HomeMy WebLinkAbout17947-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-16367 Date SEPTEMBER 13, 1989
THIS CERTIFIES that the building RENOVATION & ADDITION
Location of Property 460 VILLAGE LANE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 114 Block 06 Lot 19
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 21, 1989 pursuant to which
Building Permit No. 17947-Z dated MARCH 24, 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 1s ADDITION & RENOVATION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to WILLIAM C. & MARY LOU ARANEO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-089065 - AUGUST 29 1989
PLUMBERS CERTIFICATION DATED N/A
i
~ _ /
ilding Inspector
Rev. 1/81
tosaz xo. ~
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~ 017 9 4 7 Z Date 4:~c.~.. a-~ 19..Sp
Permission ~s hereby granted ta•~
.....a.~ 3.....1..x....
s~,l:~:~-...2:d
: y........1
ro ...~(Q...`f.. .~...~.-....:C,a....A~-~ ~~..~..~.A,-rr~.tQa,~~.?n:w.Q,~c~r,.~...S,i.~-
at premises located at ..~.~.Q.....)...ti.[... ......4YnR........~'~.ft~.t~..~ c,t~.
Caunty Tax Map No 1000 Section Lot No
~ n 1Block ..~..9...... .
pursuant to application dated ~ al-LY7. 19$~ „ and approved by the
Building Inspector
Fee •:t~..: ~
Building Inspector
Rev 6/30/80
,~~y TOWN OF SOUTUOLD ~ 2 6 y~ ~ (U} I?~
(L b0 BUILDING DEPARTHCNT l~ t5 15 U LS~`p~i
ll TOWN HALL S~ ~ 1~~
SOUTIIOLD, NBW YORK 11971 f
765 - 1802 BLDG DEPT.
TOWN OF 5O11TH0LD
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE . _ LI
~ l ~g~ _ . .
NEW CONSTRUCTION ._.....OLD OR PRE-E%ISTZNG BU'LLDI2IG......VACANT((((LAND.._.....
Location o f Pro ert v t ~t~~ ~?INL . IMi`t`I'~~l'~IJIG(G_t_ ~V`-R l ~Z. _ _
P y_________________________ .1
IIOUSE NO. STRCET HAMLCT
Ovner or Ovners of Pro ert ~ ii11'~'M. C .~.`M.~R.Y L°c,t. _ k~~J~p
P y•......f..ll t_
County Taz Map No. 1000 Section ..l1~ Slock .._W_.. Lot
Subdivision Filed Mapqq ........Lot._........
Permit No. Y•~~~ ..Date of Permit .3.~:~y.~g.l..Applicant .5-t:'^:^::':_.........
IIeaLth Dept. Approval ~~'y~l~......_... Undervriters Approval_
Planning Board Approval
Request for Temporary 11Cer~ificate Final Certificate
Fee Submitted: $.....1t`~.........
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Cl~ TOWN OF SOUTfFOLD
.:'+h74:I.~u~~ ~ Ol~i'iC1:01'?iU[LDINC INSPECTOR
'l' F;,r',°+"'~ y~ TO~YN IfALL
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O~~O r~~~ SOLJ'I ItOLD, N.Y. 11971
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To 47hcm This May Concern,
47e are unable to complete your Certificate
of~Occupancy because of the folloc~ing reasons.
An ..plz~ation for Certificate of Occupancy
is no on file. ~~r~~-dL_~
*Jo Underc~iters Certificate on file.
/ _ 't'he che~t:. .~..+,~i/nut on file.) ~'a5•~
No health Dept. npproval on file.
ho final ansi~ec~ion ham been made.
Plea~~ r_ontact: our office on this matter.
Thank you for your cooperation.
I:iiilcitr.cJ Pcrm~t' if L _Z ~ Z
AuilQinq Dept.
'tkJ / S1o Plumber 5o1Qer Certificate on file. '
( a71 p~rriits zttvolv~ng plumbing being
icsucd after ~1pri1 1,1984 )
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765-1802
BUILDING DEPT.
1 NSPECTION
[ FOUNDATION 1ST j ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING r ]FINAL
REMARKS: U~
DATE ~ ~ INSPECTOR
d 7~ ~ 7 7~s-iso2
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ~NAL
REMARKS: ~T
DATE ! 02- INSPECTOR ~O~C,
y ~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] R UGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ]FRAMING [ ]FINAL" ~
REMARKS: ~~~,a~r ~~4,,.
DATE ~ fNSPECTOR
/ ~~~7 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
REMARKS
5--
DATE t~! INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ FRAMING [ ]FINAL
REMARKS: ~/~-e_
DATE S ~ ~ INSPECTO
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BOnRD OF HE.\LTH
' 3 SETS OF PL~1N5
, FORM tV0.1 SURVEY
TOWN OF SOUTHOLD CHECK , .
BUILDING DEPARTMENT SEPTIC I'ORI~i .
' TOWN HALL
SOUTHOLD, N Y 11971 NOT u ~ _~J/jCt"
_n TEL.7G51B02 CnL / u~
Etiamincd . K(1I~4~nn.a~ 19~~qq. Mn~ T0:
,approved ~P:t~YI 19.1 Permit No ~ ~ . D ~ Q \J ~~i~:
Disapproved a/c i i;
~ 2 4 i~8~ ~
BLDG 6EPT.
