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HomeMy WebLinkAbout13508-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-27816 Date JULY 19, 2001 THIS CERTIFIES that the building Location of Property 5860 HORTON LANE ONE FAMILY DWELLING County Tax Map No. Subdivision SOUTHOLD, N.Y. House No, Street Hamlet 1000 Section 54 Block 3 Lot 19 Filed Map No, Lot No, conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 21, i984 pursuant to which Building Permit No. 13508-Z dated OCTOBER 29, 1984 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 ONE FAMILY DWELLING WITH A1-FACHED 2 CAR GAPJNGE & WOOD DECK. The certificate is issued to VINCENT F. & VERONICA C. REGAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-S0-16i - DEC 2, 1987 UNDERWRITERS CERTIFICATE NO. N679784 - FEB. 22. i985 PLUMBERS CERTIFICATION DATED JUNE 28, 1985-MATTITUCK PLUMBING & HEATING *NOTE: THIS UPDATES CO Z16463 Rev. 1/81 DATED DECE~ER 7, 1987. FOB, B[ NO. O TOWN OF SOU'ir'HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT fl'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLL~ION OF THE WORK AUTHORIZED) 13508 Z Permission Is hereby granted to: .~, / ~- .......... ~.. .......... .'.~.~:.....~ ............................ to ..... ~.~...~.~,~..~T.......a.~..~.......~.~.~..~......~.~.=...4...Z.../.....~.. ................... ................ ~ ............ ~,~-c.~..~.~.. ~'....k~.,,~.~..~.~......~..,.../~..,~..n....~... o, p,,m,,,, ,oca,ed a, ...~a......~:-~.~.....Z,~_,~..~ ......................... .l.... ........... ......................... ~..~.Z~..~: ............ ~ ~ Counfy Tax Map No. ]000 Section ..~..~...'Y..~... ..... Block ..~..~.. .......... Lot No. QZ..~.. ........... pursuant 'o application dated ..~.,,~,--,~ ............ ../...?... .............. , 19 .c~...~.~ amd approved by the Building Inspector· Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 M~PLICATION FOR CERTIFICATE OF OCCUPANCY ~'~;'~7~ ~';~ ...... J This applicat±ou mdst be fill. ed in by Eype~r±ter OR ink and sub~±~e~--~b--(~e inspector ~ith the Eollo~ing: for ne~ building o~ ne~ use: ~inal survey o~ propert7 ~ith accurate location o~ all buildings, property lines, streets, and u~usual natural or topographic fieatures. 2. Einal Approval from Heaith Dept. of ~ater supply and sewerage-disposal(S-9 3. Approval of electrical installation ~rom Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing"~nd uses: i. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic features. 2. A properly completed applicatiom and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 6. Fees 1, Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $I00.00 3. Copy of Certificate of Occupancy - ~ .25¢. 4. Updated Cartificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. .................................. New Construction .......... Old Or Pre-existing Building.. .X . Lane, Southold Location of Property.............5860 Hor~qn... ...................................................... . House No. Street Hamlet nce L'. .~r nlq. . . Onwer or Owners of Property..¥~ .... ~. & o a C. Reqan · County Tax Map No 1000, Section .... P~.{ ...... Block...g~ ........... Lot..g]? ................. .Sobdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... 50.00 Fee Submitted: $ ............................... ~ Paul A. Caminiti ... APPLICANT FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16463 Date December 7, 1987 THIS CERTIFIES that the building ...0 ¢ e.. f. a..m.i.l.y...d .wp. 1.1..i .n.g... ..................... Location of Property 5860 Horton Lane Southold hiness ~iol ....................... 'S'tr'~; f ....................... ~emlot County Tax Map No. 1000 Section .. 9 .5.4 ....... Block 03 .Lot 0 19 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Sept. 2 I , 1984 pursuant to which Building Permit No. 13508Z dated ...... .0 .c .t.... 2. .9 .,.. ! .9 .8.4 ....... 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 ......... .... 0~e..~L~.Y.. ~.e.~, ~..i.n~ .w..i.t.h..a..t.t.a. qh..e.d..2...c.a.r.. $ .a.r.a.