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Home My WebLink About24637-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25524 Date: 02/05/98 THIS CERTIFIES that the building ADDITION Location of Property: 11875 MAIN RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County. Tax Map No. 473889 Section 141 Block 4 Lot 38 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 28, 1997 pursuant to which Building Permit No. 24637-Z dated FEBRUARY 5, 1998 . 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 BUILT. The certificate is issued to DONALD F & MAUREEN SACKER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r c Buildin nspector 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 .....F V.8 WA.R X........�........................... 19...9 H.... 24637 Z Permission is hereby granted to: ........ OhIALD...F...&...W.F... PGKER................................. PO BOX BA ..........................I.......... to .....G.QN.ST.RU.GT...A...D.RG.K..AD.W.T.Z.QN...A.S...AF'.PI,..I.0...EQ.R...AS...D.U.I.L.T............................... .................................................................................................................................................................. .•........I.....................I............................................................................................................I.................... .................................................................................................................................................................. .............................................................................................................................................. at premises located at..... ......1.18. .7.5.....M.A I N...RD.. ......................... ... ...MATT I TUCK......... ..............................................:................................................................................................................. County Tax Map No. ....4738B9,.... Section ...1A4 ............. Block .....0004........ Lot No. 0 5Q............... pursuant to application dated ....!`!0VEMBER 2B ., 19......97...., and approved by the ................................. Building Inspector. Fee$........75.00..... ............. .IL....... ... .......................... uilding Inspe Rev: 6/30/80 Form No. 6 TOWN OF SOUTHOLD D BUILDING DEPARTMENT TOWN HALL ��OU 2 � �4T 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY ' ` WN F S UTI1QLD A• ication must be filled in by typewriter 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: 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 $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 - .25o,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . ��T✓. 7. . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . ....�.r�.G�. .�. �- �V5 L`✓ GG Location of Property. . . /�P.�.�. . .��"l�u. -lt: . . . 1.%�Ti. 1. �L� /�: . . lY./. . . . . ��`�-.� . . . . . . . . . House No.� Street Hamlet Onwer or Owners of Property.. . . �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . Q�. f. �. . . . .Block. . . ./1. . . . . . . .Lot. . . . .. M. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . ..Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . 7�UU. . . . . . . . . . . . . . . . . . . . . . . . . . . 5�� APPLICANT 2 T65-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] "NLATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � � f� INSPECTOR _1��4 �JI BOARD OF HEALTH .. I -FORM NO. 1 3 SETS OF PLANS . . - • .- - . . I TOWN OF SOUTHOLD SURVEY NOV 2 9 BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . BLDG.DEPT. SOUTHOLD, N.Y. 11971 t N F S UTHOLD TES.: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . Examined.. ,r. 2 ....., 19...7 MAIL 1'0: . . . . . . . . . . . . . . . . . . . . 1p Approved.-• P 19/.4�. Penni t No. 43 .................................... Disapproveda/c .................................. .................................... ...................................................... r •(Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . 19 INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and sulmitted to the IAiilding Inspector wilt, 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 commnced 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. APPI.IC11rIm IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building 7one Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinances or 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 to admit authorized inspectors an premises and in building for necessary77pections. xo • . • (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ---•...................................../_................_........._.................`...................................-- Name of owner of premises ...... !. !!!.4-L- ...... .N......!.L: .......! O.A Nofd (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. DAT17 � B.P.