Loading...
HomeMy WebLinkAbout10431-z TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17646 Date DECEMBER 29~ 1988 THIS CERTIFIES that the building Location of Property 585 INLET VIEW EAST House No. County Tax Map No. 1000 Section ~00 ONE FAMILY DWELLING MATTITUCK~ NEW YORK Hamlet Street Block 3 Lot 10.9 Subdivision INLET EAST ESTS. Filed Map No. 6249 Lot No. 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 1979 . pursuant to which Building Permit No. 10431-Z dated OCTOBER 5~ 1979 was issued, and conforms to all of the requiremen'ts of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE The certificate is issued to EAi{L D. BROCK (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 9-SO-92- FEB. 20~ 1980 UNDERWRITERS CERTIFICATE NO. N468467 - FEBRUARY 21~ 1980 PLUMBERS CERTIFICATION DATED N/A ~~ ~Bu~lng Inspector Rev. 1/81 FORi~I NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE, SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10431 Z Permission is hereby granted to:~.~_. ........ .~..~/..~./~././.~,~.,~.. ................. .... /..~.ZT~.~,~...~../.-.. ........................... ,o ...... .C.a.~..~.~z~c~.......o.~..,~....~..,~,~,,~.~,....,.,-~.~zz,.~- ~/ ................................... .............. ~, ....... ~'~Y~ .,z.~,....~ ~o.~.~. .................................................................................. ,-~...~..~.~.. - ~../~ at premises located a ...... /./[_~./',~.Z.].,/./.~"'/,~...,,~./.J~... ........ ,~v,.~,//./.'/.Z,~/,,~ .... ..c~.~.~.~......~.~.~.....~..~z.~.z~ ...................................... ZO../ ....... .~....~.. ....................... pursuant to application dated ..... ~ ....... /.~. ................... , 197..,.~.., and approved by the Building Inspector. Fee $/./...k.~.. ............. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted i ~ 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 topographm features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal}. 3.Approva{ of electmcal 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 Enqmeer responsible for the building. 5.Submit Planning Board approval of completed step an rbquiremer~ts where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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- lion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.(10, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ IOO.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land c.g. $ 20.00 5.Updated c.g. $ 50.00 Date .... :.".~..~. ............. NewCons truc lion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ;;f ~.-¢., .-~. ,ill J.~.'{., ?. ,l~,,, ;..~ .~..~. j',~ .{~. (~.~ .,. , ./../~T~.~.. House No. Street '/' Owner or Owners of Pro eft ~,~ [~')~-~ ~J~-I ~) P Y /~ ....................... · .......... -.~..- ............... __. '2- '[ County Tax Map No. 1000 Section .... ./.~.7r, ....... Block ... ~ LOt..~. ....... Subdiwsion .................. . ............ ~- eo ~wap ~o ........... Lot No .............. PermtNo/OZ/'~/z Date of Permit/?,: ~, .~. ........... -, , .Applicant ..........................., Health Dept. Approval 9-~'~ O~ ~, .Labor Dept Approval ...... Underwriters Approval .............. /. ann r rova ...... ........ PI lng Boa d App I ................ Request for Temporary Certifi~l~e ..................... Final Certificate Fee Sabra tted $ ~i~.,O0 ~.~. Construction on above described build,ng an~rm,t m~ll app~able/~e_gulations. ..... .......... Rev. 10-10-78 TOWN $OUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTIIOLD, 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. An application for Certificate of Occupancy is not on file. ~ /5/ No Underwriters Certificate on file. /5/ The check is(outdated/nob b~ file.) /~/ No tlealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # / ~ ~ J. ~_ Z Building Dept. ***/--~//N~_ Plumber So~der Cert~f~0 on ~ile. ( all permits involving plumbing being issued after April 1,1984 ) FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. 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 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 or land use 3. Copy of certificate of occupancy $ 1.00 $5.00 Date ....... ~../,..~. ~ . . .'T.. ..... New Building .. ~..~. ~.. Old or Pre-existing Building ...... Vacant Land Location of Property..-,~..-~.. :?.-.. ?./~'./~?.C.. ,~..~..-? .... .~.~..-~. ?...- ....... . .~,../~. ~ ~ .~'~ .~.. House No. Street Ham/et Owner or Owners of Property ................................ ~. .......................... County Tax Map No. 1000 Section . .~. ?..-. ~.¢......,~.~lock ............... Lot..-¢~....