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HomeMy WebLinkAbout22811-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33314 Date: 10/02/08 THIS CEI~TIFIES that the building NEW DWELLING Location of Property: 1525 BERGEN AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) Co%knty Tax ~ap NO. 473889 Section 112 Block 1 Lot 16.7 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 1995 pursuant to which Building Pemit No. 22811-Z dated JUNE 8, 1995 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 ONE FAMILY DWELLING WITH COVERED FRONT AND REAR PORCHES AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. Ge certificate is issued to WALTER & L~URA A FIGURNY (OWNER) of the aforesaid building. SUF~LK C~)~l~f DEP~ENT OF }~L~LTH APPRO~-DJ~ R10-95-0037 N 389903 ELEt-rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 08/21/08 06/27/96 12/10/96 MATTITUCK PLUMBING & HEAT ize~ignature 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: 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. 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. Co Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $2`5.00, Swin~ning pool $25.00, Accessory building $2.5.00, Additions to accessory building $2.5.00, Businesses $$0.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.2.5 4. Updated Certificate of Occupancy - $50.00 .5. Temporary Certificate of Occupancy - Residential $1.5.00, Commercial $1.5.00 New Construction: Location of Property: Date. Old or Pre-existing Building: (check one) House No. Street Hamlet Owner or Owners of Property: 5 ~. ~ ? ' Suflblk County Tax Map No 1000, Section Subdivision PermitNo. ~-'qc:,2 00'// DateofPermit. /-,' /,~ /c7~" Health Dept. Approval: /~ IO ~%~ Od>,_~ ~fl Block ~ Filed Map. Applicant: /, "~. Z, ;. ' Underwriters Approval: Lot ' / Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ . , .' ~ Final Certificate: (check one) Applicant Signature Towfl Hall, 53095 M,~in Road P. O. Box I 179 Soathotd. New Yolk 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD .,CERTIFICATION ! contains less than 2/10 certify that the solder used in the water supply system 1% lead. d Sworn to before me this day of ~ lg,~C Notary Public, ~~ , County FORM H0.3 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 ^UTHOR,ZEDI ~te ..................................................... 19..~...~ 22811 Z ~/~*- Permission Is hereby granted to: ...................... ~.~..%.:~~...~ ....................... __ .... ~,~.~'~..~.~;.....z.~× .... ,. ~ ,o..,~,z.~~, ....... ~......~_~../...,,~......~~~~~,/ CounlyTax Map No. 1000 Section ..../../......-~:... ........ Block ............... ~ ......Lot No...~..,~..,..,~_... ........ pursuant to application dated ....~,~q ..................................... 19...~., and approved by~e Building Inspector. Fee S..~.~..~ ~ Building Inspector Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ].~SULATION [ ~] FINALC~h ~ REMARKS: TGS-IS0Z BUILDING DEPT. iNSPECTION D tST [ ~ ROUGH pLBG' FOUN AXION FOUNDATION 2ND ~" ' FRAMING [ ~ FINAL FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. [ ] INSPECTION FOUNDATION 1ST [ ~ROUGH PLBG. [ ] ~FOUNDATION 2ND [ ]INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ]~ATION 1ST [ ~ FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [/] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS..__/._.. - DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD ~":'~ ~,. 3VSnAftTMENT SOUTHOLD, N.Y. 11971 Disapproved a/c ' · APPLICATION F~UILDING' PERMIT BOARD'OF HEALTH ........ 3 SETS OF PLANS ........ SURVEY ................. CIIECK ....... CALL t ................ HAIL TO; Date May 23., 19 .9.5 INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 sti'eet or areas, and giving a detailed description of layout of property muir 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 permi shall be kept on the. premises available for inspection throughout the work. e. No building shall betoccupied or used in whole or in paxt for any purpose whatever until a Certificate of Occupanc; 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 Building Zone Ordinance of the Town of South01d, Suffolk County, New York, and other applicable Laws, Ordinances o 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 admit anthorized inspectors on premises and in building for necessary~ ,,~ /' _ ~,----in'~ecti°ns'~ · , · . __ ~'~gv~wz~v~ (Signat ute o f applicant~XSt n, am e:ly,.a corporation) . . 360 Fishel Avenue, Rt-v~rhead, New York 11901 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises Laura Ann Figurny (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Builder's License No .... .N.o.t. ?.t..D?.t.e.e.m.i.n?.d .... Plumber's License No. Not' Yet Determined Electrician's License No. .N.o.t..Y.e.t..D.e.t.e.r.m.i.n.e.d .... Other Trade's License No. N. qt..Y.e.t..D.e.t.e.r.m.i.n.e.d .... 1. Location of land on which proposed work will be done. 1525 Bergen Avenue., Mattituck, Ne~ York ..k5.2.S..B.e. zige. n. Avenue, Mattituck, New York ' [louse Number Street Hamlet County Tax Map No. 1000 Section ...4.7.3.88..9 .......... Block .... 112 ... ........... ' Lot .-.1.-.1.6...7 ............ Subdivision Bergen Hollow ' Filed Map No ............... Lot 3 (Name) 2; State existiug use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .Vacant ,St. ,?lO3g .I · ' ............ ................ .Y:~t 't,; ~)j})jll ;31:/StPI'~Yr,~RYl ................. Prin{ary Residence b. Intended use and occupancy ................................ ,, . 3. Nature of work (check which applicable): New Building X Addition .......... Alterati'~n ' Repair .............. Removal .............. Demolition ....: ......... Other Work...- ............ (Description) 4. Estimated Cost .~125,000.00 ' - ' thru apphcatmu) If dwelling, number of dwelling ' 5. units ...1 ............ Number of dwelling units on each floor .- ............... If garage, number of cars ....... .2..c~r. ~t.t.t~.cb.~.d g.a.r.ag.e... 6. If business, commercial or mi,(ed occupancy, specify nature and extent of.each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ............... Depth ............... Height ............... ~umber of Stories ..... i ........... ' Dimensions of si]me structur,, with alterations or additions: Front . ' ' .................. Rear ................ ' Depth ................... Height ....... · ........ ,.. Number of Stories '. ......... 63 ' Re ~ 63 ' ~ - 53 ' 8. Dimensions of entire new construction: Front ....... 1 ' i ....; a ................ t~epth ............ Height ... ~ ........... Number of Stories ' ' ' 9. Size of lot: Front ...4.7' ..... 34' "2'O ........ ' ................. ; .............. 10. Date of Purchase GJ~(~-'l'~'9'3'~p.'p.'r'~ ') .......... ' ...... Der)th 57.3 18 ..................... · . Name of Former Owner' do'se.ph' ~.'.' ~}]~:t ............. 11. Zone or use district in which premises are situated Re s kdent iai 1 . ?.,.o.es, proposed construction violate any zoning law, ordinance or regulation non, e ; ............. 13. wihlot be re faded xes · · ' ........................ ,, ~ ~ g ................. . ........... Wall excess fill be removefl from premmes: Yes 14. ,~,ame o~ ~w.ner of premmes ~a.u.r.a..A.n.n..F.x. gu.r. ny.... Address 3.6.0. .Fy.s.h.e.)..A.v ..R.n.a... Phone No (bl.6.) 369-29TT~ · e~ame o~Architect .hawrence ~ Tuthill ^aa~ POB 162,Greer;vort '.,, ' '(5'16')T7'7' 'F~'O' ' ..................... rhone No ............ ; .... Name of Contractor .~Q'~ ,y~l; .D,e.t,e.r.m.i,n,e.d,.. Address ., ' · ' .... · .......... ' ...... Phone No ........ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No.