HomeMy WebLinkAbout17118-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING BEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18370 Date SEPTEMBER 13, 1989
THIS CERTIFIES that the building ACCESSORY
Location of Property 815 HORTON AVE. MATTITUCK N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 141 Block O1 Lot 24.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JitNE 8, 1988 pursuant to which
Building Permit No. 17118-2 dated JTfNE 17 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 SHED AS APPLIED FOR
The certificate is issued to EDWARD & DIANE BROWNING DENIEGA
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NJA
TJNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
• !Zfi~!
uil ing Inspector
Rev. 1/81
roast xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CfHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Nfl ~~7~1~ Z Date ........~~!'!s:...~..~ 19..51.a
Permission is hereby granted to:
E.:~......~ ..4...........
E..,... ~.9.....~' I.K....
ct Premises located of ..............~~-!~~4k4>a.... .....:...........................:.......~.!!W'W..`.'~lf:~........
County Tax Map No. 1000 Section Block pLot No......~.L.:..~-:-'.
pursuant to application dated .......~.r.(.tmA.-..•~• 19.~.R., and approved by the
Building Inspector.
r
Fee $..r.^N..r...:........
.
ding Inspector
Rev. 6/30/80
i
K J ~ n i
1 rJ TOWN OF SOUTIIOLD
<<~ BUILDING DEPARTMENT
~.da
,~~..a
.r a~ ~ TOWN HALL
~j SOUTIIOLD, NEW YORK 11971
~~~~nn 765 - 1802
l::.J
L~ APPLICATION FOR CERTIFICATE OF OCCUPANCY J J
/ DATE ~J •5-
f .
NEW CONSTRUCTION ...,OL~DL OR PRE-E%ISTING BUILDING......oACANT LAND...._...
Location of Property,`~.1?D.~`.`,,:;t_~.1!'~_N?~e_____________ ~'I-o~'TTJI'T~~_ ~_//g,~~
HOUSE NCO=.p~ STREET HAMLET ~1~
Owner or Owners of Property:
:I!~~V?~ d .~~~~.~~"Co'WP//~. ~7~1 J~'Lj6q --tom>-
County Taa Map No. 1000 SectC~on ~ g ock Lot" ~f ~6U
Subdivision..... -
Filed Map~i........Lot..........
Permit No. dl 7~~0. .Date of Permit (:~t .~~~~?.Applicant ~~~~(~:!~~;!~~6®"~~li
Health Dept. Approval Underwriters Approval..........._..
Planning Board Approval
Request for Temporary Certificate Final Certificate
Pee Submitted: $,.,aS `-~~1}~D~P/_ ~/'~j~~
APPLICANT. !^:.~t~..1F~~~~~ .
i ~~i L ~ ~f~lL r
~YTI ~~-.9-'~7~- ~ DC~t'~G~-A/ l
~6d~C. I~l~e4, .~7!
N-~ y~,~~ ~v lDO~ ~
C~e~.• 3gaao ~~ti,
Co ~ 163'10 ~`L
;
rev. 10/14/88
1 ~ rss-iso2
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ) ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ]FRAMING [ FINAL
REMARKS:
DATE p INSPECTOR 2~
~,.11~z~'~rr TEL. 7C,5-180
~,~5~'~rCCI~ ~ro~rrr or sou~or.o
p.s -c t. Ol~l'ICG OC• BUILDING INSPF,CTOR
U 4`};1<~,4±'' z P.O. BOX ] 17 9
U~ ~~~:'7
~ ~ TOWNlfALL
O~ SOUT71OLD, N.Y. 1 1971
yon ~ .
August 31, 1989
EDWARD DENIEGA
536 E 79th ST. APT. IK
NEW YORK, NEW YORK 10021
T'o [9hcm This, May Concern,
Die are unable ro complete your Certificate
of~occupancy because ,of the folloc~~ing reasons.
An application for Certificate of Occupancy
iS not On fl].c.(ENCLDSED)
/ ~!o underwriters Certificate on file.
