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Home My WebLink About28439-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28586 Date: 07/11/02 TI{IS CERTIFIES tlmmt the building ALTER3kTION Location of Property: 655 SOUND BEACH DR MATTITUCK (HOUSE NO.) (STREET) (H3kMLET) County Tax Map No. 473889 Section 99 Block 1 Lot 25 S%~bdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JLTNE 4, 2002 pursuant to which Building Permit No. 28439-Z dated JUNE 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 ALTERATIONS TO AN EXISTING BATHROOM IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to AGNES M HOLDEN of the aforesaid building. ( OWNER ) SUFFOLK COUN~qf DEPARTMEIFE OF ~R~J~.i'~ /~PPROVAL ELECI~{ICkL CERTIFICA~ NO. PLUMBERS u~TIFICATION DA'rmu N/A N/A N/A 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. 28439 Z Date JUNE 4, 2002 Permission is hereby granted to: for : AGNES M HOLDEN 12 EAGLE LA HAUPPAUGE,NY 11788 ALTERATIONS TO AN EXISTING BATHROOM AS APPLIED FOR at premises located at 655 County Tax Map No. 473889 Section 099 pursuantto application dated JUNE Building Inspector to expire on DECEMBER 4, 2003. Fee $ 150.00 SOUND BEACH DR MATTITUCK Block 0001 Lot No. 025 4, 2002 and approved by the d 1 natur Rev. 5/8/02 COPY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ATION 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. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Owner or Owners of Property: ~/~"Zb/~,5' Suffolk County Tax Map No 100~, SectiOn Subdivision Old or Pre-existing Building: Street (check one) Hamlet Block Lot Filed Map. Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~-.~q~ ~ Date o f Permit. ~'/~///O ~ App lic ant = ~-~J,' & '~A,t_.,~., Underwriters Approval: Final Certificate: (check one) ~t Signature ~TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET / ~-;-: VII'LAGE DISTRICT SUB. LOT - FORMER OWNER N E ACREAGE S W TYPE OF BUILDING / R~S~o LAND SEAS. IMP. VL. TOTAL NE~ Fo rm Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot Tota I /3o6 NORMAL Acre FARM COMM. lIND. ICB. J MISC. Est: Mkt. Value DATE REMARKS /.~00 BUILDING CONDITION BELOW Value Per Acre ABOVE Value FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD DOCK Town of Southold Building DePartment GERALD LANG D/B/A ALEET ENTERPRISES P.O. BOX 181 CUTCHOGUE, NY 11935 (631) 987-4645 oA~~YDZ LqAS NOTED NOTIFY BUILDING DEPARTMENT AT ?eS-leO~ S AM TO 4 PM FOR THE FOIl. OWING INSPECTIONS: 1. FOUNDATION. TWO REQUIRED FOR POURED CONCRETE ROUGH . FRAMING & PLUMBING & INSULATION & FINAL o CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CON~'rRUCTION ERRORS ~!~nse #29,890-HI Worker's Compensation #I=1272604-8 ~. & Mrs. Bob Holden 'Mattituck, NY 11952 (631) 979-1463/298-8438 Description: Renovation of Full Bath General Liability Insurance #ART-II51162-00 Date: June 3, 2002 By: Gerald Lang (631) 987-4645 Replace rotten floor joist. Double up on existing floor joist. Add joist hangers to header. Re-apply new decking. ln,~tall new fixtures. Plumbing & Electrical to remain the same. Upon discovery of the rotten floor joists at the above referenced project, I would like to request a pvmdt from the Building Depadment for the following: .