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