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Home My WebLink About11036-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10785, Date November 19 81 ................................. 19... THIS CERTIFIES that the building ................................................ 16605 Main Road, Mattituck, New York Location of Property ............................................................... House No. Street Hamlet 114 08 006 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore ~ed in this office dated February 26 1.9 ~31 pursuant to which Building Permit No. I 1036 Z dated........Fe bruary ....... 26 ........ ..... 19 .~1., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which ttfis certificate is issued is ......... Addition to Frivate One Family Dwelling The certificate is issued to Ronald Schweizer ..................... .................... of the aforesaid building. N/R Suffolk County Department of Health Approval .......................................... UNDERWRITERS,CERTIFICATE NO. N523117 Building Inspector Rev. 1/81 TOWN OF ~DUTHOL)D BUILDING Di~PART~E!~t TOWN HALL SOUTH'OLD, N~. Y. (THIS PERMIT MUST- BE KEPT ON THE PREMISES UNTIL ~ULL COMPLETION OF THE woRK AUTHORIZED) 11O36 Z Permission is hereby granted to: . Z.~... ~.~. .... r ....... ~> ................ to ........................................................ ~"' ~ ~ ~ ~ ~,~ ~~.....~../~ ~:~ .,.~'~ ................................. ........................ ~ ...... ~ ............ , ~ . ....... ............................................................................... : ......... ~....~, ~..z..~.~,./C~. ~ ............. ....... . ............................................................. ~ ........................... ~ "q~ ...... .....~..q: ............ ~, ~ Ta~ Man ~o 1000 Sect on ~/~ ........ Block .~ ~ ~.. ~ Lot No ~ ~. ..... pursuant tb application dat~ ...J~Z~.~....~f.~...., 19 a,d approved by the Building Inspector. .... Rey. 6/30/~80' Building Inspector 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 features, 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 li~s, streets, buildings and unusual natural or topograph ic 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 .. ,~.'.~.. /~;~,/~? ~/' .. New Building ~.,'?./o..~, .... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . House No, Street Ham/et Owner or Owners of Property , ,~'.~..,~.~.~../~. ........................................... ~ County Tax Map No. ~000 Section ... ~.~...~. ..... Block ....~. ......... Lot....~. .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./~.~/).,~.~2... Date of Permit .~ .-?...GT~(~'.Applicant .............................. [~... Health Dept. Approval ........................ Labor Dept. Approval .................. Underwriters Approval ........................ Planning Board Approval ............... ~... Request for Temporary Certificate ..................... Final Certificate ................... Construction on above describedApplicant~~~....~.. ~~building and pe_j~it meets all applicable c, odes,and ................ regulations...~ ?. Rev, 10-1o.7a FIELD INSPECTI~ " COMMENTS FOUNDATION FOUNDATION (2nd) e ROUGH FRAME& PLUMBING INSULATION PER N.Y. STATE E~N~GY CODE FINAL 1000251 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRIOITY ~ 85 JOHN STREET, NEW YORK, NE~I~V YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of goaald Sc~e.~er, 14604 ,~i~ ~A., Mat~i~uck, N, Y. in the following location; [] Basement [] 1st Fl. [] 2nd FI. Section Block Lot was examined on J%~l~ 4 , ~8][ and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 4 8 4 4 SERVICE DISCONNECT OTHER APPARATUS: Elec~ Rm. He~a~ers:l~l,SRW t GFI 1 ~e Det~ S E R V I C E A, WG OF HI-LEG NO OFNEUTRAL: AWO. OF NEUTRAL ~ox 244 / $~o James, iq,, Y. 11780 Lic~#l~ 11 This cert;ficafe must not be aJtered in any manner; return to the office of the Board if ~ncorrect. Inspecto[s may be identified TNIS COPY.OF IN ANY MANNER. T NOTIFY BJ~L-, 'x~" - T~E 765-180~ ? A'~ mO 4 PM FOR FOLLOW I ~G - FOR v.-'~" ' ~ ~, 3. INSULA~'' "J 4. FINAL ..... ~ ~ F q STATE coNSTKu~ _qmLE FOR CODES NOT RESPON-,~ ..... ,, o':~' Il~/ //// / /. ff/////1 _ fi.