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Home My WebLink About11430-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy No..Z.l.~.71B Date June 8 198..3. THIS CERTIFIES that the building ' Location of Property 495 Northfield Lane Southold h ~ &'e hid ....................... 'S't/e~ i ....................... County Tax Map No. 1000 Section . . .0 .7.q ....... Block .. 0. ! ........... Lot 022 Subdivision...X. ........................... Filed Map No....X ..... Lot No..X ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... S. e. p .t.e.m..b 9 ?.. ! 7.., 19 .8. 1. pursuant to which Building Permit No...1.1.4.3. 0...Z ............ dated ...0.c.t. 9 b .e.p.. 8 ~ .............. 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 ......... .8 private one-family dwelling. The certificate is issued to ROBERT WADDINGTON (o wner,4e~see' of the aforesaid building, Suffolk County Department of Health Approval .11 -.S 0-6. .6, 5/.8/.83 .. ?.qb, t :..5:..V,Z.i.1..a !..P.E. UNDERWRITERS CERTIFICATE NO. N 567527 Building Inspector Rev. 1/81 Rev. ~/30~aO BUILDING' P, EPd~ IT (THIS pERMiT MUST BE KEPT ON THE PREMIS~S Uh, ITiL FULL COMPLETION OF THE WORK AUTHORIZED) P~rmis$ion i~ hemb~ flmnt~d to. FORM NO. 8 TOWN OF SOUTHOLD · - Building Department Town Hall $outhold, N.Y. 11B71 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subr~itted in duplicate to the Building Inspec- tor with the following; for new buildings or new usa: 1. Final sur~zey of property with accurate location of ail buildings, property lines, streets, and unusual natural or tonograohic features. 2.Fina~ 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 building~ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" lend uses: 1. Accurate supzey of peoperty showing all property llnes, 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 housin9 code or safety inspection of buildings or premises, or other pertinent informa- don required to prepare a certificate. "~ Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building . .. Old or Pre-existing Building(X) ........ : ZVacant Land ...... Owner or Owners of Property ... ~t~ ' County Tax Mac No 1000 Section Block Subaiwsion ........ ~' ............ ~ .......... Filed Map'No. ~ .,:. .Lot No...' ......... Da,e of , _r.j. .. ppfica~ , . Heal[h Dep~ Approval ........................ Labor DepL Approval ..................... . .... Unde~ri~ers Approval .............. , .......... Plannin~ Board Approval .................. Reques~ for Temporary Certificate Final Certificat~ Fee Subm~ed S .......................... Construction on above described building and per Applicant , _. Rev. lo-10.7a and regulations. 1000343 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~ E6 JOHN STREET, NEW YORK, NEW ~ORK 10038 Oat~ J~e 29, 1982 ~.plicatlo. Mo. onfile 152662 - 81 N 567527 THIS CERTIFIES THAT only the alee tdcal equip~nent os described below and introduced by the applicant named on the above application nu~nber in the premises of P. obe. r~ Wad~on, Northfisld Dr. & Damon, Southold, N.Y. was examined on Jl. lr~ ~ ! ].982 and found to be in compliance with the r~quirements of ttds Board. FIXTURE OUTLETS 32 DRYERS rECEPTACLES SWITCHES 3O FIXTURES RANGES OVENS EXHAUST FANS NCANDESCENT FtUORESCENT SYSTEMS E OTHER APPARATUS: ~oCor/s~ 3-F, 1-1~ H.P. 1-10amps. Garbage disposal. S E R NO O~E~C~COND OF CC. COND 2 C AW, G, OF NEUTRAL 2 COo~ Elec. Cont. Box 1Sa HaSa~ Rd. Maccituck, N.Y. 11952 I/c. 783'~ This certificate must not be altered in Jy return to the office of the Board if incorrect. may be identifi;~:~l~ credentials. ANY MANNER. FIELD FOUNDATION FOUNDATION ROUGH FRAME INSULATION STATE C,pDE FINAL ~CT I~N DATE COMMENTS (1st) (2nd) FERN. ENERGY E FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To '" · ....~. -~. ( .&.~ .......... ...