HomeMy WebLinkAbout11697-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..Z. lfi. 5..~ Q .......... Date .......... F/. ~.r.e.h.. J 5 ..............19.8~.
THIS CERTIFIES that the building .... .N/.~. .......- .................................
Location of Property ... ~.05. ~.e.@..-..g~-27e..I~@~_e ................. YI.~i.t.u,C~ .........
House No. Street Ham/et
County Tax Map No. 1000 Section ..... ~1.0..0 .... Block 05 .Lot ~15'0~1
S Sea aire est~ates 6780 fl0
ubdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore tided in this office dated
F/arch 30 198.2.. pursuant to wtfich Building Permit No.. .qJ69.7. g
dated ....J. uty. 2q ................ 19.82, 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 .........
New dwelling
The certificate is issued to .John .~il3~os. ~ .wife ....
towner, 'l$s's~e'~r't~t~a'n't) ......................
of the aforesaid building.
Suffolk County Department of Health Approval ~12-so-3q
UNDERWRITERS CERTIFICATE NO. 586680
Rev. 1/81
Building Inspector
.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
1171)1 Z
County Tax Map No. 1000 Section ....~..~... ..... Block ....... ~..~.. .... Lot No..~ .//.. .............
pursuant to application dated ......... ~..~ ....... ~...~... ........... , 19...~..~,"and approved by the
Building Inspector.
.50
Fee $ .........................
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
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 Inspec-
tor with the following; for new buildings or new use:
I. 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 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 requirements where applicable.
For existing buildings (prior to April 1957), 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 pertipent 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
3. Copy of certificate of occupancy $1.00
$5.00
New Building . .' ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Pro ert 305 Se& Aire [,&ne.~ H&ttltucl% New York
House No~,~ Street Ham/et
Owner or Owners of Property ...~ & Mrs. John l~illos
County 3~Map No. 1000 Section . .]:.O..O .......... Block ..... O..~ ........ Lot ....
Subdivision .: ~,~,,,~.. ~)?~;-.. ,~r.~.v.~ ~F./Z:~ .... Filed Map No 6..7.8.0. ..... Lot No....~.~ ........
Permit No..1.~.0.?.'7.~... Date of Permit . 7/.~..1./.8.2.Applicant .I?.];a.?.d..H.o.?.e.s.,...[.~.c.,. ............
Health Dept. Approval . .3 ./ .~./. 8. ~ .... . Labor Dept. Approval ........................
Underwriters Approval N586680
........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .5...O.0. ........................
THE NEW YORK BOARD OF FIRE UNDERWRITERS
I00074~ pm BUREAU OF ELECTRICITY
~- SS JOHN STREET, NEW YORK, NEW YORK 10038
D.,, Dee~.,r ]-5, ].982 .,~pp~,c.,,o,,'o.../,,e ]-72898-82 N 586680
THIS CERTIFIES THAT
onl~ the e~t~c~ e~ui~meNt ~ ~scH~ ~l~ aqd int~ by t~ e~JMnt ~ on t~ ~o~e ~fl ~ ~r~ the premises of
in the.following location; [] B et e ~ 1st FI. ~ 2nd FI. Section Block Lot
wes examined on ~ ~s~ ~.~Z and found to be in compliance ,rith the requiretnents o.f this Board.
FIXTURE FIXTURES OVENS EXHAUST FANS
OUTLETS SWITCHES
36
DRYERS TIME CLOCKS
OTHER APPARATUS:
E R V I C E
NO. OF CC. COND I A W.G. NO. OF Hi. LEG Ir' A. W G. 1NO' OF NEUTRALS I A.W.a.
~.0. ~ 372 ~ ~ ~ ~l
~1,
This cerfificote must not be mitered in ony monner~ return to the o~i~~m~y thor cre~ols. ~
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FOUNDATION (1st)
FOUNDATION (~nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
~ODE
FINAL
ADDITIONAL COMMENTS:~
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date
File No ................................
To ~A~. ~., .~.'~.~../~.~ ........
· ~.... ~.~ ........................
PLEASE TAKE NOTICE that your application dated .~'..<5.?..~. )'....~-o... ., 19 .?..~.
for pem~it to construct... ~7 .~.C....~.~..~...~ ./.7~....~..~E~. -../.t//~.~ ..................... at
Location of Property ...~-~ .A/.~. .~ ~'~ - ~"~/~' ~"~ ~ ·
House ~No. Street Ham/et
County Tax Map No. J~O00 Section . . /..~..~. ...... Block . .~...--e~. ........ Lot .~?/. ~. ~/..O...