~_l ~ffr~ : ~ ~ L OCCUPANCY OR USE IS UNLAViFUL WITHOUT CERTIFICATE OF OCCUPANCY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~"~NAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR F~I,I) INSPECTION REPORT I DATE FOLTNDATIO.N (1ST) FO~ATION (2~) ROUG~ F~M~G & ~S~TION PER N. Y. STATE E~RGY CODE TOWN OF SOUTIIOLDi BUILDING DEPART TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 76S-9502 Examined Approved ,20 t--- Disapproved Expimio= /z/¥ ,20 J BUll.DING PERMIT APPLICATION CHECK. LIS Do you l~w or neexi the followktg, before applymt Board of Health 3 ~la of Buildi-g Pla~ - pl~g Board approval N.Y.S.D.E,C. Tmzt~s Conta~: Building Inspector APPLICATION FOR BUII,r~ING pERMIT INSTRUCTIONS a. TNs application ~ST be ~l~dy fill~ ~ by ~t~ or ~ ink ~ ~ to ~0 B~ding ln~or ~ 3 sets of plus, acc~ate plot p~ to ~e. b. Plot pl~ showing l~on of lot ~d ofb~ ~ p~i,~, reCoUp ~ ~joNing presses or pubhc s~eets or ~eas, ~d wat~ays. c. The w~k covered by ~ ~phm~on may not be comm~c~ befo~ ~ ofB~~ P~t. d. Upon 'approv~ offs a~o~ ~ B~ ~tor ~ ~e a ~ Fan,,;t W ~e apphc~t. Such a p~t shM1 be kept on the presses a~ble for ~oa ~om ~, work e. No b~ldmg s~ be o~ or m~ ~ w~e or ~ p~ for ~y p~o~ w~ ~ ~ ~ ~e B~&g ln~tor issues a Ce~ificate of Occup~cy, f. Evew buil~g p~t aha~t ~ ff ~ WO~ a~o~ ~ not c~ ~thia 12 mon~ ~ ~e ~e 0f iss~ce or has not be~ co~l~ prope~y ~ve been ...... embed m ad~tion s~ mon~. ~e~, a ~PLICATION IS ~y ~E to ~, ~ D~ for~ ~ of aB~&g P~t p~s~t to ~e B~lding Zone Or--ce of~e To~ of So~ol~ ~o~ Co~, N~ Yo& ~d.~h~ ~le Laws, ~dlnanCeS or Relations, for the cons~on of~ a~om, or ~t~o~ or for ~ or ~ ~ h~ d~b~. ~e apphc~t a~ees to co~ly ~ ~ ~ble h~, o~o~, b~ ~, ~ng ~ ~a ~flafio~, ~ to admit au~ohzed inspectors on pr~i~ ~ ~ ~ f~a~ ~o~. ' . . _~ '~ ' (s'_ ta,owo o ) State whe~er applicmt is o~, t~, ~L ~ ~, g~ ~r, ~~ pl~b~ or b~d~ N~e of o~ ofpr~ses (~ on ~e ~ mil'or la~ d~) If applic~t is a co~orafion, M~a~e of dffiy ~o~ offi~ ~e ~d title of co, orate offi~) . Bmld~s License No. ~_ ~ Plmb~s Lic~se No. - Elec~ci~s License No. O~er Trade's Lice~e No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision - (Name) Block / Filed Map No.' Lot Lot State existing use a~l oecx~pmaeYofpr~mls~ and intended'use mad occupancy of proposed construction: a. Exisfinguseandcagetxpancy ~'rX~r.-~ ~=:,4/-rr~5," zgr-~,~:~ c_-/X) C[ b. Intended use and occupsncy 3. Nature ofworl3,(check which ~plicable): New Building Repair ~ . Retnov~l Dc~nolition 4. Estimated Cost 5: If dwelling, nmnber ofdwelllng~mlts If garage, number of cam o Addition Alteration Other Work · Fe~ f..q'-~5> ~ (Description) (To be paid on filing this application) Number of dwelling nnlt~ on each floor If busine~s7 commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing sh.u~ if any: Front Rear Height Number of Stories / Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Dimensions of entire new con~kul~tiom Front ~ Rear Depth Height -- '- Number of Stories - 9. Size of lot: Front 10. Date of Purchase Rear Rear DelXh Name of Fo, ruer Owner 1 1. Zone or use district in which pr~mlnes are situated NO / 12. Does proposed conch'action vi~lat~ may zoning law, ordinance or.regnlation? YES NO 13. Will lot be re-graded? YES NO ~Will excess fill be removed f~om pl~nises? YES__ 14. Names of Owner ofpremi.~es A. t/r/oz-'r~t4~r Address~r~-rr,~,~o~c Phonb No. Name of Architect Address Phone No Name ofCoxx~ractor/~tO~7'/=r~'r~r~_-p~,,~'~ Addl~ss ~.~. ~,, w 15 a_ Is this propertywithln 100 fcet ofatia.! wetland or a fre~hwaterwetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMII~ MAY BE R.BQUIRED. b. Is this propel'fY within 300 ~ of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUll~D. 16. Provide sm-vey, to scale, with acema~ foundation plan and distance, sm 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) coum-z £o l s)s: ~)~ e. ~. I t'][,~(~ b~qng d~y ~ d~ses ~ says ~t (s)he is me appnc=t ~me of ~a~ si~ ~) ~ve ~ (S)He is the ~0~ ~0~¢ (~r, ~, Co~mte ~e~, ~e.) of said owner or owners, and is duly mxthorized to pc-dorm or have performed the said work and to make and file this applicatio~ that all statements contained in this application are tree to the best ofhis knowledge and belief; and that the work will be performed in the rn~ner set forth in the application filed therewith.