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HomeMy WebLinkAbout17389-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. OF OCCUPANCY 7526 Date NOVEMBER 18, 1988 THIS CERTIFIES that the building ACCESSORY Location of Property 1665 BRAY AVE. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 08 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 22, 1988 pursuant to which Building Permit No. 173892 dated SEPT. 6, 1988 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 ACCESSORY GARAGE AS APPLIED FOR. _ The certificate is issued to CHARLES KAYTON (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N!A UNDERWRITERS CERTIFICATE NO. NjA PLUMBERS CERTIFICATION DATED NFA Building Inspect Rev. 1/81 FOBM NO. 8 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) No 017380 Z Dote .... ~...... ........., 19. ~8 Permission is hereby granted to• .... ...... .. , ct remises located at .... .~.~~.....~:1~...':Sf~.`:.... ~lj~..f~- .......................... ...........................................................................Q.................................................................................... ................................................................................................................................................................ County Tox Map No. 1000 Section ..........1.2.t'I.... Block ... t.~J ................ LLot No.....~~............. pursuant to application dated ....F/~'~ ...................................... 191~LJ.., and approved by the Building Inspector. ~''~' ~/2 Z/~f~ .-vo Fee $..~.is~ / Buif,~ng Ir~ect~ p" Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ r~ to the Building Inspec- torwith the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of huildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory •$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 4. Vacant Land C.O. 5.00, over 5 years $10.00 5.Uodated C.O. $ 20.00 $ 50.00 Date .,11/14/88 NewConstruction,,,,,.OldorPre-existing Building ........ • • ... Vacant Land ... Location of Property 1665..$ray..~v~; ,,, ,N~~tti,tuck • • • • House No. Sneer ........................ ... Owner or Owners of Pro ert Ham/er P Y • . CHAA>1~5..K~XT.Riy ................. . County Tax Map No. 1000 Section ..126.......... Block $ • ... .......... Lot....11 Subdivision ............................ ..Filed Ma ••.••••••• p No. ..........Lot No. Permit No. 017389 DateofPermit .9/6/88 • .........Applicant ............. .. Health Dept. Approval ...... • • • • ~ • ~ • • •••••••••••••.....Labor Dept. Approval ....... __ ,.. _ __ Underwriters Approval ........................Planning Board A _ __ -.. __' • • • p p ro va l ............... . Request for Temporary Certificate .....................Final Certificate . • Final C :0. • • Fee Submitted $ . 1.~ : ~~ ...................... • • ......... . Construction on above described building and,prerm/i't meets all applicable codes and regulations. APPlicant ... C..~~ke,... ~~cu.J!~~`~...~ ....................... RBY. 70-t00a ~ ' q s BLDG. rtEP7. TOWN OF 50UTHOLC; r1cLD I~;S:"CTiU:J (~Jr,TE ~ ;UMMf;NT° ~ t. -o ~q '^ ~~ _ __ ~ v y FOUtJDATION (16~t) _. ~ © `~~ 4 • ~'~/~. FOUNDATIOW (2nd) 2. ~ _ _ _ _ ~ ~' o~ ROUGH FRAME & PLUMBING - ti ~ 3. ro ~ IIJSULATIOPJ PER N. Y. .. y~ STATE ENERGY CODE x 4. ll0 n n ~r~~ r/ 1. ~® '"~ r ~ W Im y FIiJAL ~~ ~ o z ADDITIOPIAL COMMENTS: ~ ~ x ' x ro \ H 9 H H O O z . ~ A ~\ r H ~ d m ~ " o 3 l~3$~ ~ ~Fl~v-~~~ ~ p„ , /l1!-~'U ' ~'~ fi ? 765-1802 BUILDING DEPT. INSPEC7'10111 [ ~ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING REMARKS [v]'FINAL -,,.,,~ ~ DATE ~ ECTOR _,~~ ~`~ I73$g ~ INSPECTfON FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS:4~1 (/~{~~~~~~~ 765-1802 BUILDING DEPT, t2 DATE S8' INSPECTORIJ_~~~~c~~ S~FFpLk~, ~O CGs TOWN OIL SOUTIIOLD ~'1+~. '' .~ OPFICJ: OF IIUILDING INSPECTOR - = P,Q, RQX 723 ~ TOWNIiALL ~0~~0~ ~ ~~~t" SOUTIIOLD, N.Y. 1 1971 I J// 6 /c~'E To Whom This May Concern, We are unable to complete your Certificate of occupancy because of- the following reasons. /// /u/ No Underwriters Certificate on file. /_i// The check is (outdated/i~ "~; '` ` ~~~~~ ) /_/ No health Dept. Approval on file. /_/ ATo final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. IIuilcling Permit if ~ 1 3 ~~ Z Building Dept. ***/_/ PJo Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) ~~~ ~~~~ ~~~ TEL. 7GS-} 802 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: ,765.1802 Examined •~'/zjl~~.., 19... 2~ Approved ..4~y,/..lr.~..., 19 ...Permit No. ~~s3.;f1.~ ~ DisapProveda/c ..................................... BOARD OF HEALTH ...