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Home My WebLink About17257-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218774 Date FEBRUARY 8, 1990 THIS CERTIFIES that the building ADDITION Location of Property 2505 DEEP HOLE DRIVE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 14 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 15 1988 pursuant to which Building Permit No. 172572 dated JULY 21, 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 AN EXISTING ONE FAMILY DWELLING. The certificate is issued to JOHN J. & HELEN K. TALBOT (owner, Xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DKPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ,~y~, R.J. uilding Inspector Rev. 1/81 mows xo. a 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°_ 017257 Z Date 19..4 Permission is hereby granted to: a~~. b....: ~.~.~Z.. ~.d:?~....~1e, A~i'~......~1.:.~. s... < Zr:...... to ..l.i°."`.:Q/.~^r!::4.s~.'.. 9.....~4~....~-RS.~rfX~:t:~..~ra....Q.:!~1...,~cwl o~, ~ oY premises located of ...r~.,~..'.~:}~........tt~'~ [.'..1.~~1 County Tax Map No. 1000 Section ........I~.~...... Block Lot No... ~°.Z' pursuant to application doted . 19~.~.., and approved by the Building Inspector. Fee Bu ng Inspector Rev. 6/30/80 i n ~v~~" i ~ ~J,i TOWN OF SOUTIIOLD _ v ~yy~ BUILDING DEPART?LENT ~ ti~`~'~~ ~j ~ wy TOWN HALL y s ~ f SOUTHOLD, NEW YORK 11971 ~~l~;;fe o-.~,, vv~ G 765 - I802 _a4 S0~ 2 t)~ :;W APPLICATION FOR CERTIFICATE OF OCCIIPAN 9 DATE. NEW CONSTRUCTION ....__.OLD OR PRE-E%IST.~I(NG BUI~L/DING..~.pAY~CANT LAND..___... Location of Propert Q UOUSE NO. L STREET 1,T HAMLET Owner or Owners of Property. Jo.?~,~, ~'..~W~„~~LF/.~_.y`:__ A.L~jpT County Taa Map No. 1000 Section Block Lot Subdivision Filed Map ........Lot.......... Permit No. ..........Date of Permit ..........Applicant ~O~~J ~ lft~-13n~ Health DepC. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Cerr~~t--i-f-•icate Final Certificate _ Fee SubmiCted: $ „ ~~;J. APPLICANT.. J~ ,3g9~~ ~/~/90 rev. 10/14/88 t I ~ FORM NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR C~RTIPICATE OF OCCUPANCY INSTRUCTIONS A. 'This application musC be'Ifiled in typewriter OR ink and submitted to the Building Inspector with 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 eater supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from lumber certifying that solder used in system contains less than 2/10 of IE lead.; 5. Commercial buildings,~,industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board;Approval of completed site plan requiremenCS. B, For existing buildings (Prior to April 9, 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, A.properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to Aptil 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. :3. Date of any housing egde or safety inspection of buildings or premises, or other pertinent informationlrequired to prepare a certificate. C. 1?or Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of ',,the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. i D. PEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwe~ling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certi>icate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporarq Certifigate of Occupancy - $25.00 Residential $so.nn Commercial i I 'i rev! 10/14/88 :'lELD IGS:~C;iU.