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Home My WebLink About17002-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z17434 Date OCTOBER 20, 1988 THIS CERTIFIES that the building Location of Property 3615 House No. County Tax Map No. Subdivision POOL COX NECK ROAD MATTITUCK Street 1000 Section 113 Block 3 Lot 24 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3¢ 1988 pursuant to which Building Permit No. 17002Z dated MAY 16t 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 UNATTACHED INGROUND POOL WITH DECK ADDITION & FENCE. The certificate is issued to JEREM & ROSANNE O' SULLIVAN (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N038253 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17435 Date OCTOBER 20r 1988 THIS CERTIFIES that the building ADDITION Location of Property 3615 COX NECK ROAD MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 3 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3~ 1988 pursuant to which Building Permit No. 17002Z dated MAY 16, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to JEREM & ROSANNE O'SULLIVAN (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building ~nspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16026 Date .A.u. gu.s.t. 7, 1987 .. . THIS CERTIFIES that the building . One family dwellin Location of Property 3615 Cox Neck Road Mattituck House No. Street Ham/et County Tax Map No. 1000 Section .. ] !3. ....... Block 03 .Lot 01 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 1, 1986 . ~. pursuant to which Btfilding Permit No. 14..74.0. Z. .... dated April......5, 1986 ....... ..... .. was issued, and conforms to all ofthe requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... One family dwelling, garage and decks. The certificate is issued to BARBARA BERGMAN ..................... ?o¥,,'o;, ..................... of the aforesaid building. Suffolk County Department of Health Approval 86-S0-25 July 6, 1987 UNDERWRITERS CERTIFICATE NO .......... P..ep.d~r.ng...A.ug....7:..1.9.8.7 ................... PLUMBERS CERTIFICATION DATED: Permit amended to include decks. John Deacy July 13, 1987 Building Inspector Rev. 1/81 FORB~ NO. 0 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 0~7002 Z cou.w Tax Mo, No. ,000 Sect~o. ...... /./..~.. ........ pursuant to application doted ..~/~/:~ .............................. , ]9 ......... and approv~ by the 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. ]'his application must be filled in Wpewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings or new use: I. 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, Industrial buildings, Multiple Residences and similar bui'ldings 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-ex[sting" land uses: 1. Accurate survey of p~operty showing all properW lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occtJpancy and condition of buildings. 3. Date of any housing code or safety inspection of bui[dings 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. S25:00, Accessory.,~lO.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 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 .................. .. .. ,. .. NewCons truction ...... Old or Pre-existing Building .......... Vacant Land .......... Location of Property ,L~, .~F ,O'~- C II /.j~/v flou~ No. __ . , /. · / Street , . Hamlet Owner or Owners of Property \!~f_z~Z~ ? /~'-2/~/-~-~- County Tax Map No. 1000 Section ....... .. . Block ... .......,, Lot..: ......., Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.~,,/~.~,'.~,,-?'.~-Date of Permit .~,-~,/,/.~%..Applicant ~'~5~/~~ Health Dept ....................... Approval · · Labor Dept, Approval ...................... . . Underwriters Approval ........................ Planning Board Approval ...~ ......... Request for Temporary Certificate, ..................... Final Certificate ................. Fee Subm tted $ ~ ~,, ,~,,.. ,~-, .~. 7. Construction on above described building and permi~t-~e.ets all applicable codes a,nd~regulations. .~0 - - -Z Applicant '-Vt.," , ..................................... R~, 10-10-78 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 'i'his 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, Industrial buildings, Multiple Residences and similar bui'ldings and installa- tions, a certificate of Code compliance from the Architect or Enqineer responsible for the building. 5.Submit Planning Board approval of completed site plan requiremer~ts 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 to pograph ic featu res. 