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Home My WebLink About23353-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24295 Date APRIL 19, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1825 SIGSBEE RD. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 144 Block 2 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29, 1996 pursuant to which Building Permit No. 23353-Z dated APRIL 8, 1996 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 STORAGE SHED,ADDITION. "AS BUILT" TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to YASUDA BANK & TRUST COMPANY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A //B lding Inspector 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) Date ................... ... . . ...... ................... 192.$::�. N9` 23353 Z Permission Is hereby granted to; 46 4 00 �.., - , ...... ....�.............. ...... to . '..........� . �, ......... ............. .. ... ..... -.... .. .... . ... ....... . .... '... ................................................... ................................................. ...-.. ..o .... X'-)........................................... ...................................................................................... ................... . at premises located at.........z ..... .. ....................................... .......................... ... . . ............................................ . ............ County Tax Map No. 1000 Section ..... f.... Block.........�........... Lot No. .Z/V................ q pursuant to application dated ................G%��.`G„%1,.,�,,.�,,,.x'.1,..... 19... and approved by the��... Building Inspector. Fee $...... .......... . ..................................... Building Inspector Rev. 6/30/80 Form No. 6 '7 &S q�/ TOWN OF SOUTHOLD a, t� 9 �� BUILDING DEPAR7,MENT MAR 2 TOWN HALL -f' 765-1802 � .= APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by tvpewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. 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: ,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 Buildins - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. ;Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . March . c��; . . .�. .1996 . . . . . . . . . . .... .. . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. ,Addition (attached shed) 1825 Sigsbee Road Mattituck Location of Property. . . . . _ . . . . . . . .. . __ . . . .. _ . . .. . . . . . . . . `. « House No. Street Hamlet Jnwer or Owners of Property. , Yasuda Bank.and Trust Company.(USA) . . . . . .. . . . . . . . . . . . . .. . . . . . . . . -ounty Tax Map No 1000, Section. . 144 Block. . . . .? . . ... . . . . . .Lot. . .14. . . . . . . . . . . . . . 3ub division. .Mat tituck.Park_Properties .inc : . . .Filed Map. . . . .801 . . . .Lot... . . .68. . .. . . . . . . ... . . . ?ermit No. . . . . . . . . . . . . . . .Date Of Permit. . .. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . .. . . . . . ..Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Zequest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �LICANT 9 P l lil.l, .1 I.I,I.V4 C lull Illil'ull t� uA I'B, _ r= ,r„ Yr_ CUtItIEII1,ni w n._r,r,r.An, n-. -,rr .rn e.n nnan n-,-. n'I�r, n�.,_._ _ ... .. t I _._..—..__..._. .v _..._.... )"I F l)Illll In l I UII ( i;l l ) ..._......._.._.--_.., v, ruuln)n r h ilt (z-- rt.,» -h ,,, ,a ehnm„ r --r:.- --,_--,-- m--- .--.-- ---n-_,--- -- n `,I Itl)II(;II F Itntil: 6 0 � I'I.IIt111111(; ----------- --„---- nn - ,-- �: �_ -�__-- ---- _--,-,-- ---,-ee-.---------------------- I ITS(ITAT I Oil I'i;lt II Y . --____.__________._•-_.•_ (rl i (;1)1)15 ,---,.,..,..-,- . r' I • I ' =-------------------- -,,..n, - ,,-r=n- A1)1)1'1'1011AL (:u1= , ltIIiII t'S�-„ n -. .,n- -,n-,-- -n- ,,., - - ----------------- ----..._ - ..._..--- -- --- -- - -- ----------- —-------- - ---------- -- G Cl)v- - 7 .. ... .. _..... u � � S TY BOARD OF UE.AI.'I'[I . . . . . . . . . . . . . . . FOUR NO. 1 3 SE'rs OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 'I EL: 765— 1002 NOTIFY: (,ALI. . . .7.!�.�.1 . - • - Is►�n►ir ..... 19., MAI I.. TO: . _ . . . . . . . . . . . . . . . . Approved. .. 19. Permit No.��. .................................... Disapproveda/c _......... ............ .................................... ........ .............................. ..... .... •-- ...... .. ......... Iiilding Inspector) AP .I ATI.ON FOR BUILDING PERMIT Date. .March. . . . . . . . . . 1996. . I NSTRucTIONS a. Titis application must be c"iletely filled in lry typewriter or'in ink and sul►rnitted to the Wilding Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing location of lot and of lx►ildings on premises, relationship to adjoining premises or public ' streets or areas, and givi►y; 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 Puy not be cam►enced before issuance of Wilding Permit. d. Upon approval. of this application, the lluilding Inspector will issue a Iluilding Permit to the applicant. Such permit sl►all be kept on the premises available for inspection Lhrougl►out the work. e. No Wilding sl►all be occupied or used in wl►ol.e or in part for any purpose wl►atever until a Certificate of occupancy shall have been granted by the lluilding Inspector. APPI.l('.ATICN IS IHiR13IIY WM, to the Building Department for the issuance of a Building Permit pursuant to the Building 7.ale Ordinance of Lite 'Town of Southold, Suffolk County, Nei; York, and other applicable Laws, Ordinances or Regulations, for the construction of ixrildings, additions or alterations, or for rencrv� denol.i 'on, as herein described. 'Ibe applicant' agree's to ccxnl►ly with all applicable laws, rdit noes, 1KO7(1ing ode, sing code, aril regulations, and to admit authorized inspectors on premises and in I ild'r►g� fo c ssary, in. ctions. ... . .. ... .-. ............... (Signature of a[ ant, or name, if a corporation) j` P.O.: Box-981, 54075 .Main,Road. Southold, NY (Mailing address-of. applicant)- - 11971- State wl►etl►er applicant is owner, lessee, agent, ardiitect, engineer, general contractor, electrician, plunb>er or builder. Agent .............................. .................... .....................:...................................... Kane of an►er of premises Yasuda Bank and Trust.Company- (USA)..................„..._... ............ (as on the tax roll-or latest deed) If applicant is a corporation, signature of:,duly authorized officer. ............... ..._................. ................... (Nano and title.'of corporate officer) - i,. Builders License No. ......................... P1►nbers license No. Electricians License No. ..................... other Trade's License No. .................... I. Location of land on wl►icli proposed work will be clone.............................................................. 1825' ............. .`.'......._......... Sigsbee Road ,......................................Mattituck.................... [louse Wilber Street Hamlet Ccxrnty Tax Kip No. lOOO Section, ...144.......... Block ....2........... Lot ...14........... Sulxlivision Mattituck. Park Proj)erties-. Inc- riled Map Na. ......... Lot .68_...... riame 2. State existing use and occupancy of premises and intended use and occupancy of. proposed construction: a. Existing use and occupancy ....:........................................................................ 1►. Inte►ded use and occupancy ............................................................................. X (attached shed) A(klilio„ .... Alteration 1, t;lt%,te of +x)rk (check %A+id► applica►ble); tic%+ mildinl; .... fence .......................... Ite►►wal Doiul1Llon ............ other 14ork Repair ... (i)esc:ripLloo) 4. Estimated Cost�..5bo..'............. fee ........................... ................... (lo Ixj lxlid un filial; this appl.icaLicxl) 5. if (hx:l 1 ing, ►xrd►er of ckaell ing units . ........... I&116er of: chael I ing unil's cx+ each fl(x)r ................ IE gakra►ige, +xril►er- of cars ...................................... 6. If Ix►siness, crannercial or mixed oc:r:opancy, specify nature n►xl extent of each type of use...................... 7. Din►ensior+s of existing stnxazrres, if any: Front:............... Rear Depth ................. Ik!ioil: Umber of Stories ...................... Dimeosions of sane sLnrcture with alteraLioos or axklitions: Front ................hear ............... ik!ptl, .................... iieigl►L .................... Mrd►er of Stories ............... 