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HomeMy WebLinkAbout19076-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hal~ Southold~ N.Y. CERTIFICATE OF OCCUPANCY No Z20055 Date J~3LY 3, 19~ THIS CERTIFIES that the building. ADDITION AND ALTERATION Location of Property 1500 SOUND BEACH DR. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 01 Lot 33 Subdivision CAPT. KIDD EST. Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5~ 1990 pursuant to which Building Permit No. 19076Z dated JUNE 6~ 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is DECK ADDITIONAND issued is ALTERATION (WINDOW CHANGE) TO EXISTING ONE FAMILY DWELLING. The certificate is issued to HELEN STRATIGOS ~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 SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- "; ~0/5 Z Building Inspector. Permission is hereby granted to:, /7 / ~ _ // /', ~/~,~ ~, ~/~~......~...~....~,~.......~~~,~,~ ~-.~~.....~....,~~......~~.~.....~..~~ ~ ............. · ...... ~..~ ........................................... ....................................... ........................................................................... ~o~.~ ~ox ~, ,o. ,ooo ~e~,,o...Z~.~ .......... ,,~ .......... Z ....... ~o,,o ...... ~ .......... ~.uifding~tor" Re,,'. 6~30/80 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL FOUNDATIO:I (1st) FOUUD~TIO:I 2. (2nd) ROUGH FRAME & .PLUMBING e I~;SULATION PER N. STATE E~IERGY CODE Fi:~AL ADDITIONA'L CO~.ME~ITS . 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ].ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN~,ATION FRAMING [//]~INAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [/~~ REMARKS: /~~~. / DATE INSPECTOR TOWN OF SOUTHOLD OFFICE OF BUILDING IN~'PECTOR P.O. BOX 728 TOWN HALL SOUTI{OLD, N.Y. 11971 JUNE 28, 1991 TEL, ,765-1802 Robert Bohn Box 55 Peconic, N.Y. 11958 RE: STRATIGOS To Whom This May Co.ncern, We are unable to complete your Certificate of Occupancy becaese.of the following reasons. / /~/An application for Certificate of Occupancy is not on file. .(ENCLOSED) /~//No Underwriters Certificate on file. /~rfThe check is(Qgx~d/not on file.) $25.00 /5/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Bui]ding Permit t~ 1 9 0 7 6 Z Buildinq Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTI{OLD, N.Y. 11971 JUNE 28, 1991 Robert Bohn Box 55 Peconic, N.Y. 11958 RE: STRATIGOS To Whom This May Co,tlcern, TEL. 365-1802 We are unable to complete your Certificate of Occupancy because .of the following reasons. / /_--VAn application for Certificate of Occupancy is not on file. (ENCLOSED) /--//No Underwriters Certificate on file. /_~ The check is(cx~d/not on file.) $25.00 /~/ No l{ealt~ Dept. Approval on file. /_--/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit t~ 1 9 0 7 6 Z Building Dept. ***/--/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) I=xamincd FORr.A NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTItOLD. N.Y. 11971 TEL.: 7G5.1802 Disapproved a/c ........... ..~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTII ............ 3 SETS OF PLA:SS ........ ,... SURVEY SEPTIC FORH ................ NOTIFY ~ CALL .^,L ;~;~'"a ........ , .... . BLDG. DEPT. TOW. Of SOUT~O~L_~J 5ate ................ 19... a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Buildin= lfi-~Pector, 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 prcmises or public streets or areas, and giving a detailed description of Dyout of property must be drawn on the diagram which i~pan of this appli- cation. ,, ~ The work covered bi,' this application may not be commenced before issuance o[ Building Permit. - ' Upon approval of this application, the Building Inspector will issued a Building Permit to the appflc~nL Such permit sha.ll bc kept on the premises available for inspection throu-_hout the work. . e. No building shall bc occupied or used in whole ori-n part fora.ny purpose whatever until a Certificate of Occupancy shall have been granted by the Building inspector. APPLICATION IS HEREBY MADE to the Building DeptLrtment for the issuan · · - B, mldmg Zone Ordinance of the Town of South Id R,,cr,~n- . ce of a Btaldmg Permat pursuant to the ~eeulations, for thc construction nc h,,i~a', , O.