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HomeMy WebLinkAbout27990-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28173 Date: 01/16/02 THIS CERTIFIES that the building ALTERATIONS Location of Property: 805 CAPT KIDD DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 5 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 17, 2002 pursuant to which Building Permit No. 27990-Z dated JANUARY 4, 2002 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" ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ERIC SCHARPF & JENNIFER RIGNEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A xlt�\ A` horized 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. 27990 Z Date JANUARY 4, 2002 Permission is hereby granted to: ERIC SCHARPF 805 CAPTAIN KIDD DRIVE MATTITUCK,NY 11952 for ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR 'h 'o h-S at premises located at 805 CAPT KIDD DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0005 Lot No. 009 pursuant to application dated DECEMBER 17, 2002 and approved by the Building Inspector. Fee $ 300 . 00 thorized S COPY Rev. 2/19/98 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 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 a 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial$15.00 Date. I l L I O a, New Construction: Old or Pre-existing Building: (check one) ,� L Location of Property: 2-D':S oI.1 ►,c�, K"kM ci r (`�o►� IyC� House No. `` Street Hamlet Owner or Owners of Property: C r a C_ 1 Suffolk County Tax Map No 1000, Section it-in Block C�Cp'S Lot OQ�i Subdivision Filed Map. Lot: Permit No. D__�9 CDZ Date of Permit. �J QZ Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitt d: $ jAp 1 ant Signature yea-1eo2 suauiNa oar. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I TION [ J FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE D YINSPECTOR IBLD It�sPS Io RRPORT DATE CCOMMENTS y COM =,_�====x r6MATION ( 1sT)' � S' 0 ILMA,TION (21RD) _ V KWGII FRAME •PLUMBING t4SULATION PSR N. Y. .STATE RNSRGY '� p- U CODE FINAL 9 APUTIONAL Conba i; o J S TOWN OF SOUTIIOLD BLUDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 ✓3 sets of Building Plans TEL: 765-1802 PERMMT NO. L�� Check i�, � Septic Form N.Y.S.D.E.C. Trustees Examined 20 O Z Contact: Approved 1 20 6 7/ Mail to Disapproved a/c Phone: Building Inspector i 10 PLICATION FOR BUILDING PERART Date �� 20� loviN(Zf 4110 L;40LD 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 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 a Certificate of Occupanc, is issued 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. (Signature0f applicant or nam , a corporation) address of applicant) Mcg� t\� og5a State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician,plumber or.builder Name of owner of premises Lk U2 SJrNnCJ2'1 T ^ �-. 4nQ.A-1 (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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work vriR-11,q dpne: Sem 01oP7 u n 4jcl d,- MAL 0\-f V9sa House Number Street Hamlet County Tax Map No. 1000 Section. Block Lot `1 Subdivision Filed Map No. Lot (Name) 4 2. State existing use and.occupancy of Irqmses and intended use and occupancy of proposed con§ttuction: a. Existing use and occupancy I n47 o b. Intended use and occupancy 1�� - � =� �`c'{ �-� •r 3. Nature of wor (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Y1p 44 C,tnm (Description) 4. Estimated Cost � �Db% . Fee (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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N 7. Dimensions of existing structures,if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front l� Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 0 Rear Depth Height n Number of Stories C) 9. Size of lot: Front Rear Depth i 0 10. Date of Purchase OI 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 re-graded L 14 Will excess fill be removed from premises: YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) �: P r �4r SCA- "'QJ being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, ;S)He is the (!)tkpn PP,_ (Contractor,Agent, Corporate Officer, etc.) A said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; :hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be )erformed in the manner set forth in the application filed therewith. iworn to before me this /7 may of 120(3 / Notary Public ignature of Appli iLENE D.HORNE a+y Public,State of New york No.4951364 Qualified in Suffolk County- �IMJSSion Expires May 22, 6p� j ,SAP Grr F OFE,,2TY. r 1OM P Site} MpTTt T LICIL —__ _ .003ri•F_- 100.0 r�4•�r3 ? - '2✓c .?+� .p7r ,J:aE:4 — I j O tJ r,FLAGST;.+Pe ij zi - _ d � Nip j .• CT C n rf' j N A[ZEA 12,30 i S.F " I ,�OOFNcwA- PAPADoaouLos I cur s� I y�oa AG c n lrne•p,cem erse•-.ror.^r eNnq.o nF Zo. �_•.°,Y'ryro W r bthn s�+.Re r.^�..•�n�of ^ ti� C529E``jt� o' Is1 lc rxl C'LAND '1Vc2boi lnw IMr se- ^ .:rnq p AA e ces..c ses 5 n .. '< - • �- L� �j� —:7, .. c ✓ C Guzran ees n �.� J✓.�'r �•�'. i�N 1'w' ^ iTy �..t01 �.. L!1 I u •� — j.^1 ✓�•;!`.- ...i � riot wn lrsn, n, r zV'ery '~ - [. r V •�C�GK - JI�C JF f•.•-�f`j}J �I•^.t_ -��F D: �r IC I r n. . ,:o r,. �_ tv. / I FI��� � :.-�F C'-'r F -^ / G /',� •-_ �_ to the xrzaso ne lcnCin ti- j — ..FrL� _ `..r.l� P,5 t��\% 1v r� I ��` ¢ '. 'neanortrm rr rzt4a �� ✓ �^ / , — ,a,,.•nc,imtmns or su �� f '�1 HAR Pp IZ E ac.741aNG SOS GAf*-r^lN K ITSD 9XIVE. TAX MAP ; 0,00 • IoCo-5 -9 -- CJUPANCY OR --- EX I SrIN(� USE LS UNLAWFUL J:� I T'GH EN WITHOUT CERTIFICATE ExI STINCq izFEMIOV5 7 OF OCCUPANCY l71 N I N tel p�o o Nl >; N'r R`T' no a(z, I tr AS MM oz NOTIFYBu1L�DING DE A 765-1802 S AM TO 4 PM FOR Tw IJ E W 30Co � FOLLOWING INSPECTIONS: N r R'.e Poc K. 1.77.R M 0 V K P`FO FOUNDATION lla T I O{i�DINI NCRETE REQUIRED STAIR. *-PO"GIIN"AMING & PLUMBING 3 INSULATION! AL - CONSTRUCTION MUST COMPLETE FOR C.O. X I �7T1 NC.I - ----- S Z LL CONSTRUCTION SHAD. MEET THE REQUIREMENTS OF THE NX $a q R eoo M STATE CONSTRUCTION S ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION&go" I NEW we0op, STA I Iz. * IZA I L. I N Cl _ �AnTI1�,La FL��I2 Pi-AN .