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Home My WebLink About18494-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218791 Date FEBRUARY 13, 1990 THIS CERTIFIES that the building ADDITION TO ACCESSORY Location of Property 735 WESTPHALIA ROAD MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 03 Lot 2I Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 1, 1989 pursuant to which Building Permit No. 184942 dated SEPT. 15, 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 AN ADDITION TO AN ACCESSORY GARAGE. The certificate is issued to HARRY CHARKOW (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A ilding Inspector Rev. 1/81 ~ lOf~t N0. f 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°- 18494 Z Date .s U' .?..-~i.~..a~......~:~......., ,9f~..~. Permission is hereby granted to: ~:...~......~.~.k.~... ..:~1'a~~... o.y' to .1.~..~'...cs~d...~..b:~..(Iur........GL.~.~i.Xcl~!.1...~f..!~....°`~!:~......~.4'.~?:°~0~'~ ct premises located at .......~3J.....w1.~!.KY.S..~ .......................A............ Caunty Tax Map No. 1000 Section .....~..7.j........... Block ......C?:3........ Lot No.....~.~........ pursuant to application doted ....f~. ~-?:w~. 19.~.~.., and approved by the Building Inspector. Fee ~ C.l~...~:5 B Iding Inspector Rev. 6/30/80 _ _ ^ - (7 0 jam- d ~ ~ q. .u.~ ~ a`., n~ TOLIN OP SOUTIIOLD 1 ~1r1~'~' I ~ (5~.,,~ ` v - ~ S IIUILD21iC DEPART:ICIIT TOUti [TALL FEB 13 ~ggQ ~j' SOUTIIOLD, I:EN YO K1C ) 1971 APPLICATION FOR CERTIFICATE OF OCCIIPAIICY DATE............ HEN COI:STRUCTION N~:v...OLD pR PRE-ESISTI1iG IIUILDING....._VACANT LA1III......... RrA i 7i 1 i c ~ Location of Propcrty.~_~~ ...._.lzRs.l~~ ~n DOUSE HO. SST//t.GET lIAMLET Ovaer or Ovncrs of Propcrty..~!?~!!!t.~l_... `61:¢.~`.~O:L iCouacy Tax Hap No_ 1000 Section IIlock Lo c' ..:Z ti . Subdivision Filcd Hap ......._Lot__........ ~ 4 ~ a r~ f~ ~ ~ ~ ~ ~za , ~ r ~ CLc c,< C Pcrnit Ho. ~1 ~ .Once of PcrmiC .5.~_ Applicant .r.L ~ IIealth DcpC_ Approval Undcrvritcrs App roval___.._......__ Plana ing IIoard Approval C--' Request Far Temporary CercificaCC Final Certificate Pcc Sabaittcd: $.__~~5. • c l ~ - - - ~o y ~~~yi Bey' 10/16,88 FORM NO_ 6 ' TOG)N OF SOUTIiOLD BIIILDINC DEPARTtSENT TO4IN IIAL 7G5 - 1II02 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with 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 IIcalth Dept. of eater supply and sewerage-disposal~5-9 form). 3. Approval of electrical installation From Board of Pire Uvdervriters. 4. Svora statement from plumber certifying that solder used in system contains less than 2/10 of IX lead. S. Commercial buildings, industrial buildings, 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 ~PrlOr to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property shoving aII property lines, streets, buildings and . unusual natural or topographic features. 2. A properly completed application, a consent [o inspect signed by the applicant Zf a Certificate of Occupancy is denied, the Building Inspector shall slate the reasons therefor is vriCing [o the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other ' pertinent information required to prepare a certif icate_ C_ For Vacant Land Ccrtif ica[e of Occupancy: I. Aa application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company shoving single and separate ownership of•the entire lot prior to April 9, 1957 shall also accompany the applicatioa_ If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in vritiag Co the applicant. D. FEES: I. CERTIFICATE OF OCCUPANCY - New Duelling $25.00, Additions to Dwelling $25.00, Alteration Co Duelling $25.00, Swimming Pool, $25_00_ Accessory building $25.00 Addition to Accessory buildings, $25_00 -'IIusinesses $50_00_ 2. Certificate of Occupancy oa pre-existing duelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 . 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15.0,0 Residential Commercial ~ ~ Io/IZ/sII / ` oc~~e~N~ w4v~ ~ $ uEn ~ ~ rn~ ~n R ~ SSE ~ ~U~ RS1~1GA~~" OAT L Fr E a.S. ~ a r y G. ~ . W~~ pC,C~1p~~C', N(DT~FV C?.f~!-6iNC CEPARTMENT AT 'tr~!i Ifi!)2 !3 Anh •t` f'V FOR THE t F;;t)NJATHTN Tva~C REQUIRED Ff)R ?'OtIF'ly CONCRETE 2 ~:?JGH F"R.~MfNG & PLUMBING ~ - ~"~ISi;LATiON 4 i-?Di6.L ~ COPdSTRUCTiON MUST hE COMPLETE FOR C.C AU. CONSTRUCTION SHALL MEET THE RFCIUIREMENTS OF THE N.Y, a x ~ x, STATE CONSTRUCTION & ENERGY COi3ES. NOT RESPONSSBLE FOR tG~~ JESlGN OR CONSTRUC710N ERRORS ~ i - -t- - . - / f ' ~ t ~ , 3 ~ ~ fa~cP ~ ~ ~ oax ~,~f~ i~"oc Qo ,I 4 - _ r -s. ,t ~ ~ ~ i N ~ ~ c ~ ~ ti ~ ~ - ~ ~ z z ~ ~ ~ ~ ~ ~ a C I ~i ~ ~ , _ I 0 ~ ,a- - w sti - p J - / i~~` ~ y ~ f2~~ G 6UN ~ ~0 / ~ 7 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~ FINAL REMARKS: CQ n ~ DATE ~ INSPECTOR EOAEtD OF HEALTit ..y......... 3 SETS OF PLdNS FORM NO. 7 SURVEY . TOWN OF SOUTHOl.O CnEC,K ~ ,3Qi4 .:1taS~.