't'he chcc}: .i:; (~i/not on file.) $25.00
Dlo Bea].th Dept. Approval on file.
1_! P:o final insl,oct:ion has been made.
Pleae;e contact our office on t-hi~ matter.
Thank you for your cooperation.
l;uilc]ircJ Perm.i_t II 1 7 1 I 8 Z
Building Dupt.
tlo Plumt;cr Solder Certificate on file.
( al.l pnr;ait-:; lllvolving plumbing briny
i^sucd after April 1,1984 )
r
-1ELD ~I~J...I..+U;i ~~DniE ~ i;OMMENT° e:
ro ~
m
1 . ~
a ~
H pG
_ _ _ _ y
FOUIIDATION (1st)
FOUNDATI01d (2nd) m
. C~zS
2.
0 00
ROUGH FRAME &
PLUMBING
^F
H
3. ~
rn
I1dSULATIOP] PER N. Y. y
n
t7
STATE ENERGY
CODE
x
p
F I1J A L
0
°
2 ~
ADDITIONAL COMMENTS: x ~
_ cn
' x
•a
C
,3 r
H~
Z ~
x
m
P
• r
a ~
x
a
c+7
-o
H
NORTH fgRK WOgD DESIGN
PAUIS LANE
PECONIC N.Y. 1195$
(516) ~65~3090
,9~~
O~Jy°~ l.~''
4
~ ~ , ~ ~
C~~-
BOARD OF HEALTH
3 SETS OF PJ.ANS
FORM NO. 1 SURVEY ' /'L~/
TOWN OF SOUTHOLD CHECK ~-'T1=~~-~~ - • -~'e""°~ ~~~~g~
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
',~'OUTHOLD, N.Y. 11971 CALL
TEL.: 765-1802
MAIL T0:
Examined / ~4•~+1A.. 19~~
Approved ~ ~nR- 7 19 ~.8 Permit No. ~ 7 ~.ZZ. D
Disapproved arc ~ ~
BLDG, DEPT. ,
• . TOWN OF SOUTHOLD
(Building Inspector) _
APPLiCATivN 'rOrc rsuiLviNG PEl"sMiT
Date ~ 19'!3.
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 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 app~f~ion may not be commenced before issuance of Building Permit.
d. Upon approval of this appl',~ Iding Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises av 1 tion throughout the work.
e. No building shall be ~~ec~n whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by or.
APPLICATION IS H~ ~o the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance~f~ of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the cons~~~~ i buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to c~Tnpl}~with all applicable IaWs, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary r pections.
(Signature of ap'Lpl`i'c'a~n'tcl~r name, if a corporation)
yx~s-ac. ~ra~~v. ~UK'~~ ~Na~~,~ .~36 ~~i :1~. N.`/~.!v.~ roaz~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
bW/V~
~YJW.4t~~ A-nr~L Z7iA~~ ~~"1 ~ APPRQYED•R. N4~TED ' ' ' ' ' ' '
Name of owner of premises - s•! • • . • • • • 1 • Q
(as on the tax roll or latest deed) ~ 17 g rv .1 ~ Z"L
GATE: B tl 1.-_._... _
If applicant is a corporation, signature of duly authorized officer. "
NOTIFY RII~Lt 3 l 'P "Tp T
785 1$02 c> a TO 11
(Name and title of corporate officer) R,.; , ~ E~•.t _
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED 1, ~:Il.iNu.a++~,+v C °F°C,i' 4~iY
Builder's License No . FOR POUREC CONCiicTr
2. ROUGH - F'RAMiNG K, PLUNKING
Plumber's License No . 3. INSULATION
- 4rF1NAt - Ct3N3TRUCTiON Poii)ST'
Electrician's License No . BE COMPLETE FOR C.O.
