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Home My WebLink About18362-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218577 Date NOVEMBER 20, 1989 THIS CERTIFIES that the building DECK Location of Property 95 DONNA DRIVE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 16 Lot Ol Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SLILY 28, 1989 pursuant to which Building Permit No. 183622 dated AUGUST 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 DECK ADDITION TO AN EXISTING ACCESSORY POOL. The certificate is issued to DONALD & DOREEN KIRBY (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Buildi Inspector Rev. 1/B1 I. ' msa~ xo. s 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 ° ~ ~ ~ ~ Z Date 19 Permission is hereby granted to: / J ~y at premises located of ........yr..,~ .....~,...>'1..~.. ~~.....a~.~l.J~... Caunty Tox Map No. 1000 Section ........lP.~..~,.~ Block Lot No ..............l......... pursuant to application doted 19. and approved by the Building Inspector. Fee $...1/~..Q.4.. B Ing Inspector Rev. 6/30/80 Cvdv LS t~ r, _ TORN OF SOUTIIOLD gp~- BUILDING DEPART:lENT r~~ i; ~y y~ P1UY ~ f ?701~ 9 TOUN EiALL SOUTIIOLD, NCB YORK 11971 ~ 3' FIt.G,;v3.,D%,~~ 765 - 1802 - w...~x°_°..°., °..^a~.., APPLICATION FOR CERTIFICATE OF OCCIIPAtlCY DATE J!-~:~ 5....... . NEB CONSTRUCTION ..~__OLD OR PRE-E%ISTIilG BUILDING....._VACANT LAND........ Location of Property....9...... ~ S7j~//?I~ %~.'~t:'_...._.e~~/.~~~. • ~ . . DOUSE N~O. STREET IIAMLET Owner or Owners of Property.~,~CV,(~f}'S.J~,~~(~[~.~~.~2~,` County Taa Map No. 1000 Section Block ./_~i„ „ Lot Subdivision Filed Map ........Lot._........ Permi[ No./ 70 l0~_~-..Date of Permit ~.!7-~S/_Applicant Qealth DepC. Approval Underwriters Appraval...._.._ Planning Board Approval Request for Temporary Certificate Final Certifica[e Pee Submitted: $~i~C7J_____________ APPLICANT. 1 a ~ ~ ~ s.~l ~ ~Iyal~~ 3~ ~ 'ev. 10/ I4/88 I FORM N0. 6 TORN OF SOUT110LD BDILDING DEPARTMENT TOFTN DALL 765 - 1802 APPLICATION FOR CE,RTIPICATE OF OCCUPANCY INSTRUCTIONS ~ p, This application must belfiled in typewriter OR ink and submitted to the Building 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 unusual gatural or topographic features. ' 2. Final approval of IIeal,th 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 iu system contains less than 2/10 of IZ lead.' 5. Commercial buildings, 'industrial buildings, multiple residences and similar. buildings and installations, a certificate o£ code compliance from the Architect or Engineer responsible for the boil"ding. 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 Certificate of Occupancy 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 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 the entire lot prior to April 9, 1957 shall also accompany the application. If 'a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory 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 S years - $10.00 4. Vacant Land Cert}ficate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial eo, 10/14/S8 'r'lELD iGSPC:iU:+ ~~U;,.~ i;OdYMENT° ~o 1.• ~ ~ H~N r'OUNDATION ( ~ st ) ~ 6N c FOUNDATIOIJ (2nd) _ _ 2 . r z~t`` ROUGH FRAME & o v1 PLUMBING ti H 3. ~ m cn I17SULATZOPI PER N. Y. • • STATE ENERGY CODE A H ~r~ 4. ~ FI:JAL ` ADDITIOPIAL COMMENTS: ~ ~U . X 1" ^o H 9 "`E.1 H H O 2 Q x ro H • ~ . d m ^e H - 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL - REMARKS: e ~ _ C,~ 7 -a-rr i ~ Vii.. i DATE S / INSPECTOIY /~,~..~t Memorandum from . BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN 11ALL, $OUTHOLD, N. Y. 11971 765-1802 July 24, 1989 Mr. Don Kirby 95 Kirby Dr. Mattituck, N.Y. 11952 Dear Mr. Kirby: Enclosed is building permit application for your deck. Please fill it out and submit it to this office with three sets of construction plans. If you have any questions, please call Tor. Thomas Fisher at this office. PvN$T17Ne7~ wlrra ePp. -ritx"~4~'~ ~U1n'~~J~ OIJ C~iWIt~W'r ~JoTiN1L~ J~OKr=' ~ mlt. I'ibN-EiL ~-~7 ~0 '~$e2ir7T'i~ ~(3d.~c~ C5 SvX~tlB't~Mr , '~N/2~'~ 5~'TS oG eQ,.~x/2acr~a~ ~,~5 Nor /u ~Z;0~7. i ~ ~ ~ ~ ° ~ ~ ~ G 4 rr~ I i' ,si z, o~ R ~ . , ~ ~ . ; ~w ~ ~ _ o~~ ' ~y,. ,m; m.~~ :fir L!""' Vi' ~'7 ~q N K~ ~1v ~ ~ A-, ~ `~~r ~c~A~ro'~i~cn~ tea. Y , «i 11.,~tq~ r. .il ~ BOARD OF HEALTH FORM N0.1 3 SETS OF PLANS , . SURVEY TOWN OF SOUTHOLD CHECK .'