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HomeMy WebLinkAbout18636-z r - \ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18922 Date MARCH 27, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 440 PARK AVENUE EXT. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section I23 Block 8 Lot 28.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 1, 1989 pursuant to which Building Permit No. 18636-Z dated NOVEMBER 9, 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BRENDA HELIES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A .I~~/~C~ Building Inspector Rev. 1/81 r gosae< xo. s TOWN OP 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 ~ .L cQJ ~ ~ ~ Z Date ....1/~~ 19P...!. Permission is hereby r n ed to: , to ..G~~X/~y~.~7'f~Gl.....~~.~f"/~J..... ..f~Ar~,~r......<Q......1~'~-~~r~yr•~!.?. ....a.~.. t of premises locoted at ........~~Q.f...~~~j../~,1.~.... ................................................................................................................G................................................ County Tox Map No. 1000 Section ~!~..3.... Block .............tf....... Lot No...... Z.~t..:3... pursuant to application doted 19.~.I~.., and approved by the Building Inspector. dd Fee ~ . ~Lf/ Y B ding I for Rev. 6/30/80 a~~~-1~. TOAN OF SOIITIIOLD EUILDI27C DEPARTaC2iT ' ~,~m.~~v_u ~ TONN kiALL I~'~ SOUTIIOLD, NEN YOttK 11971 i BLDG. Dlwl~l'. ~ 765 - III02 TOWN OF SOUTMOLO APPLICATION FOR CERTIFICATE OF OCCIIPAttCY CC y+DATE.~.z7.d0.... HEH CO2iSTRUCTION .......OLCD/ OR PRE-E%ISTZ2IC BUILDING?:...VACA27T L//AND_...._.. Location of Property.../ ~......_~~~__~v~°..........b.~~.~.~~D_~~ DOUSE NO_ / /S~TRCEJT DAMLET Owner ar Ovncrs of Property.. ~~~":`may ~U~~~p".::. /~-~~~.~:r.._.,...~_.,..~_~ County Tax Hap No. 1000 Section ~23. 81ock Lot ..L.~.~.... . Subdivision Filed Map ..Loc._.__...__ 3G Pcrnit Do. /~~......I]aCe of Permit ..~~~9Applicant /'~~J1;~z~.wr/~mrxo.'~' Dcalth DepC. Approval Underwriters Approval._._........__ Planning IIoard Approval Request for Temporary Certificate Final Certificate S ' Pcc Submitted: APPLICAtiT.. ~ 10/14/88 ~'J/~~ ~ ~~'h' 0~G,~3`i~O6 ' IIB~' ~ o z~- i B y a ~ x(11 e,2, e-G~ s~-c~~ / ~'J~~ ~ cu`~^w,r, y . I ~ q 3 s Form No. 6 TOWN OF SOUTHOLD ~~Y ~ BUILDING DEPARTMENT ' TOWN HALL 765-1802 APPLICATION FOR 4ERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be ',filed in typewriter OR ink and submitted to the building ' inspector with the following; for new building 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.). 3: Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from ',plumber certifying that solder used in system contains less than 2/10 of 1% lead.l 5. Commercial building, ,industrial building, multiple residences and similar - buildings and installations, a certificate of code compliance from the architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (P;,rior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed ',,application, a consent to inspect signed by the applicant and a certified abstract 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 of O'~ccupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of building or premises, or other pertinent information required to prepare a certificate. D. FEES 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Addidtions to Dwelling $25.00 Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory Building $25.00 Addition to Accessory Building, $25.00 - Businesses $50.00 2. Certificate of Occupancy on pre-existing dwelling - $100.00 Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Updated Certificate o',f Occupancy - $5.00 Residential 5. Temporary Certificate of Occupancy - $15.00 Commercial I I