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Home My WebLink About23817-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24856 Date JANUARY 16, 1997 THIS CERTIFIES that the building ADDITION Location of Property 1065 MARLENE LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 144 Block 3 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 1996 pursuant to which Building Permit No. 23817-Z dated NOVEMBER 20, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOSEPH & BARBARA MIECNIKOWSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bui ding Inspector Rev. 1/81 FORK xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. i BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) / N O 23817 Z Date ............. //../. ............................ 19.... Permission is hereby granted to: 6..A .11KA ............................................. ./:./..*/-. .;..../IA.S. ........ to .... ....... ........... ........1 ........ ..:: z............ � v/ atpremises loco at .......10/., .....1.'.../. . .. � ...... ..r.. ...... ........................................... ................. . ............................................ . ref.._��..................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ....ZK ....... Block ...,,, .-.3.......... Lot No. ..... /.......... pursuant to application dated ............ P-Ze.64-.............. 19��.,L!l and approved by the Building Inspector. Fee $.... ..:.......... ... .... ................................. ui I I g Inspector r Rev. 6/30/80 �d% _' , ilc TOWN OF SOUTHOLD y II9S8' BUILDING DEPARTMENT ��A1V ' 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 `0pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and e 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,q. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .:�4• .//� ��/. l. . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . .. Old Or Pre-existing Building. . .V- . . . . . . . . . . Location of Property. . . . V .. . ... . . . . .. . Q!/" ?�: . . . . . . . . . . . /��uc_/7i c1 . . .. _. . . . . House No. Street LL Hamlet Onwer or Owners of Property.. .e- 4- ' M f eaxi.l�ows1j.. . . . . _ , . , , , County Tax Map No 1000, Section. . ..`.!.. ....Block.. . . . . . . . . . . . . . .Lot. . . . . . . . . . . . ... . . . . . Subdivision. . . . . . . ... . . . . . . . . .. . . . .. . . . . . . . . . .FFi`led Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Permit No. .�3g�. .✓. . . . .Date Of Permit. AIAO�?. . . . . .App1icant. '. l . . . . . . . Health Dept. Approval. . . .. . . . .. . .. . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . . . . .. . . . . . . . . . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . ,,. . . . . . . Fee Submitted: $. . . . . . ... .:.:Q d . . . . . . . . . . . . . APPLICANT OvoS�FFO��O � G o ti1. fA Town Hall,53095 Main Road p • Fax (516)765-1823 P. 0. Box 1179 �� 0� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 8, 1997 Matthew Hallock 4365 Wells Rd. Peconic, N.Y. 11958 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . . BUILDING PERMIT #. 23817-Z (MIECNIKOWSKI) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. E P , I R't-WE,Cl lull it 1�ro it.1. 1)ATE t 10 1 N T Pl FM I(IDATI ON FOONDATION 2tio) 7— lull 11011MI FRANK -—-—----- -.... - ----—--- I HNOLATI ON rF,1t tj y --7 "TATF. 1,111--ijoy CODIF. can -------- --- F-I iIA I. ---—--——-——--—— ADDUY10flAl. ---------- "� IC OF NY IU :7270600 ALIG 12 ' 96 1 :50 No .006 P .02 Title No. OTITS49 ! i .. fir•' �. \to ,I' (,•+,!•�°�'i'• ••'+ .+;.. p �al �'' Ilrlil N fir.t�F � d : ► �l' • rU � ': c4'. :fit',:• W!7► .