HomeMy WebLinkAbout18606-z FORM NO. 4
TOWN OF SOUTHOLD ,
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18657 Date DECEMBER 20, 1989
THIS CERTIFIES that the building ALTERATION & REPAIR
Location of Property 1475 WESTPFIALIA ROAR MATTITUCK N.Y.
FIouse No. Street Hamlet
County Tax Map No. 1000 Section 141 Block I Lot 8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 19, 1989 pursuant to which
Building Permit No. 18606-Z dated OCTOBER 26, 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 ALTERATION & REPAIR TO EXISTING ACCESSORY GARAGE AS APPLIED FOR
The certificate is issued to ELENOR MEEFIAN & HANNAN MASTERSON
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED. N/A
Building Ins ctor
Rev. 1/81
rosai xo. a
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)
NQ ~g6d~ Z Date /~~'P2..~~ 19.
Permission is hereby granted to:
X30 73' . '
. d:~.........
at premises located of ........1
`./~..~r..J`.~.....!T/,J~.~~....../~i.l~i
County Tax Map No. 1000 Section Block ........~..........yL~ot No.......r~............
pursuant to application doted ...~!f~.~l~,c~ 19..~'.~G., and approved by the
Building Inspector.
Fee
.
Buildin for
Rev. 6/30/80
a ~
TOWN OF SOUTIIOLD `
BUILDING DEPART:IEtIT
L»o.~~.,~,,._~, m..,.~....~..-~. ,
TOUN HALL ~
SOUTIIOLD, NEA YORK 11971 x p~C t 9~9
765 - IB02 ~
_~_S
~}l~~G. UEi'T.
APPLICATION FOR CERTIFICATE OF OCCDPAtt TOWN OFSOUTHOLO
DATE_1~~ ~~/9 ~
NEN CONSTRUCTION .......OLD OR PRE-E%ISTIt7G IIUILDING......DACA27T LAND....
Location of Property.~.l„/.J~....~.Q-sS.~l~~A~~i/~,..~. YY110~~-~-1~-LLC~~V,. .
LL SfT'REET IIAMLET
Ovner or Ovncrs of Propcrty[~.m?EhJ~/i~~ ~v._~{'~y~gd1!',LS.G/,-~
,%ounty Taz Map No. 1000 Section Block
Lot'
"XpSubdivision Fileld Malp ........Lot__.._.....
Permit No. ~A,~q ~~Z..pate of Permit LQ1~ ~,~,A 1 l)~/1D~JyyiBe.~T f~yS-t-
PP icant .J-~~"C~
Health DepC. Approval Underwriters Approval..a~~,,,...__
Planning Board Approval ..N,~
Request for Temporary Certificate
„ Final Certificate
a
Pee Submitted: v
i
APPLICANT. _
'U
reV• ID~IG ~BB
(}'~rre.3$76~
C o ~ 186s
FORM NO. 6
'
TOWN OF SOUTlIOLD
i
BIIILDING DEPARTMENT
TOWN iIALL
765 - IB02 '
~ "N~,t~ , , ~ ~
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
'
A. This application must b~ filed in typewriter OR ink and submitted to the IIuilding
Inspector with the following; for new buildings or new use:
I. Final survey of property with accurate location of all buildings, property lines,
streets, and unusuallnatural or topographic features. '
2. Final approval of Ue~lth Dept. of water supply and sewerage-disposal(S-9 form).
' 3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statemenC from plumber certifying Chat solder used in system contains less'
' than 2/10 of iZ leads.
5. Commercial buildings~~, industrial buildings, multiple residences and similar,
buildings and instal~Rations, a certificate of code complianoe from the Arr_hitecC
or Engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings ;(Prior to April 9, 1957 non-conforming uses, or buildings
and "pre-existing" land'' uses: t
1. Accurate survey of plroperty showing all property lines, streets, buildings and
_ unusual natural or topographic features.
2. A properly completed, application, a consent to inspect signed by the applicanC r
and a certified abstiract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
,If a Certificate ofiOccupancy is denied, the IIuilding Inspector shall state the
reasons therefor in'~writing to the applicant.
