HomeMy WebLinkAbout11501-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..g.l. 1 .1.1.6. ......... Date ..... ~,u. gpA~. 5 ................... 198.2..
THIS CERTIFIES that the building ................................................
Location of Property 580 Sunse~ Dr~ve . Mattituck
h3~s'o 'dd ....................... 's'tlebi ......................
County Tax Map No. 1000 Section .. 1.0.6 ....... Block ... 0.8 .......... Lot ....0 ~5 ...........
Subdivision..S.u..n.a?.g...K.n.ql:..1.~.,..8. o..c.g....2....Filed Map No..5.4..4.8...Lot No...5.2. .........
conforms substantially to the Application for Building Permit heretofore fried in this office dated
· p.o.qa.m..b.o.e..2. ........,19.8. l pursuant to which Building Permit No... J .1.5.0. .~..g. ..........
dated ....D.e.~ 0~.0.e.~.. ~ ............. 19.8.1., 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 .........
a private one-family dwelling.
The certificate is issued to ... ~.p.u.~.~...&..~q~..o..~m.p?p.~.o. ................................
(owner, I~e~.
of the aforesaid building.
Suffolk County Department of Health Approval .1.1. -. .S 9.-.1. ~. .8 j..8./..3/.8fi. ,..R.o.b.t. :. ?.:. y.~.l. 1..as. P.E.
UNDERWRITERS CERTIFICATE NO ........ .lq.. 5..6 7P.q ? ................................
Building Inspector
Rev. 1/81
TOWN
BUILDING
Town HALL
SOUTH'OLD, N~. Y.
PERMIT MUST BE KEPT ON; T~HE PREMISES UNTIL ~ULL
(THIS
COMPLETION OF THE WORK AUThORiZED) ;;
N9 115ol Z
Permissior
tO¸
s hereby granted to:
/~.× ~...,: 7..,. ~
Date ,.. .....~ .~... ....... , 19~..~.
at premise~ located at ...... .',~.'.~.¢~.~...:
Cou0ty Ta~ Map No. 1000 Section ....... ;...;.
puvshant ~o application dated ..~ ............
Bujl ~ding I~spector.
Fee ~.X.../.L:.:,.:: ......
and ~pproved by the
FORM NO. 6
TOWN OF $OUTHOLD
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 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. Comtnercial 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 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
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5,00
Date ..... A,~c~,u,s,t., ,3.,, ,1. ,9,8,~, ....
New Building .X.X. .......... Old or Pre-existing Building ............ Vacant Land .............
580 Sunset Drive~ .H.a.t..t.i.t.u.c.k. N.Y.
Location of Property ........................ ; ..............................
House No, Street Ham/et
Lou~.s & Rose Amoroso
Owner or Owners of Property ............................................................
County Tax Map No. 1000 Section 1000-1,O5'O8~3~1ock Lot 5:2
Subdivision.. St,.nseC;. ~o1'1 s ·. Se.c:, #2 ...... Filed Map No. ~54~ .... Lot No ..... ~,~2 .......
PermitNo. llSO1Z Date of Permit l2/.8/81 Applicant~nland Homes Inc.
Health Dept. Approval 8/3/82 ...... Labor Dept. Approval
Underwriters Approval ...~5~?.0,Q7. ............. Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .... ¥.e.s. ...............
Fee Submitted $..5. ? .O.0. ......................
Construction on above described buildin~e~t%s all a~l~plica~bl~
' ~-~-~ ''''.~ Applicant ~~_._;~_..~..'. ....
,
VICTOR LESSARD
EXECUTIYE ADMINISTRATOR
(516) 765-1802
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 15, 1991
TO WHOM IT MAY CONCERN
SUFFOLK COUNTY TAX MAP #106-08-35
580 SUNSET DRIVE, MATTITUCK, N.Y.
In a review of the house plans submitted for B.P.~ii501Z
there is a chimney shown with one flue for the boiler of
the heating system.
