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HomeMy WebLinkAbout18275-z ` FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19155 Date JUNE 19, 1990 THIS CERTIFIES that the building ADDITION Location of Property 2105 EAST MILL ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No-. 1000 Section 100 Block 3 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 3, 1989 pursuant to which Building Permit No. 18275-Z dated JULY 7, 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 MICHAEL & MARY GAYDOSIK ~i (owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-114254 - FEBRUARY 14, 1990 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 Foisstc xo. s TOWN OP 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 2 7 5 Z Date .....7 19..p. Permission is hereby granted to: . ta ...4.f!`.!::9!~!!~:4:sf..:...4ern....la.dF..~I,:N..:wt,...~:!~....~M......Q<l~?:~:~-!:af~.....~,~.~'t!:k,Q,.¢ ~ 1~ / i at premises located at ~.°..5....~'.`:-~ f Yl.:faCJ' County Tox Map No. 1000 Section ......~.~n Block .......~?..3..... Lot No......t...~T............ pursuant to application dated 19.~.~., and approved by the Building Inspector. Fee 3..`~~.:... rc. C~, .4-!.. 9.. ~c Buildfn 1 for Rev. 6/30/80 v FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions - A. This application must be filled in typewriter OR ink, and submitted ~~e~ to the Building Inspec- torwith the following; 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 Health Dept. of water supply and sewerage disposal-(S-9 form or equal}, 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 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. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- ' lion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 ' 1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $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 C.O. $ 20.00 --cc'~ ~3 ~/;GI"~ S.Updated C.0. $ 50.00 Date ..J~N~...7,,,,,,,,,,,,,,, New Construction„.,,,OldorPre-existin Building Vacanitand../~ / Location of Property o~lO~ C:~, ~A! : f~UL/C. N y House No. Sheet Hamlet Owner or Owners of Property . m ~ G~~A f: ~ G A l~DS i k ...........y County Tax Map No. 1000 Section .l. Block ~ Lot , . Subdivision .................................Filed Map No. ..........Lot No. . Permit No. j~.~ 75 Date of Permit ..........Appflcant . ~ l~P. ~ < . ~?A y ~Ds t . . Health Dept. Approval ........................labor Dept. Approval Underwriters Approval ................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate . Fee Submitted $ ~5 ~ ~ U . Construction on above described building and permit meets all applic ble co/des an regulations. Applicant ;~~~~TiC~1!, fi.~lf! • • • • • • . ae~. io~ioae eo r~fSS TEL. 7G5-1802 c~~FFrr~Cx~ . op OGy~ 'I'0'NN OF SOUTIIOLD = OPriCE Or BUILDING INSPECTOR ~ tom' P.O. BOX 728 p r.]kv''f} rn ~ " ~ TO1VN FALL 401 ~ y+a~~ SOUTIiOLp, N.Y. 11971 June 8, 1990 MICHAEL S MARY GAYDOSIK 2105 EAST MILL RD. MATTITUCK, N.Y. 11952 2ND 5 FINAL NOTICE To PJhom This May Cohcern, t We are unable to complete your Certificate of~Occupancy because of the following reasons. An application for Certificate of Occupancy ' is not on file. <ENCLOSED) /J/ / No Underwriters Certificate on file. Tlie check is (dG~FRNI4II~A1Xnot on file. ) $25.00 /f/ No health Dept. T.pproval on file. No final ins,pc;ction has been made. Please contact our office on this matter. Thank you for your cooperation. Iluildi.ng Permit i) 1 8 2 7 S Z Bu.ildi.nd Dept. No Plumber Solder Certiz"icate on file. ( all pcrmil•s involving plumbing being .issued after 11pri1 1,1984 ) O_CCU_PANC__Y__OR_U_S_E I_S_UNLAWFUL WITH_OU_T_A CERTIFICATE OF OCCUPANCY. YOU ARE IN VIOLATION OF THE _CODEJOF THE TOWN OF SOUTAOLD. T_HIS_MATTER HAS TO SE CLEARED iTP IMMEDIATELY. ,1x,rn~_ TEL.7C5-If.07. ,~~~FFack savl~uo~.