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HomeMy WebLinkAbout17225-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217209 Bate AUGUST 19, 1988 THIS CERTIFIES that the building ADDITION Location of Property 1690 ELISAH LANE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section I08 Block 03 Lot 5.13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3ULY 8, 1988 pursuant to which Building Permit No. 172252 dated JULY 18, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to D. LETTERIELLO (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building spector Rev. 1/81 POEM NO. D 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) N ~ 017 22 5 Z Date 71..~' 19~.P~ Permission fisher ygrante~~ ~ /7 .c~....Gi~~ ~ , , ct premises located ot ...../...~.9D.....~~...:~s~~.~~ County Tax Map No. 1000 Section ......~v.Q........ Block ~~Ljjot No.....4~~.~-~.... pursuant to application dated .............(.,.1...~ 19.~G.., and approved by the Building Inspector. ~ Fee $..~.:1..!~.. uildir~nspector Rev. 6/30/80 r1ELD I;:SP~CTiUId ~~UATE ~ %UMMENTS ~ •n v 1 . ~ (~n _ _ _ + \ H (~w~( FOUNDATION (1st) t~ G FOUNDATIOIJ ( 2nd ) _ _ ~ 2. z o ~ P,OUGH FRAME & O PLUMBING H 3. m cn H INSULATION PER N. Y. STATE ENERGY ~ CODE x a J ® r^ 4. ~ ~m FINAL o z ADDITIOPIAL COMMENTS: x x ~ ro a~ y H O z x M \ H~ p [~7 ro H 1 FORM NO. 6 U ~ ml7 l5 Q ~ L5 TOWN OF SOU7HOLD Building Department Town Hall ~ ~ 9 ~~8 Southold, N.Y. 11971 765 - 1802 SLDG.DEP'~ APPLICATION FOR CERTIFICATE OF OCCUPANC TOWN OF50UTNOLD Instructions A. This application must be filled in typewriter OR ink, and submitted s 6~~ to the Building In~ec- 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 bpildings 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 $ 50.00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ I 0 0 4. Vacant Land C.O. $ 20.00 ~J/r~ S.Uodated C.O. $ 50.00 Date ~ ~V1..".~ NewConstruction,,,,,,pldorPre-existing Building Vacant Land Location of Property ............/~,/~l.`~.'T l ~~G~..- House No. y,,~,G Street Hamlet Owner or Owners of Property ~ r_ ~ / ' County Tax Map No. 1000 Section Block Lot . Subdivision . Filed Map No. ..........Lot No. . Permit No. Date of Permit Applicant Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....Final Certificate . l\ Fee Submitted $ v.... ~©l! `I' Construction on above described building and it meets all applicable codes and regulations. Applicant .4~""~'(. ~ . . Rev. 10-10-79 ~ ~3S GG CG. z~7aa9 TEL. 7G5-1802 o~~FFO~k o~ ~ TOWN OI' SOUTIIOLll -c Ol~ PICE Or BUILDING INSPECTOR o ,,r z P.O. BOA 728 `n ~ ~ T01VN HALL ~y~/~ SOUTEiOLD, N.Y. 11971 41~~ ~~p,^^,_~ ~II~9~5~ O. JJox ~ To Whom This May Concern, we are unable to complete your Certificate oS~Occupancy because of the following reasons. /VJ An application for Certificate of Occupancy is not on Lile. / / No Underwriters Certificate on file. /1// The check is (outdated/not on file.) i'~5 .D~ No health Dept. Approval on i e. No final inspection has been made. Please contact our office on this matter. 