7, 1994 THIS CERTIFIES that the building ADDITION Location of Property 405 ~AYFLOWER ROAD House No. Street County Tax Map No. 1000 Section 107 Block 8 Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 21 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~/LY 23, 1990 .pursuant to which Building Permit No. 19290-Z dated AUGUST 1, 1990 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is ENCLOSED SCREEN PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIND FOR The certificate is issued to of the aforesaid building. DIANE LESSARD SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A / uilai g sp tor Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ ; 9290 Z Date .....~.6e~**~.....~ ................... , 19..~..~ Permission is hereby granted to: .... .......................... .................. et premises located at ..~..0...~.........~...~.:~.....(~.., ......... ~.~LL~ ............. County Tax Map No. I000 Section ..../...~....~. .......... Block .....~).....~. ........... Lot No...~-~1 ................ pursuant to application dated .... ~........'~.....'~.. ................... , 19.~'.~.., and approved by the Building Inspector. Fee $...;~..?... :..~ .... Building Inspector Rev. 6/30/80 NOV - 'f ~ ~, r DLDG' 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 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. 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 applicanl. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 Buildinm - $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 $15.00 Date .......... p~.~. ........... n ......... ew Construction ........... Old Or Pre-existing Build±ng'''CO¢i~h~''~?~]x'- ocation of Pro~ertv..~.~i .......... ~-~C/0 ~r ~ House No. Street Hamlet ' awer or Owners of ~rop roy .................................................................. ounty Tax ~ap ~o 1000, seetio,.../~.?......~o¢~....~ ...... · ... . ~o~ .... .~./ .......... . . ~alth Dept. Approval .................... · .. Underwriters Approval ....................... lanning Board Approval .................... . . equest for: Temporary Certificate ........... Final Certicate.. ~ ........ ee Submitted: $...~..~? ... ..................... (v,,~. V~73'/ .......... · Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 29, 1994 Diane E. Lessard 405 Mayflower Rd. Mattituck, N.Y. 11952 Re: Building Permit 9 19290-Z (Enclose Screen Porch) Premises: 405 Mayflower Road, Mattituck, N.Y. Suff. Co. Tax Map #1000-107-8-21 Dear Ms. Lessard: 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 complete the enclosed CO application and return to this office with your check in the amount of $25.00 so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Sr. Building Inspector TJF:gar (encl) Town Hall, 53095 Main Road P. O. Box 1179 Southo~d, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 29, 1994 Diane E. Lessard 405 Mayflower Rd. Mattituck, N.Y. 11952 Re: Building Permit # 19290-Z (Enclose Screen Porch) Premises: 405 Mayflower Road, Mattituck, N.Y. Suff. Co. Tax Map #1000-107-8-21 Dear Ms. Lessard: 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 complete the enclosed CO application and return to this office with your check in the amount of $25.00 so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. TJF:gar (encl) Thomas J. Fisher, Sr. Building Inspector FOUNDATION (1st) FoUNDATIOI4 (2nd) 2. ROUGH FRAME & PLUMBING e INSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .~.~... 14~,.~. )..., 19 ?..D Approve(~)~r~.~'...t.., 19 .~. ~. Permit No. BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: Disapproved a/c ..................................... ................................ · (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, 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 public streets or areas, and giving a detailed description of l&yout of properW must be drawn on the diagram which is part of this appli- 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 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 necessa~spections./~, ~_~ ,~ (~ (Signature ut applicant, or name, if a corporanon) q.o. >..q ~Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, 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) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade s License No ...................... Location of land on which proposed work v~ill be don, e ......... .,~.,, ..... ] ................................. .... .................... ............ ..t74. ............. House Number S~fe~t Hamlet County TaxMapNo. 1000Section .../.~..? ........ Block ~>~ Lot ..~J Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: / , .... a. Existing use and occupancy ............. ,zS~'" ......... ,' ? 't' ..... ~ ......... ..... ..... b. Intended use and occupancy . ./..'~.ff~.~. / 3. Nature of work (check which al,plicable): New Building .......... Addition .......... Alteration .......... Repair Rem' >va: Demolition Other Work 4.Estimated' ' Cost ..... , ......................... Fee ...................................... (to be paid on filing this application) 5 If dwell' ,numberofdw 11' g[un' Nub fdw llingunits achfl · lllg e in its ............... m er o c on e oor.. .............. If garage, number of cars .... [ ................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... 7 Dimensions ofexmting structures 'fany Front Rear Depth Height Nmhber of Stories Dimensions of same structure with alterations or additions: Front ................. Rear ................ Depth .' Height Number of Stories Dimensions of entire new construction: Front .............. Rear ....... Depth ....... Height ............... Number of Stories ........................................................ Size of lot: Front ~ Rear Depth Date of Purchase .......... I .................. Name of Former Owner ............................. Zone or use district in which pr~mises are situated ..................................................... Does proposed construction violate any zoning law ordinance or regulation: Will lot be regraded ......... 1 ................... Will excess fill be removed from premises: Yes No Name of Owner of premises'I Address Phone No ' Name of Architect" Address Phone No Name of Contractor ' Address Phone No i ' 15.Is this property loea!ted within 300 feet of a tidal wetland? *YgS .... NO .... *If yes, Southold Tow~ Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from mmber or description according to deed, and show street names and indicate whether 9. 10. 11. 12. 13. 14. .S property lines. Give street and block interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. ............................. ~ ................... being duly sworn, deposes and says that he is the applicant . (Name of individual signi6g contract) above named. He is the ' i (Contractor, agent, corporate officer, etc.) of said Owner or owners, and is duly: authorized to perform or have performed the said work and to make and file this application; that all statements contailned in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannerlset forth in the application filed therewith· Sworn to before me this ................ /. ....... day of .i ..... ~ .... 19 ~?. Notary Public ...... '~''''' '~' '~' 'ir"' '~/' '~ff'~-' C°unty ..... ........... ' .... I~RY PUIILIC, it~ 0f New York' (Signature o f applicant) No, 4707878 SuffOlk Countl~,~/ Te~O Expires M,,~h 30,19