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Home My WebLink About12255-zFORM NO. ~t TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12146 Date DECEMBER 13 83 THIS CERTIFIES that the building NEW DWELLING Location of Property 650 COX NECK RD. MATTI~UCK ioi ....................... ....................... fi iei County Tax Map No. 1000 Section 113 .Block 14 ..... Lot 008 Subdivision..H.E.R..I.T.A.G.E...H.A.R.B..O.R ............ Filed Map No..6.B. 5. ,3...Lot No. 8 conforms substantially to the Application for Building Permit heretofore filed in this office dated .I~0~y.c.l~. 2.8 ............ 19 .8.3. pursuant to which Building Permit No. 12255Z da~g0c i ]~. ~_.3 ....................... 19 .8.3. , was issued, and conforms to a~l of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ..F.(~:.a.~v/.o~ ~r~,~Y (first floor only) Dwelling The certificate is issued to . .WI L/~]~P~I~I...AM.~T.O. ........................................ {owner, levee or tenant] of the aforesaid building. Suffolk County Department of Health Approval ... ~ 3 :-~Q'r ~ ~ .............................. UNDERWRITERS CERTIFICATE NO.. i~.E~qDT3IG ....................................... Building Inspector Rev. 1/81 2255 Z BUILDIN~ ?OW~ H~LI. SOUTHOLI~ N.Y.! BUILDING P~RMiT~ (THIS PERMIT MUST BE KEPT ON THE PREMIS iS uNTiL I~ULL COMPLETION OF THE WORK AUTHORIZED) Date...' ' · !// Per~nissior~ is hereby granted to: at ptemise~ located at .......... .~..... pursOant t~o application dated ..... :.. . i~...!~.,..., 19:.._¥., and ~pproved by the Building I~spector. ~ Builm~ !ns~tO~ FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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: 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 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 pertinent informa- tion required to prepare a certificate. C. Fees: 1, Certificate of occupancy $5.00 / / 2, Certificate of occupancy on pre-existing dwelling c/r land use $/5'/$5.00 3, Copy of certificate of occupancy $1.00 ~ Date .~. ,~.1(....~...? ............. New Building . .. ~ ....... Old or Pre-existing Building,~. ........... Vacant Land ............. Location of Property..~..~.. ........................................ .~.../~..-'7..¢..T'~'.C. !~.., . Hamlet Owner or Owners of Property (/Jtlli/~' ~'' ~ /~P~-~'/J * County Tax Map No. 1000 Section .... ~.~..~. ....... Block .. ~ .Z'../~. ...... Lot .... .~.o..~. ....... ...... F,ed .......... Permit No ........... Date of Permit .......... Applicant ........... ¢ ....... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ..~'. ..................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . .~.. ! ............. Fee Submitted $. .., ....................... C°nstructi°n °n ab°ve describeAdpbp~:clda~. ~e~ts ~1~ regula:iOns'. FIELD INSPECTION COMMENTS FOONDAT%ON (~ FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ?DE FINAL ADDITIONAL COMMENTS: ~ooo~43 THE Date THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS ~SB~OHN S~m~T, .~W YORK, r~EW ¥O.K mo3~ 19~ 1 ..,p,,ic,,t,on,¥o. on;i,e 22.s(~.~-83 N 626957 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of William Amato, Co× Neck Rd. No Rd, Rt. 48 West Phalia, Mattituck, wasexaminedon Decer~ber 2 , 1983 and found to be in compliance with the r~quirements of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 15 22 12 15 DRYERS FURNACE MOTORS tiME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I ~ C OTHER APPARATUS: Mot o~°s: 1-F. 1-G.F.I. 1 -Smoke Detector NO OF CC, COND. A, W, G. NO. OF HI-LEG PER ~' OF CC COND. 2/0 j OF HI-LEG NO, OF NEUTRALS OF NEUTRAL Goodale Elect. Cont0 RR1 Box 1SA Main Rd, Mattituck, NoY,, 11952 LIC. ~783 This certificate must not be altered in any manner; return to the office of~ the Board if OPY¢ may be FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Examined~..~f.d../..~...., 19~..-y~ 7't/ / 5 ., 19 .~.Permit Approvedd~. ( .......... No. TEL.: 765-1802 ./.d..~. ~-~-.~ Disapproved a/c ..................................... (Bu~" APPLICATION FOR BUILDING PERMIT Application No../dd.~.~..'7 ....... INSTRUCTIONS a. This application must be completely filled in by typewriter 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 plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving 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 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 building for necessary insvections.,o , _ (Signature of applicar~6r ~e, if a corporation) ailing add es f p li ant) · 5! .............. State whether ~.p.