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Home My WebLink About18173-z ~ FORM NO. 4 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspectar Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18085 Date JUNE 6, 1989 THIS CERTIFIES that the building ADDITION Location of Property 220 EAST LEGION AVE. MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 143 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 1989 pursuant to which Building Permit No. 18173-Z dated JUNE 6, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to HARRY C. RHODES & WIFE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 rosat 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 O ~ O ~ ~ Z Date 19.Y..<. Permission is hereby grant d to: .......rte........ ~ ~ ......a~~ ~ - ~ at premises located at ....s9~...:~a... ~ .........ca"""T' / ~:4:~............................................. County Tax Map No. 1000 Section. °~..~~..~,-3....... Block Lgot No.......... pursuant to application dated .......5[~~i~.- 19.~/., and opproved by the Building Inspector. of Fee : J... ..~a....... .f .:~L.... `O B ding I to Rev. 6/30/80 • _ TOWN OF SOUTUOLD BUILDING DEPART2fENT TOWN HALL • SOUTDOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE. June 6,..1989 NEW CONSTRUCTION ._.....OLD OR PRE-EBISTING BUILDING......VACANT LAND.....__. Location of Property....?20.East_Legion Ave. Mattituck, New York HOUSE NO .............STREET HAMLET Ovner or Owners of Pro ert HARRY C. RHODES P Y.....---•---•-----•• County Taa Map No. 1000 Section .143„ Block ...4... Lot .5.... Subdivision Filed Map ........Lot.......... Permit No. 18173Z..,..Date of Permit 6/6/89_ Wm. J. Clark ...Applicant Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Pee Submitted: 25.00 WILLIAM J. CLARK APPLICANT ~,~e,•3~N1~. e~ ~ egos rev. 10/14/88 ! L . FORM N0. 6 d ~I TOWN OF SOUTHOLD BUILDING DEPARTMENT I i TOWN HAL. 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must bel~Ifiled in typewriter OR ink and submitted to the Building Inspector with the follot~ing; 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 Hea~ith 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 1I 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~i,Approval of completed site plan requirements. B. For existing buildings (Qrior 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 c¢de 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 ~ Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: ! 1. CERTIFICATE OF OC(UPANCY - 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 an 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 - $25.00 Residential $50.00 Commercial i ! rev. 10/14 /S8 I WILLIAM J. CLARK ATTORNEY AT LAW 4885 MAIN ROAD MATTITUCK. NEW YORK 11952 518 • 298-8820 June 5, 1989 Mr. Gary Fish, Building Inspector Southold Town Hall Southold, N.Y. 11971 Re: Premises:East Legion Ave. Mattituck, N.Y. Harry C. & Ruth Rhodes Dear Mr. Fish: Enclosed herewith is application for permit covering extension of above captioned premise. I will advise you as soon as the stove is removed. Thank you for your cooperation herein. Very truly yours, WJC:er William J. Clark enclos. • o~~FFO~~o VICTOR LESSARD ~ L Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ P.O. Box 1 179 (516) 765-1802 ~ ~ ~ Southold, New York 11971 FAX (516) 765-1823 ~Ol ~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD June 6, 1989 William J. Clark, Atty 4665 Main Road Mattituck, New York 11952 Re: 220 East Legion Ave. Mattituck, N.Y. Suff. Co. Tax Map #1000-143-4-5 Dear Mr. Clark: Enclosed herewith is the Certificate of Occupancy for the addition on the above premises. As soon as the problems with the wood stove have been corrected, the Pre-CO will be issued. Thank you for your cooperation in this matter. Very truly yours, I SOUTAOLD TOWN BUILDING DEPT. Gary J. Fish, Building Inspector GJF:gar encl. B0.1RD OF NE.\LTH FORMN0.1 3 SETS OF PL.1NS SURVEY TOWN OFSOUTHOLD CEIECK BUILDING DEPARTMENT SEPTIC FORPt T04VN HALL SOUTHOLD, N. Y. 11971 NOTIFY TEL.:7G5-1802 CALL Examined . I9 AfA I L TO • . Approved ....~p~w......., 19~,~Pcrmit No.~~~~~'.~ „ h ~ ~ [y_~I Disapproved a/c ~ '`.t,~~.'o.., _ y~ ~ BLDG. DEPT. ' TOWN UFSOUTHDLD ~Buil g Inspector) APPLICATION FOR BUILDING PERMIT Date ..June 5.'........, 15$9. INSTRUCTIONS ,a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available far inspection throwtout the work. e. N4Xii~~ b~t~~~cupied or used in whole or in pact for any purpose whatever until a Certificate of Occupancy sh~ll haFe been~r~~ted by theme Buil~~tg Inspector. APPLICATI IS HEREB~.M~.JAE to the Building Department for the issuance of a Building Permit pursuant to the 3u~1;''~d6.~edTlit;tb'n of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re~~itiortr},r~th~(c~,13tt$AC't4i~9f a~F+bui]dings, additions or alterations, or for removal or demolition, as herein described. Tile applican~~g+n~C,°}'~,g;~'orTtpl~ii~,+itli hll applicable laws. ordinances, building code, housing code, and regulations, and [o adr~,t~;;~uL~gi-jnspe4tli9it5~bilr~li5is~s and in building for necessary ins ections. ~'?~H'lPRt):5 r9iNtie7'i ~#C5't q/ ~1,~®q®' ~l - - x1141 : rYU_41 ',11sri Cy"-/aR~$ . hi rl'04'?~ ~ ~ ..d 1'::'~`~/!°~?'; ' . t.~(;1r~..it. •,§i c" (Signat e of applicant, or name, if a corporauon) x~,,f,y~,~tT~t'rtr=•~s"~' ~ 47 Croyden Dr., Bellmore, N.Y. 11710 T3iir.~1 } a,~ly,~ ;',,?T;'.r;q';s9t3~,r '1 ~ (Mailing address of applicant) vsE a ~ ,~srt~°vY:l~~t,lta3~ Statx wh ~ie yltca t. s, pa~uner;,lessee went, architect, engineer, general contractor, electrician, plumber or builder. 44ti ~.D63~fiIL1yi':li, r5tt' ..?s; ' lsi 4 L'itlt4 ^,ftt.? ; ;r'rr:', . Name of owner of premises ......,Har'r'y C. Rhodes and Wife (as on the tax roll or latest deed) [f applicant is a corporation, signature of duly authorized officer. (A'ame and title of corporate officer) Builder's License No . Plumber's License No . Electrician's License No. . e . a , , - e . . . . . . . . OtlterTrade's License No . Location of land on which proposed work will be done. ' 220 E. Legion Avenue, Mattituck, N.Y. 11952 " " " I[ouse Number ....Street....... ..............Hamlet County Tax Map No. 1000 Section 1 43 Block 4, • , , , , , • , , , , , , Lot . Subdivision FilcJ t\tap No. .Lot . (Name) • State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......Pr 1 v ate Dwe 1.1 i ng jjIA,17.iM?~atY~.. b. Intended use and occupancy wIM ~at~~A • h • liW'.fA.JUVII'(t i 3. Iv'ature of work (check a•hichllIapplicable): New Building ' Repair Rctnovaf Addition . X........ .Utcration • • • • • Demolition Other Rork • • 4. Estimated Cost , , , , , , , , $500 .00 (Description) Fee............... 5. If dwelling, number of dwcllidg units , , (to be paid on filing this application) If garage, num bcr of cars , , , , . • • • • • • • Number of dwelling units on each floor........ , 6. ifbusinrss,commcrcialormiv,cdoccupancY,s ccif.~••.~~••••~•~~•~~~~"'"""""""'••••••••••••. 7, Dimensions of cxistin^ structu' cs if an Fr P Y nature and extent of cacti type of use . • • ~ • ' o r Y~ ont ..,1:$' . 6 " .Rear . i.3'.. . Hcicht , , , Number of Stories . 1 ~ • ~ • • ~ • • • • • Depth .-29 ; , ~ • ~ • Dimensions of same structure with alteratio • • ~ ~ • " " " " " " • • • • • • • • • • Dc th ns or additions• Front .1(}:-.'6.'. ...~..Z'S~......... P .34,',,1 ~~~•,:,u,,...~... height . Rear , 8. Dimensions of entire new construction: Front , ' • ~ ~ '2 ' • • • • • Number of Stories [ , ~ • • • • ~ • ' ' ' ~r Height . Nuinbcr of Stories ~ Rear Depth :-5,',j'; , ' • . 9. Size .bf Iot:.Front ....5 0:. I .Ei ~ . 5.1 : . l0, Date`ofPu'rchase •JUIy„1,0,1959•"' Rcar,,,, Depth AP.R.159:1.„"""'~ 1 1. Zone or use district in which premises are situated , . Re S i d2•r1t a~l,Owner T.ar. n e1.l.us . Rh.pde S........ , . 12. Does proposed construction cio,late any zoning law, ordinance or regulation: N.R . l3. Will lot be re.raded N0. , . I, , , , 14. Name of Owner of premises N ' r ry, C,., ,Rhodes &W~ ' 1Vtll excess fill be removed from premises• Ye ~ No Name of Architect ~ddress47.,Croyden Rd. ,PhoneNo.535=317 Name of Contractor ~ , • . • ~ ~ • ~ • • ' ' ' ' ' • • Address .B.Q J ~ Ipp,r;e , , Nr Y,., , ,Phone No......... • • • • ~ • I f e s P P y • ...........Address • . 15.Is this ro ert located within ••PhoneNo.., * X00 feet of a tidal wetland? *YES....NO.$„•• Y , Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block'number or description according to decd, and show street names and indicate whether interior or comer lot. I t~ ~ /7,3 I DATE: 11.!! N / ~ - ' 9 ~a FEE: ° o EY: ,tit'' ~ NOTIFY BUILDING DEPA EN AT h~ 788.1802 9 AM TO 4 PM FpR THE' t FOU.AWINOINSPECTIONS: , ; 1. FOUNDATION TWO REQUIRED ' ~ ' FOR POURED CONCRETH ~ 'I _ - - 2. ROUGH =~FRAMIN<>; Qi RU 91N0 3. INSULATION ~j 4. FINAL - CONSTRUCTION rr!ItAST ' i SE COMPLETE FOR C.O. I Q ALL CONSTRUCTION SHALI AlIEET ' 0 ~ ~ THE REOUIREI~IENTS OF THE N.Y. ~ ~ STATE CONSTRUCTION 8 ENERGY CODES. NAT RESPONSISI~ ,FOR ~f DPSIGN OR CONSTRUCTION ERRQRS b I i , i i ` FNS -,.._....---5'oi T,1TL OF \E1V FORK, I~ 9? - - Uti - 20~,7~ Tov~gY ~V f FOLK Rhode H r,,. • • TY O (Name of indi~idual•signm ~S. • • ~ • ~ ~ • • • ~ ~ ' • being duly sworn, deposes and says that he i rote named. ,contract) s the applicant i cis the • (Contractor, agent, corporate officer, etc.) • " ~ " " " said owner or owners, and is duly atitltorizcd to perform or !lave pcrCormed tltc sail work and to make and file this Placation; that all statements contained in Otis application arc true to the best oChis knowledge and belief; and that the uk will be performed in the manner set forth in the application filed therewith. om to before me this ..........5th....... .day of'...,.~lUDe... ......,19$9, tart' Public, • • , County re~rm~E~r i ~ (Signature oCapplicant)