HomeMy WebLinkAbout8909-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF
No Z-25368
Date NOVEMBER 18, 1997
THIS CERTIFIES that the building
Location of Property 365 HORSESHOE DRIVE
House No.
County Tax Map No. 1000 Section 95
Subdivision
DWELLING
MATTITUCK, N.Y.
Street Hamlet
Block 4 Lot 18.26
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 13, 1976 ~ursuant to which
Building Permit No. 8909-Z dated OCTOBER 13, 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 & 12x12 WOOD DECK *
The certificate is issued to JAMES & JI~DITH MORAN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL FEB.
UNDERWRITERS CERTIFICATE NO. N-325145- FEB. 15, 1977
PLUMBERS CERTIFICATION DATED N/A
*THIS UPDATES CERTIFICATE OF OCCUPANCY Z-7538 DATED FEE. 25, 1977.
ing Inspector
Rev. 1/81
15, 1977-ROBERT VILLA
Bo
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~PPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR-ink and submitted to the building
inspector with the following: for new building or new use:
1. 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"~re-existing" land uses:
1. Accurats survey of property showing ail 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 Occupanoy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
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-existinR Buildin~ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date October 28, 1997
iNew Construction .......... · Old Or Pre-existing Building .... ~ ......... . ..
Location of Property 365 Horseshoe Drive ·
House No. Street Hamlet
,Onwer or Owners of Property. James Moran and Judith Moran
County Tax Map No 1000 Section ~ B1 ck 4 38 26
, ............ o .. Lot
!Subdivision...Mam of OreGon View ~g~ 6241
........................ Filed Map ............ Lot ...................
iPermit No ................ Date Of Permit ................ Applicant ........................... ..
iHealth Dept. Approval ...........
............... Underwriters Approval .........................
Approval ......................
iPlanning Board ..
Request for: Temporary Certificate ........... Final Certicate....X. ......
co ......... :.
' ~ , , ,~ . - - attorney
FO~V~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z7~38' ..... Date .. F. ebl'u~z'y. 2~ ............ , 197;?..
THIS CERTIFIES that the building located at E./8 .Ito.~seshoe. Dr.,.~. gti. t, Street
No?X'egoa V~ew Estates
............ Block No..XXX ...... Lot No....26. · - .........................
Map
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . 0etOb~. '~3~ ........ , 19.76. pursuant to which Building Fermit No...890~
dated . 0c-~obe$*. '~3! ......... , 19. ~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 .PR.:~.~ate..o~e..S. am~L.J.y .dw®.~-Iir~g .......................................
The certificate is issued to ..... F.x,a~k- &.. bt~ga~. - ~st.J;o ......................
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval .r~brua~y..].~. ]977' '" .Rob.~, .V.J..~.~La
UNDERWRITERS CERTIFICATE No...Iq. 3~.~]14~ ..................................
HOUSE NUMBER . .~[~ ......... Street .~. HO~S~S~g. D~Ve ................. ~ ....
........................................
Building Inspector
THE NEW .YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
ak B5 JOHN STREET, NEW YORK, NEW YORK ~OO38
only the e~t~cal equ{pment ~ ~c~ b~lO~ ~n~ intr~ by t~ applicant ~ o~ ~ a~ ~ ~
Frea J. ~os~c, w/~ae Horseshoe Dr., ~00~ ~o COunty ~d., g~7,
Cutchogue,~L.I~: ~O~egon V~ew Estates ~ ~ ~ ~ ~,: -
FIX~RE
OUTLETS
Motor/st
I Smoke'Detector
John T. Sapanaro,
102 Oak Avenue, " "4E GmEUL~'ANAC'BI
Shirley, L.~I. 11967 Lic~33_ Pet D ~
This certificate must not be aJtered Jn any manner; return fo the o~ce of the ~ard if m¢orred. Inspectors may be identtfled by r credenho%s,
FOEM NO. 6
TOWN OF SOUTHOLD
, Building Department
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of oil 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. Approval of electrical installation from Board of Fire Underwriters.
4. 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.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buJldlngs 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
formation required to prepare a certificate.
C. Fees: 1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $,5.00
3. Copy of certificate of occupancy $1.00
New Building ..~;~, ......... Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property ~~]/~D~Z~;~?~`~a~;.~~ .......................................
Owner Or Owners Of Property ..... ~.~.~;r~...~,,~:L~,~{:~f~.~.,~.~,,t~;L.0. ..........................................................
Subdivision ..0~e~=...~J.e.~...~.s~;e.s ................. Lot No ....... 2,6. Block No ............. House No...,~.~...
Permit No...~.~..(}.¢~...~ ..... Date Of Permit ....1.(~/.].~ ./.~.,~pplicant .~.~I.~.:L~'[..~.9.~L~.~,,~,:L~......I~., ...............
