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HomeMy WebLinkAbout17832-z { ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17906 Date MARCH 30, 1989 THIS CERTIFIES that the building AGRICULTURAL BUILDING Location of Property 3310 ELIJAH`S LANE MATTITUCK NEW YORR House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 03 Lot 62 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 9, 1989 pursuant to which Building Permit No. 17832-Z dated FEBRUARY 14 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 REPLACES AGRICULTURAL FARM BUILDING DESTROYED BY FIRE. The certificate is issued to JOHN C. TUTHILL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A s Building Inspector Rev. 1/81 I , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCOPANCY No Z-17907 Date MARCH 30, 1989 THIS CERTIFIES that the building AGRICULTURAL BUILDING Location of Property 3310 ELIJAH`S LANE MATTITUCK NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 168 Block 03 Lot D1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 9, 1989 pursuant to which Building Permit No. 17832-Z dated FEBRUARY 14, 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 REPLACES AGRICULTURAL FARM BUILDING DESTROYED BY FIRE The certificate is issued to JOHN C. TUTHILL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bu lding Inspector Rev. 1/81 Fosaa xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON TFiE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) X17832 Z Date 19.8..1. Permission is hereby granted to: ~ x.1.4.... .......~..........Q-Y!-e:> to ..C;!r:`.-~-~!:!:..~.9.-....~?-1~,~~.....c~... ~.+.~,......-~4.GY.k~J.l-~.....S~I....~...'Z.-.!~~-A~-........ J n ' ct premises located at 33~ D ~1~~/°~''~-° R'n54, ~ t-4~... U~` Caunty Tax Map No. 1000 Sectioyn ...F. Block .....Q..4a~...... QLot No...Q.. ~ pursuant to application dated ...s7'H4~~ V...9 19...1.., and approved by the Building Inspector. Fee C~ .............~.~T!...~-~.... Building Inspector Rev. 6/30/80 J - i ~ 1 ~\J ~ f.' \4 / ~ G Aq~ TOWN OF SOUTIIOLD ~ ~x ~ ~ I ~ ! ~ BUILDING DEPART?TENT ~ ~ O f - TOWN HALL M~~ fl I(~`~`~ K`~ SOUTIIOLD, NEW YORK 1 1971 ~ gl.DCa. DEPT. 765 - 1802 TOW(V UP SOUTHOCD APPLICATION FOR CERTIFICATE OF OCCIIPANCY e~ DATE...~..~:~..~... NEW CONSTRUCTION .!'.....OLD OR PRE-E%ISTING BUILDING......VACANT LAND........ Location of Pro ert ~~~©........~1: ~:,'~,,ff II ~Ax1G HOUSE NO. STREET HAMLET /r_ Owner or Owners of Property...... ~}~nL..C:..l //_'1-.~;I!1-~--.•,,,.-._- County Tax Map No. 1000 Section Block .?rys~.. Lot Subdivision Filed Map ........Lot.......... Permit No. ~i.?~~Z.Date of Permit ~::~T....Applicant ~Q4~:'.~: ~~;~j~4. Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary C//e''rtificate Final Certificate Fee Submitted: $.....1.~............ APPLICANT.... ,~:"~c'Lti": . 6~,c 3 bq 15 ~o ~I~q~°I rev. 10/14/88 Q~`"'~'~, TL•L. acs-1sn~ OC.KCC~~ T0~'I`l OIL SQUTII07.D ~ ~ r . ~•~aL,,.,,~, y;~ or•1-1c1~ or isu1LD1NC 1NSrrcTOa w. = I'.O. BO`C 1179 u~ v~~ ~ TOP/N ! (ALL ,~y~l ~i SOi1"I'IIOLD, N.Y. 1 1971 ~zc~' MARCH 28, 1989 JOflN C. TIITflILL 3310 ELIJAHS LANE MATTITIICIC, N.Y. 11952 'I'o Pihcm This May Concern, 47e are unable r.o complete your Certificate of Occupancy becaus•~ ,of the follocoing reasons. ~X/ An application for Certificate of Occupancy is not nn fi].c. ENCLOSED No Underwrit-crs Cc.rtificatc on file. 'Phe c:hecF: .i:; (rniLclaL'ed/nut on file. ) D:o flrn].Lh Ucpt. Approval on file. C:o final insC,ec:t-ion hay been made. Pluasr. contact our office on this, matter. - Thank you for your coo;~eration. l;u ilcl ir.cj Perm i.Y. II 1 7 8 3 2 Z 2 C.O. s REQUIRED $10.00 each I3uilclinc{ Dept. tlo Plumber ;;older Certificate on f-i1c. ( al.l pnrr.~its involving plumbing being ie;aucd after :1pri.1 1,1984 ) r'lELD II:SPECTiU,~ ~~llATE ~ ~OaKMGNT3 -o J 1. a w 3 G,7 _ _ H N FOUNDATION._-. (lstj ~ (}I ~ Y FOUNDATION (2nd) _ m 2. 111 z o ~u ROUGH FRAME & ~y PLUMHING in H 3. ~ IIJSULATION PER N. Y. ~ • STATE ENERGY CODE x A Q ti /Z / ~ . 4, y O FINAL o E z ADDITIONAL COMMENTS: x~ ' >e ^o ' H ~ «C 9 y ...0 H O ty z 1 [*1 > • r ~ H C m ,v y a ~ , i ~~~~yy ^ TOWN OF SOUTHOLD D ~ Lci~l~i:`'~t'~~,(jC~! BUILDING DEPART?fENT TowN HALL MRR ~ Q SOUTIIOLD, NEW YORK 11971 f31C~ ~~~r--_.._, ' 765 - 1802 TQLNr1,C;F~,~~~t?u;_!~ APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE..~..?:9. NEW CONSTRDCTION .......OLD OR PRE-E%ISTINGt BUILDING......VACANT LAND......._ Location of Property. ~~jd....... ~!-:1:~~'~sNsAN.