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HomeMy WebLinkAbout18910-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Bouthold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19789 Date MARCH 13, 1991 THIS CERTIFIES that the building Location of Property 1480 ELIJAHS LANE House No. County Tax Map No. 1000 Section 108 Block 3 Subdivision Filed Map No. ADDITION MATTITUCK~ N.Y. Street Hamlet Lot 5.12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 1990 pursuant to which Building Permit No. 18910-Z dated MARCH 27, 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 AS APPLIED FOR The certificate is issued to ROGER C. & JUNE M. BCHAIT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF2ILTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /Building Inspector Rev. 1/81 lrOwTM NO. B 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) 18910 Z / Date ..... (~..~/...~... ......................................... , 19....~...~ County Tax Map No. 1000 Section ....... .?....~..~...... Block ........... .~. .... Lot No ....... ....~.~.~....~--. pursuant to application dated ....... ~..~...~.. .................................. , 19......~.., and approved by the Building Inspector. · ~.. .K~ ................... nspector Rev. 6/30/80 TOW~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 TOWN OF SOUTHOLD 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: I. 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 i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installatioBs' a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 9' 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 $25.00, Additiohs to dwelling $25.00, Alterations no dwelling $25.00~ Sw~ming 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 -i$50.00 5. Temporary Certificate of Occupancy!- Residential $15.00, Commercial $15.00 Date ...... ~. ~l.~.--q.. ! .............. Xew Construction .......... Old Or Pre · -existing Building ............... Location of Property ............................... ~"M ~ House No. Street Hamlet 3nwer or Owners of Property .... .~8-~.. ~ ~b.~.~. ~c~k~',q County Tax Map No 1000, Section .... lP.~ ...... Block....~. ........... Lot. ubd v sion. ...... · ......... Filed Map ...... Lot , ......... Date Of Permit. Appli {ealth Dept. Approval .......................... Underwriters Approval ......................... ~lanning Board Approval ........................ ~equest for: Temporary Certificate ........... Final Certicate. ~" 'ce Submitted: $. ~.OO co Iq ...................... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tIALL SOUTIIOLD, N.Y. 11971 HARCH 8, 1991 TEL. 765-! 802 ROGER & JUNE SCRAIT 1680 ELIJAH LA. MATTITUCK 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 i~ not on file. ENCLOSED /~/ NO Underwriters Certificate on file. Tile check is(mX~}~/not on file.) /~/ No IIealth Dept. Approval on file. /5/ No final inspection has been made. $25.00 Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ I 8 9 I 0 Z DECK ADDITION Building Dept. ***/5/ No Plumber Solder Certificate on file. all permits involving plumbing beinq issued after April 1,1984 ) · OUJD~TIO.; (1st) FOUNDATI0:; 2. f2nd) ROUGH FRAHE & ,PLUMBING INSULATION ?ER N. STATE EIZERGY CODE Fi~:AL ADDITIONA'L COMMENTS.. '765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST I~ ] FOUNDATION ZND' [ FRAMING ,A ROUGH PLBG. INSULATION FINAL DATE. INSPECTOR r 765-3.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 3.ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ~ INSULATION FRAMING [~NAL REMARKS: DATE INSpE~CTOR ~g~/,~ m21I FORM NO· 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 705-1802 BOARD OF HEALTH CHECK SEPTIC APPLICATION FOR BUILDING PERMIT NOTIFY} JUNE SCHAIT CALL ~.~65-5400 HOME 298-9529 MAIL Approved . . ~ ......... 19~. Permit No. . .. . Disapproved a/c .... · AP, PROUD AG ddltrlY ........ ; ................ Nb~l~ ~ILOfNG DEP~T~~~~~ 78~-1802 9 AU ~ 4 PM FOR ~E (B~din~s~t~;~ ...... FOLLOWING ~NSP~CTIONS: 1. FOUNDATION ~0 REQUIRED FOR POURED CONCRET~ 2, ROUGH. FRAMING & PLUMBING 3, INSULATIO~ INSTKUCTIONS 4 aNAL CONSTRUCTION MUST Date .......... .3/"~ I 1990 Builder's License No ...... ~C~ ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done; 0F OCCUPANCY 1480 ELIJAH LANE MATTITUCK Ouse Number Street, ' .................. Hamlet .... County Tax Map No. lO00 Section ..... 108 3 5.12 ............. Block ... Lot ..... / bdi .......... ,- · · Su vision GREENBRIAR ACRES 6609 8 .............. Eiled Map No. : (Name) ....... Lot ... Slate existing nsc and occupancy of premises and intended use and occnpancy of proposed construction: a. Existing Use and occupancy RESIDENCE - S.ING.LE FAMILY DWELLING · RESIDENCE - SINGLE FAMILY DWELLING g?'I 1~ ...... ~%' '' '' b Intended Use and occupancy ~H. ECK: ..... ~?~* CODES RESPONSIBLE FOR (M ppli t) ' ' ' · NOT ailing address of a can Stat[al~{~b'3i~aC'PD~/~n~?~n~?~[~e, agent, architect, engineer, general contractor, electrician, plumber or builder. O.W. NER - ~ -~.