The URL can be used to link to this page

Home My WebLink About18979-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19596 Date DECEMBER 19, 1990 THIS CERTIFIES that the buildin~ Location of Property I100 HORTON AVE. House No. County Tax Map No. 1000 Section 141 Subdivision ADDITION MATTITUCKt N.Y. Street Hamlet Block 2 Lot 4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 1990 pursuant to which Building Permit No. 18979-Z dated APRIL 24, 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 REPAIR & EXTEND EXISTING WOOD DECK AS APPLIED FOR. The certificate is issued to of the aforesaid building. ROSEMARY BYRNES SCHWARZ (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED / / B~idin~ Inspector Rev. 1/81 IPOUM* NO. It TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, No ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ 18979 Z Permission is hereby gr~mte~ to: ~ ....~.~.~_~.~.~ ................................................. ..~.~.., ........ ~...:.~ ......... u..~.~..~ ........ County Tax Mop No. 1000 Section ..... ~J.,..,LJ....(. ...... Block ...... .O.....~;,.. ..... Lot No....,O.....~. ............. pursuant to application dated .~ ....... L...~. ..................... , 19..~...~.., and approved by the ~J Building Inspector. ........... J'""BuJlcring Inspector Rev. 6130/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 TOWN OF ~OUTI21OLID 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 requirements B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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.S25.00, Additions to dwelling $25·00, Alterations to dwelling $25.00, Swinging 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 - $I0.00 4.Updated Certificate of Occupancy - $50·00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. J~.~.~.% f? ........................ ~:ew Construction ........... Old Or Prevexisting Building .............. House No. Street Hamlet 3nwer or Owners of Property ..... ... . ......... ~.. ................... County Tax Map No 1000, Section...~./. ...... Block...~..~ .......... Lot....~.~. .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No..~.7~ ...... Date Of Pe~it...~-~Z]~ ..AoDli Health Dept. Approval .......................... Underwriters Approval ......................... Planning Beard Approval ........................ Request for: Temporary Certificate ........... Final Certicate ............ TO VN OF SOUTIIOED OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUI'IIO!.D, N.Y. 11971 D~cember 3, 1990 RICHARD & ROSEMARY SCHWARZ BOX 175 LAUREL, NEW YORK 11948 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. / /_--//An application for Certificate of Occupancy is not on fil~. (ENCLOSED) /~//~71o Underwriters Certificate on file. /~/-~"'~he check is(oX~X~o~lRKl/not on file.) $25.00 /~/ ~o Health Dept. Approval on file. /~/ No final inspection hen been made. Please contact: our office on this matter. Thank you for your cooperation. Building Permit t~ I 8 9 ' 7 9 Z Buildin[f Dept. "**/~/ Mo Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FRAMING REMARKS: [] FOUNDATION 2ND [ ] I~LATION / ~ FINAL DATE ! (Id-'~ ~//~:~_ INSPECTOR ~'Z~ ~--~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 1'} NOT£,I. ~= MONUMENT SUFFOLK COUNTY TAX MAP , DISTIO00 SECT141 BLK O! L01o4 ;URVEY FOR ROSEMARY d. BYRNES AT MATTITUCK DATE MAY 15, 19S4 TOWN OF SOUTHOLD SCALE' I" · 40' SUFFOLK COUNTY, NEW YORK NO. 94-4S9 GUARANTEED TO~ ROSEMARY ~ YOUNG a YOUNG 4000STRA"O[RAV["U[ RWERHEAD, NEW YORK L ALDEN W. YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR NYS. LtCENSE NO J2045 HOWARD W. YOUNG, LANO ~URVEYOR N.Y.S. LICENSE NO, 4~89~ BOARD 3 SETS FORM MO. 1 SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC TOWN HALL OF HEALTH ............ OF PLANS ............ Examined . . . ~.~., Approved .~..L~. lt. ,, Disapproved a/c ........... , ~$OUTHOLD, N.Y. 11971 NOTIF~$ ~ , ._ ~ I9 .~.o. , - ~rff r9 :,,P. O,'P~7~ 17S ...... ~/~ ..~~ 1~ ......... , , · .... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .... a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, budding code, housin~ code, and regulations, and to admit authorized inspectom on premises and in building for necessary in. ions. · - . (Signature of applicant~, o~ ~an~e; if a corporat~n') ' ' (Maiiin~ address of applicant) State wh~ther 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. ........ ~a~e ;nd title Builder's License No. Plumber's License No ........................ Electrician's License No .................... Oilier Tradc's License No ............ 1. Location of land on which proposed work will be done: ...... 1lO. . ................. [louse Number Street Hamlet " ' e./. County Tax Map No. I000 Suction ................. BlOck Q Lot . , , .................................... Eiled Map No. . · (Name) ..... Lot ........... ' Stateexistingoseaadoccupancyofprc~isesan~ i~te t~ an~ Occupancy of proposed construction b I .... '~ ~'' '~ ~ ........ f~ ......... nd occupancy ............................ ~'~'.~ ~ 5 ' , ~. 5,~ ,~..,~,.- ...... ~ ................... 3. Nature of work (check which applicable): New Building .......... Addition . .~.~. · ..... Alteration ........... Repair ~ .......... R~moval .............. Demolition .... ........... Swimming poet ............ Tennis Courtr~_ ......... Accessory Building .......... Fence ....... Ocher Work ............ 4 Estimated Cost ~'~'~-~J ~ · (to be paid on filing this application) $. If dwelling, nmnber of dwelling units .~.O~O ~-- Number of dwelling units on each floor If garage, number of cars . .~.0~ ~:,.... . ............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each tyne of use . .~..~..'~ 7. Dimensions of existing structures, if any: Front..'?~(..~..O/.~. '..: Rear . ...~ .~.~.~'~. ;.... 'l~eoth i.~. Heieht ~ ............ Number of Stories .../ ........................... Dimensions of same structure with alterations or additions: Front .. q.Q: fi{ ........ Rear ......... Depth . .~/~ t. ........... ... .. Height ...""7 .................. Number of Stories...~7'7 ................ 8. Dimensions of entire new constroction: Front ............... Rear ............. Depth Height ................ ~umber of stories .............. : .......................... / ..... .) .... 9. Size of lot: Front .. {.~..~". ............... Rear.../.~. %.2oc/. ......... Depth .~. g.~..e/q ..... ~... ;~'.~:.~C~.~. 10. Date of Purchase ....... Name of Former Owner 1 1. Zone or use district in which premises are situated .t~4,% .~27~./F?O. .......................................... 12. Does proposed coflstruction violate any zoning law, ordinance or regulation: . A/.O. ................... 13. Will lot be re~raded 4/.0. .... Wdl ¢ ~ · .................... ' ex.ess fill be removed from premises: 14. NameofOwnerofprem).~.~.~.~ ..... ' ....Address ...:: .............. PhoneNo .... Name'of Architect ... ~.~4-.4 ~ ............... Address '' i ........... Phone No."' '" :'" Name of Contractor ................. Address ................. Phone No .... 0 . . 15.Is this property located within 100 feet of a tidal wetland? ~YES .... · If yes, Southold Town,Trustees Permit may be required. PLOT DIAGRAM Locate cleaxly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property Hnes. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, COUNTY OF ........ S.S . (Name of individual signing contract) above named. being duly sxvom, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyl authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the Work will be performed in the manner set forth in the application filed therewith. Sworn to before me this '. , ,~. r~ii ....· ~, s,~0tl~ ~2 (Signatur~ of applicant)