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 $2$.00ALTERATTON $25.00 1. Certificate of occupancy New Dwelllng,$25;Q0, Accessory.,,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 ; 3. Copy of certificate of occupancy $ 5.00, over .5 year~ $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ..................... ,.. . . Newc°nstructi°n ...... Old or Pre-existing Building Vacant Land Location of Property ?.?,/.~,~ . ..~----~..,~. ...... House No. Street Ham/et Owner or Owners of Property .. .~'. .x.~.~ ................ County Tax Map No. 1000 Section ...././. ~ ........ Block ...-,~. .......... Lot...'~...~. ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 4~../~.,. J'~.~-Date of Permit .. .~;', · .Applicant . ........................ . ........... Health Dept. Approval .................... · · · · Labor Dept. Approval ....................... . .................... Planning Board Approval ............... Underwriters Approval .... Request for Temporary Certificate ...................... Final Certificate .................. Fee Subm tte .... Construction on above described building and per.m~me?s all applicable codes and regulations 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~INAL // DATE INSPECTOR _//~4~ ~~' rOUNDATION ~OUNDATION ( 2nd ) ~OUGH FRAME & -PLUMBING iNSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BOARD OF HEALTH .~.~.. 3 SETS OF ~.~ANS ....... 'FORM NO. I SURVEY., ~,..~ , TOWN OFSOUTHOLD CHECK ::"~:]'J~.- BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY SOUTHOLD, N,Y. 11971 , . TEL.: 765-1802 CA~L Examined ~//~ , 19 .................... . ............ MMEDIATELY' sU, Dm tUCtOSg POOL T~AT ~ON UPON COMPL~ION ~/~3 ,, 19~. SEFORE "WATER" Date ................. 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 are~is, 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 shall be occupied or used in whole or in part for any purpose whatever until a Certific~ of Occupancy shall have been granted by the Building Inspector· APPLICATION IS HEREBY MADE to the Building Departinen~'~_r}i~'~ttt~il'-~l}tt{Uing Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County~lg~ 0~rPgl¢'~,~.~[tg~h.. ~iT}a~plicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations)~l~Y¢~g~inbgfil'oridemolition, as herein described. The applicant agree% ~o, comply with all applicable laws, ordi_..nam~o~bt/~lding .C6db; tlousing code, and regulations, and to admit authorized'ihslS~ctors on premises and, in building fo/A~ecess~r~j~hspectio~/7 7.o.. ?.< ¢. ~ ' (Mailing address of applicant) ' State whether ap~f[~t~§~ 8~er,,le,s~,~ agent, architect, engineer, general confractor, electrician, plumber ....... i5~5;~' d'~6i"i 50~*¥:: ;*:~9' ': ' ' ,v:~?o' t .................................. ........................... ame or owner oI Ol~J)~1$~.S~o'~{,5.,'i-~',f;~ ~..;¢ .................... :: . .~ .................. ; .................. ri*~M ~j,*t~i~ ~,m~ot~,,u,~ ~ (as on the ta~ roll or latest deed) ' If apphcalg~Jl~brl~ofll~'tlt%g/~ o~ authorized officer. ,., ~ ~ ........................ (Name and title of co, orate officer) . A~L CO~TRACTOR~S ~UST Bg~S~OLK COUNTY LICg~S~D Builder's License No ..... ~... ~.g~ .......... "IMMEDIATELY" ENCLOSE POOL TO CODE UPON cOMPLETION BEFORE "WATER" Plumber's License No .... ./~///~ ................ Electrician's License No....4)/:? ................ Other Trade's License No../)/.":~. .............. 1. Location of land on which proposed work will be done: ?'~'''5'C'~'e''''C~°'''x'''~'CT-'~' /~'~9 House Nmnber Street Hamlet County Tax Map No. 1000 Section .... ././.~. .......... Block ..... .-~, .......... Lot....~?.: .ct( ........... (Name) -- 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which appl!cable): New Building ..... ' .... ~ *" ~,_a~ .sYe.'r,P,:.~9. '. Repair .............. R_ .en3_ov.al .......~ ...... Demolition .... ,~ ......, .,.--~ Other ~rk...~.wj-g ........ 4. Estimated Cost .q/C~O,.-7... I. Fee , (to be paid on filing this application) 5. If dwelling, number of dwelling u~its ..... q/,~ ........ Number of dwelling units on each floor...7./..//- .......... If garage nu~nber of cars ' 6. If bus~ness, commermal or m~xed Occupancy, specify nature and extent of each type of use ..... ./2/ ....~ .... 7. Dimensions of existing structures,lif any: Front .... ~.to JO- ...... Rear ....q./a .~ ...... Depth ...3.%..~r ....... Height ............ Num. r of Stories !' Dimensions of same structure with alterations or additions: Front .... 5'.,'t..r~. ~ ...... Rear .... ~ ............ Depth . ,.~Z, ,, r~ ...... ~. Height ...... .T- .............. Number of Stories .7' ..... ,~ ........ D~mensmns of enhre new construction: Front q~3 Rear 9: ~ Denth / ~ · /,~,-z~ ~,,~z> . '" ' ',b'4>&;L';Jo ............................. Hmght ............... Number o~ Stones ... 