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Home My WebLink About18837-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C~R'£IFICATE OF OCcum~NCY No Z-23903 Date SEPTEMBER 20, 1995 THIS CERTIFIES that the building Location of Property 1805 GPA%ND AVENUE House No. County Tax Hap No. 1000 Section 107 Subdivision AL'£~ATION MATTITUCK~ N.Y. Street Hamlet Block 8 Lot 41 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 2~ 1990 pursuant to which Building Permit No. 18837-Z dated MARCH 5¢ 1990 was issued, and conforms %o all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATION IN CELLAR FOR PLAY ~ ~ APPLIED FOR The certificate is issued to (owners) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED RUSSELL & CAROLE WELLS H-017637 - AUGUST 22~ 1990 Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 18837 Z Permission is hereby g_r~nte~ to: /,P,,...~-' ~ .... _,/ ......................... ~..,.,,~-~....,:~.,.~.~ .......... ...x _.z ..... ~'r./' .... .................. ~*'"2~ ~"*'"t' ......... . ..~.... ...... ~,, ,.~_ ~,~~,-~.....'~....:....~ .................... ~. ................................................................ ~, p,m,,, ,~o,,~ ,, ...Z..Z~..~..~~....~ ........................................ .................................................. ~~ ................................................. L.~.L'L~.~ ...... co~ ,~ ~o~ ,o. ~ooo s~o~ ........... ~..2. ~k ........ ~ ........ [o, uo ..... ~ ........... Building inspector. ........ Rev. 6/30/80 i'Lil,, ~'11 SEP g I,q~ J'~: BUILDING DEPART/lB/IT BLDG. DEPT. APPLICATION FOR CERTLFiCATE OF OCCUPANC'g TOwN OF $ouTHot q This application must be filled in by typewriter OR ink and submitted to the buildin~ inspector with the following! for new building or new use: l. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topogrmphic features. Final Approval from ~ealth Dept. of ~ater supply and sewerage-disposal(S-? form). 3. Approval of electrical installation [rom Board of Fire Underwriters. a. Sworn statement from plumber certifying that the solder used in system aontains less than 2/10 of l% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and install~tions, ~ oerti[icmte-of Code CompliancR from architect or engineer. responsible for the building, ~. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conformimg uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property sbm~ing all proper~y lines, streets, building and unusual natural or topographic features. 2- A properly completed application and a consent to isspeot si~ned by the applicant. I~ a Certificate of Occupaucy is denied, the Building Inspector shall state the reasons therefor in ~ritiug to the applicant. C. Fees 1. Certificate of Occupancy - Ne~ d~elling $25,00, Additions to dwelling $25.00, Alterations to dwelling ~25.O0, Suimming pool $25.OO, Accessory buildiug $25.00. Additions to ~cnessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on ?re-existin~ Buildinn - $100.00 3, Copy of Certificate of Occupaocy - $20.00 &. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential SJ5.00,Commercial $[5,00 .... ............................ Seu Construction ........... Old Or Pre~existing Building ........... ~ouse No. Street Hamlet ~n,,er or O~,ers of ,opert~ ...... ~.~.il. ~.¢~.Jt....~..~.(/r ............................ :o,,n~y ~'a~ ,sp ,o ~000, ~cctio,, .... Z.O.7 ..... ,~,,,~,~ ...... Y. ........ ~o, ..... 9~ ............. ~ub~i. isio. ............. X ..................... F,lod ,~,p .... ¥ ...... ~.ot ..... K .............. i~rmit No .............. Dote Of Permit ................ Applicnnt ......................... ;iealth Dept. Approval .......................... Undet-icriters Apl)rovul ....................... for: To.,porn~y Certificate ........... Fi.hi Con,irate ........... SOJ 7 P--^ ' .............. : ............. , ~o~ .. · .... Town Hall, 53095 Main Road P. O. Box 1179 Southotd, New Yo~k 11971 Fax (516) 765-1823 Telephone (516) 765~1602 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 15, 1995 Mr. Russell Wells Jr. Grand Avenue Mattituck, NY 11952 ***** SECOND NOTICE ***** 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 file. (Enclosed) ** No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT $ 18837-Z Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE CODE OF THE TOWN OF $OUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY F~AS BEEN ISSUED. Thank you for TOWN OF SOUTtlOLB OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN tIALL SOUTIIOLD, N.Y. 11971 OGIOBER 1, 1990 TEL. 765-18(~2 RUSSELL C. WELLS 1805 GRAND AVE. MATTITUCK, N.Y. 11952 To Whom This May Concern, We are unable ~o complete your Certificate of Occupancy because.of the following reasons. ~An application for Certificate of Occupancy is not on file. (ENCLOSED) /~//No Underwriters Certificate on file. /~--~ff '"The check it:(cKW, Xl~X~not on file.) $25.00 /'~/ No Health Dept. Approval on file. /-~/ No final ins[~ection tlnu becll made. Plca:;e contact our office on this matter. Thank you for your cooperation. Ihtil~ling Permit t} I 8 8 3 7 Z Building Dept. **~/--_/ ~1o Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATIO~U (1st) FOU!