The URL can be used to link to this page

Home My WebLink About8831-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA/~TMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED ~-,~KTIFICATE OF OCCUPANCY No Z-25275 Date SEPTEMBER 22, 1997 THIS CERTIFIES that the building. Location of Property 925 T~ERESA DRIV~ House No. County Tax Map No. 1000 Section 115 Subdivision DWELLING MATTITUCK, N.Y. Street Hamlet Block 15 Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 30, 1976 .pursuant to which Building Permit NO. 8831--Z dated SEPT~4BER 2~ 1976 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 WITH ATTACHED GARAGE * The certificate is issued to CHRISTOP~R L. & LISA M. RUPLIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL APRIL 25, 1977--R. VILLA UNDERWRITERS CERTIFICATE NO. N-325404 - FEBRUARY 16, 1977 PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES CO Z-7621 DATED APRIL 26, 1977. /ild~ Inspector Rev. 1/81 FO]~g NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CO~MPLETION OF THE WORK AUTHORIZED) N? 8831 Z Date Sept Permission is hereby granted to: A~t. ha~ Eoste~ ~attit~k to b~il~ new one fmai.l.z dwelli~tg - ' at premises located at ................ ....~... ]~ _ ~.~..~. · . - ~ ..... '-'~ ...... -_ ....................... -. ................................................................ ~,.~ ,..,. ...................... : ............ ~ ............ ~,~,~.,.~ ............ ~t~*k~ -~ -, ..~ t ~ ~ J~- ~ ~ - ~ ~ .... ' ........ ~ ................................... ~ apphcahon dated ...... ;; ................................. ~..: ......... ,~ 19 ~ and approv~ b t~e TOWN OF SOUTHOLD BUHXHNG DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No Z7~21 Date ............. .Ap.r.i..1 .... 2..6.. .............. , 19. ~.. THIS CERTIFIES that the building located at . ?.ho.r.ep.a..D.r.iv.q ........... Street _ Est Map No..D..e.ep..~.o.l.e. ~ck No ....... Lot No.. ~.8 .... .~t..t~.t.u.q.k .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... A.g...~.0.., 19 76. pursuant to which Building Permit No.. dated ..... S.e..p.l..2...., 19 7.6., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .~.r.i.v.§.~.e..on.e. ?.am.i.ly..d.we.k.~.l.n.g ................................. The certificate is issued to '~.th.~.r..Pg.s.~e..r. ~..I: gn.cy..Fq~.~?. .... .0~.%q~.r.~. ........... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .A. qr , 2~....1.~.7.7..b,y...R.~..V..~.1.1.a .... UNDERWRITERS CERTIFICATE No...N. 3~. 5lk..O~. ..... r. 9.b...! ~.' . J.977 .............. HOUSE NUMBER .... 92]~ .... Street .. ~b.e.~esa. ~r ..... ~':a.~.tit~.~k ............ Building Inspector FOKM NO. 6 TOW~ OF $OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ~nk, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate Iocahon of ail 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 or equal). 3. ,~pproval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Mulhple Residences and similar buildings and installations, a certificate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses' 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C Fees: 1 Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelhng or land use $5.00 3. Copy of certificate of occupancy $1.00 Date . .~. ·..~...! .~..~...~.. -~. · ....................... / New Bclilding V" Addition Old or Pre-existing Building Vacant Land Location Of Property ..E..[.~.....?.~-..~...~...~.~.~.....}~.....~..,.....~...~..-~.t..~...i~..~.~..~..~...[~)..'..~.:...l.)..~..~.~ .......................... Owner Or Owners Of Property ~tc~c~r~~..~.~`~.~.~?~.~.~T~`~ ................................... Subdivision' ~.~.~..~b).C~L'.L~.~..k...~.3J/~..-(~... ...... Lot No...~..