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HomeMy WebLinkAbout23014-z {, A FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23932 Date OCTOBER 5, 1995 THIS CERTIFIES that the building ADDITION 900 BAYER ROAD & Location of Property 1060 CONKLIN ROAD MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 9 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 8, 1995 pursuant to which Building Permit No. 23014-Z dated SEPTEMBER 14, 1995 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 A REAR LANDING AN STAIRS ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EMILY R. MATHER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ;l-'e-ez Bu' ding 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 911.(I ........................... NP 23014 Z Permission Is hereby granted to: J� ....... :....M A-"+—Eik ............................ .......................q�........... �„r,�..... .f-0-1...................... .........W rz ....k-!e'!!B�. ...... '?...... T /. ........0.1sw 11 �....... ...... f �..... ........ % ........ ........ .......... � , !� ....... I ........ ........................................................... .................................................................................................................................................................. ........................................................................��� ............................................................... atpremises located at....................Wv......� ... / L......... .......:.................................................... ................I...... ...................I..................... � ..�� �...................... ..................... ............ County Tax Map No. 1000 Section ....1 7.......... Block...©./................ Lot No. ..17.1-.✓ ,,............... pursuant to application dated ..... /- •......... ...................... 19... .., and approved by the Building Inspector. Fee$.....�7.1.................. .......... ............ J•••..................................... Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD I' BUILDING DEPARTMENT TOWN HALL I i: _ F SEP 2 9 1gg5 F 765--1802 i i I' BLDG.DEFT TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANC`i�` -�- A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new build_ng 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. �. Sworn statement Erom 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 .oE Code Compliance from architect or engineer. responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. n - 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. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00 , Additions to dwelling S25.00 , 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 h . Updated Certificate of Occupancy - $50.00 5. Iemporary Certificate of Occupancy - Residential $15.00-, Commercial $15.00 Date . . . .I. . . . . . . . .. .. .7 . . .. . . . . . . . . . . . . . . . . . New Construction. . . . . . . . .. .. . Old Or Pre-existing Building.�.,t��,�G��. - .�� � Location of Property. . . . 70o. . . . . . . . . . . . .4 �/. �l� . . . . . . . . . f �J�-aL7-� e` (.LC ' _. . . . . . . . House No. Street hamlet Onwer or Owners of Property . . /l. L� ,. . .iu.lAe_T.W . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :;ounty Tax Map No 1000, Sec tion ��.I�. . 1.�4F-?40B1ucic. . . . . . . . . . . . . . . .Lot . . . . . .,. . . . . . . . . . . . . . 7ubdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FJIud No1) . . . . . . . . . . . O�J �. �( Cott K' ; :'ermit ,1�.�.3Z1 .T. '. ��. . .�ate �C Permit . . .< ` / . . . . l AppIiC;III[ . > . ilenlLh Dept . Approval . . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approvol . . . . . . . . . . . . . . . . . . . . . . . . ?equcst for: Tcmpornry Certificate. . . . . . . . . . . Fiiinl Certicate. . . . v . . . . ee Submitted : S .c_xl0 . . . . . . . . . . . . . . . . . . . (0-C-:V1--S�6-l l7 . . � . . . . . . . . . . . . . . . . . . rya SFFO(�cOG o� yJ'c y Z Town Hall,53095 Main Road p • Fax(516)765-1823 P. 0. Box 1179 �� �� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 22, 1995 Ms . Emily Mather " . 900 Bayer Road Mattituck, NY 11952 ti;n SEP 291995 - TO a° i"r ,. 