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HomeMy WebLinkAbout23907-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING. DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24889 Date FEBRUARY 4, 1997 THIS CERTIFIES that the building ADDITION Location of Property . 1935 LAUREL WAY MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 121 Block 4 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 4, 1997 pursuant to which Building Permit No. 23907-Z dated FEBRUARY 4, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" The certificate is issued to LILLIAN HERFURTH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION 6A ED N/A uilding Inspector Rev. 1/81 "UN NO. f 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) N.° 23907 Z Date ................J1:12.( 7... .............................., 19..... Permission is hereby granted to: .......................... .. A.k..—�. ...�1! ....:........................... .��-= ...... .. ........................ to —........ .........���........� .el. ...:�...�..���f�y ..�-�`� .� . ..11f::� `'/f. .. ../.% ../1� �:r •9f d�fir' oe at premises located at ....... ......... .. ........ ....................... E / S ........................................................................................................./......................................................... County Tax Map No. 1000 Section ..� �............. Block .....rl.lCl....... Lot No. ......e�........ '��Pursuant to application dated .......... . 19/. and approved by the Building Inspector. f/ Fee $... . ............. ........ ..�.`�....................... .. . ..... .... . ..... . i I ng I for Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 -LPPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must ' be t411ed in by typewriter inspector with the followin f YP OP, ink and submitted to the Dui 1 . Final g or new building or new use: building survey of p Y Y ropert with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Meal- lines, 8 Approval of el `h Dept. of water suDDly and sewerage-di electrical installation from Board of sposal(S-9 form) 4• Sworn statement from plumber cer-�= re Under- riters. less than 2/10 of 1; lead. ``lY`ng that the solder used in system contains 5. Commercial building, industrial buildin and installations, a cerrif icate of Code'�ComplianceTeromearchitectes and sor=eng� buildings responsible for the building. Submit Planning � engineer o Board Approval of completed site plan reouirements. 3 ''or existing buildings (prior to _1 , Apr 9 1957) non-c pr'--existing" land uses: Onrormin- uses, Or buildings and 1 • Accurate survey of propert,.7 showing all unusual natural or topographic features propertI lines, streets, building and 2 A properly completed application and a If a Certificate consent co inspect signed by the applicant. r�c�t_ of Occupancy is denied, the Buildingsnspector shall stag the reasons therefor in writing to the applicant. eeS 1 • Certificate of Occupancy - New dwelling S25.00, Additions to dwelling 525.00 , - cerations to dwelling 525.00, Swimming Additions to accessory bull pool $25.00, Accessory building $25.00 of Occu 2. Certificate building $25.00. Businesses $50•00. ' pancy on Pro—existing Buil dine - Si00.00 3. COPY of Certificate of Occupancy - .Zsc' �• Updated Certificate of Occupancy - $50.00 D. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 iew Constr Date uction. . . . . . 01d Or . . . . . . . . . . . . . . . . . . . ,�/ Pre-existing Building .X. ocation of Property. . I?:�t. . . .Ga.d?E.S.c,c/�T �ll �/ . . . . . . . . . . . . House No. . . . . �-� �-t'. Tv. . . . . . ... . S treat " " ' zwer or Owners L L_L of Property. . . . . . . . . . I ` L )uncy Tax No I r. 1 .``lap 1000, Section. . . . . . . . . . . . .Block. . . . . Z Z 1 ibdivision. . . . . . . . . . . . . . . . . . . . . .Filed Map . . . . . . . . . . . . Lot. No. 23907-Z � . . . . . .Data Or erm 2/4/97 ic. . . . . . . . . . . . . . . .Applicant. .Q70WfM & ASSOC. alth Dept. Approval. . . . . . . . . . .Underwriters Approval. . . . Inning Board Aporoval. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :uesc ;or: Temporary Certificate. . . . . . . . . . . Final Cent_ S u b m i::?A � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,; . . . . . . . . . . . . . . . . AFFIDAVIT County of Suffolk) s.s State of New York) Lillian Herfurth, being duly sworn, deposes and says that she resides at 11 Village Circle East, Manorville, New York 11949. Deponent further states that: 1. She is the owner of the dwelling located at Crescent Way, Mattituck, New York known on the Suffolk County tax map as District 1000; Section 121.00; Block 04.00; Lot 022.000. 2. The subject dwelling was purchased on September 20, 1969 at which time the existing 16.1' X 39.3' wooden raised deck was constructed. 3. She is aware that the Building Department of the Town of Southold will rely upon this affidavit to issue a building permit for said wooden raised deck. Lillian '',q' h Swor to before me this day of 1997 i CATHERINE A. Notary Public,State dNMVA No.49660 Qualified in Suffolk Commission Expires Jarpwyw ! MOO r HOARD OV HEALTH . . . .. . . .. . . . . . . FORM No. 1 . . . . . . . ... . . . .. 3 SETS OF PLANS SURVEY . .. .. . . .. . . . TOWN OF SOUTHOLD �•;��9'� BUILDING DEPARTMENT CHECK -• - - - - • - •--- - - - - • - I9 TOWN HALL SEPTIC FORM . .. . . . ... . . . .. . .. .. SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL Examined...... MAIL TO:. . . . . . ... . ..... . . .. . �,/ ...., 19.�' Approves....: /" ...... 19.17 Permit No. ................9 .................................... Disapproved a/c ................................... ................................... 40 (Bul'di I tor) APPLICATION FOR BUILDING PERMIT Date. .... .. . .. . . . . . ..192Z . INSTRUCTIONS ,a. ibis 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 giving a detailed description of layout of property mist be drawn on the diagram which is part 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 for 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 :lcccupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MAIN 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. Zhe applicant agrees to-comply with all applicable laws, ordinances, building cam, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ..................................................... (Signature of applicant, or name, if a corporation) P.O. Box. 1445,..Matti.tuckl- NY'_1.1952.0989., -.•-•(Mailing address of applicant) • J State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner ........................................................................................................................ • Name of owner of premises Lillian Herfurth _---•---•----- ••••ARPROVER 4S-l�PIED............... ......................Lillian roll......................................... or-latest-deed) DATE: -4 7 B.P.# vW ©7 If applicant is a corporation, signature of duly authorized officer. FEE: -By: t ' NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE ........................................................- FOLLOWING (Name and title of corporate officer) INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Builders License No. ......................... 3. INSULATION Plumbers License No. ......................... 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Electricians License No. ..................... ALL CONSTRUCTION SHALT. MEET THE REQUIREMENTS OF THE N.Y. Other Trade's License No. STATE CONSTRUCTION & ENERGY 1. Location of land on which proposed work will be done.........................MOES...NOT.RESPONSIBLE--FOR-- DESIGN OR CONSTRUCTION ERRORS No # Crescent Way .........Mattituck. ............................ ........................................................................ ...... .... House Number Street Hamlet County Tax Map No. 1000 Section .. 121 :00 Block ...04:00...... . Lot ...022;000.... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Lhcisti use and occupancy One family•d��elling„-ownEr occupied-....................... ng aupancy .............. ...... b. Intended use and occupancy .