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Home My WebLink About22956-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall =:ks Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23952 Date OCTOBER 16, 1995 THIS CERTIFIES that the building ADDITIONS Location of Property 450 MAPLE AVE. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 3 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 5, 1995 pursuant to which Building Permit No. 22956-Z dated AUGUST 22, 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 NON-HEATED ADDITION, ROOFED OVER DECK ADDITION, OPEN DECK ADDITION & BUILT-IN FIREPLACE TO EXISTING ONE FAMILY DWELLING "AS BUILT" The certificate is issued to EDWARD H. & STELLA B. McLAUGHLIN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-047042 - SEPT. 20, 1995 PLUMBERS CERTIFICATION DATED N/A 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.............. ............................, 19.9.5 NP 22956 Z Permission Is hereby granted to: r,Ts .......xc/c......'A ..................................................................... �... ... ...............................I.................. at premises located at.............�,7�..�.....,ovv. eee� ....... .,................................................ . � County Tax Map No. 1000 Section ../a,7.......... Block.......� ......... Lot No. .. ................... � pursuant to application dated ..........'s��t-4.� ........1�..e.................... 19...� and approved by the Building Inspector. Fee$..... 4/.". ... P Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDINC DEPARTMENT TOWN HALL 763-1802 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. b. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1.7. 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: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural br 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 - $20.O0 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00•,Commercial $1.5.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. Old Or Pre-existing Building. . . . . . . . . Location of Property. . . . . . �52. . . . M.f/ � . . . !*:b_P . . . . . . . . . . .'.'6 Lofu4`-. . . .I�L-. House No. 1� /2 G�Street Hamlvet 6W ol �9� � - Onuer or Owners of Property . C "ounty Tax Map No 1000, Section. . . .`. . . . .l;lock. . !C)�. . . . . .Lot QG .v'.�. . . . . . . . . . . Subdivision. .11�. .--�. . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . FJl.ed Hzip . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .. :Permit No. . . . Of Permit. . . . . . . . . . . . . . . .App.IiC,ITIt .!! f Z_� ilealLh Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval . . . . . . . . . . . . ... . . . . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . :Zequest for: Temporary Certificate. . . . . . . . . . . Fiiial Certicate. . .. . • . . . ee Submitted : $ . �.flj. . . . . . . . . . . . . . . . . . C -P.G• _S 0o2S� . . . . . . . . . . . . . . . . . . . . . . . . . . o��g�FFO�,�coG a� y� o R = Town Hall,53095 Main Road p • Fax(516)765-1823 P. 0. Box 1179 y 0� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 31, 1995 Mr. E. McLaughlin 129 Commonwealth St. Franklin Square, NY 11010 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) xx 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 # 22956-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CRIMNEY REMARKS c�20 DATE �dT � INSPECTOR 765-1802 BUILDING DEFT. I NSP ON [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULAT10 [ ] FRAMING FINAL [ ] FIREPLACE & CHIMN REMARKS 4�2 (Y' air-so 6L4,1,7Z ,46� DATE � �� ,� INSPECTOR 1I!'LD.Ii��PCC'riON REPORT DATE COMMENTS � ---------- =====_____________ -FOUNDATION ( I ST) I FOUNDATION - ---------------------------------------------------- ------------------------------------------------- II� {{ ROUGH FRAME & PLUMBING {I {{ b II , II y INSULATION PER N. Y. STATE ENERGY CODE I� { III n 7 FINAL ----ADDITIONAL--dMENTS: irk H O z a y uU 1,u ut 11Li\I_ l II . . . . . . . . . FO11MNO. 1 J SETS OF Pt,A?IS . . . . . . . . TOWN Of= SOUTH OLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT c11Ec1: _ . _ Ulm TOWN IIALL SEPTIC F011tl _ . . . . . . . , , , • • r, S0UTIIOI_f), N.Y. 11971 TLL.. 765 11302 r.