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Home My WebLink About23881-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24861 Date JANUARY 21, 1997 THIS CERTIFIES that the building ALTERATION Location of Property 50 FAY COURT MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 5 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 3, 1997 pursuant to which i Building Permit No. 23881-Z dated JANUARY 6, 1997 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 ALTER AN EXISTING BUILDING SPECIFIC TO A TIRPLE 2 x 10 GIRDER AS APPLIED FOR. The certificate is issued to RICHMOND S. CORWIN, JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A u' ding Inspector Rev. 1/81 FORK NO. 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) O 23881 Z Date .........../.w.................................. 19...... Permission is hereby granted to: .-P�. ..... .... %✓............................. .. ..'aA! sef.. . ��/..................... !!r+�,4r°o C,� ....../y.�.:5:..0./..�..�. ../... _ to /.T..(.�.. .1.�...... ......d1..`Y.l. !..C:.....�. ...�..... ......... oZiC/®'i .... .��.. .........! ..��.! ........, ` �Gf�............................................................................. atpremises located at ....... ..... .. ................ . ............................................................... ...................................................... ........................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section 3 ......... Block .... Jf..�....... Lot No. ........ pursuant to application dated 19,r4..., and approved by the Building Inspector. Fee $.. ...'..... .......... ..... .. .......................... din Inspector Rev. 6/30/80 ocr o 1 �((�,, fry f rr OR Pau US dqj Fw 9 «. a '� b',-)j'-I I 1 ".rG .2 /i. .TTv4r ,,S;fcTia� B �, ' . i _. . -�� / /r. -- -- - -- -' - _ u ,� -r �, .� 3 i _ = MP CT) _ - --- Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR..CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector 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. 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. P 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . 7. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . .. . . . . . . . Location of Property. . . ... .s.0 , tA`t .�vlz.�. . . . . . . . . . . . . . . . . . . . . ... !�'�A��TuC�/. . . . _. . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . .!. \QA-1 ✓N-)IJ.� . .�.: .�2c,v i.lj. .��. . .d� W.,i� . . . . . . . . , . . . . . County Tax Map No 1000, Section. . .y�.3:s�. Block. . .S. . . . . .Lot. . �`':. . . . . . . . . . . . . . . . . CA4V`l' Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant._�vm- ? No .S.-. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . Fee Submitted: $. . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . eNX sa . . . . . . . . . . . . . . .APPLICANT. . . . . . . . . . . . . . . . . . . . . 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGHPLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS• f� DATE I ! INSPECTOR �� F I I•.I.I) I W,i'1;(:I'I Oil 10.1,01t r DATE. C(1Pltll;tl 1;i � II II II ' F r)Ilidl)A-I'f ON ( I.ri II II II '�f�U(It'IfIA'I'l.()N ( 2ftl)) I ;•r R01WII FRAME I'I.IIFIIt I NC I - II rn F.I I NS1II.A'r I ON I'F.R N. Y STATE F.NF.RCY n • u 11 - I FINA1. I� � ._._.._. . . a ._ ._._ -_....... ... .... ._ ___...-----......_. . . ._ .._. ...... .. . ... 1 __---___-_----_-=--ll----= --��--------------- _—_,--------------_----------------- AI)I)I T 1 UNA I. (;OHMF.N•r cr G • •' H rrI FORM NO. 1 1 SETS OF PLANS TOWN OF SOUTIIOLD SURVEY !p BUILDING DLPARTMIiNT C1113CK . `1ryN 3 = . ;I TOWN IIAIA. SEPTIC FORM . . . . . . . . . . . . . . . . SOU'i'1I01.1), N.Y. 11971 E _ T, _-._- ----' TEL: 765-1802 N0T1[Y: �, 1?x. 4-0 -rnirx'd...../��?......, 19 , MATI. ro: .?