Subdivisio~...~.~.~'.. Filed MapNo ................. Lot No...F.O. .............
is returned herewith and disapproved on the following grounds ~.~ 7.~..~'~....
· .A..~., ~.o. ~..~.~.~., ~...~. ~ ~.. 2~....~.~./~....~ ~.~..
........................................... .z.. ..........
Building Inspector
RV 1/80
HENRY E. KAYNOR, Jr., Cha/rman
JAMES WALL
BENNETT ORLOWSKI, Jr.
GEORGE RITCHIE LATHAM,
WILLIAM F. MULLEN, Jr.
Southold, N.Y. 11971
TELEPHONE
765-1938
July 21, 1982
Mr. George H. Fisher
Senior Building Inspector
Southold Town Hall
Southold, New York 11971
Re: Sea-Aire Estates
Temporary Access to Lot 910
Dear Mr. Fisher:
The following action was taken by the $outhold Town Planning
Board, Monday, July 19, 1982:
RESOLVED that the Southold Town Planning Board accept John
Davis' report 9228, thus approvinq the temporary access road
to lot 910 within the subdivision known as Sea-Aire Estates,
located at Mattituck, and said access to be maintained at or
above its present state.
Enclosed please find a copy of the above mentioned report.
Very truly yours,
HENRY E. RAYNOR, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By 'Susan~. Long, 8ecre~
Enc.
cc: Robert Hiltz
John Fillos
lo!ill '.C' 1'Oh
TO: Raymond C. Dcan. fiuoertntendPnt · To~-m Highway--b~-~art--~e~i .......
FROM: John W. Davis
JUL
o
Date: Jul. v__l, 198;
(,O.4..IE.,T$:
Tempor:~iS, leee.3s Road ~n Lo+ t.Io. 10
I nade an inspection of the fe~ornry ,~ccess road ~o
SI.- l.~r. ~ii-~ builder fcr 7ne ;~clse o;~ h6 Io~ .}nd a'it~o 2_n ,:~mr~e of the
~he recor~endatiorm for the access (Reporb No. 20?) with tke exception of a
· urninc~ area .~d been comoleted on 5/18/82. 7he 18 ft. wid*h read now has
becn recently widened to a wid?h of ~'5 Ft. at the end wi~h bank z~]n materi31
+c ~:~ovide a %urnir~ area. ~"h. ere i3 also a *n~ouf into the lot from ~he
!)~nk z-:n which can be used wi+h %he widened area for +urning long ~leel
haae vehicles.
C.C. Southold Tcwn Plannir~ Bm rd
C.C. Hi ~hway
( ..... L. M. T~Lhill~ P.E.
FORM NO. 1
TOWN OF sOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
INST RUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in trip,cate to the Bufldi
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according te schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining promises or public stre~
or areas, and giving a detailed description of layout of property must be drawn on the dia~am which is part of this apl
cation.
c. ~e work covered by this application may not be commenced befo~ issu~ce of Building Pe~it.
d. Upon apprc.'fl of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such peru
shall be kept on the premises ava/lable for inspection throughout the work.
e. No bu/ldiug shall be occupied or used in whole or in pa~ for any purpose whatever until a Certificate of Occupan
sh~l have been granted by the Budding Inspector.
~PLICAIION 1S tlEREBY MADE to the Building Depa~ment for the issuance of a Building Pe~it pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Rc~lations, for the constructiou of buildings, additions or alterations, or for removfl or demolition, ~ herein describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, ~d regulations, ~d
admit authorized inspectors on premises and in buildings for neces~ inspections.
IN~D HO~S ~ INC.
(Signature of applicant, or n~e, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build,
................... n. t..r.a.e. 9? ......................................................
Nmne of owner of premises ..... J. ql~ .n.F.i.I~p.s ......................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
Robert B. Hiltz~ Pres.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No ..... .5.1.7.. 7 .P ..............
Electrician's License No. 2i48-1~
Other Trade's License No ......................
1. Location of land on which proposed work will be done..S..e.~..A.~r..e, lis. tares Lot #10 Mattituck~ N. Y.
House Number Street Hamlet
County Tax Map No. 1000 Section lOO Block 0:5 Lot 15.10
Subdivision ..................................... Filed Map No. 82-77 Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Vacant
b. Intended use and occupancy 1-Family .d.w.e. 1..1.~.n.g.
L Nature of work (check which applicable): New Building .X. ........ Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
-- e.dx (Description)
Estimated Cost ...................................... Fee ~.../..~.~. ~ .......................
