Loading...
HomeMy WebLinkAbout23909-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24894 Date FEBRUARY 7, 1997 THIS CERTIFIES that the building ADDITION Location of Property 1260 BUNGALOW LANE MATTITUCK,N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 2 Lot 17.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit. heretofore filed in this office dated FEBRUARY 6, 1997 pursuant to which Building Permit No. 23909—Z dated FEBRUARY 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 DECK WITH RAMP ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". The certificate is issued to FRANKLIN A. SCHOLL & WM. P. SCHOLL, JR. III (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ld' g Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24895 Date FEBRUARY 7, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 1260 BUNGALOW LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 2 Lot 17.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 6, 1997 pursuant to which Building Permit No. 23909-Z dated FEBRUARY 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 ACCESSORY STORAGE SHED "AS BUILT" AS APPLIED FOR. The certificate is issued to FRANKLIN A. SCHOLL & WM. P. SCHOLL, JR. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A e r B lding Inspector Rev. 1/81 FORK 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) Nb 23909 Z Date .....we sgrx.lr............................. 19.97.. Permission is hereby granted to: Paul A. Caminiti, Atty a/c Franklin & Wm. Scholl) ................................................................................ P.O. Box 992 ................................................................................ Southold, N.Y. 11971 ................................................................................ CONSTRUCT,A.DECR,.&WITH RA14P ADDITION TO EXISTING ONE FAMILY DWELLING to ..., ............................................................................................................ AS APPLIED FOR "AS BUILT" & ACCESSORY STORAGE SHED "AS BUILT" ................................................................................................................................................................ of premises located at ........1260 BUNGALOW LANE .. .MATTITUCK, N.Y. ..................................................... .................................................. ................................................................................................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ........123........... Block .......2............. Lot No. ....17:�............ pursuant to application dated .......FEBRUARY..b.............................., 19...97.., and approved by the Building Inspector. Fee $......� .,QQ........ 35.00 (SHED) ....... . .. ...... ................................ nspec uil ng I for Rev. 6/30/80. 3 U ILJ I_TG D EP I-Rr:-E Ti TOWN aA-LL 763-I502 1 'DT IC I TION POR CFP.TIFT_CATE OF O CCTJP?1VCv A. This aptiication must be filled _n by typewriter OR =nt and submitted to the building LZSDector wit:l the _following: for ae*a building or aerw use: _-nal survey of .property with accurate locatyon of all buildings, 7rODert;T Lines, streets, and unusual natural or topographic features. 2. final Approval from Health Dept. of water supply and sewerage-disposal(S-9 farm) . 3. Approval of electrical installation from Board of Pare Underwriters. !. Swarm statement from plumber certifying that the solder used in system contains less than 2/10 of i. lead. 5. Commercial building, industrial bu7ldi multiple residences and sim lar buildings and installations, a certificate of Code Comp'1_.ance from architect or enaineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements_ 3. For existing buildings (prior to Apri? 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. ?. A properly completed application and a consent to =nsaect sia ed 'oy the aDDllcant. If a Certific.te of Occupancy is denied, the Building Inspector shall state the reasons there2or in ; ritilZg to the applicant. C. Fees Certificate of Occupancy - New dwelling 525.00, additions to- dwelling 325.00, ??t=_rations to dwelling 325.00, SwJi ming pcol S25.00, accessory building �25.00, Additions to accessary building SZS.00. Businesses 550.00 L. Certificata of Occupancy on Pra-existin. 3uild_n2 - 5100.00 3. Copy of Certificate of Occupancy - .251,'. L. 'Updated Certificate of Occupancy - J50.00 5. Temporary Certificate of Occupancy - Residential S15.00, Commercial SL5.00 Date . . . . . . . . . . . . ��� . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . .1�(+ �.� Location of Property. . . . ..._ I;Z�O . . .V.