()'f I t=1' �� i _ _ C A 1,1, 19 rt /' p r. nTt. To : Approved (�j�`. . . . 19/p.Permit No�/S� _ _ . . . . . Disapproved n/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' 1 : . . . . . . .'. . .'.A` (l) ill"Ohl spector) APPLICATION FOR BUILDING PERMIT ])ale . . . • . . . . . . . . . . ., INSTRUCTIONS a. "i"his applicalton must be completely filled in by typewriter or in ink and submilled to file Building fnspeclor, will) sets cif plans, accurate plot plan to scale. Fee according to schedule. h. Plot plan showing lycalioli of lot. and of buildings on prentses, relationship to adjoining premises or public slice: or areas, ;1nc1 giving a detailed description of layout of properly must be drawn on the diagram which is part of (this appl cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of' this a,iplicalion, the Building inspector will issued a Building Permit to the applicant. Such perlu Shall be kept on the premises available for inspeclion (hroughout the work. e. No huilding shall be occupied or used in whole or in part for any purpose whatever until a Cer(ificale of Occupanc shall have been granted by the Building Inspector. APPLICATION iS IILRI..;IIY MADE to the Ilnil(ling i)eparlmenl for the issuance of n Building Permit p►lrsuanl to (1, Building lone Ordinance of the 'Down of,;So1111I;oId"."St'iffoIk County, New York, and other applicable Laws, Ordinances r tr1 Regulations, for the construction of builcliligs,:.acldi(ions'61- alterations, or for removal e`I demolifion, as herein describe( 'file applicant agrees fo comply with all appltcalile laws,-brdimi'Ilces', building code, housing code, and regulations, and t admil 111(horized inspecibrs on premises and,in building for.necessar 1s )ec(ions. . . . . .... . . . . . . . . . . , . . . (Signalu of applican , or na1 e, if e corporalio 1) Stale whether applicant is 'owner, Icssee, agent"'archilecl, engineer, general Coll trncic.Ir, electrician, plumber or build(: . . Name of owner of premises !.. ' 70. : :�� . t�✓. .z . IVC�/�./�},� /7`�i/r/. . . . (as an_the lax roll or IMCM deed) If' ;1pplicanl is a corporation, signature of(filly arr(horiz,ecf_officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and line of corporate officer) 1111ilder's License No. P11111iber's i.,icense No. . . . . . . . . . . . . . . . . . . . . . . . . I:leclriciali's License No. . . . . . . . . . . . . . . . . . . . . . . Other *I'rade's License No. . . . . . . . . . . . . . . . . . . . . . I . L.ocnlion of land on which proposed work will be done. . , .. . . .a �. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . . Ilouse Number Str el . hamlet County 'fax Map No. 1000 Section . . .`.� . . . . . . . • . . Mock . . . . • . . . . . . . . . . . of . . . . .�f�. . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... l--iled Map No. . . . . . . . . . . . . . . i_ot . . . . . . . . . . . . . . . (iJalne) Stale existing use and occupancy of premises and intended Ilse and occupancy of proposed c:ons(ruclion'. f . ;I. Fxisling use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . �6p, . .!. . . . .4.l.. . . . . . . . . . . . . . . . . . . . . . b. lnlcndecl use and occupancy t';;AEi1C...,,i...+ '4."i. e� . . . . . . . . . . . . . —.� - ...•.•�� QO.L ifi;tie�'":.^i1t�'i'i:� I�tla:i`I i..il.u: .. , ...• ��.�...�.I. �.lu... .�I ►��n.�u,IcJ. Iqu\V LullU lilt. . . . . . . . . . . ?wolII"ll . Ae . . . . . . . AlIel;llloll Itell air . . . . . . . . . . . . . . Remloval . . . . . . . . . . . . . . 1�C11IOliIioll . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . 4. listin►aled Cost . �� o-r... . . . . . . . . . . . . . . . . . . � . (I clil►lion) (to be paid on filing this application) 5. if dwelling, number of dwelling units . . . . . . . . ' . . ; . . .... Nrlluber of dwclliug ,,,its on each floor If l;arage, nun►ber of curs . . . . . . . . . . . . . . . . . 6. If business, commercial or rllixed occupancy, specify nature and extent of each type of t►se , , • • , , , , • 7. Dim►ensions of existing structures, if any: l7romt . . . . . . ; , . Ilcigllt , . . . . . Rear . . . . . . . . . . . . Del)111 . . . . . . . . . . . . . .. Ntll1►ber of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure Will' alterations or additions: I ruI►t 1)cI►II► . . . . . . . . . . . . Ileigl►l . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . Itc;►r . . . . . . . . . . . . . . . . . 8. Dimensions of elllire new conslruclion: 1�ront • : Number of Stories . . . . . . . . . . . . . . . . . . . . . . Ilcigl►t ... Real' . . . . . . . . . . . . . . . I)e1)lll . . . . . . . . . . . . . . .. Number of Stories 9. Size of lot: I rc�l►t hear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . : . . . . . . . • Depth IU. Uatc of Purchase . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . ' N`►I!►e of I�o'rnler Owner 12. Does proposed conslruclion violate ally zoning law, ordinance or,regulation:' , . 13. Will lot be regraded . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . %Vill excess fill bmoved from I)ren►ises: Yes No ICI. Name of Owner of premises . . . . . . . . . . . . . , . . . . e re Nan►e of Archili:ct . . . . . . . . . . Address . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address Phone No. Naule of Contractor . . . Address . . . . . No 15. Is 1:111s properLy tir.i.th.ln 300 feet of a octal. 'weLl.and7 *• • o . . . . . . . . . . . . . . *If es Southold 'Town TrusLees Pera►i.t may. be required, No. . . . . . . . . • yes, I I-01' DIAGRAM Locale clearly and distinefly all buildings, whelher existing or proposed, and.indicate all set back dimensions frou► properly lines. Give street and block number or description According to deed, and sho►v street names and indicate whether ` interior or corner lot. d APPROVED AS DOTED DATE: BY: , NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: III 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING 8r. PLUMBING 3. INSULATION 4. FINAL - .CONSTRUCTION- MUST' BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY. CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NI 1V YOI�I�, COUNTY Ol . . . . . . ��.,. .S.S • • • • • • • • . . . . . . . being duly sworn, deposes and says f11al he is the applicant (Name of individual signing con(racf) above. named. Ile is the Of said owner or owners, and 'is duly authorized to perform or have perforn►ed file said work and to make and file fl►is applicalion; Ihat all slatelnents contained in lhis'applicaliol► .arc Irlle to. the best of his knowledge and belief; and that Ibc �aolk will be performed in II►e In, Set forth in the applic llioll fit(-(] therewith. Sworn to before nle this . . . . . . . . . . . . . . . . . . . . o . . . . . . . . . . . ., 19 � Notary Public, . . . . . scJ `�1 . -� ,. Counly i R ERT1.SCOR'ZJM _ NOTARY PUBLIC.State'of N.Y. No.4725089.SufolkCou ignalure of a.pplic;ull)' Term Expires May 31. 191�lI� i _ ,; .=�' -tip• w C _ CL -r! vi 40 ' ..� .Z ,� 1Z't• � _ . alb 404 .Itt i� a Z , :Ali A �. ' `' l* Z \A l DR, C ARL ,OS- ��I AND At _ 5 - -7-REATED TR_E AT DEcc _ :a.. ___STAIRS, x x x x X h x kx .� '� -< x N `13LOC . _ . _ x&I CONCRETE SLAB CFO o� O p0 CI RAVEL SETT-AtKG 33 6„ 1 DOOR SLIDING r3oomS d DOOR SUN ROOM -a---Wi N Dov/ o 1 N D OW S L I D 1 . G ' DOORS i ..0 •• c - .. - -_ M_ lC;;•\.r_ , -' - .'y lie .7 a to ` •_"— � - - _ -,1I. _ - . y'� I -bt�r'sl�+t .:�rt�s-t � -O.iCi� :� ,..- `_�..__- -' y _ _ •- _ =•.�-,:•-. J � .__ `` - _� '„ram--•- _ : .. _:- - OCCUPANCY OR USE IS UNLAWFUL - WITHOUT CERTIFICATE. 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