(to be paid on filing this application)
;. If dwelling, number of dwelling units ........ .I ...... Number of dwelling units on each floor ................
If garage, number of cars .................. 2 .....................................................
;. If business, commercial or mixed occupancy, specify ~ature and extent of each type of use .....................
;. 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
5. Dimensions of entire new construction: Front..~l~,,-~'. ...... Rear .... ~l~,4~.7. .... i ip't 'ii$ iiiiiiiiill
Height ........... Number of Stories. . .2. .......................
Siz 350 'a$O ....... 155 ............
L e of lot: Front ...................... Rear ...................... Depth .............
). Date df Purchase ............................. Name of Former Owner .............................
I. Zone or use district in which premises are situated .................................. i'. .................
-).Does proposed construction violate any zoning law, ordinance or regulation: ...............................
L 9, ri lot be re§.aded ....... _.. ;. · ..~: ~ ........... Will excgs_s..fiall be ~'¢moved from premises: Yes No
L Name of Owner of premises o.o.,n.n. ~.%.x..t.o.$. Address ~[~o~.4.~]~$,S~,¥~honeNo.4.57-.~$QS. ......
Name of Architect ..... ' . Address ...... '. ·.: ......... Phone No .... ~ ..........
NameofContractor INL&ND H~[4~S INCo . Address BOX 117~blattJ. tue-~hn,,o~q,,298 9696
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
coperty lines. Give street and block number or description according to deed, and show street names and indicate whether
tcrior or corner lot.
rATE OF NEW YORK,
OUNTY OF .................
S.S
............. R..ob.~.~.t...lg.o..H. ~.l.t.~. ................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
)ove named.
Cont~r&¢'cor
e is the ..........................................................................................
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly authorized to perform or have penfonned the said work and to make and file this
)plication; that all statements contained in this application are true to ~he best of his knowledge and belief; and that the
· ork will be performed in the manner set forth in the application filed tl'.erewith.
v¢oru to before me this
........... ..... of ...... .........
Robert lg. Hiltz'
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000744 pm BUREAU OF ELECTRICITY
[~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
o.,e Deceaher 15, 1982 AppUc.,io. No. onSile Z72~e--s2 N 5 8 6 6 8 0
THIS CE~IFIES THAT
in the following location; [] Base [] 1st FI. ~ 2nd FI. Section Block Lot
wo~ ex.m,..~ o. ~ 9, T~Az ~/o.n~,o be,. comp,ia.ce w.h the re~..e~en, o/,~'~ ~o~.
32. ' 36
RANGES
SPECIAL REC'PT.
R
ICOOKING DE~KS I OVENS I DISH WASHERS
TIME CLC~KS BELL UNIT HEATERS MULTI-OUTLET
SYSTEMS
~T. ~WpS. TRA~S. NO. OF FEET
V I C E
NO. 0 aND. OF CC. COi'4D.
3/0
NO, OF HI-LEG
OF HI-LEG
NO. OF NEUTRALS
1
EXHAUST FANS
AAAT. H.P.
DIMMERS
AMT. WATTS
OF NEUTRAL
~:~'s ~o~nt D~ttit~
E.O. ~372 · . ,1 c, ~ ~1
Th s ceHif cate must not be altered n any manner; return to the office of the ~ard if incorrect. Inspec~~
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11971
TEL,: 765-1802
Examined . ' ......... 19.
Approved .... ~ .... 19~. Z.~Permit No..,//. ~.?..~. '~
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Application NO..f./.<e_f./~.. ....
Date March .30, 1982
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi
Inspector, with 3 sets of plans, aecurate plot plan to scale. Fee according tc schedule.
b. Plot F!an 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 diagram which is part of this ap[
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern
shall be kept on the premises available for inspection throughout the work.
e. No braiding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan
shall have been granted by the Building Inspector.
APPLICATION 1S IIEREBY MADE to the Building Department' for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town of Soutbold, Suffolk County, New York, and other applicable Laws, Ordinances
R. egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
]'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authomzed inspectors on premises and in buildings for necessary inspections.
INLAND HOMES, INC,
(Signature of applicant, or name, if a corporation)
, '~ BOX 117~ Mattituck~ N, Y. 11952
CtVlailing address of applicant)
State whe!her app!icant is owner, lessee, agent, architect, engineer, general contractor, elect~cian, plumber or build.
General Contractor
Name of owner of premises ..... ,J.o.h..n.F.~.i..19.s ......................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
............... ..%..,). .....