'I'liank you for your cooperation. I3uildi.ng I>ermit (t ~ ~ ~ ~ 5 Z Lt~T~~ 1 t aEcic- ~1n~• 1(U9C~ ELt ~rgN'S LI9N~ I3u.ilding Dept. No Plumber Solder Certificate on file. ( all permits involving plumbing being .issued afi-.cr April 1,1984 ) 4 C~/~V 76s-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ~ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ((,}FINAL yDP~Z, REMARKS: ~ ~ ~ r i DATE' ~8~ INSPEQTOR tc~ J BOARD OF HEALTH D a \ ! ~ 3 SETS OF PLANS O: K; ~,'~g~i,., "~~.•~d..>.-. FORMN0.1 SURVEY .O,•/< ~ ~t~ TOWN OFSOUTHOLD CHECK ~y~f ~I988 ~ I BUILDING DEPARTMENT SEPTIC FORM , , , , • wn l,~t TOWN HALL SLOG. pE£`T EOUTHOLD, N. Y. 11971 NOTIFY TOWN OF SOUTt90LD TEL.: 7051802 CALL w.~..~,~.,.ae-__....,..._._ ' MAIL T0: ,p Esamincd~7f~ 19~pt¢~ V, Qo ~o~a2 . Approved . '/l 190(J. Permit No.`~O~O?`~~ Disapproved/a/c ~"~7(/ ~1i At~~ ( iildi nspector) OA~~~"""~R""r'"""`~APPLICATION FOR BUILDING PERMIT ` PEE: Q~~/ " 1'ICR'IPY~~A7 Date ~ 15'! 786-1802 ~ AM 1p 4 !NI FOR THE FOLLOVVI/lf?i }NSOECTIONB: INSTRUCTIONS t. POUNpAT}ON TYMp~ a. ~~le completely filled in by typewriter or in ink and submitted to_ the Building Inspector, with 3 sets~rf$~~~cLi~ ~-IFldM1+ Fee according to schedule. ~~}}91~howing location of lot and of buildings on premises, relationship to adjoining premises or public streets or a¢ea~t~i~i "LvirtTt~~EkMt~i6n of layout of property must be drawn on the diagram which is part of this appli- cation 8~ COII~PLE'~E FOR C.O. HET~rPQ~~lR~~S~ 1~~ a~~ition may not be commenced before issuance of Building Permit. ~~i ~ t a ~c~4i~rn, the Building Inspector will issued a Building Permit to the applicant. Such permit shal ~pCt ~e~~s$v~~r inspection throughout the work. C:, ~ bu cn ~ ~ia`~'!t'I~~~~~~~~~~p,pi~~~r used in whole or in part for any purpose whatever until a Certificate of Occupancy shall"~t~~'ve`~~~ gra~~~~~t~"BF~"i9'd~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. Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, an regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or na e, if a corporauo ' (Mailing address of applicant) State whether app]cant is owner, lessee, agent, architect, engineer, general contractor uci~t„guDmber or builder. ...C3EN6;1'L./gZ . ~r!j- .......RATE: ~ 1~ U~AA~S ~ptt1111EE B.P.•IY• I~i L~~ r~Y~ rLl d ~ FEE: 0 BV: Name of owner`: of premises ,.......:...T 1.. NOT} UI (q• DEAR ' ' ' ' ' ` (as on the tax roll opagj)AM 70 a A PM FOR THE If applicant i~ a corporation, signature of duly authorized officer. FOLL.OYVIN(3 INSPECTWNS: , - 9. FOUNOATgN - TWO REQUIRED (Name andltitle of corporate officer) F(:tAMING A PWMB}}r(q 7-' S. INSULATION Builder's License'No. ~ ~.f•:.......... 4 8E COM' INSTRUCTION MUST ALL CONSP~E ~ C.O. Plumber's License No . TRUCTION SMALL MEET THE REQUIREMENTS OF tME N.Y. Electrician's License No. STATE CON$1'~T}ON ~ ENEROY CODES. NO! RESPONSIBLE FOR Other Trade's License No. DESIGN OR CONSTRUCftON ERRORS 1. Location of land on which proposed work will be done . . . ' ~ < House Number Strcet~ Hamlet , County Tax ibtap No. 1000 $CCIIO? Block . Lot Subdivision F.ilcd flap No. Lot . (Name) Stale existing use and occupancy of premises and intended use and occupant y~ y of proposed construction: a. Existing use and occupancy ~ • • • , n~n........................... b. Intended use and occupancy I 3, nature ofwor}, check which all " ( pplicable): New Building , , , , Additio .l.