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HomeMy WebLinkAbout16878-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-I6766 Date Aprzl 5, 1988 THIS CERTIFIES that tile building ACCESSORY 230 Bayer Road Mattituck, New York Loc~ton of Property ~use No ........... Steer ............... County Tax Map No 1000 Section .1.3 ? .... Block 3 Lot 23 Subdw~mon .............. F~led Map No ..... Lot No .......... conforms substantially to the Apphcatton for Budding Permtt heretofore filed in t/us office dated October 21, 1987 16878 Z ........... pursuant to winch Braiding Permit No ............. dated. April. . 4, .... 1988 . wasmsued, and conforms to all ofthe reqmrements of the applicable provlmons of the law The occupancy for wl~ch tlns certificate is ~ssued Is . METAL UTILITY SHED The certificate Is msued to. , . . .H e n r y..L.. of the aforesaid building Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED: Tyler & Betty M. Tyler .......... N/A N/A N/A Rev 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Off~ce of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Z-16767 THIS CERTIFIES teat the bmldmg D.E.CK .ADD.I.T.I.O.N ...................... Locatlon of Property . 2.30.Zay.er..Rqad ..... M.a~..~.i3.uc.k:..N...Y.. ..... House No Street Hamlet County Tax Map No 1000 Section I .39 .... Block 3 .Lot 23 Subdtvtmon Fried Map No ..... Lot No ........... conforms substantmliy to the Apphcatton for Budding Permtt heretofore filed m t[us office dated October 21, 1987 pursuant to wtnch Btuldmg Permit No. 16878 Z dated . Ap.r. ~ 1. 4., I .9.8 8 . .. was ~ssued, and conforms to all of the reqmrements The certificate ts msued to of the aforesmd building. of the apphcable provisions of the law The occupancy for which tlus certtflcate ts msued is .. WOOD DECK ADDITION TO EXISTING ONE FAMILY DWELLING HENRY L. & BETTY M. TYLER ........... ?owder, I$~¢S $~i&,~X ...... Suffolk County Department of Health Approval ..... .N / A. .................... UNDERWRITERS CERTIFICATE NO ............ N/A PLUMBERS CERTIFICATION DATED: N/A Buridlng Inspector Rev 1/81 / / TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERA~IT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Cou.~ To× Mop No. ~000 Sec.o. ,./.~ ~.. Bulldmg Inspector. B,o~k ..~..3. ......... Lot .o .~...~..3 · ~ / ..... , '19.~:~ ~ond approved by the Building Inspector Rev 6/30/80 J:ORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCC Instructions A This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Fmal survey of properW with accurate location of all buddings, 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 mstallauon from Board of Fire Underwriters. 4. Commercmt buddmgs, industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responmble for the building, 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For exlstmg buddmgs (prior to April 1957), Non-conforming uses, or buddings and "pre-existing" land uses' 1. Accurate survey of property showing all property lines, streets, bullrings and unusual natural or topographic features 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housmg code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwellzng $25.00, Accessory ,$10.00 Business $50.00 2. Cert~hcate of occupancy on pre-ex~st~ng dwelling $ 50. OD 3. Copy of cert~fmate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ..... NewCons %z~uct~on./~.... Old or Pre-e×istmg Budd mg ........... Vacant Land ............. Location of Property 230 Bayer Read Mat,t.z.t, uck . . House No. Street Hamlet Owner or Owners of Property Henry L: T~ler and Bet%y ~. Tyler County Tax Map No. 1000 Section ...1.39...00 ...... Block ...0.~, .0.0 ....... Lot...Q~3...QQQ ..... Armended ~[ap of Mattltuck Helghts- .... 1% 8 4. N o. 6,4. .P/.O..6.3... Subdw~slon ........................... .~ i~eo i¥1ap two ......... Lot .&. Permit No ........... Date of Permit ......... Applicant ...................... Health Dept Approval ........................ Labor Dept. Approval ...................... . . Underwriters Approval ....................... Planmng Board Approval .................. Request for Temporary Cert~hcate ................... Final Cert~hcate ..... .X. ........ Fee Submitted $ I 0, 0'Q. ................. Construction on above descmbed bu,ldmg and perm~_~.all appl,cable codes and regulat,ons. Apphcant .... ~3'~t~;' ~.~Ti;'l'~i" ' .