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HomeMy WebLinkAbout12403-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12818 Date ... Sept. 28 ................. · ............................ 19 84 THIS CERTIFIES that the building One Family Dwelling Location of Property ...1.1. 4. .5 .......... .R.u.t.h...R.d.. ........... .M.a.t.t..i.t.u.c. k House No. Street Hamlet County Tax Map No. 1000 Section .... 1.q6. .....Block . . 9.7 ........... Lot ...0.1.5. ........... Subdivision ...... ' ~ .~.'..~ ~ .... ~/~., ....... Filed Map No... ...Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... .Ag.ct.. .....1..1 ....,19~.3. pursuant to which Building Permit No ..... 1. 2..4.0.3.Z. .......... dated ..... $~p.t... ..... l, 2. .......... 19. ~ 9, 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 ......... Private One Family Dwelling The certificate is issued to ... $.C~AT~.NER,. of the aforesaid building. Suffolk County Department of Health Approval 13-SO- 13 2 N656692 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FOF. M NO. ~ TO~VN 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) N? 12403 Z Permission is hereby granted to: ...... ............. ...... /~a.~....../..,..z ............................................... ro ....... ~a~.,d~.~.~.~E.......~...~.~.....~..~..~,/./..~..... ,.~.~/_.4.z~.~ .............................. ............. . .~zc ............ /~..,¢~... ~.. ;. ~... Z~.~.~ ....... ~./.~zz. ~.~ ............ at premises located o, ..... ./.../...~-.~.........~'~..~..4~...... -~. -~..Z~.7 ........ Z~...~.~..,..~.~/~..~/..Z~...'.~.... County Tax Map No. 1000 Section ..... -./~..~. ........ Block ....(~...~.. ............ Lot No.(~..../.~... .......... dated .,~..¢~....¢~'...f~... ......... 4~ ................ , 1~, and approv~ by the pursuant to --/ Building Inspector. Fee $../~'~.J.....;~. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted-Ja:du~!~cctc 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 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 compllance 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 ApriJ 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 pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling / land use 3. Copy of certificate of occupancy $1.00 / --?re-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building ............ . Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~15~..~.t.h..~o..a.d.,. Natt ±tuck ............ X-. ............................ House No, Street Ham/et Owner or Owners of Property ?.- .~,, schettaer .& .]vj??..y Schattaer County Tax Map No. 1000 Section .. 106 Block ...... Lot ....... Subdivision C,~p.t.a,J~n ~i.(~d Estates ...Filed Map No. 17~2 201 · · · . .Lot No. Per""'*No124d3~--.,,,. . .......... Date of Permit .9./.~.2../.8.3.,Applicant INLAND HONES, INC. -Schattnez 9/26/84 Health Dept. Approval. .................. ... · · Labor Dept. Approval ....................... Underwriters Appr6val .N.6.5.6. 6. 9.2 Planning Board' Approval Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $...5. :.O.0 ...................... Construction on above described building a~cLp~it meets .all appHcable..~q~es and regulations. 0 App cant o ...~. %....~.~. · · ......................... Rev 101078 Robert E. Hiltz, INL~ H~BS, INC. FOUNDATION (~st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~ODE FINAL DAT~ COMMENTS ~ ~, ~:~..,/ ~ ..... ~ ~ "~ X hereby ~ertify ~hat I hav~ prepared ~he plans and specifica~ions ~o~ ~he above referenced project and~ to~ether ~i~h the follovin~ info~ation~ ~ ~hey are~ to ~he best o~ my knowledge and bellef~ ~n compliance ~v~h the ~e~v Y~rk ~a~e E~Y CON~RVA~I~N CO~T~UCTIO~ CO~ prin: ed January 1~ 19~9 by ~ccep~b~e practice method (E500~ PA~T 5. ' ' ~ · , ~. The aon~ae~or sh~ll ~rnish and ,ins~l cons~c~ion ma~erials. 1, Roofs ~o ~ ' . 2. Floor over' Unheated Basement,,,,, ~ ~ . 3. Exterior ~allz , ,, ~ ~' Entrance Doors ~ ~ Perimeter $1ab~ Floor over Crawl ~pace ~,~ B. Heating- Design IN.OR Air Tempera%ute shall be 7~*~ Cooling- Desi6n'IN~OR lit Temperature shall he ,. Cool~ng- D~a~n OUT~O~ ~r Temperature shall be .' :~ ~. ~i.