HomeMy WebLinkAbout12696-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southoid, N.Y.
Certificate Of Occupancy
Date December 19 ..... 19.~
THIS CERTIFIES that the building/~ ql¢;[.~.~. 92..Sq..a.l.g.e.~..a ?.~.qn...a.n.d...d ?.c.k.: ...........
Location of Property 3760 Ole Jule Lane Ma?tituck
House No. Street Hamlet
County Tax Map No. 1000 Section ...1.2..2 ...... Block .... 4 .Lot 24
Subdivision ....... .X.X ...................... Filed Map No. X× .Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·.. gugu~ t..1.5 ........ 19 .8.3. pursuant to which Building Permit No... ] 85.9.6 .Z ............
dated ... 99 ~.qb. e..r..1.4. ............. 19 .8.3., 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 .........
... A.6d iti.an. &..alter.at $9r~ .%9..e.x. $ .s.t.~.n.g, .c.a.r, ~ .o?.t..a..n.d..n.e..w..d.e..c .k. X~ .g.h..a.t..t.ache d
storage shed.
The certificate is issued to PAUL G. &CAROL. YN EDWARDS
.................... /o¥o'o; .....................
of the aforesaid building.
Suffolk County Department of Health Approval iq / A
UNDERWRITERS CERTIFICATE NO ..... iq717747
Building Inspector
Rev. 1/81
I~OEM NO. 2
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)
12696 Z
Permission is hereby granted to:
...~...~.....42.~. ~.~.z~....Z~z,,~ .........
..~..~.~..~...~;. ....... z~...4~.~
,o.......~.. ~.... ~... ~...~... ~ ~~ ~.... ~...... ~ ~. ~...
at premises ,~ated at .~ ......... ~....~..~~......~,~ ~. ~
County Tax Mop No. 1000 Section .;~/.~.C~ ..... Block ....~...~.. ....... Lot No. 0~ .........
pursuant to application dated .~/,~Z.....~ ............... , 19.Z4 and approv~ by the
Building Inspector.
Building Inspector
Rev. 6/30/80
o
FORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
$outhold, N.Y.
Certificate Of Occupancy
No....Z,l..4~ 0.3 ........ Date ..... .D.o.c..e.m.b.e.r...1.9. .............,19 .8.5.
THIS CERTIFIES that the building addition & alteration.
Location of Property 3760 Ole .Jule Lane Mattituck
County Tax Map No. 1000 Section .... ~ .2 .2 ..... Block ....... .4 .......Lot ..... .2.4 ..........
Subdivision X p N X X
............................... Filed Ma o ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... .A.u.qu.~. ~..1.5. .......19 .8.3. pursuant to which Building Permit No. 12696Z
dated .... 9¢.t. qbe~:..1.4 ............ 19,8.3., 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 .........
A~it~on and alteratioff to existin9 carport.
The certificate is issued to PAUL G. & CAROLX/N EDWARDS
(owne~
of the aforesaid building.
Suffolk County Department of Health Approval N./.A
N717747
UNDERWRITERS CERTIFICATE NO ..................................................
Building Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No....~.43~Q.3 ........ Date . December 19 ., 19 85
THIS CERTIFIES that the building .... .a.d..d~.t.~.o..n..&..a..1.~.e.r.a..t.i.o.n.: .................
Tt~*~t~t~£Prn,a~rfxr 3760 Ole -Jule Lane Mattituck
House No. Street Ham/et
County Tax Map No. 1000 Section .... ~.2.2 .....Block ....... .4 .......Lot ..... .2.4 ..........
Subdivision ......... .Z. .................... Filed Map No....Z. .... Lot No ....
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... .A.u.~[u.~..~..1.5. ....... 19 .~.3. pursuant to which Building Permit No. 12696Z
dated .... 9¢.~.ber..14 ............ 19/~ .3., 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 .........
.... .A.d~$t~.o.q' .~.n~ .a..1.~.e.r.a..t.i.qn...tp..e.x../.s.L.~..rig..c.9 .~p.q~t': .......................
The certificate is issued to PAUL G. & CAROLYIq EDWARDS
of the aforesaid building.
Suffolk County Department of Health Approval ................ 1~. ,/.A .......................
UNDERWRITERS CERTIFICATE NO ..................... F.7.z. 7 7.4.7. ....................
Rev. 1/81
Building Inspector
FORM NO. 6
TOWN OF $OUTHOLD
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 ial to the Building Inspec-
tot 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1, Accurate survey of p~'operty showing all property lines, streets, buildings and unusuat 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
3, Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
$15.00
Date December. 1985
New Building . .~. .......... Old or Pre-existing Building ............ Vacant Land .... -' .
Location of Prop~rty 3760 Olejule La~e, Mattituck
House No, Street Hamlet
Owner or Owners of Property ]Paul ,G: and Carolyn Edwards ........
County Tax Map No, 1000 Section 12.2 -4 -2 4 Block Lot.