- ....... 3 SETS OF PLANS .~......... SURVEY .;~ ................ CHECK ...................... SEPTIC FORM ................ NOTIFY 9Q CALL ..7~.~.a~F.u...... MAIL T0: ~ ~ ~,~~ ~~ ~~~~ C ~ ..... ~ "-'/l"f/f/(Bu' ing pe tor) APPLICATION FOIi BUI~.DiNG PEFtMl7 l Date ...a! u.r/,G . L l..., 155 INSTRUCTIONS a. This 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. 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 have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depaztment 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. (Siggature of applicant, or name, if a corporanon) ~z .~~~~!z~nK ;~~~v~ ~1~~..iyy~,so~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ... ~ ~~1'9~ 1 ` S ~~/~ Y~~'N .................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) Builder's License No. 0 UJ•i`?E ~- Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . ................................. 1. Location of land on which proposed work will be done . ............... . ~ ~3.2~ar A-1d~..........M~~~iTu." .................... ...............1....~~~~........................ ~- House Number S//treet Hamlet J County Tax Map No. 1000 Section ....~o?(~.......... Block .....~........... Lot ..l( Subdivision ............ ......................... Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......~~~'~•e~~•~~• • • • • • • • ...., .,. . .i,rj d .':`< ~c b. Intended use and occu anc ....fit. E.S~.~~'"!~/•"~G-• • ~//.~r~.~ ~ t~ P v •~y.:~~~~: ........... i . 3. Retu~ri of work (check which ap;plicable): New Building .......... Addition .......... Alteration ......... . p ........ Removal ..... . .. . ..... Demolition ..............Other Workc.~c~(,`i,~AGe (Description) 4. Estimated Cost .. ~/ ~ Sz? ~'~ . . ..................... Fee ...... , .....'. , ... i4i7at ~u Y° G~~{ ........ . S If garagennumber of arswellin1; units :::::::::: ; `~; : Number of dwelling imi P on eachhng this application) o / ............. floor................ 6. If business, commercial or mixed occupancy, specify~nat~rc gnd extent of each type of use .................... . 7: Dimensions of existing structures, if any: Front ... °x? •. ~, , \, : ,Rear .'-~............ Depth . ~ , , , , , , . , , . Height ...............Num,berofStories..~.......................................:..:.......... Dimensions of same structure with alterations or additions: Front ..... . ........... Rear .......... , ...... . p '..Height ......................Number of Stories ..................... . De th ................... rnction: Front ...... la ..... Rear ...!~`~.......... Depth z,7.`.......... . 8. Dimensions of entire new const ' Height ............... Number of Stories .. /.. , , , , , , , , , , 9. Size of lot: Front ...../,4r' ` ; .....' Rear ..... I!•~:' . ~ .. ~ . ~ ~ . ~ ~ . ~ De th ~~O' ]0. Date of Purchase .....5' ~d' . ............Name of Former.Owner .. ~K~?'C~P.~%~ . 11. Zone or use district in which premises are situated ........~~. 5,~/7~~;~,~„ ~~ , , , , , , , , , , , , , , , , , , , , , , , , , 12: Does proposed construction violate any zoning law, ordinance or regulation : ..... ................. . 13. Will lot be regraded ....... '~4 ................ Will excess 611 be removed from premises: Yes n/o No 14. Name of Owner of premises ~;~~~5. ,~~.J°~y, ,Address a`'.? f~8.~„~-~'>)iL. .Phone No.?'f'7:/pfd,', . . Name of A~sk~itesa:-•.~YY~ ~2, ,'~ , G'i,'F, 5~! ¢yV , ,Address ...................Phone No. ~ ~-7: 3~~.. . Name of Contractor ...... ©.e!!~~........... Address ...................Phone No............:.. . IS.Is this property located within 100 feet of a tidal wetland? *YES....NO./. *If yes, Southold Towr} Trustees Permit may be required. PLOT DIAGRAM ' Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property Bnes. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. N, ScglE; /~~ 3oi O .9 STATE OF NEW YORK /OG" n2,,Pc G'A2~ G Ex~sT. l3Lclt~ i. f~2/3S/ ioo e~VE; COUNTY OF ................. S•S G (~N me~o~dividual sig/n/i~~ • • ' ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant ng contract) above named. He is the..........©c,J r/y-2 '', . ................................................................ (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 contained in this application are true to the best of leis knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this p ........~. l' ~":. j.......day of I''... ..........., 190 . ... Notary Public, ;,. ,[!y ~ ..... , , , ,~~sq County /~NOREA CRO K Navy uW - p Naic'484373~4~~ ...... .. ~ ..... . i' ~ Qwl InNaaaau " o (Si nature of applicant) C1aMnbalonplraa Marosd.~