�I 1 \ R�'c• :,�•' g.;, • t�:•rr. 41 SURVEY FOR `' I THEODORE W. C. SWITSAVAGE 8 ELEANOR SWITSAVA09 MATTITUCK TOWN OF SOUTHOLD SUaRANTEED ral ECTLNSSUFF. CO , N.Y. AMIANITE URAN N , dUFFOLK COUNTY FEDERAL :NOT! SCALE ; 1 + 40 SAVINGS, a LOAN ASSN. i' . . MONUMENT JUNE I. 1964 JULY 24., 1964 . NOV. 23:, 1964 765-iS02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ �INSION [ ] FRAMING [ FINAL [ ] FIREPLACE !E CHIMNEY REMARKS: DATE / J3 17 INSPECTOR x±" +],)I U 4o J� OCCUPANCY OR USE IS UNLAWFUL ----- --- WITHOUT CERTIFICATE. o'' i6''o.c, OF OCCUPANCY 7J I ! - to 2r ol t axa' 6''D.G acer . i 1 ,11111 LM l.ed�e Tecos -lit•, � i _j JE I. OCCUPANCY 0R i6,, USE QJ UNLAW FUL I_ I ax�o 0,r-1 WITHOUT CERTIFICATE. OF OCCUPANCY } axe b D.G• Spacer a n BOARD UP 111t.AL'T'11 . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTIIOLD SURVEY . . . . . . . . . . . .I. . . . . . . . . . . . BUILDING DEPARTMENT CIiECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOU HOLD, N.Y. 11971 TEi..: 765-11102 NOTIFY: CALL MAIL TO: . . . . . . . . . . . . . . . . . . . . At4ed...! /� ...., 19��rrw Permit No. a%y/7 .... ...................................... Disapproveda/c ................................... .................................... ...................................................... . (Tkrr.l.d g l lrect ) APPLICATION FOR BUILDING PERMIT Q 7 r INSTRUCTIONS a. '116s al-141catiom urxrSt be cmipletely filled :in by typeunriter or in ink atxl submitted to the ikrilding inspector wit. 3 sets of plans, accurate plot plan to scale. Fee according to sclrechrle. b. Plot plan siiawing location of lot and of buildings:on premises, relationship to adjoining prcxnise,�'�,x- streets or areas, an� giving a detailed'description of: layout of property must be drawn on the diagram wlri4i Is ikmrt of this application. c. Ilre work covered by this application Play not be commenced before issuance of Building Permit. d. Upon approval of tbis application, the Wilding inspector will issue a Building Permit to the applicant. Such permit slial.l be kept on the premises available :for inspection throxuglrout the work. e. No Imilding shall. be occupied or use(] in whole or in part for any purpose whatever until a Certificate or- Occupancy sluatl have been granted iry the Ikrilding Inspector. AM.ACATION IS HEREBY MW,- to the ikrilding Department for due issuance of a (Building Permit pur..suant to the Building 7xxre Ordinance of the Tbwn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances nr Reg(rlations, for the construction of buildings, additioms or alterations, or for r naval or demolition, as herein described. Iire applicant agrees to comply with all. appi.icabl.e laws, ordinances, building code, (rousing code, and regulations, and to addru.it authorized inspectors on premises arxl in Wilding for necessary in..specti s. .:.::. ........................... (Signature of applicant, or norm, if a corpxrrntion) ........... z/t (Mailing address of applicant) State wlretuer applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumirer or lx.ril.der. ........................................................................................................... Nam of owner of premises .V.�. ..�.. !-?�!Y�:., t;l�i G Yl►.. �1W. L'I...................................... (as on life tax roll or latest deed) i.f al4il.icant is a corlxrration, signature of (July mrttxrrize(l officer. ......................................................... (Nave arxl title of corporate officer) Builders License No. Plu(bers License No. ......................... Electricians i,icense No. ..................... Other Trade's License No. .................... I. Location of ].and on uhi.ch proposed work will ire done.............................................................. -••................... 1�r/ .........................h/A. 'f�c ............. ikxrse NudJer Street hamlet Co(mty Tax Map No. JOW Section ....ZIN ..... Block .... ......... Lot —A.... .. Sulxlivision ...................................... Filed Map No. ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occulmucy of proposed construction: a. Existing rise and occupancy -- � �..