The URL can be used to link to this page

Home My WebLink About30047-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA2~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY ~O: Z-29994 Date: 02/04/04 T~IS CERTIFIES that the building ADDITION/ALTERATION Lo~ation of Propmrty: 280 YOUNGS AVE MATTITUCK (HOUSE NO.} (STREET) (~3~MLET Coummty Tax Map ~o. 473889 Section 141 Block 1 ~t 31 Subdivision Filed Map No. Lot No. conforms substantially co the Application foz Building Permit heretofore filed in this office dated JANUARy 29, 2004 pursuant to which Building Pezmit No. 30047-Z dated JANI3ARY 29, 2004 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ms issued is DECK ADDITION AND WINDOW ALTERATION TO AN EXISTING ONE F~MILY DWELLING AS APPLIED FOR. T~e certificate is issued to DANIEL E WALOSKI (OWNER of Lhe aforesaid building. ~UFFOI~K COUArfYDEPARTMENTOF~ALT~APPRO~-AL ELECTRICAL CERTIFICATE NO. PLUMBER~ CERTIFICATION DA'£mU N/A N/A N/A rs Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEPa~IT (THIS PERMIT MUST BE K~PT ON THE PREMISES IINTIL FULL COMPLETION OF TEE WORK AUTHORIZED) 30047 Z Date J~iqUARY 29, 2304 Permission zs hereby granted DANIEL H WALOSKI 280 YOUNGS AVENIIE HATTITUCK, NY 11952 for C©NSTRUCT DECK ADDITION & NEW WINDOW AS APPLIED FOR. THIS PERMIT }REPLACES EXPIRED PERMIT ~24595Z at premises located at 280 YOIINGS AVE County Tax Map No. 473889 Section 141 Block [pUrsuant to application dated JANUARY ! Building Inspector to exnpire on JULY HATTITUCK 0001 Lot No. 031 29, 2004 and approved by the 29, 2005. Fee $ 150.00 Signature Rev. 5/s/o2 COPY FORM NO.3 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. BUILDING PERMIT {THIS PERMIT MUST BE KEPT ON THE PREMISES UNTiL FULL · ' ' COMPLETiON OF THE WORKAUTHORIZED) ~_~_~ JANUARY !2 9$ 24595 Date .............................................................. 19 ........... Z Permission is hereby granted to: DANIEL H WALOSKI 5GO PINE ST MATTITUCK~NY 11952 CONSTRUCT A DECK ADDITION & NEW WINDOW FOR A SINGLE FAMILY DWELLING AS APPEIED FOR 280 YOUNGS AVE MATTITUCK at premises located at ............................................................................................................................... 475889 I41 0001 05]. County Tax Map No ........................... Section ...................... .Block ........................ Lot No ......................... DECEMBER 5 97 pursuant to application datecl ........................................................... 19 ................ ana approved by the Building Inspector, 75.00 Fee $ ......................... Rev 6/30/80 Building Inspecf~ Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~s appli~Uon must be ~ed m by t~ewnter or ~ and snb~aed to ~e B~&g D~men~fl~g. = For new building or new use: I. FknaI survey of proper[y with accttrate location of all buildings, property lines, streets, and tmusual natural or topographic features. 2. F'ma! ApprovaLfromHe~lth Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval' of electt/cal i;nsta~lation from Board of Fire Underwriters, 4. Swan. statement fi-om p}umber certifying that the solder used in system contains less than 2/t 0 of 1% lead. 5. Co~ercSa! building, ',industrial building, multiple rekidences and similar buildings and installations, a certificate of Code'C<ompliance from arctittect or engineer responsible for the building. 