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Home My WebLink About12736-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy Z16921 May 26, 1988 No .................. Date ................................ THIS CERTIFIES that the building addition Location of Property 1035 Theresa Drive Mattituck ~t~OS'e '~01 ........................................................ Streot Hamlet County Tax Map No. 1000 Section 115 . .Block 15 .Lot 10 Subdivision... p .e .e p. .U g .l .e' .C.r.e.e.k..~.s.t.a.t.e.s ..... Filed Map No. 4256 .Lot No. 37 conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... 9.c.tp.b.e.r..2.6.,..1.9.8.3 pursuant to which Building Permit No. 12736z dated ...N, oy.e.m.b.e.r. ?.,..1.9.8.3 .......... 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 ......... Addition to existing one-family dwelling. The certificate is issued to WILLIAH T. & JOAN D. FERRIS ..................... [o~n'e;, ~ ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N636185 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FOEM NO. 2 TO%VH OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS pERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12736 Z Permission is hereby granted to: ../..c~.~....~.~.~~'.~ ...~.~: ,o ..~~.~....~~..~.....~.~.~.......~...~~, .................. ~ ~,. ~ ,~ ~,. ...................... .... ~...~ .......... ~ ............. ~....~ ...................... ~ .............................. ~, ~,~m,,, ,~,~ ~, ..~ ......... ~ ~ ~..~....Z~ - ~ ....... ~'~,~.~.~J~ ~ ...................... · County Tax Map No. 1000 Section ........ !.../..~ ...... Block ....... J...~.. ......... Lot No ........ L..~.. ........... pursuant to application dated ..0..~....¢~.....'~.~ .................. , 19.~..~, and approved by the Building Inspector. Fee $ ..~...... ............... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 AY 2 5 1988 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m ma~a~a 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 featu res. 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 bui{dings and insta{la- 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:Coperty 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: Additi~ons G POOLS $25.00 1. Certificate of occupancy New ])welling $25T00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 /~/.~. ~ ~.up~t~ c.o. $ 5o.oo Date .../.¢..¢'..f7 ........ NewCona bpuc t,~ on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property/~. ~L.~....7~.¢--..K'¢. ~..~,....~..~./../~.~.-~.,; .~/~_'_~./, ,~J~....~.'.~.. ........... uwner or Owners of Property/~.~.~ .~,/./¢)~P~..~..,..~fT-. '.~.(. .~../:1....~.,. ~.J' ...... '.. County Tax Map No. 1000 Section . ./.// ......... Block ../&,~.'77. ....... Lot..~.../..d?... ...... Permit No .......... Date of Permit .......... Applicant .................................. Health Dept. Approval ., .Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Bequest for Temporary Certificate ..................... Final Certificate ....................... Fee Subm,,ted .q ....... Construction on above described building and~perxnkt meets all~p~licable codes and regulations. ~¢~o.'d~, %q(~ 5~ App ~oant /.L¢'~. /'.(:¢4./-¢~ ~ ..................... Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 TO Whom This May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. is not on file. ~-~ /_--/~. No Underwriters Certificate on file. /~ The check is(outdated/not on file.) /-/ No Health Dept. Approval on file. /5/ No final inspection has been made. An application for Certificate of Occupancy Please contact our office on this matter. Thank you for your cooperation. -Building Permit # Building Dept. ***/5/ NO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Id. O0 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICI"r~ ~C~ ~, -[~: 85 JOHN STREET, NEW YORK, NEW YoRK 10038 THIS CERTIFIES THAT ~r. & ~rs. Willimm Ferri~ Theresa Drive, Ma~tituck~ N.Y. in the Jollowing location; [] Basement wasexam~n~,edon ~v~h 0SE 1~84 [] lstFI. FIXTURE FIXTURES OUTLETS SWITCHES FLUORESCENT 7 9 i [] 2nd FI. Section Block Lot and found to be in compliance with the requirements of this Board. .^usEs ovms ExskosT DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS: 1-G, F .C o ~. E R V I C NO. OF CC. COND. PER ~ AWG OF CC. COND. NO OF HI-LEG j A W.g. NO` OF NEUTRALS OF HI-LEG AW.G, OF NEUTRAL Gle~u R. BradIwy Horton Avenue Mat-tit~k, N,Yo 11~52 Ldc#L~27 GENERAL MANAGER 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 credent~Js. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CEHi IFICATE MUST NOT BE ALTERED IN ANY MANNER. FIELD.INSPECTION FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY -- QODE COMMENTS FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Approved .~..~ .~....].., 19 x~,~ Permit No.}..~."~ .