6 ........... : ......................................... SDi:;eo:fl~tu: cFl~:snet ......... : .....' ?:. . ..... '.: ....... /~;~rh. .... '.. ......... 11 Z dii i hich r~i it d ' · one or use str ct n w pre scs are s uate ........................ ~ ............................. 12. Does proposed construction viola~e any zoning law, ordinance or regulafion: ..~..o. ........................... 13. Will lot be regraded ..... ./~./?.( .~.4.~. ............. Will ex~cess fill be removed from premises: Yes 14. Name of Owner of premises .~...~. ~¥. ?. '.5'.q .~4,. ¢'~Address,,~Gp¥..~..e~?. f.o.,. ...... Phone No..~..~..~ 7 ?. ?~ff... rqame o! Architect ...... Ay... I ................ Aooress ..... ~ ........ / . . l'none Pqo .... .~r .......... Name of Contractor tq~.~.,9-X~ !../~..o.~ ......... Address ~0r;~0/w%//-~o.3 · Phone No. x~.o~.~. ?f ~.~. .... ].5. Is this property located wSthin 300 feet of a tidai wetland? ~Yea ..... No · If yes; Southold Town Trustees Permit maybe required. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and block nhmber or description according to deed, and show street names and indicate whethe'f interior or corner lot. "IMMEDIATELY" ENCLOSE POOLTO CODE uPON COMPLETION BEFORE "WATER" occupancy OR WITHOUT CERTIFICATE OF OCCUPANCY N~IFY Bmk~O OEPARTM~ ~T 7654802 9 AM TO 4 PM FOR THE~ FOLLOWING INSPECTIONS: I. FOUNDAT~N . ~ REQUIRED , F~ ~RED~NCR~ OeS~N ~ ~ ~ STATE OF NEwYORK, COUNTY OF . . . .~..,t554~. ..... !.S. ........... · · · .............. .~/.q ( .~'4~..0, Kt~. ~¢.L:.. being duly sworn, deposes and says that he is the applicant (Name ..... of ~ndw~dual s~gmng contract) above named. He is the ...................... i ........................................................ I (Contractor, agent, corporate officer, etc.) of 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 contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannerlset forth in the application filed therewith· Sworn to before me this ,~.., ~Ju~lilied in mssau uounty A &BASE ~s _~ ~ ,~ ~ ~ ~ EN~LOS~ POOLTO CODE v I ~EFO~: WATER" PLAN OF POOL (NOT TO SCALE) NOTE DRAWING SHOWS L~ L"LE~' ~Y L "RIGHt' AVAI~BLE MANDATORY SAFE~ ROPE ~ FLOAT% USE IS UNLAWFUL WITHOUT CERTIFICATE~ ~ OF 00~P~%'7TM II(DIVING STEEL WALL PANEl. ..... ~"-16x~' BOLTS W/) Heldor Industries 24 !:i),! JlJ Jl TOWN OF $OUTHOLD ,~ue ' "~ igST [[IJJ Building Department ~,.~.~%~.~ Southold, N.Y. 11971 t~.sG. ~F=. 765 - [802 TOWN O~ ~U(~O[~p~CATiON FOR CERTIFICATE OF OCCUPANCY 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. 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, 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 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 1. Certificate of occupancy New Dwelling $25.00, Accessory ISI0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 4.Vacant Land C.O. $ 20.00 5.Updated C.O./ $ 50.00 Date ...... k/.~.J ........ NewCOnstruction ...... Old or Pre-existing Building ............ Va,~ant Land ....... ~..;.. Location of Property ,. ~) )~ C- . 1-7-~-c Owner or Owners of Property . f2 ~ !.~....j~...~...~. County Tax Map No. 1000 Section ... 1J ,~. ....... Block , 0..~ Lot Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... 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 p~'l'git J~ets?l~ ap,plicable codes and regulations. Applicant .... J,~.I/U'~'/-.~:.. ]~: ........................... O,b.~ 1~4 ~5 THE NEW YORK BOARD 'OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY BB JOHN STREET, NEW YORK. NEW YORK 10038 THIS CE~IFIES THAT MRS. O'SUhhIVAN~ C()~ NECK ~D., M~T'I'I'I'iIii~, N.Y. w exami~ on ~F~ ~ ~ / ] ~ ~ and found to ~ in ~nipli~n~ with the r~ui~ments of ~h~ ~. RXTUI~ RXTUI~S Ibi, I, JO~S OVlNS FANS I 3 MULTI.MI~IT SYSTIMS NO.M NIT SERVIC~ ~I~CONNECI' S E *(SWIMMING PO0t.,) This certifica!e covers compliance at th~ dat~ have frequent teat/and or repa'irs ~e by a ,l,alif:ied person, R V I C [his certificate must not be ahemcd in any manner; return to the office of the Board if incorrect. Inspectors may .b~ identified by their aedentials. VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) 765-1502 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 28, 1987 Mr .sayville ,16 Baymen'sJames New Wahl Court York& Ors. 11782 Dear Mr. Wahl: During a recent inspection in your area of Mattituck, it was noticed that there is an addition to the porch and a fence in the rear yard. These additions require a building permit according to Southold Town Zoning Code, Chapter 100-141. Please contact this office as soon as possible to apply for a building permit to avoid legal action. Tax Map #1000-113-3-2.4. Sincerely yours, SOUTHOLD TOWN BUILDING DEPT. VRW:gar Vincent R. Ordinance Wieczorek Inspector VIA Certified Mail Lo/