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Home My WebLink About9620-zNO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk% Office $outhold, N. Y. Certificate Of Occupancy No. Z9278 Date October 50 19 78 THIS CERTIFIES that the building located at . 1. .5.2.0.....R.,.O.: .W.,..o..f.f. Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ,F.e.b..r.~...a~.....2.7..., 19. ~8. pursuant to which Building Permit No....9.6.2..O.Z dated .... F.e.b..r~..~.r~.....2.7.,.., 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 issued is Private One Family Dwelling The certificate is issued to William & Rita Hilton (owner, ~-~ of the aforesaid building, Suffolk County Department of Health Approval .... 8..~S.0.-.05 .... 0c:t.o. be~'. UNDERWRITERS CERTIFICATE No ....... .N.4.0.35.~.8. ............................. HOUSE NUMBER ...~5,20 ....... Street . County Tex Map # 1000-107-~gl I. 1 .... 2~O,.W....off..Gr.and, .Ay.e. ........... .... Mat~ituck,..N, Y., .................. Building Inspector BUILDING ~ENT TOWN CLERK'S' OFFICE SOUTHOL,, N.. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9620 Z Permission is hereby granted to: pursuant to application dated ................................... (.'-..~...-~'.....?-.Z, 19Z~., and approved by the Building Inspector. ///. /~ MOVE REGRADING LCT - C~SSPOO~ CONS','~U6Ti~N; CELLAR CONSTRUCTION~ OTHER ; , .,~:: FOR~ NO. 6 TOWN OF SOUTHOLD 0 Building Deportment Town Clerks Office Southold, N. ¥. I]97! AFPMGATION 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 all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disP0sal--(S-9 form or equal). 3. Approval of electrical installation fram 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 wher~ 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 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 ..................................................................................................................................... Owner Or Owners Of Property .~. Subdivision ................................................................ Lot No ............. Block No ............. House No ............. e No~.~..~.~...~.' ...... Date Of Permit :~./~..~Y/..~,~...Applicant ...~./.~.~..~..~.'.~...~..d)...~ ......................... P rmit ~, Health Dept. Approval .... ...~..-~..'~.. ............................ L~bor Dept. Approval ................................................ Underwriters Approval ...... ~...~.'.;~ ............................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ........ ~... ...................... Fee Submitted $ ...,~..:..~,,...~., .................. Sworn to before me this ................ day of ............................................ Notary Public .................................... County Construction on above described building and permit, meets all applicable codes and regulations. Applicant ...... ~.~... ........ ~... ................... C'~',~(Stomp or s~l) THE NEW YORK BOARD OF FIRE UNDERWRITERS ~f BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT Hattituck, L.I. in the following location; ~ B~e~nt ~ Ist FI. ~ 2nd FL S~tlo. Bilk ~as exami~d on ~ O ~ ~ ~ 0 ~ ~ ~ ~ ~ ~ ~ ~ and fou~ to be in compliance with the requirements of this FIXTURE OUTLETS 27 FIXTURES ~6 25 27 DRYERS I FURNACE MOTORS I FUTURE APPUANCE FEEDERS ~T. K.W. OIL H, P. GAS H.P. ~T. NO. A.W.G. SERVICE DISCONNECt' I 20O OTH A TU · 2-~Imoke Detector' s 1-!~.~ Elec. Furnace ~-5 Ton AC 1-1{.Skw Eot W~ter Heater RANGES ;PEC~AL REC'PT 1 3O O. OF S IETER ICOOKING DECKS I OVENS IDiSfl WASHERS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTlET EXHAUST FANS DIMMERS A. W.O. NO. OF HI-LEG A, W.O. NO. OF NEUTRAl5 A, W, G. Of CC. CONO. Of HI-LEG (DF NEUTRAL 2/0 I 2/0 Richard Re]yea Laurel, L.I. LIo,21q8-E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TEL. TOWN OF E~OUTHOLD OFFICE RF BUILDING INSPECTOR TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 11cj71 FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................. Approved ................. -~..