~ heat ~sa/hea~ ~in tkrou~ each e~terior f~cade i~ Values of Insulating ~'aterials-As indicated on the Drawings. ~STIC IIOT ~A~I ~,:.~R: TyPes, ~,~C~, CLA~S I with automatic controls- Ranges ~o 140 install with shut offf switch~ ~ Electri'cal lighting and power design da~a are in accordance ~ith Section Ed05o2 of the CODE. sheet THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000].7~ BUREAU OF ELECTRICITY F- 85 JOHN STREET, NEW YORK, NEW YORK 100~8 THIS CERTIFIES THAT only the electrical equipment as ~scr[bed be~w and ~ntroduced by t~ applicant ~med on t~ above application number in t~ premises of ~l~ ,T. Sch~ttne~, S/S ~h ~ad, lC~' W/ T~e~vat~, 2~' Zeta P~d., ~ttitt~k, was examined on ~ [~ ~ ~9~ , and found to be in compliance with the requiretnet~ts of this Board. DRYERS FURNACE 19[OTOR$ FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V OF CC. COND, A W. PER ~Y OF CC CONO, OTHER APPARATUS: Futura Appliance Feeder's: 1~2#14, 1-G. P. C. I. 1-Slmke Detectors I C E NO OF HI-LEG A, WG OF NEUTRAL Electric C~)rp. Clif£oornell Wlllow rtmintRoad Southold, N.Y. 11971 Llc. 2816 GENERAL MANAGER This ce~tificc~e must not be altered in any manner; return to the office of the Boord if ~ncotrect. Inspectors may be identified by their COPY FOR BO LDINO DEPARTMENT, THIS COPY, OF CERTIFICATE t~U~T NOT B~E ~LTERED IN ANY MANNER. 76S-1802 BUILDING DEPT. ,INSPECTiON FOUNDATION XST [ ] ROUGH pLBG. FOUNDATION 2ND £ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH .PLBG,~ FOUNDATION ZND [ ] INSULATbON~ [ ] FRAMING ~ [ ] FINAL DATE INSPECTOR' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 Examined. / . ........ Disapproved a/c ..... -; ~.; -:T ...................... [Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application NO. ~.~.~.~. ....... a. This applica'tioh must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plt~n showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and gt~ing a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 Certificat~ 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 ~ursuant 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 building for necessary inspections. ~ }I04E~, INC. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, eng/neer, general contractor, electrician, plumber or builder. Oenez&l Contz&ct oz Nameofownerofpremises Na~l:in Jo $chattne~ & Na~y Schattne~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nam~and title of corporate officer) Builder's License No .......................... Plumber's License No. 517=P Electrician's License No....2.8.1.6. ............... Other Trade's License No ...................... 1. Location of land on which proposed work will be done..8/.$..~.Rla.t.l~..R.o~..c], . H~..t.$ .i.t.u..ckc. ,..N....Y.., ........ ..... 5 .................................................................................. House Number Street Hamlet County Tax Map No. 1000 Section ...... J..Q.6 ......... Block .... .0.7. ........... Lot ..... .1.5. ........... Subdivision.. (.C~. l~.t...a.~.n..K. ,.d.d..1~..s.t.a.t..e.s. ) ......... Filed Map No. ~.1.6.7.2. ) ....... Lot...~.O.l~. ....... (Name) ~CCov~il.,x~ -~ -t-~t Co11, 'J~u'$ (O°c'- ~'~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~ ~-~ a. Existing use and occupancy .~..o..~ ................................... b. Intended use and occupang~ ....... !-.~..a~..!J:.y....d~.e..]..1.'.J.~.~. ......................................... Estimated Cost. '.~%. ~..~.~. ........... Nature of work (check which applicable): New Building . ~ ...... Addition .......... Alteration .......... Repair ' Removal Demolition Other Work (Description) ................... Fee ...................... (to be paid on filing this application) If dwelling, number of dwelling umts;~~: .............. Number of dwelling units on each floor ................ 5. If garage, number of cars ....... i ................................................................. 