~ ..... Block No ............. House Permit No .~....~..!..~ .... Date Of Permit ...~..'.~7._7.(,~...Applicant .[~j..~...T.~J...~.......~........~.~..T.~...P..-/. ................ Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ..(~'..~....../.~. ...... ~./..~.. .................... Planning Board Approval ....... ..~...,!..t~,. ...................... Request For Temporary Certificate ........................................ FinaJ Certificate ........................................ Fee Submitted $ ..~.......c~... ...................... Construction on above described building\and [;~qrmit meets all applicable codes and regulations. Applicant, .. )...~../~j~,,, .. ~... ~ .................................... Sworn to before me this ;,.....~....~.... day of ..... ~ ...... Iqota~ Public ...... ~~. CounW TON~ OF SOUTHOLD BUILDING D EP .%RTME~NT TOWN HALL 765-i802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thzs applzcatzon must b~ fztled zn by typewrzter OR znk and submlttea to the bullding inspector wzth the following: for new buzlding or new use: t. Fznal survey of property wzth accurate location of ail buzldings, property lznes, streets, and unusual natural or topographzc features. 2. Final Approval from Health Dept. of water supply and sewerage-dzsposal(S-9 form). 3. Approval of electrical znstallation from Board of Fzre Underwrzters. 4. Sworn statement from plumber certzfyzng that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrzal buzldzng, multzple residences and similar buzldings and installatzons, a certificate of Code Complzance from architect or engineer responszble for the buzlding. 6. Submzt Plannzng Board Approval of completed site plan requzrements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buiidings and "pre-exmstzng" land uses: i. Accurate survey of property showmng all property lines, streets, buildzng and unusual natural or topographzc features. 2.. A properly completed applzcation and a consent to inspect szgned by the applzcant. If a Certzfzcate of Occupancy zs denied, the Building Inspector shall state the reasons therefor in writing to the applzcant. Co Fees 1. Certzficate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwellzng $25.00, Swzmming pool $25.00, Accessory building $25.00, Additions to accessory buztdmng $25.00. Busznesses $50.00. 2. Certzfzcate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - . -25~C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Reszdential $15.00, Commercial $15.00 New Construction ........... Oj.d Or Pre-existing Building ..... ~ ........ __ , / ~ /'/ o, ........ .... County Tax Map No 1000, Section .............. Block ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Permzt No ................ Date Of Permit ................ Applicant ............................. Beal~h Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certzfmcate ........... Final Certmcata ........... APPLICANT C 0 3_5 -3_c ,~'- THE NEW YORK BOARD OF FIRE UNDERWRITE~- THIS CERTIFIES THAT ~ur P. Foate:, 925 ~ereaa ~ive, ~ttituck, L.I. ......... ~,,~,~ Februa:y 16, 1977 ~x~u~i --[ · ~XTU~S : RA~ES ~ ~S ~ OV~ ~ w~- ~HaUST FANS Dem~is Soyd $Ce~l=Lns Rd. Cutchosue, Lo1.11935 L.te. .r~s ~e~t~f~ote mu~ +'mt ~e '~ltered in oW manr~r- return to tho offke of ~e 8oo~d ~ ,~c~rrect Inspettors ~ ~e ~"~,~.e~ =.