~. ,' ....... Subdivision ................................. Map No ........... Lot No .............. '~'/~ ' /.~/~.~.~.?~.Applicant ..... .~./~'~.. ~ ,~.,/~,....~ Permit No./.~.z~.~.~.'.~. Date of Permit . . Health Dept.~, ,,~.. ~,, ....... ~'O ~,~,Labor Dept. Approval ........................ Underwriters Approval ....~. .............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted Construction on above described building and permit meets all applicable codes~-r~gulations. Applicant .~ .... ~' :.~~--~¢ ....... .~.~/~,~__~,~) / TOWN OF SOUT OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL $OUTtlOLD, 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. ? An application for Certificate of Occupancy is not on file. ~~t /5/ NO Underwriters Certificate on file. /5/ Tile check is(outdated/not...6,~il~.) /~/ No tIealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Build[ng Permit # / ~---- A--~ -~ I Z Building Dept. ***/--//No_ Plumber' Solder Ce~t~'f~'c~t~6n' " ~· ~·~ "~f~le. / '~ ~'~ ( all permits involving plumbing being issued after April 1,1984 ) 7GS-'"802 BUILDING DEPT~ IHSPE~'rlOH ', [ ] FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION F~MING [~q~INAL INSPECTOR DATE ///,/~/~/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST RouGH PLBG. FOUNDATION ZND [_~]/INSULATi FRAMING ION DATE: INSPECTO ' ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRIOITY~ 8.5 JOHN STREET, NEW YORK, NEW Y~C)RK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant Aan~d on the above application ~umber in the premises of was .xa,nlned on ! 'Ob~.,~,~' }.g t ].9'~ and found to be in complia,i, ce with the }gquirements of this Boara. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE DRYERS SYSTEMS NO OF FEET OTHER APPARAT S: ~ ~ R NO OF CC COND A W O pER ~' OF CC CO~4D 2/0 C E AWG OF NEUTRAL !l ' , , "~ ¥ ( ' ; ~ GJg RA~MANAGER lh~s certdlcole must not be oltered m uny Nonner, return to the offke of the Boord if ln~o~rect, Inspectors moy be idenhfied by~he~r credenfiols. t Memorandum from BUILDING INSPECTORS OFFICE TOWN OF $OIJTI-IOLD Town H^L]~, SO~J~'nOLD, N. Y. 11971 765-1802 765-1~02 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: ,,' // Memorandum fr~om ~... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION :)ND [ ] INSULATION [/FRAMING '~/~"- [ ] FINAL REMARKS.,~.,~.av,,,,~//- 1 X ~v .~/~ ~/'~'-,~" DATE / ~ ~- ~ ~ ...~I~SP~OR FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy ? oo Fe~..r34a.r3r .~9 .... ~ ......... , No .... .. 9. ??.~. ........ Date ............. 19 THIS CERTIFIES that the building ................................................ 585 Inletview East Mattituck, N.Y. Location of Property ............................................................... House No. Street Ham/et County Tax Map No. 1000 Section .... .'I.0.0. .... Block .... .~ .......... Lot ...... .1.0.: ~ ...... Subdivision...!.n. ~: ?.~..E..8.8~ .~ .s ~.a..-~. .e .~ ....... Filed Map No ......... Lot No .... .9. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ... ~¢.e~. ?.m.~.c! .r'...'1.~...., 19 7.9. pursuant to which Building Permit No .... .~9)5~. ? ........... dated . .0. 9.~.°.B?..~..9. ............... 19 79., 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 ......... .................. qn. :e. ?.a.m..~.~y..~..~.e.~.~.~..ng ........................................ The certificate is issued to ..... .E.a?.2~. ~rl.~ ,DO~'.o.'l;hy. ~x:Ogk ............................ (owner, of the aforesaid building. Suffolk County Department of Health Approval .. 9.-.S..0.-9.2. 2/2/$0 . ...R.....~ ~..V..'~],',I.s .... UNDERWRITERS CERTIFICATE NO .......... R .468~.6.? .............................. Rev 4~79 Building Inspector FORM NO. 1 TOWN OF SOUTHOED BUILDING DEPARTMENT TOt~IN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined(~--,...~,--. ..... , 1977 Approve :)CT... ..... Permit No..10..¢. 2./. r nisapproYed a/c ..... ........ 7 .......... :7 ........ '] APPLICATION FOR BUILDING PERMIT Application No/.O.. ~..~..d ......... INSTRUCTIONS a. This application must be cOmpletely filled in by typewriter or in ink and submitted in triplicate 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 th~s 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 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 or Regulations, for the constructmn of buildings, additions or alterations, ~for rernov:al or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bhilding code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for neces~ ~z;//a~,ot.) ~fn~ur':;f' ~plicant, ~ name, if a co p 'atily~) ........ (Mailing address of applicant) //.