�' !�!'•� •• ................................... b. intended use arxl occulmilcy .................::.......................................................... 'i. Ralure of: work (theck wlaitfi a(a{)licable): Na/ IkAltlinl; ......... Atklition .......... Al/1Alteration ........ .. Repair ............ Renaval ............. DetitoIition ............ 01.11er Ikarlk 13t G . ........................ �� QZ (C)escrlpl'lon) It. list:imated Cost .....,�. .. ` fee ....... .......................... ............. (l:o be paid of filing LI►is application) 5. 1 f (krel I ing, onl►er of tk,)ell ing units ............ Umber of Ah el l(rag ►n►i rs on each floor ................ If. garage, uaml►er of cars ...................................... G_ if Ixas(a►ess, c(>innercial or mixed oct_u(wncy, specify nature wKI extent: of each type of use.........:............ -1 Dinu nsions of existing structures, if any: Front:................ Rear ............... I)epth ................. Ik:iglit ......................... Ulmer of Stories ...................... Dimensions of silt stnK_ture with alterations or rxklitions: Front ..... .......... •Rear ............... De lit Ii ................... Belo, ►t .................... Nanber of Stories ............... 11. Dimensions of entire view consLrnx:tion: Front ................ Rear ............... Depth ... ........... q• Ikil;laL ......................... [antler of Stories -9. Size of lot: Front .................... Rear .................... Depth .................... 10. 14n1:e of harchase ..................... Raw- of Former (finer ........... ............................. 11. Moe or use district in vhic:l► premises are situated ..........................•........................... ........ 12. lk,es proposLA c(r►sLnteLion violate any willing law, ordinance or regulation: ........................ F). Will lot: Ix� regraded .....1U........... Will excess fill. he rtsaurved f:ran pranises: YES U I4 liames of. Owiter of premises Tff ... Atklresa /06�.�?�lei ./'! ?Q...... Nncxx lJcn. c (/8- -),/y Naar of Arc:laitec:t ......... Address .............................. P1►oie No. .............. Haase of Ctxnt:racl'or � i��fL .--.,N[�c�llG ......... Acklress "?.365 .11� !'BEY... 11►onx tJo. 7t1s(�� 15. 1s this pro(x:rLy within 3U) feel of a tidal I.retlaaxl? * YES .......... W .......... *IF YI:S, '%Xf11101D lam '1111)5111.5 lu"rl' MAY 1113 luvilau). PLOT DIAGRAM Locale clearly and distinctly all lxnildings, whether exist:ing or prolxnset.l, aaxl iaxlicate all. set-back dimensions from properry lilies. Give street aaxi block amber or descriptionlaccording to tleed,-aaxl sl►oa sLreet wines awl irntlicate tAkelher interior or corner lot. PP AS NOTED DATE: 3 l7 FEE l 7 BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION -TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINIAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET TFiE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR �srnn: (x 1 , illtx, DESIGN OR CONSTRUCTION ERRORS SS UAINIY (AV ....../"��if..... L� f/I �� ......beili� t1►►I I, y swt)rn, de(xnses and says that he i;; the applicant (N:rtie of hAividual. signing contract) .,lxrve akamed, Ik! is llae ..... � ...... (CcxnLracCcar, agent, cor(x►rate officer, el.c:.) of said owl nr c�nxrs;anKl iS duly auLhorized to perfonu or have performed Line said work aml to nc►ke aril file Ibis .application; that ill.]. sLateinenLs contained in this application are Lnae Lo the beat of his kwwleclge and Ixil.ief; and that Lite work Will lie I►erformed in Lhe nkan►er set forth in Lite application filed therewith. ,M)r-n to befo e i _ this .. . .. .. � da C 19. Notary IN Aie P. ............... ..... < 0 CLAIRE L.GLEW Notary Public,State of New York (Signature of Appl icanl.) No.4879505 Qualified in Suffolk County / Commission Expires December Bi 19 �Cp