Loading...
HomeMy WebLinkAbout34036-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector TOWR Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33160 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 600 LEGION AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Sectioa 142 Block 2 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 25, 2008 pursuant to which Building Pezmit No. 34036-Z dated JULY 3, 2008 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 "AS BUILT" ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FO The certificate is issued to CHRISTINE A ELLIOTT (OWNER) of the aforesaid building. SIIFPOLR CODNTY DEPARTMBNT OF BEAI,TA APPROVAI, N/A SLSCTRICAL CB<tTIPICATS NO. N/A PLDlBERS CERTIFICATION DATED Authorized Signature Date- 07/18/08 Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~G~ ~ ~_~---, 765-1802 w APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with f~'e 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 I % lead. 5. Couunercial 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: I . 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 L 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 Dale. j/~O ~~r~ New Construction: Location of Property: (000 Old or Pre-existing Building: ~ (check one) House No. Street Owner or Owners of Property: r~~R/y~T/it/E ~~D T7~ Suffolk County Tax Map No 1000, Section ~y~. 004 Block Da . O D Lot 6/D . DOO Subdivision Filed Map. Lot: Permit No. ~ ~~~~ ~ Date of Permit. 7 ~ 0700 Applicant: ~~ ~Q~ /~T/A/~ ~~~j0~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~.5. p~ (,~o ~ `~3- ~,© Underwriters Approval: Final Certificate: i/ (check one) pplicant ignature 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. 34036 Z Date JULY 3, 2008 Permission is hereby granted to: CHRISTINE A ELLIOTT PO BOX 1300 MATTITUCK.NY 11952 for ALTERATION (CONVERSION OF GARAGE TO STORAGE/UTILITY ROOM) TO AN INGLE FAMILY DWELLING AS APPLIED FOR. AS BUILT. at premises located at 600 LEGION AVE MATTITUCK County Tax Map No. 473889 Section 142 Block 0002 Lot No. 010 pursuant to application dated JUNE 25, 2008 and approved by the Building Inspector to expire on Fee $ 400.00 ORIGINAL Rev. 5/8/02 3~n36 Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE RESISTANT CONSIRUC7 REMARKS: ~' [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION c ~~a- '~ ~ ~~) ~ ~~ ~~ ~,~ .cam- ~~ d~ DATE 7~~5 ~ O INSPECTOR ~~ `~ REPORTI DATE FOUNDATION (1ST) FOUNDATION (2ND) COMMENTS t~ z 0 ROUGH FRAMIlVG & PLUMBING INSULATION PER N. Y. STATE F,NERGY CODE ~? 1 ~ ~y ~_. i ~ x ~y FINAL ro ' ADDITIONAL COMMENTS ~-~ ~ O m ti ~ vJ ~, O z -~ x d ~. `~~ 5~~ 9,0 I /'~`O~ ~~i LJ' . , . ~. ,~ 0~ 8 N J `Q. /. ~~ 1g~ ~ \5~ ~, ~~J~° ,~ e~• ~ ,, ,, ~` s ;; ~` 20 ;~~ ~, Preppared In occordanes wllh fhe minlmum slendards lar 1llle surveys as es/ebllshsd by /hs L.I.A.L.S. and appproved and edop/ed for such use by Tha Nsw York Slc/e Lard Tllls Aasoclalion. •" ~$ .,~ ~ s .