i _I, oc~~EFOIK~OGy VICTOR LESSARD ~ L Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR = z P.O. Box 1 179 (516) 765-1802 N ~ Southold, New York 1 1971 FAX (516) 765-1823 yQ~~O ~~0~" 1 ,Y. OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 28, 1990 Mr. & Mrs. Anthony M. Helies 45 Shady Hill Rd. Weston, Ma 02193 Re: Building Permit #18636-Z & #18522-Z Premises: 440 Park Ave. Ext. Mattituck, N.Y. j Suff. Co. Tax Map #1000-123-08-28.3 Dear Mr. & Mrs. Helies: We return herewith your checks #2421 & #2422 each in the amount of $25.00 representing the fee for the Certificates of Occupancy with reference to the above numbered building permits. Certificates of Occupancy for both permits were applied for and sent to Mr. Patrick Sweeney of Bay East Construction at P.O. Box #1188, Cutchogue, New York 11935 on March 27, 1990. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Victor Lessard, Principal Building Inspector VL:gar cc to: Bay East Construction encl. ~~FF~U(C TEL. 765-1802 0~4 O~ TOWN Ot~ SOUTIIOLD ~ ~ OFFiCE OF BUILDING INSPECTOR v, }aY~~ rn P.O. BOX 728 ~ b' ~ TOWN HALL ~~01 SOUTHOLD, N.Y. 11971 Aiarch 21, 1990 ANTHONY ~ BRENDA HELIES 45 SHADY HILL RD. WESTON, aA. 02193 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. `No Underwriters Certificate on file. /BRI The check is( /not on file.)$25.00 No health Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit I! 1S636Z _ _ _ Z ALTERATION Building Dept. No Plumber Solder Certificate on file.. ( all permits involving plumbing being issued after April 1,1984 ) c'lELD I1;S:':;CTiU1J ~~UATE ~ i;OMMENT° ~ ro [TJ ~ 1. ~ ~ 3 FOUIJDATION ( 1st ) \'(1,(~ FOUNDATIOIJ (2nd) ~ - a 2. o O ROUGH FRAME & PLUMBING N ',O H 3 . ~ . c~ H IIJSULATION PER N. Y. STATE ENERGY CODE m A r 4 . ~ y FIiJAL z ADDITIONAL COMMENTS: ~`f~ . x ro H y H O z • x . ro H b [+7 'r1 H BOARD OF HEALTH 3 SETS OF PLANS ,~FORMN0.1 SURVEY TOW'V OF SOUTHOLD CHECK .oZS BUII:D.INGDEPARTMENT SEPTIC FO .t TOWN HALL ~7 ~J c . EOUTHOLD,N.Y.11971 NOCALL •-../.~.7 .:-s`.~~~ ' TEL.: 765.1802 MAIL T0: Examined , , , • • • , , 1 ,~(~!q / / Approved . l/,/.~........., 19V1. Permit No/~tP.~~?.~ p~,~ Disapprove AY~J F7 DASiV01'EO ~y ...DATE;II~C~B.R.B IIA I L O IIf p FEE: BY: ~ BLDG. DEPT. NOTIFY BUILD NG DEPA ETA • • • • TOWN OF SOUTHOLD 785.1802 g AM TO 4 PM FOR THE (,>3uild' o Ins ector) FOLLOWING INSPECTIONS: `pppLICATION FOR BUILDING PERMIT 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Date 19 . 2. ROUGH • FRAMING & PLUMBING 3. INSULATION INSTRUCTIONS 4. FINAL - CONSTRUCTION MUST a• ~ co ely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 setsbTH la~i~ t Fee according to schedule. SS tt and of buildings on premises, relationship to adjoining premises or public streets or az~~~., 5U o ~ ~ ~n of layout of property must be drawn on the diagram which is part of this appli,- catio !,n1 r~ tto~ ppi~p S c~: `1tti8 vYbY)C ~"2'ppTR3tion may not be commenced before issuance of Building Permit. d.D,{Itgorl aDDrQya) Qf13t~i~~ applicatiQp,,the Building Inspector will issued a Building Permit to the applicant. Such permit shall beeps on the prem' es available for inspection throughout the work. F e. N )t4-~u~ ~H F~ sed in whole or in part for any purpose whatever until a Certificate of Occupancy shall h~~ ~ s~2glta~,~FiY ~X ~Y ,u _ pector. A16~~~.~'T~T,~'~3~'~EIIQf)!~~' b1ADE to the Building Depaztment for the issuance of a Building Permit pursuant to the Buildiig f~~h~f~~ncb o~~e~F~~~i~ Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulatic~~ ~~~7~7c~~~~~rt of buildings, additions or alterations, or for removal, or demolition, as herein described. The a~p~~~~~~gteFe~'~~I~n~lyp~applicable laws, ordinances, building cod/e~housing code, and regulations, and to admih u4M:~4~~@'dl~rl ectors on premises and in building for necessary inspections. 