~.'....... , BUILDING DEPARTM[NT SEPTIC roltrl ' TOWN HALL SOUTHOLO•N.Y.112J71 NOTIFY • TEL.:765~1802 CALL e_ f . ~~p r1AIL T0: (3.0 (d oZls• Examined .41+4. ~^'a1M+.~.$, 19..1 .-~„Q, C/. .\pPr{ved 9.-:r~?-I 1 S, 19~~. Permit No..~. ~ 7. ~ D t5 t5 ~ U 4 Disaifproved ale . SEP - i 1989 BLDG. DEPT. TDWN DF SOUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 15 . INSTRUCTIONS a. Tltis 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. 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 w}tich is part of this appli cation. c. 'Ihe 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~tuilding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc} shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildin; 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 o Reculations, 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, housin, code, and regulations, and t~ admit authorized inspectors on premises and in building for necessary inspections. (Si~nautre of applicant, or name, if a corporation) • (`failing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ........~j.~ 11~.`?~.~.K . ~1 n . Name of owner of premises 7T7/~~y l-.CJ.'~~~.!~ ~ ~ F' (as on ttte [ax roll or latest cJced) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~ : ~ • ? • • Plurnber's License No. ~ Electrician's License No. ~J. f:.......... Other Trade's License No. . ~ ~v.... r!~•~L ~ I \ `I35~ _ I - 1, Location of land on wlliEh propolicd work will be done, ~ S;~ F? ~1.~, I ! fi , , , , , , p `J HuseNuhtber ~ ~ 'frStrfet ~ Hamlet County Tax 11ap No. 1000 Section ~ .7l • • • • • • Bluc:k ~ Lot . I........ , . Subdivision F.ilyd tap No. Lot . (Name) Slate existing use and occupancy of premisepps and intended use and occupancy of proposed construction: a. Existing use and occupancy G?9•'S.-A}~..G. 6. Intended use and occupancy • • u .~.I. ~ I • • • 5. 1l E': ~ • • • . 3. Nature of work (check which applicable): New Building Addition • • - .'llteration . • 1~patr ~ Removal Demolition Other 1Vor . ` (Ucscription) fD ~Z~ 4. Estimated Cost Fee . (to be paid on filing this application) S. If dwelling, number of dwelling units Number of dwelling units on each Floor . If gara;c, number of cars . 6. If business, commercial or mired occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front . Rear Depth . Height ...............NumberofStorics...................................................... Dimensions of sy~ structure with alterations or additions: Front Rear . Depth ~Y s....... IIcight ..Number of Stories { .1..... - 8. Dimensions of entire new construction: Front ~.0......... Rear A........... Depth . Height . I~utnber of Stories 9. Size of lot: Front ..l ~ Rear I S; d% Depth l,D.v.... . 10. Date of Purchase ....Name o€ Permcr Owner ../.~,~1 a- F.~ . t `I d I I. Zone or use district in wtticlt premise; arr situated ..:~.g C. !V T! et?,4 . f rocs proposed construction violate any zoning law, ordinance or regulation : . l3. Will lot be regraded ...,fl./..C~ 1ViI1 excess fill be removed from premises: Ycs i 14. Name of Owner of premises .3toM, ~ A S . ,}~({a,ly;~ ,Address ...................Phone No..~. gf - S/• S. Z. . Name of Architect l(/4l11, ................Address ...................Phone No........... . Name of Contractor ....,(u v.n! ~ ..............Address ...................Phone No.............' . 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAkI Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate alI set-back dimensions fry property lines. Give street and block number or description according to deed, and show street names and indicate whett interior or corner lot. I~t rvwl~ L~tM %7rtZ ^ oU -E 1 4 ~ t i__Y-' _ 3 z o: h J ~ 1 C _ - _I1 2 \ ~ I ` ~ \ c u ~ ` , ~ i qS ' n S~ i _ \V ~ wes~s'/l i~i.~t Kc~ STATE OF i\E1V YORFC, S.S COUNTY OF . being duly sworn, deposes and says that tie is the applic (Name of individual signing contract) about named. Eicistfte (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 ~ 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 61cd therewith. Sworn to before me this ~.J~....~"~.~_.~~.~..da~yofy...~1.~/./r ..............19~.9 \otary Public, ....../:t".t:~~ ..n.•. •"~'•R • County ,~/~/K~1 ~ day NOTJIRY P~UBi C ate ~ Me~~ Yak 1 • Y!. i ~~r1 . lio.4767878,SuffolkCounty (Signature of applic: Tam Ezpira Much 311,1