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Home My WebLink About17724-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Off~ce of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17635 Date DECEMBER 27~ 1988 THIS CERTIFIES that the bulldin~ ADDITON Location of Propert~1725 RUTH ROAD MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 07 Lot 09 Subdivision F~led Map No. Lot No. conforms substantially to the Application for Bu~ld~ng Permit heretofore filed an this office dated Building Permit No. 17724Z DEC. 23~ 1988 pursuant to which dated DEC. 23r 1988 was issued, and conforms to all of the requirements of the appl!cable provisions of the law. The occupancy for which this certificate is issued ~s DECK ADDITION TO EXISTING ONE FAMILY DWFI,LING. The certificate is issued to MARTIN L. GRIFFIN (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DAT~U N/A ~uzldlng Inspector Rev. 1/81 FO~Wr NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ 017'f24 Z Perm~ss,on *s hereby granted to: ./**~, ~;'~.**.~***_~,_~_Y .................. ;_,..,... ........ ~p~,, ;o~o,,d ot...~..~.~.~ ......... "Z~.~ ............... ~ ...................... .................................................................. ~,~...~.~...~ ................... Counh/ Tox Mop No 1000 Sect,on .... ~ ~, .~ Block ...... .,(~.....~. ...... Lot No . ..~..(~ ...... ~.rs~o.t ,o o~,~ot,o, do,.~ .,~,~, .~...~. ,., 1~.~..:~.. ond op~o~ ~ t~e Budding Inspector. Fee $ '~.~..,: ........... Rev 6/30/80 FO~ NO, 6 TOWN OF SOUTHOLD Buildmg Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcat~on must [be fdled in typewriter OR ink, and submitted m ~ to the Buildmg Inspec- tor w~th the following; for new bullrings or new use: 1. Final survey of property with accurate [ocat~on of all huddmgs, property lines, streets, and unusual natural or topographm features. 2.Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3.Approval of electmca[ installation from Board of Fire Underwmters. 4. Commercml buddmgs, lndustrml buildings, Multiple Remdences and similar build,ngs and in~tafla- tions, a certificate of Code comphance from the Architect or Engmeer responmbte for the buddmg. 5.Submit Planmng Board approval of completed rote plan requirements where apphcable. B. For existmg buddmgs. (prior to April 1957}, Non-conformmg uses, or buddmgs and "pre-existmg" land uses: I. Accurate survey of p~operty showing all property hnes, streets, bullrings and unusual natural or topographic features. 2.Sworn statement of ~wner or previous owner as to use, occupancy and condition of buddings. 3 Date of any housm[7 code or safety inspection of buddmgs or premises, or other pertment informa- t~on required to 0repare a certificate. C. Fees: Add£t£ons $25.00 POOLS $25.00 ALTERATION $25.00 1. Cert~flcate of occupancy New DwelI£ng $25.Q0, Accessory ,$10.00 Bus~aess $.50.00 2. Certificate of occupancy on pre-existmg dweJhng $ ]00.00 3. Copy of cert~f~cate of occupancy $ 5.00, over 5 years $ 10.00 4.Vacant Land C.O. $ 20.00 5.Updated CoO. $ 50.00 Date .......................... NewConstruction XX Old or Pre-exlstmg Building ....... Vacant Land ...... Locauon of Property ....................... [7.,2.5 .%UT~ ROA.D .~A%TI.R~.C.~. .................... . ... . House No. Street Hamlet GRIFFIN Owner or Owners of Property.................MARTIN L. ..... .......................... . . ,o6 o7 o.? County Tax Map No 1000 Section ........... Block Lot Subd:vimon ...... Fded Map No ....... Lot No. Permit No ........... Date of Permit .... ........ Apphcant ................................ Health Dept. Approval .................... .... Labor Dept. Approval ...................... . Underwmters Approval ................ .. . .... . Plannmg Board Approval ..................... . Request for Temporary Cert'lhcate Final Certificate Fee Submitted $., .2.5...0..0. ' ........ Construction on above described buddmg and permit meets ali apphcable codes and regulations. Applicant A. REILLY & SONS INC. Rev 10-10-78 FOUNDATION FOUNDATION (2nd 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y STATE ENERGY CODE FI~IAL ADDITIONAL COMMENTS: FORM ~0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N Y. 11971 TEL.. 765-1802 BOARD OF HEALTH ......... 3 SETS OF PLANS ......... SURVEY CHECK ................... SEPTIC FORM ............. Exam,ned .0-~. e,-%"~M.~.~ ,, 19 .~.~ Dxsapproved a/e .......... J ........................ ...... (Buddmg Inspector) APPLICATION FOR BUILDING PER~IT INSTRUCTIONS NOTIFY CALL .................. MAIL TO: a. Tiffs ' apphcat,on must be completely filled in by typewnter or in ink and submitted to the Bmlding Inspector, w sets of plans, accurate plot plan' to scale. Fee according to schedule. b. Plot plan showing locaUon of lot and of buddings on premmes, relatmnsh~p to adjoining premmes or pubhc st or areas, and giving a detmled descmption of layout of property must be drawn on the dmgram wh,ch ,s part of flus cation. c. The work covered by tl~s appbcatmn may not be commenced before issuance of Buildmg Permit. d. Upon approval of th~s apphcatlon, the Bmldmg Inspector w/Il issued a Bmldmg Permit to the apphcant. Such pL shall be kept on the premises av~Qable for mspechon throughout the work. ¢. No buildmg shall be occupmd or used ~n whole or ~n part for any purpose whatever until a Certificate of Occup shall have been granted by the Bulldmg Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the ~ssuance of a Bmldmg Permit pursuant Building Zone Ordmance of th~ Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordmanc~ Regulations, for the construction of buddings, ad. al,lions or alteranons, or for removal or demolition, as hereto desert The apphcant agrees to comply w,th all apphcable laws, ordinances, budding code, housm~ code, and regulations, an admit authorized mspecto~ on ?rem,ses and m bmldmg for necessary..lnspect,ons. .X'..,..F£/.t¢ ...... (Signature ot apphcant, or name, if a corporanon) (Malhng address of applicant) State whether applicant zs owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bull _. ,,,,-, ~.'- ~ ~l'~Z~f ................. ~m, or o,,,=~ or ~m,~,, .... ~ .....A. .... O ~/~/~,..:.~,.~.,.~,~.,., .... (as on t~e t~x roIl~osr~t~s[,~ ~r =p~s n cg[p~B6~%~tur~or duly authorized officer Plumber's License No ...................... Electrician's License No .................. Other Trade's License No .................. I. Location of land on which proposed work wall be done House Number County Tax Map No Subdivision Streetx. /0 Co" [ 000 Section ............... Block ....... ............................ F!led Map No (Name) V Hmnlet ............. Lot ............. State eMs,rog use and occupancy of premmes and intended rise and occupancy of proposed constrtlCtlOn a. Ex,sting use and occupancy ............................................................. b Intended use and occupancy ......... ~i~5~ f/',Ta~,or .~7...0~-...~....b;). ~. T{~.....~.p ~../' ~. O..M. ....... 3. Nature of work (check which applicable): New Budding ..... ' ..... Addition .......... Alteration Repair .............. Removal .............. Demolition .............. Ot ~hcr X,V~ ..... "' ~' "~Descnptmn 4. Estlmat ost ......... r ..................... (to be paid on fihng this application) $. If dwelling, number of dwelhng units ............... Number of dwelhng umts on each floor ............. If garage, number of ears . ~. ............................................................... 6. If business, commercml or m~xed occupancy, specify nature and extent of each type of use 7. Dimensions ofexistlng struc~tures, lfany Front ............... Rear .............. Depth ............ Hmght ............... Number of Stones ..................................................... . Dimensions of same structure with alterahons or additions: Front ................. Rear ................ Depth ................ ! ..... Ilmght ...................... Number of Stones ............ 8. Dimensions of entire new construction. Front ............... Rear .............. Depth ...... Hmght .............. Number of Stones ...................................................... 9. Size of lot: Front ........ ' .............. Rear ...................... Depth .......... 10. Date of Purchase ............................. Name of Former Owner 1 1. Zone or use district in whicl{ premises are situated ................................................. 12. Does proposed construction,violate any zoning law, ordinance or regulation: .............................. 13. WflI lot be regraded ...... ~ ...................... Will excess fill be removed from premises: Yes 14. Name of Owner of premmes'. ................... Address ................... Phone No .............. Name of Architect .......................... Address ................... Phone No .......... ... . Name of Contractor i Address Phone No .. 15.Is this property located withlnflO0 feet of a tidal ~etiaud? *YES .... NO .... *If yes, Southold Tpwn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.~ndicate all set-back d~rnensmns ftc property lines. Give street and block number or descnphon according to deed, and show street nmmes and indicate whet? interior or comer lot. OCCUPANCY OR USE IS UFILAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED ff, 7.~ 'o2 9 AM TO a P~, FOR THE F(, ' 'lNG iNSPeCTIONS 1 ~ ,,,oATiON ~OREQUTREO FO~ PI)UR ED CONCRETE 2 ROUGH - ~MING & PLUMBING 3 IN~ULATION 4 FINAL ~ ~NS~U~ON MUST BE cOMPLE~ FOR C.O, ALL CON~RU~O~ ~ ME~ THE REQUIR~E~ ~ ~E N.Y. STA~ CONS~U~ & ~GY ~DES, N~ R~ ~ OES~GN OR ~~ ~R~S STATE OF NEW YORK, S S COUNTY OF ........... ......................................... being duly sworn, deposes and says that he ~s the applic~ (Name of mdiv~dual mgnmg contract) above named He ~s the ..................................... -~ ............................................... (Contractor, a~gen~corporatc officer, crc.) of said owner or owners, and ~s duly authorized to perform or,have performed the sa~d work and to make and file t: apphcanon, that all statements contained mttus apphcauon are true to the best of his knowledge and belief; and that t work wdl be performed m thc manner set forth m thc apphcatmn filed therewith. Sworn to before me thru ........... ~ ...... day of ..... ~ ~ ........... 19T~ ~A~ PUBLI~ N~ 470787B, Term ~pr~ [~ " Sa~set Knolls, SeCt ~ NOT~: ~ FILED IN ~HE OFFICE OF T~E CLERK ~ SUFFOLK YOUNG ~ YOUNG ~URVEY MAR~/N L, ~ PA~R/C/A L, GR/FFIN LO~ /9~ 'CAPTA/N K/DD ESTATES' ~r ~RAN~EEO ~w oF SOU THO L O s~R~ ~ a su4~ ~ SUFFOLK COUNrY, N~ ~r~.~ ~