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Home My WebLink About5702-zFORM NO- 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~i, ICY NO: Z-B0463 Date: 09/22/04 T~IS CERTIFIES that the building ADDITION Location of Property: 195 FACTORY AV~ MATT/LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 6 Lot 8 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed ~ this office dated JAi~OA~Y 26, 1972 pursuant to which Building Permit No. 5702-Z dated JA~IfARY 26, 1972 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which <his certificate is issued is ADDITION TO A~ EXISTING ONE FAMILY DWELLING AS APPLIED FOR. CONSTRUCTION CERTIFIED BY ROBERT C TAST, ARCHITECT. The certificate is issued to HERM_A~ H & THEL~A HUBBARD of the aforesaid building. SUFFOLK CO~ DEPARTMENT ELECTRICAL CERTIFICATE NO. PLI~MBERS CERTIFICATION DA'r~a3 N/A N/A N/A Rev. 1/81 TOWN O~ SOUT~OLD BUILDING DEPARTMENT TOWN CLERK'S OI~FIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISE~ UNTIL FULL COMPLETION OF THE WORK ^UTHORIZED) N9 5702 Z Permission is hereby granted to: : · . . ~ ~ ~,~,,~ at premises located at ....g~..~l~..~l~ ............. l~dl~t~y..l~j~ ................................. pursuanl' to opplication dined; .................... ~t'~: ....... ~ ............ ;..~., 19..,~,,. end opproved by the Building Inspector. , ,. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPI~TOR TOWN HALL SOUTHOLD, N. Y. 11971; August 12, 1980 Herman Hubbard Factory Avenue Mattituck, N.Y. Dear Mr. Hubbard: : This is to advise you that the job No. ~702Z issued to H. HubCap, on Jan. 26, 1972 for add. bedroom i! ~appears to be completed as of our last inspectlon. Before you can legally use or occupy this structure a Certifi0a~e of Occupancy must be issued. Please fill out the enclosed form ahd return same to the above office. There is a fee of $5.~0 for a Certi£icate of Occupancy Thank you for your prompt attention4 Very truly~yours,~ GEORGE H. FISHER Sr. Building Inspector mder Building Permit encl. 60.0 A V~"- f ... _,~,~. ~~'F~ Y'~- ~ "~ ~ '~ TOWN OF SOUTHOLD~ t. ~'}~ ~, ~,e~ BUILDING DEPARTMEN~ ~~ -- ~ TOWN CLERK'S OFFICE ~/ [~ D ' ~ ~THOL", N.Y. ~1 ~/~ ~m,.ed ........ ~..~.~ .............. ]~.~ .... ~ ~ ~ ~ ~~o...Z. 2.~..~ ........... ............ .............. / ~ ~ ~ (Building ~s~or) , APPLIGATION FOR BUILDING PE~IT - .............................. I NSTRU~IONS ~. Thi~ ~lic~tion mu~t be compl~tel~ filled in by ~wrlter or in ink ond ~ubmitt~ in Inspector. b. Plot plan showing location of lot and of buildi~s ~ premises, relationship to adjoining premises or public streets areas, and giying Q detail~ de~ription of layout ofpr~e~ must be drown on the diagram which is ~ of this ~plicQti~ c. The work c~ered by this a~lication may n~ be comme~edbefore issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applier, ~ch shall be kept on the premises available for in~ection thr~ghout the pr~re~ of the work. e. No.building shall be ~cupied or u~ in whole or in part for any pu~ose whatever until a Ce~ificate of ~cu~nw shall have been gmnt~ by the Building In~ector. 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, Ordinarii:es 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 cpd~j, housing cede, and regulations, ~) 4.~.O.V~" ' [1 e-~l.,~l~,c.~ /////,0/77,,//Y (S'gna, re of applicant, or name, ifa corporation:~ '~ "" ......................... '(',~;J~;'~'of a'"'"'~p-ii~.~'nti ........................ ' ...... State whether applicant is owner, lessee, q,gent, architect, engineer, general contractor, electrician, plumber or builder. ~.~ ~...~...~...;.,- ..... Name of owner of premises ......~,..,,~..,/~.....~,.,~(.....~....~...&,~ ...................................... If,~pplic, ent is a corl3e~te, signature, of.,,c[ply authorized officer. ~ ...~.~....~;~~......~..~., ............. ~-~-~ ~ (Name and title of corporate officer) ~ (J/1. Location of land on which p~roposec~work will be don~. Map No.: ............ ;....~....., ................ Lot Ne..~.. .................... .[' Street and Number ....... ,,~,/~r~. ,~.".,./~../~.. ........ , .~:,...~,~. ...... ~,~.~L~... ,.~..~.:. ................................ /~'~'~ ~-/,~,,2 -* ~, - ,~' MunicipeJit,y~ 2. State existing use o.nd occupancy of pre,m~ses and intended use and occupancy of proposed construction: a. Exisiting use and occupancy /?z'O ~ ~-~ us, ...... ................... : .................................... , ......................... . 