HomeMy WebLinkAbout18489-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18434 Date OCTOBER 2, 1989
THIS CERTIFIES that the building ADBITION TO ACCESSORY
Location of Property 2934 PARK AVENUE MATTITUCK N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 123 Block 8 Lot 17
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AIIGUST 29, 1989 pursuant to which
Building Permit No. 18489-Z dated SEPTEMBER 14, 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 DECK ADDITION TO EXISTING ACCESSORY GARAGE AS APPLIED FOR.
The certificate is issued to DENIS & CYNTHIA O'LEARY
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATER N/A
~C./
Building Inspector
Rev. 1/81
8'08M NO.
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)
N° 18 4 8 9 Z Date ..9.~~~ 19.5
Permission is hereby granted to:
u~6 S ....~y,~~.?~..-...~.... ~ D .l O
t0 G%(C~/•R:Yj!!r ...C..~.........G^~rC~G7~.k4r.......~P~~~r..~.
......~/..-...lr.?.M.....~~~....~f(.f?..,~e~
Awl .....!R'~,f.........~7..............................1/.....
ct premises Iota ed at .......tt~.. .~.7:~3~,/7`.......1..,''/..
Q~'~
Caunhl Tax Map No. 1000 Section .......~°~..3... Block ....~...........,.p~Lot No.....1.~...........
pursuant to cpptication dated ..G~/~ 19.51..,/.., and approved by the
Building Inspector.
a~
Fee
.............1..~
~Idln nspector
Rev. 6/30/80
~ • ~ ~ ~ ~ - fry.
TOWN OF SOUTHOLD ~
V
HUILDING DEPARTMENT y} ~ ry ~ ~ ,
TOWN HALL L3 ri
SOIITHOLD, NEW YORR 1 197 1 BLDG. DEFT?.
TOWN OF SOUTHGLD
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
r/ DATE 9./.2.5./.$9....... .
NEW CONSTRIICTION ..."..,.OLD OR PRE-E%ISTING BUILDING. ...VACANT LAND........
Location of Property.,,2934.Park•Ave. Mattituck,
HOUSE'NO. STREET HAMLET
Owner or Owners of Property.Denis,&,Cxnthia•0'Leary
County Taz Map No. 1000 Section ..123. Block Lot .17......
Subdivision Filed Map ........Lot..........
Permit No 18489• - 9/14/89_.Applicant J.~nice Fliss•••_,_,
......Date of Permit
Hea1Ch Dept. Approval Underwriters Approval......_._.....
Planning Board Approval
Request for Temporary Certificate Final CertificateX
Fee Submitted: $?5:00
APPLICANT...
Qre~ 383 78~
Cow ~sy3y
rev. 10/14/88
TEL. ?GS-I8(?'_
~p5~'~FF~
~
C~ TO~Y'N OI' SOUTtIOLD
y
a' r'~
=~~u~ q}4 .`c OPI'ICI:OI'fiUILDINGINSPECTOR
r=-. w. ~~7 = P.O. QO}C 1 1 79
Off, SOUTIIOLD, N.Y. i i97i
• ~Q~ ~ ra .
September 28, 1989
3anice Fliss
565 Old Hain Rd.
Hattituck, N.Y. 11952 REc DENIS S CYNTHIA O'LEARY
To [vhom This, May Concern,
Dle are unable r.o complete your Certificate
of Occupancy because ,of the follocring reasons.
nn application for Certificate of Occupancy
is not nn fi].c. (ENCLOSfiD)
/ / *;o Underwriters Cortificate on file.
The chec:F: .i;; ( t on file.) $25.00
Dlo Ftenlth Dept. Appzoval on file.
r:o final insi~ection has been made.
P1c:ase contact: our office on this matter.
Thank you for your cooperation.
11u.ilc3inq Permit. it 1 8 4 8 9 Z
Iluilc7iriq Dept.
~*k/ / rlo Plumber :;oidcr Ccrt.ificate on file. '
( nll porrtiL:; iI1VOlV].fi<J plumbing being
issued aftr_r ~1pri1 1,1984 )
l T65-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST f ) ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING ~ FINAL
REMARKS:
DATE ~ INSPECTOR' Q,v'
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PLUMBING
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2I7SULATION PER N. Y. • • 'j
STnTE Ei7ERGY
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BOARD OF HEALTH
3 SETS OF PLANS
FORM N0.1 SURVEY J,,,.,
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORL•1
' TOWN HALL
vOUTHOLD. N.Y. 11071 NOTIFY ~ 6 ' ~ y ~
TEL.: 705-1802 CALL / 6
. MAIL T0:
Esammed ..l~. 1~~........., 19 ,
Approved 19~PennitNo. ~L~~~~~ !5 r,' ~ ly~l
rG
~
Disapproved a/c
~Iu' SEP ~ t,~pO
.
~v SLOG. pEPT.
