Loading...
HomeMy WebLinkAbout18371-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219205 Date JULY 10, 1990 THIS CERTIFIES that the building ACCESSORY BUILDING Location of Property 2080 ELIJAH LANE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 03 Lot 5.15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 31, 1989 pursuant to which Building Permit No. 183712 dated AUGUST 11, 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 SHED. The certificate is issued to PAUL R. & ANNA RENDA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A ~Buil g nspec or Rev. 1/81 rosa>c 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 8 3 71 Z Date ....~.,,~1./ 19. Permission is hereby granted to: ta .+~~i~.~yi~i~i...~.~.......Gr~''G;'::S:r.Cd~r-.Fr.:-F/....~..4~C"Sf. 1........G~~~',?i'gC. at premises located at ....t~®..f~a........~~ . ~i.L..~ County Tax Map No. 1000 Section .......1../d.~..... Block Lot No.......~~ pursuant to application doted ..........~../.;3~ 19...~f., and opproved by the Building Inspector. a~~~~ Fee $....~t.:l.. ildin nspector Rev. 6/30/80 T ~ 'y/~~A 6 1' `~lJ~ TO{!N OP SOUTIIOLD `3-~^~~ BUILDING DEPARTaENT ~.0~ ~O~j~~a t~ TOLlN BALL q ~ . V~J ~I'~~ JAN ~ Z~C~~ ~ SOUTIIOLD, NEN YORK 11971 / L41.1~~.~.~~~,...........~,..~~:~~~ 765 - 1u02 C [3LLG. DEPY. ~ 9J 70WN OF SOUTHOLD PLICATZON FOR CERTIFICATE OF OCCIIPAt1CY DATE _ _ . _ 1 . - ~ •r ~ ~ NEN CONSTRUCTION .......OLD OR PRE-E%ZSTItiG 1B UILDING_.....~ACAitT LAND... Location of PropcrCy...; ~ -••_'r l-~.ba}_(c~ I~ A P~~ ~ ~ ~ i v~1C < HOUSE NO. f STP.EET UAMLET - Ovner or Ovncrs of Propcr[q..... ~RU~ I~ ,~~N_fI ~Cryr~~ County Tax Hap No. 1000 Section I` ~ ~ . - Block ~ Lot' Subdivision. ~'2L ~R is 2 • • - " Filed Map -,-..._.Lot_. Pcrnit No. ~ ffii ((•~~•-•rr.-'(/1~- (n} ••---...Date of PcrmiC .K:~~;6,~~,•_Applicant ..-l`Fl~l~._lL..fC~.~~• Dealth Dept. Approval " " Undcrvriters Approval..- Planning Board Approval Request for Temporary Certificate Final Certificate Pee Submitted: APPLICANT......- ~ °~F© 10/1~/BB " ~ FORM N0. 6 i TOWN OF SOUTIIOLD BDILDING DEPARTMENT TOWN MALL 765 - 1802 „ ` APFLICATION FOR OERTIFICATE OF OCCUPANCY INSTRUCTIONS i A. This application must be' filed in typewritec OR ink and submitted to the IIuildiog Inspector with the following; for new buildings or new use: i. Final survey of property with accurate location of all buildiogs, property lines, streets, and unusualinatural or topographic features. ' 2. Final approval of Dcalth Dept. of water supply and sewerage-disposal(S-9 form). ' 3. Approval of clectricajl installation from Board of Fire Uaderwritcrs. 4. Sworn statement from ',plumber certifying that solder used in system contains less' than 2/10 of Iz lead.', ' S. Commercial buildings; industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsi le for the building. 6. Submit Planning Boar Approval of completed site plan requirements. S. 