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Home My WebLink About17537-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217549 Date NOVEMBER 30, 1988 THIS CERTIFIES that the building ADDITION Location of Property 675 EAST LEGION AVE. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 03 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 12, 1988 pursuant to which Building Permit No. 175372 dated OCT. 17, 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 DEMOLISH EXISTING 20' ADDITION & REPLACE WITH DECK. _. _ The certificate is issued to NORMAN WENK (owner, XXXxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Build 7 g specto4r Rev. 1/81 posas xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT MOWN HALL SOUTHOLD, N. Y. BUILDING PERMi7 CfHIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF 7HE WORK AUTHORIZED) N 9 ~ 17 5 3 7 Z Date ....~`?..:~l..~K~k.......C...~ ................... 19.~..p Permission is hereby grouted to: ..`.f..~f......... ~.. ~: o l d Q ` ~l-F~:c1;A.SrI.!~ft.... r~'~1... r.~...!?~~,2,?-.a.4~...~!.k.~-Q.... to ..'~o~,.,n;sQa,~~....~A:... .'. ..rr~1......~........ u ct premises located at ..~9.~5......aF~.{~......~..:~l.~Y~....:.....~.~td:l:!~.C~4.......... .... /..e... d~ II~N:I P.:h...lN.lk::l!4 ................................................................................................................ Counh~ Tax Map No. 1000 Section .....~.ct~.,~.,........ Block ......Q..~:.......~pLot No....~.~ ................ pursuant to application dated ...~..W..i..~'~i..........C.3 ::................ 19~.R.., and approved by the building Inspector. Fee S..4s'.(7.:...: ~.... ~- so . ~.s .... ~.c.~~-. °.~:!~ .......................... Building Inspector Rev. 6/30/80 Z ~ ~ FORM NO. 6 ~~ i TOWN OF SOUTHOLD Building Department BLDG. DEPT. Town Hall TOWN OF SOUTHOLO Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ `~s~ to the Building tnspec- torwith the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unuwal 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 buildings. 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. $ 20.005 00, over 5 years $10.00 S.Uodated C.O. $ 50.00 Date .............. NewConstruction„'!„•Oldor Pre-existin Buildin g 9 •••.•....... Vacant Land ...... Location of Property ...... , ,~,~ 5: • • ~ ~~ Cc~~ House Na. ~ •° reef .................... .... . ~j~ ,,/ Hamlet Owner or Owners of Property ........'l ~?:+??~r;.t~, , ,//~; p~~ . County Tax Map No. 1000 Section .. ~,~, ~, , , , , , , Block .....C.3 ~ ........ Lat ............... Subdivision,,,,,,,,,,,,,,,,,,,,,,,,,,•,,,,,,FiledMapNo. ..........Lot No. Permit No. .~ 76,~Jz Date of Permit .~~%, , .Applicant ................................. . Health Dept. Approval ........................Labor De t. A P PProval ........................ Underwriters Approval ... . ....................Planning Board Approval ..................... , Request for Temporary Certificate .....................Final Certificate ................. . Fee Submitted $ ............................. ..••• Construction on above described building an m t all a pl e c des and regulations. Applicant . • na,,.,o.to.~e ~-G 3~a(~ ... ........................ 1::LD t;{s:- cTlc,;; puATE ~ oorrr:c~rrs .;, . 1. ~, , ~ G 1~ ~ ~ "~ H '~ e0Ut1DAT20N (1st) o (1 ~LFY~~~~ l~ D c ~ rOUNDATZOtd (2nd) ~ Y '~ mid _ _ 2 . z o ~- ROUGH FRAME & U PLUMBING ~ P 4 ti Q y p 3. ~~ m cn I1dSULATIOPI PER N. Y. ~ • '~ STATE ENERGY CODE x a S ~ ~ ~p ~ U ~ ~ ~ --- = .] ~ y 4 . - ~ FIiJAL ( O ~ ~ ` ADDITIOAIAL COMMENTS: x ~p 3 m x 'v ~ H ~. 37 > ,~ H H ~ O a b •• x m a m e m ro y 1Z~~~~~ X65-iso2 t3U1LDING DEPT. 1 NSPE~TIC~N FOUNDATION 1ST f l ROUGN PLBG. l%~10~( etl~i5: (]FOUNDATION 2ND ()INSULATION [ ]FRAMING (]FINAL REMARKS: '"~6'ti~'~~, l' \ , DATE _,~~~~INSPECTOR ~ l~ R,St~,~,.., a ~ „4~-~~-...__....,_...._.....--~.' FORM NO. 1 ~' TOWN OF SOUTHOLD uyt ~ iZ ~9SS BUILDING DEPARTMENT TOWN HALL LD6. DEPT. vDUTIiOLD, N.Y. 11971 TOWN OF SOUTHOLD TEL.: 765.1802 Examined .O!kl"?~~W, . ~1...., 19 ~g. Approved Q~~iA~...~.1.., 19~a. Petmit No..(.~.~.~Z''~ BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL T0: Disapproved a/c ..................................... ~~r (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19 .. . INSTRUCTIONS R 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 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 regttlations, and to admit authorized inspectors on premises and in building for necessa ins ections. (SigpaYure ot""applicant, or na , if a corporauonj 675 E. Le ion Avenue, Mattituck, N. Y. (Mailing address of applicant) i ].'952 ~ ' ' ; ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner ................................................................................................ Name of owner of premises . , Norman Wenk (as on the tax roll or latest deed) - If applicant is a corporation, signature of duly authorized officer. N/A ` .............................................. . (Name and title of corporate officer) .,. Builder's License No. ..... ®w.+/~~' n /a Plumber's License No . ....................... . Electrician's License No. .n/a Other Trade's License No, n/a 1. Location of land on which proposed work will be done. . ,675 E. Legion Avenue ... ................... Mattituck ..................................................................... House Number Street ~ ~ ~ ~ ~ ~ ' ~ ~ ' " qq HamleC County Tax Map No. 1000 Sectio~t .... , lad......... Block ...... ,3, , , , , , , , , , Lot ...:.~.~.. , , , , , , . , . . Subdivision Lot 1281 3, Map of Harr De~retri~ilcd A1att No . . . . . . . . ...... . ... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... , . Single family residence ............................. b. Intended use and occupancy .... Same ~JlT~ ~~~ .............................................................. 3'U& Noiayy sandx3 viol (lusaljdds,{o amxcu°t "~Ma"°~MIoAnS'B/.SLOLV'oN ..~. x.. . • . 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