�.q�LA.u/. .C.���- - . . . .d(� d4T."i `•f—v_C � . . . . .. _. . . . . House No. Street Hamlet Onwer or Owners of Property.. . . ._ . .. ... _ . P, SC . . . .. . . . _. . . County Tax i��p No 1000, Section. . . ! -.3. . . . ..2loc?{.. . . ._ �y. :. . . . .Lot. . . .� !.'. f . . . . . . . . . _ . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fill ed MlaD. . .. . . . . . . . .Loz. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . .. . . . . . . . .. . . .App1;cant. . . . . . . . . . . . . . . . _. . . . . . . . . . . . Heal_:: Dept. :approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters ADoroval. . . . . . . . . . . . . . . . . . . . . . . . . Planning 3oard Approval. . . . . . . . . .. . . . . . . . . . . . . . Racuest -or: Temuorar--J Certificate. . . . . . . . . . . _fina Carticate 'ee 3ubmi=cad: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rP �- 3 U ILD I_,TG D EP a_Ti=T -OWL T 3.ALL i 163-1807 I 10PLIC.='"ION M CTLRT_FICATE OF OCCuP IKY A 7114s aDo1-l-cat:Lon-must be r?_lad ?Z by t?per r=ter OR irk and submitted to the building �Zsped.ro-r,'„ w .th tee following: for new building or new use: Final sUrrrey or .property with accurate Location of all buildings, property lines, streets, and unusual aatural or topographic features. 2. Final Approval from Health Dept. of -water supply and se*aerage-disposal(S-9 form) . 3 . approval of electrical installation -from Board of Fire Underwriters. 1. Sworn statement from plumber certifying that the solder used to system contains less than 2/10 of I. lead. 5 . Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Cade COmD-liance from architect or engineer rasponsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) don-conforming uses, or buildings and "pre-existing" land uses: _accurate survey of property snowing 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. L- a. Certif irate of Occupancy is denied, the 3uild'n1- Enspector shall state the reasons therefor in wilting to the applicant. C. Fees 1 . C2rtii±C3ta 0= OCC1DcIICy - New dwe.11.Zng �25.00, Addit'CIIs to d-velllIIg 525.00, Altarations to dwelling 325.00, SwJ_mming pool 325.00, AccessorZ buildiag �25.00, Additions to accessory building S25.00. 3usinesses S50.00. 2. Cart'f'cata of Occsp_ancy on Pre-existinl- 3uild:=2 - 5100-00 3 . Copy of Certificate of Occupancy - .25C. — updated Cart"icace of Occupancy - 550.00 5. Tamporar-r Certificate or Occupancy - Residential S15.00, Commerc'=? �15.00 Data . . . a: 7 . . . . . . . . . . . . . . . . . . LTew Const=sction. . . . . . . . . . . 01d Or Pre-existing Huilding.��. . . Location of Property. . . . ... .. ��.`8Q . �U ,t/• 1 CA;GcJ.. C/ ►UE- - -- - • -- o. (I TUc l�. . . . . .. _. . . . . House No. Street hamlet Onwer or Owners or Property.. . F, , .c,�..A•: sctl�LL.._`.`. . .R SC-46.... . . ... . . .. . . . 1fl . . . . _. . . County Tax Map No 1000, Section. . . .Z.�. . . . ..Bloc!t. ?... . • _._. . .Lot. . /7°../ . . . . . . . . . ... . . . . Subdivision. ... . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .Fill ad Map.. .. . .. . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .A130 icant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. AD-oroval. . . . . . . . . .. . . . . . . . . . . . . . . .Underwr-itars Atnroval. . . . . . . . . . . . . . . . . . . . . . . . . P lann'ng Board Approval. . . . . . . . . . . . . . . . . . . . . . . . bequest for: Tempora_y Cart i'icaca_ . . . . . . . . . . _inai Carticate Fee 5ubm=ttad: S .a��,.Q-D . . . . . . . . . . . . . . . . . . . . . "1 C1� � . . . . . . . . . Y_T 71 i ITT i BUAR0 OF H1.AL111 . . . . . . . . . . . . . . . -FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM - - - • . . . . . . . . . . . . . . . FEB 19971Jl. SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: _- - CALL . . . . . . . . . . . . . - - - Examined:.. .�v........, 19 MAIL. TO: . . . . . . . . . . . . . . . . . . . . Approved.... .�........., 19.�J Permit No. �. -��• - =•-- .................................... Disapproveda/c .................................. .................................... ...................................................... ... .. . ................... (Bu ding Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. this application mist 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 must 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 Occupancy shall have been granted by the Building Inspector. APPLICATIcb IS HERBY MATE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Sou n Southold, Suffolk County, New York, and other applicable Laws, Ordinanees:ar 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 ilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building tion s. 77 ` 4 )= sWv ..... .. --•-- . .. ............... ( 'gnature of. licant, or name,• ,, •a c rporation) OF ........