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Home My WebLink About13544-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z13959 Oc t. ober 24 19.8.5 No. Date ............................. , THIS CERTIFIES that the building ........ s..w.i.m.m.i..n.g..p. ? 9.1.. ........................ Location of Property 430 Sailors Needle Rd. Mattituck House No. Street Hamlet County Tax Map No. 1000 Section .... 1.4.4. ..... Block ....... 5. ....... Lot....2.9.: ]..a.. 3. .0... Subdivision... X Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~..ug.u.s.~...~ ........ ,198.4.. pursuant to which Building Permit No ...... ] .3.5.4.4. .Z ......... dated ....... .N.qv. e..mp.e.p.. ) .6 ........ 198...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 ......... Inaround swimmin~ D. 99.1. The certificate is issued to ............. .d .O.H.N...J....a...L.~.L.L.Z..A.N..q :..N.E.~.U .fi.N .............. of the aforesaid building. N/~. .................. Suffolk County Department of Health Approval .. ..................... UNDERWRITERS CERTIFICATE NO ....... N 7 1 1 8 9 7 Building Inspector FOUM NO. ft TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ 13544 Z Permission is hereby granted to: ...... ~/Z~.....zF/.~.o~..z...,z~ .............. ........ ~.e2...:. ....... .~a.~........o..~ ..................... ...... .~./...,. ......~. .~e.s...,.... ~.-.. ./..... . ... .~ /. Z2o ro ....... ~.~..~.,c~.~...~ ........ z.~..~./_~c~.....~-~..~.~.~..~.../~.~ ...... ......... ~z~.~ ........ ~7~,,~...~.~..~.....Z,.~.~z~.. ........ ~~' .~.. ............ ot premises located at ..... ~,,ff.,~... ........ &~.~.~..~......~.~-,,~Z,~,../~,,,~ ......................... ................................................................................................................ z/.,,~~.~.~..~ County Tax Map No. 1000 Section' -~'...~....~.. ......... Block ..~...~ ...... Lot No. ~.....'~.;../....ZJ - .~/.'~ pursuant to application dated .J~..f,.,../.. ................................ , 19..~....~., and approved by the Building Inspector. Fee $..,4,.s~. ............... Rev. 6/30/80 FIELD INSPECTION ~ COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: 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 ia III1~1~ 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-exlsting" land uses: 1. Accurate survey of pZ'operty 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. 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/. ........ .~.~..".//. 7 ......... New Building ... ~ ........ Old or Pre-existing Building ............ Vacant Land ............. Location of Property,X.... ?..~.<~.t_)../~..~. ~../~...~...~...fi-...~. ...... .~...~.../~7'../~. '....~...~. House No. Street Hamlet Owner or Owners of Property -~. ..... County Tax Map No. 1000 Section <. Mt;~ .~. .... Block,' ............... Lot'.-~. .... /..~ ....... Subdivision ................................. Fded Map No ............ Lot No...~.., ./~ ~ .... Perm it N o./..~.~.~.~./?...~-Date of Permiti/./~.~.~...App licant .~.~/~. ~~'[-~ eel e Labor De t A ro ~' H th D pt. Approval ........................ p. pp vel ........................ Underwriters Approval ~ ...................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ./~. .................... ~onstruction on above described building and p~it~/~applicabl.///' codes and regulations. .~ r ~ppucant ...... /I .~'~'~ ..................... ~ ...... , .. · THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000771 BUREAU OF ELECTRICITY ~'[['g 8S JOHN .STREET, NEW YORK. NEW YORK 10038 Date Oe~o~)er OiJ ~ ~.9~5 ~ppticatlo,t No. on fite 321076/85 ~ - TH[S CERTIFIES THAT N t ~[ 1 ~ 9 ~ only the e~c trlcal equipment ~ ~scribed below and introdue~ by t~ applicant aamed on t~ able application number in the premises of Jack ~an, ~/~n~ S~ilors ~dle ~ad~ 400'~/0 R~h~l ~1. ~ ~tuok, ~Y in the following location; ~ Basement ~ 1st FI. ~ 2nd ~Side Section Block Lot was exaenined on Oc~o~a~ 03t ~[9~ and found to be in compliahce with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FAN OUTLETS SWITCHES INCANDESCENT FLUORESCENT 10 1 3 DRYERS FURNACE FUTURE APPLIANCE EEEDERS T!ME CLOCKS ~JNIT HEATERS DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C E NO. O E COND OF CC COND. OF HI-LEG OF NEUTRAL Rttla~ld glectric Co. Box 143 J4a/titt~ck~ N~ 11952 This certificate must not be altered in any manner; return to the the Lie~242E~ GENEI~AL MANAG,R/? ~/~' Per__ I ~ be by their creden .