~ ..... · If yes, Southold Town Trustees Permit may be required. '' PLOT DIAGRAM Locate cleariy and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property Hnes. Give street and block number or description according to deed, and show street nmnes and indicate whether interior or corner lot. See Attached COUNTY OF ....... k,%p,..¢ ... S.S ...... ~' ...... ~'"' .......... !/ ......... · ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing eontzact) ' ~bove named. is the . ..... .................... . ......................................... . .............. (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained ~n this application are t'rue to the best of his knowledge and belief; and that the york wi/l be performed in the ~ set forth in the application filed therewith. ' ;worn to before me this // NOTARY I~1.1~, State of N.Y. ' ' ~.,~ignatur~ of applicant) Ne. 4725(~9, Suffolk Coff~ ' , / . · Term Expirel May 31,.19..g/~ . · Page 1 of 1 1525 Bergen Avenue Mattituck, New York 11952 February 14, 2008 Mr. Michael Verity, Building Depamnent Town of Southold Post Office Box 1179 Southold, New York 11971 Dear Mr. Verity, Per our telephone conversation of last week, please accept this letter as commitment on my part to take the actions required to acquire a certificate of occupancy on my home at 1525 Bergen Avenue in Mattituck. As conveyed, I have scheduled a final survey of the property to be conducted on Febrtm~ 19th, as I believe this is required for health department approval to be in place. I appreciate your attention and understanding with regard to this matter. For you records I can be reached during business hours at 631-996-3116 should further information be required from me at this time. Sincerely, Laura Figumy OWNER LAND IMP. TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET VILLAGE TYPE OF BLD. PROP. CLAsS TOTAL DATE FRONTAGE ON FRONTAGE ON ROAD DEPTH BULKHEAD TILLABLE WOODLAND MEADOWLANi HOUSE/LOT TOTAL File # TOWN OF SOUTHOLD COMPLA'rNT REFERRAL FORM ACT )N TAKEN: '\ Optionah~ ' Complainant: ~" By Phone __ Mail In Person '~ Repo~ Taken By: ~. , Date: Date Referred to Code Enforcement: CODE ENFORCEMENT REPORT S~I-E ~.NSPECTION REPORT/DATE: t i"~"~ ~-Oq ~ 6v4,j2't 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION R~MARKS: T-/~ "~'~k.n,,._ ~ o. ~c~~,.~ DATE )l- ~- - 07 INSPECTOR ~~ FORM NO. 1 TOWN OF SOUTHOLD 3 995 ....... PO V,/N HALL SOUTHOLD, N.Y, 11971 d.~, TEL.: 765-1803 Examined ........ ,19: .~. ' Approved .~./. ....... , 19~..~permit No. Disapproved. a/c ' . . .¢lguil&'~/nspector) APPLICATION FOR BUILDING'PERMIT BOARD OF HEALTH ........ 3 SETS OF FLA~S ........ SURVEY ................. CIIECK ...... CALL ............ HAIL TO; Date . ?.a.y..2.3/. .......... 19.9.5 INSTRUCTIONS a, This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with $ 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 sti'¢et or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appk cation. ' ¢. 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 i~sued a Building Permit to the applicant. Such permi shall be kept on the. premises available for inspection throughout the work. e. No building shall betoccupied or used in whole or in part for any purpose whatever until a Certificate of Occupant: shall have been granted bY th'' Building Inspector. . APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of South01d, Suffolk County, New York, and other applicable Laws, Ordinances o 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 tt admit authorized inspectors on premises and in building for necessa~ in~pections. -- (Signature of applicant, or name, if a corporation) 560 F±shel Avenue, R~_verhead; New York 11901 (Mailing address of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, genera~ contractor, electrician, plumber or builder. Owner Name of owner of premises Laura Ann Figurny (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 .... .Np.t.y.e.t.p.e.t.ef.m].n.e.d .... Plumber's License No. Not' Yet Determined Electrician's License No. Not Yet Determined Other Trade's License No Not Yet Determined 1. Location of land on which proposed work will be'done. 1525 Bergen Avenue, Mattituck, New York · .1.5.2.5. Bergen Avenue, Matt±tuck, New York ' ' House Number Street Hamlet County Tax Map No. 1000 Section ...4.7.38..8.9 .......... Block.......112 ' Lot .?.