~.~......~....~ 19.Z~.. Permit No ..... ~....~...~.~..~..~.~. ........... Disapproved a/c ............................. : .............................................................. Applic'ation No. ~)~ ~) (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...~:.~.....:?.~....~ ............... , 19.:'.7...c.~. .... INSTRUCTIONS a. This application must be completely filled in by typewriter or' 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 Iot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a 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 application, 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 part for any purpose whatever until a Certificate of Occupancy shat1 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. (Signature of applicant, or name, if a corporation) ............ ................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... ................................................................................................................................................... Name of owner of premises .................................. ~. ............................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Mop No.: .....-.~..~Z..~.~.~-.'.~.. ............. Lot No.....Z...,..~ ............ Street and Number ~/~/.~/~Z..~'.~.~j~.~.~?~.~..~.~.~'.~.~..../?.~.~~..(.~A~`~.~.~/~~~~/~ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........... ..~..../~....~..../~..../~../.-~.. ...... .../~...c..~/..~:...~.../....~/_....~........~....~....~..~.. ..................................... b. Intended use and occupancy ............. . ./.....d..~...../~.../..~..../.~....,. ~/~. -/~...~./.~..~..~../...4~....~. ~ .................................................. 3. Nature of work (check which applicable): New Building.........~.'.. ...... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................................... 4. Estimated Cost .......... )¢¢'~ ~(') Fee {( j'! ~'~ (Description) (to be paid on filing this application) 5. If dwelling, number of dWeiling units ........... ./. .............. Number of dwelling units on each floor ........ ~ ............ Jf garage, number of ears ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... .T;, ...... 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 ...........~ .......... 8. Dimensions of entire new construction: Front ....... .~...~...i..,¢..Z ........... Rear ...~...~......~...~. ...... Depth ...... ./~.....~.,./ ......... Height .......~...~..~ ...... Number of Stories ............... ./.~.../-¢~...~. .............................................................. 9. Size of lot: Front ............ ./../?(..~-..:../..O.. ........................... Rear ....... /...~...,~.,...~...~ ................. Depth ........ : ............ 10. Date of Purchase '~..'%~...¢...'.]..'7.,.?. .................. Name of Former Owner /--o~ &'~'?-¢.'/~. ~.....,~_?c(',.~.~..'..3... 11. Zone or use district in which premises are situated ../~J....~...~..3.!~,,~'~.~./..~....~....~.~-...4~...~.'./~../,..O...°.~.¥..~../~..~.....~!~T 12. Does proposed construction violate any zoning law, ordinance or regulation: ................. /~....~.. .............................. 13. Will lot be regroded ....... ~ .......... Wdl excess fill be removed from p~j?,se/j: ¢h~ Yes ( ) No h,I ....~ n ..... f ~,,,~i~,~Lt-~h ~'~,92F- /¢/~7'~x A44r~ss 4~. c~/f/~.a..~., ( Phone No .......... 14 .................. ~ ................................. Z ................................ ~,~3;~ "~7'~: ................... Name of Architect ..~.'...~..~...~..~.....~......./~....~...~..~.'./~....O. .................... Address ....O'~.~.~.~...~..~.../~..?...... Phone No. ~...~.;.2..~..?..~.~..?.. Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner 1at. ~TATE OF NEW'YORK, ~S S ~OUNTY ~F, ..................... ...~.;.....) ' ............. ............ ............................... be,. d. y .wom, d o.e. ,. (Nome of individual signing contract) above named. is the .......... .......................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du~y authorized to perform or have performed the said work and to make and file this application; that aH statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this -- .... ~'Pu~ ...... day of ...Z~~ .............. , 19.~ ................. ~ ....... ~ ....................... ...................................................-- CounW N°taW~lc' ' (Signature of applicant) NOTARY ~BI.IC, State of New York No. 52-4643721, Suffolk County. Term Expires March 30, 19 nov~ or formerly T. Heu~ser ~ ~7145 sq. ft. AreO Right of ~,0o~° o~~OTE; · = MONUMENT O= PIPE NOTE: THERE ARE NO DWELLINGS WITHIN I00 , OF THI~ PROPERTY OTHER THAN THOSE SHOWIV HEREON. THE LOCATJON OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OSSERVAT)ONS AND OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOL * UN A DDR E S S ~,~'~'--' ~2.~]~ ~__~,-*~...~.~__ SUFFOLK COUNI~ DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY so vEy ~s~°~e TEST HOLE INFORMAi70N FURNISED BY I~F~ H/LiON %.. UNAUTHORrZE~ ALTERATION OR ADDITION TO TH~S SURVEY IS A VIOLATION OF S£CT~ON ~ZOS OF TtlE NEW YORK ~TATE EDUCATION LAW REVISIONS · 1AN. II, 1978 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIV~RHEAD, NEW YORK ALDEN W, YOUNG HOWARD W, YOUNG SURVEY FOR: WILLIAM HILTON & AlTA HILTON AT MATTITUCK OF SOUTHOLD SUFFOLK CO., N.Y. SCALE: 1',=30, 'DATE' MAY 24,1977 noW or formerly Y. Heu~er AreO ~ 21145 s, q. ft. 0.6§'NORTH THE LOCATION OF WELLS AND C£S3POOL$ SHOWN HEREON ARE FROM FIELO APPLICANT: ADDRESS SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE_ HS REF. NO. APPROVED RiCht of WaY ¢.e~°~~ ,, ced0f forrF, efl''j NOTE; g= MONUMENT 0-- PIPE of NeCe¢ 458,9'5 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEy ~$ A VIOLATION OF SECTION ?~09 OF THE NEW YORK ~TATE EDUCATION LAW COPIES OF THIS SURVEy MAp NOT BEARING REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG survey foR: WILLIAM HILTON 8~ RITA HILTON HOWARD W. YOUNG ! GUARANTEED TO: A? MATT ItU CK USLIFE TITLE INSURANCE COMPANY OF NEW YORK TO~VN OF SOUTHOLD WILLIAM ~ RITA HILTON SUFFOLK CO., N.Y. DATE: MAY 24,1977 NO. 338 now,°r formerly T. Heuser Area ~ 27145 sq. ft. ~*, \ I:MONUMENT SET 0-- PIPE THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERYATJONS AND OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANBARDS OF THE SUFFOLK COUNTY OEPARTM[N~ 0F HEALTH S£RVlCES APPLICANT: ADDRESS TEL ..... T~ST HOle INFORMARON ~'UF~NISED BY MB. HILTON NOTE ,' THE/~E A/~£ NO DWE£LINGS WITH/IV I00 ' OF THIS Pt~OPEBTY OTHE~ THtW THOSE SHOWN HEF~EON, JAN. It, 197~ dUNE ~,1, 1978 OC~ ~, 1978 0C7~ (6, 1978 YOUNG & YOUNG 400 OSFRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W, yOIJNG HOWARD W, YOUNG §URVEY FOR: WILLIAM HILTON 8~ RITA HILTON A~T ! GUARANTEED TO: MATT ITU CK ~ USLIFE TITLE INSURANCE COMPANY .......... 4 OF NEW YORK TOWN OF SF~IITI-IF~/I~ lWlLLIAM a RITAHILTON '"' '" ' "-' ~-~'. ~ SUFE CO. FEDERAL ~VINGS ~ LOAN ASS N now or formerly '1:. Hedser Area ~ 21'1 , ~ \ \ \ O~ THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVA?iON$ ANO OR FROM DATA ODTAINED FROM OTHERS o~ HCALT. SERWC~D APPLICANT: ADDRESS _ _ _ TEL ..... 7EST HOLE INFORI~AZZON FURNISED BY MR HILTON NOTE: THERE ARE NO D~ELLINGS WlTNIN I00 OF THIS PROPERTY OTHER TH~ THOSE SHOWN HEREON, REVISIONS JAN. II, 1978 JUNE ~1~ 1978 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK /~LDEN W, YOUNG HOWARD W. YOUNG SURVEY FOR: WILLIAM HILTON I~ RITA HILTON ~Tr GUARANTEED TO MATTITUCK USLIFE TITLE INSURANCE COMPANY I OF NEW YORK TOWN Of SOUTHOLD IWILLIAM a RITA HILTON ISUFF CO. FEDERAL SAVINGS ~ LOAN ASS N.J -- .... ..... APPROVED AS NOTED DATE: ;~ 'Y 7'~ ~ FEE: ! f /' /~ BY: ~ Office Of K. Ah].ers, P. E. ~JH~ce Of Giordo~ 'K, Ahlers, P, E. L_ --I I .... l;Z c4~ . . Office Of ~r~o:aon K. Ahie~'s, ?, E. ,t I ~ 1 Offibe Of Go:cc~n K. ~hlers, P~ E, ~n- Section 7209, Sobdivi£1o~ ' ' N. Y. ~tate Edt~r~tlon