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Home My WebLink About18133-z ti FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18134 Date JUNE 21, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1800 WESTPHALIA ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 07 Lot 12.3 I Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 12, 1989 pursuant to which Building Permit No. 18133-Z dated MAY 24, 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 ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ESTATE OF RUTH SATTERLY (owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ Building I s ector Rev. 1/81 aoaas xa 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 813 3 Z Date ...~~.~.~G~.~~.- 19.~!~ Permission is hereby grunted I1to/`: ~ ` ~ ~/L~ .l..~1~.1..~ ....~0:(. ..~,Y.~?...,rs . . to ~ ~~y9 ~A / at premises I ate at .......,~.~9y4y. ......y...f~-'L~• ~,,.......~1.~............. County Tox Map No. 1000 Section ...~.~...L~......... Block Lot No..~.~~..~...... pursuant to application dated 19.L1...~and approved by the Buildingrlnspector. Fee $..,.:1..Qs..~~. Building Inspector Rev. 6/30/80 TOWN OF SOUTUOLU BUILDING DEPART:IENT _ TOWN IIALL SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY ' DATE.. NEW CONSTRUCTION .Q~,,,,OLD OR PRE-E%ISTING BUILDING..._..VACANT LAND........ Location of Property„~,Q_~_...(,Jq,,,gQ'~j((~Q A UOUSE N0. STRL•'ET IIAMLET Ovncr or Owners of Property.. ,~C U~N ~ ~,~,Q,,C,I County Taa Map No. 1000 Section -7 J.. Block .QJ-.. Lot .l."~:~_. Subdivision.. Filed Map ........Lot p Pcrmi[ :lo. C~/-`~~~,Date of Permit s /~g/ IIcalth Dep[. Approval p~(~'~..__,_.. Underwriters Approval.. p_ Planning Board Approval ..,s~l~..,..... Request for Temporary Certificate Final Certificate Pcc Submitted: _ 02~. APPLICANT... ~,~0`C; _ - . r~~- 10/14/88 ~ o i813y Q,,aL,. 315E 4 i ~I FORM NO. 6 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT ~ TOWN HALT 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must bg filed in typewriter OR ink and submitted to [he Building Inspector with the follgwing; for new buildings or new use: 1. Final survey of prop~rty 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 IZ lead.' 5. Commercial buildings,'', industrial buildings, multiple residences and similar ! buildings and installlations, 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: I. 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 abstr~ct 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 j reasons therefor in whiting to the applicant. 3. Date of any housing cede or safety inspection of buildings or premises, or other pertinent information'irequired to prepare a certificate. C. For Vacant Land Certificate of Occupancy: ' 1. An application for vaunt land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and ' separate ownership oflthe entire lot prior to April 9, 1957 shall also accompany 'i [he 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 OCOUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwel,'ling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Access!~ory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificat',e of Occupancy - $5.00 - over S years - $10,00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - '$25.00 Residential ' $50.00 Commercial i rev. 10/14/S8 I', r1ELD i;:SP?CTIOi) IIDi.Tr, ~ COMMENT° .r -v 1 . ~ 3 `V - r'OUt1DATI0N ( 1st ) c Z) rOUNDATI01d (2~c]) - m 2. z 0 ROUGH FRAME & PLUMBING ti H 3. x m m IIJSULATION PER N. Y. . • STATE ENERGY CODE + x a r^ 4. m H FINAL r' ADDITIOI7AL COMMENTS: x 'xu~~~. F' ~ ~ a o O • m ra r _ H x . cy m •a .._.i H a B0.\RD OF HE.\LTH 3 SETS OF PL.\NS FORM N0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORCi TOWN HALL • SOUTH,DLD, N.Y. 11D71 NOTIFY TE'L,:765-1802 CALL Examined . •~%l~p~.3., l9l~j/. % / Q / MAIL T0: \pproved ~ ~.v. 19p.~Pcrmit No./ LI.A,~I~.