~ ~s~r cre~enhals BY HAND LAW OFFICES WICKHAM, WICKHAM 8, BRE$$LER, P c MAIN ROAD, P 0 BOX 1424 MATTITUCK, LONG ISEAND NEW YORK. 11952 October 14, 1993 MORTGAGE OFFICE 516-298-5300 TEL[FAX NO Sl6-~98-;3012 Building Department Town of Southold Town Hall Main Road Southold, New York 11971 Re: Premises: 925 Theresa Drive, Mattituck, NY Ladies & Gentlemen: We are representing Bill Lindsay in connection with the refinancing of his residence at Theresa Drive, Mattituck. The Bank involved has questioned the Certificate of Occupancy, copy enclosed, which was issued for a "Private one family dwelling". It is my understanding that this C.O. also included the garage and porch overhang as shown on the attached survey. However, I recall that it was Howard Terry's custom to not specifically itemize anything other than the dwelling. I would therefore appreciate a letter from the Building Department that according to your records, the C.O. includes the garage and porch overhang. We already have C.O.s for the Deck Addition, #Z- 15837; for the inground pool, #Z-11790 and the Utility building, #Z-15836. Please advise if there is anything additional which you require. Thank you for your assistance. AAW/j as Encl. Ve~y/ltruly yours, /~ / Dlga . ~C am SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number ? APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicantl~Ef~,~ I10~ ~[~;'~hone?~.14~_4 5. Subdiv, Addressp.o.l~.~w.~. ~ P~n~. ~.Y. 6. Section~ 2. Property Loc~tio~2 ~~~:' 8~.0' ~/~ 7. Lot Numbe~' "~-- - .~ ~]ffo]k A~m~ " ' 8. Private ~ell Vi) i age ~t~ek Township ~t~lt 9. Public 3 ~l,ic Water Company Name ~ Distance to 4. L~jsize:' Width~feet Length 1BP feet . 10. g~wage Disposal System: (For Health Se~('Dept. Use) A. ,900-gallon septic tank: 11. AVE Prgca,st X Equivalent Block~ Leac~ng pools: Number of pools P~c~as, ~-~ ~ Block Special [~/pri .'~];e well, fill in the fol- l~:~ n~t~l anks: Tank capacity ~__ gallons Pump ~. P o M. I~ ~. Total well depth ~.' Depth to ground water ~. Amount of water in well The undersigned CERTIFIES: "Construction of authorized installations wiI'l be in accordancc with the Suffolk County Department of Health Services' current standards thereto." This application will be valid for one year from the date of approval indicated below and may be r~n~Q~ if a current local Building Department Permit is in effect. Date ~2~ Ifl/~/'~l~ Signed =================================================================== FOR THE DEPARTMENT OF HEALTH SERVICES~ USE ONLY. Based on the information presented here- w~th, it is the opinion of the Department of Health Services that an adequate and satis- factory Sewage Disposal System and Water Supply can be installed on thi~ plot. APPROVAL DATE ///~'/}/'"'-- SIGNED ~'~ ~--. S-15 Rev. 4/1/73 TIT£E NO. 07- 8592J SUFFo H Lot 39 _ -- S. 87~19'20 "E Foot ~ - ~ ~ ~ '~. _, .... /82 00' - .. Path .... ~lo ~' ~ ~'~ 4~, k ----140 II inspected by this d~p-~en~ amd foun~t ~-~ = STAKE tO bO sa%isfactoz~ff· , , ' ": SUBDIVI$1ONMAPFILEDINTH~OFFIC. ~~a~-- NO T~. · = MONUMENT REVISIONS OCT 18, 1976 APR 15, 1977 YOUNG & YOUNg"" 400 OSTRANDER AVENUE~ RIVERHEAD, NEW YORK ALDEN W YOUNG HOWARD W YOUNG SURVEY FOR, ARTHUR P FOSTER, 8 NANCY-& FOSTER LOT 38 "DEEP HOLE CREEK ESTATES" AT A~-~ q") st~ I/ I GUARANTEED TO M~l i I $ u~ ~ AMERICANTiTLE INSURANCE CO ~THE NORTH FORK BANK & TRUST CO, TO~'N OF SOUTHOLD ., ~: I = 40 OCT 6,1976 SUFFOLK AVE. 0 o LOT 39 S. 87 I0' ;3 I ~Ty. F.~. HOU3E · ,-oo/ ./ ASPHALT PAVe'NE NT N. 87°19'20"~ WI DE FOOT ~'~ ~Y DECK LOT .'~? PAT H ~ LO'~ ,38 DE CK for ~ ~ by ~ New York S~o;. Land 182.00° L 182.00' LOT 29 SURVEY OF LOT 38 MAP OF DEEP HOLE CREEK FILED JAN, 28,1965 F/LE NO. A T MATTITUCK TOWN OF SOUTHOLD* SUFFOLK COUNTY, N. Y. 1000* - 115 - 15 - 09 r SCALE I"= ~0' APR. 9, 1987 CERTIFIED TO: CHICAGO TITLE INSURANCE COMPANY LONG ISLAND MORTGAGE CORP. THOMAS BERTORELLO LAURIE BERTORELLO · S. LIC. NO. 49668 ~" ~RVEYOR$ 8~ ENGINEERS, P. C. ,/~ (516-,r'T65 - 5020 R O. BOX 909 ,q. Al N ROAD SOUTHOLD ~.N.Y, 11971 ~,06~ STEVE TsoN,TAKI,S ,,~, i ,(