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Home My WebLink About18060-z ~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17964 Date APRIL 20, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 1975 COX NECK ROAD MATTITUCK NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 07 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 20, 1989 pursuant to which Building Permit No. 18060-Z dated APRIL 20, 1989 was issued, and conforms to all of the requa.rements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY BUILDING AS APPLIED FOR The certificate is issued to MICHAEL NEUDECR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A U.C. 0.~.~-~ i ing Inspector Rev. 1/81 roras 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 8 0 6 0 Z Date 19..1 Permission ~s hereby pmnted to: 1. q ~ ,~:....~`...~....N........~ . at premises located at .1..°1..7..5~......~~....-~..... ~.,f~..~R-... ••'•~.W......~. COY,.. . County Tax Map No 1000 Section .......1 p~ Bf«k .....Sa.~.......11.gqLot No. ~ ~ pursuant to application dated .......~Q 19.x...1., and approved by the Bwlding Inspector. IV1 Fee 5..~~:..... . . .......a-,,....... Buil inp Inspector Rev 6/30/80 4 ' ` Y TOWN OF SOUTIIOLD BUILDING DEPART?fENT TOWN HALL SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLZCATION FOR CERTZFICATE OF OCCIIPANCY rI qq DATE....~L~' 8.1,.,,,, NEW CONSTRUCTION .......OLD OR PRE-E%InnST,I~NrG BUILDING. ..VAC~A/fNT LAND..._.... Location of Propertq..~97S...CsItL_.U.2~yp ~_..._...~Y HOUSE NO'. J ~ Q ,,S,T,,R,{nE/-ET HAMLET Owner or Owners of Propertp..':2 cIC~+:'~'~'S-. .........JJ . . . County Taz Map No. 1000 Section .I~.~.. Block .0.7... Lot .~.C...._ Subdivision Filed Map ........Lot.J..n..._. Permit No. ~ ~O to 6 ~//in /$q ,/j,~~R.f,Y ......Date of Permit ..i..[..t..Applicant . Health Dept. Approval Underwriters Approval._._......._.. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $ APPLICANCT ~ . C~~ec..~31 o B ~0`~179G~f rev. 10/14/88 1~LD 1...5:~~..111a ~IUhaL. ~ 1.%t~LyILNT° - m a ti y =0Ut1DATI0:1 ( tst) c FOUNDATIOtI (2nd} m 2. z 0 ROUGH FRAt9E & ~ PLUMBING ( y H ~ 3. ~ F m n ~ Ii1SULATI0f1 PER N. Y. STATE Ef1ERGY CODE 11 ' C 4, -~y FI;lAL - 'L m` ~ ADDITZOfIAL COMMEClTS• x e S m ' x b H ~ ~ H C H O O [*1 ~ ? C r H ~ - S 4 v m r°r r ' B0.1RD OF HE.ILTH 3 SETS OF PLANS FORM N0.1 SURVEY TOWN OF SOUTHOLO CiiLCK . BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTfiOLD, N Y 11071 NOTIFY • TEL..7G51802 CALL ` MAIL T0: 6xammcd . • . a-:e 19 i3q APprovcd 19g~ Permit No $°~OO ~ Disapproved aJc . i (Buddmg7nspector) APPLICATION FOR BUILDING PERMIT Date . Q~3-.t-.Q...1"~ 15 8 INSTRUCTIONS U a. This application must be completely Called m by typewriter or m ink and submitted to the Buddmo Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan shown; location of lot and of buildings on premises, relationship to ad~osnmg premises or public stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apps capon. c. The work covered by ttus 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 perm 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 Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmlding Permit pursuant to th 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 descnbe~ The applicant agrees to comply with all applicable laws, ordinances, building code, houvn~ code, and regulations, and t admit authorized inspectors an premises and in building for necessary ins\pe_ct,~ions.n ~ (Signature ofapplicant, or n \e~, if acco~rporation) • (Mailm~ address of applicant) Stale whether applicant is owner, lessee, agent, architect, en;ineer, seneral contractor, electrician, plumbec or builde, . Name of owner of premises . ~a.~~.. i1 • • • • • • • • - (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . (Name and htie of corporate officer) Builder's License No . Plumber's License No . . Electrician's License No Other Trade's License No . i. Location of land on which proposed work will be done . Rouse Number Strce[ Hamlet County Tati ~i.ip No { 000 Section I ~ 3....... Black .......Q-(....... Lot ~ ;7 . . Subdivision Filed <,Sap No Lot (N,unc) State cvsung use and occupancy of Premises and intended use .and occupancy of proposed construe lion i ' a. Existing use and occupancy p:':'-~• • ) . b Intended use and occupancy • • ~ ..Q: 9C . 3. Nature of work (check «hich applicable) New lluddmg Adduion rVtcrauon - Repatr Removal Demolition Other lYork . ~ (Descnptioi 4. Estimated Cost. St,7 Fee a~.:....... (to be paid on Ghng this application) 5. If dwclhng, number oC dwelling units . . Number of dwelling units on each floor . If gara~c, number of cars . 6. If business, commercial or mired occupancy, specify na[iire and extent of each type of use . . 7. Dimensions of e~cistino structures, if any front Rear Depth , . Hcic}tt ...............NumbcrofStoncs.................................. Dimensions of same structure with alterations or additions: Front Rear . Depth Iletght ......................Number of Stones , . Dimensions of entire nett' construction. Front Rear Depth , , . Hcigltt ..............NuinbcrofStoncs......................... 9. Size of lot. Front Rcar................, pth 10. Date of Purchase , • • • • • De . ..............NameofFormer Owner I I. Zone or use drstrict in which premises arc situated . I~. Does proposed construction 4iolate any zoning law, ordinance or regulation . 13. Will lot be regraded 4Vil1 excess fill be removed from premises: Yes i F4. Name of Owner of premises . . .Address . Plionc No............. . Name of Architect ....................Address Phone No............. . Name of Contractor . ......Address , .............Phone No_ . 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town TrusCees Permit may be requited. _ PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and indicate all set-back dunenstons fro property lines. Give street and block number or descnption according to decd, and show street names and indicate wheth intenor or corner lot. ST,1T£ OF ~E44' V'ORf:, S S COUtiTY OF . . . • • • • • • • • • • • • • • being duly sworn, deposes and says that he a the applica, (Name of individual signuta contract) above named. ;ieist}tc (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and a duly authors: cd to perform or h,ivc performed the said work and to make and file tY =pphcapon, that all statements contained m this applicauon are true to the best of lus f.nowledge and bchef; and that tl vork will be performed m the manner set forth m the application Gled therewith, >wom to betorc me thu ..day of.................... .19... rotary Public, ~CL County ,~/~el~R..-L~ /v,~Xa~ 1 (Si;natuze of apphcar