~..... rUteration epair . Rcmpval , Demolition . Other. )~~cr. , . 4. Estimated Cost . , ~';QIr, tT~'?, , • •w "lvvscription) Fee 5. If dwelling gl (to bG paid on filing this application) number of dwellin iunits , , , , , , , , , , , , , , , Number of dwelling units on each floor , , , , , , If garage, number of cars . 6, If business. commercial or mixed occupancy, specify nature and extent of each t~pe of use . . . . . . . . . 7. Dimensions of existing structures, if any; Front , , height Rear ......i,...... Depth..........., bcrofStorics,,,,,,,,,,,,,,,•..• ~ Dimp ensions of same structure with alterations or additions: Front Rear Dc, Ih........... m.. IIcight Number o}' Stories . 8. Dimensions of entire new constntction: Front , Rear . " " " ...............Nutn Ii'eight ' ber of Stories Depth . 9. Size of lot: Front , Rear . . ..,......p, 10. Date of Purchase . . . .Name of Former Owner ' ~.,..,:~.:Mf~~.~.: . miser are situated . . . 12., Does o 0 osedsconstru thontvioe p P ate any zoning law, ordinance or regulation: ~ • • ~ ~ " 13. Will lot be regraded ~ , , , , , , , , Nill excess fill be re ~ ' ' 14. Name of Owner of premises , , , , , , , , , , ,Address . ~ s~~ N:o Name of Architect , •~I ~ ~ • ~ ~ ~ ~ " " " " " ' • ' t ' Q/wtlVtl~3tJ1 Name of Contractor .................Address ,1e.Nd~i : f 15.Is this property localted within~00 feet of a tida ~ q'-t•"' If yes, Southold Tow 'Address * rj Trustees Permit may be required:. •Wt11T~i~.t'. PLOT DIAGRAM ~~lt1jA YktA'r'?lit4Y%'~D^- 1';G"` ~ ' Locate clearly and distinctly all~'~, buildings, whether existing or proposed, tc tS'J ii~~1 $t'~_,<.z1.t.. ,r~, property lines. Give street and block number or description according to deed, and. ~~e ~~~bg~llfidun~#A`sionA- from interior or corner lat. i atng8?sztd#itfd~tci74e whether ,Z /P Brl$~ 3.3FIF~trt7r~~r; ~cs.,, ~~~t~~~ ~G/4 6'~c I 100 ~ • d~~ •~A-~a-~~~~ -~~t'~.~ OC~IJPANC~f OR ~ ~ ~ ~ ~ sal il~~ ~ UNtAWFUI. .~>A USA S ~ ~ yVIT'NOUT CERTI~'tCATE ~ t~~t~ a i4CCUPAt~CY 3,~~ir~.1~ STATE OF N ~ Y "3 J J.tr, COUNTY ~ ~ ~~p ~~;T ~ ' ' ' ~ ~ '~~tltGt~r• • • • • • • • • being duly sworn, depo~es and says that he is the applicant Ism ~~dg9+4t?ettti;t) about namet~ppll}I'~l6fNT ~ r . f Ie is the ..4: ~ ~~K..l . . (Contractor, agent, corporate officer, etc.)I ~ • • ~ ~ ' ' ' ' ' ' of said -owner or awncrs, and is dufyl authorized to perform or have performed the s~id work and to make and file this application; that all statements contaiped in this application arc true to the best of his 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 cc ...............4 ./~.~..~...day of ....L/. y4y . 19~~ Notary Public, . ,~~!:~..~..~I?!Ui.~,Tlll/// , County " •1•• NELEN K. 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