HomeMy WebLinkAbout17954-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 217961 Date APRIL 20, 1989
THIS CERTIFIES that the building ADDITION
Locata.on of Property 3550 OLE JULE LANE MATTITUCiC
House No. Street Hamlet
County Tax Map No. 1000 Section 122 Block 04 Lot 22
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 22, 1989 pursuant to which
Building Permit No. 179542 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 is DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING.
The certificate is issued to ARTHUR W. HUGHES
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
V ltt..ee-~ W cn~ ~ .
Building Insp for
Rev. 1/81
POBM NO. f
TOWN OF SOUTHOLO
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~ 017954 Z Date .........~.a.s.:c.~,. ~ ~
.....sad 19.......
Permission is hereby grante ,n, r,, _ ,
. 7 / .
~
ro ..~.~t ...v.-~l..ri...SS~:.... as,,... c.!k.....rr.!~cQ,.r~S.f~-l..rl'~.. .....d.~.......~yrrs-..~e.~...~tir~..
1... . . 14.~[..LC~f...~.... ~ j ...~:F~ . j . .
nn
ct premises located at ~.5~~.......!1~...~... .9~-~~t,........'..X..].ak~.......~1„<~
. . . .
County Tax Map No 1000 Section Z-?--(~. , Block .....0.~........ Lot No ?-:Z
pursuant to nppl~cation dated .~2-- 19~~.., and approved by the
Building Inspector.
Fee 3•~..:.~.
Building Inspector
Rev 6/30/80
j ~ ~ ~~1~ f ~
~i TOWN OF SOUTHOLD
` MAR 2 2 it~~9 ~ BUILDING DEPAAT2[ENT /j U,/ / / 7~
i /
51.~~1,~.. ~ TOWN DALL ~'VLa.ZT /f 9s Z
~ , r
~ ~''bdC'~d ~ SOUTUOLD, NEW YORK 1 1971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY ~p 7 ~+q
DATE z,Z^.~?i:
u~.! yv
NEW CONSTRUCTION .......OLD OR PRE-ESISTING BUILDINCG. ~ ./VACANT LAND_.......
Location of Property.:-~'SS~ OLE .Tu~~.~L= 1~/J~~~
r..
HOUSE NO. STR/E,ET y(C HAMLET
Owner or Owners of Property../~~~`'~'.`.~~..>/~Yl~f:.Ls
County Taz Map No. (000 Section Cz Z._ Block ._:1... Lot
'Subdivision Filed Map .L_....Lot........_.
Permit No. ..........Date of Permit ..........Applicant
IIealth Dept. Approval Underwriters Approval...___.._.....
Planning Board Approval
Request for Temporary Certificate Final Certificate .,/.~S
Fee Submitted:
APPLICANT... .....`.L.
~ 37~ 7q
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rev. 10/14/88
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na1nVRlllU \lI INAIIVN UR AUDII IOC
l tlll$ SURVEY 1$ A VIOWTION Of
fC110N ]]09 O! iliF NFW YORK $TATI
Iltl(AIION lAW ~I
urll! 04 IIIIS SURVEY MAP NOT FEARING
n1F IAND SU0.VIYOR'S INKED SEAL OR - - - - - - - -
MEU%LD $f Al SNALL NOT ¦ CONSIDERED SURVEY F 0 R
n If A VALID LRUF COPY
AApAIIILL{ DVDICAIFD H10.10N SNAIL RUN ARTHUR HUGHES
Ri IIY f0 111E J[rt$ON FOR Wf10M fFlf SURVFI
S I xtl ARIU, Af U Uu 111$ RlIULf f0 fllf M A T T I T U C K
Illk COMPANY GOV(NlMWIAL AGENCY ANL I ma'r`
fNDO,G IIISIIIUfION IISilD Nl0.EON, AND TOWN OF SOUTHOLD ,~~,-.~'•{~~r •Y,
OIIIl A$SWIUIS Uf IIII IkNUING IN$il( SUFF. CO, N.Y. a "~td~Ys-~~ ~ I
U9(UI GUARANIEIS ARF NOi INAN$fFRARIf
O AUDIII?NAL INSII IIIIIONt OP iI1R51016N O` nK
SCALE 111 _ O TY Alf ANTY CO
~dF •
NOTE 1 OCT 8, 1965 s;',f A LL
¦ e MONUMENT DEC I7, 1965
MAR f 4, 1966 ~ ANo
Ll VS >r°Yr'• C. NO IE946
- - - - - - - lN1- - . - -
TEL. ?CS-180'
q~~
cL To~rrl or sou~o~.~
,a `c Oi~i'1CLOFGUILD[NGINSPECTOR
i [~4~11~,~ z P O DO?C 1 1 7 9
~ ~ 1~~~ ~ TOWN [SALE
0~~O r~~`t- SOIJT I TOLD, N.Y. 1197 i
April 18, 1f989
ARTHUR W. HIIGHES ` ~t ~l ~21La ~-c.c C.c",zm
SOX I]71
MATTITUCK, NEW YORK 11952 /`~~U ,CCU ='=t"~
'To S~Ihom This, May Concern,
toe are unable ro complete your Certificate
o€ occupancy because of the follo~ring reasons.
