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Home My WebLink About10098-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z 16920 May 26, 1988 Date ................................ THIS CERTIFIES that the building ....... a.c.c.e.s.s.o.r.y. ................................ Location of Pro err 1035 Theresa Drive Mattituck P Y h~Js'o)fo] ............... 's't/e~i ....................... h~ier County Tax Map No. 1000 Section 115 ·Block 15 .Lot 10 Subdivision...D.e.e.p..H. 91. e' .C.r.~e.k..E.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 ·.. p.e .ce..re.be..r..2..0,. ! .9.7.8. pursuant to which Building Permit No. 10098z dated ..... .a .a .n .u .a .r ~, . .1 .2 ~. ! .9.7.9 ....... was issued, and conforms to all of the requirements of tile applicable provisions of the law. The occupancy for which tiffs certificate is issued is ......... ~tDcessory greenhou,se structure. }/ILLIA~ T. & aOAlt' D. FERRIS The certificate is issued to ..................... [o~n~,~~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ............. N[A .. UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A Building 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 BI? KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N.o 10098 Z Permission is hereby granted to: ........... ....... ~..0.:.: ...... L~..~. ...... .7.J..7.. .................... ........ ....Z~..,~.~.z.--6.c.Z~.....-:.z~...... ~.: ............ ,o..(2~.,~..~.~.o...c.~...~...<..c.~...~.~.~7,......~z',~.,~z~..~..o..~ ................. ......... ~..~..~.o.C.T..~.~C:~-.~......Z ..................................................................................................... at premises located at ...~...../...~..~,.~. ...... ~.,~..~'x~-.~.~......,~-~/~/.~.: .................................... ................................................................................... Z~.~.~.,...c~...-.......~...:.~: .................. pursuant to c~pplicotion doted~.~.~.~.~.~.........~....~......., 19 ........ and approved by the Building Inspector. Fee FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY uuL__ _ BLDG. TOWN OF SOUT~OLD Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ 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 buildiogs, Industrial buildings, Multiple Residences and similar buildings and instalta- dons, 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. 8. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-exi~ing" land uses: 1. Accurate survey of p~-'operty 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 inspectioo of buildings or premises, or other pentinent informa- tion required to prepare a certificate. C. Fees: &dditions $25.00 PO0~.;S ~25.0,.0, 1. Certificate of occupancy New Dwelling $25.00, ~Accessory ,$]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.Va. cant La. nd C.O. $ 20.00 lll 5.UpdaLed C.O. $ 50.00 Date ~..~.~.~.~'~..1~. ......... NeW C on a f. p u c f. ~ on ...... Old or Pre-ex isting Building ............ vacaot Land ............. Locat,on of property ln .4 . . . ."hr./. .,. . .................... Street House No. Nam/et Owner or Owners of Property ~. {.'L.~./.~'~ . . .e~ .~...~.. ~-~.'~ . .~., .~/.~./~q~.d.~.. County Tax Map No. 1000Section ..//..~.. ....... Block .I.'~.. ......... Lot../P ........... No. .... Lot ........ Permit No./.O~..~. ~".Z. Date of Permit ~ .,~.J~. ~.Applicant ~)/.~.~,?,,'¢~'~. ~..,..~...'~-. Z~'~/C.f~.. './/~.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ................. Reques~ for Temporary Certificate ..................... Final Certificate ....................... FeeSubmitteO$. ~D.,~.. ~/x~C~(~g3~ Construction on above described building and p~err0,it meets ,~lljapplicable codes and regulations. /., ...... .~ z~ppllcam: /.A..~,4../..~r. "z4'/o.?../:(~q-.r./A%-~ .............................. Re'.'. 10.10-?a TOWN OF SOUTHOLD OFFICE OF BUILDI]NG INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 Mr. William T. Ferris III P.O. Box 737, Mattituck, New York 11952 TEL. 765-1802 August 11, 1980 Dear Mr. Ferris : This is to advise you that the job un~er Building Permit No. . 10098 Z issued to _William T, Ferris III on . .T~,~r]r 1~ 19.79 for Accessory Greenhouse appears to be cdmpleted o£ our last inspection. Before you can legally use or occupy this structure a Certi£icate of Occupancy must be issued. Please £ill out the enclosed form and return same to the above office. There is a fee of ~00 for a Certificate of Occupancy Thank you for your prompt attention. Very truly yours, GEORGE H. FISHER Sr. Building Inspector encl. APPLICATION FOR BUILDING PFRMIT Date ..Zte~.amb.a~:...2.fl~,..19.?.~ ...... , 19 ............ INSTRUCTIONS a. This application must be completely filled in by typewriter ac in ink and submitted in triplicate to the Building ' Inspector, with 3 sets al: 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 areas, and giving a detailed description of layout ofproperty must be drawn an the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upo~n c~pproval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit - shall be k~pt on the premises available for inspection throughout the work· e. No building shall be occupied or used in Whole or in p~rt' for any purpose whatever until o 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 Ragu orions, far the construction of buildings, additions or alterations, ar for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and ragu arians, and to admit authorized inspectors on premises and in buildings for necessary inspections. ...... ................ (Signature of applicant, o~f~ome, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde~ Owne~ Name of owner af premises ...W..i.Z~..~,~R..%,...~lZCt..~T.O.P,D...~......F.~.~.~J.~ .............................................................................. If applicant is a corporate, signature of duly authorized o~fice~. ' (Name and title of corporate officer) Builder's License No ................................... Plumber's License Na ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... Location of land on which proposed work will be done. Map N~.: .4...2..5..6. ............................... Lot No....3.] .................. · Mattituck Street and Number ..1.~35...Tker~sa...Dra~e ~r~ Municipality qtote existing use and occupancy~f~_ and i~.~fnded~,cSupancy o/t~/'oposed con,ruction: bl ntended uso and accupanc ................................................ 3. Nature of w. ork (check which applicable): New ~ulldlrlg ...:.%*: ........... ,~.r.~tqo,q .................. t~lc~rc~lon ................. Repair .................. Removal ..................Demolition .................... Other Work ............ .: ......................................... (Description) 4. Est n oted Cast ................... :. Fee ......................................................................................... (to be paid on filing 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 ar mixed occupancy, speofy rmture and extent of each type of use ........................... 7~ [)imer, sians oF existing structures, if cmy: 'Front .~.~..~.:~. .................. Rear ~..9.,.3.~. .................... :. Depth 2.5.~.3.'. .......... Height ........................ Nurnber of Stories ...O. ne ........... Dimensions of some structure with alterations or additions: Front .................................... Rear ........................... IDepth ............................... Height ........................... Number o~ Stories ................................ ' " ~e ~ 8'8" 8. r)imensiens oF entire new construction: Front 6 ..~ .................... ,q.~ar 6.'_8.'.] ................... Depth ....................... He'gnt...:..7'8n Number of Stories One ............................................... 9. Size of: ]at': Front 1 0 00 ............ Rear ..~..0.,.f).0 ........................... Depth .182.,.0.~}.'. ............... ~ June 22, 1978 10. [)ate ot: Purchase ........................................................ marne of Former C~vner ..~..~.~.c.,e.,s,,.~.9..s..e....~,°..m,.e..s.;.....I.~.c.. 11. Zone or use district in which premises are situated ..... ~,f~,s. id.e,~.t.iaJ_ ..................................................................... 12. r)oes proposed construction violate any zoning law, ordinance or reguJatiord .... ~.O .............................................. 13. Will lot be regroded .,~.~ ....................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Nc~me oF Owner of premises ~f.:~].l.~,&m...&..J. oa~.-F~.~,&.s... Address~.he.~ee~,.i}~.~,~e.... Phone No. Nome af Architect4,.A,-.,~.C~¢,;~.:k~g..,q¢-,...%~¢~ .................. AddressLat.~,el.,,..Y~i .......... Phone No. 5700 N~me of Controctor ............................................................ Address ................................ Phone No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oll set-back dimensions fron property lines. Give street ~nd b ack number or descrioJ'Jon according to deed, and show street names and indJcob whether interior or corner lot. STATE OF NE~¥ 'f~RI~,/) . ¢ I,o ~ S CF ¢~~~ ................................ bemg duly sworn, deposes and soys that he is the ~ . (Nome of individual signing contract) ~bove ~*~med. ~e is the .... ~ .................. ~ ................ ~'"~'~¢"~;~'~'~i~;'['~"~ .............. : .............................................. (Contractor, ag , p ~ · o¢ sold ~wner or owners, and is duly ~uthorized ~o oerEorm or have performed thC said work and to ~ke and this appllcaticn; that all stctements contained in t~isapp ~-'*~h~n'" are true to the best of his knowledge end belief; tha~ the work will be per'or,ed in the manner set fo~h in the application filed therewith. Sworn to befr~ me this /I I / ~ ........ .......... ...... .............. Lo/ /V 8Z°/,9'20 ~ I('M~. O0 ' % % '-J ~ 182 O0 ' Oir ?'ktE CZ EH/( OF ,¢ZlFF"OLK COUNI~ Y ON ,//I/~L 28/ t~q6 ~ ~35' ~-'/1 F NO. 425& YOUNG & YOUNG ,ioO O~IRAND[R AV[NUF, RIVERH[AD, NEW YORK BEN MENDOZZA ID'T 37 "DEEP HOLE CREEK ESTATES" ~' '~'ATTI Tug K J AMERIOAN TITLE INSURANCE CO. T'~:,W~"~ ............... / 50uTHo~ ~VINGS BANK SOUTHOLD I ~ / ' - = ' CT. 10,1975ti ~.7~:702' A-3