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's Licensa No. 517-P
El,:ctrician's License No. 2148-5;
Other Trade's License No ......................
1. Location or land on which proposed work will be done..5?.9..A.i.r..e..E.s.~,9.t.e.s' . .L.o.t. ?..1.0 ..................
~ Mattituck, N. Y.
House Number Street Hamlet
County Tax Map No. 1000 Section 1OO Block O3 Lot 15,10
Subdivision ..................................... Filed ,\lap No. 82-77 Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Vacant
b Intended use and occupancy 1-Family .d.w.e. lling
,~.Nature of we:.. zheck which applicable): New Building ~. ........ Addition ....... "
Repair ............. Removal .............. Demolition .............. Ot:zcr ,'. ,>ri; .........
(Descripa.z
Est~,,ated Co,t ................ Fee
(to be paid on filing this application)
;. If dwelling, nmnber of dwelling units ........ .1. ..... Number of dwelling units on each floor ................
If gara,.-e, number of cars .................. 3 .....................................................
;. If business, commercial or mixed occupancy, specify ~ature and extent of each type of use .....................
;. Dimensions of existing strnctures, if any: Front ............... Rear .............. Depth ...............
Height ............ '... Number of Stories .......... ~ .............................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height .......... · ........... Number of Stories ......................
I. Dimensions of entire new construction: Front . .~llll~q'~.. ...... Rear .... :~'.~'~.~. .....Depth . .~9 .........
Height ............... Nmnber of Stories .....
,. S~e of lot: Front....%~.0. ............... Rear.......~S~' ............ .......... ...~'' b'e;~' i i i i i iZp.~, i ............ .............
). Date o'f Purchase ............................. Name of Former Owner .......... ? ..................
I. Zone or use district in which premises are situated ................................... :'. .................
1. Does proposed construction violate any zoning law, ordinance or regnlation: ...............................
3. Will lot be regradzd ............................ :-~ Will excess_f, ill be removed from premises: Yes No
L Name or Owne: or p:e:ni~s .4 .°.h.n. .~..~ .**.o.s. ...... Address ./~a~log4.~l~,,S,~:,/'~hone No.4.5.7..vZ.~.Q5. ......
Name of Architect ........................... Address ...... ' .... ' ......... Phone No ................
Box 117, Mattituc~- N o .2.9.8..- .9.6.9.6. ......
Name or Contractor .Z.~.~..~.~...I-I~[I}.S...IEC.: ..... Address ................... ~'none
PLOT DIAG R/uM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set:back dimensions from
roperty lines. Give street and block number or description according to deed, and show street names and indicate wh=ther
for/or or corner lot.
'rATE OF NEW YORK,
OUNTY OF .................
S.S
............. R. 9.b.~.r.'{:...Ii:....H..i.l.t:.~. ................. being duly'sworn, deposes and says that he is the applicant
(Name of individual signing contract)
)eve named.
Con'l:lr&¢ ~;olg
e is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
f said owner or owners, m~d is duly authorized to perform or have pet~£ormed tire said work ired to make and file this
~plication; tliat all statements contained in this application are true to M~e best of his knowledge and belief; and that the
· ork will be performed in the manner set forth in the applica{ion filed tl'erewith.
worn to before me this
ory bile, ~' ' 'd~5~ Of ...... ~ ....... 19 ?' '~
;'z :r ..................... i.;;~ii
acceptable practice method (ESO0) PART 5. / ,'
S¥STH~f: Gas w~ Oil Electric/
Cooling Split
C.
D.
Eo
F.
The contractor shall ~rnish and install construction materials
such that the following '51" values are not exceeded~
2. Floor over UnDeated Basement ' ~
5, Entrance Doors '~
Heating- Design OUTDOOR Air Temperature shall be
Design heat loss/heat gain O~rough each exterior facade in
Electrical lighting and power design datm are
Section E405.2 of the COLIC.
sheet No. 1 of '~ ,
instructions roi' all equipment which requires preventative
The contractor shall furnish and install adequate ventilation in
accordance with N.Y. State Building Construction Code and N.Y. State
Building Construction Code ~'~nual~ la~est editions,
Insulate suBl~ly ductwork in unheated basement or crawl apace
ahee~ No, 2 of ~
. 'NOT':
· ,-a...- ~' D~'.kW NG$' AND SP~C ~IcAT~ ONS 'ARE;,INSTRUM£NT$'
', '~
, ,-A~E NOT,~
, , ,', ; , ', ,, ,. ~1!~N AUIUQB~ION,O[ XHE AR~HITE~T. '
,; ,.,,
,ri
%, L