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Home My WebLink About11843-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...g .q 3.7.0. ! ......... Date ........... .M.a.y...3J ............... 19.8.~. THIS CERTIFIES that the building ~ew. d~elling..~..b..a.~.n. ........................ Location of Property~to,~ 'q 78.5No.. Bre.akwa~.er. P~aad ..... ~r~4i ' ' ' Vlat t i~;.uck ......... k$/nieb County Tax Map No. 1000 Section ....'lD.6 ..... Block ... 08. ......... Lot .... O~.0 .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... Jlz].y. 22 ..... , 19.82pursuant to which Building Permit No .... .'L'18./&~Z .......... dated ... g. ugus~... 6 .............. 1 ~., 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 ......... ........... One..famiZy. ~w~llin~ .&ba~n ....................................... The certificate is issued to .gmthony. &, .ltele.n. Dri.s ................................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...~..2.-.s.°..-7.9. ............................. UNDERWRITERS CERTIFICATE NO .... 1~. .5 .9 .2.0. ? .0 ...................................... Building Inspector Rev. 1/81 FOII, II~ NO. Il 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) 11843 is hereby granted to: ........ ....... Z/.~ .~/...,.'./.~'~z/~_..=Z,.....-..~..i: .... . ,o ...... ~..~....~...,....~..~/.. ~:~....~..~.....,~f~z',. ..~.... .............. at premises located et ...... . .~..l:LK...~. .......... ~'~.~..e~:~7~'~ ................................. ........................................................................................... County Tax Map No. 1000 Section ...~/~....~. ....... Block ....~/...~... ...... Lot No...~.~;~.. ......... pursuant to application dated ..... ~/~.(.~,.....~.~.. ................. , 19.L~.., and approved by the Fee $"'"~'" f%" "/'~ / ' '~* " ' Bullcling Inspector ........ Rev. 6/30/80 / 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 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 peoperty showing all property lines, streets, buildings and unusual natural or topograph ic 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 ~r 3. Copy of certificate of occupancy $1.00 J land use $/~/$5.00 New Building .... , ,~..i . . . Old or Pre-existing Building(Z) ........ =/Vacant Land Hou ' .................................... ......... "' Owner or Owners of Property ........... .~....-.~- ~-:.~-'-.'~.. ........................... County Tax Map No. 1000 Section .../. ~.~.~. ...... Block ....~..~.. ...... Lot....~. ~ Subdivision ........................... ., ..... Filed Map No ........... Lot No .............. PH~rmit No. //.~..~,~..~. Date of Permit. ~.~..~..~, .Applicant' '~' "~'' '/~' '/-"C~' alth Dept. Approval .../..~. ~-. ~ .O...~:. ?. ~. .... Labor Dept. Approval .... , Underwriters Approval //~ ~J~c~O 7C) ....................... Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificate . Fee Submitted $ ............................. Construction on above described building and permit'mee~s all aplC~cable_,codes and regulations. Applicant ~..~..~ ' lo~418 THE NEW YORK BOARD OF FIRE UNDERWRITERS Et~ BUREAU OF ELECTRICITY ~ 8S JOHN STREET, NEW YORK, NEW YORK 10038 ~te February 2, 1~3 ~p~,o.,~.~o.o.fz~ 187~-82 N 592070 THIS CE~IFIES THAT in the following location; ~e~nt ~ 1st FL ~ 2nd FL ~ ~ction Bilk w~ exami~d off J~ ~ , ~3 and fou.d to be in compliance with the requirements of this RXTUR~ ECEPTACLE WIT HE FIXTURES DRYERS I FURNACE MOTORS I FUTURE AFFUAN~E FEEDERS SERVICE ~O~K;M'INECT t NO-,O~ I S ~ 200 CB x METE" T. AMP. IYPE ~UIP. '~2W '~3W 3ff3W 3~4W NO. OF C¢.COND. 1 OTHER APPARATUS: RANGES SPECIAL REC'PT E R [COOKING, DECKS [ OVENS [DISH WASHERS mr. ~ ~. w.I ,~T. K.w, UT. r.w. TIMECLOCKS MLL UNITHEATERS MULTI-OUTLET SYSTEMS AMT. A~PS. TRANS. NO. OF FEET V I C EXHAUST FANS DI~ERS Alexaad~ G. t~l P.O. 9ox 222 Lie.t304 ~~ Per ~ ,'__'= ......... :. .................. = .......... =_=____' .... = .... 