Subdivision ................................. Filed Map No ........... Lot No ......... . .....
10-14-83 · Paul G.~ Edwar. ds .
Permit No. 1~ 696 z Date of Permit .......... Apphcant
Health Dept, Approval ........................ Labor Dept, Approval .......................
Underwriters Approval,.,.,,.........,...,..,,x ~¢jlr)~q~] Planning Board Approval, .....................
Request for Temporary Certificate ..................... Final Certificate .x. .....................
Fee Submitted $ 5.00 .~/.c:~.' 5'J 9 .~.
)nstruction on above described building and~fer~nif~q~ee~ all aj;~pJJ~able codes, and regulations.
%Ox PP ........... ....................
Rev, 10-10-78
THE NEW YORK B:OJ RD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITy
85 JOHN STREET, NEW YORK, NEW YORK 1OO318
only the el~trlcal equipment as ~scribed bel~ and introduced by the applicant na~ed on the above appHcatlon nu tuber in the premises of
in ,he following location; ~ Basement ~ 1st FI. ~ 2nd n. Section Block Lot
wasexumlnedon ~f~ ~ ~9~ andfoundtobelncomplian~ewiththerequirementsofthlsBoard.
FiXTUR~ FIXTURES RANGES COOKING DECKS OVENS
OUTLETS SWITCHES , FLUORESCENT
EXHAUST FANS
2 7
DRYERS FURNACE MOTORS
FUTURE APPLIANCE FEEDERS
TIME CLOCKS UNIT HEATERS DIMMERS
NO. OF FEE
SERVICE DISCONNECT S E R V I C E
NO OF CC COND A W. O, A, W. G.
PER ,W OF CC CONE), OF NEUTRAL
OTHER APPARATUS:
NO. OF HI-LEG [oFA'W'GHI-LEGNO. OF NEUTRAl
11
Per--.
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their
FIELD~ INE~ECTION
FOUNDATION
(1st)
COMMENTS
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
qODE
FINAL
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y, 11971
TEL,: 765-1803
Examined .~7..~..q ..... , I .~.. Received .......... ,19...
Approved~. d~. ~1 .~.. _Permit No. /~..~.~. ~ ..~.. · .~
Disapproved a/c ..... '.~..~ .... ,.,.. ........ (/~;.). · ,
filding Inspector)
APPLICATION FOR BUILDING PERM!T
Date ..... i9 .
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 Buildiug 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~,~c~n~) ~-~. ,~ ,~'l ~,
.... x..qx)~,~.-~.-, kD. ~v.~....-~.. ..............
(Signature of~pplicant, or name, if a corporation)
............
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ...~...t~...~...x~...~..~..'~...X~.'.q?<'...~..~-%.~...~...~..~...~...~...~..~..x(..~...~.~.?...x,~...~..~...~.~....
(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... ~ .'../~..: ............... ~ (~)%.~/~x~:, ~xx,~- ~,~
Plumber's License No....~.:..~..' ............... /~.xx~x. N~/o~.~.. 3
Electrician's License No...~. :..~..' ..............
Otlier Trade's License No..~x>..~ .: .~... .............
1. Loc~9~o~land on which proposed work will be done ..................................................
cr . 74-. ? ........... ..............
House Nmnber S]~ Hamlet
County Tax Map No. 1000 Section . .N..~..~.,.~; ..~. 7..~:..~. Block .................. Lot ...................
Subdivision ........................ t~ ............ Filed Map No.../~ .......... Lot...A(. .... .....
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... ~ · .~...x~'T..~..~w..'5.~.'2~C4- ............................................
b. Intended use and occupancy ..... .x.~...-~( .?_:..x....~..xw..~..~.~ .~.. ...........................................
3. Nature of work (check which applicable): New Building .... . ...... A,ddition.. ... .......... Alteration. ..........
Repair .............. Rem6val .............. Demolition .............. Other Work ...............
4. Estimated Cost .~ t~ ~ I~, o~o Fee '. .........................
: (to be paid on filing this application)
5. If dwelling, number of dwelling units ..... Number of dwelling units on each floor ................
If garage, number of cars ..... [ ~.~,~ ............................................................
6. Ir business, commercial or mixed occu'pancy, specify n_~ature and extent of each type of use ~.~....'~'..' ...........
7. Dimensions of e~sting structures, if any: Front .... .~..~ ....... Rear ...~'. .......... Depth ~ .~r :
Hei ht ~ Nu ~ber of Stories
D~ensions of same structure w{th alterations or additions: Front .. ~.~ .......... Rear ...~.~ ...........
Depth ...... ~.~. ~ ......... ~.. HeiSt ...... ~.~. ~. ..... ...... Number of Stories .... .~.~ ...... , .....
R r ~ De th mao~m~ .
8. Dimensions of entire new construction: Front . ~ ~g" ..... ea . .~ ........... p .~..2~. · · ·
Height....I. [ .......... ~ber of Stories ...... ~ ........................... ~ ..........
