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Home My WebLink About18087-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218031 Date MAY 15, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 34715 MAIN ROAD ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 019 Block 02 Lot S & 6 Subdivls~on Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 1989 pursuant to which Building Permit No. 180872 dated MAY 2, 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 INSTALL SKYLITES AND ALTER EXISTING ONE FAMILY DWELLING. The certificate is issued to WILLIAM MATASSONI & PAMELA VALENTINE (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 roaac 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) O Z 19..a..l N- 8 0 8 7 gate . Permission is hereby granted to: ..~'M)....y oaUo..~.. b .4~.4.....~:... vvV~,:n.~.........~....r~-~... at premises located at ..:~:~.`.Sy..........Qk!:r- ...................Q.~s!1Q.................................... (.C....~s~'n....~..9.eI..4r.1k9.~1x!1..~'.~S!^:t4q:,4?~!4~ ~A~~r . County Tox Map No 1000 Section ~>t.°~...... Block .......Q..~,~....... Lot No. ...fit'.(...... pursuant to oppl~cation dated ~ ~ 19.~~., and approved by the Building Inspector. Fee . rt~C.~1T'.4 . Building Inspector Rev 6!30/80 r ~c~ ` TOWN OF SOUTHOLD ~Q~ 'f ~ ~ ~'R'fI ~ ~ ~ ~1 BUILDING DEPART?LENT } f t~ r - ~ .._..„.,,,,..,..,...~..._.a TOWN HALL { ~r ' t SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCHPANCY 'D/ATE NEW CONSTRUCTION .1e%/3N~tD50R PRE-E%ISTING BUILDING..(,1..~`./'~VA'CpANT LAND....._.. Location of Property.~~ ~ _ Y .::4~'f.^.......... . HOUSE NO. ~nl,~ S~T,RE~pET \ t HAMLET Owaer or Owners of ProperCy. '."1~:~4".S~G"r~..~d!`:°:..r~.~'1':?~.. v County Taa Map No. 1000 Section ~ CL. Block Lot ~7"~'..... Subdivisionpp Filed1Map ........Lot.n...../~.. Permit No.IUL~~.-L--?ate of Permit ~=t?:~.Applicaat C41/!"1e-dXrl.~-^:`Y!1.~?!~.Q~ Health Dept. Approval _....._1......_._._ Underwriters Approval______________ Plaaning Board Approval ~..I.~...~.... Request for Temporary Certificate Final Certificate Fee Submitted: $ APPLICANT~~IhR~'E _~1: _ . V.~!~.-~~~ . ~-c, # 3 s"O C' • ~ z ~ fia3/ s /,~/~9 rev. (0/14/88 LI w FORM NO. 6 TOWN OF SOUTFIOLD E BIIILDING DEPARTMENT TOWN BALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A_ This application must be filed in typewriter OR ink and submitted to [he Building Inspector with [he following; for new buildings or new use: 1_ Final surveil 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 in system contains less than 2/IO of IZ 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_ Suhmit 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 [he applicant and a certified abstzact of title issued by a title company which shall show single and separate ownership of [he entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the zeasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required Co prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. Aa 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 a Certificate of Occupancy is denied, the Building Inspector shall state Che reasons therefor in writing Co the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Duelling $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 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 - $25.00 Residential $50.00 ComnerciaL APPLICATION ON BACK Lev. ]0/14/S8 1::LD I:.S: E~:'_U;. ~~U,;:E ~ ~'vMMLNI'~ ^o m H _ _ H eOUtdDATIO:! (1st) , c rOUNDATIO[1 (2nd) m z o ~ ROUGH FRAME & PLUMBING ti # c 3, a m m If1SULATI0f1 PER N. Y. STATE EfIERGY C c CODE p a L ~ r 4, m H FINAL F 1 F ADDITIONAL COMMEIITS: s d P m ' x ^o H • A H H O e l m H a m -o H ~ ~ ~ ~ ~ ~ BOARD OF HE.\LTH 3 SETS OF PL.1N5 ~4t~ ~ FORM NO.1 SURVCY - • 70WN OF SOUTHOLD CHECK ~ • nY " ~ ~ BUILDING DEPARTMENT SEPTIC 1"OR:I TOWN HALL ~(2 _ 9E7->/b!o 7~0-,,,z, cPT. SOUTHOLD, N.Y 11971 NOTI CYO ~ _ ~,?~,u i~ -Zfju ti, ~THOLD TEL.: 7651802 CALL • h1A I L 'i~ ~ a • 4 6f - S o 30 • ~o,.ti •'Wc Examined 19 ?31 .lpprovcd . 19~~. Pcrmtt No ~ ~ g~.~~'. DisaPProved.a/c (Budding Inspector) APPLICATION FOR BUILDING PERPAIT Date ISt~. INSTRUCTIONS a a. TIiis application must be completely filled m by typewriter or in ink and submitted to the Building Inspector, with 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 adJommg premises or pubic sttee or areas, and giving a detailed description of layout of property must be drawn on the dia3ram which is part of this app cotton. 