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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. __