The URL can be used to link to this page

Home My WebLink About1444-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20169 Date AUGUST 27~ 1991 _ THIS CERTIFIES that the building NEW DWELLING Location of Property 1155 DEEP HOLE DRIVE MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 13 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 13~ 196i pursuant to which Building Permit No. 1444-Z dated JUNE 13, 1961 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 ONE FAMILY DWELLING The certificate is issued to FRANK ZALESKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-465900 - SEPTEMBER 23, 1965 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 1444 z Date ............................. Permission is hereby granted, to: ........ l~.a~k..-R.,..-F,~t~skl. .................................. ............. l~e~phot~-.I~i~ ................................. .................. ~att~tU~k. ........................................ to ....Rul&d...n~w.. ene..f, a~i.t~'..dve.l, ting .................................................................................. at premises located at R/S.....We~.t..t~ra~lch..I~op.ll0'l'e...l~'i~r~ ............................................... ............................................................ ~la t.t i4;'~ ........................................................................... pursuant to application dated ............................. ................ 19~.~...., and approved by 'tl~e Building Inspector Fee ~0,00 ............. TOWN I-IF .~I-IUTHOLD FIFFIOI:'' OF BUILDING INSPECTOR TOWN CLERK'S OFFICE SDLITHOLD~ N.Y. TEL. SOUTHOLD S-:~660 May 20~ 1960 ~. Frank Zaleski Jr. Deep Hole Drive Mattituck~ N.Z. Dear Slr~ RelatiYe to our conversation MesterdaM about the construction of the cellar on the east side of the ~]es't brsnch of Deep Hole DriYe~ on your property - it will be psrfectl,7 legal to build the cellar and use it for storage of potatoes and other produce grown on the farm~ and when you wish to convert the building to a residence to ap~ly for a permit. At this time the location meets all requirements of the Zoning ordinance for the purpose intended. flours truly Building Inspector. \ L:'t ',t: :"- '~.- ............... Date September ' 'Application'No' :~ 23251 ~ta.., ~ ~entfteq,.. .... .That', the Electric Equi~?nt', : ,::'-',, ~' ",;'; ~" ~ , ...... ~'~., ~, ' .' ~ ~as. descrJbed be(ow ahd by APP! cant on Above ~pp.~ ~ i~nprem~seso[_ ~rank R. Zaleski on,the~basement & 1st .... ;:-'~7 ....... :floorof~No. ::e/s Deep Hole ..... -' ':' - .......... ': ',~ ' Suffolk Ave.i:,MagtLtuck~ ' as ~er applicatib~ on file in ~h~s ,oHtce, q~d co~slsh~ of; ..... }, ..... ¢ .... ~ ~,,~, ;,:'~ .... ~ ~ ............... .'~:';;. ........ ., ,.; .... . .... . .... , ..... : ~ ........... : '. ' '~ :. "~Se ~e ~ phase ~ - amp., 0.~. ~,{ examined on date of September 20,1965 ~nd found to be m com pliance ~th the requlrements of this Bo~rd as ,'~;i':: :',W. 'B.'. Run,nd- , :;' :, ', : ":: :"'. -,,';:; .... ~v:::;:~::::~ ::':~ .......... : [;:-,:]'V-~,-:' TOWN OF SOUTHOLO BUILDING DEFARTMENT TOWN HALL Permit Health Planning SOUTUOLD, NEW YORK 765 - 1802 NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ............... HOUSE NO. STREET HAMLET 0w. ner or Owners of Property. ... . . 1o CoDnty Tax Map No. lO00 Section S bd'i i i u v s on ....................... Filed Map ........ Lot .......... ' ' - .... Applicant ................... Dept, Approval .......... U~derwriters Approval .............. Board Approval . fT~ ........... Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $ . . .~ Sj .0.~ ............ APPLI CAN~~.. ~ ............ rev. 10/14/88 FORM NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWR HALL 765- ]802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS '3~is application must be filed in typewzlter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: ]. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of 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 solder used in system contains less than 2/10 of IZ lead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For ex/sting buildings (Prior to April 9, ]957] non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. FEES: ]. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $I0.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Corm~erclal lev. 10/14/88 Approvea ........................................ 1 ....... Pm' No ....................... TOWN OF SOUTHOLD~'~ '~,' /'~',( ~ T~N CLERK'S OFFICE ~ ~c~.'~'~ ~ SOUTHOLD, N. Y. ApplicatiOn No ......~..~ ....... ' APPLICATION FOR BUILDING PERMIT D- June 13 61 ore ............................................................ 19 ............ INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink c~nd submitted in duplicate to the BUd ng Inspector. 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 drown on the diagram which is port of this location. c. 'r~e 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 o Building Permit to the applicant Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in port for any purpose whatever until o Certificate of C~cupongy 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 or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ord Jnances and regulations. (Signature of applicant, or name, if a corporation) (Addgess of aPPlicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician¢ plumber or builder.~,,, OW~ez' - ...b...u.%.~,¢,..~.:~ .................................................................................. .................................. t~l Name of o;~ir of ~;emise~..ii.i'~.'"' ..~ ,....Za~e~.~.'t ......................................................................................................... ~ .~" If applicant is a corporate, signature of duly authorized officer. ~ (Name and title of corporate officer) Location of land on which proposed work will be done. Map No: ...... 2[~1r.2C~ ......................... Lot No: .....~ ............ Street and Number E/S West Branch~ DeeR Hole ~.v.~ M~t.tt.t.uCk, ~.~. ........... ')¢~')'"'" ~ ' )"~'~: ................................................... Municipality ' ................. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ..v...a...q.a...n..t.....1..0.~..~ ................................................................................................... b. Intended use and occupancy ........ .o..~...e.....f.~,~]~...~.~el'lil~ ........... ,-~-p,~,.r.,~e~ ........................................ ~t.~ (,~4~L~.. ? 2z. or~ 'A eos~o~us~,' 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration ................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... (to be paid on filing this application) 5. If dwelling, number of dwelling units..O/'Le, ...................... Number of dwelling units on each floor ............................ If garage, number of cars...2....C, aZ' ................................................................................. ~ ................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...................... 7. Dimensions of existing structures, Jf any: Front ............................ Rear ....................... ,... Depth ............................ Height ............................ Number of Stories .............................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front .......... .8.~ ............. Rear ............ ~.c~ ........... Depth ..52/.6~...OA^ .... Height ............................ Number of Stories ...O,O.~ .................. 9. Size of lot: Front ..~,0~0. .................. Rear ....... ~.C)0 .............. Depth ....~..~'.0 ................ ] 1. Zone or use district in which premises are situated...'.[.~..'.!..~.~..s.~..~..o..~. ................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... ~.0. ........................................ Name of Architect ........................................................ Address .................. .~! ........................ Phone NO ..................... Name of Contractor .................................................... Address .................. !! ........................ Phone NO ..................... 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 numbers or descriptibn according to deed, and show street names and indicote whether interior or comer lot. 1 L I STATE OF NEW YORK. ) S S. COUNTY OF ...J~.g~'.Q~l~; ........ ) .................................. _~j:az~lc..l:t.....~,e,.'tes~.~ ........................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ..................... .9.¥~....-....~1.f]4:1a:['. ................................................................................................... (Contractor, agent, coqSorate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tr,u.e to the best of his knowledge and belief; ,and that the work will be performed in the manner set forth in the apphcation filed therewith. Sworn to before me this Notary P'u"blic,'~~~ca~~ ~'" '"' '"'" '"" '"'":'"' ' '"" ' ' BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ 1 FRAMING [/./~INAL~ e_o~ p~, , DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~ INSPECTOR