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HomeMy WebLinkAbout18342-z FORM N0. 4 TOWN OF SOUTHOLD BiIILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218574 Date NOVEMBER 17, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 4252 GRAND AVE. MATTITUCK _ House No. Street Hamlet County Tax Map No. 1000 Section I07 Block 02 Lot 2.5 MINOR SUBDIVISION FOR Subdivision LYNN SAN ANDRES Filed Map No. Lot No. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated SLILY 21, 1989 pursuant to which Building Permit No. 183422 dated AUG. 3, 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 ACCESSORY (DETACHED) POOL WITH FENCE ENCLOSURE. The certificate is issued to RUDOLPH DEWINTER (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N102020 NOV. 9, 1989 PLUMBERS CERTIFICATION DATED N/A ___°/err Building Inspector i Rev. 1/81 vosai 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 ~ ~ J 4t C Z Dote 19£! Permission is h eby r nted t ,...~~/-~y~.-........ at premises located at /.~Q..KO.........~....~f~~~.......>r7. Q(~[ .......................................................~L................................................................... ...........................................................................r..~................................................................................... County Tax Map No. 1000 Section ......,l.v../........ Block s,~ Lot Na............~c.J.. pursuant to application doted ........:7,/.,~~ 19.~~7 and approved by the Building Inspector. ~ v Fee S•..~~1~1....1,7C)° Buildi I for Rev. 6/30/80 TOWN OF SOUTIIOLD BUILDING DEPARTIIENT Q TOWN HALL O~ A SOUTIIOLD, NEW YORK 11971 GG 765 - 1802 BLDG. DEPT. tOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE. _ NEW CONSTRUCTION .....OLD OR PRE-E%ZSTING BUILDING......VACANT LAND........ Location of Property.. ,1,~.`-~",~,. ~:~~"^~~_-~~~IJ~~ _~~j-ri ~JCI~ --r- HOUSE NO. STREET HAMLET Owner or Owners of Property,..J\ v-~ OI~I ~ ~ ~ ...............I~Ti:-................. Coppunty Taa Map No. 1000 Section ._~°„7 Block ~li~...~~~ ~SJ~ -{-o.L °2=-... Lot ~::s..... Subdivis ion.. ~ ; ; `-~s.. ,F>,~, ~~>Re'S Filed Map Lort-~. Permit No. ~.~-~;f;2_ -Date of Permit ~ 1 C_-{-) ~ T,~` ..........Applicant ~ ~IC~ Health Dept. Approval UnderwritersApproval..........-,-, Planning Board Approval Request for Temporary Certificate Final Certificate Pee Submitted: $ ~S;`~-~_..--.~~~o3'9b t'~ APPLICANT...~.~-I.~(-1.r..~...---~-CA ~~a~ ~ ~,v ~6~ ~y~ ~~5~ ~ ~ ~ o ' ' reV- 10/14/88 L ' FORM NO. 6 TOWN OF SOUTEIOLD _ I BIIILDING DEPARTMENT j} ~ TOWN HALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be'ifiled 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 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 1Z lead. 5. 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 (Prior to April 9, 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. 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 Certificat e of Occupancy is denied, the Building Inspector shall state the reasons therefor in vr7.ting to the applicant. 3. Date of any housing co'~e or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of ~he entire lot prior to April 9, 1957 shall also accompany the application. If a'ICertificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ' D. FEES: 1. CERTIFICATE OF OCC~H'ANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swiumting Pool, $25.00. Accessory building $25.00 Addition to Accessary buildings, $25.00 -'Businesses $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 Certif~.cate of Occupancy - $20.00 5. IIpdated CertificatQ of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial rev. IO/14 /88 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 7.Uti 1381. BUREAU OF ELECTRICITY 8E JOHN STREET, NEW YORK. NEW YORK 10038 Date NOVEMBER 09,19$9 Application No. onjile 6947$1$9/89 N 1U202U THIS CERTIFIES THAT only the eMetrled equiprssent e. dseerihsd he/oro and introduced by the opplicant noosed on the ahoee applicaeion number in theprerssisee q( RtJ11nLPB DENIMTER, 4252 CRAND AVE, MATTITtICK, N.Y. in thefalbminR kleaTQa,_B~ BasepyEpt, ? !At Fl. ? Ynd Fl. OUT ,rsectiun Bloek Lot rtes examined un E)l:1'V NN""NN 3U , l7tS Y and found w he in rnmpliance mirk the reyuirementA of Chia Board. N><TURE At7Ei SYtITCN6 RXTURLS RANGES cogcDlo tNCKS OVENS gSNW EXNAUST FANS WITETS INCANDESCENT FIUCKESClN7 OCHER AMT. K. W. AMT. K. W. MIT. K.W. AMT. K. W. NAT. M. r. 1 1 a 1 DRYHS RIRNACE MOTORS IUTWIE AMUANp RRDMR ffNC1Al RRCIT TIME QOCKS RNL YNIi MEATNS MULTFOUTIET pM1MERS NAT. K. W. ql N. Y. OAS N. I. AMi. NO. A. W. G. AMi. AMY. AMT. AMPS. TRANS. AMT. N. Y. ~ ~ ~l AMT. WATn 1 zo 1 40 SNVICE DKCOIMMCT NO.OF S E R V I C E NAT. AAV. TnR 1 / Te 1 / SW 3 M SW S X AW NO. q CC. COND. A. W.O. NO. q XLLEG A' W. O• NO.Of NEVItA15 A. W. G rtll r a cc. OND. rx. a tauTMt DTINR ARARA7IB: G.F.C„I:-1 *(SMIMNING POOLI This certitir.ate covers co®pliance at the dat.: of inspection only. Because of unusual environaents it iti advisable to have frequent test and/ar relrairs Wade by a qualified person. JODY PUMILT,O LIC.M2300 E PAT LANE NATTITUCB, NY, 1195E Gy AGM 1] _ Per = Thit arctifkah muM ahend in ary r; return 1o tM office of Ela Board if incorrM. InspMan may bs. i by IMir cradaMiols. r CO/1f MM g i'~*ARTMENT. THIS COrY OF CERTIFIGTE MUST N~,if ALT~1l~i q~ „s , M41MER. l( TEL. 7C,5-18(1? `~o.^,t~ '-o-,i c,~ s ~cor~ rr or sou~aor.~ f~~~~ ~ Oi'1'1CE OP IIUILDING iNSI'ECTOR ~ r N L~;tl~jf ~ TOIVN IIALL ~.tyo~~t' SOUTIiOLD, IJ.Y. 1 1971 'i'o 41hcm This, May Concern, 4.e arc unable r.o complete your Certificate of Occunancy because ,of the following reasons. ~~n application for Certificate of Occupancy is not nn fi].c. r1o tJnder~ariters Certificate on file. / / 'r'he chec:F: ir: (nut.daL-ed/nut on file. ) A:o Ilcnl.th Dept. Approval on file. No final ins}~,ect:ion has hero mace. Please COI1tACl: OUr office on this matter. - Thank you for your cooperation. Ilttildir,g Pcrrrti.t: !I ~ ~ ~ y a Z Z(/'~u.C~~ . P~- I3uildinq Dupt. do Plumber :;older Certificate on file. ( a].1 pert:tils involving plumbing briny i^succl aft.cr ,lpril ],19©4 ) ~ 1 0 ~ 765-1802 BUILDING DEPT. 1 NSPECTIC~N [ ]FOUNDATION i5T ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [/~]'~INAL REMARKS: DATE f~ ~ INSPECTOR "r'1ELD I::SP"c'C:iU7 ~~D6:n ~ i;OMMENT° ~ v c~ m V.1 1 . ~ ~p}~\ FOUNDATION (1st) c~~` FOUNDATION ( 2nd ) _ _ _ r~ ~3''~ 2. ~ ~ z o ~ ROUGH FRAME & U PLUMBING H 3. z m ItdSULATION PER N. Y. ~ STATE ENERGY CODE x a mow, H FIiJAL ,-c\\ o 9 ` y ADDITIOPIAL COMMENTS: ~ x ^o H 9 p. y W H O v~ Z Ci7 y • r x . ry m ^o H BOARD OF HEALTH 3 SETS OF PLANS FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK . BUILDING DEPARTMENT SEPTIC roRrt TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL y~...:S,~Q~ Examined 19t!!, MAIL T0: Approved ..o~~........., 19~PermitNo. I~3!,~~ Disapproved a/c . ( uild'n In pector) APPLICATION FOR BUILDING PERMIT Date J./~ 15 INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 streets 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, the 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 granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to rho Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances ot- 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 inspectors on premises and in building for necessary t spections. . ~ •~~l,G.