6. If business, commercial or mixed qccupancy, 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. o_f Stories .......... ........ 8. Dimensions of entire new construction: Front ..... g. 2. ........ Rear ............... {)2 Depth .............. Height ............... Number of Stqries ...... , ......... , ....................................... 9. Size of lot: Front ............ i ......... Rear ......... ' ............. Depth ..................... 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: ............................... 13. Will lot be regraded .......... :........ ............ Will excess fill be remove¢, from premises: _....X~., No $ch&~;~ op ~ . ~'.,~ ~ 14. Name of Owner of promises .I~..~.~.t..% ,n. 32 ......... ~,~l~lress ~t~,. ~[, .~o. Phone No ................ Name of Architect ........... : ................ Address ................... Phone No ................ Name of Contractor INLAND HOME$.~ .I.N..C., .... Address Box ].lTflq&t~.£.t.Ul~ne~o¥:..~98.-9.696 ' ........................... L( prope~ interio '2. RU H. STATE COUNTY;.. ', , ' (Name of individual sigl ~ing contract) above nam~&---.~ ~ - He is the · .~~ ?. ~..: ._ ......................................................... ~ ~tractor, agent, corporate officer, etc.) of said owner or owners, and is du. ly authorized to perform or have performed the said work and to make and file this application; that all statements con]ained in this application are trueJo the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ ~:~.~.. ~'~.. · .'. , .z/. ................. RoAD RuTH \0© CLi LT iV~.T Subdivision- "~unset Knolls' 0.21 Lot ~ Surf. Co File No. 5025 "It should be noted that since this property is located in an agricultural area, the possibility exists that the water supply my contain tr~ce amounts of pesticides and/or nitrates. Special analysis ~-~./~/IJ~ required. FOR "MARTIN d. SCHATTNER 8~ MARY SCHATTNER AT MATTITUCK TOWN OF SOUTHOLD iUFFOLK COUNTY, NEW YORK UNAUTHORIZED ALTERATION ON ADDITION TO THIS URVEY IS A VIOLATION OF SECTION 72(~S OF THE DATE : MAY 25, less SCALE I I" ' 40' NO. ; 82' 344 GUARANTEED TO ' SECURITY TITLE & GUARANTY CO. YOUNG a YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE NO. 45895 N/I~E R AVENUE RIVERHEAD, NEW YORK RO4D ~ · 8~ ~11 '~ / --- - , Lot ~ Lot Subdivia/~n - '~unset Hno//s '~ ~uf~ Co File No. 5025 MARTIN d. SCHAT~NER ~ MARY SCHATTNER AUGUST 2,1984 MAY 21 , 1984 AT MATTITUCK DATE : MAY TOWN OF SOUTHOLD SCAL~: I", 40' .' SUFFOLK COUNTY~ NEW YORK No. : e~-344 ~ COPIES ~F ~HIS SURVEY NOT BEAR NG THE LAND AND ON H~S BEHALF TO THE TITLE CO.ANY GOVERN* ~sO~j~w~E~,~t*fg~e~lC_ MENTAL AG~NCYAND LENDING INSTITUTION LISTED HEREON, AND'TO THE ASSIGNEES OF THE LEND NG ~ ~, . '' ~,'' ,~: ~ , ~; : ~ /~1~ /~1~ RIVERHEAD,NEW YORK ' ' ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND L~ND SURVEYOR N.~S, LICENSE N0.1284~ I/ HOWARDW. YOUNG, LAND SURVEYOR ,t t. THESE DRAWINGS AND SPECIFICATIONS ARE INSTRUMENTS OF S~RVICE FOR PR0]E~T NO. AND SHALL REMAIN AT ~- q'~4~ J~- ~, ~. ~/. ~t~s, ~5~Tto~, ~el~u~ ~, ~ ~-~g THE PROPERTY OF THE ARCHITECT WH~THER THE PROJECT ' .,' AA~' P~O~M~ ~ ~ ~ U~PT~U~ ~ W~TT~ Ar~v~ Ve[~ ~ ~ ~f~NATU~, FOR WHICH ~EY ~RE MADE IS EXECUTED OR NOT., THEY U~ ~. ,, ~ ~, ARE NOT TO BE USED ~ ANY OTHER PROJEC~ ~CEPT B~ ' : ' ~ WHITEN AUTHORI~TION OF THE AR~HJTECT~ If copper ~ubing is e,ed for water d~str huh g s¥~-em; piping shall be ef types K or L only ~PPROYED AS NOTED 1. FbUNDATION - ~O REQUIREE FgR POURED CONCRETE j ~. ROUGH - FRAMING & PLUMBIN~ 3. INSU~TION j 4. FINAL - CONSTRUCTION MUS~ BE COMPL~E FOR C. O, J ALL CONSTRUCTION SHALL MEE] THE REQUIREMENTS OF T~ N.Y ~ATE CONSTRUCTION & ENERG~ CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, OWNERSHIP OF DOCUMENTS ~RAW NGS AND SPECIFI~ 'ATIONS ARE INSTRU /ICE FOR PROJECT NO._ ~/~ AND SHALL R )PERTY OF THE ARCHITE :T WH~THER THE PR ~CH ~EYARE MADE ~ EXECUTED OR NOT T TO BE USED IN ANY ()THER PROJECT ~CI ~ AUTHOR ~TION OF T E ARCH TECT~ ]1 H'~¥' H(~L, LA, ~"C~.A~7 ~ Y~/.~/. N ~ W }1 'I