The URL can be used to link to this page

Home My WebLink About9917-z~O][LM NO. & TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy ..................... 19 78 No....Z9.34.1. .... Date December 13 ....... , .... THIS CERTIFIES that the building located at .n./.s...~..ar..1~..A.¥.e ............ ~ Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... A. ugust.. 2~ ...... , 197.8.. pursuant to which Building Permit No .... dated .... August.. 29 ....... , 19..7.8, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is Private One Family Dwelling issued is ........................................................................ The certificate is issued to Thomas A. Kewin (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval ...... 8~..SQ .-9.7.....D.e.c.e..m.b.e.r.. ~,..1.978 Robert A. Villa N4~295~ ~ UNDERWRITERS CERTIFICATE No ........................... HOUSE NUMBER 1356 Street n/s Park Ave . .../. ................. i ok, '~J~-~---Bmldin~ Iffspector County Tax Map Number 1000-123-3-29 TOWN OF $OUTHOLD ,~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH*OLD, N. Y. BUILDING PERMIT~' (TI-itS PERMIT Must BE 'KE~ ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK'AUTHORIZED) - Permission is hereby g"ra~nted to: ~-~~ [~7~f at premises located /, Bu}lding Inspector. ' :, Fee, .... FOBM NO. 6 TOWN OF SOUTHOLD Building Deportment 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 triplicate 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 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 buildings and "pre-existing" land uses: ]. Accurate survey o~ 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 occupancv on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 DecemDe~. 7~ lg78 Date ................................................ New Building ....~.a ......... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property Pa~ ~vemlo~ Nat~-~c]<~ [~,Y, Owner Or Owners Of Propert~ib.c~t~..~^^...[~D.~!~.,~ ........................................................................................ Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No. ~.?.:3;~;/.~ ........ Date Of Permit w/...~.~'../..'.;.~...,Applicont ...~P.~'.~.~),E~..!'!.°..m..?~.~....'T'.)).~..~ ..................... Health Dept. Approval .8-~,!?,T.:C)..7. ........................... Labor Dept, Approval .,~!,/.~, ....................................... Underwriters Approval .............................................. Planning Board Approval ...~.?.~ .............................. Request For Temporary Certificate ........................................ Final Certificate .....; .................................... Fee Submitted $ ..5.~.r~.).O.. ........................ Construction on above described building a nd~ts all applic~' I/~ codes and regulations. Applicant ......... ~ ~'.~w~....e~... ~ ~, .~ ................................ ~,,5~ H7,.~.~5 ~,.---i~C[ ~0~o_.~ l'~ ........ Sworn to before me this ................ day of ............................................ (stamp or seal) ~~ Notary Public 3~c~:~'oltc County pm THE NEW Y~)RK BOARD OF FIRE UNDERWRITERS ~-' Deeember 5, 3,c.~~]~')JOHN toUR;AU Ol= ]=LI=CTRIClTY STREET. NEW yORK. NEW YORK 10038 ..,,,,.,,,,,,,.~o.o./,,., - N412g$3 THIS CERTIFIES THAT FIXTURE ~1c ] FIXTUIB 28 37 3! 28 DRYBRS t FUilHAC~ MOTOlS I Pm'oil APPUANCB ~ RAW ANS. H.P. NO. O~ ~ EXHAUST FANS 1 10 CB ~ x , Motor/s: 1-O.P.C.Z. 2-~moke Detectors 1-Post Lite NO. O~ CC. COND. 1 v Waller PinKer P.E. Box 99I Hattituck, L.I. 11952 Lie. 18~5 E This certificate must not be altered in any manner~ return to the office of the Board if incorrect, lmpectors may be identified by their credentials. TOWN OF ~OUTHOLD OFFInE OF BUILDING INSPE:E:TI:]R TOWN ~LERK'S ~FFI~E SOUTHOLD, N. Y. 11971 TEL. 765-~660 FORM ~'0, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE Examined ..... ~proved .~.....~.~ ......... , 1~ ~ormit ~o....~..~...~. .... ......................... ................... ............ .................................... ~.~2~....~. ~ ........................................... ~ ........... ............... ....... ..... ^pp,,ea,,on .o..fe.(.Z ............ APPLICATION FOR BUILDING PERMIT s 23 ]_078 Date .....~,g. gU....1; ........ , .................... , 19 ............ INSTRUCTIONS o. This application must be completely filled in by typewriter o~. in ink and submitted in triplicate to the Building Inspector, with 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 public streets or areas, and giving o detailed description of layout ofproperty must be drawn On the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this opplic0tion, 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 port for any purpose whatever until a Certificate of Occupancy 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. INLAN..D. HOMES: INC. (Signature of applicant, or nome, if a corporation) Box 117, Mattituck, N.Y. 11952 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises Thomas Ke~/in If applicant is a corporate, signature of duly authorized officer. Robert E. Hiltz. Pres. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No..?.'~,.7. z..P. ................................... Electrician's License No..2.~.4.,.~.-.-:~ .............................. Other Trode's License No ............................................... Location of land on which proposed work will be done. Mop No.: ........................................ Lot No ......................... Street and Number ..~.~%XJ.%...~.~..e.~u...~...]~i~.l;.J;.~.l;..q.a..k..~...~^.Y.^ ............................................................................. --~//56o~- Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Vacan~c b. Intended use and occupancy 1 - Family 3. Nature of work (check which applicable): New Building, )(>Cf Addition Alteration Repair .................. Removal .................. Demolitior, .................... Other Work ................................................ . 4. Estimated Cost $90 OOO.OO Fe (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... .1. ................. Number of dwelling units on each floor ............................ If garage, number of cars ....3. ....................................................................................................................................... 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 odditions: Front ....................................Rear ............................ Depth ................................ Height ............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ .6..,5. ....................... Reor ....... .6..5. ................. Depth ,....2..8. ................ Height 26" Number of Stories i - 1/.2 . . . 9. Size of lot: Front ........... .1..0...O. ...................................... Rear ....... .1...O..O. ............................ Depth ...... .~..5._O. .................. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... i3.O. ............................................... 13. Will lot be regroded ........y...e.~ ............. Will excess fill be removed from premises: ( ) Yes (x) No f re ises ~.].~homas Kew±n 14. Name of Owner o p m ................................................... Address ................................ Phone Ne ....................... Name of Architect ................ ..J .......................................... Address ................................ Phone No ....................... ..... INLAN~IHOMES, %NC .... Box 117 Mattit~okn .. 2989696 INQI1]Q or ~onrracror .............. )/,~, .......................................... ,~aaress .......................... . ..... e INO ....................... PLOT DIAGRAM Locate cJearly and distinctly all buildings, whether existing or proposed, and indicate all set-b~ck dimensions fram property lines. Give street and block number or descr?ption according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW Y~ORIC ~ lc S COUNTY OF ...... ~t..z..z.-..o. ~.~ ......... .......... ..R..o..b...e..r...C.....E........H..i...1.~..z. .................................................. being duly sworn, deposes and soys that he is the applicant (Name of individual signing contract) above named. Con ~rac He is the ................................................................................................................................................................................. (Contractor, agent, corporate 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 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 ....... ,,2.,~. ............ day of ....A...u..g.¥.t.s...t. .......................... , 19....~~ C) Notary Public, . ...... ~qu£.fg.],k ............................ County ................... t..r.....'c~....~-......k-~9~u ............................. Rober~ E. H(.~.r/g'O~'u~ ~n~h~r~bmes, Inc. ~OTAH¥ pU...~ ~ CONigOy TI TL £ IVO. 0 7955G8 ~ R/chard ~ Barbara Frances Curron Ag~rato,,. ~ariaMi ~ Helen [ ~86o57~ I00.00',l~_ S~O~I COt~Y EEA.~T[t D~,~tT~ SURVEY FOR NOV. 7, 1978 THOMAS A. KEWIN ~ LEILA M. KEWIN OCT. II, ...... ~ ~o~ OF SOUTHOLD SC~L~ I ' = ~0 ..... , ,':' -: ~' ' SUFFOLK COUNTY, NEW YORK NO. : H~LTH DEPARTMENT-DATA ~OR APPROVAL TO CONSTRUCT r,~ ~so~ ¢o~ ~,o~ ~ su~v~ ~s NOT~.' m = MONUMENT FOUND ALDEN W, YOUNG~P~O~ESSIONAL ENGINEER : AND LANO SURVEYOR N.~S. LlCENSE N0.~2845 He~eh ,, Bariatti Mathews , N86oSZ'E /00.00' __ -- ~ N86°57'E ~ .-- ~ I00.00 gO ~%G ~ q O SURVEY FOR THOMAS A, KEWlN 8 LEILA SUFFOLK ~UN~ D~ARTMENT OF HEALTH' SERVICES FOR APPROVAL OF CONSTRUCT ON ONLY TOWN OF ~O~O~D SCALE: /" DAY~ ADG I~51g~H~EF,~O. ~0.~~, ~ SUFFOLK COUNTY, NEW YORK NO. APPROVED, NEw YORK STATE EDUCAtiON LAW -- ~GUARANIEES INOiCArED HEREON SHALL RUN ONLYTO H~LTM DEPART~ENT-DATAFORAPPROVAL TO CONSTRUCT THE PERSON ~OR WHO~ THE SURVEY IS PREPARED, Box H7 ~ A'L:n:uck, N Y. 1i~2, .,~ .. ~ ,,--~;~--- , q~~; YOUNG s YOUNG RIVERHEAD,400 OSTRANDER AVENUENEw YORK · ~ ~NUM~NT FOUND A~DEN ~. YOUNG,PROFESSIONAL ENGINEER AND E~ND ~URVEYOR N.~.LI~ENSE NO APPP,.OVED ~ N~TED ,~ NOTIFY BUILDIN~ DEPARTMENT AT 76~-2660 9AM to 4PM FO~ ~EQUI~- ED INSPECTIONS~ I, BEFORE BACKFILLING FOU~DA- TION OR START FRAMING 2. FRAMING INSPECTION 3. BEFORE COVE~ING PIP~ OF ANY KIND ~. FINAL WHEN JOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ~. ALL CONSTRUCTION MUST MEET ~EQUIREMENTS OF N,Y. STATE CODE ~ ~D ~OWN HOUSING CODE & ZONIN~ Gl _L -- 61LCO 0001~.5 c~lz.~ C . G'- c~" 5:?" _ ~I~0'' O Iq. GA.~A-.G~. 'bo01~ T kOOK 58¢-o' - ~/,¢'ALL H-~ L_ -! =9 ~'kg ~c2oc FLOOR ._~QTtON b .I '1 i.S L 7'" I~," F~C~ FOUN~DACEION~ t --~. FJ LL FOP-- 5io'' . I T iq L I" F1LL \ \ FOP-., I~,ILCO DC, oP..% SIZE. C. ~-0 U ki D~TIOIN ~LAN SC~L~ 7'~ "',, I L 0''