6. St~bmit Plarming Board Aplproval of completed site plan reqinrements. For existing buildings (prior to April 9, 1957) non-confoming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing ali property lines, streets, build/ng and unusual naturai or topographic featares. 2. A properly completed appticat/on and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees l. Ce~rtificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Altaratiou~ t0 dwelling $25.00, Swimming pool $25.00, Accessory building $25.00. Additions to accessory building $25.00, Busirmsses $50,00. 2. Ce~ificate of Ocanpancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate o£Occupancy - $50.00 5. Femporary Certificate of Occupancy - Residential $15.00. Commercial $15.00 New Constmerion: ¢ Location of Property: "~"'~0 House No. Street Owner or Owners of Property: ~ t, ~ ~, Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: (check one) Hamlet Block I q 1 -- I-- ~ I Lot Subdivision Permit No. Filed Map. Lot: Date of Permit. I / ~'~1 [ 0"-'{ Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~L~_r OQ Underwriters Approval: Final Certificate: f (check one) Applicant Signature Z - - '~ liZARD! OF!- HEAI,Tll ~-. ~,.: .......... ..... ~ [~ .vmm ~o. ~ Y S~.TS: OF~ ~L~S.:.. OF SOUTIIOLD SURVEY ..~ ~ ~ ~ . X TO~N ItALL SEPTIC ~OBH ................... ~.Y. I ]97 I '~::LF~'~ TEL: ~65-]802 . ~OTIF~,~'~-,~ ~ -:'CALL ~,: ~,~ ~/e ........................ :.. ' ?~.~.,.~.9~!(.'. ....... ..................................~ : ~.~. ,_.,,. ......,... , ,.,~._,. 'Date ....... : ]HSTRIICTIONB . : . a. 'fids n~li~ti~ ~mt l~'co~letely filial in by ty~rlter or in ink nt~ ~bnztt~ to the ~lthng lnsl~clor 3 ~ts of pl~m% ac~rat~ plot pl~ to scale. Fee'accontlng t:o ~le. - this ai~li~ti~. --:; . d. II~ a~al of fl~ia q~licati~, the l~ildir~ lns~gtor will Js~ a ~llding Pennit to the applicant. e. ~) lmildlrg Mall I~ ~a~i~l or uM la O~le or ip ~rt For aiW ~lr~ ~mt~er m}til a Cia ificnte off (k~Datmy droll h~ l~n ~at~l by tim ~i[lding Ins~tor.' ' -' Ikll~dli~ ~ ~]ilm~ Of lira ~l Of ~tlml.d, ~[folk C~mty, ~ York, a~ othe3.~llcable I~e, ~dhmr<es or I~at~e, f~ tim ~st~tl~ of ]~lldlr~s, mkhtl~m or altera~l~, or for.r~O[ 0K ~lJti~, ............................................ 8t~Le O~tlmr a~licant ia ~r, lessee, agent, nrchit~t, engt~mr, ge~rnl c~]traetor~ eleetrlclm~, plmlmr (ne ~ Ihe tax rDI [ or latest t~t) ~".,' If a~licant in a ~r~rati~, M~e~e of &~ly ~t.la~rlr~l off[cer. - . (blare a~] title o[ corporate officer) I~*hne et ~o~k (d~ck M~|d~ ~l?l!cable); Nc-~ l~dhlh~fi .......... &~i~i~ .......... .Alteratio. .......... · " ':' . . , .. o~.~ ~ 6 ~9 .............. ~ii~ o~ Iotl Fr~ ....... , ............ I~[ ................... I~l~h .................... Ik~a In'Ol[)~] c~atl~J~'vlol'a~e m~y ~a~i~lg 1~, ordlmn~e or reg~flatia~: ........................ ~,,~ et' c~,~t~ -~.P~.~:~-~..9~.(9.~:~.._ ~u,-~, .................. ./ ......... n,~ ~ ............... lids ptx~l~r[y wifl~in · PLOT I)TAGRAI~. clearly a~l di~l:incl:ly all l~Hdi~, prolmrly l{~a. Give at~tia~d bl~ }~l~r or ~scriptial according to ~1, a~ ~ strut acs m~l i~{cate . ..l×-q~a8 Ihdy $-.aJru, delx)ses m~} says tha~ Be is the al)plicant (Conl:raaior, alient~ corl~oral:e olq:ice[, etc.) ............. ~' ~1 icatiou; that all state~ents ~¢mta[~l in Ihis appl. icatlon are r~ to the [etd: o[ his h~lall~e a,d I~[ie[[ a~,l nt the ~)tk will I~ l~rfo[ned ii~"lh& lmliller set forth'in the application filed Iher~ith.'