4 _ z-�wnl�r 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 # 23014-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. O��S�FFO�,�co c� Gym y � Town Hall,53095 Main Road p • Fax (516)765-1823 P. 0. Box 1179 �� �� Telephone (516)765-1802 Southold, New York 11971 �j .IL �►� OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 22, 1995 Ms . Emily Mather 900 Bayer Road Mattituck, NY. 11952 - 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 # 23014-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ ] NSULATION � FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE JINSPECTOR s^^'� I.--LELL;�-INs rr:,(;-[ION RI.-Pon DATC, COMMENTS F-OUNDAT TQN_ I F'T FOUNDATION UND) ---------------------- C, ROUGH FRAME & P 11 Ml 13 1.N G ----------- [NSULATION PER N. T . ii----�� �\ STATE ENERGY ----------- Ln "W FT.N AT, ADUITIONAL COMENTS: ----------- rd BOARD ' OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS .. . . . . ... . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . _ . _ . . . . . . . . . . TOWN HALL SEPTIC FORN _ _ _ . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765 1802 t:aT I FY CALL -11 `�� r7g . . . l,� _ / Examined . . . . . I../• . . . . 19 �� 1IA I L TO - - Approved . . . ... ! ./r/. . . . .. 19o5-.­Permit No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Bu' g In ector)�. APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .119 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink acid submitted to the Building Inspector, with 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 street: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli cation. 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 issued 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 Occupanc}, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE 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 o; 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, building code, housing code, and regulations, and tc admit authorized inspectors on premises and in building for necessary inspections. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) (Mailing address'of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contracto�rO)�� �ta�Rb Ter or builder. . . . . . . . . . . . . . r. . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . DATE:. /- :LBP.0...,.. Name of owner of premises . : . . . . . •NOTIFY •B•U•ILDWG -DEPARTMENT-AT (as on the tax roll or 1 t1 1)9 AM TO 4 PM FOR THE If applicant is a corporation, signature of duly authorized officer. FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE PAN-CY OR(Name and title of corporate o �IcIiS � 2. ROUGH -''FRAMING & PLUMBING. UNLAWFUL q3. INSULATION Builder's License No. Srf� BLUC6LE FINIAL ® FOR C.O. TION MUST ��"UOUT CERTIFICATE. ' ALL CONSTRUCTION SHALL MEET Plumber's License No.. . . . . . . . . . . CCUPA�ICY THE REQUIREMENTS OF THE N.Y. STATE • CONSTRUCTION' & ENERGY Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . CODES. NOT RESPONSIBLE FOR DESIGN. OR CONSTRUCTION ERRORS Other Trade's License No., . . . . . / 1. Location of land on which proposed work will be.done. oU . . . . . . . . . . . . . . . . . . . �-. . .�� . . . .. . . . f''` -. :- - . - : - - - , . . . . . . . . . House Number Street Hamlet S3 County Tax Map No. 1000 Section Block . . . . . . . . . . . . . . . . . . Lot . . . . . . . . . . .: .5 . . Subdivision . . . . . . . . . . . . . . . . . . . . . Filed Map No. Lot . . . . . . . . . . . . . . . (Name) 2-. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy : . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . ./�-��'`� t''v 4 . . . . . 3C11+: ::' . :��'�0�; ;1. . . . . . . . . . . . . . . . . •3. Nature of work�eheck which applicable): New Building . : , r/ Addition Alteration Repair . . . . . . . . . . Removal Demolition , . , . . , . , • , . . Other Work . . . . . . . . . . . . . . . -�- — (Description) 4. Estimated Cost . . . . . . . . Q . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling, number of dwelling.units . .. . . . . . . . . . . . . .. Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of•each type of use 7. Dimensions of existing structures, if any: Front . Rear Height . . . . . .... . . . . . . . . . . Depth . . . . . . . . . . . . . . g • • , , , . . . . Number of Stories . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . • . ' • Depth . . . .. . . . . Height . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . eight . . . . . . . . Number of Stories . 8. Dimensions of entire new construction: Front Rear . . . . .Height . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . Number of Stories .. 9. Size of lot: Front . . . . . . . . . . . . . . . . . ... . Rear. . . . . . . . . .. . . . . . . . . . , . . . .Depth . . . . . . . . . . . . : . . . . . . . , . . 10. Date of Purchase . . , . Name of Former Owner 11. Zone or use district in which premises are situated . • • • • ' 12. Does proposed construction violate any zoning law, ordinance or regulation: 14. Name of Owner of pre mises . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . : . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No . . . Address Phone No. Name of Architect , Ji . . . . . ' . . . . . . . . . . . . . . . ' . . Address . Phone No. Name of Contractor . Address . . . . . . . . . . . . . , . , , , . Pho No. 15. Is this property within 300 feet of a tidal wetland? *YeS, No, ,l „ _ • *If yes, Southold Town Trustees Permit may be required. � � �'� � 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 number or description according,to deed, and show street names and indicate whether interior or corner lot. Z G 'TAT E OF-NEW Yaw , ;OUNTY OF . . V� S.S C. being duly sworn, deposes and says that he is the applicant "(Name of individual signing contract) bove named. ,e-is the . . . . . . . . . . . . . . . . . . . . . . . . . . . (Con tor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this'application are true to the best of his knowledge and belief;and that the ork wilt be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . . . . . . . . . . .day o -� .y . ., 19� . • otary Public, . . . . - County ROBERT 1. SCOTT,J a ' NOTARY PUBLIC.Stat f h1.Y. . . .4. . . . . . . . . . . . . . . . . . . . . No.4725089,Suffol Cou (Signature of applicant) Term Expires May Is,19 � OCCUPANCY OR USE IS UNLAWFUL TROUT CERTIFICATE. OF OCCUPANCY rob co I G u 1� 5e `6 't 3 2x !0 S' .' e �' / C) . C ccl� 511 �e i SUFFOLK COUNTY HEALTH DEPARTMENTi :s �0 DATE OCT 131976 H. D. REF. r S The sewage disposal and water supply facilities for this location have been inspected by this department and found �v to be sati rq 0.0 TEST HOLE j��J ro Chief of General Engineering Services LOAN sQ 3.3 "PI 3 9 �\ �r 1�6 w Lot J $Q SAND Sd 1 1 5.7 ------ �Ss., WATER to AD Lot n. NOTE: L� 104 o/i $ xN ' 8 =MONUMENT EL` ? O T•� N e �,� d, W BZ SUBDI VISION MAP FILED/N THE OFFICE NI �s N Lot OF THE CLERK OF SUFFOLK COUNTY ON N _ , r O ✓ULY 24, 1935 AS FILE NO.//84. O p---46— --, oy a �o O WATER SUPPLY-PRIVATE WELLS NEAREST WATER MAIN- 2 MILES f - F' O TEST NOLE p pW O O ® :g•5 1 � � a M r: N IN 100' O O O_ EL QQ wl rN cn o 125• �y '5057r 1 Q VACANT re PRD W FOB THE LOCATION OF WELLS AND CESSPOOLS S. F K .t1 y ¢ SHOWN HEREIN ARE FROM FIELD OBSERVATIONS Or formerly 1 .9 �O , O� AHD/OE FROM DATA OBTAINED FROM OTHERS OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTOHE SE FROM FIELD no 1 1 O * REVISIONS THE LOCATION OF WELLS AND CESSPOOLS SHOWN YOUNG & YOUNG sEP THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL n � /�r� 7. 2,197G 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH ! �C� 45893 ALDEN W. YOUNG HOWARD W. YOUNG EYOR APPLICANT — — — — — — — — — — — — — — — — — — cy yfF�4 ND S;J00� LAND PROFESSIONAL SU VEYOR~N.Y.S. LIC. NO. 12845 N Y.S. LICVNO.ASS93 ADDRESS- --- - -- - - - - - — - - - --- - - - -- - - - - - - --TEL.-- - - - - - - �J SURVEY FOR: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION EMI LY R. MATHER 7209 OF THE NEW YORK STATE EDUCATION LAW. LOTS 76 a 77 11AMENDED MAP OF MATTITUCK HEIGHTS" COPIES OF THIS SURVEY MAP NOT BEARING _ THE LAND"SURVEYOR'S INKED SEAL OR - _ EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. AT MATTI TUCK GUARANTEED TO: GUARANTEES INDICATED HEREON SHALL RUN • ONLY TO THE PERSON FOR WHOM THE TOWN OF SOUTHOLD SURVEY IS PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED BY HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y. ,1.,���fQ/�Qi TdU7411_ LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL SCALE: 11 DATE: NO. INSTITUTIONS OR SUBSEQUENT OWNERS. _ 1 40 JULY 14, 1976 76-567 s a —A