-.1.6...7 ............ Subdivision Bergen Hollow 3 ........ . ............................ '. Filed Map No ............... Lot ............... (Name) 2; State existing use and occupancy of prem scs and intended use and occupancy of proposed constructioni a. Existing use and occupancy .Vacant .P4. ......................... ...... .¥ 'l,:'f,' fil~-,} ~' ,eL'lB t ~q'~f~':'Ol~l ................. b. Intended use and occupancy Priniary Residence ......... .' .................... .,~'~: r ;t'/.yJL4V e~l~,~ , ~"' '.; .................. · 3.Nature of work (check which applicable) New Building . ..X ....... Addition .......... Alteration .. ' . Repair .............. Removal .............. Demolition ..... : ......... Other Work...- ............ (Description) 4. Estimated Cost . $125,000.00 ' ~, . ' ~ -../,,,,g this applicatidh) 5. If dwelling, number of dwelling units ...1.. i .......... Number of dwelling units on each floor ................ · If garage, number of cars ........... .2..cgx. g.t.tg.c~a.~d., g.a.r.ag.e .............. .. . 6. If business, commercial or mi)~ed occupancy, specify nature and extent of.each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height Number of Stories ' Dimensions of shme structure with alterations or additions: Front ................. Rear ....... .epth .. ....._ .... . ............. Height ........... · ........ :.. Number,of Stories ...... ' . . . . 8. ~menslons of entire new construction Front... 63 · Rear 65 ,. .,' ' ' §§',' : .... Heloht ~, .... ~ .... oepm ............... 9. Size of lot Front 4.7' · ~ 344'.'2'4" ........ ' ....,5.' ' ~,' ' ' '~;'=';; ................ 10.Date of Purchase qi. ft-.1.993 (ap.p. rox) Name '" -- ' a~Pse~h' k' ' i~ah~i ............. I 1. · ............. ' .......... oi Pormer tJwner ..... ~;.... .................. Zone or use district in which premises are situated .R.e. ii.d.e.n.t>.a.l.1.. '... · · . ' .12. Does proposed construction violate any zoning law, ordinance or regt/lation' non? . . ~ . ,W, ill lot be regraded ...xe.s..: .... ;..._. ........... Will ex,?~ss,fi, ll ,be,re.mo~,d from premises: Yes 14. ~ame of Owner of premises Laura ,ann ~i urny Addra~oeu ~±snex ^v ~no. ~h M ( ............ g ................... . ' naa t~ .516) 369-29TT~ Name of Arch~tect wr. ence.M. Tuth~_ll aa~l~,,~qPOB 162,greenport ,,, ,. ('5'1D)477_1652 Name of Contractor ...bJql; Ye% Determined . · .................. Address ............. · ...... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No..X ....... · If yes, Southold Town Trustees Permit may be required. 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 according to deed, and show street names and indicate whether interior or cornerlot. See Attached STATE OF NEW Y~RJ~_ ~ t COUNTY OF ..... Nk.~...g.. .... . S.S · ....,(~'. ~-~.~.'.'/... t~..-...~'../~'?. '~/ ......... .. ........ being duly sworn, depose~ and says that he is the applicant (Name of individual signing contract) above named. ~e is the .~..e20...~oA-~. .......... ~... (Contractor, agent, cor~porate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this'application are irue to the best of his knowledge and belief; and that the york will be performed in the ~ set forth in the application filed therewith. ' iworn to before me this.0 ~'/ .