~o. >r... ~.c)., 7. ................... for pe~it to construct.. ~/~ ................................... ~.. ..... at Location of Property Houso~.' ' ~" ~'~ ..... ~7~ ~. ~' ~5'treet ) ' ......... ~~' Hamlet County Tax Map No. 1000 Section ...~ ~ .~ ..... Block .... ~/ ..... Lot . ~.'~ .... Subdivision ~ . ................................ ................. Filed Map No. Lot No. is returned herstth and d~proved on the follow~g grounds ~X~Kd~./ .... ~.C ~.s~ ............... ~ ......... ~... -...: .... RV 1/80 BUILDING INSPECTORS OFFICE :rowN OF SOOTHOLV TOWN H^nL, SOUT}~OnD, N. Y. 11971 765-1802 REEVE LUMBER & WOODWORKING Co., INC. MlhhWORK MAT~rITUCK, LONG ISLAND, N. Y. Telephone ($16) 298-4711 PAINTS - hUMBER 11952 - HARDWARE Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWrq Hta. r~, SouIvIOCZ), N. Y. 11971 765-1802 TEL. ~ 6 S~-~ TEIWN nF -~OLITHDLD OFFICE FIF BUILDIN~ INSPECTOR ~OUTHOLD, ~. Y, Regulatory ~l£airs B3.dg. 40~ S~f - Buom 219 Stony Brook, New York 11794 (516) 751-7900 May 12, 1981 POBP~RTFo FLAC~.XE Cor~ssioner Mr. Robert Waddington P. O. Box 347 Aquebogue, N. Y. 21931 Re: Lot (23, 261 sq.ft.) Dear Mr. Waddington: 420' e/o Dayton Road, field Lane North side of North- As a rest~lt of your in ~quiry concerning the ~.~bove referenced Darcel, t~his Depar~',~nt has conducted aD. on-site inspection° 5Ye have found the parcel or (project) to be greater than 300' landward of the tidal wetland boundary. Therefore~ pursuant to Part 661~ Official Compilation of Codes, Rules and Regulations of the State of N~.~ York~ Section 661o4(b), no . ~ permit under .A~ticle 25 (Tidal Wetlands) of the Envi~ntal Conservab/on I~w is re~..~edo Ed~/cr No Juris: No #, No File c.c. Law Enforcement Atruly ygurs, · /~ DA17/EL Jo Ln_~v~i!l ~ Re~. ional Permit Adm/nlstrator FORM ,~O. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ./. ., 19 Application No. Disappro','eda/c ............................. i.,.(~. _/ / e . APPLICATION FOR 8UILDIN~ 19~ ....... INSTRUCTIONS a. This applicatio~ mus~ b~ completely filled'in by typewriter or in ~k anO mbmitt~d in ~fip~oat~ to th= Buildi Inspector, with 3 sgts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sSowing location of lot and of build~gs on premises, relationship to adjoining pmmis~s or public ~re~ or areas, and ~ving a detailed description of layout of property must b~ drawn on ~h~ dia~am which is part of this ap~ cation. o. The work covered by tiffs application may no~ b~ eomnmneed bgfor~ ismane~ of Building Pg~i~. d. Upon approv~ of this application, thg Building Inspect.or will issug a Building Pe~it to th= applicant. sh~l b~ kept on ~hg premises avaUabl¢ for inspection throughout th~ work. ~. No building shall be occupied or used in whoI~ 0r in pi~ rot any pu~ose wha~wr unt~ a e~ifioa~ or Oocupan shall have been granted by the BuB~ing inspector. APPLICATION IS HEREBY MADE to ~he Building Department for th~anc~ of a Building P~it pursuant to Budding Zone Ordinance of ~t~ Town of Southold, Suffolk County, N~w ~N~, ~ot~r applicable Laws, Ordinances Regulations, rot ~ consl~ction of buildings, additions or alterations, o/~ r~ or demolition, as Th~ applicant agrees ~o comply with all applicablg laws, ordinan:es, ~u~/~ ~d~, housing cod~ and r~gula~ions, admit au~ho~zed inspectors on premises and in buildings rot n~a~~~ ~Siling add,ss of applic=t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, Nameofo,vnerofpremises .... t~(~&'.?...k~.~.Ct?,.~.~..~.... ', . . (as on the tax roll or latest deed .... atu of duly thor' ed officer If ppi porat zgn . a lcant is a cor ion, s re all lz (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ................. Electrician', License No..~.O../~.. Other Trade's License No ...................... House Number Street Hamlet County Tax Map No. 1000 Section .... .O..r'/~/ ......... Block ..... ~ ............ Lot .... Z ........... Subdivision .................................... '. Filed Map No. . ............. Lot .............. (Nmne) State existing use and occupancy of premises and intsmded use and occupancy of proposed construction: ' Existing use and occupancy ........................ :. .................................. b. Intended uge and occupancy .............................................. Nature of work (check which applicable): New Building . ~ ..... Addition .......... Alteration .......... Repair RemoVal ' Demolition Other Work , . (D rlptio ) Estimated Cost ...................... ,,.. ee ...................... ~. .......... : (to be paid on filing this application) If dwelling, number of dwell~ng umts ............... Nmnber of dwelling units 0n each floor ................ If garage, number of cars .................................................... d[/'~ ............. If business, commercial or mixed ~ecupancy, specify ~]~tt~re and extent of each type of use ./~/./. ~. ............. Dimensi0us of existing structures if any: Front .... 14J ~ ...... Rear .............. Depth .............. Height ............... Numb~er of Storms ....................................................... Dbnensions of same structure with alterations or additions: Front ................ Rear ................. Depth . i ................... ~. Height ...... , ................ Number of Stories .......... ~ .......... Dimensions of. entire new construction: Front .,. '-.~.tf ........ Rear ..... '~,0 ........ Depth .~. .......... Height ..... ~)~o..~.. v'a' -' Numb~er of Stories ...... 2-~.. ,.~_ ........................ ./~.~.-~ ........... Size of lot: Front .../..~0 ..... ,~ ......... Rear ..... /.~.Q ............. Depth .... f.~. ~ .......... Date of Purchase /~l~t0~ . ~ ~ ................ NaIne of Former Owner ......................... :'.. o Zone or use district in whic'~, premises are situated.., i .................... '~'1 .......................... Does proposed constrtiction violaie any zoning law, ordinance or regulation: ... JU.t~ ........................ Will lot be regraded ..... .t4~.'~,-~. 0 ..... , ......... Will excess fill be removedtfrom premises: ' Yes Nmne of,Owner of premi~est t.~.4o {N~["(;, .~.aldd~,/ta.~:,, Address .. ~qIq,.~¢'~.-'/~Yq~fiq'g. ?hone No..~ .L..Z.-; q.a.~, .L~.~.. PLOT DIAGRAM Locate aie~rly and distinctly all b, tidings, whether existing or proposed, and, indicate ail set-back dimcnsion~ from :operty lines. Give street and block nmnber or desc, ription according to deed, and show street names and indicate whether ~teribr or corner lot. TATE OF NE~,g YORK~ - ' .....""./~a~ n~. 'W-~0~":5~-~'', --~.~..;~ ................. being duly sworn, deposes and says that he is the applicant (Name of in~idual signing contract) bore named. II . (Contractor, agent, corporaW officer, etc.) or have performed t~e said wor~ and to m~e and file ~is said owner or owne~, ~d is duly a~thofized to perform . 9plieatlon; that all statements contained ~ this application are true to th~ best ~is B~ledge and belief; ~d that the ,ork will he performed in the m~ner sef forth in the application filed',there~~ worn to before me this ....... . // ~o~ 'public, 8tat~ of flow Yo~ ]/ (Signature of applicant) ~o. 52;4~35190 Suffolk 0ounty [/ , ~ommission Expires March 30, SUFFOLK CO. HEALTH DEPT. APPROVAL THE WATER ~LY AND SEWAGE DIS~AL SYSTEMS FOR 'THIS RESIDENCE WILL CONFORM TO THE STANDAR~ OF THE SUFFOLK CO. D~T. OF HEALTH SERVICES. SUFFOLK COUNT~:~. DEPT. OF HEALTH SERVICES CONSTRUCTION ONLY SUFFOLK CO, HEALTH DEPT. APPROVAL H, S. NO. THE 'WATER~U~LY AND SEWAGE DIS~SAL "~/~' CONFOR~}~//~O~~ THE STANDARDS OF THE } SERVICES -- FOR APPROVAL OF ~ CONSTRUCTION gHLY i ~,,, , , ~ r~ssto S~AL SUALL NOT ~ CONS~ [ '0 ~ A VALID ~;,UE C~Y. ~I~D LAND SU~EYORS CAVATION INSPECTION REQUIRED [ vacqn + ) i ~LPPAOV~b FE~:~,~,~?~' BY: NOTIFY ~U~LDJh 765-]802 9 AM T~ 4 PM FOR FOLLOWING IF~cP~CTIONS: ]' FOUH~ATION - ~VO FOR P~U~nD CONCRETE 2. ROUGH - FRAMING & '1