(Bait g Inspector) TOWN OF SOUTHOLD
APPLICATION FOR BUILDING PER~AIT
Date . ,August 29 15 89
INSTRUCTIONS
a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with =
sets of plans, accurate plot plan to scale. Pee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street.
ar 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, the Building Inspector will issued a Building Permit to the applicant. Such permi
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 Occupanct
shall }rave been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to thr
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances of
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described-
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized ' ectors,on-premises and in building for necessary insp lions. ~ ~ ,
- (Sig are of appIicant, or name, if a corporation)
565 Old Main Rd. Mattituck, N.Y.
' (Mailing address of appIicant)
State wheth~}'r3~jilicant~is ownel :le e went, architect, engineer, general contractor, electrician, plumber or builder.
Name of owI>~rj~' p'I~',+'y `deni~ F+~ C nthia L. O`Leary
T~1 .dJ~ ~ rn (son the tax roll or latest deed
If appIicant ~ ~cc~pra~ 1 'authorized officer.
ViM~ ~ fK~Tf;7U111`L~~ '1~Ati~
Builder's License No. 12 ~ 985-HI
Plumber's License No .
Electrician's License No . .
Other Trade's License No . .
1. Location of land on which proposed work will be done. Private Road of £ Park Ave. Mattituck
~7,~`,~-.. Park. Ave,,,,,.....,„. Mattituck, N.Y. 11952
House Number Street. Hamlet
County Tax Map No. 1000 Section ...123............ Block .....8 Lot . 1 ~ .
Subdivision Filed Map No. Lo[...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy , ,Garage, with, qps lairs ,guest room:
b. Intended use and occupancy Garage/Guest room with deck.
1Uu ny -(-~-fl- (311" A 2>^ ~
3. Nature of work (check which applicable): New Building Addition Alteration
Re air Removal Demolition Oiher 1Vork . , Deck.. .
p
(Dcscripti
4. Estimated Cost $1.x400.00 Fee
(to be paid on tiling this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor , , .
If gata;c, number of cars ..One .
6. If business, cotnmercia! or mixed occupancy, specify nature and extent of e 18 hype of use .
7. Dimensions of ~ xisting sttuctures, if any: Front 18.~,r........ Rear . Depth .24 .
Hcicht 17........... Number of Stories ..1 z...:........ i ~
Dimensions of same structure with alterations or additions: Front 18 Rear ...18........ .
Depth , i5 ~ Ileigttt ...I,Z Numbetr of Stories .1?.......... i .
8. Dimensions bt
entire new construction: Front 14.x......... Rear 14........... Depth ....11, , , . .
Hcfgltt . ],0' Iyumbcr of Stories .
9. Sfze of lot: Front SZ Rear ..52.................. Depth . ~2.~/.~!+~......... .
10. Date of Purchase Apri 1„86- „ - , • , , , , ,Name of Former Owner .Wes,t; ,Dews , , , , , , • , , , . • „
11. Zone or use district in which premises are situated......Residen.tial•,,,,,,,,,,,,,,,,,,,,,,,,,,,,„
12. Does grogosed construction violate any zoning law, ordinance or regulation: no , , , , , , , , , , , , , , , , , , , , , ,
13. \ViII lot be regraded NO... WiII excess Cill be removed from premises: Ye XX
V
14. N..m° of Owner of premises Denis, 0. Leary. • . , , , , Address200.E..66th,St: ,N.Y. Phone No.298-g53 , . -
Name of Architect ..Address . , . , , .Phone. No . .
. . . . .
Name of Contractor Stanley Fliss. Jr. , , , , ,Address Olcl.lclain 12d:.Mat:titphone No.298-8790.. ,
IS.Is this property located with in 300 feet of a tidal wetland? *YES....NO....
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGIZA1bI
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fn
property Gnes. Give street and block number or description according to deed, and show stzeet names and indicate when
interior or comer lot.
~,n e a ns t~aTEO ~
DarE: ~ B.P #
r
NC71'IFV ILDlNG OEPARTME
- 765.1802 $ AM TO Q PM FOR THE
FOLtOWiNG FNSPECTICNS: -
1. FOUNDATION - TWO REQUIRED
FOR POtiRED CONCRETE
2, ROUGH - AtAMIN6 8 PLUMBING
8. INSilI,ATtON
4. FtNAI - CONSTRUCTION MUST
BE COMPLEtc POi1 C.O.
AIM CO~{$TNUCTfON ftiAF.L MEET
THE ItEQUIR9iAENT$ Clf THE N.Y.
STATE CUNBTIII,tCTtOli ~ EIIEilOY
CORES. FlOT lIE~POpe Ffkt
DESIGN 0!F CONa7AUCT10N
STATE OF tiE~V YOP.K, S S
COUNTI' OF .
bcingdulysworn,deposesandsaystha[heistheapplica,
(Name of individual signing contract)
above named.
fie istlte
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl:
application; that all statements contained in this application arc true to the best of his knowledge and belief; and that tl
wort: will be perforated in the manner set forth in the application filed therewith.
Sworn to before me this
...........day of , 19 ~.9
Notary Public, , ~ . ~~i~•••tttt'"'~~U.O-~ Couniy -1~~~~ryry/~~///
HELEN K DE YOE • . C?rtl, .
NOTARYPUOLtC,StateattdewYork ($ignatute of applicar
No. 4707870, Su4Wlk Coont~ ~ ,
Term Expires Much 30,19 ~7r
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