-'~ /] // t ........ '.. .... ':... .......... ENERGY CODE CALCULATIONS FOR: (For Non-Electric Heat) Design Criteria 6,000 Degree'Days O.A. 10"F I.A. 70~F DATED, SUBSYSTEM AREA DESIGN THERMEL "U" RATING REMARKS Exterior Walls (Opaque) /~0 Glazing // % ~oor~ 3 d , qo - Ceiling/Roof (Opaque) /~/ ,6~ O s~t~ ~ /~ 1.7 ~ ~o ~ l~d~,s'. ~ r~,~, Floor Foundation Walls Slab Insulation TO~A~ * 103 Notes: Building Envelope Systems to meet requirements of 7815.2 HVAC Equipement to meet requirements of 7815.11 HVAC Systems to meet requirements of 7815.12 Duct Systems to meet requirements of 7815.13 Ventilations Systems to meet requirements of 7815.14 Insulation of Piping Systems to meet requirements of 7815.15 Service Water Heating Systems Electrical & Lighting Systems & Equipment to meet requirements of 7815.21 & Equipment to meet requirements of 7815.31 To the best of my knowledge, belief, & professional judgement, these plans are in compliance with the code. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD~,~~ M~, 1~997 TO Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX XX XX The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22811-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 29, 1998 Walter & Laura Ann Figurny 1525 Bergen Avenue Mattituck, New York 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX XX XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22811-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD April18,2003 2ND NOTIFICATION Walter & Laura Ann Figurny 1525 Bergen Ave Mattituck NY 11952 RE: Building Permit # 22811-Z -New Dwelling TO WHOM THIS MAY CONCERN: THE ABOVE BUILDING PERMIT HAS EXPIRED. IT IS UNLAWFULTO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. TO AVOID A VIOLATION BEING ISSUED, PLEASE APPLY FOR THE C.O. SO THAT WE MAY CLEAR UP THIS MATTER. We are unable to complete your Certificate of Occupancy because of the following reasons: X An Application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XThe check is (not in file)S25.00 XNo Health Department Approval on file __ No final inspection has been completed. X No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). Please contact our office on this matter. Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631 ) 765-9502 Telephone (631) 765-1802 DEC.26,2007 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD Walter & Laura Ann Figumy 1525 Bergen Ave. Mattituck, N.Y. 11952 FINAL NOTICE To Whom It May Concern: We are unable to complete your Certificate of Occupancy because of the following ~: An application for Certificate of Occupancy is not on file. (Enclosed) No Electrical Certificate on file. %/~__~ The Check is not on file -$25.00 No Health Department Approval __ No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) ) Certificate of Compliance from Southold Town Trustees. Approval of the Zoning Board of Appeals Final Planning Board Approval. BP #22811-Z (DWELLING ~ 1525 Bergen Ave., Mattituck, N.Y.) NOTE: THIS BUILDING PERMIT HAS EXPIRED, AND A CERTIFICATE OF OCCUPANCY HAS NOT BEEN ISSUED. IT IS UNLAWFUL TO OCCUPY SAID DWELLING UNTIL A CO HAS BEEN ISSUED. THIS IS YOUR FINAL NOTICE. TO AVOID LEGAL ACTION, PLEASE APPLY FOR THE CO SO THAT WE MAY CLEAR UP THIS MATTER. =-TALL 5/4 H,P, 2 S?~GE 5TORAG~ l-ANK ~ROUNDW,~ .L BERGEN COVENANTS & RESTRICT N/F jo~H WANAf ~ ~ ~., ' ~'" ~ - '~""~ / ~'~h V.~II I ~ i ~ ~ ~..'1;,':';' ~" :"'. '' WELL "~ ':' ~z I ~ y Oept. of Hea tn Services .,.~ ~ I i '~ ,? r , _ ~./ ~ / ~, I LOT 2 ¢~X~"~h;~E-' .... , ~. ~ I ~ . , ' , ~ ~ ~ ~ I I SEPTIC TANK DETAIL .. ~o- · ~ . ~ ~00 GAL. X:~1)=~ ~ A I'UFFO~COUN'DEPARTMENTOFHEALTHSERVIC~ f Itl I.'l I I ~- k~l ~ ~ ' ~BER~EN A VENUE ~ -- ' -~' ~x~v '; ':--: ............' ', ......... ~ II~l CONSUL1 -~~a -~r.