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Home My WebLink About17983-z ~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17917 Date APRIL 3, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1975 COX NECK RD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 7 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 1989 pursuant to which Building Permit No. 17983-Z dated APRIL 3, 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 EXISTING ONE FAMILY DWELLING. The certificate i.s a.ssued to MICHAEL & LUCY NEUDECK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED /I N/A Building Inspector Rev. 1/81 rosat xa 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 Z Dote N_ 017983 ...........3 19.SC.9 e Permission rs hereby granted to: / 1 n /~~j A.r~4,lZl,~ ........~.Qa'.......... ~nn.~~ to ...e~......f~.^....57~....~rlK....9..~.P~kk.~M....~tl....r~..Y.1.....~.~~.~.-.~..R....P?:~-- ct premises located at ..~,.1.~1.5........~"..Y...~d?:~ l:rS]1 ..............~.9.S..CXS„ . ..S-I1.lSQ.L.N.~ . County Tox Map No 1000 Sectio ~.~~.~/nJ~Q. Block Q.~.......p.. Lot No ~ r. pursuant to oppl~cation dated .1~~„~,,, ,L~yC....~..1 19.A.~., and approved by the Bwldmg Inspector ~ Fee $ . ~ ~w. ding Inspector Rev 6/30/80 _,i'- .f•> TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE,.4/3/89.___•_._ L NEW CONSTRUCTION XX..OLD OR PRE-E%ISTING BUILDING....._VACANT LAND........ Location of Pro ert 1975 COX NECK RD. MATTITUCK,. NEW YORK P Y..........-•---•---'-- HOIISE N0. STREET HAMLET Owner or Owners of Pro ert MICHAEL NEUDECK P y County Taa Map No. 1000 Section ...1.13. Block Lot ....14.... Subdivision Filed Map ........Lot........._ Permit No. ,17983_ Z___Date of Permit ..4/3/89. .Applicant MICHAEI._NEUDECK Health Dept. Approval Underwriters Approval..._.......... Planning Board Approval Request for Temporary Certificate Final Certificate 25.00 Fee Submitted: $ APPLICANT_.._MICHAEL_NEUDECK. CiL.ot..• 36gy~ rev. 10/14/88 1~..J S.F~.:-.,Ii (~Un:[. I ~i:aMLNTS r. 1 . I G. a , a H _ y =0UJ7DATI0:! (1st) c~ ti ?OUtJDATIOJJ ( 2nd } m a . z 0 ROUGH FRAME & PLUMBING y 3. ~ m m IIJSULATIOf] PER fI. Y, "3 STATE Ef]ERGY CODE r^ k, ~ y i a FIAAL c s t `m 4 ADDITIOfJAL COMMEfJTS: x t g r t _ ~ m ' X w H Sl H H O - c m ~ ~ ~ ~ H d m -o H r..,._o.._-.-.,.....~.,.. _ y r ~ ~ t,~~i d BOARD OF HEALTH m._3F, 3 SETS OF PLANS FORM N0.1 SURVEY S ~ U TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORPt gLpO,p~ TOWN HALL TOWN OFSOUTHOLD SOUTHOLD, N Y 11~J71 NOTIFY • TEL 7651802 CALL ' MAIL T0: \pprovedJ~t~{G•~ttiL 3... , 19~~ Perm,t No 1 7 qg 3t~ Disapproved a1/c (Building Inspector) APPLICATION FOR BUILDING PERMiT Date f}.~r` . ~...:3....., 15 .Sr._ INSTRUCTIONS a. This application must be completely filled m by typewriter or m ink and submitted to the Bwidmg 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 premtses, relahonshtp to adlommg Premises or public stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apps capon. c. The work covered by ties application may not be commenced before tssuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permtt to the applicant. Such petTtt shall be kept on the premtses available far inspection throughout the work. e. No building shall he occupied or used to whole or to part For any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the tssuance of a Btulding Permtt pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe, Fhe applicant agrees to comply with all applicable laws, ordinances, budding code, houstn~ code, and regulations, and t admit authorized inspectots on premtses and in building for necessary mspecttons~ ' (StAgnari,re of applicant, or n~Qamy~e, tf a corporation) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or butlde, . . . Name of o•.vner of premtses ...