~-r ....................... Re~ 10 10 7a FORM NO. 6 TOWN OF SOUTHOLD Bullring Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCC This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the follo~vmg, for new buildmgs or new use: 1. Fmal survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. Fmal approval of Health Dept of water supply and sewerage d[sposal-(S-9 form or equal). 3. Approva~ of electmcal installation from Board of Fire Underwriters. 4. Commercial buddmgs, Industrial buddmgs, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responmble for the buildmg. 5. Submit Planning Board approval of completed rote plan requirements where apphcable. For existing buildings {prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses' I. Accurate survey of property showing all property hnes, streets, buddings and unusual natural or topographic features. 2. Sworn statement of owner or prewous owner as to use, occupancy and condition of buildings. 3. Date of any housmg code or safety mspect~on of buddings or premises, or other pertment informa- t~on required to prepare a certificate, C. Fees' 1.Certificateofoccupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2 Certificate of occupancy on pre*exmtmg dwelling $ 50. O0 3 Copy of cert~flcate of occupancy $ 5.00, over 5 years $]0.00 4,Vacant Land C.O. $ 20.00 5. Updated C.O. $ 50.00 Date., New Constr'uctlon.~.. Old orPre-ex~stmgBuildlng ........... Vacant Land ............. Locat,on of Property ... ,2.3.0. ............. .B.aXe..r' .a. qa..d ................ .~.~.a.~.t.% t. u.c.k. ........ House No. Street Ham/et Owner or Owners of Property ...H.e.~..ry, ,~.:. ?~'.~e..~. ?.qd., ~.e~¥..M.... ?~.le.~ .................. County Tax Map No. 1OO0 Sect,on ...~.3.9.. O.Q ...... Block ...0.~, .09 ....... Lot...O:~3...q Q0 ..... - Subd,v,s,on . .~.~--_~..d.ed. ~.~..p..o.~..F~..~.~.~ .~.uc~,, .~?±,g.h. ,~ded Map No..~.~.8.4. ..... Lot No. 6,4. & ?/.O..6.3.. , Permit No ......... Date of Permit ......... Apphcant ................................ . . Health Dept Approval ....................... Labor Dept, Approval ....................... . Underwmters Approval ....................... Planmng Board Approval ...................... Request for Temporary Certificate Fmal Certificate X .... Fee Submitted $. ~5,0~ ................... Con struct~on on above descm bed budding and p erm~t/~eetsall ap pl,cabie codes and regu lat ~ons Rev. 10 10 78 RICHARD F LARK ATTORNEY AT LAW December 1, 1987 Town of $outhold Building Department Town Hall Southold, New York 11971 ATT: Curt Horton Dear Mr. Horton: I represent Betty M. Tyler who owns premises at 230 Bayer Road, Mattituck, New York. Accordingly, I am enclosing the following: Application for a pre-existing Certificate of Occupancy for the dwelling along with an affidavit of Betty M. Tyler. Application for a Building Permit for the metal shed and deck along with a copy of a survey. Application for Certificate of Occupancy for the metal shed, deck and in-ground pool. Kindly advise on the total fees for the above items. RFL/bd Enclosures Very~ ~=~ly yours7 J Approved ............... 19 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y. 11971/"~ TEL.: 765-1802 Rece3. ved ........... ,19.. Disapproved a/c ............................... ........................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . ...Octgb.~.r...2.1.. -, 19.8. INSTRUCTIONS a. Tlus application must be completely filled m by typewriter or in ink and submitted to thc Budding 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 stree or areas, and gwmg a detmled description of layout of property must be drawn on the diagram which is part of this appl cation· c. The work covered by this application may not be commenced before issuance of Budding Permit d Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm shall be kept on the premises available for mspectlon throughout the work. e. No bmldmg shhll be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant shall have been granted by the Buildmg Inspector. APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Building Penmt pursuant to tl Building Zone Ordinance of the Town of 8outhold, Suffolk County, New York, and other applicable Laws, Ordinances, Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordmances, building code, housmg code, and regulations, and t admit authorlzedinspectorsonpremmesandm building for necessarylnspecttons.~ ~..,) ~p..~&.d.,</' (Signature of apphcan~ or name, if~-4~orporation) ..Bay. e?. R.o.a.d, .H. at. tl.t.u.c..k., .N.e.w .Yqr..k..1.1.9..5~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde, Owner Name of owner of premises . .H.e.n~:.y. I:,....Tyle.r a.n.d .Bo~.L7..M.... ?