The URL can be used to link to this page

Home My WebLink About17788-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY ' No 217825 Date MARCH THIS CERTIFIES that the building RAILINGS Location of Property 1160 DONNA DRIVE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 15 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 24 1989 pursuant to which Building Permit No._17788Z dated JAN. 29, 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 RAILINGS AND REPAIRS TO RAILINGS OF EXISTING DECK. The certificate is issued to WALTER & RUTH KOCH (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Build' g nspector Rev. 1/81 Fosai xo. s TQWN 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°_ 017788 Z Date 19.~,~ Permission is hereby granted to: ~o.,....,~ .......:j~~~ ..............~q~z ~ ~ ,~~oQ......^^.-~~ . ct premises located at ..:....~.?•.....L/...~~... ~ ~Q.~~.............................................................................. County Tax Map No. 1000 Section Block .......~~...GL4ot No......1.~............ pursuant to application dated ~Z'.~ 19.9..1.,, and approved by the Building Inspector. Fee $,,,f0 OO l Idi Inspector Rev. 6/30/80 r'1cLD I;:SPcC;iu,: ~~Dnir. ~ i;Ot~lMENT3 \ t-=~i - ro V 1 . - a ~p~ - - - ~ 1`~.. FOU2JDATION (1st) rOUNDATION (2nd) _ _ 2 . 3` z 0 ROUGH FRAME & PLUMBING 3. ~ ~ \\~.~1, ea ' H C I2ISULATIOA! PER N. Y. y STATE ENERGY CODE S a r 4 . y FIIJAL ~ ADDITIOPIAL COMMENTS: m x ~ e ra \ ` x V ^o H "9,~V~. 9 \ ~ Q H H ~ Z ~ . ~ P7 A r ' z • c7 . m v H r a i , V x ~ ~ a ~ (11Zj ~dNh'Q~ ~ Q ~ 'ro9 ~ I ' C d~~'_ ~ $ ~ ~ ~ ~a 'r3 ~ oy° VI .1 ~ o ~ ~M..-- _ 1 i+ ' i_ 'C b~A I ~ ~ ~ o~ m 0 0 ~ ~ , a~ ~ ~ ~,G~tC~. o ~ k m ~ ~ A v ,a c. O ~ a x~ 3~ a ~ ~ V !L ti Q Y J ~ p O ~C. N N C U N V t7 c. Y y O ~O ~ O ,,n„ V Y ~ r S-i .r 4 t~ ti ~ ~ Y ~ ~ V S-I .~+n /~°'a3 V BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . r~ . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765.1802 CAL, 7 MAIL , . Examined ../1.!"".~....... , 19~. r Approved 194./. Permit No.~.7~~~. s~, ~ _ - t; tc i~'~ Vii" Disapproved arc I'~ ~ ; JQ~ ~ 4 ~ ' + , ¢ l.S~t,i;. tit_~t'. k (B ildi nspector) APPLICATION FOR BUILDING PERMIT Date 15 . INSTRUCTIONS a. This 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 k 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 cf this applicatio~t, the Building Inspector wilt issued a fluiIding Perniit to the applicant. Such permit 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 Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ' Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of"applicant, or~na~m/e, if a cor ora ion) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises 1Ja.~-T~~...l~e?C.~ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nam nd title of corporate officer) 'l , Builder's License No. .f L~~~~.%~• • • • Plumber's License No . . Electrician's License No. . Other Trade's License No . 1. Location of land on which proposed work will be done. J.~n'`t!F . .)?~?~~I:jT i`acl~ ~l:i House Number Street Hamlet County Tax Map No. 1000 Section Block `S Lot ...1.6............ . Subdivision 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 ...~T~•C. • f~r'I! • •~eeJ~L~ i ~ V . b. Intended use and occupancy 3. Nature of work check which pplicable); New Building Addition Alteration . Repair ~<C!L l ai.t.-.'".. Rerrloval Demolition Other Work . (Description) U • 4. Estimated Cost. ~ Fee...................................... (to be paid on filing this application) g g ~ ~ units Number of dwelling units on each floor , . If darallennumbeb of arswellined occupancy, specify nat\re and extent of each t 6 If business commercial or mix • YPeofuse 7. Dimensions of existing structures, if any: Front ...~t?......... ,Rear . , y.r Depth , Heim ({./1-:',!! Nufnber of Stories I ~ • ~ . Dim iCs ~f''same structure with alterations or additions: Front S!'r':S--...... Rear , , , , , , , , , , , , Depth ...................i... Height ......................Number of Stories . 8. Dimensions of entire new construction: Front ....~!fi':`:~-... Rear ...............Depth . Height . Number of Stories , . 9. Size of lot: Front Rear Depth Y.5 v . 10. Date of Purchase . ~ Name of Former Owner..~4Sa.-:'~J~C~A:^.. ,~-i n,~Sc• t . • 1 1. Zone or use district in which premises are situated . . . . . . . . . . . . 12. Does proposed construction viglate any zoning law, ordinance or regulation: Y: 4? . . g 14. Nameoof Owner of premises • ~ ~ • ' ' ' ' ' ' • Will excess fill be removed from premises: Yes No .................Address...................Phone No........ Name of Architect , . . ................Address ...................Phone No... . Name of Contractor........ 15.Is Y is property loci ............."'••Address................... Phone No......... ~ted within 300 feet of a tidal wetland? *YES....NOS` *If es Southold Town Trustees Permit may be required. PLOT DIAGRAM ; Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocl~ number or description according to deed, and show street names and indicate whether interior or comer lot. ~pr,/t, LJT/f f'3C ~c--_""_ 020 ~ ~C~ 0 ~ fZ/~i C- - - - - _ ffs ,'hE/' ,~~iT,ni/, II ~ ~l i v' - i _ ~ - ~~S ~ STATE OF NEW YORK ~S.S COUNTY OF • • • • • • • • • • • • • ~ • ~ • • • • • being duty sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the i I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contiiined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Notary Public, ~?n.. ,9C; , , ,I t<./C, U,~-, , , , , , , County ~ ~~s n, ~ , N6TANY pUBi C~b't~ate o~ New York S=~•'~'~`~''f`~'•: . Termo~E pores Mach 30,19 n~ (Signatui pplicant) / r~ m s _ 0 0 ~ I~.___. ~ ~ m r~ ~ .J ~ ~ ~ - - 1~ I a ~I f• 11 II I~ II II I~ it ->.a_laa_ f7J ~ n 7Ug~ ~ g > ~ nat :r ~ ~ ~ m A ~ 1 vx,~ ~ G~ ~ F°^~r~~o OF~~m m ~ f` x c z~o~ ~y~ ° oW ~ x ~ m ~ ~ d ~ yOpro< a s ~ 1' ~ ~ ~ ~ s ~ ~ r ti 0