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HomeMy WebLinkAbout29357-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29817 Date: 11/03/03 THIS CERTIFIES that the building ADDITION MATTITUCK Location of Property: 150 HARVEST LA (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.16 Subdivision FiledMap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 5, 2003 pursuant to which Building Permit NO. 29357-Z dated MAY 5, 2003 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DANIEL KNUTH of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTI~ENT OF~]~%LTH~_PPROVAL EL~L-i~ICAL CERTIFICATE NO. PLU~B~ CERTIFICATION DA'£~a3 Rev. 1/81 N/A FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29357 Z Date MAY 5, 2003 Permission is hereby granted to: DANIEL KNUTH MATTITUCK,NY 11952 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#26677. at premises located at 150 County Tax Map No. 473889 Section 120 pursuant to application dated MAY HARVEST LA MATTITUCK Block 0003 Lot No. 008.016 5, 2003 and approved by the Building Inspector to expire on NOVEMBER 5, 2004. Fee $ 150.00 /~///~ ~~/~ei nat re COPY Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26677 Z Date JULY 26~ 2000 Permission is hereby granted to: DANIEL KNUTH 80 HARVEST LA MATTITUCK~NY 11952 for : NEW CONSTRUCTION OF A DECK ADDITION ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 150 County Tax Map No. 473889 Section 120 pursuant to application dated MAY Building Inspector. HARVEST LA MATTITUCK Block 0003 Lot No. 008.016 30~ 2000 and approved by the Fee $ 75.00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1502 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Cowanercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. CertificateofOccupancyonPre-existingBuilding- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: Location of Property: _i~ t~ff_,Uca' $ '~ House No. Street Owner or Owners of Property: _~gJ/L"'~ ~, '7'-/'7/ Suffolk County Tax Map No 1000, Section ff'2~ ~'ac ~ Block Subdivision Permit No. ~r_~'9~ ~q Date of Permit. Health Dept. Approval: (check one) / ~C~ -O00~Lot Filed Map. Lot: Applicant: Underwriters Approval: Planning Board Approval: Hamlet oog, Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature APR g S 1998 pt Of Nealth :;~¢i'7e~ THE LOCATION OF WELLS, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVATIONS AND OR OATA OBTAINED FROM OTHERS. CERTIFIED ONLY TO: 8y DESTtN G, GRAF N.'~S. LIC No. 50067 TAX I.D. N0. IooO- IZo~ o~-- DESTIN G. GRAF 1.,AND SURVEYOR 73 WOO~.AWN ,ciO.AD ROCKY POINT, NEW YORK 11778 PHONE f516) 821-3442 Applicant/ Date ~//0 Architect/ '--"' Date '-'7/7~'fO~/035 Engineer: Submitted: _ __ _ SCTM #: Project Description: ~ ~/ff AGENCY PERMITS REOUIRED FOR REVIEW Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Permit NO YES Number No res: 7G5-1-802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2NO [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] ~.~L.ATION [/....,]'~1 NAL INSPECTOR FOUNDATION (IS'F) FOUNDATION (2ND) Ir it ROUGIt FRAME & PLUMBING INSULATION PER N.Y. ~l II STATE ENERGY CODE ff I{ ADDITIONAL COMMENTS: z · uos~eds~los ~o4~ mnoWK uuo~1 ~lqol!OAo I!o~p uo!4on~suo~ :p~p ~q4 AAOIIO~ 01 ~mS ~8 .91 'su~oaq jo do~ uo sls or aas :sIsIO~' 'punoJ$ pedols Jo ue^eun Joj uo!~ouJJ%tu! ep!AoJd uD3 uosJedselDs Jno,L 'le^el punoJ~ e~oq~ ,,~['cj~ eq eJoje~eql i1!/~ stsod tJoddns .~3ep eql ~o dot · punoJ§ le^e[ ol Bu!toep ~o doI eql ~uoJ~ ,,9S ~o lqS!eq o pe~oel~s noA :IH~)I~H 1SOd (]NV '3r Joddns :~sod puno3%/~olaq ,,9S eAoq SlSOd pOOl e^!l :lSd 99 o amddns Il!AA ~{3ep mok :/~OdclFl$ (]NY Q¥O'I ox ~,o~ ~'7 ,9[ AN '.J. WOclN33W~9 ~ 3.LNO~ O0/9J/g0 31¥~ -- W3~OISRO ~31A NVqd '1 ~6; ,~ I 3 ,[1 + ,,z, ,~ ,AN g~: '=I±NOW O$8W d3W 00/92/':~0 -- U3ROISI90 ±SI9 IFIO ,,F/8 8 ,L 8 .'g ,gg ONIOYdS ,J. 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TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 .... Disapproved a/e .................................. (Building Inspector) BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... DEC ........................... TRUSTEES ...................... NOTIFY: CALL .................. MAIL TO: ................... APPLICATION FOR BUILDING PERHIT INSTRUCTIONS Date ............ ' .... ,20 .... a. 