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