# FEE: 7S 76 BY ......................................................... NOTIFY BUILDING DEPAR MEN AT (Maw and title of corporate officer) 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED Builders License No. ......................... FOR POURED CONCRETE 2. ROLL * FRAMING i PLUMBING Plumbers License No. ......................... 3. INSULATION Electricians License No. .... 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Other Trade's License No. .................... ALL CONSTRUCTION SHALL MEET 1. Location of land on which proposed work will be done.......................d THE REQUIREMENTS OF THE N.Y. STATE'1CONSTF(UCTION'&'ENERGY" ................. .1.�QJ. _ .."._.e��............. �7L�.��:�.. � ,� S- pONSIBLE FOR ... DE5 iN•OR SSTRUCTION ERRORS House Number �� Streetj� lia((n��let Canty Tax Map No. 1000 , Section ... �....... Block .....`.......... Lot ..:�q.......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and inte�rxled use and occupancy of proposed construction: a. Existing use and occupancy .........�rd.��.,�...... .....A-?...... L7-.................... b. Intended use and occupancy ........................:..................................................... 3. Nature of work (dwa wlridr applicable): New lluilding .......... Addition ... Alteraeion Repair ............ Removal ............. Dermlition ............ Other Work l/!�4�G. .�?J...!C%r (Description) 4. Estimated Cost .......................... fee ... .............1 �..,._. - r. >....... .?�� (to be paid on filing this appUcg4idn,)�°"''_1+. A.,";- �'"� _ 5. If dwelling, Harmer of dwelling units ............ llurrber of dwelling units our eacli floor ................ If- garage, number of cars ....................................... 6. If business, commercial or mixed occupancy, specify nature and extent of eadn type, of use........:.............. 7. Dimensions of existing structures, if any: Front.................... Rear ............... Depth ................. lleight Nuriner of Stories ...................... Dimensions of sane structure with alterations or additions.: Front ............... Rear ............... Depth .................... lleiglrt ....._..... - ......Rnher of Stories ............... B. Dirrrensions of entire new construction: Front ................ Rear ............... Depth .............. Ileiglnt ......................... Umber of Stories ..................... 9. Size of lot: font .................... Rear .................... Depth 10. Date of Purchase ..................... Name of Former Owrrer ........................................ 11. Zone or use district in wiridr 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: _ YE S ND 14. Norms of owner of premises � l�1��:L.�. Address � Horne No. l�!..�X. Name of Ardritect .................................... Address .............................. Phone No. .............. Name of Contractor ................................... Address ...............................Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ..... . *IF YES, St7Ul1l<HD 1OliN IMS110-S FERMrr MAY BE M, PR[l. 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. :�'s'��(v'id�3, i`�J(a+�ei F N3•��:J"ej 3 Yzk�z.""S t tr A �i �••FF�i wwaa��aT� � � :t�r'£ t: ;14`:?�; z` ' :'::'.: ...........lneing duly sworn, deposes and says that he is Che applicant (Name of i.nd.ividrra) Signrng-c nLracl� ri.rn° reil,>above' > :S l'.. i!.i e'• i:a:':� pd°�s.i�s (tl D-H +r'� lie is. l he-it'`, ?xi _• 3 :i$ .................................................................... (CrnrtracL�or,,,agept.,.--corporate officer, etc.) '� s�d'�ei,;i,Jll.t;htw.x_. Yi1.,• fPdrfnss.t of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file Lhis applicatirr; that all statements contained in this application are true to the best of bis knowledge and belief; aril that the work will be performed in Lhe nrrnner set forth in the application filed therewith. Staorrr Co before me this "� ...----Z� .....day of .. T. Notary Public ./. ..... � ........... (Signature of Applicant) ROBERT I.SCOT,JR.T Notary Public,State of New York Qualified in Suffolk County No.01SC47250 Term Expires May 31.8yw ,Soil -��°� s 6,9.3 �. Yl0 EVES �00 os� �'p0„ E - "'"e �.'�• t�+TO'P1 9 4 fkl3l 2 CROP - OS�O SUBJECT PREMISES 00,00, s°o. °°o; w4kr a` s 8S 96. , 'lip ° N,ya O ° S 'p pJ KEY MAP ` sg SCALE 1"=600' 2 of .OPCn�/s �AO'ti LOT LINE MODIFICATION s�O SITUATED AT MATTITUCK 'y 2 °��° ' ° }ob',0 a� TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK °oo' S.C. TAX No. 1000-141-04-38 � 1000-141-04-39 � SCALE 1"=50' JULY 15, 1997 cvpvy O4 vac^ �y •y0 f ,�, �Pt24' \ ESQ, ,�r('.e /� AREA DATA A O ,(�, 14,465.88 sq. ft. SRO y EXISTING PARCEL 1 P 0.332 oc. by / �: ' �°° cw` 1 \\'t!,. 9 / ///� �• PROPOSED PARCEL 1 15.342.98 sq. ft. 0.352 a 1 g 11i EXISTING PARCEL 2 12,808.49asq. ft. 0.29 A 0 1 ,0 ' ' PROPOSED PARCEL 2 11'021749_ it. / TOTAL 27,274.37 sq. ft. 0.626 Y. h ,fie APPLICANT: 1 �O DONALD SACKER a / P.O. BOX 813 _ MATTITUCK, NEW YORK 11952 Joseph A. Ingegno YYL, Land Surveyor do (!IB)7n-3 -E PHONE 090 °.(51a)>12�E50e] OrtCEa LOGIN•1 —68 yixeequeNn YmN dell Pn.nma,Ne.Yeq]'i,e0 %%71 i 1 1 � tj a 1�- �_ Ta GcJ d O d oC� 9-11 cc \\l N � r �I lk) 1` 0 � n� /yX3u /6 � -� /�xJ Y, r