The URL can be used to link to this page

Home My WebLink About18460-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No C0Z18754 Date SANUARY 31, 1990 THIS CERTIFIES that the building ADDITION Location of Property 200 BAYER ROAD MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 139 Block 03 Lot 24 AMENDED MAP OF Subdivision MATTITUCK HEIGHTS Filed Map No. 1184 Lot No. 65 & 66 conforms substantially to the Application for Building Permit heretofore Filed in this office dated AUGUST 23, 1989 pursuant to which Building Permit No. 184602 dated SEPT. 8, 1989 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 ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to RAYMOND DEVERNA (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING SLIP 1/29/90 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 • :ossc xo. s TowN of souTHOLD BUILDING DEPARTMC•NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 1.8 4 6 0 Z Date ...ire.~Ya-M:~,.~.....~ 19~.~ Permission is hereby granted ta: i ...i~d.~.......~f..:~:.~ ..tea-~,Q ~?::1.:...!.! ~1.. ~Sl.~' ro . ~ .........s,~-...... ....-.ate......:.....-~,.~.... ~4-.......... ct premyisre-s~+~located at ~....,.l.'.~...........°-t~(~~:i~...............:./.......5......~ ...~C..•.M~.....:h.::4.t!!1.~.J1...A? ` ~ ...14...1 •.~,,L~N;w` County Tox Map No. 1000 Sec ~..3~.......... Block 3....... Lot No..Z~... pursuant to application dated ~Atrs.Q'.... 19~~.., and approved by the Building Inspector. Fee Building Inspector Rev. 6/30/80 A - _ ~':w;x] j ~ ~ A~ ~ ~ _ yeti "D.60~ ~ ~ N ~ ~9 z ` . ~ ~ 'gyp Fo \ A ~ A ~ 63.OYt, ~ ~1~0 - i 5.65'OS`40 "W. ~ ~ ~ _ ~ ~ n~r,~a ~ ~~oo~~~-Y j sul~ve~YEO ~o~ ,rte' ~':'Pv~7Jh,1C~ ...1.` ~ G,~`l~ A ~,p1t I~ L~~ ~~EG !~l~r . JU11LiTTl TUCK ~ TOWH OF SoUTHOt-D > N.Y. ~ ~E- -1-- - --z µEExwErx. ~a A~xtOn SG~fG.°R: COUt!i~c1 ~GX F'C!'G B;: i m pEls suRVRr a A wouTloN of ~ Q a tP+o/+u~rttrrf >IeTyoN rmP oT mE raw roRR sr,.. /OOG - l39 - 3 - Z ~ [DlEUnoPI uw. m = lYOH / & FO[IEi OF m15 SUkrt/ Twr r.u~ y~lWSf~ID MEVEYSIIALL~ CR! pNS1iMRE0 1 (O +E A YAUD TRUE COPT. ' 6UAMNEEE3 IrDIOATED xERlON SNAEL RVN _J ( J OtIY TO mE PERSON fOR WHOM iN£ t1RtvF' l~U~~Yd~ ~BE l7 f{.D JAG L~~Y.'Qf® ~dg Yf'~i;'1~ upWnA~R~F~Dw,ANDOxwsuxAUTOmi BOKk.~ '~'O' Cerl~+W/"1j F1 }3S7`"Pl2G1`'/ Tgi,E y.,..~ANY~ GOVERNMENSAI AGrNC` snv+GINSTIMIONUSTFCN~R/O'• GtlYL^. cir~t'.~ f'p f'hC ~C)K~'He!"5 i (O THE ASSIGNEES OF TM LLK,:i`K M. , '•rtlON, OVARAMEEl+%' Qv .surE~cycd AL/~'. i/! ~f „~T[ReYs end p/bf ,feMvrs reafrr .~'ccErzt.:.x. i~/sra/ 1'7i~r~.., P, C. _ _2.. ~ n.-~'t _ "A.nsndtd Mvp o f' /~Trfituc~ fEbi~4Fy,' _ _ f:/td r'n tAe S~ffo/!c +Cor.,n~ Cferr's L/tensed Lord Survsj'~OYs offict as 1f?o~i N¢//194. 6ros.rpo,-t tifew Yar/t~ FORM NO. 6 ~ TOWN OF SOUTHOLD ~ li (3 I Building Department l Town Hall g Southold, N.Y. 71971 765 - 1802 ~~t-0 APPLICATION FOR CERT{FICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec- tor witfi the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. Z. Sworn statement of owner ar previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 i. Certificate Of occupancy New Dwelling $25.00, Accessory ]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00 ~ 4.Vacant Land C.O. $ 20.00 S.Updated C.O. $ 50.00 Date a NewConstruction,,,!--~,.OldorPre-existingBu((il~~d--i~~ng ..........~p.~VacantLand Location of Property .r.L.J..... . !`:-U........ ~~4' . L 1.4 ~ House No. CBYr`e~ei ~ Hamlet Owner or Owners of Property . f1:-1.~?.r.1.c?/.....4-X.:.~~~.~~ . County Tax Map No. 1000 Section Block Lot . Subdivision ......................J).~~//..S~.C.~Filed Map No. .y.,.-.,.......Lot No. t« Permit No. ~ ~ `~(Q~ ZDate of Permit • 1 •f. b.~ ll. lApplicant 1.