- ~LK. ~' oc' · ' ' ~ '~":'" ~"'~ I MAP OF: ........... ' LAURA ~GURNY ~' ~ * ~ ~ 93 n~48 3~0 FISHEL AVENUE ~ ~ ~- ~'~ ~_, ~' ~ ~ RI~RHEAD. NE II~OI ~ 0C~18,1~ TITLE NO. LAND NOW OR FORMERLY JOSEPH WANA F N 67'10'40" E ,.744.24' / I S 6~0'40' W BERGEN AVENUE NOTE: TMIS DRAWING CO~TAi~S PROPRIETARY COPYRIGHTED MATERIAL OWNED BY SOFTDESK, INC. BARRETT ~ett, Bo~ee~ H~an & VanWeele, P.O. RE~SIONS: ; ADD*~ON TO ~IS SURLY IS A BONACCI ~N~L~NG ~GINE~S / SUR~S / P~NNERS D~LL/NG LOCA~D THE NEW YORK STA~ EDUCA- H~ · 175 A Commerce Drive, Hauppauge, New York 11788 UNDER CONS~UCEON: TION LAW. V~ELE TEL.516/455-1111 516/435-1022 FAX NOK 9, '995 M. gD. / ,~_ ~ MAP OF: BERGEN HOLLOW / SITUATED AT: MA~ITUCK, TO~ OF SOU~OLD . FILED: DEC. 18,1992 CO. SUFFOLK NO. 9300 coPiES OF mis SURLY MAP CERTIFIED TO: ~YOR'S SIGNA~RE AND JOB NO. 930948 DATE OCT. 18,1993 DP M J.D CH. Q.,IR SCALE: 1" = 50' DIST. 1000 SFC,. 112 RLK. 1 lOT 16.7 Cerlifications indicaled hereon signth/ti'at this plat of the property de~cl~d hereon was made Jn accordance with the existing Code of Practice for Land ,SumWors adol:~ by the New Yo~k Stale Association of Professional Land Sun~yo~s. This cerlificaticn is only for ~ lands depicted hereon and is not cerlification of title, zoning or tteedorn of ~cumbrances. Said ce~fications shall mn on~y lo the persons and/or entities listed hereon and are not ~.s~able to edditio.al persons, entities or subsequent owners. LAND NOW OR FORMERLY dOSEPH WANAT N 67'10'40' E 34.4..24.' J LOT 2 SUFFOLK COUNTY DEPARTMENT OF HEAL'I~H SERVICES \ tJ~ ~APPROVAL OF CONSTRUCTED vVORKS FOR o r~ O ,~ewage disposal and wal~r supply !3cillties at ~ location have be~n 0 L r~::;~, et W as~ewater Management NOI"F~ I XS 67"10'40' W EXISTING SANITARY &: WATER LOCATIONS AS PER PRIOR SURVEYBERGEN AVENUE 'ce'w: su~wY © 2008 BBV PC The offsets or dimensions show~ from structures ta the property lines ore for o specific purpose and use, and fherefore, are not intended to guide in Ihe erecltan of fences, retaining wails, pools, p~lios, planting areas, additions to buildings and any other constructten. Subsurface and environmental conditions w~re not e;.~mined or cor~[dered as a I:~d of this survey. Easements, Rights~-Way o~ record, i¢ any, are not shown. Properh/corner monuments were not pldc~ as ~ part o~ this sunny. Barrett Tax Map: DISTRICT 1000 SECTION 112 BLOCK 1 LOT 16.7 Bonacci & Map of: BERGEN HOLLOW Unau~i~ ~ ~ ~di~ Civil Engineers 175ACommerce D,i,~ Map Lot:. 3 Map Block: Surveyors Hauppauge, NY 11788 T 631.435.1111 File Date: DEC. 18, 1992 File No.: 9300 County: SUFFOLK Planners ~ 631.435.1022'1, · ,~,,~.bb,p:.co~ Situate: MAT11TUCK, TOWN OF SOUTHOLD ~ ~ 10/18/96 DT DWEllING LOCATION COMPLRrE 2/19/08 PR UPDATE SURVEY C~pies o~ this survey map hal bearing ihe land LAURA A. FIGURNY 7/! 7/08 PR SEP11C SYSTEM DJJ~ENSlONS sur~yor's embossed ~eol oral signabre 8/6~/08 D.W. DIMENSIONS TO WELL be considered to be a true and valid copy Data: OCTOBER 18r 1993 Scale: 1" -- 50' '! PI,.~ER CERTIFICA~N ON ~ CONTENT BEFORE ~ERIIFIC,~TE OF OCCUPANCY SOLDER U~ED IN WATER OCCUPANCY OR USEIS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ~P~8~E.,.D AS NOT£D .- FEE: BY; FOLLOW?NG ~NSPECTIONS: 1. FOUNDATION - ~0 REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING E PLUMBING 4. FINAL - CONSTRUCTION MUST BE COMPL~E FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS IV 1N3iN,U:IVd30 BNiOgln8 .E.-IJlON ~ :~ O~.I,ON SV O:]AOIIddV ' ' ' ~ .p 3o~ ~ REQUIRED BY PART. 714 OF .i ~I ~ i I i PROVID£ OPLI.ffJS ~W , ~' ~, ,~, [ ] : EMERGENCY ESCAPE AS ~ r, ~,'4,, ~1 ~ ~ ' REQUIRED BY PAm. 714 0~ ~z ,, (¢) N.y. ~AT[ BUILDING _ ~ . 2%0 ~ ,, x. pRBYIDE K UR. FIRE BATED SEPARATION TO 'x IAlt 117.1 It} I11 OF ~r .~x. 1.Y.-STiYE BUILDING'CO[ ~ ' I Phone 477-0400 Maia Road GREENPORT, N.Y, 11944 I( ~x8 C Ft ~-uE N'