- f7 I~{)IV L:?I?-?' lt'~ I~/' /Z . ~[~,/.S Tfl LL.~ fl, Old / Z "-Z',v~'r,~ LL~ T/O TY,°/E H L T tt // FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ~ ~ '7-~ 19 Application No. ~/.~ 5 Approved .~..C~. :F~. ~ 19.~.~ Permit No. f/~ ~'~(~ ~ Disapproved a/c ........................ /~ ........... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~.'~...?.~. ...... 19~./. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant· Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a 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 Regulations, for the construction of buildh~gs, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary insp_cc~ions. ~ (Signature of applican ration) · (Mailing address of applicant) ?/?~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .-c~/~',z~r'~...~..,..../.~.~.~..~.f~...~:.~....~'.~.~../_-~J..~-.f..~..~..~. ................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~-~--~ ~. ~.~ ............. Plumber's.License No .... ~:~-~ ~..Ffl ............. Electrician's License No. fez. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ........................ ./z S. . . /. .,9. ............... z c./.c. .................... House Number Street Hamlet County Tax Map No. 1000 Section .. ~..//~. '..~..~. ..... Block ...~..' .~)..~. ........ Lot ~. ~. ~.,.f~.~ ..... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ........... 3. Natur0 of work (check which applicable): New Building .......... Addition ........ Alteration .......... Repair .............. Remgval ............ Demolition ............ Other Work ............... a~ i (Description) 4. Lstmaated Cost ............................. Fee ............................. , (th be paid on firing this application) 5.If dwetling, number of dwelling iunits ....... ./ ....... Number of dwelling units on each floor ................ If garage number of cars ' 6. If business commercial or mixed occupancy, specify nature ~nd extent of each type of use ..................... 7. Bmaens~onsofexlstlngstructures, ifany Front. ~ ,.~... .... Rear . .~_~.t~ ....... Depth ...~...7-r ........ Height ............... Number of Stories ....... ~-~ ......... . ...................................... Bimensions of same, structure with alterations or additions'. Front .... . .~-~.7,...~) ..... Rear ...~..~)...~ .... ...... Depth .... ;~7. ~. ............. Height ............ Number of Stories ...... 8. Dimensions of entire new construction: Front .... ~..O.Z ...... Rear ..... ~.~>. ...... Depth ..../~ ......... Height ............... Number of Stories ....... ~. ........................... .. ~ .............. 10. Date of Purchase ~..~..~.,./.~ ./..~..~..C? .......... Name of Former Owner .~.{ .~- -~f-~- '~ ..... .~-..~ .~ ........... 11. Zone 0r~ use district in which premises are situated .. ................................... .. ...... ..... 12. Does proposed construction via!ate,any zoning law, ordinance or regulation: .... ~V~..o ......................... 13. Will lot be regraded ........ ~..~ ............... Will excess fill be removed from premises: Yes 14. Name of Owner of premises . ./~'~V~.~.~. ~'F,~..///f-~..~ddress ..... ~...'~.."~..~.T ..... Phone No. ~>7.~.~.~ .~..~.D-. ~.. Name of Architect ' Address Phone No Name of Contractor .'. ~· Address / ' Phone No ~ ' PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEWt~RKv ! ~, ~. COUNTY~F ~j~_,~-~.. :S.S~ · ~ (Name of individual sign ng contr~cl) ~ above named. He is the .................... ~ being duly sworn, deposes and says that he is the applicant authorized to perform or have performed the said work and to make and file this ined in this application are true to the best of his knowledge and belief; and that the · set forth in the application ~ed therewith. of said owner or owners, and is dul application; that all statements cont~ work will b~ performed in the manne Sworn to before me this No~ Pub~lic, ........ ~ ...... ~,~/~~! County ~ -"'~-" ' -'""-)~ c ~ ' 'rNO~'AR¥ PU~t~, St~t~ 0f r~aW ¥0rk ~'"'~/~ / i ~ (Signature of applicant) i tlO, 52+8125850, Suffolk County ~' ' - ' ' · Term ~xpire$ March 30, 19..~o'1-- ',