VGL:hkd
Victor G. Lessard
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~-~k 8E JOHN STREET, NEW YORK, NEW YORK 1003~
~a,e Zane ~, :~m2 ~pplicatio. No, o. Sile ZeTm. O-Sa N 567007
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the abo~e application number in the premises of
Inland Homes~aisY Road~ Stanley Ro~d, Sunset Drive, Mat~ituok~ N.Y.
in the following location; ~ Basement
w.sexamia~do. Jt~e 21, 1982
FIXTURE
OUTLETS ~ECEPTACLES SWITCHES
[] 1st FI.
FIXTURES
FLUORESCENT
[] 2nd FI. Section Block Lot
and found to be in compliance with the r~quirements of this Board.
RANGES : OVENS DISH WASHERS EXHAUST FANS
OTHE A A T ·
l~noke DeteCtor
E R V I C
RC%. W g, I NO OF Hi. LEG A W. G~
NO O1~E COND- OF/'~C, COND' OF HI-LEG
:1./O
NO. OF NEUTRALS
A. WG
OF NEUTRAL
GENEE~L MANAGER/ ~1,
' Per : "),: /t _
I~j~ This certificate must not be altered n any manner~ return to the office of the Board ~f tgcc~r, rect Inspectors may be idenhfied' b ~mr credenhaJs
. .. ,, . . .
~ANNER.
FIELD ~NSP~TION
· FOUNDATION (~st)
FOUNDATION (2nd)
COMMENTS
, ,~, ~
2o
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
~ODE
FINAL
ADDITIONAL
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Approved~'.C..4. ....... , 19~. (. Pemfit No../../.~.'--.(?./..'~.
(Bmld~no Inspector)
APPLICATION FOR BUILDING PERMIT
Application No ..............
DateDecember 2 198. i`
INST RUCTIONS
a. This application mnst be completely filled iu by typewriter or ih ink' and submitted in triplicate to the Buildi
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee acco~:ding 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 on the diagram which is part of this ap[
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon apprc.'al of this application, the Building Inspector will issue 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 IS HEREBY 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
Regulations, for the construction of bnildings, 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 HCIMES, INC.
(Signature of applicant, or name, if a corporation)
Box 117, .Mattit.uck, N. Y. 119.52
(Mailing address of al~plicant)
State whether applicant is o~vner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build,
General Contractor
Nme of owner of prcmiscs L..o.u.~?.. 9..R.o.s..e../~..o.r..o.~.o. ................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly anthorized officer.
Robert E. Hiltz~ Pres.
(Name and title of corporate officer)
Builder's License No ..........................
517-P
Plmnber's License No .........................
21~8-E
Electrician's License No .......................
Other Trade's License No ......................
1. Location ofland on which proposed work will be done. . . .S.u.n. .s?.~. .Dr?'ve. . .................................L°t #52, Matt±tuck, ~. ¥.
House Number Street Hamlet
County Tax Map No. 1000 Section 106-08-35 Block Lot #52
Subdivision . . Sunse'c Knolls, Sec. 2 Filed Map No. 5448 Lot 52
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... ,/~.,~..~43....~.F....~...~,.~. .............................................
Intended use and occupancy 1-Family dwelling
t Nature of work (check whicl ap~plicable): New lh,ilding Addition Alteration
Repair .............. RemoVal .............. Demolition ............. Other Work ...............
I (Description)
Estimated Cost ........................ Fee .................... -~ ...........
' (to be paid on filing this application)
;. If dwelling, number of dwelling (~nits ............... Nmnber of dwelling units on each floor ................
If garage number of cars '
. ....................
If business, commercml or m~xed occupancy, specify ture and extent of each type of use
t. Dhnensions of existing stmcture~, if any: Front ............... Rear .............. Depth ..............
Height Nmnlber of Stories
Dimensions of same structure wfth alterations or additions: Front ................. Rear .................
Depth ' tteight Number of Stories
~. Dimensions i~entire new constritcfion: Front..7..2 ........... Rear...7.2 ........... Depth ..............
Height ............... Number of Stories .......................................................
,
). Size of.lot: Front 1. J,Q .i. Rear 110 Depth ....
). Date 6f Purchase ........... i .................. Name of Former Owner .............................
I Zone district m wtuch premises are s~tuated
!. Does proposed construction viol~te any zoning law, ordinance or regulation: ...5J9 .......................... * X
i. Wil! lot be regraded . .n.o. ..... : .................. Will excess fill be removed from premises: Yes No
· ,, ou~.s Amoroso 5 Ma in ace 681-4707
L Name of Owner of pre,rosesL ..................... Addres~ .... ~[.1~., ~.~. ...... Phone No ................