• ~ ~LL CONSTRUC710N SHALL MEET
Other Trade's License No. A,/o/~ .~4~C •~0 X19 N ~~zo~tt2i HE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION di ENERGY
1. Location of land on which proposed work will be done . CODES.• • NOT' ' AESPONSIBLE' 'FOR' '
~ /-Fa 1~y"~iv ,A- y~7v-u.~ rit~4'lt"Y~}~ ~R~I8T~k'Jt~N ERRORS
House Number Street Hamlet
Z Z
County Tax Map No. 1000 Section Block Lot .
Subdivision 1~iled 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 '~'3(~L~'7~~7g2"
b. Intended use and occupancy o~.rZre~ts5~'r?• ~~`•'•~?n•' ":.~a.°.` f"5i}~-~r...S,d~~D•
3. Nature of work (check which applicable): New Building Addition Alteration .
Repair Removal , Demolition ..............Other Work .
'Tb'~'L~9'~'~r`'s~DescripSion)
4. Estimated Cost t~~~ ~t ~~a• . • • • • • • Fee .
` (to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor • .
If garage, number of cars .......i .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ' .
7. Dimensipns of existing structures, ~f any: Front Rear Depth , .
Height ...............Number of Stories .
De th ; • , , •a~;.• alterations or additions: Front Rear .
D pensions ture with',, Height Number of Stories .
8. Dimensions.of entire new construction: Front Rear ...............Depth , .
Height : Number of Stories .
9. Size of lot: Front , . Rear Depth .
10. Date of Purchase .............'i ................Name of Former Owner .
11. Zone or use district in which prem{ses are situated .
l2: Does proposed construction violat$ any zoning law, ordinance or regulation : .
i3. Will lot be regraded ............................Will excess fill be removed from premises: Yes No
l4. Name of Owner of premises .....I • • . • • ..........Address ...................Phone No... , .
Name of Architect ...............Address ...................Phone No... , .
Name of Contractor Address ....:..............Phone No... ; .
l5. Is this property located wilthin 300 feet of a tigidal wetland? *Yes No
*If yes, Southold Town Trustees PermitPLO~DIAGKAMed.
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block nummber or description according to deed, and shod street names and indicate whether
nterior or corner lot. ! k
y
J~1 yam. f
- - k4pPro~c.
~ •'3~ _O LocA--R onl
fr'e~oo L6~~
I s
~ ~y„ ~ ~ C
Q~
~w. SM~µ ~
~~~k~ ~ ~ ~'fFl1Z~'1$~ ~ r A9Kry ~
GABLE J'~'.4Q . ~ /7~
0
,9;s ~ ' ;Le, toy ic~.~e
- -~,nn- sr~,o°
~ ~ C J
i ~RrnN a,~~'.
s.s
iTATE OF NEW YORK,
~OUNTY OF
L'YI bY~9
dZf~'~ Y~~l~ ~
: ' being duly sworn, deposes and says that he is the applicant
• • • • ~ , ~ ( a~?!~ o zn,• i • r •1 nin I~,contract)
ibove n~~ne~i,l3 °Frg ~Y14Nt1+~cfrp6k,p,a-~~@ ~~~~I
Ie is tlll'.v . ;t•.;gfi~~Hfl~i~:t's'd.. pc•.q..:~is~1$',a .
o-p; x=a~.1 ttce'*~ar~I.fvr~~t~°~ gl~v ~~,,+tsG}~, (Contractor, agent, corporate officer, etc.)
~f 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 containgd in this application are true to the best of his knowledge and belief; and that the
vork will be performed in the manner set forth in the application filed therewith.
Iworn to before
m~~e this '
.........day of. i ....................19~~
dotary Public,~~~~/~?~..... .........l~ County AU/,(1LU~
Ml;RTIN J. F Ntl
Notnry Pnblir fNeW York /
No. z~.,~;o~ asa . ~ ~ (Sig ure of applicant)
- Cu~li,ied m Quc~ns County)
Ceitilied In NavrYorkCoui 7y~~
' Commission Expires?,~(:cs~E~T / .