~e.: .................... The certificate is issued to VINCENT F. & VERONICA C. REGAN ..................... x x' .................. of the aforesaid building. Suffolk County Department of Health Approval 14 - S O- 16 1 D e c.. 2, 1987 UNDERWRITERS CERTIFICATE NO. N679784 Feb. 22, 1985 PLUMBERS CERTIFICATION DATED: Matt. Plumbing & Heating Corp. 6/28/85 Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apptication must be filled in typewriter OR ink, and submitted i ~ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, 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 housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .... ¢~.~§!.~.?§? ...... New Building ....~. ........ Old or Pre-existing Building ............ Vacant Land ............. Location of Property 5860 Horton Lane Southold House No. Street Hamlet Owner or Owners of Property .... .~/j b~.~.~ .~...~.'.. 4..~.~¢S ~¢¢.. ~, ..................... Countg Tax Map No. 1000 Section 05& Block 03 Lot. 019 Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. 13508 Z Date of Permit 10/2/4/8b~"~'lr~"* Heidt:mann & Son, Inc. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ...... ~ Construction on above described building and permit meets all applicable codes and regulations, THE NEW YORK BOARD OF FIRE UNDERWRITERS [00107[ BUREAU OF ELECTRICITY · THIS CERTIFIES THAT D. Regan, Hortons Lane, ~ou~hol~ ~Y in the/ollowing location; ~ Basement ~ 1st FI. ~ 2nd FI. Section Block was examined on ~ ~ ~ ~ t ~ and/ound to be in compliance with the r~quirements of this Board. EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OT"E~.~P~F'![S~ 1-~moke detect;or NO O~E~CC~COND] A W.O NO OF HI-LEG A W O NO. OF NEUTRALS AW O, 1 Z Southold, Ng 11971 This certificate must not be altered ir, any mann,r; return to the office of the COPY FOR BUILDING DEPARTMJ Li¢~578 may be credentials. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date 3une 28~ 1985 Owner Plumber Building Permit No. 13508 Z Vincent F. Regan (please print) Mattituck Plumbing & Heating Corp. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary Public, County (plumber' s signature) Notary Public ,JOHN p' B RISO'[~'I No. 473261~ FIELD INSI, ECTIbN DATE COMMENTS ~ ,_. · ~ __ ~,~ FOUND ATION ( 1 s t } ----------- _ ~ ~//.~...~/~ ~__ ~ .~ FOUNDATION (2nd) ~ ~ FLUMBING STATE ENERGY ~ - . ~ ADDITIONAL COMMENTS: Phone (516) 734-7484 Night (5~6~ 765-1!28 GLENN F. HEIDTMANN & SON, INC. BUILDER COX LANE, CUTCHOGUE, NEW YORK 11935 MAIL ADDRESS P.O. BOX 932 CUTCHOGUE, N.Y. 11935 August 30, 1984 Town of Southold Hain Pond Soutbold, New York 11971 lie: Vincent ~egan New !~esidence Hortons Lane Southold, New York Energy Code Resistenee - AIiL roof acea to receive 6" insulation 2 19 factor All exterior walls to receive 4" insulation g ll f~ctor All basement area to receive 4" insulatio~ R ll factor AIl exterior window openings to be Perma-shield windows manufactured by Anderson Corp. All exterior door openings to be hollow metal installed~ manufacture~ by Benchmark Corp. .All extesior sliding door openings to be Perms-shiel~ manufact~re~ by ^nderson Corp. Glenn F. Heidtmann & Son, Inc. Memorandum from .... / BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL~ SOUTttOLD, N. Y. 11971 765-1802 October 2, 1985 Dear Mr. Heidtmann: In regard to the C.O. for the Regan house, we ment approval since sent to you in June received it. ?lease send up. Your will soon have been waiting for the health depart- March. A note was but we still haven't it to us so we can clear this check is dated June 28th and it be outdated. Thank you. Yours truly, 7~-~,802 BUILDING DEPT. INSPECTION [~]//FOUNDATION :ST [ '1 ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION f ] FRAMING £ ] FINAL REMARKS: DATE .i ,//~//~/~/ INSPEG~rOR 76S.'t802 BUILDING DEFT. INSP C?IO [,~FOuNDATION IST [ ] ROUGH pL~BG. FOUNDATION 2ND [ ] INSULATIOk, FRAMING FINAL REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTIO'N [ ] FOUNDATION SST [~/j~ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ '~]/~RAMING [ ] FINAL ' REMARKS: 0/~ INSPECTOR ~FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .......... , 19 (Building Inspector) APPLICATION FOR BUILDING PERNIIT Received ........... ,19... September 19 8/4 Date .................. ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 issued 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 is~{mnce'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 buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. He.Ldtmann & Son, Inc. (Signature of applicant, or name, if a corporation) P.O. Box 932, Cutchogue, ~:y.. 1.1~.}5 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~uilder Nameofownerofpremises Vincent F. & /eronzca Co j]e.g.a.n. ................................. (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 ......................... G. & S. Electric Electrician's License No ....................... Other ~rade's License No ...................... 1. Location of land on which proposed work will be done .................................................. orton lane/ Southold House Number Street Hamlet County Tax Map No. 1000 Section .... ~4. ............ Block . :3. ............... Lot .... ..19 .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) , 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 Nature 6 f work (check which 5;¸ 10. 11. 12, 13, 14. applicable): New Building .. x Addition Alteration Repair .............. Rem?al .............. Demolition .............. Other.__._Work ............... , ' .~..?O,~ .~.' '- (Description) Estimated Cost $ .8.0,0.i00 ..0.0 ...... Fee , I *" (to be paid on filing this application) If dweiling, number of dwelling units ..... 1.2 ........ Number of dwelling units on each floor ................ If garage, num her of cars ..... i .................................................................. If business, commercial or mixe~t occupancy, specify nature and extent of each type of use .................... Dimensions of existing structure, s, if any: Front ............... Rear .............. Depth .............. Height Number of Stories' Dimensions of same structure w~th alterations or additions: Front ................. Rear ................. Depth'. ................... i"' Height ....... 6 ~ ;' '6 '~ ........ Sun~ ~f o.~. ,S, tories .................... Dimensions of entire new construction: Front .............. Rear ............... Dept .............. Height ..1..8.' .......... Number of Stories ....... i1 .............................................. Size of lot: Front .... ~ .50...1./~ ........... Rear ...... .1,5.0. ............ Depth . .1..7.1 ................. Date of Purchase ........... i .................. Name of Former Owner ............................. Zone or use dmtnct' ' ~n' whxch' pr~mises' are situated R esldant Does proposed c0hstruction violate any zoning law, ordinance or regulation: .... n<~ ...................... Will lot be regraded ......... i ........ .Y.¢ ~ ....... Will excess fill be removed from premises: Yes x No Name Of Owner of premises . .V,..[~ a. g.a.n. ........ Address .3..? .3..H.a. Name of Architect W~ Sfimbach Address Phone No Name of Contractor He±d~m.an.n...& ~on.' 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 number or description according to deed, and show street names and indicate whether interior or corner lot. S~e Plan STATE OF NE~RK, ~,~ .~~~.~-d~. ...... being dnly sworn, deposes and says that he is the applicant '~ndividual ~igning contract) above named. i x~..'' (c°ntractsyr, agent, corporate officer, etc.) 6f said owner or owners, and is du]y'"~ ~'auth'~rized~'6~perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Notmw Public .. ~- .... ~..~ County / 0 0 n ~ 0 ~ Z T U 0 U d · pe!!.He^ uegq ~,ou e^eq ~,jedoJd roll1 UO Sel}!l!oeJ I~sods!p e~Aes JO/pUt~ AId'dns Jele~ eq~, to suolleoo| ell& /SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE~ ' SI~GtE FJ~J~ILY DWELLING ONLY DAT~FC 0'? ~g~TH.s. REF. NO. ~ The sewase disposal and water supply facilities for thi~ location have been inspected by this Oepartment a~d/~ othe~asen~es and found to be satisfactory, ?~. ~ ,n~ ~ ,,, _ ~h~re~, 6f ~t~r ~anagement FOR APPROVAl. TO CONSTRUCT S~ ~AL SyST~ ~IS ~ ' H~O F~Q~'O?HER S =PIPE VINCE1VT' F, BEGAN ~ VERONICA C, BEGAN- SUFFOLK COUNTY~ NEW ~RK DATE: F.~8. '~/.. 1985 SCALE: /#=40' NO. 84 ~P55 ~T~Uc~eS~eFO. A SPEClF~ ARE NOT T~ BE USEO* TO ESTABLISH NES OR FOR THE ERECTION ~FEHCES YOUNG ~UN~; pROFESSIONAL ENGINEER SURVEYOR N.~S, UCENSE NO. tZ845 LAND SURVEYOR ~0.4§895 4000STRANOE R AVENUE RIVERHEAO, NEW YORK