~l.j?.... ....... C, ounty, New York, and other applicable La~ Ordinances - · --t .... raga, aULtltlOni or alterations or fo . . · . . or Thc apphcant agrees to comply with all a~ icab~ ' ...... ' _, .,. r removal or dcmoht:on, as hereto described. .. . ...... · //::~ '~ '~ .,(Ma:hn= .address dlLannlica~t~ · __ ~._ -~cnnect, enmnee~ l~g,e~l.:,e.o, nt~ractor' 'electriciari, plUmb'~ or buildir. (as on thfi't~ax toll or'latest dei'dl ' If appl/~nt ts a c~,orporat~on, s:gnature of duly authorized officer. ~ Y ;~ .... ' ./,Z ..5~...../.~..~... ~ nOeH~ar~,rv ,n~ Plum~e,'s ~icense ~o !hqTHOUT CERTiFiCATE "'ectr'cia.,~cense,o ..................... OF OCCUPANCY OUter Tradc's License No I. Location o£1and on which proposed work will be done; /~'--m~ ~ .~..~.. · - .- ..... , .......... ~>.mO. "~"q.'..:-~. ~...' ..... x~./,4./.~. '~' ''·' ' .. House Number " $IrecC "' ' Hamlet ....... Counly Tax Map Nol 1000 S.ction ...... ~:~, ......... RIDck ..~.... ~.~. ..ff~ .... .... .... ,o, ..... Subdivision ......... l~ilcd Map No, "~' (Name) .............. Lot ............ i "' ' ' ' ' a ' · £proposed construclion: - · ~ .'~ . Use and occupancy .... .[~..,~...z~...~ ........... ,. b Intended use and occupant / C/ .... ~" ......................... Nature ofx~ork (eh ck " 3. , ' . - v.. . pp icabl¢I: Ne~'c v -uuildlng ,...I.a=,~7...'~7-Addlti~n ..... ... f' ,'kllcratm~tt · . ~ep~ Rpmov~l Dcmol~ ~enn~s ~ourt . ........ A~cessory Building ~' ' & .......... Fence ....... Other t~ork ............ 4 ~tim~tcd Cost /~ ' .__~ (tO be paid on illing this a~plication) 5. [f dwelling, number of dwclling units ....... ~...'....- Numberofdwetliugunitsoncachfloor..,~ .... ~ ....... If garage, number of cars ...... .................................................... 6. If business, commercial or mixed occupancy, ~pccify nature and extent of each type of us~ .................. Height ............... Number of Stories ..................................... Dimensions of same structure wit~ alterations or additions' Front ................ R~ar .......... Depth .,.~.. .... ~ ~ , ' ' · .... ;. '~ ,~: {, ~a ~f~-~,:e.~.. ,. }Icier .................... Nu nbcr of Stories .................. s. F ont ....... ¢ ..... . ....... 9 mh . ~ ...... ~*~u fiber Ol ~[O~eS ...... ; . . 9. Sizcoflot: Eront ... ~ : 'i ................... L ''. .................... _ ..j ~., ,. '~: 10. ~ate olrurcnase .;. - eo u . . -~...., ......... , ........ ~am2olro~crOwn~r .......................... 11. ~on r s~dxstn~t~ .... inwhjpll. D~emiseSaresituated..~.:~f ........................ . . .. .. ... . .. . ..... 12. Does ~roposed con~tructxon. . .~ vtolat2 any zoning laWordinanc2 or regulation: . ~ ~ ........................ . · 13. WHI lot be regraded ' "' -~ : ...... Will excess fill be removed from premises: Ye~ .... N~.. 14. N~ of Owner of premises '': Address Phone No N~e'of Architect Address Phon~ No N~e of Contractor .......... i. ' Address Phone No ~'. ' IS.Is this property locatied within 100 feet of a tidal wetland? ~S .... ~0 .... · Xf ~es, Southold Towu !Trustees Permit may he required, PLOT DIAG~M Lo~at~ ele~ly =d dist~ctly ~1 $u~dMgs, wh~th~r existing or proposed, =al. indicate MI s~t-ba~k d~en~ions from prope~y ~nes. Giw street ~d block n~mber or description ac~ordMg to deed, ~d show streetcars and ~j~t~ wh~th:~r interior or comer lot. ' . , .. '.' . " . STATE OF NEW YORK, COUNTY OF ......... S.S ................................................ being duly sworn, deposes and says that he is the applicant (Name of h;elivid ual signhig contract) ' above nam'cd. ', H~ is the i (Contractor, agent, corporate officer, etc.) o£ said owner or owners, and ts duly. author/zed to pe.rform or have performed the said work and ~o m~c and file this application: that aU statements contained in this npplication ara true to the best oC his knowledge and belief; and that thc Work w~l be perlbm~ed in the m~ner ~set forth in thc application ~led therewith. Sworn to before mc ti;is