An application for Certificate of Occupancy
is not nn file.
/ / *to Undcrc~riters Certificate on file.
'i'he cltecl; t:. (~t~1a~~:~iae~/nut on file.) $25.00
ho Flealth beet. Approval on file.
No final insi~~ec:Lion has been made.
Plen:,e contact. our office on this matter.
Thank you for your cooperation.
Ilu i 1c3 u:~J Pcrm t t ]h 1 7 9 5 4 Z
Building Dept.
'*k/ / tlo Plumber :,older Certificate on file.
( al.l perrtiL:: involving plwnUincl Using
i~sucd aftor ,~pr~l 1,1984 )
1 ~QS~~
ass-iso2
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [FINAL
REMARKS: ~ , ~ f~~IL C--
DATE Y l S~ $~_INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [
REMARKS: ~ ~ ~
~
~ - f,"
e~~- a.. d~f
DATE ~ INSPECTORS'
r~c~c~ac1~~~~g
~D r,°--°~--° ~ i r~~ BOARD OF HE~ILTII
3 SETS OF PL.1NS
M,1',R224`,,~~ y FORMNO.1 SURVCY
t TOWN OF SOUTHOLD CEtCCK , .
~~•--~-;~c y 4,c°')"""""' I BUILDINGDEPABTMENT SEPTIC rORM
TOt'~^~ - ~ 7bWN HALL
• _ ~ SOUTHOLD, N Y 11D71 NOTIFY
TEL.: 7651802 GALL
n ~ ~ MAIL T0: ~e~~ ~J,~,~,,, ,
\pprovcd ~°.''~`.-a.. ~-.~l . 199. Penntt No ~7.. S:.1 ~
Yh~ i! gs
Disapproveda/c 7dS-~8aa
(BuAdmg Inspector)
APPLICATION FOR BUILDING PERMIT
Date 15
INSTRUCTIONS
a Tlus app]icatron must be completely 1"i]Icd in by typewnter or m ink and submitted to the Burldmg Inspector, with
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationsh,p to ad)o,nmg premses or public strec
or areas, and giving a detailed descnptton of layout of property must be drawn on the diagram wh,ch is part of t}us app
capon.
a The work covered by this application may not be commenced before ssuance of Budding Permit.
d. Upon approval of this appticatton, the Bwldmg Inspector will slued a Budding Permit to the applicant. Such peer
shall be kept on the premises available for utspectton throughout the work.
e. No building shall be occupied or used in whole or m par[ for any purpose whatever until a Certificate of Occupan+
shall have been granted by the Budding Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the ssuance of a Bwldmg Penntt pursuant to ti
Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Re¢ulattons, for the construction of buildings, add,hons or alterations, or far removal or demohhon, as herein descnbe
The applicant agrees to comply with all applicable laws, ordinances, 6uddmg code, housm~ c e, regulations, and
adm,t authonzed inspectors on premses and in building for necessary inspect,
OCCUPANCY OR
USE IS UNLAWFUL '(s,gnature of applicant, or me, ,f a corporation)'
WITHOUT CERTIFICATE ~~n. !~,9:~~~:..!'~y .
' OF OCC ANCY (Matting address of applicant) '
State whether appl,cant is owner, 1 see, agent, arch,tect, engineer, general contractor, electr,c,an, plumber or butlde
.