¥.l. qr. ............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer ....... .BI. dA ......................... x (Name and title of corporate officer) Builder's Lmense No....N./..A .............. Plumber's License No ...Nd.A .............. Electrician's License No...I~./.A. ................ ethel Trade's License No .N/A ........... I. Location of land on which proposed work will be done ........................................... ·. 230 ........... .Bayer. House Nmnber Street ........... gattituzk .... Hamlet County Tax Map No 1000 Section .... .1.3.9..0.0 ....... Block .... 9.3...00 ...... Lot. 023: 0.0. Q ....... Subdivismn .Amen...de~zl Map of Mattltuck H.~i~.h.L.s .... Filed Map No 1184 Lot 64 & P.z'Q .6.~ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy Hotel shed, and deck attached to house. b. Intended use and occupancy Same ............... 3. Nature of work (check winch apphcable)' New Budding ....... Addltmn ...De. qk .. Alteration ..... Repatr .......... Removal .............. Demohtion ............ Other Work ?.~e..La.1. S..h.e.d.. o//.~.. ~. ~. ~,7 .~/ · .~..~, ,Descriptlon) 4. Eshmated C ............................ Fee ...................... (to be prod ou filing ttus apphcation) If dwelhng, number of dwelhng umts.. . .N/~. .... Number of dwelhng umts on each floor .... [I/~ ........ 6. xedoccu anc',s emf nature and extent of each t e o use }Ig 5/ Q' msp y p y . yp ...... 7. Dlmensmns of~xl~mg sstn~ures, ~f any Front...kQ'. ...... Rear .... ~D.' ...... Depth . .10.' ......... Hmght ... N./A ...... Number of Stories .... N/~ ...................................... Dunensions of same structure w~th alterations or additions Front .... N/,h, ........ Rear .. ~ ......... Depth . .. ~8 .. a ..... He~t .... N/& ....... Number of Stones ..... 8/~ ............ 8. Dimensmns ofent~re~~~ Front ... ~.6' ...... Rear .... ~6] ....... Depth .29? ........ Height . . ~ ...... Nmnber orStories. . 9. S~zeoflot' Front 70.0' ....... Rear 5b'.'6' .................................. ............................. Depth . .~0.0' . 10. Date of Purchase ~$~ .~, &9~7 ....... Name of Fore, er Owner . ~k~.~,. ~0¢~ .......... 11. Zone or use d~stnct m Much premises are s~tuated.. ~O~ ~4~ag~ .................................... 12. Does proposed constructmn wolate any zomng law, ordinance or regulatton' .... 3iq ......................... 13. Will lot be regraded .... N.o .................... Will excess fill be removed from premises. ~ No 14. Nmne of Owner of premises .~tt7 .~ ~ .... Address .~Xo~ ~ ........ Phone No..2 ~ ~ 7~.5 O ¢ ..... Nme of Arclutect ..... N~ ............ Address 3~gtz~, .~1~5~ Phone No ...~/A ....... N~e of Contractor ..... ~8 ............. Address ... ~ZA ........... Phone No .... r~. ........ 15. Is th%s property located within 300 feet of a tzdal wetland? *Yes ..... No .~.. · I~ yes, Southold Town Trustees Permit maybe requlred. PLOT DIAG~M Locate cle~ly and d~stmctly ~1 buildings, whether ex~stmg or proposed, an& intimate ~1 set-back d~ensions from property hnes G~ve street ~d block number or descnphon according to deed, ~d show street names and red,cate whether mtenor or corner lot. See attached survey. API~ROVED AS NOTED NOT. tFS'"B UI-LD lNG DEP-A R"I'ME NT 'AY" 765-1802 9 AM TO 4 PM FOR FOLLOWING INSPECTIONS 1. FOUNDATION - TWO REO~'IRED FOR POURED CONCRETE '). ROUGH - FRAMING ~', 3 INSULA7 F';h,! 4. FINAL - r'~N~7~,' '~l THE RE©UI~'v'/,r:,~'Tq (',e T[J~- ~, . STATE CONC~-c'UCTIqbl % CODES N )~' R':'qDOh;C'Fhc DESIGN OR CONSTRUCmlON rP ,TATE OF NEW YORK, S S :OUNTY OF. ~.UE~'OLK ...... ......... B.~. T?Y. Fi, ~..~I~ .......... being duly sworn, deposes and says thaBhe Is the applicant (Name of mdw~dual s~gnmg contract) bore named. She Owner I%qs thc ..................................................................................... (Contractor, agent, corporate ofhcer, etc ) ~m~4c:m~za~x~mr~t~-~, mid ~s duly authorized to perform or have performed the sa~d work and to make and file this pphcatlon; that all statements contained m tins application are true to the best ofh~s knowledge and behef, and that the 'ork will be performed m the manner set forth m the apphcat~on filed therewtth. worn to before me ttns 21st ...day of.. October ,, 19 87 .otary Public, Suffolk County BARBARA DIACHUN L'y.l_er ~' (S~gn~'~r~ of applicant) NOTARY PUBLIO, Stale ot New Yor~ No 4635).90, Suffolk ~ou~ty ~ommlsst0n Expires October 30. 1988