HomeMy WebLinkAbout19229-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
8outhold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22568
Date SEPTEMBER 2t 1993
THIS CERTIFIES that the building
Location of Property 18900 MAIN ROAD
House No.
County Tax Map No. 1000 Section 115
Subdivision
ACCESSORY
MATTITUCK, N.Y.
Street Hamlet
Block 6 Lot 6
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 19, 1990 pursuant to which
Building Permit No. 19229-Z dated JULY 25, 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 INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AS
D~PPLIED FOR.
The certificate is issued to
GARRET A. & BARBARA A. STRANG
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-148521 - SEPTEMBER 11~
PLUMBERS CERTIFICATION DATED N/A
1990
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, FI. Y.
BUILDI~IG PER~IT
(THIS PEI~AIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF TH£ WORK AUTHORIZED)
NO. ~i ~2~ Z Date ...~.~..~..... ................................... , ~.~.~.
Permission is hereby granted to:
...... ./.£..~...o......~:........~..../.,.. .............
..... ~~~.,..~,.~,.....o/.~ ~
,o
ot prem,ses ,~ated ot ..~.~.....~.....~..../'.. .............................................................
............................................... ~~~. ...........................................................................
~..w T~ ~ .o. ~o0o s~.o. ..... //~ ..... B~k ............ ~. ..... ~o, ~o .............. ~ ......
pU~uant tO application dat~ ....... ~. .................................... , 19~., and approv~ by me
Building Iqspector.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 requirement.~.
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 Inspect'or shall state the
reasons therefor in writing to the applicant.
C, Fees
i. 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
House No. Street Hamlet
On,er or Owners of Property,
County Tax Map No i000, Section ...... ~ ..... Block ............ Lot...,<~. ..............
.............................. Filed Map ............ Lot ......................
Health Dept. Approval ........ ...............' Uederwriters Approval ..................... . . . .
Request for: Tempo. rary Certificate ........... Final Certicate..
Fee Submitted: $ ............................. .~~.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF EL. ECTRIClTY
85 JOHN STREET. NEW YORK, NEW YORK 10038
Date dpplicationNo, onfile 20~8~0/q0 ~
n thefoHowlng I ,cat on; ~ Basement Ist FI. 2nd
Section
Lot
FIXTURE
OUTLETS
IECEPYACLES SWITCHES
2
FIXTURES RANGES OVENS DISH WASHERS
ORYIERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS
UNIT HEATERS MULTI.OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT S E R V I
OTHER APPARATUS:
made by a q~ta,lJfled [.,.rSoa.
NO OF HI-LEG
c E
A W, G~-Nc~ t'NO OF NEUTRALS~
OF HI-LEG
OF NEUTRAL
GENEI~AL ,M~NAGBR
7
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identifld~J by their cTedentials,
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FIELD · ........ ~
FOUNDATION ( ls t )
FOU~DATIO~'~! ( 2nd )
2.
ROUGH FRAME &
-PLUMBING
3.
INSULATION PER N. Y.
STATE ENERGY
CODE
FI;;AL
ADDITIO~A~L COMMENTS:
765-~802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INACTION
FRAMING [,~ FINAL
765-~802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION i$T [ ] ROUGH PLBG.
[ ] FOUNDATION :)ND [ ]INS. JJU~iON
[]FRAMING [ '~FINAL /~
DATE
INSPECTOR
MAIN
ROAD (~ Y.$~ R~e. $5)
'. Subdivision-'Mo~tituck £sPa~es, /nc."
.. .'~_ ~/ + ~.. formerly, .dohn 6b Morion Guydon
MAIN ROAD (1~.
R~e. 25)
· .. * u.~.~oO~.o_.o.~.
$6.00
IZ,
d4tc k ~o.o'
Area: 24975 s.f.
Lot 1~
Subdiviaion - #Mottituct Estote~, /nc.
formerly John ~ Morion Guyden
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CER~TE-
OF OCCUPANCY
M,4//V ,~0,4D (/~ y,.,c.
