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Home My WebLink About16810-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy ~o..z. ! .6.7.o. 4. ......... Date march 14, 1988 THIS CERTIFIES that the building F i r e p 1 a c e Location of Property 80 Ole Jule Lane Mattituck House No. Street Ham/et County Tax Map No. 1000 Section 1 14 . .Block 12 .Lot 0 18 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated M a r c h 9, 1988 pursuant to which Building Permit No. 16810 g dated March 14 , 1988 ............................ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which ttfis certificate is issued is ......... Construct a f±replace addition as applied for to existing one .... ~:~H~' '&/~ Wi'fi ~'. ......................................................... The certificate is issued to WALTER T. & ANITA F. MYLETT ..................... ?o¥.'e;, '~s~eo~ ~;,g4~P: X X .................. of the aforesaid building. Suffolk County Department of Health Approval Iq /A N/A UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMEHT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N_°16810 z Permission is hereby granted to:/ ....~/.~.~...,?.~. ....... ~ ................................. ....~ .~./'..~.,~.. ........ ..,..~.~.~.. .~....~._~ ....... ~ ........ ../~..~ ........ ~~,. .................................. at premises located at ........ ..~.~..... ~ ..~.~. ......... ..~....~.....~...~.. ......... ~-.~)...~..~. ............... County Tax Map No. 1000 Section ..... ././...~.. .......... Block .......... /...~... .... Lot No ......,./...~.. ........... pursuant to application dated .... ~./Z ........................................ 19..~...~'.,"- and approved by the Building Inspector. Fee $..~ .... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765 - 1802 BLDG. DEPT, TOWN OF SOU~HOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m -,,-,,~,-, to the Building Inspec- tor 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. Finat 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, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approvat 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 $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ?~.~;/~..o.h.?.,..1.~.~..~ .......... NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ... ~.Q. 01.e,. J1Al.a. Lc ne ............. 1~'~.~;~ i'tlAck House No. Street Ham/et Owner or Owners of Property ..... ~. 1.~,ar. ~.~ Ani¢.% .~,. ,~5..~r ~L .e.~.~. ....................... County Tax Map No. 1000 Section .. 12,4,0D. ..... Block . 1 ~ ............ Lot .0.%8., ,0.0,Q ....... Subdivision ................................. Filed Map No ........... Lot No .............. Perm ,tNo./..~.~/.~,, ,~, 'O ate of Pe rmit~,/~./~'.. A pp/ic ant...Q%'~¢ ;c. ......................... Health Dept Approval /-'//~ .Labor De Approval ............. Underwriters Approval /~/~ .Planning Board Approval · d/~. ..... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant . ,,/~....~.~.. ,~.: ,7...-.. ~ 765-180~' BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST r ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] ~NSULATION / [ ] FRAMING [,~FINAL REMARKS: ~) ~:~' ~ C~) 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 BOARD OF HEALTH 3 SETS OF PLANS '9''' SURVEY .......... CHECK ~. ........ SEPTIC FORM ............. NOTIFY ...... TEL.: 765-180~3 CALL ' MAIL TO: Examined . · .~//. ~. ........ , 19 Approved..~.~../Z ........ 19 ~Pe~it No. Disapproved a/c ..................................... ................................ APPLICATION FOR BUILDING PERMIT mt . ....... , m INSTRUCTIONS 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 ~reas, 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 shail 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signatnre<of:appli~ant, or name, if a corporation) ]b 9:.:B.o.x. .... :.· (Mailin~ address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, gen6¥al coh,~racior, electrician, plumber or builder. ~ ' ~ ' Name of owner of premises .., ~,;,1.-l;.e.z'. ~?....8~. j~$'~t..7~...3fl..7.% ¢$J:i ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY Builder's License No .......................... LICENSED Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No.. ~.3. ~ .0.g~...-..H... ~... .... I. Location of land on which proposed work will ~eJtpne .... ~.O..Qi.o.. ?..~.' .e..~.(~.e.,..~[.?.'b.~ .~.u.o.~ ............. .... 80 ............... .[ Ole. ,Yt~le. Lane .................... ~P.~.~%3Aqk. ....................... House Number Street Hamlet County Tax Map No. 1000 Section . .114..00 ......... Block 1.2 ................ Lotg.l.8...Q..O.O ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Resictenoe Intended use and occupancy ................. ~ .....__~,.. r b. Resiklenee '/' . , .; .............. 3. Nature of work (check which ap]dicable): New Building ..... ' ..... Addition~?.e.P.l.a.e. OAlteration .......... Repair .............. Remo tal .............. Demolition .............. Other Work ............... (Descriplion) 4. Estimated Cost ...16.7.5 ',0.0. ......................... Fee ...................................... " (to be paid on filing this application) 5. If dwelling, number of dwelling finits .. 7 ............ Number of dwelling units on each floor .5- .UPw .2. If garage, number of cars .... O120 ................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ~.¢ ................. 7. D~mensmns of existing structureS, ~f any: Front ............... Rear ............. Depth. i .............. Height ............... Number of Stories ................................. i ............. Dimensions'of same s~rllc~ure witllalterations or additions: Front Rear ~ ~ ~r~ . ' ............... . ................... Depth ........... .~.~ .... ?. Hmght ...................... Number of Stones ...................... '- 8. Dimensions of entire new construction:~ Front ............... Rear ............... Depth ............... Height ............. Num~)er.qf Stories ........................................................ 9. Size of lot: Front ..... ., [ ..... ~ .... Rear ...................... Depth ...................... 10 Date of Purchase i Name of Former Owner 11. Zone or use district in which pre~nises are situated ..................................................... 12. Does proposed construction viol~te any zoning law, ordinance or regulation: ..1~0 ............................ 13. No Will lot be regraded ......... ,... ........... : .... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~.~9~..e.a.~.~ ......... Address ................... Phone No.~.-.4.1.~'3. ..... Nmne of Architect .......... i ................ Address ................... Phone No ................ Name of Contractor ......... i ................ Address .... : .............. Phone No ................ 15. Is this property located ~ithin 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGR. AM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fr)Jm property lines. Give street and block dumber or description according to deed, and show street names and indicate whether' interior or corner lot. i 80 Ole iJule~,Lane - Corner of New Suffolk Ave. W THOUI CERT RCATE OF OCCUPANCY APPRO¥~D AS t~OT£D .66-1802 9 A~i TO ~ P~ ~OR 1HE FOLLOWING INSPECTION. · FOUNDA~ON 'i~O R~;QUIRE~ FOR POU~EO CON(,,REIE ROUGH FRAMING ~ PLUMBING ~. INSU~TION 4. RNAL CONSTRUCTION MUST ~ CO~V[.ETE FOR C,O. ~ CONSTRUCTION SHALL MEET ~E REQUI~MENTS OF THE N,Y ~A~ CONSTRUCTION & ENER~ ~D~. NOT ~SPONSIBLE FOR ~!GN OR CONSTRUCTION ~R~RS~ COUNTY OF. ,a.~. ~~ Si'S ..... .t~'..~..t.?.7~.t~/'/..7~...... ~.~k ~. ~ ......... being duly sworn, deposes and says that he is the applicant (Name of individual signigg contract) above named. He is the ....................... .. ~ ....................................................... (Contractor, agent, corporate officer, etc.) of said owner or ownem, ~d is dulYlautho~ed to perform or have perfo~ed the said work and to m~e ~d file this application;that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner ~et forth in the application filed therewith. Swom to before me'this~ ~, ~~~~ Nota, Public, ~~ .~; ~~.. County Commission Exp res December 8; t~