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HomeMy WebLinkAbout26742-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPDRgCY No: Z-28498 Date: 06/10/02 · l~fS CERTIFIES that the building ADDITION Location of Property: 2355 REEVE AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 100 Block 1 Lot 43 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 24, 2000 pursuant to which Building Permit No. 26742-Z dated AUGUST 29, 2000 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 AS APPLIED FOR. The certificate is issued to NANCY E STROKER ( OWNER ) of the aforesaid building. SI/FFOLK COUIFi~f DEPART~qT OF NRALT~ D~PPROVkL EI~BOI'~ICAL C~TIFICATE NO. PLUMBERS CERTIFICATION DA'r~ Rev. 1/81 N/A N/A N/A ~/~ure FORM NO. 3 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) PE~IT NO. 26742 Z Date AUGUST 29~ 2000 Permission is hereby granted to: NANCY E STROKER 166 DUANE STREET NEW YORK~NY 10013 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2355 REEVE AVE MATTITUCK County Tax ~ap No. 473889 Section 100 Block 0001 Lot No. 043 pursuant to application dated JULY 24~ 2000 and approved by the Building Inspector. Fee $ 75.00 Rev. 2/19/98 COPY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FORCERTIFICATE OF OCCUPANCY This apPlication must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. ~ccurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. , If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building.S25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Oc~npancy - i .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... .~..~1~ .................. 'i ........... New Construction .... .~. ..... Old Or Pre-existing Building ................. Location of Property... ~.~.~....~...~...~... ~...~.~. ....................... ~..~.-~...c~.. ......... House No. Street Hamlet Onwer or Owners of Property ...... ...~..~..~....~.~.~.~.. ...................................... County Tax Map No 1000, Section ..... ~.~. ..... Block .... O~.~ ....... Lot....~ .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No....~.~.?.~.~..~...Date Of Permit....~l~.~l.O.~ ...... Applicant.. ~-~..~.~Q~-~.~ .......... Health Dept. Approval .Underwriters Approval. Planning Board Approval Request for: Temporary Certificate ........... Final Certicate.. Fee su mitted. ~ · $ ............................. BUILDING PERMIT REVIEW CHECK LIST Applicant/ Owners Name: Architect/ Engineer: SCTM #: District: 1,000 Section: __ Date Reviewed: Date Submitted: Block: ,/ Lot: ~'--~ Project Location: ,,~. 3 ~"-5-- ~ Single & separate Required cemfication: (Yes / No) Req. Project Description: fl-~ AGENCY PERMITS REQUIRED FOR REVIEW N.A. Suffolk County Health Dept. ~ New York State D.E.C. t~ Town Trustees Town Zoning Board approval: ~ Town Planning Board approval: Flood Plane Elevation ??? Flbod Zone: Notes: -Permit NO YES Number 765-1802 BUILDING DEPT. INSPECTION [ [ [ [ REMARKS: ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] I,~LATION [4 FINAL ~ ,DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]~ON [ ]FRAMING //~o ~FINAL [ ] FIREPL(~& CHIMNEY DATE //~/ INSPECT~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [/~] FINAL REMARKS: II-;l.I) INSI-'I'SCTI¢ N REPORT DATE COMMENTS II )U~ATION (IST) jj ~ATION ( 2~ ) ~ II II PLUHBING JJ " NSULATION PER N. Y. 4l II II II STATE ENE RG'Y 4{ --Ii, II 11 CODE il --Il. II Il Il II [I [{. Il Il Ii{_ Il FINAL ADDITIONAL ~2 ~12000 t. '..D~. DEPT.'"--'-- ,.. TOWJ~, OF SOUTHOLD FORM NO. I TOI~ O~ SOUTHOLD BUILDING DEPARTHENT TOI~ HALL SOUTHOLU, N.Y. ! 197 ! TEL: 765- 1802 ././ .... ...... , .... Pe t NO ................ Disapproved a/c .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ......... ' ...... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... DEC ........................... TRUSTEES ...................... CALL .................. MAlL TO: .................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date...~..~.. ].'~..' .... , 20.~X a. 