�©. ��. `.................... (Mailing address of applicant) /0 State whether applicmt is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................�4 ,c'° ` ..................................................�� l�/ F ........................... Nam of owner of premises ...-- .. --....-. - - --••-- .............. ................ (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. ......................... ElectriciansLicense No. ..................... Other Trade's License No. tt 1. Location of land on which proposed work will be done../.2 .................................................... / 60 & , �w T�� ............................. Fuse Number Street H//am�llet Canty Tax Map No. 1000 Section ...!.A r...... Block ....Z........ lot ....1.1. Subdivision ...................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises Wd intended use � occupancy of proposed construction' a. Existing use and occupancy . ....� j iGt 1 - �'4'(IM�_• sr,/eo...� _,.- ... ?G b. Intended use and occupancy ....® �Tit... �// ...... E. ........ . .................................... 3. NrLure of work (d►eck vAiid► applicable): New Ik►ilding .......... Addition .......... Alteration .......... .Repair ............ Removal . Demolition ............ Other Work .................................. (Description) 4. Estimated Cost ......................... fee ............................................... (to be paid on filing this application) 5. If dwelling, ►nmiwer of dwelling units ............ tknber of (knelling (nits on each floor ................ If garage, otmber of cars ...................................... 6. IfIx►siness, commercial or mixed occupancy, specify nature and extent of each type of use.'..................... 7. Dimensions of existing structures, if any: Front........:....... Rear ............... Depth ................. lleigl►t Nu►i)er of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... DepLl► .................... Beigl►t .................... I*xd)er of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Ileight .......................... Number of Stories ..................... 9_ Size of lot: Front .................... Rear .................... Depth .................... 10. Dale of Purd►ase ..................... Name of Former. (honer ......................................... II. Zone or use district in whidr premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES NU Ili: Names of Owner of premises ........................... Address ............................... Phone No. .............. &Jame of Ard►itect .... ....................... ... Address ............ ..._..........._ Phone No. .............. Nameof C"tractor ................................... Address ...............................Phone No. ......... 15. Is this property within 300 feet of a tidal wetland? * YES .......... 1O .......... *Ir YES, SOUnHD ITMN 'IMSM-9 M, M17F MAY BE REOLIR[U). PLAT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions FTm property lines. Give street and block rxui)er or description according to deed, and show street names and indicate whether interior or corner lot. ✓ St'K11's Ot tJf l Y(RW WiNU OF / � .- 1�d/r-? 1,_ .,-....--groin, dud swonr de roses and sz s Lhat he i.s Lhe applicant f, Y [ Y PP (Name of i►xdividual signing contract) above rn.nmed, Heis CI►e ........:.... � �C/ ...._..........-.-------_... .........I.._.................._..... ((Xn►tractvr, agent, corporate officer, etc.) of said owner or owners, a►xl is duly authorized to perform or have performed Lhe said work and to nuke and file this appticatio►►; that all sLaLements contained in this application are tn)e to the' best of his knowledge and bel.ief; and Lhat Lhe work will be perrormed in Lbe manner set forth in the application filed therewith. Sworn to be1f re me this r� ---.......`.:......day of .. 9.... lg / Notary Public r JOSEPH H.GIBBONS ig►at:ure of Applicant) Notary PNo►c,State 52461 eof New York 0ualified in Suffolk County 0 7 Commission Expires April 30, 19 / SURVEYED FOR:- LOCATED AT /1`1%T�'/7"� LOT /5 Z7E, C�PiB�o MAP OF As -/o�•u�c l SCALE 1"- O o ' m m. . �N /A 4'' a /x ro .0/A22 7- o Q f vlg—=7 Q u ¢6;3 33.5 OFFSETS FROM STRLJCTU`iES T® RELATIVE BOUNDRY LINES ConnMUU,Ty ON SURVEY, ARE FOP. A Z SPECIFIC USE ONLY, AND �c77c �2/c. SIiGUI_D N °"s" I USLD SURVEYED 221 19 97 BY m" ��r • . C" ;'.: 2aM�4L ] cJcJiZvE�/�► {G FG. J Q FILE NO. 2443 PAGE GRID DRAWN BY%tip ,'