~, e,~ State whether applicant is owner, lessee,, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................... :' '.:.5 >.-2. 222552222Z 522 25225222 Name of owner of premises ..... (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...~..~.~..~...ff..~...~. ...... Plumber's License No ......................... Electrician's License No...~..~.'..~-~7..'~. · ....... Other Trade's License No ...................... . >~./~..~.7~ 1. Location of land on which proposed workwill bedone... ~...'~.~.d~.-~..~/.d~/-~. ..................... House Number Street . .~..~..~'..~1.. ~k~l~t County Tax Map No. 1000 Section ........ Block .................. Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... ' (Name) 2. State existing use and occupancy of premises an~~ and occupancy of proposed construction: a. Existing use and occupancy ~/ ~~ b. Intended use and occupancy .......... ~ ............................................... 10. 11. 12. Nature of work (check which applicable): New Building .......... Addition .......... Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... --~.~.e~" .~.y ' ~;~ (Description) Estimated Cost ~>0 Fee .~.'tt~..~ ............................ : . (to be paid on filing this application) ' ' t/ N If dwelling, number of dwelling Unido .............. umber of dwelling units on each floor ................ If garage, number of cars ..... ~.. or~ .................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ....................................................... Dimensions of same structure wi!h alterations or additions: Front ................. Rear ................. Depth , .................... :.. Height ........ ~-J~'t2z · .e. ...... Numb~o~t~t,,ories ......... ~ .~. ....... Dimensions of entire new constrUctio;: [~rOi~t .... 4~j~ ....... Rear ...... .~. ....... Depth . .~.. ~.._ ....... Height .............. ,.~ber o S o ' s ..... ~ ' ',~"~'~' ' >'~ .............. '~' f'~7 '?~ '2 ...... Size of lot: Front ..... ~.O.~,c~.~ ...... ~. ~, Rear .... ./.~. ?. ~. ~...~. ..... Depth ...c~...~.r. ~'..~..,~.. Date of Purchase .~..~.~ .~.~. ffi~.'.'f'.~'. ........ Name of Former Owner ....................... Zone or use district in which premises are situated ......................... ~')~7 ...................... Does proposed construction v~,ola.t~,a, ny zoning law, ordinance or regulation: ....".~. ~Y. ....................... Will lot be regraded ...... ,J~,~q.~ ,~ .,,,~ ....... Will exc~s O1Lbe rer~o, ved from premises: ,~_ ~Ye_s~'~ No~ Name Of Owner of pre.,n~' es ..~.'I..,/?..~-..~..t~..2[ ..... Address,,d~._~..~.,~.f.~.... ~.Phone No.~.. ~. ' .~...~ Name of Architect . ~.'~,~. ~r~..~.~._.~ ~.. ....... Address' No..., ._.. Name of Contractor . ~1%. Z~..'~..Z~. · .0. · .~. · .t~. · .... Address. 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. STATE OF NEW YORK, i~ ......... being duly sworn, deposes and says that he is the applicant 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 manne~ set forth in the application filed therewith. Sworn to before me this ....... day o;.. . 19. No. 52-4'S22026 - (Signature of applicant) FOR APPROVAL OF CONSTRUCTION OI APPROVED_ L. Of z ~- ' ~ N 79 ',,~ ct ' ~"~77 AreO= 40,061 sq ft. Area .~ Re~re0ti°n [M.,~P F/LED IN THE OFF/CE ¥ OF SUFFOLK COU~VTY ON ~S FILE NO 2 DI~/£L£1NGS Y/ITHIIV I00' Ft~TY OTHEI~ THAN THOSE fE - PP, IVAT£ WELl '?g SEP 18' Pti TITLE NO. 78-0800748 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINED [~ROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY APPROVED. NO TE · ~ MONUMENT SUBDIWSION MAP FILED IN ~HE OFFICE OF.THE CLERK OF'SUFFOLK C~UNTY ON MA ~ I~ 1975 AS PI~ NO. 6249 THEHK ABE NO DWE~UN6~ ~ITHIN I00' OF ?HIB PHOPER~Y OTHER THAN THOSE SHOWN HEREON WATER BKHVIGE - P~IVATE WEL& iSION$ '$0,1978 YOUNG & YO 400 OSTRANDER AVENUE, RIVE kLDEN W YOUNG ~;URVEy FOR: EARL BROCK NO. 9 ~ INLET EAST ESTATES" MA TTI TUCK ~ ~'SOUTHOLD SUFFO[-~ CO., N. ¥. "= 50' J Lot 2. Lot GUARANTEED TO CHICAGO TITLE INSURANCE CO. ~CALE DATE J*~N./2~, /,~,~LNO LOt ~ TITLE NO. 78-0800748 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WiLL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES APPLICANT: ..... ~ .......... ADDRESS TEL 311.~ Lot 2 FtecrOOtt°n Lol 9 Areo= 40,061 SCl'fl' LOt I NO rE SUBDIVISION MAP F/LED/IV ~HE OFF/CE OF THE CLERK OF SUFFOLK ~OUNTY ~AY I, 197~ ASFI~NO THERE ARE NO DWELLINGS WITHIN I00' OF rills PROPERTY OTHER THAN THOSE WATWR SERVICE - PRIVATE WELL SUFFOLK COUNTY DISr ~00~.. SEC~ mo BLOCK ~'. LOr ~0.~ J ~E8.~'21, 1980 400 OSTRANDER AVENUE, RJli~tEqA[ iALDEN W, YOUNG SURVEY FOR: ~ EARL BROCK · LOT IVO. 9 # IIVLET EAST ESTATES. GUARANTEED FO. AT I~ATTITUCK cH/cAao TITLE INSURANCE CO TOWn of SOUTHOLD KEf B~VK