'Ibis application :~st be c~letely filled in by typewriter or in ink and submitted to the Building Inspecto: 3 sets of plans, a~curate plot plan to scale. Fee according to schedule. b. Plot plan showing lc~atiofl of lot and of buildings on premises, relationship to adjoining promises or public streets or areas, and giving a detailed description of layout of property mast be dr~an on the diagram ~aich is part , this application. c. ~e work cowred by this application my not be cc, menced before issuance of Building Pemit. d. Upon apv~val of this application, the Building Inspector t~ill issue a l~ailding Permit to the applicant. S~ permit shall be kept on the pr~aises available for inspection throughc~t 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. ~ICATI~ IS ~.:~t ~ to the Building Deparr-~ut for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tc~n of Southold, S~ffolk Connry, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for r~oval or demolition, as herein described. The applicant agrees to cc~ly with all applicable l~s, ordinances, building code, housing code, and regulations, and to ~mit authorized inspectors on praises and in building for necessary inspections. .......................... ( ignarur~t of applicant, or nane, if a corporation .... (Mailing a.4aress of applicant) State whetber applicant is mr, lessee, agent, architect, engineer, general contractor, electrician, plu:nber or bui~ bleme of c~ner of prmises ~a~t,W ~k0 (as on the tax roll or latest deed) If applicant is a corporation, signature of duly anthorlzed officer. (Nam and title of corporate officer) Builders License No .......................... Ph,-hers License No .......................... Electricians License No ...................... ]. tocatio~ of laai on which proposed work will be done ............................................................ Boise I~ ,~_r Street ~let comty TaxMap m. 1000 Section .~.~.~.~J~..J.0.0fJL~.?~lock ................ tot ................ S~bdivision ...................................... Filed Map No. tot 2. State existing use and occupancy of promises and intended use and occupancy of proposed construction: a. stlng ............................................................... ~. P.~a,r~ of ~ork (check d~id~ applicable): Ne~ Ooilding .~.~.L..~ .... ~,~dition .......... Alteration ......... '. ......................... ~r of Stories ...................... ~pth .................... ~i~c .................... ~r of Stories ............... IMi~c ......................... ~r of Stories ..................... ~ress ........... PLOT DIAGRAH t~cate clearly and distinctly all buildings, ~e~t~r existing or proposed, a~d indicate al! set-back dimensions ~,uo pcoperty lines. Oiv~ street and block ntraber or descriptio~ according to deed, and sho~ street hanes and indicate ~etber interior or corner lot. Naue of in~lividual signing contracO ~e is the ................................................................................................... (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly ~uthorized to perfom or hav~ perforu~d U~ said work a~l to make and file this ~pplication; that all stat~ents contained in this application are true to the best of his knowledge and beliefl and hat the work will 1~ perfon~l in the maturer set forth in the application filed therewith. X \ \ \ \ THIS SURVEY NOT TO BE USED FOR TITLE PURPOSES NOTE: I. SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAY Z?, 1988 AS FILE NO. 8532. 2. ·: STAKE FOUND SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION '1 AM FAMILIAR Wl3PI THE STANDARDS FOR APPROVAL AND CONSTRUC~ON OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY ]HE CONDI110NS SET FORTH THERE)N AND ON ]HE PERMIT TO CONSTRUCT.' APPLICANT'S SIGNA]IJRE: APPLICANT: S1REET ADDRESS: CffY: STA]~: ZIP CODE: TELEPHONE NUMBER: Young & Young, Land Surveyors 400 Ostra~der Aven~e, Riverhead, New York l fgOl 5 ! 6-?27-2303 AldeT~ ~. Young, Z~roJ'es~r~o~al Engineer & Za~d S~eyor Howard ~. Young, La~d S~eyor Thom~ C. ~olpert, ~ofes~onal Engineer Kenneth F. Ab~zzo, Land Su~eyov SURVEY FOR: STEPHEN J. TUTHILL E~ SUSAN C. TUTHILL LOT NO. 5, "OREGON HEIGHTS" At: MATTITUCK Town of: SOUTHOLD Suffolk County, New York I000 Suff. Co. Tax Map' ~ District CERTIFIED TO: STEPHEN J.TUTHILL SUSAN C. TUTHILL NORTH FORK BANK ~ TRUST LAWYERS TITLE INSURANCE COMPANY I I00 I I I 43 Section Block Lot OCT. 12,1994 APR. 14, 1994 FEB. 17, 1994 JAN. 19 1994 DATE :NOV. O, 1995 SCALE : 1"= 50' JOB NO. : 95- 08:55 SHEET NO. :1 OF 1 ,J_