~~t~.`J.~2~... , , , , . . • BUILDI-NG DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 705-1802 CALL c-~ C Esantined . ~.f~a~........., 19 MAIL T 0 Approved ...~1,/ ~ 19~~Pennit No.~~?~.~.~~ ~,°=a ~ ~a~~ Disapproved a/c ~ i 5 1 ...i ~ 28I~~ ~i, ~ ,'t{t I!s~-: m ....,............~.2, TOWN OF SOUThiOI_t7 Bu ng Inspector) APPLICATIOt FOR BUILDING PERMIT Date 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 I 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 tvork 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 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 f re oval or demo]itio , as herein described. The applicant agrees to comply with all applicable laws, ordinances, build' g co e, housin; code n regulations, and to admit authorized inspectors on premises and in building for necessary insp tions (Si ture of ap~~, r na , if a corporanon) (Mailing address of applicant) , State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. n~?N. ~2. .........1........................................ Name of owner of premises ~Qd.Jl~?-:~, ,~,q~J, , , , (Z~ (as on the tax roll r latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's Liccnsc No . . Electrician's License No . . Otter Trade's License No . . . 1. Location of land on which proposed work will be done . _ • , , , ,,ppn~ .....~......~~n1t~l~..~~L.tiG.......VVI./~'T~Tv. ~?rC:..... C, L /~Y... SSr~. ; . Efouse Number Street. 9 Hamlet ' CountyTas 1(;1p1No."IO~Qx$.~ev~jon Bl'ock Lot. sEl,.<~ 'aft.^„t Subdivision t;E;,. " Filed slap No . Lot . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~~=.~1~.~~ . . b. Intended use and occupancy i O4"~~j~-; • . - , ~pJNO L@U~2 -i ( L ~ ~~Ic'i its . ~ ~~sstn~ , S~v,'m m irlJt ~ 3. Nature of wort. chec which CI7 ~ p applicable): New I3 it 'ng Addition Alteration pOp4,.. i Re air Removal , Demolition Other Nork , . ¢ (Description) 4. Estimated Cost..~~.~'. .0~ Fee.................................... (to be paid on filing this application) 5. If dwellin,,, number oC dwellin e g units . . . : Number of dwelling units on each Cloor . If ~ara,e, number of cars . 6. If business, commercial or miffed occupancy, specify nature and extent of each type of use . . Hei~ltt g.... Nures, if any: Front . Rear Depth . 7 Dimensions of samelstruc Urcumbcr of Stories . with alterations or additions: Front Rear . Depth ~~,~y qtr height ......................Number of Stories . . C401w ~ . ; . . . ' 8. Dimens ew construction: Front Rear . . Depth Hci;ftt ........Number of Stories . , , , , , ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ' m 9. Size of lot: Ftont........ Rear. Depth 10. Date of Purchase P . . .Name of Former Owner 11. Zone or use district in whichremises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded 1Vi11 e c s fill removed from premises: Yes Nc 14. Name of Owner of premises ~2~~, , , Address~~~/G;UC ......Phone No.Zg~: Name of Architect ,,,,,,,,,,,,,,,,,Address .PhoneNo.. Name of Contractor .Address . ,Phone No. . y . IS.Is this property located within~00 feet of a tidal wetland? *YES....NO,.~(.. *If es Southold Toc~n Trustees Permit may be required. „ PLOT DIAGRAM Locate clearly and distinctly a}1 buildings, whether existing or proposed, and, indicate 211 set-back dimensions from property lines. Give street and blocl~ number or description according to deed, and show street names and indicate whether interior or corner lot. I, I STATE OP NE1V YORK, it u I COUNTY OF P'F l.t~.... , ^ S.S 1../J a~inc o~ divuYual s~,n ' ' ' ' ' ' • • • • being duly sworn, deposes and says that he is the applicant ' ing contract) above named. He is the .............I~,r4 ~ ~ ~ . I (Contractor, agent, corporate officer, etc.) ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ' of Said owner or otvners, and is duly authorized to perform or have performed the said work and to •e and file this application; that all statements contained in this application are true to the best of his k ed~ a , work will be performed in the manner set forth in the application filed therewith. b ~ f; and that the Sworn to before me this ~ ~ IaER ~ ~by2 ew~YOyrlt .].......day of'I 19®x'.. I~minllfNn ~iabdk~ 19..x7 C/~~ Notary Public . I'~ Gu~W ' . County (Si;nature of applicant)