3. Nature of work (check which applicable): New Building .................. Ackiition .................. Alteration ...~ ...... :...~.. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... 4. Estimated Cost ...... ,..~.~2.%/.'. ...... i ................................. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, numar of dwelling units ............................ Number of dwelling units on each'flor ............................ If garage, number of ~rs ............................................................................................................................................. 6. If business, commercial or mix~ ~cu~ncy, specJ~ nature and extent of each ~e of use ............................ 7. Di~nsio~ of existing structures, if any: Front ...... ~ ................. Rear .....~ ................... Depth .................... Height ............... ~ .....Nu~er of Stori~ ........... ~. ................................... ~ ......................................................... t t n F ~ Dimensi~s of same structure wi~ oltera ions or add' 'o s: rant .......... ~ ...................... Rear ...~ .................. ~pth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire n~ construction: Front ............... ~..~ ............. Rear ...... ~.~. ............... D~th ........................ Height ......... j.~ ....... Number of Stories ......... Z. .......................................................................................................... 9. S~ze of lot: Front ........... ~ ......... Rear .............. ~ ..................... Depth ................................. 10. ~te of Purchase . ~ ~ ................ N~me of Former ~ner ,..~.~ ...........................~..~1.~ ...... 1 1. Zone or u~ district in which premises are situated ........... ~. ..................................................................................... 12. ~s proposed construction violate any zoning law, ordinance or/regulation? .......... ~...~ ..................... ~....?......x; Name of Archit~t ...................................................... A~ress ...~ ................. , ..................... P~ne No ............. Name of C~tractor ...... ~.~.....t.~; ........ k...l.,,.&.l.....AHdr~ss ................................ L..' ........ P~ne No ..................... L~ate clearly and distinctly all buildings, whether existing or pr~o~d, and indicate oll set-~ck dimensions from prope~ lines. Give street and bilk number or description according to d~, and sh~ street names and indicate ~h~her i,teriot or co~r I~. STATE OF NE~,.I~/~' COUN_ . OF ...... . ......... - ........... ..,~..~ ...................... ~....~'. .......... ~ ..................... being duly sworn, d~es and says that he is the opplicont (Nome of individual si~ni~~ above named. He is the ............................. :;...% ..................................................................................................................... (Contractor, og~t, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contained in this application ore true to the best of his knowledge and belief; and ~at the ~rk will ~ performed in the manner set foffh in the applicati~ filed therewith. ........ : ....... :...,....L..:: ....... : ..................... Term Expires March 30, YOUNG & YOUNG 400 Ostrander Avenue Riverhead, New York 11901 Telephone 631-727-2303 Facsimile 631-727-0144 admin ~i~youngengineering. com HOWARD W. YOUNG, Land Surveyo} Ti THOMAS C. WOLPERT, Professiona~Engi neer ROBERT C. TAST, Architect RONALD E. PFUHL, Landscape Arc~itect~ DOUGLAS E. ADAMS, Professional ~n~_ ~ ~ tember 14, 2004 Town of Southold Building Department Town Hall 53095 Main Road Box 1179 Southold New York 11971 RE: Building Permit Application #5702 HUBBARD RESZDENCE Factory Avenue, Iqattituck (04-0436) S.C.T.I~I. No.: 1000-:122-06-8 Dear Sir or I~ladam: This is to advise you that I have reviewed the construction for the one story addition at the above project and to the best of my knowledge, information and belief, this addition confo~r~is to the construction standards of the NYS Uniform Fire Prevention and Building Code as of 1970 when the addition was filed and constructed. RCT/mal Planning Engineering Land Surveying Architecture