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HomeMy WebLinkAbout19128-z TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19222 Date JULY 17~ 1990 THIS CERTIFIES that the building ADDITION Location of Property 450 SOUND BEACU ROAD MATTITUCK House No. Street County Tax Map No. 1000 Section 99 Block 01 Lot Hamlet 38.1 55 Subdivision CAPT. KIDD EST. Filed Map No. 1672 Lot No. 56-57 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1990 pursuant to which Building Permit No. 19128Z dated JUNE 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to MADELINE WEIMANN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ~uilding Inspector IroKM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST DE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ..... ,~ ~ ~,....~. ...~ ......... ~...~. ~..~.~ ........................ ~ ...~~~:.....~.,.%/..t.~..~.~.. ,o ...~~......~....~..~.....~..~........~. ....~....t:~.. at premises located at ...~...~.' .......... ~..~....~,. ...... ~.~~- ........... County Tax Map No. I000 Section ..... ..O...~..~ ........ Block ...... .(~..J ......... Lot No.....~...~..'...! ......... pursuant to application dated ....... ...~..~......L..-~.. ............... , 19.c~.?.., ond approved by the Building Inspector. Rev, 6/30/80 TOWN OF $OUTHOLD OFFICE OF BUILDING IN~PECrOR P.O. BOX 728 TOWN flALL SOUTItOL~), N.Y. 11971 Jul*y 10, 1990 TEL. 765-1802 AWJ CONSTRUCTION 550 DEPOT LANE CUTCHOGUE, N.Y. 11935 RE: ~ADELINE WEIMAN TO Whom This.May Cogcern, We are unable to complete your Certificate of Oc/~pancy because.of the following reasons. / /~An application for Certificate of Occupancy is not on file. (ENCLOSED) /~///No Underwriters Certificate on.file. /--// The check is(~/not on fxle.) $25.00 /5/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on Thank you for your cooperation. Building Permit J~ I 9 I 2 8 Building Dept. this matter. Z No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Z 0 Z ,l 0 t BOARD OF HEALTH '/ 3 SETS OF PLANS ]]-~['i~: suRvEY ....... TOWN OF SOUTHOLD CNECK --qg- .~..~5'.9'... BUILDING DEPARTMENT SEPTIC FORM ~ ......... : TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . .~ .]~[o~!~ .I. ~.~., 19 .~.0 Approved.~¢--~'~. J.~...., 19~..O. Permit No../.el .I.-~..~....~ Disapproved a/c .............................. il...~ ................................ ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT NOTIFY CALL -- ~.~ ~ ~/;~ - · MAIL TO: 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 buildhags 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 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 aiterations, 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 necessary i~efiCt~n,~.//~ --,¢ ~ Q~ .... ./'.~...~4t~.~...,,~..,xf~'~..'~-u'n'" ~.,.~. ......... (Signature of applicar(h/or ~gZn~e, if a corporation) ?f... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. House Number Street Hamlet ,~. [ County Tax Map No. 1000 Section . .O...~..~.: ......... Block'..../'. ............. Lot..l~r~.. 3.~.?.~ .... ....... (~a'~) .............................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ..... ~..~.----'C.,./.~.. ' · ......... ' 3. Nature of work (check which appli9able): New Building ..... ' ..... Addition .......... Alte?afJ~fi:"7..qt,: ..... Repair ..... Kemova .............. Demolition . .. Othe r . .~./~ .~.0 ~ 0 ....... Fee ........................ 4. Estimated Cost ............. i ................ , .............. ~ (to be paid on filing this application) 5. If dwelling, number of dwelling unks ............... Number of dwelling units on each floor ................ If garage, number of cars ....... i ................................................................ 6. If business, commercial or mixed o~cupancy, specify nature and extent of each type of use ..................... 7 Dimensions of existing structures if any: Front R. ear Dep,th Height ............... Number of Stories ........................................................ Dimensions of same structure withlalterations or additions: Front ................. Rear .................. Depth ...................... iHeight ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ..... . .....' ..... Rear ............... Depth ............... Height Numbe? of Stones .. >.. . 9 Size of lot: Front Rear ..... .: .... Depth 10. Date of Purchase ............. i ................ Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violat{ any zoning law, ordinance or regulation: ............................. 13. Will lot be regraded ... ~ .,,: ...,i .... Name of Architect ............. i .............. Address ................... Phone No ................ 15. Is this property located within 300 fee of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trust~es Permitp[~ybeDIAGRA~required' Locate clearly and distinctly all btiildings, wheth r existing or proposed, and~indicate all set-back dimensions from property lines. Give street and block nuinber or descrip :ion according to deed, and show street names and indicate whether interior or corner lot. STATE'OF NEW YORK, S.~ COUNTY OF · ..,, .............. .......................... being duly sworn, deposes and says that he is the applicant (Name of i tract) above named. ~ . (Contract)r, agent, corporate officer, etc.) of said owner or owners, and is duly fiuthorized to p ~rform or have performed the said work and to make and file this application; that all statements containbd in this appli :ation are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the pplication filed therewith. Sworn to before me this I NOIA~ PtlSt,~. $~tS d N,, Yed~ applicant) Ne. 4707878, Suffolk Term Expires I~h~rCh 30,19 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 : APPLICATION FOR CERTIFICATE OF 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 conta~s less than 2/10 of i% lead. · 5. Commereial building, indus, trial 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 build/rigs 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 - $i00.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate :.. ................ Hew Construction .... ~ ..... Old Or Pre-existing Buildinz ........ House No. Street Hamlet 1000, Section... . . ...... ........... ..................... '"y' · ........ F~ed Map.~ .......... Lot.~.'~.?.'..?.../. ....... ~ealth Dept. Approval .......................... Underwriters Approval ....... .~fl...~. ........... Planning Board Approval ...................... Request for: .Temporary Certificate ........... Final Certlcate ........... FOUNDATION { 1st) FOUNDATION I2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS'.