HomeMy WebLinkAbout11531-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building inspector
Town Hail
Southold, N.Y.
Certificate Of Occupancy
No. ZII866 Date August 24 19~.3.'
THIS CERTIFIES that the building ...... .w!.n.d.q .w' .a. 1..t:....i.n...s.u.m.m..e.r..c.o..t.t?.g.e. .......
Location of Property .,.
house tvo. Streot Hamlot
County Tax Map No. 1000 Section . . .I..4.4 ...... Block 4 .Lot 5
Subdivision ........... x ................... Filed Map No .... .x .... Lot No ....... .x ......
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... December. 2.2 .... 19 ErE pnrsuant to which Building Permit No .... !.I.53 .I.Z ...........
dated .... .J. ar~3~r~.. 5 ............. 19 .8.2., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for wkich this certificate is issued is .........
...... w.. i~.clo, w. v.l. ger ~.t.i.o..n..i.n...s.u.m. ge..r..qo..t.t?.g.e... ...............................
The certificate is issued to JOAN B, & JOSEPH P. HALLIGAN
..................... t~;~,n'e'r, )~sdo' ~r't~[~,~n't/ .....................
of the aforesaid building.
Suffolk County Department of Health Approval N/R
UNDERWRITERS CERTIFICATE NO .................. .N,5.7.I, 6. ,2,2 ................' ........
Rev. 1/81
Building Inspector
TOWN
BUILDING
TOWN HALL,
soUTHOLD' N' ¥'
BUILDING PEP~IT
(THIS PERMIT MUST BE KERI ON' TH,E PRE~IS~S UNT!L ~ULL
COMPLETION OF THE WORK AUTHORIZED)
Z Dote
is hereby granted to'
f
Perrhissior
~0
at p~emises located at ....~.,...m../..~/ ........
................ ~ ............................................................. ~ .....k.. "...*" ~...,¥. -.~'........~ .............'~ ..........................
Cou~ T~x Map No. 1000 Section ...... .~ .... ~. Block ?. . .. .. .. ~ ~ Lot No. ~, ........... .
p~s~ant {0 application dated ~Ce~.~.~,~.,, I~... and ~pproved by the
rBuil~in~
I~spector.,
'
Rev 6/30/80
FORM NO, 6
TOWN OF SOUTHOLD
Buiiding Department
Town Hail
SouthoM, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and subn~itted in duplicate to the Building Inspec-
tor 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 topograohic featuras.
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 building~ and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requkements where applicable.
For existing buildfngs (prior to April 19B7), Non-conforming uses, or buildings and "pre~existing"
land uses:
1. Accurate survey of peoperty 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 informa-
tion required to prepare a certificate. /
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
Date .. Nov~e~m. ber 19, 1982
New Building ............. Old or Pre-e×ist[ng Building(X) .._~ .... ~/Vacant Land - ...
Location of Property 2475 Bay Avenue Matt~tuck
· $(ree t Harniet
Owner or Owners of Property .Jo.an B. Hall.~an & Joseph P. Halligan
County Tax Map No. 1000 Section 144 Block 04 005
............................... Lot ................
Subdivision ................................. Filed Map'No..,: ....... Lot No...' ...........
Permit NO..1..1.5.3.1..~.. Date of Permit . .1/.5~. 8. .2. ·Applicant Joan B. Halligan '
Health Dept Approval Labor Dep~ Approval
Underwriters Approval ........................ Planning Board Approval .................. ~ ..,
R tfo T C tiff Fi aIC tiff '
eques r emporary er cate ..................... n er cate .X _
Fee Submitted $ .5...Q 0. ........................
Construction on above described building and permirmeets all app~cable~codes and r~gulations.
Applicant
Rev. 10-10-78
Box 294
Mattituok, NY 11952
November 19, 1982
Re: 2475 Bay Avenue, Mattituck, New York
The buildin~ has been used and will be
used as a non-conforming summer cottage.
The building has been improved as allowed
by building permit No. 11531 Z.
Sworn to before me
this /~ day
of November, 1982.
Notary Public
THE NEW YORK BOARD OF FIRE UNDERWRITERS
ELECTRICITY
S UREA,, OE YOR' ,
~ ~ ~ [~ 85 JOHN STREET, NEW .~
THIS CERTIFIES THAT
only t~e electrical eq~ipntent ~ described below ettd introduced by t~e ~pglle~nt na~ed on t~e ~b~e applic~tlott ~mber in t~e premises
3~ph +~[[~ e/e ~y &ye. ~ ~0~ n/o ~[ey ~., ~at~u~, N.Y.
in the following location; ~ Basemettt ~ 1st FL ~ 2nd FI. Sectlott Block Lot
was examined o~ J~y ~9; ~,~ at~d fou~td to be irt compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES OVENS EXHAUST FANS
OUTLETS
10
DRYERS
E
R 'V I C
AWG,
OF HI-LEG
R~land Elec, CO.
1~.0. BC~ 143
~'~itu6~ N.Y. 11952
THIS COPYO ANY:
FIELD INSPECTION
FOUNDATION (1st)
FOUNDATION (2nd)
2,
ROUGH FRAME
PLUMBING
COMMENTS
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
~ ,~ ~
(
(_
q
93-38 222 Street
Queens, New York
November 30, 1981
Builing Department
Town of $outhold
Main Road
Mattituck, New York
To Whom it May Concern:
Please be advised that I was a tenant and resided at the
below address for two years, 1978 - 1979:
2475 Bay Avenue
Mattituck, New York
Sincerely,
Margaret Meehan
222-89 Bradduck Avenue
Queens, New York
November 30, 1981
Building Dapartment
Town of Southold
Main Road
Mattituck, New York
To Whom it May Concern:
Please be advised that my wife and I were tenants for
the period of three (3) years (1979 1981) residing
at the below address:
2475 Bay Avenue
Mattituck, New York
Sincerely,
Granada Parkway
Lindenhurst, New York
December 1, 1981
Building Department
Town of Southold
Main Road
Mattituck, NY
To Whom it May Conern:
Please be advised that my wife and I resided at the below
address for three (3) years:
2475 Bay Avenue
Mattituck, New York
We were tenants at this address from 1974 through 1977,
Sincerely,
Approvedk/~/.~...~.~.