~ y ~ ~ffd ~g;,ij}~,~ ~t ~ OC ('1CIi QI' I)U1LUING 11JSPECTOSZ i'.O. IlC)X 728 ~u'' `'`}~~`~~f~j~}+ '1'O4;'1JilALL 5~~~~~cta',c~ SO[lI'}IOI,ll,N.Y.11971 7anuary 17, 1990 Michael S Mary Gaydosik 2105 East Mill Rd. Mattituck, N.Y. 11952 To Whom This May Con•~ern, t•;c are uuablc r_o comp lute your Certificate ' of~~Occupancy becau~c ,o f• the following reasons. An n[~plication for Certificate of Occupancy is not nn file. <ENCLOSED) Flo Under~.ariters Certificate on file. 'L'hc chcc}; is (c3CM1C'1[ti43~c3F2~4~Shot ca file.) $25.00 I:o llc~alth f;ept. Approval an file. i~/ Pio final inspection ha: been made. P]enc;c contact: our office on this matter. Thank yo[t for your cooperation. ~uildi.n, Permit 4 1 $ ? ? s Z Auildir.~l Ucpt•. ***/u1 iIo PLt:mher Solder Certificate on file. ( all pcrrnit•s involving plumbinc3 being isr;uecl afL•cr April 1,19£14 Y - / 765-1802 BUILDING DEPT. INSPECTt~JN [ ]FOUNDATION iST f ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~ tNAL REMARKS: ' LGL G:~- DATE ~ a gb INSPECTOR 0 L 765-1802 BUILDING DEPT. f NSPECTION [ ) FOUNDAT{ON 1ST [~°1~vUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [~RAMING [ ]FINAL REMARKS: ~~s , DATE 1 NSPECTOR 1BLD ii:.S: ~ ..vi. I,Jnip :;vtKMCNT.^, _ r r0Ut7DATI0:J (lst~ y~ = c ?OUIJDATIOIJ ( 2nd ) _ - ~ ~ ~ ' o ?OUGH FRAME 8~ b PLUMBING v1 y a ~ .-3 9 3. ~ n Y" ~ IIJSULATIOAI PER N. ~ v STATE ENERGY ~ CODE ' ~ ' FIiJAL I F~ ADDITIOPIAL COMMEIJTS: x ' ~ cf ' x ro a J _ a H .,p H O ` m ~ ~ ~ r ~ / H c7 m v H B0.\RD OF HEALTH '1 SETS OF PL N$ ,,f~'~~• FORM1t N0.1 ~ SURVLYiYY~. 70WN OF SOUTHOLO CFIECK . . . . . LTUILDING DEPARTMENT SEPTIC FOR:1 T06VN HALL EOUTNOLD. N.Y. 11071 NOTIFY TEL.:7G5~1302 CALL MAIL T0: Examined , 19 , \pprovud...~.~.,~...,19~~.PcrmitNo.f~~:~s..~ V ~r~~ DisapProveda/c ~J ~ ................................:~~.......~'.°•`"t:~.. TOWN O~SOU HOLD 6~6:. . . (Building Inspector) APPLICATION FOR BllILDING PERMIT . Date ..3.-~e.~.1`. INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, u' 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 ;t: ' or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of thy; :Arlon. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upan approval of this application, the Building Inspector wil] issued a Building Permit to the applicant. Such pe: shall be kept on the premises available tot inspection throughout the work. • e. No building shall be occupied or used in whole or in part for any _purpose whatever until a Certificaic of Occupz shall have been granted by the Building Inspector. APPLICATION IS HEREBY hfADE to the Building Department for the issuance of a Building Permit pur,uant to 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, O:d:aancc Re=ulations. for the construction of buildincs. additions of alterations. or for removal or demolition, as herein de:z: T ite applicant agrees to comely with all applicable laws, ordinances, building code, housing code, and reguarors, a.^.: =dmit authorized inspectors on premises and in building for necessary inspecti• ns. (Signature~oi applict, or name, if a corpo:ation) . o ~ a~, l.l.. Rol r~:~.~ ~-~i~(~ ,p,~ . • (1lfailing address of applicant) ([95;~ State whether appl1icant is owner, lessee, agejnt, architect, engineer, general contractor, electrician, plumber o: build tiameofoumerofpremises .!:'~.L~.A~~.GA`l~`~i+C }jMAR,~C~~ /r~5/~(,~•~a~j3y~Rdi~~~f (as on the tax roll 6r latest deed) lC applicant is a corporation, signature of duly authorized officer. (Name and title of corporate oCtice`r) Builder's Licanse No. . S u/~r-•,I~C,f~ S , , , Plumber's Liccnsc No..~.4'~S~.G'!J . Electrician's Liccnsc No. U~7N~~..L~~RbeII~.. • Otltcr Trade's Liccnsc No . . Location of land on which proposed work will be done. , ~ , , , , • house Number ~ Street ~ Hamlet County Tax \lap No. 1000 Section . Ir7©,"3.:.~-~...: Block Lot Subdivision Filed tap No. Lot ~(Namc) State csisting use and occupancy oC premises anld intended use and occupancy of proposed construction: a. E:cis[ing use and occupancy >~~~t~~,~L,•~/~~ • ,/(~~l~~j~ , . b, Intended use and occupancy • • • ~t"`" !