-Wooden raiseddeck-for•one•family. wel �=r owner-occupied- An;, 1969 Existing wooden deck.constructed int . 3. Nature of work (dneck whidi applicable): New Building .......... Aoklition .. Alteration ...... Repair ............ Removal ............. Dewlition ............ Other Work WoQden,r�ised.r�eek ........... Deck is existing and was constructed in October, 1969. (Description) 4. Estimated Cost $2,500:00• in.October. 1969 fee ......... ................................... (to be paid (xi filing this application) 5. if (welling, midwr of dwelling units ...OPe..... Nimilmr of: dwel l ing.units on eadn floor ................ Ifgarage, mvber of cars ...................................... G. If Ixisiness, eamiercial or mixed occupancy, specify nature and extent- of eadn type of use...................... 7. Dimensions of existing structures, if any: Front..39:3......... Rear 39.3 ....... Depth .20:3........... Height One.-story.....• ... Rnil)er of Stories ... One Dimensions of same structure with alterations or additions: Front ...2:Al....... Rear .... 3...... Depth ........36:4....... lieiglrt .. >td)er of Stories .QrIQ.......... . ��xis�irig''deck` 39:3' 8. Dimensions of entire new construction/Front ...��.�........ Rear .. ....... Depth ..!6. 1....... height ......................... Rni.)er of Stories ..................... 9. Size of lot: Front ...72:............. Rear .....211............ Depth ...355 ............. 9/20/69 . Underwood I(1. Date of Airdrase ..................... Name of Former Owner ......Charlotte.... ..W .. ........... 11. Zone or use district in which premises are situated ......Resi.dential .Low.Density„A, (R.80),,,,,,,,,,,,, 12. Does proposed construction violate any riming law, ordinance or regulation: .. •existing,since 10.169. 13. Will lot be regraded ....N�............. Will excess fill l)e removed from premises: YES NO lei. N.-mes of Owner of premises Lillian Herfurth,_,,., Address . P.O:. Box •1445 ............ l?lnone No. ..,....... t1ame of Ardri sect .................................... Address ,.,Mattityck,..NY ,11952=0989M,m No, ,,,, ,,. Name of Contractor ................................... Address ...............................Plxme No. ........... 15. Is this pmperty within 300 feet of a tidal wetland? * YF.S .......... NO .XX,,.... *IF Yn, S(JUIIM 1DIM 1IIUSITCS FERMI'' MAY BE IKVIRE). 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 nnber or description according to (Led. and slrow street names and indicate %keUrer interior or corner lot. SEE -. 'ATT.ACHED SURVEY Sl'Alr Or M 1 YORK,. SUFFOLK sS Lillian. Her�furth sie ........... ... ....................... ..........tieing dimly sworn, deposes aril says that � is Clre appl.icanf (P1<7ne.of_ itxl.ivi�lual' signiiig .con'tracl) alxive r)qrm':,.d Slle is the ' ."Owner ....................................................................... .(Cortractor, agent, corporate officer., etc.) t4RYAW 40kZW ">WAWM? and is okrl.y authorized to perform or have per Formed the said work aril to nuke and file this application; that all statements crmLa4w.d in this application are tn. R to the best of hW krxnwledge 'aml lxaliefi arxl that Lhe work will be performed in the mmnner set forth in the application filed therewith. .%"m to before me this .........!•........clay of .19.9..... Notary Riblic &6 . . . :� �� ••- ........ . .. CATHERINEAa� (5ip,ikrl:ure.of Appl.icmrt)' .. •• Notary Public,Stated"MI" No.4,9660 QWW in Suffolk C94M COl>Mlliiflpl Eqk u Jam" le oob 7.5 ------------ v - 0 Fy- fli �s I C" vlaw o� T?A ) 1�� 47 Iv r 41 " I 2 v� N 63.1 z ! vO wq(k 01. �� va O 00;s�' 3�� �=� '�°'y6i ���100 Cor�L ld-fir fO�r>j Aa''` Area 0 £ R��old Ssh°piro OJ�'AY ',9 30ps8 �916' . h:°Piro & WOOD y 2p3 RETALL / 25,1659w-7, \G�QP WA C o N 29. eR -m - ONO ENE V�•�h,�, � `\ r2.o. . /-UO OVERHEAD `.`�2D6,8.' ., (� ��`yBT n�•.. N Q�yO �O } L _ _ LINES rs `N CHAIN LINK FENCE °, ��y� HARSH DRIVEWAY `- ��/ v' you Gq.. p. ca o N o / �v 0.6 NORTH S 57-15000" yy 327.61' p°• N r r STOCKADE FENCE ° m 354.E '