1This cerhficate must not be altered ~n any manner; return to the off,ce of the Board ,f incorrect. Inspectors may be Identi~l~b}G~ir credenhals. ~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FIELD I~SFEC~ION COMMENTS FOUNDATION (1st) FOUNDATION {2nd) 2. ROUGH FRAME & ~LUMBING INSULATION PER N. STATE ENERGY QODE Y e FINAL ADDITIONAL COMMENTS: TOWN CF .-_'.OU T'4OLD 3U ILDI¢,:G D~? A. RT::,i TO WF,' HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ,~pproveu /.~-.,--~..~,'. ..... , ............ ......... (Buildino4 Iflgpector) APPLICATION FOR BUILDING PERMIT Application No. //..//.~..~-~-~ ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted.~to the Buildin~ 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 street: or areas, and gMng 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 issue a Building Permit to the applicant. Such permi shall be kept on the premises available for inspection throughout the work. e. No buikiing shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc~ 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o 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 regrfl*~'tions, and t( admit authorized inspectors on premises and in buildings for necessary i,n, sp%ctions. , . .-7 ~, , .. ....... .. ture of applicant, or name, if a corporation) ,, ............ .... ,,¢ ............. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde: of premises ..~'./.L:.'~./(.c,'%Z'..c~. ):. '/~2~:-~:(as ..... on the~(tax roll ~-or ....... latest ~;d~) ........................ Name owner If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ..................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be doj2~-r~..-~:..'~..'~.'~.d.~'.~. .~.x~.- .......................... llouse Number Street Hamlet County Tax Map No. 1000 Section .... /~.. (: ........ Block ....................... d7 ''~J~ Lot Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~"T...~ddd~ ..................................... · . b. Intended use and occupancy ./.d,dv'~wf-.~4~/Z..' .'~-~.: .~. · '.~..' · ,~,...~ · · .~(~.. ............ 3. "L".',. _~-: :hock which avplicable):, ......... New Building .... Addition-. Alteration .:L .......... ?,emova! ............. -'::::' ',it!c:', .......... ' '. - '" ~ .......... 4. E,,ima,edCost ........ ............ Fee ... ........................ (to be paid on *21lng this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars .... ,._~. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ..... ~.~. ..... Rear .... ~i?.~ ....... Deptl~.J.'~. ............ Height ...... ¢ ........ Number of S~ories ........... 9. Sizeoflot:l~$fiYff.. f.'~.~.. Rear ~2>~ .......... ~;~_~ff2"))~,.'/f~;'_,)~ ...... I O. Date of Purchase ... 77~/?..~. ................. Name of Former Owner ,,:¢.~/,Y~9~.~. ?, .f,;6 ~x:,~ · . . r .... ~, ~_ ' ' ' 'y_? ' ' '_) ......... I1. Zone or use d~stnct in which premises are s~tuated....~/~¢~. ~. ............ .2'./.~ f .~.: .~ f..~.~f( ............ 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes .._- No 14. NameofOwnerofpremises/.~.4~/q?f¢.~- /~X;~c/~ddress/~.v~(~<~A.~.~/~e- PhoneN~, ~/~d~ Nme of Architect ~4:~(X~ ' . ~c~' '- ..... Address ~/(,¢¢~2' ~;~" Phone N~'~ ~;~'~ ' ' ' . (/ ~ /~ ~ ~ ......... ~ ...... ~,~ ........ N~e of Contractor ~Zd~,~. ~+: ,5 Address/~y~t.