~ ~~DnTE ~ i;OaKMENT° .i m 1. ~ H V1 _ - yJ e0Ui1DATI0N (1st) OUNDATIOtJ (2nd) o ~ ROUGH FRAME & CJ PLUMBING ti H 3. ~ m m IIJSULATION PER N. Y. yJ n STATE ENERGY CODE x r 4. m H FIidAL ~ I V. S' .O D ~LN. ~ z ADDITIOPIAL COMMENTS: x~ ~ tzr „ x ^o H " .Y H,` H O m b m a - x «a o m H 07i07i88 12'37 '6 516 727 4`L35 TITLE USA kiv NY ~ t7z 'i ' 1 U I rr~ ~ ~ ~ fwlidv~'::, c V. ~ >.1.6'89'2:~'r 10.0 ~ r~ . ~ ~ li•' ausi ~ Y r ~ _ sr ' L..y T ~ ~l KIO y. m . 1 u m _ J c' :W J 4 + L~ NS}'C+~i•~A„+:;:7:., y..~+: ~:i 4 t8' S v.: C. p{ Isn~ ,~y ~ .mr,. ~yr'slvR't WY~f•. 1 i~ fF+~naC r Hrv1.p i ~ . „ N ~ '~S~ ~ o I ; m Z'' ~ U ~ o: ~ . to ~ • , C-- P ~ V ; " . , , ~4 { r'•~ rt Ua~, ~o~..~;r ~fl~/g~' . BOARD OF HE~ILTH FOFM N0.1 3 SETS OFt~PL.1NS . SURVEY l~ TOWN OF SOUTHOLD CHECK :~'.790Q : , ~dSO,.?T BUILDING DEPARTMENT sEPTIC road TOWN HALL uOUTHOLD, N.Y. 11~J71 NOTIFY • TEL.:7G5-1802 CALL Examined 199 8 MAIL T0: n1111 ~ a Approved ..~MXM.Z.-~. „ 19~.~~. Permit No. ~ A~ 111 CI70Hl11os ~o Mnl o Disapproved a/c . 1tilaQ 'J079 sit s r (Building Inspec ~ a1 APPLICATION FOR BUILDING PERMIT Date ~?..t/;~~..../.... 19~~ INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to_ the Building Inspector, with 3 sets o`f 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 demo ' r as herein described. The applicant agrees to comply with all applicable laws, ordinances, building c de, ho in, de, an regulations, and to admit authorized inspectors on premises and in building for necessary inspecti (Signal e f appl~c nt, or name, if a corporation) . ' (Mailing address of applicant) , State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...........Uw !Z Name of owner of premises ..`~D~~ /i"'-fl I-f~rr~a a LQo T (as on the tax roll or latest deed) (f applicant is a corporation, signature of duly authorized officer. " (Name and title of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1, Location of land on which proposed work will be done . Flouse Number Streets Hamlet County Tax Map No. 1000 Section ......~./.S'~ Block ,J.7. , , , , , , , , , Lot Subdivision Filed tap No. Lot . (Name) , State existing use and occupancy of premises and in [ended use and occupancy of proposed construction: a. Existin" ~~:5.1-1?G"?.~.t.H.~.•. ,use and occupancy ~;~is . b, Intended use and occupancy fie!" saa~t+t icy } .:.;-.~s'~ ~+~,,.F,ie ature of work check which P Re~applicable): New Building , , , , Addition . , . Alteration Re air tnoval • • • • • • • • , , Demolition Other 1Vork , . 4. Estimated Cost . ~ ero (Description) Fee..................................... (to be paid on filing this application) g g units , , , , , , , , , , , Number of dwelling units on each floor . 5. If dara,lennumba of carsvellir~• • • • • • • • 6. If business, commercial or mi.edoccu anc~•••••~ ~i p Y, specify nature and extent of each type of use , , Hcialtt g.... NUres, if any: Front Rear . imensions of existin structu(nber of Stories . Depth Dimensions of same structure with alterations or additions: Front • ~ ~ • • • • ' ' ' ' ' ' ' Depth......, Rear............. .NumbcrofStories. 8. Dimension of entire newc~n ~ ' ' Ileight , , , $t, ct'ort: Front , P Rear . Heigltt , Depth . Z°.... . 9. Size of lot: Front. /So u~t~e~ofStorics...,,,... . : Rear So J O l0. Date of Purchase ,.