�5...Co /.r. . . . . . . // / �,& e. sue Aplrrovc'cl_.l. �P......, 19,7 Permit No. J1 q� 1 .................. Disapproved a/c .................................. . JS '� ..�-�`E��.. ................. .................................... . /() ._ (Ikrildi 1, ' APPI.TCATION FOR 1101I.DING PERMIT mate. 3ANUA&Y � . . . , 19.4�. INSTRUCTIONS a. 'Ibis application must be comliletely filled in by tyliewriter or in ink aml suhnitted to tare Wilding Inspector wi "1 sets of: plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slxxaing location of lot and of lxrildings on premises, relationship to adjoining premises or lxrblis sl:reets or areas, and giving a detailed description of: layout of property rust be dr.-Am on the diagrams which is Tvirt: of ` this application_ c. 'lire work covered by this application My noL be caunenced before issuance of Ikrilding Permit. d. Upon approval of this application, the Ikrilcling Inspector will issue a Wilding Permit to the applicant. Such jxmnit" shall be IcepL on the premises available for inspection thrcxmglxxrt the work. e. No building shall be occupied or used in whole or in part for any lxrrlrose whatever until a Certificate of Occupancy slial.l. have been granted by the Ikrilcling Inspector. APPI:IC/1'CION IS MEOW t•WE to the Wilding Departul-ant for the issuance of a Wilding Permit lxrrr;rmanL to Lite. Ikri(ding 'latrine Ordinance of the TMJn of: Scxrthold, 'Jffoll, County, New York, and other applicable laws, Ordinances or Regulatiars, for lire constnrction of buildings, ackliLions or alterations, or for removal or demolition, as herein descrilxml. 'Ilene appl.icant agrees to canlrly with all, applicable laws, ordil es, Wilding code, housing code, aril regulations, arxl to adni t authorized inspectors on premises and ill Im i l.d' rl; or necessary i pecC i ns. (Signature of applicant, or acne, if a corporation) zJ��N �9z�ST 1%C1�U�-C, 21 lei f� E� trkP�Ll•S .�M�......-'4PA........ (Mailing address of aplil.icant) State wlredier applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plud>er. or Wilde ..........:.mat 2..:........................................................................... Nanme of owner of prenises c5: JQ .j . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (N.-irie anal title of corporate officer) Ikrilders License No. _.....f� �'. I'l-tubers license No. .....___ . Electricians license No. Other Trade's License No. ....... I. IocaL.ion of land on which proposed work will be clone.............................................................. ..........JG..f-/�� U2T............. ✓� vc� ....................................................... Ikxrse Umber Street llarilet ('.(xrnLy Tax Map No. Rix) Section ..y.? � ..._ III ock ..Q,!..-. .... I..ot j�............. Scrixlivisicxr ....CA :..:M`?�.....* ............ Filed M)p NO. ............... I.,oL ............... Millie) 2. State existing use and occulancy of premises arKI intended use and occupancy of proposed constniction: a. Existing use and occularx:y ........S..ASoNAL � C�IJC�.................................. b. Intended use and occupancy ........._ .../ Gh11L � ��L�IJC� ............................... N•rinre of cx)rk heck r.Alidl applicable): tJi�► Iluilding ..... ..... A(klition .. ........ Alteration ldork It(:lxlir ..... ...... Itei"OVal .......... ... Detviol iLion ..... ....... Other' ........... ............ G_ (Descriptim) I:801141ted Oml: ....