Health Dept. Approval .:~/.].~'/..~.~-.~.,..Y.~.~.~, .......Labor Dept. Approval ....... ~./..~.. .................................
Underwriters Approval ~]~....~'.1..~.~. .......................... Planning Board Approval .... ~/..~ .............................
Request For Temporary Certificate ........................................ Fined Certificate ...... ~ ...............................
Fee Submitted $ ~..~.~. ..........................
Construction on above described building and_per, r,r,r,r,r,r,r,~it meet~gl'~,q~icab~'j~odes and regulations.
Applicant ~/~x..~..,~...~~//~/'
Sworn to before me this /"
................ day of ............................................ (stamp or seal,/.~
Notary Public .................................... County
3. Nature of work (check which applicable): New Building,. ................. Addition .................. Alteration ................
Repair .................. Removal .................. Demolitior. .................... Other Work ....................................................
(Description)
(to be pgid on filing this application)
5. If dwelling, number of dwelling units ............................ Number of d~velling units on each floor ............................
If garage, number of cars ............O...~....~.. .......................................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front .........-.- .................. Rear ................................ Depth ....................
Height Number of Stories .................................................................................................................
Dimensions of same structure with alterations or additions: Front ~ Rear ......~.. ....................
Depth ................................ Height ............................ Number of Stories ................................
' R
8. Dimensions of entire new construction: Front ....... ~.~. ...................... ear ....... ~...~..~ ............. Depth ........................
Height
9. Size of
10. Date of Purchase ........ ~ ............................................... Name of Former Owner ........................................................
I 1. Zone or use district in which 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: ( ) Yes (~) No
Name of Architect .............................................................. Address ................................ Phone No .......................
PLOT DIAGRAM
Locate clearly (:nd distinctly all buildings, whether existing or proposed, and indicate oil 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 Io~.
STATE OF NEV'J"YO~'~../]/ [ ¢ c
COUNTY OF .~....r~..-.F~.f'..l' ......... ~...J"~'"
~.~.~,~r~l ~'c---L//(.~.~../../~...~.. . be ng duly sworn, deposes and soys that he is the applicon,
(Name of individual signing contract)
above named.
He s the .............................................. . _.z.Z~...~.~ ................................................................................................................
C~ntract~J agent, corporate officer, etc.)
of said owner or owners, and is duly autho~F~ed to perform or have performed the said work and to make and file
this application; that ali statements contained in this application are true to the best of his knowledge and belief; and
thor the work will be performed in the manner set forth in the application filed therewith.
Sworn ........ to before me this ...... ..~...~
/.~Z~.... doy of ;,~,...(~)..¢(~.~C~......., 19...'~..~.
.................. ~...%,, I../...o.~'"-'~/-./r~.'['Z., ...... C~unty (Signature '" plicant)
Notary Public, · ..............................................
ELIZABETH ANN NEVILLE
NOTARY PUI]L[[:, State of New York
No. 5~-812585(1, Suffolk
Te~rtl [xpire~ M~rch ~[~,
THE LOCATION OF WELLS AND OESSPOOL$. SROWN~ HEREON ARE FROM FI~LO
APPLICANT:
ADDRESS TEL
SUFFOLK COUN~ ~EALTH DEP~R~MEN'~
aspected by this depart., t'
be sat'l ~ac t o~, ~
Chief of ~enoral Engineering
YOUNG & YOUNG
400 OSTRANDE~ AVENUE, RIVERHEAD, NEW YORK
~ALDE:N W. YOUNG HOWARD W, YOUNG
;URVEY FOR:
,l GOSTIC ~ MARGARET A. GOSTIC
OT ' 26
VIEW ESTATES"
CUTCHOGuE
SOUTHOI D'
GUA'RANTEEO TO:
SECUI~ITY TITLE 8 GUAt~NTY CO.
19EX NO. 77-69
J
APPLICAN]
ADDRES
NOTE~
· -= MONUMENT
SUBDIVISION M&P lOllED IN TN~ OFFICE
O~ TNE ~/~I~K OFSUFt~O~K ~OUNTY ON
SUFFOLK COUNTY, DEPARTMENT OF HEALTH SERVICES
APPROVED ~ -
YOUNG & YOUNG
400 OSTRANDE'R AVENUE, RIVERHEAD, NEW YORK
ALD£N W, YOUNG HOWARD W, YOUNG
SURVEY FOR:
NEW POINT BUILDING CO.
· LOT NO. 26
'!OREGON VIEV/ ESTATES'
~OWN OF
CUTCHOGUE
SOUTHOLD
GUARANTEED 'to:
SUFFOLK CO., N.Y.
I"= 50' DATE:AU~..16,19Z6 NO. 7'6-684