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'iapplication, a consent to inspect signed by the applicanC and a certified abstracC 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 ~rriting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informatio6 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 abstyract of title issued by a title company showing single and separate ownership o'f~the entire lot prior to April 9, 1957 shall also accompany the application. Ifl,a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: I 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Duelling $25.00, Swimming Pool, $25.00_ Accessory building $25.00 Addition to AccG'ssory 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 Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy ° $15 00 Residential Commercial .Q' ' I -1r:LD It:S:'EC:iUN ~~llATE I~ ;;OMMENT° 1.', ~ W a 3` FOUIJDATION (1st) FOUNDATIOIJ ( 2nd ) ~'~p 2. z ~ o P,OUGH FRAME & ~ 0 PLUMBING 3 . x m IIJSULATIOPI PER N . Y. _ , y , STATE ENERGY CODE x 4 . y c~ FIIJAL ~ aP ADDITIONAL COMMENTS: ~ x ~ ~ X ~ b H ~1 \ 9 H d O Z ' ~ M a\ r~ _ H x . ey r=l v H /~j 765-18®2 G BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG, (]FOUNDATION 2ND (]INSULATION [ ]FRAMING (~INAL REMARKS: ` DATE INSPECTOR • - , - a E 1 ~ ; 11 ~ I ~ ~ ~ ~ u ~ ~ ~ y ~ ~ ~ ~ ~ i ~ ~ 1 ~ \.~II ~ a' s ~v ~ ~ t~~ ~ _ ~ ,...,:z ==t U k q ~ 4 ~ ~ ~ ~ ; ~i I--- I ~ 1~ " a Y ~ _ k-,.,. a ~ u ~ , _ P~'! n ~J', 4111f f-~ •4 qe E•~ q~i4 • ~ 6 pp X614 Qve^r' N ~R 8 IdpIE' ~ o 3DaD ~ m ~•6 3B, lB ~,~,,y~~p; ~ LO w i 'a•.ysF n O ~G v,.$~ e ' N 2 T N YPT fv ~y O ~ ~ \ JR ~ tW i v. ~ ~ ..~'~s fi , ' e i C Y ~ ~ Rq• d s yrt U±~,~ ~ Z ~ 4:~ m_ i i r v ~ ~ ~e.e Y \ C~' 1 / ~~,,~jj^j(. ~Y R I d , •ll ..1 {I` W i ^ ,i I~I I 1 ~ ) ~ d~, W, „ ' ° .eso Ao ke 'ev S,6 t ~0 ;f,; ~0 q~fi.'`6bg05 1 1" "Tl ,t. U , y, ` ~-S~?-/~ • 5UlPOTd[ COUl1TT REALTA DLTART11Eg! SURVEY FOR GREENER/AR HOMES, /NC. ,Ax>r n. D. REB: # S o /00 LOT NO "GREENER/AR ACRES" ~~~~~~t~ " ~ ' ` ~ AT MATT/TUCK AA92 /e, 1979 ' Phe sewage disposal and aet~r supply ~ DAtE AUG /O, /97B Facilities for thSS location have bees ~ TOWN OF SOUTNOLO SCALE' q0/ inspected by this depertment and found " SUFFOLK COUNTY, NEW YORH NO' 7B-4B6 eD satlsraptD b UNp UTHOR 4E0 ALiERgTION Oa ADDITION TO THIS ~~~~~®W SVHVEY IS p VIOLATION Oi SEC iION l$0y OF TXE l Ee~•(, N[w rOge sTgrE Epucgilon Lqw ~pSE OF Nf Chief o e e e g1O rl ~ ~ ~ ~ w cowcs of iXls suav[v Nor eE galNC THE LAnO S W ~k. ~ SVa VE YOa'S INHFO Sf 4L OR EM8055Ep sEgL SHALL SBrV1D0a ~ NOT qE COH SIDE aED TO qE 4 V4LID TRUE COPY ~pAD yy Y Oq MGVARANTEES INOICEiED XEREON SHgLL aUN ONLY TO ~ O ~ HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT TXE PERSON Foa waoM rHE spavEr Is PREPAa¢o, SF Z qNp ON XIS eE NgLF LO LNE TREE LOM PAH Y, GOVERN MNE4RE9T W4TERM41N4 MLl M90Ug9E0f W4TER~pRIV4TE VppeLlp MENipL AGENCTpyp LENDING INSTrtuTION LISTED ~ MlUFF. CO. T4%M4P DI9LIOOO9ECTIOH 108 BLOCH'~LOTJ.~' ~ XEREOx, pNO TO TXE g551GNEE5 OF THE LENDING Y MTHERE 4RE NO OW ELLI~WITNIN 100 fEEt OV TH0 PROPERTY INS TITV TIOx cUARAN TEES qRE xOr iaAnsFERq qLE OTHER TH4H THO9E 9HOWN NERFON. ~ TO AppI TIONgL INSTITUTIOVG OR SUe9E0UENi M THE W<TER 9UPPLV Nip 9EWROE 0OP09AL 9Y9 [M FOq TH19R DEE~NCE OWNERS WILL CONFORM TO THE 9T4ND4RD90p THE V fOLN COUN TY T~T W DISTArvCFS SHOWN HEREON FROM PROPEa iY LINES ryG X5893 OF HEALTH 9ERVICE9 /~sy I///E'•/ l0 EMIS iING STRULi URES ARE FOR A SPECIFIC ~ J9L p„ P~~ " PURPOSE ANO ARE NOL t0 BE USED TO ESTABLISH FAN05 1yOa ~1 td4W 1 /1j PRO PERiv LINES OP FOR 111E EREC TIOX OF FENCES A y(~i~ Rnhln Vl. ~ ~i~-~, ~l~l B Idwin. New York itF],B TE"ao23 isZ/ YOUNG 8i YOUNG RIOVERHEADNNEW YORKUE ' ¦ a MONUMENT SET ~ ' SUBO/V/S/ON MAP F/LEO /N THE OFF/CE OF TNECLERK OF ALDEN W YOUNG,PROFES$IONAL ENGINEER • SUFFOLK COUNTY ON OCT./977 AS F/LEN0. 