� ............. fee ....... ................................... .... (to be paid on filing; i.his appl.ication) 1 f ikx:l I ing;, 11-16er of A-)ell iog uniLs . . ... ..... linber of A el I ing unl Cs Oo each floor ...11..vp.. ... Ifgarage, Ixnl)er of c:ara ._..-'?............................... . , If lxlsl►xesn, ccumercial or mixed occupancy, specify nature mxl extent of each type of use......... ... .......... llinlensions of existing slrc(aurea, if airy: Fron(:.......... ...... Rear ............ ... Depth ........ .. ....... IleigllL t•kvi6er of Stories _ I)inlensions of strue strrx:ture with alterations or odditionn: Front ` 'l� .... -Rear SA✓1n DUI)III ....5.5 ^^a........ Ilei1)iL ...... `^!�°.. ..... tJm6cr of Stories ...Z... ..... I)in s r:n ►(xrs of (a)C)re ►x:ca c(xrsl:rtx:t.l(xr: Front:Front: ...� .... Bear . ... "�:'��. Depth ...... Ileig;lU: ....... `^............. Mn)xar of: litoriea ... .tn�.. ....... c a Size of log: Front: .....l..7..... ...... Rear ..1U.,..... ... .. .. .. Depth, 0. bare of (llrc hnsc ..................... M -mc. of Former Owlw-r .. . 1CT Ivl�ty h?� S,._ CC, I r, I. 7.(xxs or use district: in cdlid) premises are situated ................. , . ....................................... . .. "L. lk>Ls prolx):;ed c:(x)slrtx:Li(x) violate any zoning It)w, ordinance or regulal:lcx): .......,.0...:......... 7. Will log: be regrrxled ......M0.......... Will excess fill. lie renved fro(n premises: YES I.A.) iQ lcr p7AfbuS .uJ 2 t`fa t .b. ll)rlles of: (Na ter of prowlises 1 S�O(2ca�/�.�......... A(klrens q. L( �� .�KN f. .. llrorxa tkr.`fly,2G6_C�r76 Fl nr_ of Ng� DI�SR1e....Ail...,... .... A(1(Ireas `J N ..... 1'I)one N). 29� ?SZ tl rrle of ('(eiltractor JI AA-\%%r-KQp NPK Q0P57AvC'TcurJ A(klress >c � 0�1�4 11vCK `' � ,S ' ., ... :2a... ....� .......NJ'-%' .11ro►re Id). Z g ... ..... .. :i. Is this properly Within W) feet: of it tidal wed nix]? * YES .. .,✓..., NO *1f YI?S, SUllly)(1) lam '1l1uslllS 1'f312MI'1' nu RI? ItiqlIttlu). 1'l.01' 1)TAGRAH Lmate clearly a(xl distinctly all Ixrildings, whether existing or prolx)sed, aril irxlicate all. set:-back dimensions 'voiti prolierty lir)es. (live street aril block rrnber or description according to deed,-a►xl Am street nines alxl indicate A)elher interior or corner log:. APPROVED AS NOTFO HATE: l B.P.# Fc '� BY: NOTIFY BUILDING DEPAR- MENT AT 765-1802 9 F?M TO 4 P.M FOR THE FOLLOWING iNSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POUTED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONS—(RUCTION MUST BE CO'i PLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMEN T S OF THE N.Y. STATE CONSTRIJCTEON & ENERGY TI'A'lli (A- 683J YOM, CODES. NOT RESPONSIBLE FOR X111NIY (A' ..S.. f� � ......... DESIGN OR CONSTRUCTION ERRORS ....... ............ .. ................ .. ... .......... . ....Ix!ily; (holy sworn, delx)ses mil nays IhnC he is the appl icmll NrrIK! of imliviclual signing coot.ract) =41x)ve 11"Ill _'d, k: hi the ....... ..... ..L.�..... ... . ,............ ......... ..... ............ (QmiLrnclor, ngent:, (:orlx)rate officer, el.c.) if naid owlxrr or owlx:rs, nix] in (lul.y authorized Lo lx�rfonn or have lxsrfonrl<:d the paid work alxl to make aril file lhin -(ppl icaLion; lint: all. sLaLe)nenla contahwd in Lhis nppl icn0on are (Aoe Lo the bew: of hin loxxaledgea n1XI lx?Lief; alx) ;hat Lhe writ will be per.fonned in I.Ire nr4lrrrx'r set forth in the nppl.ication failed therewith, ',kx)rn to lx:forf' 110 Ihis . .. . .. . ...... . ..clay of . � .......... 19.9... .. Notary llrbL... ...................`...�/.F ...... HELENE D.HORNE (Sig;r,;ltore of Appl icxint.) Notary RuNblic,State o 4951364 NewYork ouslified in Suffolk County Commission Expires?0ay 22,19 —