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Home My WebLink About38223-Z Town of Southold Annex 9/21/2013 ~tJtjj P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36518 Date: 9/21 /2013 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 990 Central Dr, Mattituck, SCTM 473889 Sec/Block/Lot: 106.-2-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofiiced dated 7/30/2013 pursuant to which Building Permit No. 38223 dated 7/30/2013 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: garage addition to an existing one family dwelling as applied for The certificate is issued to I,eschuck, Margaret (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED - - - ut rued ignatur TOWN OF SOUTHOLD BUILDING DEPARTMENT $ 6 TOWN CLERK'S OFFICE ~g SOUTHOLD,NY ~~i * BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 38223 Date: 7/30/2013 Permission is hereby granted to: Leschuck, Margaret _ _ 990 Central Dr Mattituck, NY 11952 _ _ _ _ To: build an addition on existing dwelling. Replaces BP 8631. At premises located at: 990 Central Dr, Mattituck _ SCTM # 473889 Sec/Block/Lot # 106.-2-16 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 1/29/2015. _ Fees: PERMIT RENEWAL $15.00 CO -ADDITION TO DWELLING $50.00 Total: $65.00 Building Inspector rasa a 1+OIIINM QE '1't ~ QN i0i~ielOLd. N. Y. MRMt1T (1'WIS PERhAIT MUST Bf KEPT f~l TFIf PkfM15f5 UWl`IL FULL fAiN~+'LE'I'ION (1F 'fHf WOK AUTHOR12f~) ~p+~j#? ~ Parmis3lon Is Y'.4~d Yo: ~ s.,w,rettx..a~~. ~l~.. p®te>r..k~~s~.... ..................~rttiS.v~Jc................... ro :#3,LSD.d..1:1'i..,RS~1S.~1A~t..mA.. azi,fit.~Y~i..}SycRu~x3i at E+~rE+iws bcot+d mt ..~eA.fi..94:.:. ~.ap:~..K,id~1..3S~ax Central Drtve ~'attituck awaxnt to ~pllccrtkn do~.d durie.....4.............., 19.7.6,., and ' bq d,e We i...1~R44........ BuFkiinp Ir~etor Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 following: A. For new building or uew 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 Boazd 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 eaisGng buildings (prior to Apri19, 1957) non-conforming uses, or bnildings and "pre-eaistiug" laud 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 $15.00 Date. ~T ~ w l 6 a O t~ New Construction: p Q Old or Pre-existing Building: (chMeck one) Location of Property: { l ~ ~ _Vl~IrCl.~ ~ r 1~/(; 1 I CL~ l 1 1.1.G , House No.M .}S.treet Hamlet Owner or Owners of Property: M Q, r G 0. r t? 1 Les C~_ f 11.E G k Suffolk County Tax Map No 1000I,1Sec1ti1on L} 13 ~{-g q Block ~ 6 Lot ~ ,Z - ~ (j Subdivision CAS IQ,11"~ 1c ~ Qd ~S~GL\E S Filed Map. Lot Permit No. ~ ~ ~ Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) FeeSubmitted:$ b,S~Oh <~L~ A~ icant Signature 0 C~Z ~ ~4-- ~.~.OF SD!!)~ U TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUG LBG. [ ]FOUNDATION 2ND [ ] I CATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY ( ]FIRE SAFETY INSPECTION ( ]FIRE RESISTANT CONSTRUCTION ( ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ( ]ELECTRICAL (FINAL) REMARKS: r DATE ~ ~ INSPECTOR , _ , ~~v ~ o~,~,OF SO4ly~ # TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN TION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~T~ _ (/,~PA~.;.~.~?J ~ ~ ~ DATE ~ ~ ~ INSPECTOR . ~ ~ ro A . UJ gUi`IDA'~.ON C~~ x ~~crrmn~'r~ort C~NV) ~ xov~ ~ nss~'rx°~ ~ cop$ S'Y'AT'B'~ 3 . errs p31DTPIOPTKL COi~ 5 0 A ~ p~q F08M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE qq SOUTHOLD, N. Y. Examined ....................1......., 19.76 APPlication No....~~..3.I............ Approved 19 r ` 1 ,1.. ~ Permit No. 3 Disapproved a/c uilding Inspector) APPLICATION FOR BUILDING PERMIT j Date .~1../..~ 19r/^.... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to stole. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adyoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drown on the diagram which is port of this application. 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 permit shall be kept on the premises available far 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 regulntions, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or e, if a corporation) .::.~.F.~~:i!:.. „ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general con^tra_ c_ to electrician, ~I ber or builder. r r Name of owner of premises 1f applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ........lJ.::~.`.:.:~°1.:"~.:L Plumber's License No . Electrician's License No . Other Trade's License No 1. Location of land on which proposed wo/r~k~will .bye.,d~one~. M p ! Lot N Street and Number ......9.`'~..,Q....6:..1G~:~rS.:••C..a:.n.•••(~~...' .................~.....~...1............ MuniEipality 2. State existing use and occupancy of pre ices and 'n'en d use and o~~ccu~~pan~~c/y of proposed construction: o. Exisiting use and occupancy ...G.'1?.Gf.Tlr.:......1..... ~ b. Intended use and occupancy .l _ _ _ 3. Nature of work (check which applicable): New Building Addition Alteration . Repair Removal Demolition..................~ther Work r~~.••.•.•.•...•.(Description) 4. Estimated Cost ~.P.`N.-1..4.~~ ................Fee ..J....f... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor If garage, number of cars ..................f.......................................................................................................................... 6. If business, commercial or mixed occupancy, speufy a~ure and extent o type of use ~ 7. Dimensions of exisy'n~g structures, if any: Front Rear ........1:..~............ Depth ....,1~..... ~ .......1 ~ Height ~ Number of Stories • Dimensions of sam~ structure with alterations pnpdditions: Front Rear c' Depth .....yQ Height .........~.t,l...........Number of Stories ~ ~ / ~~77 i 8. Dimensions ollf eptire new construction: Front .........../...~5 Rear Depth Height ....../.:s.../.. Num t4tories ~ f,.. ~ , ...a.2... 9. Size of lot: Front .............~~r./.................. Rear Depth 10. Date of Purchase ................1..~~;~.~...................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 : ..C.f............................... 13. Will lot be regraded ,II,,I~~,,e,xc,elIs~s~f~i,ll~~;,be removed fr pre~i es~( )Yes ( /,)c. ,J,~~j//y~j/ 14. Name of Owner of premises .....::`3..r.'/.'~:NiSf.'l.:S..... Address J:C..r!..,(.!.t~'.. Phone No1:Y..~f...':l..0!..'2 Name of Architect t~1~.~~..//. .,j.~ Address .........._~..,,.yy..'~.~~..,~.,....,,.{{.~~..... Phone No. /..y....r.~.....p........C~ Name of Contractor ...~...1..~:`.:..l...U Address .~~:':4GG:!!!Y>.flE~tPhone No. /'zl...:.p.~~.! OT DIAGRAM Locote clearly and distinctly all buildings, w ether existing or proposed, and indicate oll set-back dimensions from property lines. Give street and block number or desc~riptio~n according to deed, and show street names and indicate .vhether interior or corner lot. ~~IS~I ,1 / _ ' ~ 0 N S ~ f i ~ . , _ s. } I ~ _ ~ r. ~ t 1 _ t ____.~~__.~_______~__l__i.___._:. I STATe OF NEW `Y~i K, ~ 1 S S COUNTY OF ..~`'v'V f~.......f ...............................................................................................being duly sworn, deposes and says that he is the applicant (Name of individual signing contraci~ ~ti above named. • He is 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 thar the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Qom,,,, ..............~7"~. day of J~..:..:.`:~ 19,9.. ~A/ Notary Publi~~?~%tai.'-CXfi.s_.~.~.d../:~.[c..l~••%~ ............~'v.....~ . moirti i. BOKEN ("~~'e~J (Signature of applicant) Jotary Pu61;c, State of New York °7-[;344963, Suffolk Coun[y Cmrnssian Expires March 30, 19