,c , o;~. , , , , , , ,e`^:-. • TOWN OF SOUTHOLD
(Building Inspector)
APPLICATION FOR BUILDING PERMIT _
Date ~ 19
INSTRUCTIONS
a. Tlus application must be completely filled m by typewriter or in ink and submitted to the Buildmg Inspector, with
.gets of plans, accurate plot plan to scale Fee according to schedule
b. Plot plan showing location of lot and of buildings on gremises, relationship to adjoining premises or public stree
or areas, and giving a detazled description of layout of property must be drawn on the diagram which is part of this appl
•cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Buildmg Inspector will issued a Building Permit to the apphcant. Such perm
shall be kept on the premises available for inspection throughout the work
e. No budding shalt be occupied or used in whole or m part for any purpose whatever until a Certificate of Occuganc
shall Have been granted by the Building Inspector
APPLICATION IS HEREBY MADE to the Buildmg Department for the issuance of a Building Permit pursuant to th
Buildmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other app]icable Laws, Ordinances t
Regulations, for the construction of builduigs, additions or alterations, or for removal or demohtron, as herein descnbe~_
Tlie applicant a;rees 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 inspections.
(Signature of apphcant, or name, if a corporation)
~{C,C, ViI1r~C4- L,~Et •!j1~1,~r•~T"UClci.!~~...~~~~`
(A4ading address of apphcant)
State whether applicant is owner, lessee, agent, architect, endneer, general contractor, electrician, plumber or buildet
'~%.(~.1~....n..........................................................
Name of owner of premises I lj~}YVV, ,C,....ry2R7~? {~!D ,YYIt~C;1 L.-o.c1, . . . . .
(as on the tax roll or latest deed)
!f apphcant is a corporation, signature of duly authorized officer
. .
(Name and title of corporate officer)
I C ~t ty iC'otj£RT Gi"i 5 c ~ To
Builder's License No 13~. -2,L...T.l ..~~5 0£.V~~2pL ~NTRRCT0,2
Plumber's License No . .
Electrician's License No . .
Other Trade's License No. .
I Location of land on which proposed work will be done. .
~{r;v Vill~tC~~. L~-,y,E V1~.F;k,T;T~Ttfe~ /v f.~~ S-
IIouse Number f Street I ~ ~ •
Hamlet
Couniy Tai Atop No 1000 Section ~ ~ ~ Block . , 4,~ . Lot . , ~ y , . , , , , . , ,
Subdivision L/(Il,r~6£ , , t14(.t-ryq~ . Fdcd Asap No .~66
Lot . .
(Name) I cf Zy/6Z-
State e~isung use and occupancy of premises and intended use and occupancy of proposed construction
a. Existing use and occupancy .S i!V 6 C ~ ...~?n J ~...Oi?Nr.~ OcGC.tP i £D .
6. Intended use and occupancy Sl1V6Cf••..~~'~!L7 ~ occ.,ePt`z~
3. Nature of work (check t~htch applicable). New [lutldmg AlteraUOn ~ '
• Addition
Repair Removal Demolition Other 1Vork .
N (Descnpuon)
4. Estt.~natcd Cost ~.14~.r 5e~o Fee
(to be pmd on Fling this application)
5. If dwelling, number of dwelling unus Number of dwelling units on each floor .
If garage, number of cars • • .
6. 1f business, commercial or mixed occupancy, speciY nature and extent of ach type of use !~I~ .
7. Dimensions of existtnn structures, [fan Front ~OZ
a Y Rear Depth
Het_ht ~ y.......... Number of Stones ....e n, ...............................E .
Dimensions of same structure with aherations or additions Front .(xuZ... Rear .
Depth . IIeight ~4:. Number of Stones .
8. Dimensions of entire new constiucrion Front Rear .U Depth .
Height . , ?Number of Stones .....~??`i'--:......... .
9. Size of lot. Front ..r~° Rear Depth ? _
10. Date of Purchase
. ~ 9 Name of Farmer Owner ~..4'Er~~~C'!......... .
1 Zone or use district m which premises are situated 4~!vr.
t.?*!~....... ,
12. Does proposed construction violate any zoning law, ordinance or regulatton• ..+J~Nz ,'r~, /`I~'; , , ,~rjrvcwN,
13. will lot be regraded . !u~ ....................Will excess fill be removed from premtses: Yes Cf
14. Name of Owner of premisesw'!Usr~y~ C',.,A,R~cy~p, , , ,Address `(6F.ti''.tI'}~a,n~.,,+7t!1.`t`{:. Phone No.::11s. ,aq$y, , , ,
Name of Architect . Address ...Phone No............. .
Name of Contractor . ~'4+3W.C. ! 5~. ! ! . , ,Address ..........tCk~K:~ Pyt~ s
Phone No..~ 44: ~jql... .
IS.Is this property located within 300 feet of a tidal wetland? *YES....NO.~S.-..
*If yes, 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 fro,
property fines. Give street and block numb,°r or descnption according to deed, and show street names and indicate whech,
intenor or corner lot.
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STATE OF \EW YORK, S S
COUNTY OF
• • . • • • being duly sworn, deposes and says that he is the applicai
(Name of indrvtdual signing cane ract) _
above named
Eieistlie
(Contractor, agent, corporate officer, etc )
of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file th
apphcauon; that all statements contained m tius application arc true to the bes~of his knowledge and belief, and that tY
work will be performed in the manner set fartlt to [tie application filed therewith. '
Swom to bctore me [fits g
• a t'... ..day of ....rna:t;t~........ 19g/. .
`otary Public, j/
. i ~.tt4 . ~ K!-G.l/,~-...... County
NOtaRY~~B~S~~~E Utt~~` ~
Term Fxpires Match 30,1°~~ (Si;na[ure of applican