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Home My WebLink About13537-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING D£PARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.., Z14575 Date June 30 ................................................ 19 86 THIS CERTIFIES that the building . .A~t.d.%g$gB. .................................... Location of Property 40Q DEER PATH & B75 FOX HOLLOW RD. MATTITUCK h~s'~ 'N'ol ........................................................Stree, County Tax Map No. I000 Section .~.0.6 ......... Block ...~.0 ........... Lot ..... 2..7 .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ...... .4./.1.9 .......... ,19..8.4pursuant to which Building Permit No..1.3.5.3. 7.Z .............. dated . . .1.1../.1.5./. .................. 19..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 ......... Addition to existing d, wellin5. The certificate is issued to EDWARD G. & JANET DANOWSKI (owner, of the aforesaid building. Suffolk County Department of Health Approval ....... .N/.A. ............................... N745995 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIF ICAT ION 6 / 30 / 86 Building Inspector Rev. 1/81 FO~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 13537'Z Permission is hereby granted to: ~.~...~..~.~ ..................................... c~-~ '' ~ ~ ' ~ ~ ' ..................................................... ..................... ~, ,~,,, ,~,,~ ~, .~,.~.~.~..A.~.~.~....~.~..~.,....~.~ Cou.w Tox Mop No. 1000 Sec.o. ....... !...o...L~ ....... Block ........ )....0.. ....... Lot No....~...~. ............. Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~'operty 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: I~ Certificate of occu~cy ...... _~_~0~ 2 Certificate of occupancy on pre-exist ng dwel ng 3, Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property...?.~ ?...~..~. ~-. ,f.~.. · .... .~. ~.~.~...~-~..~.. ~r~-~.q/.. ~. ........ . .~....0~.~. House No. Street Hamlet Owner or Owners of Property . ~ . . · County Tax Map No. 1000 Section ..... { .~..~2 ..... Block ..... t.(~. ....... Lot .... ~. ....... Subdivision ................................. Filed Map No ......... '..Lot No .............. Permit NoJ~¢~'.3. ?...~-. Date of Permit . ~..Applicant . .~...~.~.../~....C'T...~..f~..~.~..~.~/.c..~ ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ~ ................. Construction on above described building and permit meets all app,~iccble codes and regulations. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No.'~-- ~°'--7~/~3/~/~---~ , Owner/~~ ~' ~~L/~ 0 ~f/C/ (please print) P 1 u~er ~~ ~- ~ 0 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me this 19~ -- ~otary Public - Notary Public, ~--~/kCounty ~Z~I~4 ANN N~VI~ ~ -- ~ Notary public, State of N~w Yolk T~~31, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrice~ equipment as described below and introduced by the applicant named on the above application nut~ber in the premises of in the followlng location; [] Basement [] 1st FI. [] 2nd FI. Section Block and found to be in compliance with the requirements of this Board. Lot ,~U ~L4 9 10 DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R NO.O~ CC, COND A WG, NO OF HI-LEG PER ~ OF CC COND, z V I C OF Hi-LEG NO. OF NEUTRALS OF NEUTRAL GENEiAI~ M~NAGER Per_ I ( This certificate must not be altered in an), manner; return to the office of the Board if incorrect, inspectors may be identified by tl~e r credentials. · ' P~ i , ~, '~ · i, ~ L R ,INANYMANNER. F~.~ELD~INSPECTION FOUNDATION COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~pDE FINAL ? ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 March 26, 1984 TEL, 765-1802 Mr. & Mrs. Deer Path Mattituck, Edward Danowski NY 11952 Re: Building Permit Application Dear Mr. & Mrs. Danowski: Your letter to the Planning Board was forwarded to me to expedite an answer. You have what the local law considers to be a corner lot. This means that you have two front yards. This allows you to build to within thirty-five feet of both front yard lines. You may build closer if you have a neigh- bor on either side, within 300 feet, that is closer. You then can declare either of the two remaining lot lines as your side yard and the other your rear yard. Side yard is up to 10'-0" away from the line, and the rear yard is thirty- five feet. Anything inside these lines is bu. ildable. If you cannot stay within this area, then you would need %o go to the Board of Appeals for relief. I have drawn in one of the possible setbacks in green. The other is in red. I hope this has been helpful. feel free to call me at 765-1802. If you have any questions, Sincerely yours, Victor Lessard Executive Administrator VL:ec Enclosure 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ ] ROUGH ~PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ................ ,19 ... Application No .................. Approved ................ ,19... Permit No ............ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 buildings, 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 necessa_ry inspections. ~ ~-~iS~-c'.'.'.'.'.'.'~,..~. .~4'..~.~.. · .'~e~. , t~.'.'~.~ ..................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ! State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (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 ......................... Electrician's License No ....................... Other Trade's License No ..................... ~/"t00 Location of land on which proposed work will be done , 0~.~I~...~..~.. ~.~_~ ~.~..~.~. House Number Street Hamlet ' C~>unty Tax Map No. 1000 Section . ./.O.(?.,.~.c> ......... Block .. 79:.°.O. .......... Lot...~.~. ?. :0.ff ......... Subdivision ....... ~. ~.F~ ........................ Filed Map No ............... Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...\ .~.~'~.~.~.~...~ [~,~ .~'.~..~.QX~. ........................... ' ' b. Intended use and occupancy . .~(~/~,2...~u(J.[.~'..~...(~.~.~.~.\ ................................ 3. Nature[of work (check which applicable): New Building .......... Addition ... Alteration .......... Repair[ .............. Remgvai .............. Demolition .............. Other Work ............... (Description) ' ' olo 4 Estimated Cost , . ............... ee ................. (to be paid on filing this application) $. If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor I[ garage, number of cars ..... I ................................................................... 6. If business, commerciai or mixe~ occupancy, specify nature and extent of each type of use ..................... 7 Dimensions of existing structure's if any: Front Rear Depth Heighti ............... Number of Stones ........................................................ Dimenbions of same structure with alterations or additions: Front ................. Rear .................. Depth'. ................... .. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ...........' ........... Rear ...................... Depth ...................... 10, Date elf Purchase ........... i .................. Name of Forn~er O~(net ............................. ..... ' '' l l. Zone er,se d,str,ct m which pr m,ses are s, tuated .... ............... 12. Does proposed construction vioiate any zoning law, ordinance or regulation: ......... .t.) .................. 13. Will lo~ be regraded ........ I ................... Will excess fill be removed from premises: Yes - ~ff 14. Name of Owner of premises ..! ................. Address ........ , ........... PhoneNo.~,Ci%r~$.~l .... Name of Architect .......................... Address ................... Phone No ................ Name of Contractor .......................... Address .................. . Phone No ................ PLOT DIAGRAM Locate [cleari¥ and distinctly al~ buildings, whether existing or proposed, and, indicate ail set-back dimensions from propert~ lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, ; ~.%4Xa~d..~..~'.$.~.~..T7.. ~.&~.~.~g., ................. being duly sworn, deposes and says that he is the applicant (Name of individ,gal sig~ing contract) He is the ........... .............................................................................. . ~" ! (Contractor, agent, corporate officer, etc.) of sa~d owher or owners, ~d is dully authored to perform or have perfo~ed the said work ~d to m~e and file this app~cation[; that MI statements contained M this application are true to the best of his knowledge and belief; and that the work.w~l he p erfo~ed in the m~n~r set forth in the application filed therewith. Swom to b~fore me this Nota~ Put *"'*" HELEN K. DE VOE NOTARY PUBLIC, State of ~Ne~,~ "% .................... No 4'~7878, Suffolk ~ouc, ty (Signature of applic~t) NOT E: I~ = MONUMENT SURVEY FOR CLYDE R. 8~ JEANNE MATTITUCK T. OWN OF SOUTHOLD SUFF. CO., N.Y. SCALE, 1"=50' MAR. 5, 1962 SIPE GUARANTEED TO: SOUTHOLD SAVINGS BANK INTER'COUNTY TITLE GUARANTY M O~T.GAG E CO. LAND SURVEYOR~N.MS. LI~NO. ,RIVE?EAD~ N.Y, , , 7 FEE: ~,~ BY: ~ ~-[ . NOTIFY BUIL~ING DEPARTMENT AY 765-1802 9 AM TO 4 PM FOR THE FOL L~WING iNSPECTIONS: 1. FOUNDATION - TWO REQUIRED FO~ POURED CONCRETE 2. ROUG~ - FRAMING & PLUMBING 3. INcULATI~N 4 FINAL ~ CONSTRUCTION MUST ~E C~MPt FTE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOIHnCMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES NQT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ~L~d