Name of Architect ............ ~, ................. Addres"~:'.2 .~ 7.~..~.~...".''. .: ...... t~hone Bio ................
Name of Contractor ......... i ................. Address .......... ~!o..~ .... C~one No. ~! .... ~ .......
PLOT DIAGRAM
Locate clearly and distinctly all! buiktings, whether existing or proposed, and. indicate all set-back dimensions from
roperty lines. Give street and block innmber or description according to deed, and show street names and indicate whether
terior or corner lot.
, :
'rATE OF NEW YORK. l_ _ .~,4/5'ET'
ou Y OF.9t-.. ..... i
........ '(Name of indMduM s'~ning~Ct)
· )dye named.
. being duly sworn, deposes and sayg that he is the applicant
C.ontral c.*or
is the ......................................................................................
(Contractor, agent, corporate officer, etc.)
said owner or owners, rind is du!y authorized to perform or have pe~iformed the said work and to m~e and file fids
)plication; that all statements contained in this application are true to ~he best of his knowledge and belief; and that thc
'ork will be performed in the m~ner set forth h~ the application filed therewith.
worn to before~me this ~ .~~ 1~/
............... day o ........
otary Pub,lie, ................ ~;...~.~.. County
~]~v'~ ~R~ PUBLIC, ~ato of New Yof~ ' '
~ ~ ~ No. 5z-81~o, suffolk Co.~ Robert g. Hiltz ~r of appli ant)
,? f
iII
~rCs ol the Suffdk County Depart.
NiUI~ Pfly
' ~ na ut horized .lt~ .e :'-~--';.~oll to this euww I~ e viola-
' · ~n of section 7209 el ee NewYork
ne person for whom tl~ suwey ia prepared, and on his
SUFFOLK COUNTY DEPARTMENT OF EEALTH SERVICES
~,~ ~,~TRdC ~ ~b~ ONLY
FOR AF~RO'f~L C~,' "~"~ ' ~ ~"'
,r, Mf to the title company, gmm~1~tlental agency and left-
[XBVATI REOUBED
SURVEY FOR
LOUIS 6t ROSE
AT .4,f.4 TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY,
SEPT. ~8,
NOV. 17, 1981
~UNSET KNOLLS~ SECT/ON TWO
FILEO ,dPRIL 9, 197'0 ,dS M,alm NO.
544~
8UARANTEED TO; , . _
USLIF'~ TITLE INSU~NCE COMP'aNY OF' NEW Y~R~. -. '.~
LAND ~USVEYOR ~ x
RIVERHEAD; N.Y.
8 O- 52 - 328 ? 5
The ~ewa~ df. sposnl a~4 ,.~mte~ sup~l~ CH~ ~
facilities for thin loch =ca have been ~~itionmthissu~a~m.
inspected by this dep~a~tment and foun~ .
be
Satl.3fa¢%o fy,
~3h.%ef ~f General En~:in~in~
Services
~ of eec:~o~ 7209 of the New York State Educatimt Law.
COlde~ of ~ eurvly map nm ~aring the lend ~'1
Gu~ ~s indicat~ hereon s~ run~
lending in~itution Guarantees or certifications are not
SUFF CO. TAX NO. IO00-10G-08 -35
ELEV4 T/ONS 4RE REFERENCED TO ~4N 4SS~MED DA Tuff.
SURVEY FOR
LOUIS ROSE
AT /WATT/TUCK
TOWN OF SOUTHOLO
SUFFOLK COUNTY, N.Y.
SCALE: 1"=30'
SEPT. 28,/980
NOV./7, 198/
REFERENCE:
~UNSET KNOLLS; SECT/ON TWO
F/LED AF'R/L 9. /97'0 ,dS &faF'NO. 5448
eUARANTEED TO:
USL/FE TITLE INSUIMNCE COYP,~NY OF NEY/
LOUTS ~! ROSE 4ffOROSO
LAND SURVEYOR
N. YS. LIC. NO. $471~8
RIVERHEADm N.Y. __