1). Dimensirx►s of entire new cxx►sLructicx+: Front ................ Itear .... .... ....... iepth .............. IkilJ+l: ......................... Miler of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Ilal-e of P+►rchane ..................... Nrxne of Former (Mier ................... ..................... 11. Zooe or trse district in wl►ich prenises are situated ...................................................... ...... 12. ioes proix)sed constnx:tion violate any m. iiog lrxa,,ordina►ce or regulation: ........................ I:). Will lot be regra(led .................... Will excess fill. lie rerncrved fran pr•cmdses: YiS NO Yasuda Bank & Trust Co n (USA) 666 5th Aye Ny NY 10103 14. tJ.-xi,es of (k�n►er of premises ........................... . ress ...... :.r.. r. I1xx)e No. .............. Nsne of Ardiltect ..................................... A(klress ...................... Ilion No. .............. N;.ne of Contractor .... ............................ Acklress ..............................1'Ixme No. .............. 15. is this property within :too feet of a tidal raetla(xl7 * YES ....... N() .......... *IF YES, S(JUIiKMD IMN 'i171J91105 PL'IMI'I' MAY Ill%s RC(r111am. PLOT DiAGRAM T(x:ale clearly n►xl distinctly all Ix►ildirgs, rA►efher existing or proi►osed, nrxl irxlicate rill set-back rlinr_nsions fr(yu properly lines. Give street arxl block rain er or (lescription according to (lee(1, nrxl slim street names mxl irxlicale +,d►ellter inferior or corner lot. see attached survey " APP V D- NOT D DAT S.P. e 40 U,PAAI'� 0 R FEE:.:e B NOTIFY BUILDING DE EN � �; E P of"g A 765-1802 .S AM TO 4 PM FOR THE " � � FOLLOWING INSPECTIONS: 1. FOUNDATION V 7 ��t� � -, �.�,-, - `f1fV®REQUIRED POURER CONCRETE ROUGH - FRAMING & PLUM13ING ' Pig 3. INSULATION IV �". FINAL - CONSTRUCTION MUST RE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y STATE CONSTRUCTION & ENERGY COTES: NOT RESPOitTSiSLE FOR',srnni (>, M1J WNW, IDES*N f I CA :aTi3U it3BItffRRl ri MtJ11lY 01. ....................... Donald Donald M. McGayhey, Esq. ..........................................................Ix!ini; dilly r;w)rn, de(x)ses mul trays t.hal' be ill the applicant: (Mitre of i►xlividmil. signing conLracC) :►Ix)ve ►►.Alvd, Ik! it-, (.It(! ....Agent ........................................................................................ ((kn►traclor, ngenl•, corix)rnte officer, etc.) of: raid otnx!r or (x-nx!rs, nixl in duly aulhorizcxl to ix!rform or have ix!rforur!d the said work a►xl to nrA(e aixl file thin appl ication; that: n11. sLatcmmnents confairx!d in this nppl ication are Ln►e to the lest: of: Fin k►xxalecbge a►o Ixil.ief; rnxl Ihat.- the mot will be performed in the nuinmr seL forth in the applical:ion filed the r-ewi.Ill :)Vx►rn to before un t.his ��,,^^�� .........day of: J�C& ! . 19.96..... tJul.ary I'►►1)I is . ........... JOSEPH H. GIBBONS, (Sii,natur: of Appl 'Coot) NOTARY PUBLIC, State of New York No. 524618265 Qualified in Suffolk County /y Commission Expires April 30, 19 j 609 Ln rz LA -= 4 AQ -- aye :ti O rn co CIZ - i a an `r o -C �VV/ � � G-� ' �� `� °_ 1•jay' •�_ �;�Pp r 'c m 75e 4t 05~ s • �0.00 CETiTJFED rr, JOHN Co NDON O \ L BARBA A CONCON C � '= ' ,r�`�. �-� �' 't � �.:�OPJ NA T10NAL MGPTGAGE,�:: 5 AIKE?S, LTD. COMMONWEAL TH LAty' T1 T LE INSURANCE COMPANY °° o ,-� ,ZZoo' w• SURVEY OF o .O 69 LOT 68 AMENDED MAP OF PROPER OF 'f MA TTITUCK PARK PARK PROPERTIES, INC. FILED JAN. 12, 1926 MAP NO. 801 OF PoEy A T MA TTITUCK 'No t•M�r?o�� TO WN OF SOUTHOLD ANY ALTERATION OR ADDITION TO -J 4S SURVEY 1S A VICLAirCN SUFFOLK COUNTY, N. Y. E"APT AS PER SECTION 7209-SUBDIVISION Z. ALL CE TFCATIONS 1000 - 144 - 02 - 14 �'•' ' t Y.S} No. 496�8 HEiEON ARE VALID FOR THIS MAP AND COPIES THEREOF CNL Y IF Scale: f/ "/ / v _ SA1D MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR SCdlP.� 1 = 2O c� /^� P� ON E' sS,, t WHOSE.SIGNA TURE APPEARS HERECN M� 18, 1996 r 151 El 7 ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTEE ED BY' P. .O. BO MUST'BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY i 2i T RA✓ _ 1 REE T OF ANOTHER SURVEYORS MAP. TERMS SUCH AS INSPECTED' AND SO^UTHOLD, N.Y. 11971 'BROUGHT-TO-DATE' ARE NOT IN CCMPLIANC= WITH THE LAW. AREA = 7,000 sq.ft.