~~G,_._ ( d Disapproved a/c (Buildino Inspector) APPLICATION FOR BUILDING PERMIT Date ...~:Q'~.~oZ••.,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 Bui]ding 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 for removal or de -ion, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildin code, housing ode and regulations, and to admit authorized inspectors on premises and in building for necessary inspec ons. : ~0:'~' 6c" (Signature of applicant, or name, if a corporation) ' (Matltng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~?~.,~W ...~sd . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (N'ame and title of corporate officer) Builder's License No. Plumber's License No . . Electrician's License No . . Outer Trade's License No . . 1. Location of land on which proposed work will be done. ' house Number Street. ~ ~ ~ • " ~ " " " " " ' • • • • • • • • Hamlet County Tax blip No. 1000 Suction f 7....... Block ,Q , , , , , , • Lo[ ~,a ; ~ • , , , , _ • • Subdivision F.ilud blap No. Lot . (Name) State existing use and occupancy of premises and intendud use and occupancy of proposed construction: a. Existing use and occupancy n!'?' • • b. Intended use and occupancy . r~.'•'k• ~ 3. Nature of wort. check which ~ Repair , . , , ~ , R` PPlicable): New Ouilding Addition .Vteration ~rpoval Demolition Other 1Vork . l..- (Description) 4. Estimated Cost ~ S~ Fee . 5. If dwcllin~ number of dwellin ~ (to be paid on filing this application) ' ~ units , ! • , • • Number of dwelling units on each floor • If gara~c, number of cars . 6. If business, commercial or mixird occupancy, specit~y naturo and extent of each type of use 7. Dimensions oCexisting structures, if any: Front •Rcar Depth . Height Number of Stories , , . Dimensions of same structure with alterations ar ~ dditions: Front Rcar . • Depth .Height . .Number of Stories . • ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ • 8. Dimensions of entire new construction: Front Rear . .Depth - Height ........Number of Stories . • . 9. Size of Iot: Front Rcar .........:.............Depth . 10. Date of Purchase ....NameofPormcrOwner. 11. Zone or use district in w}ticlt demises are situated . P P P late any zoning law, ordinance or regulation: • , , , , , , , , , , , , , , • l3. Nill lot be re"raded oes ro osed construction vio ~yill excess rll bo removed from premises: Ycs No 14. Name of Owner of remises . • ' Address Pltonc No............... . Name of Architect . .Address . .Phone No. . Name of Contractor . . ~ . , . Ad~iress ,Phone No.. 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.. *If yes, Southold Towfi 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 blocknumber or description according to deed, and show street names and indicate whether interior or comer lot. Il S. ,~.Z'~ I STATE OF NEw YORE, COU; }TY OF .S ' ~ ' ' ' • • • ' ' ' ' ' ' ' ' ' ' ' ' ' • • • • • •I • • • • • • • • • • • • . • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. llcisthe (Contractor, agent, corporate officer, etc.) ~ ~ ~ ~ ~ ~f said otvncr or owners, and is duly',authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the 'pork wdl be performed in dte manner Set forth in the application tiled therewith. ~wom to before me this i •..,..........R7a.. day of.'', ...rn. 199. rotary Public, ~~V ~ County ••HELEP! K DE`4C~~,,<:w York .(Yr NO~ARI! i'U.. ;t: ` Cauidyt • • ~ ~ . . No t~ ~ i9~ (Signature of applicant) 'Tor~r~'. - - 't e?l tl,' 1 ~ M J A~ a 5~~ - - n ~ i ~ - - - - I - c, C % ~ - - - - - - - - --J- AP ~lEO - ro~ri~r~~ e~~ioE ~es.teoz s aM T+~ s rM Tt1E ~ ~,1 - - - - - - --FOU~swiNC>as~cnollS: - ; ~ . TwallEOllll~o ~ - - - - -~~n~at~NCa~t - 2. RatlQll • i ~ l~LI1MBMIG - - ~.-INSUI,ARIgN - - - - - 4. flNAL C6NSTRUCItpN MUST - - -8E_CQA±I_PLkTEFORC.0...- - - - - - - - AEI. 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