~ Phone No:*--* ~ ~- / .............. ,,~ ' '~ ......7~ )U' ~ ...... PLOT DIAG ~M 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. STATE OF NEW YORK // COUN c :20 ' ' S.S /z4~/,/.?,¢/' ~/--'fCl ..¢ , ~Y OF..-g~.~ tt ~..~. >,~ ~,~ ,, --/- . .. -.. · .. ...................... being duly .sworn, deposes and says that he is the applicant - t~am4 of ~nd~vldual s~gning contract) above named. / He 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 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 in the application filed therewith. Sworn to before me this ~ ~. O~ .day of.... Notary Public, .~.,..d.~f'~ ;g-: .~//-~X,~/.~ff~:.~...'. Coumy ~, ~ . .I'101^Ry PUSl. l¢, Stat~ of N~v Yogi' No. 52-452.771 · :."l~...~(".~.-~ ...... qualified in Suffolk C0urdy (Signature of applicant) llomraJssion Expires March 30. 198~2-/' ~ -- SUOOI¥1$1ON- ~.~IL~ NO. ,J :OL.INT~ DI~PAi~]'M~41 OF HEALTH SURVEY FOR ANTHONY DRIS & HELEN DRI$ AT MATTITUCK 'TOWN OF $OUTHO. LD SUFFOLK COUNTY, NEW YORK DATE: dULY SCALE: I":ZO0' NO. 82-399 ~ . EX~ TI~N ['HSPECTION REQUIRED ANTHONY DRIS ANTHONY DRIS ~ HELEN ORIS YOUNG ~YOUNG ~.A~ S. 88o47'E S~AN£Ey RO~D Subdivision- "Sunset Knolls ", Suf£ Co. FlTe NO. 5023 S 85 °$9 'E. ~06,40' AREA=IZ407 ACRES PZ4.Eg' SURVEY FOR ANTHONY DRIS ~ HELEN DRIS AT MATTITUCK TOWN OF SOUTNOLD SUFFOLK COUNTY, NEW YORK SCALE' I% I00' 'dULY 19, 198P ROAD Subdivision- "6'unset Knolls , Surf. Co, Pile No. 5035 ~ S. 88 °47 '~ ~ 06.40' ~ 05 °39'E. 44~.40' AtgEA = IP407 ACHES NOTE, SURVEY FOR ANTHONY DHIS ~ HELEN DHIS AT MATT/TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY. NEW YORK /m~m SCALE, ~00 J0SEPH AAIE,R_ 'JV,.' A, I .'A . R. E 196 East Main Street, Huntington,,'' N.Y._ 11743 'o FiA3-2556 ARCHITS� CT � + E_ 6� GIG� E ER ^ENERGY CONSERVATION DATA, - Project:, Dr,is Residence ., Breakwater Road ' Mattituck, NY Building envelope-requirement data under-Section E-402 of the Energy: , ' Conservation Code. 'A _ 8931 Q A—, - 3114 U>> ' .05 A f = = 2689 U _ = .•Q5 A _ 506 : U = .69 g A = 2872 U = .05 " rl 69 r2 r2 Equation,4-1 (E402.3) Uou _(2538 x '" .05) -+ (2872 x , ( •.05)'' +, (76 x .69) + (506 x .69) + 2869 x v05) +(7O x .4)- -8931 - - .. _' , ..• '_ _ _- _ , U ` = 844 = :09 _ (Suffolk' U` allowable',_ .22) : 8931 ' Percentage 'of A to A =' ' 506 = :160• (24%, allowed) g w 8931 = _ G`s-�ERED qac ` MA�FR ' . • •-• :_ `�%- /; No:��9,109 is , ` E sTjUE o r ` + ! ult� 19 0 tT 5f '{tRp��slf�lQ4�WJ7 '® vD AS NOTED DATE P/ B.P. # "> FEE: RT�MENT AT `! --::. '«�� LI��.. _ NOTIFY lJ{L. ING DEPA �• �� TO 4 PM FOR THE ,+ 76:5-180?. 9 AM R j r FOLL( I !C!�ECT ' REQ { �N TWO ri 1. FOUL!.. ATI, FOR n CONCRETE FRAMING & PLUMBING i 1 ! 4 9 s 1 -�tl 2. P.GU�H - , - ' 3• IhIFULA, 1n 1^CTp.IJCTIr?N MUST 4.. FINE - Ci-��art ATF. FOR C. O. t BE �� 1CTION SHALL hREET i CONST. , ,,. THE 1F-,NTS OF THE N.Y- i ;. I Rr- N$U�. 4 I t RECONSTRUCTION & ENE, r ,.,""ter I ► STAT C RESPONSIBLE FnR CI I I CODES. r ' =�{ � s^" t` t a NOT P } $ ' DESIGN OR CONSTRUCTION ERRORS. 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E. ell 196 [_ast Win Street, Nu e'imq'on, N.Y. 11743 - 423-2555 ARCI► ITEC T a ENGINEER ; •fie e..T" �`�! � 4v R 4, RouGH ' :1 -/ 't FL_' O0 ~---- ] BE CO ~t_L 'fHE VE~ AS NOTED~ ~.,~ ~NG ~ AM TO 4 PM FOR THE INSPECTIONS: - -ION - TWO REQUIRED RE{) 'coNCRETE FRAMING & pLUM01NG 0 BURTON AND HAND :~ 5NGINEERS · ARCHITECTS -' ': SURV~YORS..o,.o~,e~, Hom~- :~m.:mPATGH~1144 MEDFO~o~T/O ~N'y'AVE'11772 / 0 f~ ~F__. C.T I O k.J BURTON AND HAND ENGINEER~ ° ARCHITECTS ' SURVEYORS 144 MEDFORD AVE, PATGHOGUE, iq.Y, 11772 LEFT BURTON ANO, HAND ' ENGINEERS · ARCHITECTS ' SURVEYORS 144 MEDFO~ AVE. , PATGHOG~,, N.Y* 11772 J BURTON AND HAND ENGINEERS · ARCHITECTS · SURVEYORS 144 MEDFORD AVE. PATCHOGUE, N.Y) 11772