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 perm shall be kept on the premises evadable for inspection throughout the work. e. No building shall be occupied or used m whol4e or m part, for any purpose whatever until a Certificate of Occupant shall have been granted by the Building Inspector. ' ` ` ' . ~ APPLICATION IS HEREBY MADE to the Butldmg Department for the issuance of a Bwlding Permit pursuant to ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other app]cable Laws, Ordinances Re,utations, for the construction of buildings, additions or alteranons, or for removal or demolition, as herein descnbe~ The applicant agrees to comply with all applicable laws, ordinances, building code, housin, code, and regulations, and t admit authorized inspectors on premises and in building for necessary inspe hens / ~ / (Signature of applicant, or name, if a corporation) X30... G~ ..Sf • ~,~N~!iisy~ . • (Madmg address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises .Y.v i ~~J GI/Ya ..~"1G4~~ sSdTII:. Ltna.. PGL/»C,~ . ~(.~1~~~A5 N0TE0....... . (as on the tae roll or latest deed) If applicant is a corporation, signature of duly authorized officer. OATE• -B.P k' FEE BY 1'• e•~- _ NOTIFY Rl11LDING DEPARTMENT AT (Name and title of corporate officer) 764 t802 9 AM TO a P1F FOR THE _ ~iat FOLL OLtilNG INaPECTfC1NS Builder's License No. • • • • y~fi~Ql+~~~ (fu~. i FOUNDATION - TuVO REQUIRED V`+ ~N~pW p~E FOR POURED CONCRETE Plumber's Liccnsc No . ...........~~j~~ ~ C>~R'(,F~ ~ 3 NSULATIOIttAMING & PLUMBING Electrician's Liccnsc No . \u~•~rQU GV~pN~ 4 FINAL - CONSTRUCTION MUST ' ' ' ' ' ' Q~• O~ BE COMPLETE FOR C.Q. Outer Trade's Liccnsc No ALL CONSTRUCTION SHALL MEET ' ' ' ' ' ' ' ' • ' • • • ' THE REQUIREMENTS OF THE N.Y. I. Location of land on which proposed work will be done STATE CONSTRUCTION 8 ENERGY CODES: •N(7i'• •RESPONSIBLE .FOR . 3 X17( 5 :KN.~..KO?~-G~ ~.r 1 S~'.`.^.. ;[~?CTION ERRORn-1.~, House Number Stteet Hamlet CJ County Tai 11ap No 1000 Section Block a Lo[ . Subdivision Filed Atap No Lot , (Name) State c~utmg use and occupancy of premCises and intended use and occupancy of proposed construction: a. Eetsting use and occupancy .......-1~.~.r'.l~• • •~~rn:~•~,• , li Il • b. Intended use and occupancy a-~~G;-'~~9.''`............ 3. Nature of work (check which applicable) New flutWmg Addttton Alteration . Y.. . Repair Removal Demolttton Ot 1Vo k . (Descnption 4. Estimated Cost C9Q`.OCJ Fee (to be paid on Ghng flits applscauon) 5. If dwelling, number of dwelling until . Number of dwelling units on each floor............ . If gara;c, number of cars . . 6. If business, commercial or mtecd occupancy, specify nature and extent of each type of use . 7. Dtmenstons of cxisllng structures, if any Fron[ Rear Depth , Hri_ftt .......NumberofStoncs...... Dimensions of same structure with alterations or addtuons• Fron[ Rear . Depth .....................IIcight.................... .NuntbcrofStoncs.......... Dimensions of entire new construction. Front Rear Depth • Height ...............NutnbcrofStanes 9. Size of lot. Front Rear..................... Depth 10. Da[eofPurchase Name of Former Owner . 1 1. Zone or use district in whtclt premises are situated . 1 Does proposed construction vtolatc any zoning law, ordinance or regula[ton . . t3. ~tiill lot be regraded 1Vill excess fill be removed from premises: Yes P 14. Name of Otvner of premtses ....................Address . P}ionc No............. . Name of Architect ..............Address ...................Phony; No . Name of Contractor ..........................Address ...................Phone No . 15.Is this property located within X00 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distutctly all buildutgs, whether extstmg or proposed, and, indicate a!1 set-back dunenstons fro property fines. Give street and block number or descnption according to decd, and show street names and utdicafe wheth tntenor or comer lot. ~I ~ S1<Y,~9~~ ~°lXS's /~YtPC ~~i ~~y ~n Pe GJri-Il knee w~N wr~s ( ' ytsn ~n /G) lj~, ` ~ i, r r, 5 / X 3 e./iJyj L14T~1 H~J~~ y7~gs~iWL tJC'. W lav4 -)•o r4 -JoP ,~/a,~e ~,,.n l.~o,., P1~~ i•v piv~~ i2z•'-sr~~c~ Wi~i axe(, `C he Spr~~ be•Fw2ecJ onnee wq// r+.vn ~ea~c is 5/" y~tJO ~w5 ~'KSr'~i%?lo S~X6 O,ak /?p~~r25 we G1/It/ y9Ql~ o~SCG /G" OnJ ~'H'tJ~c°2 toe ~'A~~eizs t - ST,1TL OF \EN Y'ORf:, S S COUtiTY~ F , • • • • • • • - • • • • • being duly sworn, deposes and says that he a the applicat (Name of individual signing contract) above ~iagicdt, ,ic is tj)F,..."'l~ s.. . b:{r af~3 y14, '',t (Contractor, agent, Corporate officer, clc.) ~f smd owner or owners, and is duly authon7cd to perform or have performed the said worl. and to make and 61e th iPphuuon; that all statements contained m this application arc true to the best of lus 6nowledge and belief; and that tt vark wdt be performed in the manner seI forth m file apphcahon filed therewith. iwam to before me this ..day~fo~f ~YIa./~v 19~~. ,otary Public, , . c'L !i!~- County y HEtENRD£V6E ~f~4lL:k:~-.. U~f?~-~a~%~ ~ IpfAR`/PUet[C,SdhofldewYak (Signature of app[tcan No 470757S,SuHdktbutitY term Expires Mxich n^,1s~:Ft