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Home My WebLink About18021-z f FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY ~ No Z-18948 Date APRIL 3, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1505 WEST MILL ROAD MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 09 Lot 81 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Pen[ut heretofore filed in this office dated APRIL 7, 1989 pursuant to which Building Permit No. 18021-Z dated APRIL 10, 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 GEORGE KLINE/HAROLD CLARK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B ilding Inspector Rev. 1/81 ¦osss xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAIL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 8 0 2l Z Date 19 ~'.9. Permission is hereby granted to: ......k~ ~~....1.'~.s:~ . 1-_ at premises located at S..°..4R.....~.9:°~ C?:).:!:Q,Q.~.~... ~.~1.~ .~i..~..k~- County Tox Map No 1000 Sectionn.....~.Q..G.. Biock Lot NO. ...A. r..~ pursuant to application dated ........7 19.A..9, and approved by the Building Inspector. Fee S•.`•*~: . . . . . wilding Inspector Rev 6/30/80 ~ r,;~ TONN OF SO UTIIO LD ~ i~-~, IIUILD INC DLPART:f CLiT ~ ~yy~} TORN HALL aM `L4ry~ SOUTIIOLD, NEN YORK 1197 f'~~ _ _ i 765 - III02 84GG~~'~ ~ ~ TOWN OF gt~Ufy';± APPLICATION FOR CERTIFICATE OF OCCIIPAtiCY .-*~-/y DATL..~'. Z...! HEST CO:iSTRIICTIOH ..V..OLD OR PASS-,,EBISTItiC B~U/~ILDIHCp..~....VAC,A~tJ7T- LAND_....... Location of Property... :"~:?.~....:".li?-{.a.F~.-.41.....11:1f~5~~r~':~ HOUSE HO_S'yy'T``Ir2LE~~Ttt,, ~j~,~HA~HLLT Owner or Ovncrs of Property.__~J~_:~^1 N~.~/~~=':`:"....-C_.~~.. ~ CounCy Tax Hap No. I000 Section ! O.~ Block Loc ~_l.__ i Subdivisioa Filed Map ....____Lot__.._.._.. PcrniC tio. ..........bate of Permit ......_.._AppLicant IIca1Lh DepC. Approval Underwriters Approval._!:~ PlanninE Board Approval Request for Temporary Certificate Final Certificate Y Fce Submitted: ~ ~ I ' ' fff fff/// j j j ' ' //f/ A P P L Z~~~4F3' 1, L _ . . e , cv.~~ 139a.S3 ~•f: ; r Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the building inspector with the following; for new building 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 iu system contains less Chan 2/10 of 17, lead. 5. Commercial building, industrial building, 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. f 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, building 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 building or premises, or other pertinent information required to prepare a certificate. D. FEES 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Addidtions to Dwelling $25.00 Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory Building $25.00 Addition to A~rPC~n.-•• R; +1aj-.o $~°,l?Q - _„y,-y ;,~O.CO 2. Certif~.cate of Occupancy an pre--existing dwell~,rg - $100.00 Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Updated Certificate of Occupancy - $5.00 Residential 5. Temporary Certificate of Occupancy -•$15.00 Commercial o~~EFOLK~O VICTOR LESSARD ~ < Town Hall, 53095 Mam Road PRINCIPAL BUILDING INSPECTOR ~ ~ P O Box 1179 (516) 765-1802 ~ • ~ Southold, New York 1 1971 FAX (516) 765-1823 ,{GOI ~ ~~Q OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 26, 1990 Mr. Harold Clark 3 Celano Lane West Islip, N.Y. 11795 Re: Building Permit 18021-Z Premises: 1505 West Mill Road, Mattituck, N.Y. Suff. Co. Tax Map X1000-106-9-8.1 Dear Mr. Clark: During a review of our files, 3.t was noted that a Certificate of Occupancy has not been issued. According to the Code of the Town of Southold Article XXVI2I 100-281 and 100-284 a building permit is needed for additions to an existing dwelling. It is unlawful to occupy a dwelling until a Certificate of Occupancy has been issued. Your final inspection has been made. We had notified your builder Boeckman Building Construction Corp. on 9/22/1989 that everything was okay for the issuance of the Certificate of Occupancy, but that we needed an application and a check in the amount of $25.00. (See copy attached herewith) Kindly fill out the enclosed application and send it to this office along with your check in the amount of $25.00 so that we may issue the Certificate of Occupancy. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Vincent R. Wieczorek, Ordinance Inspector VRW:gar encl. TEL. 7C5-1802 ~ot.~~c~~ TO~C'N Ur SOUTIIOLD 44 '~c OPI'ICI: C)[' BUILDSNG INSPECTOR c~~ i t 4~;;~~ z P.O. B07( 1 1 7 9 .y ~ ~ TOWN EIALL c',y SOU'i'ItOLD, N.Y. 1 1971 .,,yol r'~ September 22, 1989 BOECRMAN BLDG. CONST. CORP. BOR 1453 MATTITUCR, N.Y. 11952 RE: HAROLD CLARK & GEORGE KLINE To S4hcm This, May Concern, 4;e arc unable to complete your Certificate of Occupancy because of the follo~ring reasons. An application for Certificate of Occupancy is trot nn £1.1.c. (ENCLOSED) *to [Jndcrwriters Certificate on file. / 1 The chr_c}: i:.(E5ffiR1414RffiHI/nut on fiie.) $25.00 No ilcalth Dept. Approval on file. [do final inspcution has been made. Pleases contact our office on this matter. - Tliank you for your cooperation. Buil<IinrJ Pcrnut- it 1 8 0 2 i Z Building Dupl. tlo I'lt:mber Solder Certificate on file. ' ( all pnrtnit:, involving plumbing briny icsucd after Apr~.l 1,1984 ) 1dLD I;.S: E .~u;7 ~~ll„TE ~ ~Ot`t~~tCNT° tt ~ I m a H y FOUI7DAT20*7 _ ( 1st ) ~ ~ c FOUNDATI017 (2nd) m 0 `o ROUGH FRAME & PLUMBING ti H 3. ~ m m IIdSULATIOPl PER N. Y. ~ STATE EI7ERGY CODE _ a _ C 4. ~7 y / L i FI;IAL~ - - ~ ~ ~ o ADD IOt7AL COMMEI7TS: x ITf ' x a • a H H ~ O ~ a ~ c^ C H ~ x ~ 1 0 m -u H ' a 1 rss-iso~ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~'F~NAL REMARKS: i~~ DATE d2 !I / INSPECTOR ~ ~ ~t?~-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( } ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ]FRAMING [ FIlNA~^,L REMARKS: ~ W DATE l~ INSPECTOR ~g~~~ T65-iS02 BUILDING DEPT. tNSPECTtON [ J FOUNDATION 1ST ( ] ROUGH PLBG. [ J FOUNDATION 2ND [ J INSULATION [ ]FRAMING [ INAL REMARKS: r DATE a 7 INSPECTOR ~ V ~ 'FORM NO. 1 TOWN OF SOUTHOLD .p~~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~ i TEL.: 765-1802 Examined . .f. ~ 19 ~c,~ Received ./.~IJ?~{~, .~j.. , 1 Approved . ~ ~ , 19~ 1 Pennrt No 1 $ t ~ ; ; r_ Disapproved a/c I ~r APR - 7 ~ ' j;~ ,,qq.. [j/j I d .l c.Ys.~. w'^:8~-;- BLDG DEPT (Building Inspector) TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT q / Date ~~~td !a , 1~ INSTRUCTIONS a. Thrs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witi 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 adloinmg premises or public stre or azeas, and giving a detazled description of layout of property must be drawn on the diagram which is part of this app canon. c The work covered by this appltcation may not be commenced before tssuance of Building Permit d. Upon approval of this application, the Building Inspector will issued a Building Pennrt to the applicant Such per, shall be kept on the premrses available for inspection throughout the work. e. No building shall be occupted or used in whole or m pazt for any purpose whatever until a Certificate of Occupar shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Depaztment for the issuance of a Building Penntt pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnb. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulattons, and admit authorized inspectors on premises and in building for necessary inspections (Signature of applicant, or name, ~f a corporation) (Mazhng address of applicant) State whether applicant is owner, lessee, agent, azchrtect, engneer, general contractor, electrician, plumber or build. Name of owner of premises ~'YA~4L-G~ ~:~-!42.~ - ~FL?~~ !~-!/.~L.. (as on the tax roll or latest deed) If apphca ~s c oratio ,signature of duly authorized officer (Name and title of corporate offcer) 1 Builder's License No~~` ~ ~ ` Plumber's License No . . Electrician's License No - Other Trade's License No. . . 1. Location of land on whi`c,~h'proposed w{o~r/k~will be don^e~ ~ f ~Q~ YV.~r.-`V"7~ 1" ~t1.J~-. T~~ ~'4TC1Tv4+~~ House Number Street Hamlet County Tax Map No 1000 Section .1 Block 1 Lot ~ Subdrvision Filed Map No- Lot (Name) 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy . ..~Ao`'~~.Ls{. r~ 4.LuJ ~ . . b Intended use and occupancy ~ t~'4' is~. . ~ ~ STAN LFiY SL~OJF.6t~. t 1.~O~,T'H Fo~xK 9 4 ~ O ASS' N. t N4 . 3 ~ ~ f"~ = N. 18° !Sr 20~ E-. 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