~,;,YY;-,(o',~ me ofFotmcrOwner ,.ep~dti~,~,,,,, 1 1. Zone or use district in which p~'emises are situated , , u 2 nr Tr,r ~ ' ' ' ' ' ' ' ' ' ' ' ] 2. ,Does proposed construction vipfate any zoning law, ordinance or regulation: Of/O • • ~ ~ • • ~ ' ' ' ' ' ' ' Vill lot be regraded 14. Name of Owner of remises . o ' ' ' ' ' ' ' Will excess fill be removed from premises: Yes No p i••••••••••••••••..Address. .PhoneNo.. Name of Architect ,Address Name of Contractor.~.wM~R "'••••••••••••••.PhoneNo.. I f ~ P P Y ..................Address • Phone No. v2`~.b , IS*Is this ro err located with in~00 feet of a tidal wetland? *YES....NO..?.~. yes Southold Town Trustees Permit may he required. ~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and bloc}G number or description according to deed, and show street names and indicate whether interior or corner lot. ICI STATE OF tiE1V~OR1~~ //~j COUNTY OF . ! . $.S do'T ./ohm ~ t , , , , • , • • • , , , • , , , being duly sworn, deposes and says that he is the applicant (Aamc of individual s niiig contract) above named. • •i (Contractor, agent, corporate officer, etc.)• • • ~ • ~ • • • • • • ~ • ~ ~ ~ ~ • • • ' ' ' ' ' ' ' ofN 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 contaiped in this application arc true to the best of his knowledge and belief; and that the work will be performed in the mannersct forth in the application filed therewith. Sworn to before me this (I n 7-'~ ~ ~Q' ~ ~ .v ..day f . I'~. 19 ~G? -Votary Public, II County CLAIRE L. OLEW • , { ~NYPub~lo,~> ~OW6NwirYak__1 . auulHledin SuffolkCouMy_~{ (Signature of applicant) ~Cpmmtalon Explre~ Dacempar'i8.1a~'/ ~ ' r i~ S Zx4 v'. 0 2%4 .a _ - - - - ~ t¢ca 2 % 8 - 1 O. C, 5-- Z ~ 3I6 T 9 yn~J ~"Ase W ~.~EO(~E ic___.- 7 ~ Z%0 _ "v~,-.2 __zha_.._...__ ~.~2~8 ~7 _ f^FCIPPRo~~~: 4RAO.=___- • \ y I - -4K4 ccA ~q~ 12~ x IR" w 8" ~ P G worn,<I r L~ Y P.~ I ~ OR 1i~41h ~"A€~P. I • ~ , I r ~ E%~ST~N(y +IOOSE G'. - I i J r ~ J / i A I` 1 / I % ~ 1 I RP~~M4 CTYP~ ~ ~ r 1 ~i 11 ~ ~ / o I 1 ~ L _ 1 ~ I ~ ~ ~ / Q " , o ~ Iv oTr~ „ - _ I • I UI i ~ ~ ~ ALr. - ~ ^Ir ' 514 x 4 CCA n 3,. L.. ~EoorlrlGS- NINIµurJ- ~ I~ ~ ~ -1 , _ _Li~~x-~_._vlcfeL_a1;A_n.F r - I ; L ~ 1 _ 1 AL.-L .ERA MINE LU wIhE'~-__ ' . ~fo "CG-71 TRFN'Ccn'S,Y.Tr--------' TaP--75k"CPK.-'tl' x%4.4 qv wG pylITLN' n II \ _'o~I T. ~ j r-- _ s r-'I r' OI f - ~ - - - i I I- ~ I _ _ . 1-~,.. -0 x 4 CGA POSTS r - - ~I~ `,.y 2 - 2x8 ~fTIgnE2 L_ I 1_ ? oN \Y' x 12"-%8" I ~ P,C FOOTfIYCr LT YP.~ va R"OIA• aid OcGP S~p.~ '..s ~i I OCCUPANCY OR ~ ~ d' ~ ~ ~ USEIS UNLAWFUL WITHOUT CERTIFICATE i I i Of OCCUPANCY ~I , o I APPROVED AS NOTED i r DATE 7lI 9. P, N, /7457 ( ~7 ~ 1 ~I EE .SZ7. ~ V G'. L. gTIFY BUILDING DEPARTMENT AT i R181L ~ ~ 651802 9 AM i0 4 PM FOR THE ~1 ___Z-tY.9_-S.,I;2IISR -I - i ~ . OLLOW9NG INSPECTIONS I _ _ _ _ _ I FOUNDATION - TWO REQUIRED ~ 1 L= J -1 F _I FOR POURED CONCRETE ~ .ROUGH .FRAMING & PLUMBING .INSULATION ~ ~ , ' _ ~ _ ~ I . FINAL' - CONSTRUCTION MUST ~ ~ s _ _ BE COMPLETE FOR C.O. , ' lL CONSTRUCTION SHALL MEET L _ L. L _ 1- spas w irrsaeow oRewn sx A~ EOUMEMENTS OF 7HE N.Y. r ~ i NO-. T.E ~ 8~~ I~~OO~ semsm ~ ~5.. 1 CONSTRURg10N ~ ENERGY ~ = pe~eJULY -'08 N ~CONf1MRIgNEi1RORS --..¢S'D` pgpK PLAN ' • orewinG UUMIF~ ~1 .BOUT NOL.v L.UMC3E 2. c4,, ING, \ of 1 ~ i