~ ,Y - o i SURVEY CAF PROPER T Y A T MA T TI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. rooo - 142 - 02 - ro Scale 1" = 30' June 27, 1988 ~~ ~,~ -~ ~ CERTIFIED T0~ CHICAGO TITLE INSURANCE COMPANYy iOC+ ~p''~ ~ PRUDENTIAL HOME MORTGAGE COMIyANY ~,~ CHRIST/NE A. ELLIOTT Z ~~ yA~ ~6 ~ .t>v vu / p lANpr .. 's ~ Y '~ Q Ju Vl~ ~`; rr ) 20 O i 6' Z . ~ ~ ~ __ ~~~ s_ . - N. S~D. lC. NO. 48888 i t~ i ) ~ y0 11971 RR _ 'eon ~,` DONALD G, FEILER •ARCHITECTPLUMBER C~~.~TIFICn,.,. ~S 1~~~ , ~1~ n Rtl • Box 1692 • MattlNCk, Nv 11952 • 631 ~298~5453 • Fax 298~13~ N~EAD CONTENT BEFOI : ~. lFICATE OF OCCUPANT Y A.~, ~ ~ 9 _ p " SOLDER USED IN WATER __ _ _ _ _~~ -- __._ ____ _ _ ~UPPLYSYSTEA~1 CANNOT FO~gR~ZNE EXCEED 2/10 OF 1 % LEAD. ~• _.,~aFD P Mg~NO T ~Z~ON MDSE ~ E~ )T SN MS OF LITI ~- I T ~ ~~aa. ~w . UNDERWRITERS CERTIFICATE REQUIRED ALL CONSTRUCTION MEET THE RE~UIREMEN" CODES OF NEW YOr=,~t PLUMBI~G ALL PLUMBING ~ AsrE & WATER LINES NEED TESTING BEFORE OVERING • ~, THE - ap I, b ~- ' occuPANC USE IS UNL~.,,' ' WITHOUT GFnTIFI .r~ " OF OCCUPANCY DN i AodV N __- -_. ~. I T G N ~ t tz. ~ `~ J~ N i`-v~~ 1- 1 ~t I t-~ GONV~•T~v TD ~Tol~~~ It.aoM IN I°lGl • TO-{E'1~ ~TOF 1`n`~ ~I`II~WL~E 'lids ~ON~R1,~•PoM ~ MP'~yM~ "~ T~~ 1~{~ ~t-U~ co1~c~ 19~c 1 ~L,L,I C~ I i `i2~~ 1 ~~~ G _ 5~ o L.EG I o T-1 TAx MAP N° EE' ~ gD\~D\N ~~ M F 'j65.16~ ti~NG \NSP 1. FODNv ODFED FOR P FR 2• gOg~~P~\ON~~ 4 \FB P~OMP~ P~~ ~,~aE~ WORK SjC DES~G~ 1 ~yEN UE I MATT 1TUGK, , N`~' loon - 142 - 2 - 1~ ~~~ sum ~. Z o, 2.ao8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. 3U cgL~ Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Examined 20 Approved 1 ,20 Disapproved Expiration , 20 Survey Check Septic Form_ N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form ~z Building Inspector Mail to: Phone: ~cj a 5 `APPLICATION FOR BUILDING PERMIT 2 , Date \~t!`P~( D~ , 20~g INSTRUCTIONS a. This-application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 name, if a corporation) ~' ~Ck /~c'0 /yIAT/7t~c`/C .tl ~ // /~`5~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (.~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No._ ~f(Plumbers License No. _ Electricians License No. Other Trade's License N 1 L cation of land on which proposed work will be done: ~~D ~ lOil/ A/En/U~ /YlA~ Number Street Contact: Hamlet County Tax Map No. 1000 Section /'i~a , DD Block Ua . 00 Lot U/U. Ol~O Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building Addition Alteration Repair Removal 4. Estimated Cost Demolition Other Work (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7 Dimensions of existing structures, if any: Front Rear Height Number of Stories Depth Dimensions of same structure with alterations or additions: Front Rear nAr,r-, Heiaht Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Reaz Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises aze situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES_ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No_ Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. NO 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COiTNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) lbrk 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 ,~ 5-~F, day of 20~ Notary Public Fee ~~~ ` 5~R 9°~ ~'~°~°'~°°~ ~ SURVEY CAF .k `~ p~ e° ~~` ~ •~' ~~ ~ PROPER T Y ~ c~ ~~` ~~ ~~~ o°~g~ ~ .°N~~: ~~%ai" y ~ TOWN OF SOUTHOLD ~ ~~ ~ '`°,~ ~~ Sty °°.~ ~ ~"~' SUFFOLK COUNTY, N. Y. ' ~ „-~ ~~ 1000 - 142 - 02 - 10 ,,,~o° g. ~ ,~~~ `~ ~ ~ Scale 1" = 30' ~iD~ ~° ~"° ,~84" ~`" June 27, 1988 ~- ` ` ~y , d p~r~~.d. ~~. ~ ii' ~S ;~~ 2 ;~~ O/ Pisppaced !n aeeordanss wllh the m/n/mam s/andards for fllle snrveya oa sslabl/thed by !hs L.LA.L.S. and approved and adop/ed for saoh use by The New York Sale Land Tlde AssodaNon. ~~^. > ~ . .~- y c p~'n° '~+~~ / ~' ,, 3 _°v ~ CERTIFIED T0~ CHICAGO TITLE INSURANCE COMPAN iO~. ~ ~~''~ ~ PRUDENTIAL HOME MORTGAGE COM ANY .~ ~ 9~ CHRISTINE A. ELLIOTT ~ 0° ~z. Jys `' ~ LANps 5 G ~'' ~o ~~ _ ym c, ~ , C~3~oyk ~ A I"~FG9L~ a' r ' 3 7 2 .C i ~ Z . ~ `~ $~ ,- ~ '. + N. 3°. 1C. NO. 48888 ti ~v i! lacav ew sip _ ~ vn r-- TOWN OF SOUTHOLQ OPERTY CARD OW STREET O VI LL AGE DISTRICT SUB. LOT ~ j/ ~^-- ~ T FORMER OW R N ~i ~ /C.t.t E p ~,~'~!`~ ,Q ACRaE~E (/~ /~ O ~~ ~~1r r ~ .~ w ( r, S tjl(C C~ ~e t W ~ ~_ TYPE OF BUILDING / ES. .~/o SEAS, VL. FARM COMM. IN I CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS ~. D CtI 6 / 5/`/1l b A / ,~.-1 R~ ~C~ /%')o ,~h ~ 5 7 ~ /iU. ~¢ /~e w5 ~ a S'00 `L(,oU 3 - O 5~~' 6 q I~ $-~1D7aR !D!- ~ Ala ot~ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD 6 a ,~ ~6 ~ Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland -o- - - Brushland House Plot Total ;: DONALD G, FELLER •ARCHITECT DATE'• ~ FEE'. BUILDING NC51 j 165.1902 9 AiNSP F0110WING ION 1' FORNPOURED 2 ROUGHj10N 3, INSULA q, FINAL - CO BE COMPL A~~ CONST REQUIRS A1E~ VORK pESIGN OR NAT 1125 Maln Rd • Boz 1692 • Mattltuck. NY 11952.631298 SG53 • Fax 298 4G.u ~ U~L16ER C~r?TIF1CATi. AS 6 z ~ ON LEAD CONTENT BEFC I P # ~ 9 o CE TlF/GATE OF OCCUPA LDER USED IN WATE D.FARIMENT AT S PPLYSYSTEMCANNC FOR THE ED 2/10_QF_ i % L ~ WO REQUIRED I' ~-___. NCRETEUMBING it UNDERWRITERS CERTIFICATE NG & P~ ~ PLUMBING REQUIRED ALL PLUMBING WAS E S 10N UST I' g WATER LINES NEE 0, i ESTING BEFORE COVE~RIN SHA ESpFN W '~ MEET THEREQUIREiv .,;;ij ~ ~~ E FOR I CODES OF NEJU YOr ri ~7ATE. i T r aGSP NSIBI..r,aS ~Tt~-ITS ', S~owcc~~. _ 1 OCCUPANCY USE IS UNLA!~!r ~~~" WITHOUT CE~cTi~--!" Y`. ~W OF QCCUP~fJUY ~I Do M _- ~ I TGN J=.. N ~ 1-Oev tZ ~4 a-- ~ ~ ~ I t~-I ~' ~.;~ -- JU M L. Z O / ZvoB E~~ST`Ir~.lvt ~i<~~-~ ~~~~~~ - GON~I FSi,-TI='D 'rD ~Tot~+~~ 2ar~M IN I°-G I . To1l~E ~T OF ~~ `/ 4~~1()Wt.Q~~ ~ii>= ~oN~RL~i IoM GGooNIY~I+i`'1~ ("~~I~`I~ 1~`t'~ ~--A~ ~a1'C~C~F 19~ I _ 5~ o L.~C I o ~ ~v~ UE ~ Mp1T 1lUGK , ~Y T~~ M~-P N1° 10CDd 1 42 2 - 1C~