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Home My WebLink About16847-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16738 Date March 24, 1988 THIS CERTIFIES that the building .. CONSTRUCT ACCESSORY BUILDING Location of Property 145 Hot'ton Avenue Mattituck, New York House No. Street Hamlet County Tax Map No. 1000 Section .. [4. ! ....... Block . P. 1. ........... Lot .... .37...0.2. ....... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 21, 1988 pursuant to which Building Pemlit No. 16847 Z dated Ma r c h 22, 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 ......... ACCESSORY BUILBING The certificate is issued to MARK & LYNN TESSER ..................... x x ................... of the aforesaid building. Suffolk County Department of Health Approval .......... N../.A ............................. UNDERWRITERS CERTIFICATE NO .................. ~../.A ............................. N/A PLUMBERS CERTIFICATIOM DAT]gD: Re~. 1/81 TOWN OF SOUTHOLD IBUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ id847 z Permission is hereby granted~/h . ~ ,,~t°: /~ ~ ...tt...~..~...~- / ............ l..-.~. ...... ~ ........... ..3~.~~.....~.:.~.,....u..~:..~.~ ......... at premises located at ..~ .............. ;. ............................ County Tax Map No. ]000 Section ..... L.~,./ ......... Block ......(~...I .......... Lot No....~...~..,..0......2:~... pursuant to application doted .~.~ ~,~l...~J ................ , 19.~..~.., and approved by the Building Inspector. Fee $..~..L....~... ..... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 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.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,,,tndustrial 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 approval 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 p~operty 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 $25.00A~LTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, ~0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Oate ...................... NewCons truction ..... Old or Pre-existing Building Vacant Land Location of Property ...1.~j.. ]'... . ~..~.~'~. ....... ................................... Owner or Owners of Property ~/-~ ¥~..~. ~..~, County Tax Map No, 1000 Section .../.,~, ,I.,. 0. ~ Block ...0. J;, .0. ~, ..... Lot....(~.5 .'~,..O. ~..~,, Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. I.~.%7.~:,. Date of Permit~lo~l ~, ,~..Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary,Certificate ..................... Final Certificate ....................... Fee Submitted $.. ]..~. ....................... Construction on above described building and pe.~rJ:c~meets aJ~~es and regulations. Appbcant .. Rev. 10-10-78 Co i 73%/ FOUNDATION FOUNDATION 2. ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE (1st) FINAL (2nd) ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PI..BG. FOUNDATION 2ND [ ~NSULATION / FRAMING ~ FINAL INSPECTOR ~/ ~'/ '~ :-',F, TR OF PI,^N,r', ....... SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SB?TIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 CALL ................ TEL.: 7654802 MAIL TO: Disapproved a/c ............................... ·. · · · ./,'~, ................................ .... (Building Inspector) APPLICATION FOR BUILDING PERMIT TOW,', . ,4 INSTRUCTIONS a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 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 wilt issued a Bu/Iding 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 Occt~pancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bu/lding 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,~cd regulations, and to admit authorized inspectors on premises and in building for necessary inspection),~ __~ff ........... .... , (Signature ot app ican , or , :;2 . .... ..__~ -- .... (Mailing address of applicant) State whether applicant is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. O Name of owner of premises ..... ~ ~.~...~... ~.O .~...4-.V.e?......-~./~'.5~..~.'~7/~ ................................ (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co. orate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED 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 .................................................. .. t0.¢To,q ......... ..................................... House Nmn bet Street Hamlet County Tax Map No. 1000 Section .../..~[.l.'. '.0. 0. ...... Block ...0.1.,...0.9 ....... Lot. 73'7.,.o. 97-4.. ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~.../'..~d~-~~.. .~../~5/~.z/. ·/7'. .~. ..... /.~ -~. ('/..~. ~-~.~- · · ..................... b. Intended use and occupancy ...... .C'.~:~ .~.~..~..'.~. .... .~..~./Jif-. ?: ...........................: r .,~.,.._,~. 3. Nature of work (check which applicable): New Building ' Addition . . ........ Alteration .......... Repair .............. Removal .............. Demolition ........... .,. Other Work ............... (Descriplion) 4. Estimated Cost ........ .7.~¢..C~.. ....................... Fee .......... ~ ............................ · (to be !paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling uni{s on each floor .......... If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... I ....... Depth ............... Height ............... Number of Stories ........................... ' ............................ Dimensions'of same structure with alterations or additions: Front ........... ' ..... Rear .................. Depth ...................... Height .......... ~, ........... Number of, Stories ...................... - 8. Dimensions of entire new construction: Front ..... .'.. 0. ~..I.o~,, Rear ....... i ....... Depth ............... Height ............... Number of Stories ............ ~ .............. ~ ............................ 9. Size of lot: Front ......... ["00 ......... Rear ......... Depth 1~¢~:~ .~.O0 . 11. Zone or use district in which premises are situated ............ ~ 12. Does proposed construction violate any zoning law, ordinance or regulation: ,.. i ........ ~, ;!. j .... . fqq>..;.... 13. Will lot be regraded ............................ Wil excess fiI1 be removed froJ~ premises: Yes~ ~ ,;, No Nme of Contractor .......................... Address .... : ......... [... Pl~o';~ ............... 15. Is th~s property locaeed within 300 feet of a ~idaZ wetland? ~Y~s ..... f~ .... *If yes, Southold Tom Trustees Permit ma~be required. ' PLOT DIAG~M~ Locate cle~ly and distinctly M1 bu~d~gs, whe~er existing or proposed, and~i~dicate ~1 set-back d~ensions from property Shes. Give street and block number or descHption accord~g to de~~ ~e~ indicate whether intehor or corner lot. USE UN WFU[ WffHOUI C[RIFICAI[ 0[ 0CCU NCY STATE OF NE S S ~r~ r~ ,' ~ ...... COUNTY OF..~.~/t .~ ~ .~ ~i ...... - ........ {Name of individual sJgaj.ff~ ~ontract) above named. (Contractor, agent, corporate officer, etg.) of said owner or owners, ~d Js duly au~ofized to perform or have performed the said work application; that ail statements contained ~ this application are true to the best of his knowledg~ work w~l be perfomed in the m~ner set forth ~ the application filed therewith. Sworn to before me thi~ n . ....... ........... No ~796~ .~ (Signature of applicant) Qualified n 8u~lk Coun~ ' * ~miss~on Expires Decemhnr 8. 19~