'Ibis applicatiau mint be ccmpletely filled in by ~iter or in ink and suhnitted to the Building Inspector ~ 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sho~ing leeation of lot and of buildings on pr~nises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property unst be dra~u o~ the diagram ,Jnich is part of ~bis application. c. ~e work c~vered by ~his application may mr be ccmuenced before is~ance o[ Building Permit. d. Upon approval of this application, r~e Building Inspector trill issue a Building Penult to the applicant. Such permit ~hall 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 ~hatever until a Certificate of Occupancy ~hall have been granted by the Building Inspector. APPLICALrI(~{ IS 'El~l~dff MAIE to the Building Depm-tmmnt for the issuance of a Building Permit pursuant to the Building Zome Ordinance of the To~u of Sc~thold, Suffolk County, New York, and other applicable La~s, Ordinances or Regulations, for the co~structlon of buildings, add/t/oma 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 / ........................... (Signature of ,applicant, or na~, if a corporation) (Mailing addre~ of applicant) State wi)ether applicant is o~raer, lessee, agent, architect, engineer, general coutractor, electrician, plumber or build ............... ............................................................................................. (as on the tax roll or latest deed) If applic~t is a corporation, signature of duly anthorized officer. (Na~ and title of'corporate offi~r) Builders License No .......................... Plumbers License No .......................... Electricians License No ...................... Other Trade's License No ..................... {. I~cation of land on yah/ch proposed work will be done .............................................................. ..... ..... House ~he.r Street ~,1 et Ce~mty TaxMap NO. IOOO Section /'20' vO Block 03o'00 Lot ~..~.~_.q./...~. Subdivision ............................... ......... Filed Map No ~.~.. ~ .~.. ....... Lot ............... 2. Stare existing use and occupancy of premise8 and intended u~ aed occupancy of proposed con~trection: a. F. xisting use and occupancy /bz°~w~ .................... 3. N. ature of ~ork (check ~hicfi applicable): ~ Building .......... Addition .......... Alteration .......... ,Repair ............ Reraoval ............. Demolition ............ Other hTork .................................. 4. Estimeted Oas . /.3..O...,..~.o. .......... fee .............................................. (to be paid on filing this application) 5. If &~lling, ntt~oer of d~elllng ~mits ............ [tml)er of ~lling mits on eseh floor ................ If garage~ nt.~r of ca~s . .. ~ ................................ 6. If ixtaionss, eom~reial or ndx~l oecupasey, bW, ecif3r nature ~xl extent of each tB~e of use ...................... 7. Dimensions of existing structures, if any: Front ................ Rear ............... Depth ................. Delght ....................... o o l'l~L~r o[ Stories ...................... Dimensions of sane stnmture *dth alterations or additions: Front ............... Rear ............... Depth .................... Belght .................... Nt~ber o[ Stories ............... 8. Dimensions of entlre ~ construct/on: Fret ..../dj' ......... Rear ..../.~.." ........ Depth . /b tleight .... ~.: ................. l~ber of Stories ..................... 9. Size of lot: Front ../...~.: ........... Rear ....... i ............ Depth .................... lO. I~te of rurcaase ..... /...v ........... ~aTe ....................................... ........... I~.z~ or ~.~ ~istri~t i, ,~i~ ~iees a~ ~t~ ..... ~.,C~.~..'!.~....J.4.q¢. ..................................... 12. Does proposed eonstrnation ~iolate ar~ zoning 1~, ordinance or ~ngulatlo~: .... ./~,?. ................ B. Will lot be regraded ../~Z.R ............. I~ill e~w_ess fill be reraaved ft~n premiees: ~ES ~ cZ' 14. I~nes of Oanar of pr~dses ~/'7%/ Address ~ Of Architect .................................. . . /~lclress ........ ...................... Phooe No ............. Iq~ne of Contractor /~]dress ..................... Phooe ]qo ............ 15. Is fldsproperty~rithin300 feetofatidal~tland? *~S : ......... NO..'./.. .... PLOT DIAGRAH hmate clearly and distinctly all buildings, ~t~ether existing or proposed, mad indicate all set-back dimensions property liees. Give street ~d block n~ber or description according to deed, and r, ho~ street ms a~J fixlicate x~aether interior or corner lot. fg~Y , ~~(1~ss ~ 0'- ~t "- , ~ g c ct) .................. ............................................................. (~trsetor, a~nt~ co.rate officer, etc.) of ~id ~r or ~rs, ~ is ~ly ~t~ri~ to ~rfom or h~ ~rfo~ ~ ~id ~ a~ to m~ a~ file Offs a~lication; ~at all stat~n~s ~ta{~ in ~is ~licati~ are t~ to ~e ~st of bis ~l~ a~ ~lJef~ a~ Lhat ~e ~ will ~ ~rfo~ in tt~ m~r ~t forth ~ ~e a~limti~ fil~ ~. ~m to ~o~e ~ ~is I J ..... .... ~~.Y.k (si~re of A~li~t)