6609. AND LAND SURVEYORNr.$LICENSENO 12e45 w iHELOCATgNDFWELL(Wl(eEpTIC TNINI9T)eCF99PODL91CP19NOWN HEREON HOWARDW YOUNG, LAND SURVEYOR APE FgOMJFIELD Oe9ERVATI0N9 4ND OR DAi4 OBT41NE0 fROM OT ER9 N Y$ L ICE N $E NO 45893 ' / f i , I~I~Iy F~Yn'STL rah EuT - T ~ s{. 1 1 I ~ ~I ) e s~ I 'f ~3 9 ~ yi I j i. 1Lr ~ r ~ °It Stj~~tp Ir :LS a x~,3 , Ir ~Ai~, sv t niz v~il~va{~~7 ~u lr) o-V~ to r' I I p l ~`~a °~'~'Y~v Vi rL ~ t t! X I ~ fxyll t~~',: ' fr 5. i 4 ~Il Ib tSi v I» I r ct'' bs ~ Y B0.\aD OF HE~tLTH 3 SETS OF PL.1NS • FORM N0.1 SURVEY ....'4! • TOWN OF SOUTHOLD CHECK (7• • , • • • BUILDING DEPARTMENT SEPTIC roart TOWN HALL • EOUTHOLD, N.Y. 11~J71 NOTIFY TEL.:7G5•1II02 CAL C•xamined o. 19 .r~.~ . AIL T0: Approved f..........., 19~! Permit No.. .~q37~~ Disapproved a/c ~iuildin nspector) APPLICATION FOR BUILDING PERMIT Date . 3 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 pint 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. L'. 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 far the issuance of a Building Permit pursuant to the 3uilding 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 for removal or demolition, as herein described. Tfte applicant agrees to comply with all applicable laws, ordinances, building code, housing cod and reg lations, and to admit authorized inspectors on premises and in building for necessary inspections 3'Y ~ r ~ (yW,Y~~/tU~~~ to ' •(St"naCUre ~p/'l//~~ oi' ap`1p/l/i/Icja/nt, or name; if a corporati//on)t~ a}+,x sl. ~,n° ~ ~ (Mailing address of applicant) State whether a licatit'is owner, les,see, agent, architect, engineer, general contractor, electrician, plumber or builder. ~St•'t;la~ARrs,itl'L.~. •~~.~r~.Ylc.,:F. Name of owr~~r q~ p,~r~~tis.Gs.. , ..~~11.~ . ~ ~ A ~ 4V ~ ~ N~.~ . a, 3 r-•', -.s s - r ~ (as on the tax roll or latest deed) lCapplicant i5~t:?~dErpb'~?aittitln; sishd'tiS'reo''Rtluly authorized officer. Y.~+1 :IN°I ~fl 'r'{`S+t3`r3TO"~."'7`^ ..........1:c'71t13M3.1a.Yl(}t'i;?ti!;{?'~'~'~;;:` ~ (Ic a~ldtlB~1'~`b'~~4~'rpotfid`fe oghcer')~ ~.li+?3~51;1 Y1Cbt:at;t19,.'v~; ~ ; • Builder's License No. . Plumber's License No . Electrician's License No . . Outer Trade's License No . . Location of land on which proposed work will be crone. ' I[ouseNumber Street. pp Hamlet County Tax ~1ap No. 1000 Section . i:0.4......... Block , , ,-~•f• • • • • • • Lot . Jo • , Subdivision .~"~..rr..~lt0.~~/,4~ • , , , • - , , , , • , Filed Afap No. (Nantc) Lot............... • State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy _ b. Intended use and occupancy . • • • • • • ` ~ • • • 3. Aapure of wort check w•hiRhmbplicable): New E3uilding Re air loyal • • • • • • ' • • • • • Addition rUtcration • • • • Demolition Other 1Vork . 