~'d~" • ~ • • .6t,,.. 3. Nature oCwork (check which applicable): New fluilding Addition . . • • ,Uic:auon Repair Removal Demolition Other tt'ork , 4. EstimatcdCos(~.~~.j.Ga.":~D,D0O rcc.~'~lf,.~~~,. .........tD.... (to be paid on filing this appli;aUi 5. IC dwelling, number of ~1+vcliing units . Number of dmclling units ort each floor......... Ifgara= .numbcrafcars 6. IC business, commerctat 'or mixed occupancy, specify nature and extent of cacti,type oC use . 7. Dimensions of existing sltructures, if any: Front . Rear Depth , ;H~y:i,ht .Number of Stories Dtrnensions of same stru~pture with alterations or additions: Front . . Rear 1 <x.' Depth•~~ llcigltt Number of Storic y ~Snt~`en1~ ~nc+y construction: Front ,S F~' _ i Rcar . .Depth . e. tt . ~,.a:... .Number of Stotics . , . ..:g; Sizc`o~r~otG:'F'fomt:~.a~.' Rcar....... Depth ~ 10. rDa.~'a.?~~'•urch'asc' ...Name of Former Owner . • Zone or use district in +afjidt premises arc situated . . 13. \I'ill lot be rc;radcd on violate an}• zoning law, ordinance or regulation : . . 1~. Does to osed construct: Will excess (ill be removed from premises: Ycs 14. Name of Owner of premises .Address ...................Phone No......... , , Name oC Architect .....................Address ...................Phone No......... Name of Contractor ,Address . ..Phone No..... . . . . IS.Is Chis property located within 300 feet of a tidal wetland? *YES....ti0:. *If yes, Southold',Town Trustees Permit may be required. , ~ _ PLOT DIAGIZAAS Locate clearly and distincly all buildings, whether existing or proposed, and. indicate all set•bac1: di.:.csions property lines. Give street and 171ock number or description according to decd, and show street names and indsatc wr. inurior or corner lot. i~ ~ , i, i, T,ITE OF XLR' YO2K, S.S OUtiT1' OF . • • • • • • } , being duly sworn, deposes and says that he is the appl (Name of indi•:idual signing contract) rove named. :isiltc (Contractor, agent, corporate officer, etc.) ~I said owner or owners, and is duly authorized to pcr(orm or have performed the said work and to make and fiI ~lication; that all statements contained in this application arc true to the best of his knowledge and belief; and tlt: rk wdl be periormcd in the manner set forth in the application filed therewith. orn to bciore me this + .......~r. ltti~ ........day oC . 19 ar; flublic . • , , County ~~q, ~ G'4~1`~ ~k~~ ~ E-19-U~-~ ~i 1~~1G"...:', , ....w~~--(,,°°,,'x'11 . LINDAJ.COpPER t/ (5tcnatur: of appl Notary Public, Stata of New Yorke, ~ ~ No.4822663, Suffolk County , Term Expires December 97, i9._..,,. , f -I i. i a ° ~ m~ m P m 4 r i Y9A oo ll ~ i 1 o e• ~ r ~ ~ ~ o ° ° 6 I ~ ~l• t ' n ttl ~N ~t hFl a~ 59 ~ vl I m m ~ _ K:t 7' W t ~ ~ ° d n v.n bn nm b ~my J Ht ~ I u~~°.o o tw tw T~ ~n ~o ~ m a ~N, I \ ,V ~~`„~oe ~ i`~ 4 ~ m~~ I t y 11 o°~ el M ~ in~ cm N" ,m °F ~ ai ~ O ~.".~~_.l-~ p d~ A 9~. ~ . ° ~ ~ ~ ~ M n ~ M n ~ o e r N Y X \m N ° ~ ~ ~ 3 ' ~ c ~ k • ~ ° O 4 V d \ \ ~ 4r m~ \ r~ °rn °°nl Q ~ ~ "an - _ C[ JN ~ ~ PG mT°N~ o° 0 ) ~ o ~ I@~ _ .b aO ti4 . ~ N N N ~~o d~ d • S ~ os~a„~°°~ ° b. , y n, N',~a u / 'n 9 m ~ °d ,r_" ~.r° m'~\ / ..d 1~Jf'-- \ .,m N _ ` " " ~ a N, r-`8 v cy ~ ms w~ Q'C xrt'" 4 N aV r °N~u N N M N 1' \'V/ ~ ~ O y 5~~~ o a N ` N N e a N rv.; N ~ M / fJ ~ ~D/ o ~ ~ ~ 6. ~ ~G6~ i y 8i W 9 ny 4<~~' ~ /0 ~ ' ~ /~o ~y X o } J O"e,; ~a_ ~ ~ ~ rv~ ~ ~Q ~ W."~^ ryn~ ~ 1 i ~n ~ J ~J i ~ _ a : N K U1 ~ ~ ~ { L-) ~ ~ f'Sa ~ Ll ~ - R v e / ~ ~ r,. ~ _ ~ -r - ~l -1 > ;rte--`-° _ ~7 T z Z _ :o~ W ~ °J . ~ ~ O Q ~ E i K ~ •fOm Tw ,09 O4u i$ \ - ~m a Z ~ 0 ~ ~ O~W V1 W i (y Z ~ d' 3 m Q ~ ~ V ~ a~ ~ a } W ("w~ + J" N ' N u4 :o~ h 7 " IAN K Kn ~ Z ~ ~ = ~ ~ o N _ 1. - u Z m Z ~ mu ~ °P ~ ~ Q a~ 0 4 4 _ ~~f r ~ Y.M I ~ - 5 ~ V J 'br ' ~ ~ Z ,,p ~9L~~ ~