The URL can be used to link to this page

Home My WebLink About24653-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25589 Date: 03/16/98 THIS CERTIFIES that the building ALTERATION Location of Property: 1100 HORTON AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 141 Block 2 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 1998 pursuant to which Building Permit No. 24653-Z dated FEBRUARY 9, 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 ROOF STRUCTURE OVER AN EXISTING DECK ADDITION OF ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROSEMARY BYRNES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A c // uil ing Ins ector 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 .....FEHRUARY........9........................ .. 19..9$.... 24653 Z Permission Is hereby granted to; ........ OSEMARY...BYRNES............................................. AI _ ........M.........N.....R...D ................................................................. .......LAUREL.9.NY,...1194B..................................I.......... to.....G4N.$TRW.QT...0...RUQF..ST.RQ.Q.T.VR.E...4Y.FR...P.N...SX.1. T.DlQ...A.PA.T.T.T.Q.N...A5...APPLJ ED FOR. ................................................................... ................................................................................ ....................................... . ............... . ................................................................................ ................. .............................................................................................................................I.......I............................ ............................................................................................................ ........................................ at premises located at................1100 HORTON„AVE MATT I TUCK ............................................... ................................................................................................................................................................ .CountyTcx Map No. ....473889..... Section ...1.4.1............. Block ..'..0002........ Lot No. 004, pursuant to application dated ... ?AN .AR.Y„........9......................... 19......98 and approved by the Building Inspector. Fee $........75.00,.... .. ........................................ Building Inspector Rev. 6/30/80 rorm NO. o � g � GJGl7 TOWN OF SOUTHOLD jr{/G/fi'¢2r]' s�j��v✓�r2 Z 31993 BUILDING DEPARTMENT TOWN 765-1802 BLDG.DEPT. T WN F S UTHOLD APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildit inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property line: 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 build 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 '-'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 applicar, 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 - _ .2511�. - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15..00, Commercial $15.00 Date . . . 3-1.`� . 1.e. . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . . .. Old Or Pre-existing Building. . . . . . .. . . . . . . . . . Location of Property. . .J��.. .. . . . . . . . '..��.'2�G..j. . . �i�G. . . . .. . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property..�dS��4Z� .�a . .� ��'4 �.. . . . Gl� ' . . . . . . . . . . County Tax Map No 1000, Section. . . .�10. . . . . . .Block. . j. . . . . . . . . . .Lot. . . • / . . . . . . . . . . Subdivision. . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . .Filed Map.'% . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . � q Permit No. . ,�""S . . . .Date Of Permit. .d... .. . .7.. . . .. . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . iC t l.c.G1 . . . . . . . . . . . . . . . . . . . . . . APPLICANT Co-Z a5S 8`� 7W-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH'PLBG. [ ] FOUNDATION 2ND [ ] IN 6LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: i ri ATE 2y D INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS• DATE INSPECTOR ZELD I;:S.'ECTION JJDATE 11 C0mMENTS -o FOUNDATION ( 1st ) i �] FOUNDATION ( 2nd ) 2 . r- Z / O i ROUGH FRAME & -PLUMBING • ' y 3 . r� INSULATION PER N . Y. y STATE ENERGY CODE 4 . FINAL . z � ADDITIONAL COMMENTS : x a ' � y H - - O ' z • r y d m y BOARD OF HEALTH�._. . . . . . . . . FORM N0. 1 3 SETS PLANS . D TOWN OF SOUTHOLD SURVE . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . : : : : : : : : : :: :: : : TOWN HALL SEPTIC FORM. SOUTHOLD, N.Y. 11971 SLOG.DEPT, TES.: 765-1802 NOTIFY:QF p - C� p CALL fig.' . . . . . . Examined....... !.._..., 19.J Kle/16?012 MAII. 1'0: Approved.... ...... 19.1..d Pernu t No. �� a-,---- ..!..�..��V_..�7�............. Disapproveda/c ...................... . .......... ... ............... 9..}/. . /..y� ...................................................... (11u •n .Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. 'Ibis application must be completely filled in by typecariter or in ink and submitted to the Building 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 IxA)Iic streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part of thiL application. c. 'Ibe work covered by this application may not be commenced 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. APPLIC11riON IS UEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building 7.00e Ordinance of the Town of Southold, Suffolk County, 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_ Ibe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building r Vnecesssa inspections. . ..................... . -(Signature of applicant, or name, if a corporation) (Mailing address of appl irarnG) j4� ,��` State whether applicant is owner, lessee agent, architect engineer, general contractor, electrician tu iier .or builder. PP � a8 � g � g K � Pjll�� .............. ......................................................... J"r4�� Name of owner of premises .. ---- (as on the tax roll or latest deed) NOTIFY BUI M If applicant is a corporation, signature of duly authorized officer. 