~'?o,
"IMMEDIATELY"
ENCLOSE POOLTO CODE
UPON COMPLETION
BEFORE 'qNATER'°
N 09°03'00"E. 12~.00'
"IMMEDIATELY"
EI~,~E POOL TO CODE
BErrORE "WATER
Subdiv/$/en - #MoffifucA ~'$fofe$, /~lc."
formerly John Et Mor/bn Guyd~n
SURVEY FOR
GARRETT STRANG ~ BARBARA STRANG
AT MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
YOUNG e YOUNG
400 OSTR~tNDER AVENUE
fllVE:RHEAD, NEW YORK
BOARD OF HEALTH
3 SETS OF PLANS .......
'FORM NO, 1 SURVEY ..........
TOWN OF SOUTHOLD CHECK ..........
BUILDING DEPARTMENT SEPTIC FORM .............
TOWN HALL
BLDG. DEPT, SOUTHOLD, N.Y. 11971
TOWN OF SOUTHOLD ~; TEL.: 765-1802
Examined
., 19s.~. Permit No./~, .~. ~. ,~...J /
Disapproved a/c .....................................
(BulldOg In~cto-~)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter 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 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 construxctio~a.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
'ad mit authorized in spb6tO rs on premises and in building for ne c essa ryin
i~ '" ,~," i "'~ - (Signature of applicant, or'~n'e', ~orporation)
¢ao. . . . .:. .. .m. .....
(Mailing address of applicant)
State whether 'applicant~ is_ owner, less'eh, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner:ofipFem~ses .,.....~k¥. ~ ........ ' ............... ~.~ .....................................
,' :,~'a~,~ ,,<. ¢~t,' ;,,',:,',,',',~ . (as on the tai'~oll or latest deed)
If appli'c~t js '';> '~ "' ..... '
a cOtporahon, sighhture of'duly authorized officer.
ALL CONTRACTOR'S HIJST B~/btS~FFOLK COUNTY LI'CENSED
Builder's License No...~?.~.6~ ..................
Plumber's License No ..... ~/. ~. ..............
Electrician's License No..C~. ~ ."/.,~..~.~. ~ .......
Other Trade's License No....~./t~. ..............
1. Location of land on which proposed work will be done] .................................................
House Number Street . Hamlet
County Tax Map No. 1000 Section ../../ ............ Block . .~..~. ............ Lot ..... (~9.. (i2 ..........
Subdivision ..................................... F!led Map No.- .......... - .... Lot ...............
(Name)
2. State existing use and occupancy of premises and iJ;mmded use and occupancy of proposed construction:
b. Intended use and occupancy .......... ,,~..t?')..'~.. ............... '..: .............................
3.i Nature of work (check which a lcable): New Building .......... Addition ........ '.: Altei,~/tiO!l;: ..........
epair .............. Remoya . he ik ~./~ ~.~.60 .......
i R 1 .............. Demolition ............. Ot r Wo
Estimated Cost ...... , ...................... Fee ........................... ., .', ........
' (tplSli )
i" o be paid on filing. ..,this'a: cation
5. If dwelling, number of dwelhng n,ts ............ Number of dwelhng umts on each floor
i If garage, number of cars ..... ~ .................................................................
6.I If business, commercial or mixe~ occupancy, specify natur~ and extent of each type of use ............... , . ...
7.1 Dimensions of existing structures, if any: Front...~..O. :~ ....... Rear . .~..Z...~ ....... Depth . . .c;~ (-~..~. ....
~' Height Numiber of Stories
i Dimensions'of same structure with alterations or additions: Front Rear
[ Depth .................... i. - Height ......... , ............. Number o~ Stories ........... ~ ...........
"8.i Dimensions of entire new construction: Front ,ff.(a . ' .. Rear ...4~.(q ........ Depth t/ ..........
Height ... 1. ......... ~ Numi'ber of Stories .......................................... · .............
'
9. Size of lot: l~ront ...... i ........... Rear ..... ~ Depth ......
101 Date of Purchase ' Name of Former Owner
11 .! Zone or use district in which pr6mises are situated ................................................
12.! Does proposed construction vio!~ate any zoning law, ordinance or regulation: .... ,FVO ................... ~;.. · ·
13.! Will lot be regraded ..... ~ ..... ,..~., ......... Will excess fill be removed from premises: Yes .N~
14.I Name of Owner of premise.Sr,~fif.~'.a£fg2~...~qV~J(.~O(~-.. Address (.~. 7qlP. (~..~/.O ~/~.~.... Phone No.-~ ~..-.,-,~...~..5..