~DATIOI~ 2. (2nd) ROUGH FRAME & .FLUMBING I~;SULATION FERN. STATE E~EROY CODE Fi::AL ADDITIO~A'L COMMEr/TS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~ULATION FRAMING ~r ,~FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]/~NDATION 2ND[ I/~NSULATION [/4' FRAMING [ ] FINAL REMARKS: ~ / - __ INSPECTOR BLDG. DEPT. 7OWN O~,,SOUT"OLD FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH 3 SETS OF PLANS -~.a........ ..... SURVEY · SEPTIC PORM ............ Examined .3../.~.. ......... , 19 Approved..~/,5.--7.~ ......... 19 .~. Permit No.~.?. ?..~./ Disapproved a/c ..................................... NOTI FY ~ CALL ..... · .'i~.~...]. .... fl~f: Date .................. 1 INSTRUCTIONS a. Tlds application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, v 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 s ,o~' areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of th.is cation. ¢. 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 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 Occup shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant t, Building Zone Ordinance of the Town of Southold, SuffoIk County, New York, and other applicable Laws, Ordinamc Regulations, for the construction of buildings, ad. ditions or alterations, or for ~'emoval or demolition, as herein desex The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, in building for necessary inspectionm. -- --~ .... ~-.~:-,-.t.- : ....... -% ...... · (Si=nature ot appdcant, or name, if a corporauon) (Mailing of applicant) State whether applicant is owner, lessee, agent, arcMtect, engineer, general contractor, electrician, plumber or bull .............. r.ea ................................................................ ame of owner of premises .... ..................................... (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer. ..... (~qa;~e a~d title' ;~ ~grpgrate officer) Builder's License No ..... ?...bU. ~! ~.[~ ........... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1, Location of land on which proposed work wiI[ bc done; tlouse Number Street Hamlet County Tax Map No. 1000 Section l 5' 2 ' Block . ..~ ...... Lot V / .,, Subdivision ..................................... Eiled Map No ............... Lot ............ (Nan*e) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing usc and occupancy ~ t (. ~,~; . ......... . l~ t ,. .. .... ......... ............. .... b. lntende~ 3. Nature of work (check which applicable): New Building .......... Addition ..... Alteralzon' · .... Repair .............. Rbmoval .............. Demolition ..: ........... Swi~.-ming ,p~ ....... Tennis Court ...... ~ . . Accessory Building .......... Fence ....... 0t~0~or*k.~! ...... 4. Estimated Cost ....... (..) ./..0~ ?. ? .................... Fee .................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor .............. If garage, number of cars ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................ 7. Dimensions of existing structures, if any: Front.,, ............ Rear ............... Depth .......... Height ............... Number of Stories ................................................... Dimensions of same structure ~vith alterations or additions: Front ................. Rear ............. Depth ...................... Height ...................... Number of Stories ................. 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .......... Height ............... Number of Stories .............. : ....................................... 9. Size of lot: Front ...................... Rear ...................... Depth 10. Date of Purchase ............................. Name of Former Owner .......................... 1 I. Zone or use district in which premises are situated .................................................. 12. Does proposed Construction violate any zoning law, ordinance or regulation: ............................. 13. Will lot be regraded .: .......................... Will excess fill be removed from premises: . Yea .... 14. Name of Owner of premises ................ ' ....Address ................... Phone No ............. Name of Architect ........................... Address ................... Phone No ............. Name of Contractor ................. ' ........ Address ................... Phone No ..... ~ ...... 15.Is this property located within { O0 feet of a tidal wetland? mYES .... NO .... ~If yes, Southold Town Trustees Permit may be required. PLOT DIAG tLAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions property lines. Give street and block number or description according to deed, and show street names and indicate whel interior or comer lot. STATE OF NEW YORK, S.S COUNTY OF ................. (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the appl He is the ..................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and ill, application: that all statements contained in this apptication are true to the best of his knowledge and belief; and th: work will be performed in the manner set fortli in the application qlcd therewith. Sworn to before me this ........................ day o ...................... 19. (Signature of appl