~cant is ~,a~ner, lessee, agent, architect, engineer, general contractor, electrician; plumber or builder. ............. 1..~..~ .t./.¢. e.% .............. . .................................................... Nameofownerofpremises . ~.£tlt..~.. ...~ O ............ (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 License No. ~'- t '4 '{~' ' ~J:~ ........... Electrician's License No... 7 .~.3 ............ Other Trade's License No ...................... 1. Location ofland on which proposed work will be done. . .~.~. ......... Go )(...........~i( ~. ................ .... .... .... ~er ~ Street Hamlet County Tax Map So. 1000 Section .X../.'[.~ ....... Block ...~ ........ Lot Oo~ .~ Subdivision..~ ...................... Filed Map No ...... Lot (Name) ............... 2. State existing use ~d occup~cy of prem~es and intended use and occupancy of proposed construction: ~. ~i~tin~ ~ an~ o~i .......................................................... ..... .............................. 3. Nature of work (check which applicable): New Building . .¥~.. .... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... ~d~ ~ 9~0 (Description) 4. Estimated Cost (to be paid on filing this application) 5. If dwelling, number of dwelling hnits ............... Number of dwelling units on each floor ................ If garage, number of cars ..... i ................................................................... 6. If business, commerciai or mixed occupancy, specify nature and extent of each type of use ..................... 7. Bimensions of existing structures, if any: Front ............... Rear .............. Depth ............... I-[eight ............... Number of Stories ........................................................ Dimensions of same structure wtth alterations or additions: Front ................. Rear .................. Bepth .................... ~.. Height ......... Number of Stories ............. t. · 8. Dimensions of entire new construction: Front i ~ t? j~ i i.. Rear JJ~..'..~.'~. ....... Depth . ~ .7....~ .it .... Height .~..~..'. ........ mu_m bet of Stories...t..~ ......... c~ .......................... 9. Size of lot: Front .... 2e~,'A'~....: ..... Rear..[~.~r~.,.., ............. Depth Z~..~...-7 I0. [late of Purchase ........... : .................. Name o.fFormer Owner ............................. 11. Zone or use district in which premises are situated .... ~.~.°.;..-~7~..,~q. .............................. 12. Boesprop6sed'constructionvioiateanyzoninglaw, ordinance or regulation: .....,4*J~..~.' ................ ' Will lot be regraded ......... : ................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises ...~ ................. Address ................... Phone No ............. ~... Name of Architect .......... i ...... '. .......... Address ................... Phone No ................ Name of Contractor {go..~. ,.~ .~.~.5 .......... Address ~.~.~e.°~..~..am~.. ....... Phone No~ PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate ail set-back dimensions from property lines. Give street and block gumber or description according to deed, and show street names and indicate whether interior or corner lot. ~"~ ~/~ 7"- STATE OF NEgT-~ORK, /~. '~-. "..'~.'.! ..~. ~ .~. ~ ....... being duly sworn, deposes and says thane is the applicant (Name of individual signing contract) above named. · d~te 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 all statements contOined in this application are true to the best of.~g.~owledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this SUFFOLt{ COUNTY DEPARTI~ENT OF APPROVED ~e waler &.pply and sewage dlspopal ~OS~ ANO SSI AND ~ TflER~FOI~E ~flE TITLE COMPANY, ~E NOT N~D Tq GUIDE ~ TAL ~ENCY ~D LENDING INffl- E~E~ION ORFE~ES~AIN~ TUTI~ LISTED H~RE~, ~TO ~EA~, ~O~TI~ TO~ IUI~IN! INSTI~TION, UNAUTflORtZ~D ALTE~TION ~ ~HE NEW Y~K ~[ATE G JARANT£1~D ONLY TO: ,L :RING inspecte ~ L,~ -,-.or~,./ , L.[' Chief of G~ncral Eng~neer~n~ Services OWN H~tON FRO~ ~' ~L ~NLY TO rile PERSON JO~' - s~.c~u~t~ ~o ~.~ e.~'~,nwr~. ~v~t~~ A~ NOT I.~EHO[O TO ~lOf ~ ~t ~..LEN~IN~ IN,TI- OR ANY O~ER CON$~T~ ~ ~ T~F~ TO A~ITI~AL If coppe,r tubing is usedl for water distributing i sys'er~l; F;! i q ~hall be: of types !~. er L on~y NOTIFy Bi~ILDING DEPARTMENT AF 765 ]802 9 AM TO 4 PM FOR THY 'FOLLOWING Ii',ISPECTIONS: ' 1. ,FOUNDATION - TWO REQUIRE~) FOR pr~URSD CONCRETE ] 2. ROUGH - FRAMIN~ ~, PLUMBIN~ ~ , STATE CONSTRUCTION'& ENERG]r' i ' CODES. NOT RESPONSIBLE FOI~ ' , -. . ' · I~ESLG-N- Q~ CONS~RUCTLON ERROR~ If copper tubing is used for water di~tributlng ~ys~em; piping shall be of types K or L only