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Home My WebLink About12199-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..~. ! .q ).0fi. ......... Date .......... S.c.p.~.e.m.b..e .v..6. .......... 198.3., THIS CERTIFIES that the building . .n.e..~..d.~.~. ~ .~.~.n.g ................................ Location of Property . ! .3.0.5. .............. ?.~.e.v..~ .s.~.. W..v ~.v.~. ............ ~ .a .~.~.~. ~..u .c ?. .... House No. Street Hamlet County Tax Map No. 1000 Section ...q .1.5. ...... Block 15 .Lot 012 ~ _ Subdivision.D.??.p. Hole Creek Estates .Filed Map No. 4.256 .LotNo. 35 conforms substantially to the Application for Building Permit heretofore filed in this office dated March 3 1983 pursuant to which Building Permit No. 1219.9 Z dated ..... .M .a ?.c. ?.~ . .2 .2 .............. 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 private one-family dwelling. The certificate is issued to INLAND HOMES INC. (owner, of the aforesaid building. suffolk County Department of Health Approval . ! .3 :-.~.0. ? .q .8 8. / 3 ~ / 8..3..R.o..b.~.... ~.... V i i i a, P.E. UNDERWRITERS CERTIFICATE NO ....... .~. 6 q 2 9 4 0 Building Inspector Rev. 1/81 TOWN OF ~OUTHO~D TOWN H~LL} [ ~HIS PE~IT MU~T BE KE~T ON C~PL~ION OF THE WORK AUTHORIZED) Per/nissioti is hereby granted to: ~ULL at p~emiseS located at tL°t No. ~C~/~. 19;...(,.., and approved by the ! FORM NO. 6 TOWN OF SOUTHOLD 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 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 F re Ur~de[writers. 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 / Certificate of occupancy on pre-existing dwelling ¢{r land 2. 3. Copy of certificate of occupancy $1.00 / use $/s'/$5.00 September 1, 198.~ Date .. New Building XX Old or Pre-existing Building(Z) ......... : ZVacant Land Location of Property..~.$O~,5.,,~..h.e.~9.sa Drive, M&ttituek, N, Y. Hou~ No. Street Ham/et Owner or Owners of Property .Robert E. 115 15 County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivisio~e~ .~o~.~ .C~.~ .~.~9~ ....... Filed Map N0. . .~.9 ...Lot No. Permit No. ~.%~.., Date,of Permit 3/22/83 .Applicant ~. ~.~. Health Dept. Approval . .~¢/.~%~. ............ Labor Dept. Approval ...................... ,.. Unde~ritersApproval............N612940 ............ Planning Boa~d Approval .................. Request for Temporary Certificate ............ Final Certificate ................. Fee Submitted $ 5.00 Construction on above described building an~Dermifmeets all a~cabJ~ and re~ns. Applicant . ~ .... ,~ ...... ~..,. ..... ... Rev. 10-10.78 Robert R. Hil,tz, 'I~g H~~---' FIELD I N S F~JC T I~ON FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~ODE FINAL ADDITIONAL COMMEN x THE NEW YORK BOARD OF FiRE UNDERWRITERS ~- , 85 JOHN STREET, NEW YORK, NEON ~ORK 10036 ~ASu~C 1Z, 1~3 Application No. on file ..re N 612940 THIS CERTIFIES THAT r only the e~c trlcal equiplnent as described below and introduced by the applicant ~amed on the ab~;e application number in the premises of ~ 'i~nd ][/~s, 1305 '£h~:'esa Dr., MatttLqxck, N.Y. [] 2nd FI. Section Block Lot and found to be in com~liat~ce with the requirements of this Board. RANGES OVENS DISH WASHERS EXHAUST FANS ~ERC RY UNIT HEATERS DIMMERS in the following location; ~ Basement '~ 1st FI. wasex~,,inedoa August 8 , 1983 RXTORE FIXTURES OUTLETS SWITCHES FLUORESCENT 19 33 18 19 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E OTHER APPARATUS: 1-G.F.!. R i V NO OF HI-LEO C A W.G NO OFNEUTRAI A.W O. OF HI-LEO OF NEUTRAL ~.,~,C.O, ~.ect. Corp. 3Z5 Willow Point Rd. $our. hold~ N.Y., 11971 (CLi~i Cornell) LIC. ~2816 This certfcate must not be altered m an' manner; return to the office of the Board f may be als, LoT $1 i.:oT 5~ A T MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY NEW YOt~ K FII ~' NO. FI£ ED dA~28,19~5 donack associates Job Ne 8;5-202 Scale: I°'= 30' land SurveyorS and -consulting engineers 31:5 WeSt main street river~e~d,new york 11901 (516! :~69-1717 (212) 746-3020 Jan. 19,[98:5 ~ooo~.~-~5- ~ LoT 5, I pINE ~ SP~' ~o~ I sTq~ ao~ ~ T MA TTITUCK TOWN OF SOUTHOID sUFFOLK COUNTY NEW YOIr?K FILE NO. 4556 FI L ED ,lAN58,1985 onO~l, as~oc,ateSan land ~u 'veyor~ d , $ a ~ ,~ ~o~ ulflng en~,ineers ; 313 ~e= ~t~ main~ sffeet rive~ ~,ne~~ yO~: 11901 (516)~3!~-1717 (212) 746-3020 :~,.,~,~ ~ob N. s~-~o~ - 9Cole= I"= ~0' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, i",l.Y. 11971 TEL.: 765-1802 Application No. ~. ~/~.Q ..... Disapproved a/c . ~ ~..~ ............ .~/f. ..... , (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~ar?h .S. .......... 