3. Date of any housingcode or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
C. For Vacant Land Certifi'~cate of Occupancy:
1. M application for vacant land Certificate of Occupaucy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership gf~the entire lot prior to April 9, 1957 shall also accompany
the application. I£ a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
1. CERTIFICATE OF QCCUPANCY - New Duelling $25.00, Additions to Dwelling $25.00,
Alteration to Duelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $SD.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5:00 - over S years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Dpdated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $15.0,0 Residential
Commercial
I •
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ev, 10/14/S8
~~~n'~„J`. TEL. 'GS-1 &'II'
`O O~y ~ T0~ N OI~ SOUTIIOLJ
1~~~~ Y; orf'rcl, OL' GUILDiNG INSPECTOR
4
U ~ '~i~°%k ~-n
fit" SOtll'I101.D, N.Y. 1 1971
.bl~,. Deceriber 15, 1984.
Environment East, Inc.
3075 Indian Neck Lane -
Peconic, N.Y. 11958
Re: ELENOR i3EEHAN 6 HANNAH MOSTERSON
'fo 47hem This May Concern,
47e are unable r.o complete your Certificate
of~OCCUnancy because of the folloc•ring reasons.
An application for Certificate of Occupancy
is not on file. {ENCLOSED)
Mo Underarriters Certificate on file.
/ / 't'he cliecF; .i:; (~~iplrakXL~-.cact~/r.ot on file.) 525.00
D:o 1k:al.th Dept. Approval on file.
No final inst~ect:ion has been mace.
Pleasr., contact ouz office on this matter. -
Thank you foz your cooperation.
t;u.ilding Perm.i.t-. It 1 8 6 0 fi Z
Building Dept,
tlo Plumber :;older Certificate on file.
( a7.1 pozmitc involving plumbing briny
issuccl after ,lpri.l 1,1984 )
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?OUJJD;TI0:1--. (1st) I - - a~
'OUlJDATIO:d (2nd)
.'.OUGH FRAhJE &
PLUMBING
3, y
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IIlSULATIOPJ PER N. Y, I n
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STATE EPlERGY
CODE
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' I ~ CeLt f H
FINAL
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ADDITIOlIAL COMMEIJTS:
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0~ ~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ) ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [~NAL
REMARKS: ~ ~ ~ ~ -
!-I.~
DATE /2~1y~~8'~VINSPECTORVyV,~,~~,y,~
BOARD OF HEALTB
FORMN0.1 3 SETS OF PLANS
SURVEY
TOWN OF SOUTHOLD CHECK ~ ~ ~ ~ ~ ~ ~ ~ ' '
BUILDING DEPARTMENT SEPTIC FORM ~ ~
TOWN HALL
• SOUTHOLD, N.Y. 11971 NOTIFY
TEL.. 765.1802 CALL
Examined 19~/~ MAI .
Approved ~:~1.?~......, 191. Permit No..~~C~,O '6~ ~ ~ l~ 11.w'~n 12 •~"~j'~ ~ '
Disapproved a/c / ~ U L~S~' ~
6
Buil ing Inspector)
APPLI ATI FOR BUILDING PERMIT
Date ..5~~.~ober..~,R,..., 1$9..
INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Buildin; Inspector, 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 premises or public street:
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, t}te Building Inspector will issued a Building Permit to the applicant. Such permit
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 Occupancy
,'shall have been ¢raPted by the Building Inspector. ,
t' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.'
I'Ite applicant agrees to comply with all applicable laws, ordinances, building code, housinG code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
• I',nvironmant k~aSt, Tnc.
i' S " ~ (Signature of applicant, or name, if a cprporauon) ~ ~ '
r", ~ ~ 3075p Indian NeclC Lane
.Pe~.anic.,..t~=. J.,1.g58...
, ~ (Mailing address of applicant) ,
State whe~l~r applicanf,is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
Vameof6tviterofpremises „Tenor Meehan ~ Hannah I`tiasterson
~ ~ (as on the tax roll or latest deed)
f apply6ant 's • ,c ~ n i lure of duly authorized officer.
.x _ .Pres....
ame!anti title of corporate officer)
Builder's~Ll@'ense~Nd'....~~5,Ex ,TiI .
Plumber's License No,
Electrician's License No . . .
Outer Trade's License No . .