4. Estimated Cost ........~.~04~..0~ (Description) , Fee 5. If dwelling, number of dwelling',units , (to be paid on filing this application) • • • Number of dwelling units on each floor........... If garacc, number of cars • . 6. If business, commercial or mixed occupancy, specify nature and extent of each. ~ ~ • • ~ ~ • 7. Dimensions of existing structures, if any: Front . 11 ~ t t pe of use , , , , , , ~ Rear \ ~ ` Depth `C~ r Height „~,,,,,,,,,,.NumberofStorics. \ Dimensions of same structure with alterations or additions: Front ~ ~ ~ ~ ~ • ' ' ' ' ' ' ' ' Depth ~ .Height. Rear.................. 8. Dimensions ~ `ntire new constduction: Front , z ~ • ' ' ' ' ' • • • Number of`Stones , . , , , , • • Rear Depth ...1.(:1.t. Hcigltt . , Nurrjber of Stories . 9. Size of lot: Front 1. ~q. Rear , ..tiY. 1 ~ . ~ g~............. . 10. Date of Purchase ' ' ' • • Depth , , , "'"~'"~"'~'~•1•'•••••••••••...,NameofFormerOwner 1 1. Zone or use district in which premises are situated , • • • • ~ • ' ' ' ' ' ' ' ' ' ' ' ' ' 1~. Does proposed construction violet any zoning law, ordinance or regulation: • ~ ~ • ~ • • 'ill lot be regraded , p •'0• • • • • • , , 1Vill excess fill be removed from premises: Yc No 14. Name of Owner of remises . ,Q„~,~.~ • , , , ,Address . Name of Architect ' • ' • ' ' • • • • • • • • • • • • Phone No. ~~Z,', , , Name of Contractor • • ......Address ...................Phone No... . , .........................Address ...................Phone No........'. IS.Is this property locaFed within 300 feet of a tidal wetland? *YES..: NO *If yes, Southold TowniTrustees Permit may be required. PLOT DIAGRAM _ Locate clearly and distinctly atl !,buIldings, whether existing or proposed, and. indicatt: all setback dimensions from property Lines. Give street and block r}umber or description according to deed, and show street names and indicate whether interior or corner lot. ! • ' AP~ AS NOTED DATE: B.P. N 3 ~ FEE: ~ BY: ' I NOTIFY BUILDING OEPAR N AT 785-9802 9 AM TO Q PM FOR THE . - FOLLOWING INSPECTIONS: 9. FOUNDATION - T1IV0 REQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBING ~I 3. INSULATfON 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS Of TILE N.Y. STATE CONSTRUCTION 91t ~lERfiY CODES. NOT RESPON$1 FOR ' DESIGN OR CONSTRUCTION ERRORS lT,1TE OF \E1V YORK, S.$ =OUNTY OF SUFFOhK....... . (Aamc of individual signin;' ' ' ' ' ' berng duly sworn, deposes and says that he is the applicant ....•••.•.•••..•.~•'contract) bout named. M I ie is the , Contractor (SELF) .....'F................................................................ (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly apthorizcd to perform or have performed the said work and to make and file this rplication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the ork will be performed in the manner se,t forth in the application Glcd therewith. vom to before me this 31st ................day of.. Ju1X..............19 89. ttry• Public, SUFE'OLK , , , , ,County y n MELANlE V. BROWN I r~•~•~~ ~ 1~1~6'VU-1-~! Notary Publlo, Swto of New York e. . No. A908792 ~ ~ Qua88adln8uHolkCounty (SignatureoCapplicanq ! Comm(aolon Exldroa Od.19,1989