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Home My WebLink About11474-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy Ne.Z] :1 t),2. l ....... Date ......... 4r.~.e..8 ,.. '. ............. 19 ~.2. THIS CERTIFIES that the building .... - ............................................. Location of Property . .4AO ........... l~e ~.~?.o o g..Ea tA: .................. .C.,4 h c; ~l.og~4 q... House No. Street Hamlet County Tax Map No. 1000 Section .. ~3,9,'~ ...... Block . ...0.?. ......... Lot ....0.1.,r~ .......... Subdivision. l~.o.o~;e. Cx~e ................. Filed Map No. 3~.0....Lot No .... ~. .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .0.¢ ¢ o h.e.r:. ~ ~3 ......... , 19 ~ il. pursuant to which Building Permit No...l.q.z! '[ ~..[] ........... dated ...iq o ¥.esab o p..2./~ ............ 19~ ~., 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 ......... ·.. e..p.P. ~. v u.t.o., on~.-:t:~a~2./.¥, c[~q.e.J. ~ .i4~,~. .......................................... The certificate is issued to ... J~o. )t.~??..$ ... ,l~ ~ .t~fz ...................................... [owner, Ie~ae~r.t~z~at~) of the aforesaid building. Suffolk County Department of Health Approval . ~. J r.~3.0.':8.7.,.. ~ ./2z.q/.8. ?.,..~ Vh:.~.... A.....V['J:. 1. ]...a.,. UNDERWRITERS CERTIFICATE NO ....... ~ . !3 .6.3fi.~ ~ .................................. Rev. 1/81 Building Inspector BUILDIH~ TOWN HALL SOUTHOLD, :N~ Y. ~o. ~,4 z Ooze .,..,:~ ~,~~.~· Permissior is hereby granted to: ~ . · ~ ~.'__ "~ .................. :..:....?.?., · ............... ~. ...... ~' ~4 .... .............................................. ~ ...... ~ . ,. ¢ : ........................................... .~;~_ _ ~ ~ ~. ~ ~ ~ v ...... ' .'%' '""* ....... :"?"""?'"i~ ..... '",'/ ........................ Co~ ,o~ ~,p Uo. ~000 so~,o~ :...~.~Z...;..:. ~o~ ~..~.Z ......... lot ~o.....~...~ ......... '; } }, ..... '...~ ...., 19 ~ and approved by the pu'rshant t~ application dated ... ......... , B~Jldlng I~spector. ~, ~. ~o* $.~..~ ....... ..... : : ,.~...~:;.~ ....... :. ~* B~ding n~ector ev. 6/30/80 ~ , , ,= ~ BUILDING` P,i~R~IT ~ ~ (THIS PERMIT MUST BE KEPT ON T:H,~: pREMIs S UNTIL LL COMPLETION OF THE WORK AUTRORIZED) 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 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 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 June 1~ 1982 Date .......................... New Building .... X Old or Pre-existing Building Vacant Land · t,, 440 Deerfoot Path. Cutchooue, New York 11935 Location of Proper., ............................... -~ ............ .h ..................... Owner or Owners of Property ...~1.....~...~_¢~.~.. _,-..-z~,~ .................. 097 7 Pcl. 16 County/ax Map No. 1000 Section ............... Block ............... ~/~t ................ Subdivision "Map. of Mo, ose Cove" ·Filed Map No. 3230 .Lot No. Permit No, .1.1.4.7.4.Z... Date of Permit .1.1./.2..4./.8.1.Applicant ...I..n.l.a.n.d...H.o.m.e..s,~..I.n..C? .......... 5/2.0/82 Health Dept. Approval ....................... Labor Dept. Approval ........................ N563455 Underwriters Approval ........................ Planning Board Approval ...................... no yes Request for lemporary Certificate ..................... Final Certificate ....................... Fee Submitted $ 5,00 Construction on above described building and permit mee'~s all applicable codes and regulations. F_,O.~:2:: {[0~, Applicant ...~~.._.._...._.._ ......... /ddZ¢_,~ ~OOq-~ Robert E. Hil~z, IN~ I-lOMl~:5, ZNC. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~.000744 BUREAU OF EkECTRICIT¥ ~ 85 JOHN STREET, NEW YORK, NEW YORK 10036 .ate l~y 25, ].~82 ~ppllcat,o,~ ~o. onSile 163464-82 N 5 6 3 4 5 5 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on tko able application number in the premises of ~fl. and ~lo~es, Dee~: ~ooc PaCh, [,~oo~e Tra~ & Eureka Rd., O.~chogue, .Y. in the following location; [] Basement ~ 1st FI. [~ 2nd FI. Section Block Lot t~as examlnedon ~y ~ 1~ and found to be n compliance w th tke requirements of tbis Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS SWITCHES INCANDESCENT FLUORESCENT 14 15 14 DRYERS 1-G.F.C.I., 1-t~oke Detector S E R I C NO RCC~COND. OF CC, C(~ND, A, W.G. E OF NEUTRAL Your~gu P~. MaC~itugg, ' /, P.O. l~ox 372, GENERAL MANAG~ This certificate must not be altered in any manner; return to the office of the Board if nco~rect. Inspectors may be identified by t~ir credentials. FIELD~IN~r-ECTION · FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY G~DE FINAL ADDITIONAL COMMENTS: 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2N'D [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved/~.O .~<~...~.~. ..... Permit No.. ff./. . Disapproved a/c ...... "~. · .--'~'~.~ i ................ '. (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No./.d..~..~..~. ...... Date . 9.c.t. qb. .e .r. .2. 