9. Size oflot: Front .. ~...' Rear .... ~.~ ....... ~4~ t .....
... Depth ...... ~gO.~ ........
1 0. Date o f Purchase . . ~ .~ ~ M X.~ ~ g ............. Name of Fomer Owner ~.~ ~ X ~ ~..~¢~ ~G..
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 removed from premises: ~ ~o~
14. Name of Owner of premises X~,t~..~~K~ddress ~~.. Phone No. ~: ~ ~.~g~...
Name of Architect .~.~ .......... Address ....
........................ rnone No ................
Nme 0f Contractor ...... ~ ~ ~m .... Address Phone No.
PLOT DIAGRAM
Locate cle~ly ~d distinctly ~1~ bu~d~gs, whether existing or proposed, and. indicate ~1 set-back d~ensions from
prope:~y fines. Give street ~d block~number or desc~ption according to ~eed, ~d show street nines and indicate whether
STATE OF NEW YORK, , S.S
COUNTY OF. ~ ~3 F.F. 0 Lit ........
......... :. ?.au ~-..G.... ~O.w.arct ~i .................... being duly sworn, deposes and says that he is the applicant
. (Nmne of individual sighing contract)
above named.
He is the ....... owr~ex/b~.J. :Lcle ~: ...................................................................
, (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 contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the mann6r set forth in the application filed therewith.
Sworn to before me this
........... 1.5.~..h ......... day of .... ~.u.g.u.s..e ..........,19.8.3.
Notary Public, .r~.. [ ~.. . JAktA. l,F_g, y01cl~ty
~W YOF~ STATE DEPAP~TI~NT OF E'.~VIRON~.~.NTAL CONSEF~VATION
Regulatory Affairs Unit
Bldg. 40, SUNY--Room ~
Stony ~-~-'~
........... ~ '~(516) 751-7900
28 September 1983
Carolyn Edwards
3420 OlejuIe Lane
Aux. ~2, Box 63A
Mattituck, New York
11952
Dear Mrs. Edwards:
A review baa been made of your proposal to:
construct a 15' X 30'
deck onto the southern side of existing house, and enclose an existing
car port as per supplied plans,
Location:
James Creek; 3420 Ole 3ule Lane, Mattituck, Town of Southold.
SCTM~ 1000-122-4-24
New York State Department of Environmental Conservation has found the
, parcel ._vlz33 project to be:
Greater than 300' from inventoried tidal wetlands.
www Landward of a substantial man-made structure ~ (Functiog~li R ~a~
greater than 100 in length constructed prior to September 20, 19~.
Landward of 10' contour elevation above m~an, sea level on a gradual, nat-
ural slope.
Landward of topographical cres~ of bluff, cliff or dune in excess of 10
feet in elevation above mean sea level.
Therefore, no permit under Article 25 (Tidal Wetlands of the Environmental
Conservation Law) is required at this time aince the current'proposai is beyond
State mandated Jurisdiction pursuant to this act. However, any additional work
or modifications to the project may require a permit. It is yOUr responsibility
to notify this office, in writlag, if such additional work of modifications are
contemplated.
ILIL. RNT. ca
Very truly yours,
Daniel J. Lark~in
Regional Supervisor of
Regulatory Affairs
TOWN OF SOUTHC
SUFFOLK COUNTY, N Y
[ ALL TOWN HALL SOUTHOLD N Y 11971
RECEIVER OF TAXES MON TOFRI 900AM TOS00PM
CLOSED ALL LEGAL HOLIDAYS
PAYABLE CLOSE{2 SAT
TO GEORGE HELLAS 516.765.1803
1984 - 1985 TAX LEVY
TAXES BECOME A LIEN ON DEC 1ST
BILL NO.-- 14229
SUFFOLK COUNTY TAX MAP NUMBER
SWIS : 473889 ROLL SEC .'-1
CLfi: ~10 ACRES: .50
0LE JULE LA
i TAX-CODE.' 130
NAME AND ADDRESS OF OWNER
LANOVALUE I/*SSESSEDVALU~TICN ED~A~PDS, P~UL G & JiF
1500 5900 ! ~"/~o (~LEJIJLE LA
[, EXEMPT "AGED~/:EMpf ~rH EX~MP~I HATTZTUCK NY 11952
I
CODE SCHOOL DISTRICT ~
RECEIVED PAYMENT~SECOND HALF OR TOTAL TAX
DATE PAJD AMOUNT PAID
TAXABLE VALUE
COUNTY
TOWN -
SP DISTRICT
OTHER
TOTAL TAX
PENALTY
TOTAl
TAXES
'/,': 1,173.55
RECEIVEO PAYMENT--FIRST HALF TAX
RECEIPT NO DATE PAID AMOUNT PAID
PLEASE READ THE REVERSE SIDE
ORIGINAL