~!uNP-na~:' .~~A.e-S-e~-t~ • • • - • • . • • • = x• • : • . (as on the ta:c roll or°Iatcst deed) it}~ a~> - If applicant is a corporation, signature of duly authorized officer , ~ ; ; , (Name and tale of corporate officer) Builder's Ltcense No . Plumber's Ltcense No. Electrtctan's Ltcense No . Other Trade's Ltcense No . . 1. Location of land on which proposed work will be done . 1{ouse Number Street Hamlet County Tai \tap No I Q00 Section Bluck O 7, , • • , , , Lot ~ ~ . Subdivision Filed tlap No Lot . (Name) State e~tsting use and occupancy of premtses and intended use ~nd~joccupancy of proposed construction a. Existing use and occupancy / • !!Pw/.,~ ...........1........ / / b. Intended use and occupancy ~G~ 3. Nature of work (check «htch applicable) New [3wldmg Addition . Alter ron~.... . Repazr Removal Demolition . Other (Descnptron 4. Estimated Cost • • Fee . (to be paid on fihng this apphcauon) 5. If dwelling, number of dwelling units Number of dwelling unrts on each floor . Ifgaracc,numbcrofcars 6. If bunness, commercral or mrxed occupancy, specify nature and extent of each type of use . 7. Drmensrons of eeuting structures, if any' Front Rear Depth . Height Number of Stones . Drmensrons of same structure with alterations or additions: Front Rear , . Depth Ilcrght ........Number of Stones . 8. Drmensrons of enure new construction Front .Rear Depth . Herglit ..........NuinberofStones............ 9. Size of lot: Front Rear Depth 10 Date of Purchase • • ,Name of Former Owner . . . 11. Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation : 13. Will lot be regraded .....................Will excess FII be removed from premises: Ycs t 14. Name of Owner of premises . ..................Address Phone Na Name of Architect ...........................Address Phone No.... . Name of Contractor ..........................Address ...................Phone No.......... . IS.Is this property located with in 300 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required. _ PLOT DIAGILAM Locate clearly and distinctly all buildings, whether existing of proposed, and,mdicate alI set-back dunensions fro property fines. Give street and block number or descnptron according to deed, and show street names and indicate wheth interior or corner lot. ~IAPPROVED AS NOTE6 OCCUPANCY Ott DATE l+•-'Y-'-a--B.P ~ L~ Q p 3~ USE [S tlNIAWItFeUI NOTIFS BUILDING DEPARTMENT AT WITHOUT CERTIftCATt: 7fi5 1$02 S AM TO 4 r'M FOR THE pf OCCUPANCY FOLLOUyING INSPECTIONS , 1 FOUNDATION - TWO REQUIRED , FAR POURED CONCRETE ~ ~ - 2. ROUGH • FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST 8E COMPLETE FOR C O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF FHE N.Y. STATE CONSTRUCTION a ENERGY COOEB. NOT RESPONSI9lE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, S.S COUNTY OF . . • • • • • • • • • • • • • • • • • • • • • • • • • • being duly sworn, deposes and says that he rs the applica; (Name of rndrvrduat signing contract) above named. [ietsttie (Contractor, agent, corporate officer, etc.) of said owner or owners, and rs duly authorized to perform or }rave performed the said work and to make and file tl' applrcatron, that all statements contained m this applicq[ion are true to the best of firs Lnowledge and belief, and that tl work will be performed m the manner set forth m the apphcaUOn filed thcrcwith. Sworn to before me tats .day of 19 rotary Public, ! County NOTARY PUBLIG crate ~lderYax (Signature of applican No almal& suttolk cou"h' q Term Expires M:rcb 30,19.-i ~