~ f ~ J~c~.rl~. n . (Signature oi' applicant, or nariie, if a corporation) (Mailing address of applicant) , State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. y~ y~ Name of owner of premises ......li.u{,t~t!}~f~......~~.W.17'J.% ~:Y( (as on the tax roll or latest deed) apph t is a corpo do ign e of duly authorized officer. (Name and title of coreGa offi/c~er) Builder's License No. Plurnber's License No . . . Electrician's License No . . . Otter Trade's License No . . . 1, Location of land on which proposed work will be done..... ~~~Ni~.. /,1-rr~ j ~j~~j~-~~,~. House Number Street. ~ ~ ~ ~ • ~ ~ ~ ~ ~ .~7 Hamlet F County Tax Map No. 1000 Section ......,,<~f~./........ BI'ock .........0.~, , , , , Lat ......r~.°, l~ Subdivision Filed 61ap No. Lot . (Name) State existing use and occupancy of premises~~a//nd intended use and, occupancy of proposed construction: a. Existing use and occupancy ,//sf-.~-T<rJ.4:h!? {!~L b. Intended use and occupancy !`L'rS ~.~~!7-/df2. , ..CJ I Tai!.'.. /aVV~........ • ~t 3. Nap ~-e,•vcE" ( R applicable): New Qeilding Addition Alteration . Re air of work check whichmoval . Demolition Other 1Vork . ~ ~ (Description) 4. Estimated Cost ~O . ~ Fee . 5. If dwelling, number of dwcllin uni (to be paid on filing this application) g is • • • • • • • Number of dwelling units on each ?oor . . . If garage, number of cars . 6. if business, commercial or mi ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ • ~ • ~ ~ ~ ' ° • ' ' ' ' ' ' ' ' ' ' ' ' Hei~ltt g xed occupancy, specify nature and extent of each type of use , , , 7. Dimensions of existin stn Nures, if any: Front . . . Rear , , . , Depth . o umber of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth.. .Height . . Nuntbcr of Stories . Dimensions of entire nett' construction: Front Rear Depth Height ,.,,,,,,Number of Stories. ~ 9. Size of lot: Front Rear...:...................Depth...................... 10. Date of Purchase . Na e of Former Owner . 1 1. Zone or use district in whic]t remises are situated ~ ~ ~ • • ~ ~ ~ ~ ~ • L-~l rJ.cH.r~Tr~yc . 12. Does proposed construction violate a zoning law, ordinance or_regulation: ~ • a Will excess fill be removed from premises: Yes 14. Name of Owner of remises .I of a regraded........' •o4''LJ!!i!;~W'!~...... Address • Phone No.............. . Name of Architect p .Address .Phone No. . Name of Contractor ~:.~.'l,~`74G.yr. , .~duS'. , , , ,Address .~k1i~TT..!/~,-4C~~... Phone No..~,~~'~6.Q`: . 15.Is this property located within 300 feet of a tidal wetland? *YL~S....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 set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. .r---" i STATE OF NEIV~ORK COUNTY OF /,~?!/,r~. LIC, , • . S.S 2 (Name of ind~ dual si ~/GG y ~ • ' ' ' ' ~ • • being duly sworn, deposes and says that he is the applicant Wing contract) above named. r, He is tfte ....................4',~.~. (Contractor, agent, corporate officer, etc.) • • ~ ~ ~ ~ ~ ~ ' ° of said owner or owners, and is duly autltorized to perform or have performed the said work and to make and file this application; [hat all statements contained in this application are true to the best of Itis knowledge and belief; and that the work will be performed in the manner set for[lt in tltc application fled therewith. Sworn to before me this • • \ ..day of.. "`v/ 000 ..........,19 Notary Public, . , ~~~~n!', (Jf~,~,-....... County NELEN K DE YDE ND/ARY VtIBUC, Stets W~,,w York, . . T®~~•~xd~ tAi c~ 3D 1y,~~J~ . 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