4. FINAL ~ CONSTRUCTION MUST d/j"- BE COMPLETE FOR C.O. (Sls.... ....Pp p ) ALL CONSTRUCTION SHALL MEET nature of a licant, or name, if a cor oration THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY ~ ~D l}~/~-as-?s~ ~ ~ N~ ///r,7S CODES. NOT RESPONSIBL'~ FOR (Mailing address of applicant DESIGN OR CONSTRUCTION ERRORS State whether app]icant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nam: of owner of premises .../1L~!?!/~9n~/, . s (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALBui ~eris L censa No. MUS % ~ 32~FP~l COUNTY LICENSED~~ Plumber's License No. , , , , • , • , , , • ~~~G~~~ Electrician's License No. ''~i , , , , ~ Otltcr Trade's License No. , 1. Location of land on wftich proposed work will be done . . House Number Street Hamlet County Tax M1lap No. 1000 Section ~ Block Lot Z~m•3, • • • . Subdivision Filed \1ap No. Lot . •(Name) State existing use and occupancy oC premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........=t+~.~.~R b. Intended use and occupancy 4~'.'~ I 3. Nature oC work (check which applicable): New Building , Addition Alteration . , , , , . Repair Removal , Demolition Other 1ti'ork . ~ / S o o (Description) . 4. Estimated Cost....l....... Fee.................................... ' (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor ...,l If garage, number of cars , j ' ~accupancy, specify nature and extent of each type of use . 7. Dimensions of ex stmalstruct res'' if any: Front Rear Depth . g Height IVun?~gr'of Stories . Dimensions of same structure sVit~t~a)tcrations or additions: Front Rear Depth . .'Height Number of Sto'{~~~~ ~~S!t~~ti(?~'t a......... . 8. Dimensions of ' e~newstryFction: Front Rear ~„:.,gAF{)th , Height Numb~e:r of Stories r 9. Size of lot: Front Rear • ~ f . . 0. Date of Purchase • r;~' ~A,~';~,v~trt• ~,,.~r;•t:.......... . ....Name of Former Owner„t.Wrs~•t~ca. •.•:~:r.'..-............. l . 'Lone or use district in which premises are situated . . ~s•.6 . 2. Does proposed construction viola}e any zoning law, ordinance or regulation: t ~y;. s+t 3. will lot be regraded ...~JP..'...... 1Vill excess fill be rem~wed from;p>t8riti~es: ' ` Yes N~o 4. Name of Owner of.premises ~9~+~~ony,r~/;'~o;., ~!%'es Address . 3!r . ?"~~-:~X. ?r~~4~~~ franc NoO~~ ~ 13'x' ~ff'~~, , flame of Architect i, , .Address .Bone No. Name of Contractor ...~°`~~:~:'~.S:w~~~>„ , , , , ,Address l:n.~~?37d~!.~U'~~Q;'": Phone No.' ~~y s-~'3• . . 5. Is this property located within 300 feet of a tidal wetland? *Yes ..2~.:' 'Nb *If yes, Southold Town Trustees Permit may be reqyuired. . PLOTDIAG1tAM ,=lF 'tkir c ..~d :F~ , Locate clearly and distinctly all buildings, whether existing or proposed, and.~indicat4,-plhset•back dimensions from roperty lines. Give street and block n(<mber or description according to deed, and shgwrst;ee~tmarnes and indicate whether f zterior or corner lot. Ply' lns~~t six p ~~aMR ' , - _ - . ~ EIS ~I ~lev rATE OF NEw YORE, S ~G\TY OF S' ) ' r (tiame of individual signing contract) ~ ' • ' ' • being duly sworn, deposes and says that he is the applicant -ovc named. :isthc (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have perfonned the said work and to make and file this alication: that all statements contained in this application are true to the best of ltis knowledge and belief; and that the xk will be performed in the manner sat forth in the application filed therewith. :orn to before me this Mary Public, ~..l.Y•... :U~ County NELEN DEVOE ~----r; re of applicant) NOTARY PUBLIC, State of New York Na. A707878, Suffolk Countyr~~ Term Expires M1rch 30,19._._..