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HomeMy WebLinkAbout17811-z " FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17905 Date MARCH 30, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 3310 ELIJAH'S LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 3. Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 2, 1989 oursuant to which Building Permit No. 17811-Z dated FEBRUARY 9, 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 REPAIR TO EXISTING ACCESSORY GARAGE AS APPLIED FOR The certificate is issued to JOHN C. TUTHILL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A ~J~/l/ Building Inspector Rev. 1/81 rosaa xo. 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) 0 ~ 17 811 Z Dote ~a4.~ ~ 19y..t. Permission is hereby granted to: 3 3, i .D~ uUU \ v ......1.U .................................Y...................... ~ ct premises located at .............~.-:'~`~.~4~1+....~!'!~A,...........'.T.. l4LMt~.......... ........................................................................~..J..................................................................................... Cvunty Tox Map No. 1000 Section ......j.~.$....... Block .....C~..3....C.,. Lot No.......©..7........... pursuant to application doted 19.2:.9.., and approved by the F3u i ldi n'LgI-Inspector, u Fee .~LQ~/)'7. . . Building Inspector Rev. 6/30/80 f..:: S4 ? ~ L,~ ~~.f ~P ~ ~~,h~~ ~ 1 _ . n 1' ( Zp.e J n~ Y i I TOWN OF SOUTIIOLD Mnp q n '~.'r ';i BUILDING DEPART?SENT L[ f TOWN HALL BLDG. DEPT, r TawN a~ saurHar~D R SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE... ~ _ _ NEW CONSTRUCTION ....OLD OR PRE-E%ISTING BUILDING......VACANT LAND........ Location of Property. ~..oJ.~~.......~rsL.l~~LrJ~-1y~!~....,_~~.~.1.1.4t-T'~„_.___.___ HOUSE NO. STREET HAMLET Owner or Owners of Property..,.. jj m~(~..~:.~u ~'1~1`;,,,,,,,,,,,,,,,,,,,,,,,, County Taa Map No. 1000 Section 7.~Ff,. Block „ Lot ...~F~.... Subdivision Filed Map ........Lot.......... Permit No. 'z r j~j- ~1~. Z:Date of Permit ~..~l~..Applicant V~~ JV'.?~"r'~; d-. Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $.....C~............ APPLICANT...~1%~~!/~ _ Cfi~.2.c . 3 to 9l' Co ~ 17gO5 rev. 10/14/88 r'1nLD,I,'.~°,s,.~:_u;~ ~~lln:E COdKMENT° ~ ~ Mc _ ~ m J 1. ~ ~ H - H FOUNDATION (1st) 1 _ FOUNDATION (2nd) m y-~ ~ P 2. z o W ROUCH FRAME & W O PLUMBING ~'y~ H 4-, 3. x, I''~~ m ~ IIJSULATIOPI PER N. Y. • • '"b STATE ENERGY CODE x ~ 4 . y fl FIiJAL ~.1 o ADDITIOpIAL COMMENT`S: x~ • x b !-I 9 N A y ~ H ..d1 O z • x a _ ~ ~ H .~J ' m o. M '0 H ~2+~I.rTi;7r,J , TEL. ?C,5-1 B()' ,~NC,~.~FFOI.~{CC<` TO~Y'IV Ui~ SQUTi10i.i9 !:~'~196u:rli~ Y.4 OI~i'iCL' OIr PsUILDING INST'F•.CTOR ~g~~G ~ I'.O. BO`C ] 1 79 a ~ ~ TOWN (IALL fit" SOlITI10LD, N.Y. 1 1971 "~r-~~ March 28, 1989 JOHN C. TUTHILL 3310 ELIJAH LANE MATTITIICR, N.Y. 11952 4'o Ldhcm This, May Concern, 4;e arc unable r.o complete your Certificate of Occupancy becaus~~•of the following reasons. gg/_/ r1n application for Certificate oP Occupancy is trot nn file. enclosed DIo Under~oriters Certificate on file. /g_/ The cluxa: i:: (nutc'iated/not nn file.) $ 10.00 ho lleal.th bept. Approval on file. P:o final ins[%cc;tion has been made. Please contact: our office on this matter. - Thank you for your cooperation. ILt.ilcliccJ Pcrmi_t- U 1 ~ 8 1 1 Z REPAIR GARAGE fhtilc7inq Dupt. tlo Plumbar ;;older. Certificate on file. • ( al.l permits involving plumbing briny i~sucd aEtcr Apri.1 1,1984 ) - - ~ . _ r..F.~.n,~+aaa=, BOARD OF HEALTH 3 SETS OF PLANS FORMN0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY ~ p ~J~ ~1,?~~ TEL.: 765-1802 CALL , q ~ 1 , Examined 19$9, MAI ~T~lur \ y ~ ' ' Approved 4T.,x-~H..W~;t..~.., 199. Permit No..1.:7.'