¢........~.k~d:~.2~i7'Lr_l+^--........ HOUSE N0. r ~S°TREET HAMLET Ovner or Ovners of Property... Pl. ¢f}~`_l,_ J IJ~`T~((~L-- 1 County Tax Map No. 1000 Section ,~O,S', . Block Lot Subdivision Filed Map ........Lot.......... Permit No(yJj~3,7.,z„Date of Permit .a~..~~_.._Applicant ~'bl;~(.C:~tfV'~f[,L-. Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate ginal Certificate 5 Fee Submitted: APPLICANT ~.~,tifA 3cy~s co ?7q0` rev, ]0/14/88 BOARD OF HEALTH 3 SETS OF PLe\NS FORMN0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL , SOUTHOLD, N.Y. 11971 NOTIFY cc~~ c~ TEL.: 765-1802 CALL ~.9 C~..-. C~.~z , , . Examined ~ ~ 199. MAIL T0: y~ r Approved 1 1:Pr~~.~ ~ „ 19g 1. Permit No.~.?.~.~~: Disapproved a/c FEB $ i98g (Building Inspector) TOWN OF SOUTHOLO APPLICATION FOR BUILDING PERMIT Date 19~j.' INSTRUCTIONS a. Tlus 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 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. ,(J ~ ~ /J (Signor of applicant, or name, if a corporation) ' h (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .........e14J~N.... 1.:..l. U.`r.~V. 1 ~ L- . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~ , i :,ff p,, _ . "~Y'. d3 :rv ,r (Name and title of corporate officer) ~ r,,a t.t~ ~ , , s • Builder's License No . `LL Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. ~h.r J.4 ' House Number Street, Hamlet County Tax hlap No. 1000 Section ~Q~ 4~...... Block ......7~........... Lot . Subdivision Filed 1\lap No. Lot . (Name) Stale existin use and occu anc of remises and intended use and occu a s P' Y P p ncy of proposed construction: a. Fxi r--~ 'mi occupancy ...~.~r4/i/Y~~~:1.1:1?>Al~. (F..~~O~~;C~ b. Intended use and occupancy .....~1~n,/.l!(... -S.~lr_~.. , , ( 3• Repair of work check which!applicable): New Building • , Addition Alteration Removal . . . Demolition Other \Vork . . • . • • • • . • (Description) 4. Estimated Cost ~~-.~P..c, e~ D , d- 1,30 0 0........... Fee .....l ~d O~~ . (to be paid on filing this application) g n g units , , , , , , , , , , Number of dwelling units on each floor . 5. If dwelling, number of dwellirl . . . 6. If business, commercial or mr~ed occupancy, specify nature and extent of each type of use , 7. Dimens o s of existindastructu'res, if any: Front , , , , , , , ; , , Rcar • • • • • • ~ • ' ' ' Hui tt.. 3 Depth . , . t,,;~~~z~.,.,.3,,.1... Number of Stories . . • • • • . Dim2nsions cfY'i;~ttt styture With alterations or additions: Front Rear . ~ • Depth . r Height . . Number of Stories . . ' 8., Dimensions~f„~entire, new construction: Front , Rear Depth ~ • • Height .............„~+'u~nber of Stories . 9. Size of Iot:;Frpnt...,.,._..,;~.. _ Rear Depth , . 10. Date of Purchase ,,5,.•. , • " " " " " • ' • •••••••••••••••....NameofPormerOwner P P ~•.Femisesaresituated 11. Zone or use distract m whir t ,plate any zoning law, ordinance or regulation: 12. Does ro osed construcrion vp' Will excess fill be removed from premises: Yes No 13. Will lot be re raded ame o Owner of remises g P ..................Address...................Phone No....... Name of Architect , ,Address . . . .......Phone No............... . Nam Y f Contractor .Address ...................Phone No. IS.Is this property located with in~00 feet of a tidal wetland? *YES....NO~". *If es Southold Town Trustees Permit may be required. I PLOT DIAGRAM ,Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions ('rom property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~A~P~P~R~O~V~t:D ASS NOTED ~R DATE:;/t!f/89-3.P.N. ~~CUPANC~ u` FEE: L~•'' F3Y _ ~_z~'._. 1$ UNI,AW~ tc 766~180BlSLAM TO nPPM hF4'ORTTNE ~ ~~®t1~ Ci~•~j,N~y tF FO!_L.OWING INSPECTIONS. Q~ aCCVpA - t. FOUNDATION - TWO REOUIRED FOR POURED CONCRETE 2. ROUGH • FRAMING & PLUMBING ~ n ~ 3. INSULATION d ~ 1 4. FINAL - CONSTRUCTION MUST BE COMPLETE FO~i C.O. _ _ ALL CONST~iUCT10N ~TiALI MEW THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RES~'ONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, I COUNTY OF $.S bnii • • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual sip ig contract) above named, i He is the ~ ' (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 contaihcd 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 [o beforepme this ...day of .l..~l:f-~......,.... ~'q Notary Public, c; , , ,'~~li, ,!I/;E (flY~-, , , , County _ lNew Yurk NOTARY PUBLIC 3~tnYoi~ ~ ~ ~ ~ ~ ~ • . No. 4707878, SuffolkCauut~,p (Signature of applicant) Terra kxpires Poterch 38,19_.1