19.03 INSTRUCTIONS a. This application must be completely filled in by typewriter or ~n ink and submitted in triplicate to the Buildi 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 stre~ or areas, and giving a detailed description of layout of property must be drawn ou the diagram which is part of this apg 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 issne a Building Permit to the applicant. Such porn shall be kept on the premises available for inspection thronghout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION 1S t tEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances P, egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. INLAND HOMES~ INCo (Signature of applicant, or name, if a corporation) Box 117, [4attituck, N~. ¥..11952 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil& General Contractor Name of owner of premises .... .I.n.l.a.n..d..I-[o.m.~..s,..I.n..c: ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Robert E. Hiltz, President ........ i¼; i 'titil ;; ......... Builder's License No .......................... Plumber's License No. 517-P 816 Electrician's License No ....................... Otber Trade's License No ...................... Location of land on which proposed work will be done ..... .T.h.e.r.e. ~.a..D.r..iy.e.,..M..a.t.~.i..t .u.c.k.,..Iq:..Y... ...... House Number Street Hamlet County Tax Map No. 1000 Section 115 Block 15-~ Lot. B~ Subdivision ..................... Filed b, lap No. 4256 Lot (Name) State existing use and occupancy of pre~nises and intended use and occnpancy of proposed construction: a. Existing use and occupancy .. .~.~.~-- family dwelling b. Intended use and occupancy ...... 1. ............................. ~ Nature of work (check whict? applicable): New Building XX Addition ..... Alteration ..... Repair .............. l~em0val ............ Demolition .............. Other Work ............... Estimated Cost ..... ............... Fee .............. ~ ........... (to be paid on filing this application) If dwalhng, number of dwelhng un,ts 1 Number of dwelling units on each floor If'garage number of cars .i ' specify hature and extent of each type of use If business commercial mixed occupancy Dimensions of existing structures, if any: Front ..... ~ ......... Rear .............. Depth ............... Height ............... Number of Stor, es ....................................................... Dimensions of same structure xvith alterations or additions: Front ................. Rear .................. Depth .................... i. · Height ...................... Number6o~ Stories ...................... I . , 62 pth ~7. Dimensions of entire new constr,uchon. Front ............... Rear ............... De ............ Height ...1...8 .......... Number of Stories ..... .1. ................... ~ .............................. pth Size of lot: Front ........... ~ ........... Rear ...................... De ....................... Date df Purchase ..... ! ................. Name of Former Owner ............................. . Zone or use distnct in whtch prem~ses are sit ated.........u ............ ........... . . ....,.. ......... Does proposed construction viol:ate, any zoning law, ordinance or regulation: ............................... Will lot be regraded .... ~ .......... Will excess fill be removed from premises: Yes No - -~ . - :~ '.''' I;"~l~h~l l-iome~" * --- Rox 11.7 l~l&ttituoP,2 ~, 298-9696 Ptalne o! iJv/n.r o! prclnlses , , ,~, ............ s .... Anoress ................... -l'none ................... Name of Architect i Address ...... '.. ' Phone No Name of Contractor . !..N~: .~-~I..D.i .H..0~..l!;.~.,.. ! .N.C., .... Address !o.x.. !!.7. ,..~.a.t.t.! .t.u.q~hone No. ?.0.-.9.6. o..6 ...... Locate clearly and distinctly all roperty lines. Give street and block terior or corner lot. //;25-/ o./ ( S- / 'rATE OF NEW YORK, OUNTY OF . SLI~..F. 0LK ....... :' S.S PLOT DIAGRAM buildings, whether existing or proposed, anti, indicate all set-back dimensions from ~umber or description according to deed, and show street names and indicate whether Rob~l:t 1/, ........................... ~ .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) >dye na~ned.. e is the .... C..o.n.'l:.~. ??.o?. ..... ! ................................................................... (Contractor, agent, corporate officer, etc.) ~' said owner or owners, rind is duly authorized to perform or have peuformed the said work and to make and file this >plication; that all statements con!slued in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth hi the application filed therewith. worn to before me this , .................... day o? ...... ~, ~.o~$ ~ufl~1~ c~u~/~ ...................................... II LIVILJ~ i2.- :?.,~ M OCCUPANCY OR USE IS UNLA~,~[:UL V~iT}i~i~T CERT'Ii:ICATE BE OCCUPANCY IF copper tubing ~s used for Water distributing system; pipin_g shall be of type~ K or L only D, ATE:,~?~'Z./,~B. P. ',.~ FEE:~ ~/ ~BY:--,ART~T AT 7&5-~802 g A~ TO ~ P~ FOE THE FOLLOWING IN~E~IONS: 1. FOUNDATrON - ~O REQUIRGD FOR POU~ED CONCRETE 2. EOUGH - F~ING & PLU~B~NG~ 3, INSU~T~ON 4, FINAL - CONSTRUCTION MUST B~ CO~PL~E FOE C, O. ALL CONSTRUCTION 5HALL MEET THE REQUIREMENTS OF THE N.Y. ~ATE CON.RUCTION & ENERGY CODES. NOT RESPONSIBLE FO~ DESIGN O~ CON.RUCTION .1 'Il