$ I~ .'2b.. i ` FEB z f9$g Q 1 Disapproved a/o e i ~+s 0LL`~,, uFF'T. TC1WN UFSOOYN(~LO (Building Inspector) APPLICATION FOR BUILDING PERMIT Date Z......, 192r`l. INSTRUCTIONS 3 a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Bui]ding 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 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 of this application, the Building Inspector will issued a Building Permit 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 ]rave been granted by the Building Inspector. APPLICATION IS HEREBY MADE to lire 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 Re_ulations, 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, housinti code, and regulations, and to I admit authorized inspectors on premises and in building for necessary ins ctio s. (Sig lure oi~ plican~ if a corporation).. . ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. - f ' Name of owner of premises 0.({..~, .~.-.~'1:~:1/G-1-- . ~ (as on the tax roll or ]atest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . ' Hause Number Street. ~ Hamlet l County Tax Map No. 1000 Section Block Lot . Subdivision Filed slap No. Lot . (Name) State existing use and occupancy o(premises/aYnd intended use and occupancy of proposed construction: a. Existing use and occupancy (}-,~-/'~/d.-G~G`~-........... . i b. Intended use and occupancy 3. Repair of work (c~ whiRe~pplicable): Now Building Addition Alteration • • • • • • - ova! Demolition .Other 1Vork . ~ • ~ ~ ~ • • 4. Estimated Cost . (Description) ......':.~T ~j.~~.'"- Fee...... (to be paid on tiling this application) g. g 5 If sra,lennumber of carsvelling units , Number of dwellin units on each IIooc . b' c r .......................l...... 6. If business. commercial or mixed occupancy, specify nafur~nd extent of each type of use , ; , • 7. 'Dimensions of e;ci~ting structures, if any: Front.. , . .Rear ~ P~ ' ' ' ' • ' Height y,~ Depth .~0.'......... • 4.a . . Number of Stories . , , • Dimensions of same structure with alterations or additions: Front • ~ ~ ~ ~ ~ ~ ' ' ' ' ' ' ' Depth.... Height. Rear.................. ........Num6crofStories $ Hem i ~sions of entire new c NU'truction: Front s',8•~~`~ , , , Rear Depth , , , , , , . g tuber of Stories . 9. Size of lot: Front ~ Rear . . . pth . 10. Date of Purchase qp , , , , , . • • , , , , Na e of Former Owner , :'J~.•l~:O:Rs:-z/~._. , , , 1 1. Zone or use district in which remises are situated ./py y-~y,~~.L • • ' ' ' ' ' ' ' ' ~ 12. Does proposed constructron violate any zoning law, ordinance or regulation: G . . . 13. Will lot be regraded / ,(.V~, , , , , , , ,Will excess fill be removed from premises: Yes No 14. Name of Owner of premises~J ~ y~,a! ; • ~-~yyi~Address ,t6- Name of Architect . , ~/:Ct :cs•44~: • Phone No.,Z9~. • . Name of Contractor ~ • ~ • • ~ ~ ~ ~ • ~ ' ~ ' ' ' ' ' • ' • Address ...................Phone No.............. ! . • • Address . .Phone No. . 15.Is this property located within300 feet of a tidal wetland? *YES.. .NO.~C- *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly ail buildings, whether existing or proposed, and, indicate all set-back dimensions from _ property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS NOTED parr B. R a ~ 7 p .f~ FEE: ~d. 8Y ._V. a.~. NOTIFY BIJILpING pEPARTMEN7 A7 765.1802 8 AM TO 4 PM FOR THE FOLLOWING fNSPECTtONS. ' ' t. FOUNpATION - TWO REOUIREp FOR POURED CONCRETE ' ~CGUPAI~Gy O~`' 2. ROUGH • FRAMING & PLUMBING k . USc ~S ~N',AW~,,V~^ 3. INSULATION W1~HGo~„~ CERT~E~CATE 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. pF OGCUpANGy ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONS7RUCT10N & ENERGY ' CODES. NOi RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NE1V YORK, COUNTY OF' i S.S • • ~ ~ ~ • • ~ ' • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .....................i....... (Contractor, agent, corporate officer, etc.) ~ ' ' ' ' ' ' of said owner or owners, and is duly authorized to pSrfc~,rm or have performed the said work and to make and file this application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application Glcd therewith. Sworn to before me this .............~?.~........da of......... .......,19 ~q. Y`~y f ~ 1 Notary Public, R~E,!i~'... ;e...®'e:-.... County NOTARY PUBLIC, State of New YorN c / No.A70T8'lO,SuffolkCpunty~i • ' ' ' ' °'~V~'~~ . Term Expires March 30,1 (Signature of applicant)