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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