/f~' ~ a~I~aov>:o as lvor~o
Name of owner of premses . w • ~ ~c?5.°r•"'~ • E c~_
(as on he tae roll or l ~st ee ~ 13P
FEE d+' V~-~•._
[f applicant is a corporation, signature of duly authoraed ofGc.er NOTIFY Bt}q QfitC 7s F' rtlnFNT ns
' 705 1802 g A,^„~ "r 'OP Y ~•t
FOLt OVi,'ING iN~i G'F ~
(Name and title of corporate officer) i FOUNDATION Fu„t, REuttt~~.:
• FOR POURED CONCRETE
Btnldcr's License No 2. ROUGH - FRAMING R PLUMBING
3. INSULATION
Plumber's License No . 4 FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C O
Elcctric,an's L,ccnse No. ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N Y
Otfter Trade's License No . STATE CONSTRUCTION si ENERGY
~Xt3l~/~~ "'~3 3JJv OL. ~ RESP i ~,F~R
1. Loca4on of land on which prapesed-w.'ork done. , E, . )gi~~~avlnS. .
~o~': %h'a ~OEcXtrgs, ~,~/fe4,~,~-, wbG,~ ~a./t",~ /9G6 .
House Number Street Hamlet
County Tae i`tap No 1000 Seet,on ...I!ZZ......... Blvck Lo[ Z:.......... .
Subd,v,s,on . Fled tap No Lot . .
(Name)
State c~uttng Ise and occupancy of premises and//uuended use and occupancy of proposed constntction
a. E~,sting use and occupancy F~':~'!~! • Dv~//i~f• • .
b. Intended use and occupancy • • ~W~~/,NC
..y.......... j
3. Nature of work (check which applicable) New 13uilding Addition .U[erationSJ~ ,
Repair Removal Demolition Other Work . ~~tXJ,LGG.('` .
t n v (Description)
4. Esttmatcd Cast Z: ~~1:....~,~.~'p-1 `.`!11, Fee .
111 (to be paid on Ghng this apphcapon)
5. If dwelling, number of dwelling unds Number of dwelling unds on each floor .
Ifgaragc,nuntbcrofcars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing strictures, if any Front . . . Rear Depth .
flcigttt Number of Stones .
Dimensions of same structure wtih alterations or additions Front Rear .
Depth 1 ct tt . Number of Stones .
Diinensionso entire ~-Front ........y......~Rear . Depth
Height ..........sass-,../.~.X./.?,.. Wou9r.~~4-1~
9. Srze of lot Front Rear Deptft .
10. Date of Purchase ...........Name of Fonitcr Owner
11. Zone or use district in tv}ticlt premises are situated •
12. Does proposed construction violate any zoning law, ordinance or regulation . .
13. Will lot be regraded ............................Hilt excess fill be removed front premises: Yes N
14. Name of Owner of premrses ..............Address ...................Phone No........ .
Name of Architect . . ...Address ..............Phone No.............. .
N.une of Contractor .Address Phone No.............. .
15.is this property located cri[trin~00 feet of a tidal cretland? *YES.X..NO....
*If yes, Southold Tocrn Trustees Permit may be rec}uired.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all et-back dimensions frog
property lines. Give street and block number or description according to decd, and show street n es and indua[e whe[he
interior or comer lot. J~ y1M~o p!S
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STATC OF NLIV YORf:, S.S
COUNTY OF
• • • • • • • • • • • • • • • • • • . • • being duly sworn, deposes and says that he is the applican
(Name of individual signing contract)
above named.
n - .r _ (Contractor, agent, corporate ofFicer, etc )
of said owner or owners, and is duly authorized to perform or have performed the smd wort. and to make and file thi
application, that alt statements contained m this apphcgtion are true to the best of lus knowledge and belief; and that th
work wdl be performed m the manner set forth m [tic application pled therewith.
Sworn to before me this
~a ~ ~
• day of ~/lam?-c,~.~c-, 19~ .
rotary Public, , ,!`?~;i=~~? ~ County ~ ~
HEtfNKOEVCE '7~ (Signature of applicant
NOTARY PUBLIC, State of New York
No 4707878, Suflo1N Causitfb .
corm txgres Much 30, t ~ ~