~ ~ Nameofownerofpremises ROGER C. & JUNE M. SCHAIT (as on the tax roll or latest deed) ............. If applicant is a corporation, signature of duly authorized officer. '' '(~g~; [[e'o ppli e',ifa'c'o[- o'r~ i t £ a cant, or nam p non) 1480 ELIJAH LANE, I~TTITUCK~ NY 11952 BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY aBETllis~tllflt'~'at:~ faint be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 set.sial lltai~Si~Lq'l~l~lo~l~d,d, tg~iilre. Fee according to schedule· T~ l~l~tgi~a~ll!i~,~g~l~6cit't-II~n Igfflot and of buildhgs on premises, relationship to adjoining premises or pub~c streets ~ion of layout of property must be drawn on the diagram which is pa~ of t~s apph- cafl6'fi¥TS NOT ~FSPONSIBLE FOR ~~~ atlon may not be commenc · ,,- .... d. Upon approvalg[this aunlicatlan *~- ~--',]' · ed before ~ss.ance of Budding Pertain shal~[~p: ~,, G,~ p~s~9~abi~"~'i~s~c~i~'~ inspector xyfll issued a Building eemit to the appEc~t. Such pemit p n mrou~out the work· ~fifi~o buildMg sh~be occunled or used in w .... . - nme or ~n part for asy purpose whatever until a Ceaificate of Occup~cy :hal~[~~ B~~Inspector. 76~dB02 9 AM ~ 4 PM FOR THE . ~ ~Y MADE to the Build~g Depmment for the issuance of a B~lding Pe~it pursuant to the Regura~;~~ff~on of buUdM s, additions y. e~ York, ~d ?the(appl~?ble ~ws, Ordm=~es or The~;~& a-~,la,~m~, ~.~, _ ~. . or ~.Iteratmns, or for removal or aemohtion, as here~ d ' . nuuu~ -ocn~n~o-~EO~~ appacable laws, ordinances bu' ' o - . escnbed. adm~'~~spectom on remises and ' bu'~;~- e ....... '- fld~ code, housm~ code, and regulations, and to ............... P m L__.a .~. ,,~soa~ Inspections. 4. FINAL CONgTRUC~ON MII~T 3. Nature of work (check which applicable): New Building .......... Add tion ......... .,'M!9'rat!°n~. ~"'"' ' .... i } '. ' Repair ............ Rbmoval .............. Demolition .., ............ Swzm~a~ng ,pool .... ..: ..... Tennis Court ......... Accessory Bu~ldJ-ng .......... Fenee~, ....... Other !4ork. 4. Estimated Cost...~ .~P.~Pn ...................... Fee .... ~.~... ~.t .~.~ ........... '' (to be paid on filing this application} 5. 'If dwelling, nmnber of dwelling units ...... ~ ........ Number of dwelling units on each floor ................. "If garage number of cars ........ 6. If busine~, commercial or mixed occupancy, specify nature and extent of each type of use .................. t, . 7. Dimensions of existing stmcture~, if any: Front.., ............ Rear ................ Depth ................ Height Number of Stories .... D~ensions of same structure with alterations or additions: Front .............. ~]~0~ ~0~q~ Depth .................... :.. HeiSt ...................... Number of Sto~es ............. ~ . 8. Dimensions of entire new construction: Front ............... Rear ....... ,,~,. re'm-. ......... Number of Stories ' ¥6 Height............... .............. .................. ... .,,.~-,.,,.-.,~.~ .-'.-~'.'~' ............... 9. Size of lot: Front ...................... Rear ................................ 10. DateofPurchase ...... NameofFo~erOwn~ t'~.~ .. '. 11. Zone or use d~trict in which premises are situated... .................................... .. ~:,.~ ~ , 12. Does proposed constructmn wolate any zomng taw, ordinance or regulatmn ........ '15" ,." ~ :'~ ' ' .... 13. W~llot be re~raded .~q. .. ............ ., .. . . . . Will excess fill be removed frgmp~emises: . . Yes ...~ No. 14. Nme of Owner of premises ................ Address ................... Phone No ................ Nme of Architect Address Phone No .. N~e of Contractor ................. i ........ Address ................. Phone No ..... .,~ ....... 15.Is this property loca~ted within IOO feet of a'~idal ~etland? eIgS...~-.- *If yes 8ou~hold Iown Irustees Permi~ may be required. ' PLOT DIAG~M ~ Locate cle~ly ~d dist~ctly ~I~ bu~d~gs, whether existing or proposed, ~d. lndicate ~1 set-back d~ensions from ab,., late is the ........................................... .' .......................................... :. · : (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d¢ly authorized to perform or have performed the said work and to make and file this application: that afl statements co~tained 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 ; ............. ?. / day Of · '~'~' 19.~q ~ County Notary Public ............ HELEN No. 470~'878, Term Expires Mamh (Signature of applicant bo~ 9 SUFFOLK C©UI4TY DEPARTMENT OF HEALTH SERVICES APPROVAL OF CONSTRUCTION ONLY HS REF. NO. APPROVED' AOORESS TEL NOTE:·: MONUMENT ~:STAKE SUBDIVI SION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK'COUNTY ON OCT. 7~ 1977 AS FILE NO. 6609 ~ ~ LO~ATIO~ OF WELL(W), SEPTIC TANK(ST)6 CESSPOOLS(CPi SHOWN HEREON ARE FROM FIELO OBSEM~/ATIOHS AND OR DATA ODTAINEO F~OM OTHER S SURVEY FOR "ROGER SCHAIT &., JUNE BOUSSON SCHAIT LOT 8 "GREENBRIAR ACRES" AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK JULY 22, 1985 DATE NOV 2., 1984 SCALE: l": 40' NO 84 -:lO'4~.':~r~i.). ",.' YOUNG 8 YOUNG ALDEN V/ YOUNG, PROFESSIONAL ENGINE ER ~,ND LAND SURVEYOR N Y.S UCENSE NO 12845 HOWARO W, YOUNG, LAND SURVEYOR N Y S. LICENSE N0.45895 GUARANTEED ~ ' ROGER .SC~I~' - "~ h.~%, J u "E~ u ~,.,s .m'Lr,,s,...c q,,,~'-,, *c USL/, l,,,',' OF,,,.Y. 400 OSTRANDE R AVENUE RIVERHEAD, NEW YORK