765-1902 0 AM VO 4 M MR IN ......................................................... 4 FOUNDAMON - 1W* 0150I P (Name and title of corporate officer) 01'CCUR'IMNUICY OR FORPOUREDCONCIM � p Z ROUGH ..�No a PLUMM U� UI E N AQ FL L 3.4. FINALUin- CONSTRUCTION MUST ON Builders License No. ..................��BTHO� � UERM HATE. G tl BE COMPLETE FOR C.O. Plumbers License No. .................. ALL CONSTRUCTION SHALL MEET 0• h � ��p��j� THE REQUIREMENTS OF THE N.Y. Electricians License No. ..................... STATE CONSTRUCTION sine ENERGY Other Trade's License No. CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which proposed work will be done...................................................:� ......... ........... �. .......... .�??.....! �r..........alai T� !4.............................................. House NuA)er- Street Hamlet County Tax Map No. 1000 Section ....f.qf....... Block .... ....... I.ot ...(�.y........ 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 ...................•--....................................................... 3. N-nttnre of work (d►eck whid► applicable): New IAiilding .......... Acklition ......... 'Al teratioii-. of vE ,a Repair ............ Rennoval ............. Dow)]it ion ............ Other Work i2d o� f / /a. ... ....... 4. Estimated Cost ......`..`.................. fee ........._................... .. 4..�....,....,... a, (to be paid on filing this applic tJ()r"7 5. If dwelling, rnnber of dwelling units ............ tkuber of dwelling units on each floor ................ Ifgarage, r"11)er of cars ...................................... 6. If business, eomrercial or mixed occupancy, specify nature and extent of ead► type of use...................... 7, Dimensions of existing structures, if any: Front....711.11...... Rear ...�4t�........ Depth ..`.10 d.�J�......_ lleigtnt ----- .... Nu►iner of Stories _..................... Dimensions of sane structure with► alterations or additions: Front ............... Rear ............... Depth .................... lleiolt' .................... Nunher of Stories ............... 8. Dimensions of entire new construction: font ................ Rear ............... Depth .............. lleight ......................... Nuni)er of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Pord►ase ..................... Name of I-ormer Owner ........................................ 11. Zone or use district in whidn premises are situated .............................................................. 12. Does proposed ccxnsttuction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................. Will excess fill be removed from premises: YES All M. Mans of Owner of premises ........................... Address .............................. Plnax- No. ....... Nameof Ardritect .................................... Address .............................. Phone No. ....... Nine of Contractor .............................. .. Address ...............................Pfion►e No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ..'..... IF YES, SWIIiM" IMN TRIISM-13 PE Mrr MAY BE RCQUIR[M. PLOT DIAGRAM Locate clearly and distinctly all buildings, uliether existing or proposed, and indicate all set-bade dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate Miether interior or corner lot. coop c)vc F IST706 •�'iz}a�� .s_S:;+wAtWn:u:�^ASSYYfAD+y\JR=wcm..�r_:1•:-'•wW.:�.++sW a --i'o •�. Y U.M. .[y �aa!/.'i��p•:sh A1• SI'A;lii �A� NtZ,I,,X(x11C, ,; %cC y yr .(.. nv��e/��>/jd�S ihA•1'r•./.F;-_6^,�.�G/.A-'i '� � /.�n .:�.t--� . ....................being duly sworn, deposes and says that he is the applicant (Na»e, off'iixlividuail"sigiiiing cornt t) rac atxrve,Ikziieil, , Ileis the c�/!J / ..............................................................•---....... ............... (( mitractor, agent,-corporate officer, etc.) of said owner or owners, and is duly authorized to per.fonnror have performed the said work and to make and file this application; that all statements contained in this application are tn-le to the best of his knowledge and lx"l.ief; and that the work will be performed in the itunnner set forth in the application filed therewith. Skrx►rn to befyrq me this JO -------.q'-.-.----day o VJ ..19. . Notary Public .. ......... ........... -• �- --.--- BARBARA STEPNOWSKI (Sigrk-►ture of A 1 pl.icant) Notary Public,State of New Yolk No.01 ST4844752 Qualified In Suffolli Caunty Commission Expires Sept.30,19P l 5 ,AESTpyq �lq gVENU E bb°• \ r o Q' 0 nOw g' HOrO/ °r f 1 � o d tiQn fin/y - �� \�IAel P 10, i ♦6. KOale �0390 cjT - F IN � ;1 t0. o C 10, p of 1 �^0 .000 Al Qa, R/ Al ego Abrth F qow 3y�30 k h�rob - O `O ' SURVEY FOR ROSEMARY J. BYRNES NOTE) I. ■= MONUMENT AT MATTITUCK DATE MAY 15, 1984 2.SUFFOLK COUNTY TAX MAP II Dlgi l000 SECT I41 BLK OR L07 0. TOWN OF SOUTHOLD SCALE: 1 ■40 SUFFOLK COUNTY, NEW YORK NO. 84-489 R UNAUTHORISED ALTERATION OR ADDITION TD THIS GUARANTEED TO, SURVEY IS A VIOLATION Of SECTION 7209 OF THE ROSEMARY ,�MIRAS'�Ely NEW YORK STATE EDUCATION LAW M COPIES OF THIS SURVEY NOT REARING THE LAND CHICAGO TC -t 9JJ NCB PANY SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL FIRST N TIONW,1®� BAVII�Si 'F NOT RE CONSIDERED TO BE A VALID TRUE COPY R GUARANTEES INDICATED HEREON SHALT.RUN ONLY TO I'T v THE PERSON FOR WHOM THE SURVEY IS PRf PARED, 4. AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- Ti MENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIC,NEES OF THE LFNOIHG INSTITUTION.GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (� �O, 4cj) M DISTANCES SHOWN HEREON FROM PROPERTY LINES `' TO IF XIS TING STRUCTURES ARF FOR A SPECIFIC �'T p' FUR PO SE AN ARE NOT TO BE USED TO ESTABLISH N U. ►ROPERTY LINES OR FOR THE ERECTION OF FENCES L14JYOUNG a YOUNG RIVERHEAD,NEW YORKUE ALDEN W.YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S.LICENSE NO.12845 HOWARD W.YOUNG,LAND SURVEYOR N.Y.S.LICENSE NO.45893 Unn•N'IS A SONS IHI OCCUPplCY OR USE IS U14LAWFUL WITHOUT CERTIFICATE" OF OCCUPANCY 17A, . . a �� '� Or,c��r ICAFi7/Zs � 4