The URL can be used to link to this page

Home My WebLink About30821-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30780 Date: 02/18/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 9475 MAIN RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 6 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 3, 2004 pursuant to which Building Permit No. 30821-Z dated DECEMBER 3, 2004 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 STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to JUNIUS HUBBARD & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-291226 10/01/93 PLUMBERS CERTIFICATION DATED N/A i uthorized Signature Rev. 1/81 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. 30821 Z Date DECEMBER 3 , 2004 Permission is hereby granted to: JUNIUS & WF HUBBARD 100 BEEKMAN ST APT 12L NEW YORK,NY 10038 for CONSTRUCT AN ACCESSORY BUILDING AS APPLIED FOR. THIS PERMIT REPLACES BP14620 . at premises located at 9475 MAIN RD MATTITUCK County Tax Map No. 473889 Section 122 Block 0006 Lot No. 014 pursuant to application dated DECEMBER 3 , 2004 and approved by the Building Inspector to expire on JUNE 3 , 2006 . Fee $ 75 . 00 I � A oriz d Signature ORIGINAL Rev. 5/8/02 FORK NO. 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) P44VAAre-d 3 �LI N° 14620 Z Late .......V4-�!4l.....7........................ Permission is hereby granted to: ... .........L,.....N .. .. �. ......... �?..?5....�. �.�'�......................................... ......A.Q:).Z)E 19 to ... .... ....... .....Q� t!a....Q.G...................... .. ..Q�r ( 4t.. ....................................................................................................................................I........................... at premises located at ...7.1. ....... ... .P.-�►z.... ................. '. Ir ...A......................... ................................................................................ ................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ....1.Z Z'....... Block .......... ......... Lot No. .....d............. pursuant to application dated .J .......... .....�1...I............. 191 ., and approved by the Building Inspector. Fee $.o 5 ....'' .....Y...4A L ... .... .. ............................. BuildingInspector Rev. 6/30/80 5 teP Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT µ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the,'Nlo*ii4Q 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. Commercial 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. If a 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. Certificate of Occupancy on Pre-existing Building- $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. - 3 —ov New Construction: Old or Pre-existing Building: (check one) �y Location of Property: 15 a`��d� Cd I .C.4 House No. ,�l Street Hamlet Owner or Owners of Property: 4 �i^ f,at, (il Suffolk County Tax Map No 1000, Section ( a a Block Lot /q Subdivision Filed Map. Lot: Permit No. 0 Date of Permit. D Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate:_� (check one) e� Fee Submitted: $ 5 Applicant Signature THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1205030 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date OCTOBER 01 , 1993 Application No.onfile 05096693/93 N 291226 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of J.HUBBARD/B.BOURSIQUOT, 9475 !LAIN ROAD, MATTITUCK, N.Y. in thefollowinK location; ❑ Basement ® /st Fl. ❑ Ynd Fl. OUT sectio,L122 Btock006 Lot 014 was examined on SEPTEMBER 2 9,19 9 3 and found to be in compliance with the National Electrical Code. RXTURE PIXTUINS RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ACLES SWITCMlS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 15 25 18 14 1 DRYERS FURNACE MOTORS FUTURE APPIIANCE FEEDERS SPIECIALRIIC'"I TIME CLOCKS NU UNIT HEATERS IrriJLTI.OUTLET DIMMERS SYSOIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMR F NMT AMT. AMPS. TRANS. AMT. H.P. NO. MS AMT. WATTS 1 20 1 SERVK% DIlCONNECT NO.OF S E R V 1 C E AMT. AMP. TI PE METER 10 2W IN 3W 3 X 3W 30IW NO.CIF CC.GOND. A.W.G. NO.OF HIAEG A W G• NO. NEUTRALS A.W.G. PER N OF CC.C ND. Of HIL - OF NEUTRAL OTHER APPARATUS MOTORS: 3-F N. P. G.F.C.Is_6 SMOKE D1ITECTORr -1 TWIN FORK EL9CTRIC LIC.#3488E P.O. BO% 48 JAM 6 S P O R T, NY, 11947 OEhINtAL MANAGER 11 per Certificate wait not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identifies by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 30gxj Z 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE 4p.-- /4 �� INSPECTOR_�•�%�-- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING � FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE �°� �s �� INSPECTOR ll FIELD IN VECTION DATE COMMENTS W o y FOUNDATION ( 1st ) - 9 C n FOUNDATION ( 2nd ) 2 . z � 0 _C ROUGH FRAME & PLUMBING cn H 3 . r� r INSULATION PER N . Y. STATE ENERGY CODE x 4 . a 7 FINAL I 0 z ADDITIONAL COMMENTS : --ted • x b� H ' yW H31 Z - x r 3 x d H a99-FSs iCDM �'-1A FORM NO. 1 1 I .,.. ,.• 5�E '�.I► FCD 1986 TOWN OF SOUTHOLD BUILDING DEPARTMENT BLDMPT PT TOWN HALL TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 i� TEL.: 765-1802 Examined 19 .tP �; �l f��J Received . . . . . . . . . . . , 1 9 . . . Approved ?-�? .�. . . ., 19 R�0. Permit No. r' 1 . .. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . 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 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 Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or namre,.if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Qcs9 t?LR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises ... .? . . . .-lbbflRa. .ANa . . . .. . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . C' 1. Location of land on which proposed work will be done. p1 i N � ' M A 4�J.-e.. . . . . . House Number Street ti `t. Hamlet County Tax Map No. 1000 Section r°Z �t .. . k i Block . a. . . . . . Lot . . . �.[ . . . . . . . . . . . . . b Subdivision . . . . . . . . . . . . . . . .':". s. , ,.- Filed�,May No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy $ }1.>. O R 1-RwN MD4SE(�,��oof..�? j P'G. . . . . UU � 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . t q (Description) 4. Estimated Cost . . . .7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g g QCC�UPAN�� R (to be paid on filing this application) S. If dwelling,number of dwelling units . . be of dwellin units on each floor . . . . . . . . . . . . . . . . If garage,number of cars � i . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occup VEecon . . t . of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existin structures,if anyro Depth . . . . . . . . . . . . . . . gHeight Number of SW s . 5 .�T. . . . . . . . . . . . . . . . . . . . . . . . . . . . Q Dimensions of same structure with alteralfid or addi i . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Hei � � Number o�Stories . . . . . . . . . . . . . . . 8. Dimensions of entire new construction t . . . . . . . . . . . . . Rear . . . . /0 . . . . . . . . Depth . . . . 1.6.r. . . Height . . � . . . . . . . .Number of Stones . . . . . .I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises. . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 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 number or description accord' to died, and show street names and indicate whether interior or corner lot. I� APiPROVED AS NOTED .S L DATE: I� _� B.P # (g 6 d 0_ W FEE: a S BY: V • G t NOTIFY BUILDING DEPARTMENTT 766-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2 ROUGH FRAMING & PLUN,81 G 3. INSULATION 1. FINAL CONSTRUC, ON M. BE COIVP� EYE FOR C 0 ALL CONS TRUCTIOPi SHALL MEET � 1-HE REQU1rFft.,1F*'rr S OF rHF N.Y --TATE CONSrk►).C'TIONI & ENERGY 'ODES it.^Tfit4SP0NSjbLF FOR U a� STATE OF NEW YORK,_ S.S COUNTY OF . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 manner set forth in the application filed therewith. Sworn to before me this . . . . . .day of. . . . . ` � . . . . . . . . .. 19 G Notary Public, County a� NM lfi*"d%w04W Yak . . . . . . . . . . . . . . 1 ? (Signature of applicant)