~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERNIIT INSTRUCTIONS a. Tiffs 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 regulation_s, and to admit authorized inspectors on premises and in building for necessary ipspec. Sij/ns. .-W ] (Signature of applic"ffnt, or name, if a corporation) ..... (Mailing address of applicant) p.O. ~;o~ 737, ,41~, 3l~ ~.,d*. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ./~ '4~/~ .9.~4. q~..~..e4Av~..3..44...w44....Q~o..a~..~..a~q..n..~ .......................... (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..~. 9.2 i .~..'.~. (. q ~ .'(*; .a C,i' tl~.. Plumber's License No ......................... Electrician's License No .... /.~2. 7. ............... Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. ......... ............ .................................. House Number Street Hamlet County Tax Map No. 1000 Section .../../f, QO. ......... Block .... ! .5':0.0. ......... Lot. 010.00 Subdivision .... b.e~./.4o..~.C..4~...C~.e4/ .......... Filed Map No ............. Lot . .~.7. ........... (Nmne) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. 9.~.®. . .d~9..4q. ~?t4~.e..hq.u~..~ .............................................. b. Intended use and occupancy .................................................................... 3. Nature of work (check which applicable): New 'Building .......... Addition . .~. ....... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~...llil (Description) 4. Estimfited Cost...~8.o.o.o..o.o.. ! ......................... Fee. ... .. i ........................ : (to be paid on filing this application) 5. If dweiling, number of dwelling units ........ ! ..... Number of dwelling units on each floor ................ If garage, number of cars .... ? ................................................................... 6. If. business, commercial, or mixed~ occupancy, specifyt naturen, tandn extent of eachtt~jpe of use ....... ~ t~ti ........ 7. I)~mansmns of emst~ng structures, ff any Front .22.7...]6..6. .... Rear . .f.9..~. ........ Depth ............... Hetght. ./.~/ ........... Number of Stories ..... o. t4~ ........................................ Dimensionsofsamestmcturewithalterationsoradqlitions. Front 2~t7. n-~.6.(b.t! ...... Rear ~t~ti . i'' I ti ~ · I'~ ..................... Depthl ' 'q/' ' ~ ............. i ' ' Hmght ..... ,~ ....... Num,,er of Stories .... t ........ 8. Dimensions of entire new construction' Front . . . Rear ~.t/ 6 ~ . Depth /.~ t,/! ' t?ight ............Number of Stories .... I. .... ,,, '"t¢..!o.4'! .................. ............ 9. Size of lot: Front .... ttO.O0~ ...........Rear ............. Depth .................... 10. Date of Purchase .~.22~. I, q7.8 ............... Name of Former Owner .~4a.r~.q4. j{o.¢.q ~.o?..ed: .......... 11. Zone or use district in which pr~mises are situated ..... /~~~ ........................ · 12. Does proposed construction vioiate any zoning law, ordinance or regulation: ..t¢~ ............................ 13. Will lot be regraded ........ ~ ....~ .......... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .~.. Y .... ' ....... Address :j?~O.,flP~.. 7.~7., .~l~Phone No..~.9.8.-fl. 7.~fl. ...... Name .of Architect . 9am'.t.e,F~./,,~, .oq,t.~ ....... Address/J...O:($.o.~. {~./.~.~..~5. o...u:~.Phone No..7.6.~;-.[~.~ ..... Nmne of Contractor ........ ; ................. Address ................... Phone No ................ i . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block! number or description according to deed, and show street names and indicate whether interior or corner lot. ~ .'.; ~,,~r ~t-e L( STATE OF NEV~ YORK, !S.S COUNTY OF...~C/~.~ ./-./.~ ..... .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ....... .0..~J"}.~.. ~. ....................................................................... (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 l 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 manner set forth ~n the application filed therewith. Sworn to before me this ..... · ~..~.. ~ .......... day oi... ~....~/o..e: .,~. ..... , 19 ..~.~ Notary Public,...~.~....~.J~:'!~-~..., County/,.. Co~llnissi0n [~xpho~ [tOrt'Il 30, 19<~ o (Signature of applicant) IVE > v !;'/ /:'7'-Ol H' AVENUE 2"ue ~o d[m'o3~i ~ water Supply~ '"~ fae~%[(,,~ f~r th~s l~catton have been Lo/ 38 182 O0 ' 182. O0 ' c3 ~ -- MONUMENT £~ = STAKE SUBDIVISION MAP FIL £'0 /hi Th'£ OFFICE OF THE CL E~K OF SUFFOLK COUNT Y ON J&~ 28, Ig6~ ~S ~1/ E N~ 4F56 AUG. 22,1977 OCT. 20, 1977 YOUNG & YOUNG RIVERHEAD, NEW Y( RK ,,UkVl Y FOR: BEN MENDOZZA LOT 37 "DEEP HOLE CREEK ESTATES" ~¢ w~, o, SOUTHOLD ! SOUTHOLDSAVINGS BANK . -'-7- ~:::[ ........... :--'::--: ~ '/ / J ~.O','2D AS NOTED S ES N'~T RESPONS~B ORS TITLE GARRETT A. STRANG architect Main ~oad ~0. Box 1412 Southold ~.~. 11071 516' 765 - 5455 GARRETT A. STRANG architect 516- 765 ' 5455 ¢- GARRETT A. STRANG ~1~ architect -~,,' ,~ , 516' 765 ' 5455 GARRETT A. STRANG architect Main Road P.O, Box 1412 Southold N,Y, 11971 515- 765 - 5455