0. ..... ,19 .81 INSTRUCTIONS a. This application ~nust be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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 stre* or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apF cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprcval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern shal~ be kept on the premises available for inspection throughout the work. e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shal~ have been granted by the Building Inspector. APPLICATION IS t lEREBY MADE to the Buildin De artment for the ~ssuance of " " ~ , ~ ' g p ' a ~uilding permit pursuant to t Bui uing aone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,}Ordinances Regulations, for the constructiou of buildings, 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. ....... Z.N. ,...ZSC' .. ................ (Signature of applicant, or name, if a corporation) : ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architeci, engineer, general contractor, electrician, plumber or build, General Contractor Name of ownerofprcmiscs Robert..................E. Hiltz (as on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer. Robert E. Hiltz, Pres. (Name and title of corporate officer) )uilder's License No .......................... Plumber's License No. 517-P Electrician's License No. 2148-g Other Trade's License No ...................... 1. Location of land on which pronosed work will be do .t~r-~."/a>~,O£ Deer£oot Path 576' oose cutcho .e House Number Street Hamlet County Tax Map No. 1000Section ~0~ O~7 Bloc~ ...... . Lot '17 ~ Subdivision ~ap ~ Nooso cove Filed Map No. 3230 Lot 17 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~~ ..................................... b. Intended use and occupancy 1 Family ~elling . t. Nature of work (check whicl, applicable): New Building ...X. ...... Addition .......... Alteration .......... Repair , .............. Remoyal ............. Demolition .............. Other Work ............... Estimated Cost . 40 ~.OOO..0.0.. Fee ........... , ........... ~ (to be paid on filing this application) ;. If dwelling, nmnber of dwelling units ....]' ........... Nmnber of dwelling units on each floor ................ If garage, number of cars ...J:.. i ................ , .................................................. ;. If business, commerc al or m xed occupancy, specify nature and extent of each type of use ..................... I. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ,' .'... Number o£Stories Dimensions of same structure wiih alterations or additions: Front ................. Rear ................. Depttt .: ................... :.. Height ...................... Number of Stories ..................... i ti F 62 R 62 D pth .3.0. ~. Dimensions of entire new constr ~c on'. ront ............... ear ............... e ............ Height 18 Number of Stories ). Size of lot: Front 140 140 ' ). Date 6fPurchase ·9'/11;/'8'1 ' 'i ........... Rear ................................... ;'.-.T-- ........... , .................. Name of Former Owner i A 1. Zone or use district in which prcmises are situated ................................... :'. ................ _.) Does proposed construction violate any zoning law, ordinance or regulation: ....N°...........................,' L Will Iot'be rcgraded ....N.o. .......... . .......... Will excess fi!l be removed from premises: ~ No 1. Name of Owner of premisesRqb..e.~,t. .E....H.:h.l.t..~ .... Address ~.a.t.t.z.t..u.c.k.,.~ :.Y.,... Phone N~.9.8.-. 9..6.9.6. ...... _ · .I~1...~ ..... ~ ..... eN ............ Name Of Architect .];O1O. P,4.1~'gln.~ l.r~q, ..... Address at -itu.e.k No¥..Phon og9.8-~.6.~.6 Nmne of Contractor l;r~l, fkrld .~liol~.~t~ ~. ,l.rlq:, .....Address . ~'lia. l;'l; ~.$p..c.1¢ ~ I~I,.Y.o.. Phone No.2.9.8.~ 9.6.9.6. ...... PLOT DIAGRAM ........................... ; .................... being drily sworn, deposes mud says that he is the applicant (Name of indMdual sigding contract) )ore named. is the .... ¢ontracto~ (Contractor agent corporate officer etc) said owner or owners, m~d is duly authorized to perform or have t)e~formed the said work and to make and file fids ~plication; that all statements confained in th~s appticadon arc true to ~he best of his knowledge and belief; and that the 'ork will be performed in the mm~n~r set forth ~ the application filed therewith. worn to before me this ....... . ............. or ...... ' otaw Puhli~~.:~~. County ~.__~0, ~ ~~ ~ ~ I , Rob~~nature m-appn~..,f POOL. MAy 20 1982 ~he sewage disposal and wa%er suppl~ faoilities for this location have beez ~nspeo%ed by this del~rtmentsnd found Se~iee~ LICKED L~D SURVE~RS GREEN~RT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL h.S. NO. !l-?,,O-~? STATEMENT OF INTENt THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY DATE' h. S. REF. NO.. APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. .-~ 097 7 OWNERS ADDRESS: I~EED: L. TE'ST HOLE NOT STAMP SEAL SUFFOLK'CO. HEALTH DEPT. APPROVAl.. H. S: NO .... STATEMENT OF INTENT THE WATER SLtPPLY AND sEwAGE DISPOSAL SYSTEt',4S ~'OR THIS RESI.DENCE WILL CONFORM TO THE STANDARDS OF THE J.SUFEOLK CO. DE~T~ OF,,~'t~LTH SERylCES. [g~'~,~.~,~,MAPPLICANT Jib Wes~'phai,8 .~d. tl~t'J(~lq Box 117 + Matfifuckt N. Y. )t952 S~F6gK COUNTY DEPT, OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DA TE: H. s, REF. NO.. APPROVED: ,, , SUFFOLK CO. T~x ~R DE~GNATION~ NEw mis su~w~ m A-¢0~rl0~. O~ S~CnO~ 7~e~ O~ ~ mw YO~ 'I ~r