Location of land on which proposed work wilt be done. , , '
iA
1.7.5.Wes.tphal,iH.l?oad M~ttitvaek
House Number Street\ • • •
1 ` Hamlet
County Tax Map No. 1000 Suction ...~4~........... , BI c.k , •
p' 1:......... Lot..B
Subdivision . F~Icd Rlap No. '
..INante). t Lot...............
State existing use and occupancy of premises and intended use and occupancy of proposed construction;
a. Existing use and occupancy Kax'~f;t' .
b. Intended use and occupancy x:a tlova.'ted • a;ara~e. • • • , ,
i
3. Nature of work (check which agpticablc): New Uuilding , Addition Alteration .
Repait . 7S Removal , • • . Demolition Other Nork .
O~ (Description)
4. Estimated Cost.... . Fee......................................
(to be paid on Cling this application)
5. If dwelling, nutnber of dwelling units Number of dwelling units on each floor .
Ifgaragc,numbcrofcars E. „
5. If business, commercial o'>~Inixed occupancy, specify nature and extent of each type of use
7. Dimensions of existing structures, if any: Front . Rear _ Depth .
Hci;ht .Nut>abcrofStorics............................................
Dime s~l~sdsttugt~'~c with alterations or additions: Front . Rear , . , , , .
Depth,", R , , , , , , , . Ileight , , • Nu,~t~. cr of Stories ~ •
i. Dtrn~OSions fire ntt1Y ct~stnc~tion: Front Rear .ti/~........... Depth , ,ITC.. •
F1"r
- Hags,i~?~u~~.,~;~~+,~~'•..~m;bcr of Stories ,1`I,~/G .
Stze lb'[': Ifid6nt ,'r,:j~.: Rear Depth
Date of Purchase . . Name of Potmcr Owner .
1. Zone or use district in wlticlt promises are situated . Re side.nt ia~... , , ,
.
Does proposed construction violate any zoning law, ordinance or regulation: ..tY4 . . .
g .......1>7~......
F. Namle of Owneadedp y , , , Nill c~~~s ftllbl~removed from premises; Y s No
r of remtses~ .Mes.hatl H. M9.5tp.r,~Imress ~h.b,t.~t~o~..Ny...... Phone No. ~y~3-~~~~,~, , , , , ,
Name of Architect , .Address Pone No. .
Name ofContractori:n}~irgnrdent,F~;ast,:Snc Address e :gin ,hone No.
•734 ?4.'7.4:•.
S.Is this property located within 300 °feet pf a tidal wetland? *YES....NO.~..
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all setback dimensions from
operty lines. Give street and block ~tumber or description according to deed, and show street names and indicate whether
terior or corner lot.
Fxietin, ~araF%e will be 'renovat®d to include concrete floor ~ I '
16~ X I6 ~ ,
a+~f ~ I .
• APP 0 D AS NOTED, ~
~ BATE: ~ B.P. N
,p
FEE: S BY• '
NOTIFY BULL NG 'DEPAR AT
765.7802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIREp
~~~~P g-t" ~ ~ FOR POURED CONCRETE
~..d'~~~~.~~~ ~ 3. NSl1~AT1ONAMING & PLUMBINf3
~ ~~d~~~~~
` 4 BE COMPLETE FOR C.O.ION MUBT
~ ~u~ r~~r•~ ~ ~j ~ ALL CONSTRUCTION SHALL MEET
• f, n ~ ~ SATE ONSTRUC ION 8 ~NEIiGY
y l7~SIGNORCONSTRUCTIONERRORS
ATE OF l;E1V YORE, S,S
AUNTY OF
• • • • • • • • • ~ • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
rve named.
is the.......
(Contracto , tigenf;,corporate officer, etc.)
said owner or owners, and is duly a hacrze to p5rform or~have performed the said work and to make and file this
dication; that all statements contained in this applir~ation are true to the best of ltis knowledge and belief; and that the
k will be performed in the manner set forth in the application [fled thcrdwith.
ern to before me this ' '
ary Public, r~4~cr,.ed • • • County .
~V-r~,.~'C-ty-~e~ .
V
(Signature of applicant)
LINDA J. COOPER '
Notary Public, State of NewYark
Ne. A€322563, Suffolk CouMY~J
Term Expires December 31,18