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, r.I.Y. 11971
TEL.: 765-1802
Disapproved a/c ' ' ~ i~ '~~
f ~ (Building Inspector) ' .i .
APPLICATION FOR BUILDING PERMIT
' Date ...l.'.~./.-2.7.'7'.'.
INST RUCTIONS
a. This application mnst be completely filled in by typewriter or in ink and submitted in triplicate to the Build
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 stre
or areas, and giving a detailed description of layout of property must be drawn on the diagam which is part of this apl
cation.
c. The work covered by this application may not be co~nmenced before issuance of Building Permit.
d. Upon apprc.'al of this application, the Building Inspector will issue, a Building Permit to the applicant. Such pen
shall be kept on thc premises available for inspection throughout tlze work.
e. No buildiug shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupar
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pnrsuant to t
Building Zone Ordinance of the Town ~f Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction o£ buildings, additions or alterations, or for removal or demolition, as herein describt
Tlte applicant agrees to comply with all applicable laws, ordinances, bnilding code, housing code, and regulations, and
admit authorized inspectors on premises and in buildings for neces, sary inspections., -
(_ffSignatnre of applicant, or name, if a corporation)
. ....
. ~ (Mailing address of applicant) ~
State whether applicant is owner, lessee, agent, architecL engineer, general contractor, electrician, plumber or build
· tT.~g.e.~.. ......................
.......... ? .......... ¢... ~ ....
(as on the tax roi1 or latest deed)
If applicant is a corporation, signature of duly authorized officer·
(Name and title of corporate officer)
B~il~r~ ri~ No ........ ~'&tt~'..:
Plumber's LJcens2 No .........................
Electrician's License No. ~ ~
Other Trade's License No ......................
Loeatiou of land on which proposed work will be done...o~. ~..~.~.'~. .... .~.~/ ...... :~ ...................
· .~..~. ~,./.e..~-.47.~.. ~ .............................
House Number Street Hamlet
County Tax lvlap No.' 000 Section .../ .......... Block .... ~. .......... Lot.. ~.0.4 ..........
Subdivision .'7" Filed Map No ~ Lot w
(Name)
State e×isting rise and occupancy of premises and intended use and occupancy of proposed construction:
Existing use and
Repair 2~, Rcn:m~ai' Demoli[ioa Other Work
~ (Description)
[ (to be paid on filing this application)
;. If dwelling, number ofdwellin~ units .. / Number of dwelling units on each floor.. /.
Ifgarhge number of cars
i. Ifbus'iness, commercial or mixed occopancy, spec~y hature and extent of each type of use ....~ ........ ¢ ....
~. Dimecsions of existing structures, if any: Front..~ .... , ..... Rear .. ~ ........ Depth .~.~ ......
Height Nu~nber of Stories
Dimensions of same srmcture With alterations or additions: Front ............. Rear ...........
J& ~4. ~ H i~ Nt b f St ties
Depth ........... ,... e ~t ....................... un ero o ...................
1. Dimensions of entire newcons,tructbn: Front,,,. ~ ~¢ ; ' Rear .~ ~ .... Depth
Height .......... Number of Stones ( ,. ' .. .,
). Size Qflot: Front ..... /t~ ~,.'~ .' .......... Rear .... /~ ~ .......... Depth . ~.~. ~.~ ............
). Date 6fPurchase .../~.Z&. ~', ........ ........... Name of Former Owner ~4r~/~... ~m~.../.~ ........
I Zone or use district in which p'remises are situated ' :
L Does proposed construchon w?late any zoning law ordnmnce or regulatmn: . ~ ..........................
~M~ lot be regraded ... ~O ~ .............. : ..... WdI excess fill be removed from premmes: Yes Nc
~ ...... r~,--rof~remis~s do~ ~.~/It~ aad .... ~O~~C~ ~h~/~"~-~+l~-~
~;m~ o~ A~c]ut.et .... ...... ~ ......, ......... '.. Aad~e~s ................... ~hon~ No ...............
N~e of Contractor . .~(.~ ~d~9~.~. ......... Address .~o~.Co.~ . .~¢~.~ .... Phone No. 7~; ~R¢~ ....
PLOT DIAGRAM
Locate clearly ~d distinctly ~1 bt ildmgs, whether existing or proposed, and, indicate M1 set-back d~ensions fro~
roperty Hnes. Give street and block number or description according to deed and show street n~es and indicate whethe:
~tcriororcornerlot. ~f~ g~g ~ve,/~actr .... ' , _
'rATE OF NE~,¢'YOp. I¢, . S S ' ''
.,
....... 'f.~..~Jd~.~. ..... .'~..:. ~ .[ ~ ~. ~ ......... being duly sworn, deposes and say~ that he is the applica~
' (Nanie of indMdual signing contra'ct)
els the ~ i
(Contractor, agent, corporate officer, etc.)
f said owner or owners, m~d is uly authorized to perform or have performed the said work and to m~e and file fl~
)plication that all statements co ~tained in this application are true to the best of his knowledge and belief; and that tt~
'ork w~l be performed in the man ~er set forth h~ the application filed therewith.
worn to before me this
...... -.~... ...... r~io~ .~ ..... 19~
· .. . d : /