Name of Architect .... /gr,,~..i. · ·; ...../.} ...... Address .............. P, hon¢ No ...... ;. .........
i Name of Contractor ~r..~.z/r) :i ./~',0~.. ?fO<9/.~... Address ~J(.Z / :~:~f...~..5~. ~.?.~ ~[~/nIe No..'7.. ~.~..~. {.~P....
15i Is this property located iwithi'n 300 feet of a tidal wetland? ;~e~'[/.... No . ~
i*If yes, Southold Town TrUstees Permit maybe required.
~ : PLOT DIAGRAM
i Locate clearly and distinctly all buildings, whether existing or proposed, an& indicate all set-back dimensions from
property lines. Gwe street and block~number or description according to deed, and show street names and indicate whether
in(erior or corner lot.
STATE OF NEW YORK, S.S
COUNTY o.a .................. ,,
. ......
(Name of individual sig~ing contTfict)
APPROV~ AS NOTED
FEE:
N OTI F-~-I~'O [LO~I4~ DE~A-T
76~-1802 9 AM ~ 4 ~ flOR
FOLLOWING INSPECTIONS:
1. FOUNDATION ' ~ REQUIRED
FOR POURED CONCR~
2. ROUGH - FRAMING & PLUMBING
~. INSULA~ON
4. FINAL - CONS~U~N MU~
BE ¢OM~ FOR ~.0.
ALL cONSTRU~ON 8~ ME~
THE REQUIR~E~ ~ ~E N.Y.
STATE CON~U~ON & ENERGY
COOES, N~ RESffiN8IB~
DESIGN OR CONSTRU~ON
......... being duly sworn, deposes and says that he is the applicant
a~ove named.
H~is the ..................... ! ................................................................. .
~ (Contractor, agent, corporate officer, etc.)
o[ said owner or owners, and is drily authorized to perform or have performed the said work and to make and file this
application; that all statements con{ained in this application are true to the best of his knowledge and belief; and that the
w~brk will be performed in the man,er set forth in the application filed therewith.
Sworn to before me this i ' ' '
· i .........L~> ....... :...day Of..~..~ ....... '...', 19 .C/. 0 ' - '
I Notary Public, Statelof New York ................... :-' · "": ." ~. r .,-c. r..7~. · · :~..' ....
[ No. 52-4526433 (Signatfxt~ of applicant)
Qualified in SuffOlk County,
Rte.
/".,., ".~" ..oo' , i ~t \
~ "iMMED:ATELY" ~
ENCLOSE POOL TO CODE ~l~
UPON COMPLETION
"IMMEDIATELY"
ENCLOSE POOL TO CODE $.
UPON COMPL~tON
BEFORE "WATER"
BEFOR L~ "WATER"
I P $.00 *
Lot /P
~qubdivi$ion - ~'Afotfifocl~ ESfof~s, Inc."
fOrmed), dohn ~ MoriOn Guyobn
MONthlY#?
~UFF,, CG ,I'~IAKBI~T. IODO 9ECT. I1~ BLI(, OS LOT OG
SURVEY FOR
GARRETT STRANG ~ BARBARA STRANG
AT MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
# UNAUTHORIZED ALTERATION ON AUOITION TO THIS
SURVEY I$ A VIOLATION OF -~IECTION ?~O1~ Of THE
RtW YON~ 9TATE EDUCATION LAW.
,YOUNG YOUNG
ALDEN W. YOUNG, PROFESSIONAL ENOINEER
AND LAND SURVEYOR N.Y~. LICENSE N0.12845
HOWARD W YOUN(~, LAND SURVEYOR
MAY Ill, 1981
DATE : APR. 30, 1981
SCALE: I "-'30'
NO. : GI-23G
(~UARANTEED TOt
WALT WHITMAN FEDERAL SAVINGS
LOAN ASSOCIA'flONI~l ,. '
FIRST AMERIC,~ ?11'L£ INsURAI~ICECO,~IeN.y.
400 OSTRItNDER AVENUE
RIVERNEAD, NEW YORK
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