~~.1 ~ S Health Dept. Approval ........................Labor Dept. Approval Underwriters Approval , ` .................Planning Board Approval Request for Temporary Certificate .....................Final Certificate Fee Submitted $ ~ . . Construction on above described building and permit meets all applicable codes,a~nd ~regpulations%.~~ p Applicant ~ ~ ..F-;-~"-"..... . Rte. io-ioae 3~ 3 S ~ ( S cf 80/ ItL4N,$ HOME IMPAOV. ~ 7 P. O. ®OX b2" ~ b r{31 /yQ G" SOUTHOLD, t 11971 I ! i 1~LD I::.°.:~,::_~: ~~'JA:E I~ ~v;`4MENTC f =,i-+. ,y 1. G ~ - - ~ - H =OUIID;T20;! ~ (1st) it ~ ~ c ?OUNDATIOJJ (2nd) _ ~ ~ ° ~ o ?OUCH FRAhfE & PLUMBING ti 3. ~ m n IIJSULATIOfI PER N. Y. • • STATE EfJERGY CODE v R _ FIJIAL I ~ l ~ •j ADDITIOIIAL COMhfE1JT5: x M ' ~ x ^o H H H O . m 5 r C • / H b m v H ' ~~~0 765-1802 BUILDING DEPT. iNS~ECTiON [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~ IN5ULATION [ ]FRAMING [ ]FINAL REMARKS: -m DATE !U INSPECTOR 755-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST f ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKSe " DATE INSPECTOR BOARD OF HEALTH 3 SETS OF PLANS FORM N0.1 SURVEY TOWN OF SOUTHOLD CHECK ~.~p . BUtLD{NG DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY 22 TEL.: 7G5~1802 CALL ...3~.J. 3 , MAIL T0: Examined 192~`j Approved-. ..-n.^.":^?`?a."'. 199. Permit No. 1 a , . Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT ' Date I~ INSTRUCTIONS a. Tttis application must be completely Riled in by typewriter or in ink and submitted to the Building Inspector, w 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 st or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this a cation. c. The work covered by this application may not be commenced before issuance of Building Petmit. d. Upon approval of this application, the Building Inspector will issued a Building Permi[ to the applicant. Such p. shad 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 shad 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, Suffolk County, New York, and other applicable Laws, Ordinanc Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein desert The applicant agrees to comply with all applicable laws, ordinances, buIldine code, housing code, and regulations, an admit authorized inspectors on premises and in building for necessary ins~lpectyions. ~UQ ~~~t tS /'><oh~£ /nloRoc'+£,S .F.~TI /•?C . (Signature of applicant, or name, if a corporatton) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or but] ......~Bu~«~~ . ..............p.................................................................... Name of owner of premises . /LA.Y/?tawi? . 4`; • _l~flf9~0 i~'E (/e~..vA . . (as on the tas roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. /:3 0 77 Z • Plumber's License No . . Electrician's License No . . Otter Trade's License No . . 1. Location of land on which proposed work will be done . . House Number Street Hamlet County Tax plap No. 1000 Section 3• .r1. • • • • • • , Block Lot ...:7: Subdivision Filed lfalt No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy !~!".~.~t L 1 .v F • • • • • • , • • b. Intended use and occupancy ~.~~.«.~•N~• • • • • W • ~"tr-t~. . 3. Nature of work (check which applicable): New Building • • • • - • • • • • Addition • Alteration . Repair Removal Demolition Other Work ,j (Descrip 4. Estimated Cost ....r(-q'acv Fee . (to be paid on filing this application 5. If dwelling, number oC dwelling units d f'!:~...... Number of dwelling units on each floor O.Nf£.. . If garage.numbcrofcars 6. IC business, commercial or mixed occupancy, specify Hato re and extent of each type of use . . . . . 7, Dinensions of existing structures, if any: Front Rear Depth ..ay,.'. , , , , Height f. r......... Number of Stories ....t~ N.~E Dimensions of same structure with alterations or additions: Front ..Y4 . Rear ~ u , , , , , , , , r r Depth lIcight 1.t1................ Number of Stories Qw'~ 8. Dimensions of entire new construction: Front I3...'....... Rear ! 3.`......... Depth . . Hei,ht ~rZ.~......... Number of Stories P."1.~.`...... , 9. Size of lot: Front r°. Rear l~°.~ Depth ~ r`.' . 10. Date of Purchase .............................Name of Former Owner , , . I 1. Zone or use district in which premises are situated ......,lQ~'!'!°!': rr~t.-. - , , • , , , , , , , , , , , , , , , , 12. Does proposed construction violate any zoning law, ordinance or regulation: ....N, tJ . 13. 1Vfl1 lat be regraded Will excess fill be removed from premises: Yes 14. Name of Owner of premises d'A.Yk~^:9.. . Dsur.~~;.l+~ddress ~T!~i'.:QQ. !'t~??~!st~ione No. RY3.".`,~S3,ys Name of Architect ...........................Address ...................Phone No........... . Name of Contractor~:[4. ~K!rh'~ .I~r~. !MP , f^.'.r .Address .?F54s!'.'~':'~ a'!ru'~'hone No..~??,-35;a I5.Is this property located within 300 feeC of a tidal wetland? *YES....N0~1C: *If yes, Southold Town Trustees PermiC may be required. PLOT DIAGRAM Locale clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions t property fines. Give street and block number or description according to deed, and show street names and indicate whe interior or corner lot. F .Tyc~r~ r'attm?1 ~ Rk Ro~o~~,sA ~!AS eH~cK~t~ ! fF ~R~y ~ i ~ ~ r ~ l s yhNh e~ 1 S{C `f fl9t ~ \ ~ .1 ~ ~ ~ h ~r, r'`6,,~ v ~ ~ ~ ~3/1~iN STATE OF NEB YORK, __~S 1--~-----'-'-`-°" COUNTY OF . • - . • • • • • • • • • • • • being duty sworn, deposes and says that he is the applic (Name of individual signing contract) above named. fie is the....... (Contractor, agent, corporate ofGcer,etc.) of said owner or owners, and is duly authorized to perform or have performed [he said work and to make and Cile application; that all statements contained in this application arc true to the best of his knowledge and belief; and that work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..............4? .~z.//..~~.~.day of~f//..... 79~y Notary' Pub!i.:, ......~~?t!..Zl•.. LS!~~..... y Count ~m1787878,~ k~ ~ ~ (5ignature of applicc ut~ rah 30, Is._.Y~ I I--- - - - I I `a,, ~i ~ ~ ~ - i ~ r i • I ko~ /jL-' ALA c ~o e~ _ as Wil + ! ~V, ~ ~I~1~~µ , E, I~ _ ~s ~ 6 ~~,tr~ ~ Q~ I ~ F~,.~ ~ ~fJ f1 ,s go31~ _ ~ n ~Loo2 PcA^' I _ i3 v F APPROVED AS NOTED~( 1, DATE 9 R P. q ~ 76 0 ~ko r'ol}S~ OCCUPANCY OR FEE: ~ gy USE IS UN~AWFU~ NOTIFY BUILDING DEPARTMENT AT 7fi5-7802 9 AM TG 4 FM FOR THE WITHOUT CERTIFICATE FOLLOWING INSr^EC'10!VS OF OCCUPANCY ~ FOUNDATION - TWO REOUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING Fi PLUMBING 3. INSULATION PKn peS,fo 6`x /T ~ /9AOiJTi+w FaK 4. FINAL - CONSTRUCTION MUST rw11rr11Ml~r~..r BE COMPLETE FORC.C M,2 q pLi/es.wn.A B/t%d/L ~Q/i. .weM>~/'uf~ rrM~~~YI~ ALL CONSTRUCTION SHALL MEET ~Ri ~ r~ M ~ THE REO.UIREMEMS OF THE N.q sine ~ c apvnovso er oaewN or Mglp/KtrLarNv STATE CONSTRIICRON d ENERGY oere nemsso COOEL NOT RESlON31BLE FOR DESIGN 011 CONSTRUCTION FARORS Q OD~ /4 ,F fr?C ~'S f; i:~!A+' AihfF-ai//Y/ei F.v7J fn''C`i oMwING N~MKa I a( 4( H P-o `V 4t6c'~ j . s `l' 4P° {6 ~c~ 5°~ r. r' v ~ ? f r' , ~T - ~ . ~ ~ G• S1~ _ b F r P iy I r ~r ~ I' I.~~ 4v~~s i~~s nS5 Ske)-io~~ I ~ ~ I y r t'~- fit!' 0 i ~.'~r„~^'` i I ~ . ~ ~ fit ~ _ =:~:~5.~~~.+~1-~ .h-_-_~ e. ~ '1~Iq ~~'1'° z. ~ i'I . r \~i ~ _i_, M ~I 1b .L I Nr ,4' ~ v, rc. Y ' I' J , ' ~ 4 Pn F,, ~ I - - - - _ a ~ - - I ~ ~~I . l~ ~ 'i ~ ~ ~ + c. ~ I I \ ~ ~ I I~~Ta`~ I nl ~ i ,I _5_ - - _ - ___._i_ _ _ _ _ _ _ _ _ ~P~.T _ _ _ _ ~ tr a ~A qi S~Oe: ~,~wtio~f ~ '^u . R v ' !//Qc yn SF/J R ~ X ~ ~f ~ f100 ~lTio+~+ F'anf m`/f ~ n,R's 06vE-P.NR BAYED' Roy mH17,7<e-d. sues ~y ncreoveo er oenwru er onre eevisso ~a~ x~!/L S fro /+'R' .Tjir,~67/fAIF'.t/7.S Z`R/f;~ ovnwirte HuMeerz