~. ,--,~ ..... . . ~, , .. ~',/i~,'~-~'11 "' POOL WETL~A~S APPLICATION 10-841112 , .. '. . ~'2:' :: ,LI~,:i~ h ' ,"., ' · -".' - · ,, ' - , ' ' ' ~ ' .... I , ~.~ ~ ~ , _ '_ - ,,,,'. · .l- ' · ' .-z 4~~ '.'~v~,~,'~,,v,.-/ ~., lll']~i' , 'Ill -, tl ' ~4~ ." ~'/~ . ,:" ~',, '~"~' ~. ' ~--iI ......... ~,, ,~ .X ,,.~ ~N~M~' . .. . · . ~. ~ ..... ~>~ .~,~,~% ~ :~4T:'''' ' ' · ~/ / '. ~ i / ~:~..../ <% . , . ~,,, ~ '~ >.../ . 'J~'~;'~ . ~,.b~'--', ' .... '. '. ... , :6 /'.~. ~'.' '/ ,~" ,E. / '~7~-'~"-"; ~" ~-' 'x . '. ' ' '. . ' U/,q /~,~ ~':~. ~: ,v /'' ' . ':"'~' t-~ ~ ~- ' ' ' . LV/~ ' / Pi /~ .... ' ~'/ . ' ' '. ' "..'--.' ~ .;-" ~ , , '~' . (~;'7 ~' '/.' . ;,. ,. q/ - '.." '~ .. ' '/" '- '. ~ , · '- ~/ ~" fi':-' ' ' ,'. "// , ' ',,,~,.. ~:. ,..N_ . ./ ~.,' .,, .,~.... .. ~ .... X - / ~ ~ . 9/ ' ::,',,,. , , / ~ Ii , V -' ,,, .. . ~/ ~'~ . . . ":~, ~. . .. .- -i . . ,. · NEW ~0RK STATg DEPARTI~I~f OF g~pDNML~NTAL CONSERVATION Bldg. 40, SUNY--.Reo~m ~1-9~'~' Stony .D~o0k, ,~'-'i1794 ............ i'"(516) 751-7900 A review ha~ been ~mde of your proposal to: , - ~ pa~l ~ proJact to Greater than 300' from in~nCori~d tidal wetlands. - greatar ~h~ 100' in length c~t~ prier ~o Septembe. ~0, 19~7. _ ~ward of 10' ~our e~va~ton a~ '~ m~a 1~1 m a grad,m!, ural slope. -~o~, ~"~= ~d~ Article 25 (Tidal Wec~n~ of =he ~~1 Con~aCion Law) is req~red aC ~is c~e s~ ~e cu~t pr~o~l is ~d or ~dtfi~Cio~ to ~ project ~y req~re a pe~t. It is your co notify ~-offi~, ~ ~ting, .if.su~ M~=ional ~ of ~f~ are c~. ~ ~~,' ~0- ~tel J. Larkin FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y.' ' 5.) NOTICE OF DISAPPROVAL Da~e..~.~..~:......<?. .... ,19..~. Subdivision ................. Filed Map No ..... , ............ Lot No .................. is returned herewith and disapproved on the following grounds..'~. ~O.'.~'~.~ .~... ' ' ~ .~...~x~ ~ .~q~... (~...~x~... & ~:~....~4~ ~... .~...~(~~...~~m ~ ................................ FORM r o. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ', SOUTHOLD, N,Y. 11971 TEL.: 765-1803 ., _ Pe it No. Application No .................. )isapprove~ a/c.. .................................. ..... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the BuUding .nspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing Ideation of lot and of buildings on premises, relationship to adjoining premises or public streets )r areas, and giving a detailed description of layout of property mnst be drawn on the diagram which is part of this appli- :ation. c. The work covered by this~ application may not be commenced before issuance of Building Pc?mit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit ;hall 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 · ;hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora BuildingPermit pursuant to the 3uilding 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. Fhe applicant agrees to comply with all applicable laws, ordinances, ~rfl~ng c.~de, ho...min-~ code, and regulations, and to ~dmit author/zed inspectors on premises and in buildings for necessa~ (S~~cant, or name, ~T a corporation) .O...d.. . . ... :,Toucs:.to¢ ,7. ....... (Mailing address of applicant) gtate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. qmne of owner ofpremises,~4~.~ ,,..]..~.?. ~l')dP~-~.~.8/J. ~l ~ :. . &~ ..... ~. .'. 1.1.{5~ ....... (as on the tax roll or latest deed) if applicant is a co~oration, signature of duly authorized officer. (Name and title of corporat2 officer) Builder's License No ~.------~.~. '~ ~ Plumber's LicenseNo ......................... Electrician's License No .............. ' Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street ~ Hamlet Subdivision... ' ~:il p ................ ed Ma o ............... Lot ............... (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 ....~.~. ............... ; ' 3. Nat re of work (check which applicable): New Bu/lding . l. .. Addition .......... Alteration ...... '/.. Repair ......... Removal · .' .... Demolition .. 7/ .......... Other Work .......... i ' ' ~' --.~o (DescriptJ~u) ' ' -- --: i / (to be paid on filing this application) L If dwelling, numberofdwelling:units ..~ ........... Number of dwelling units on each floor ................. Ifgarage numberofca~ ' d/. ~lAI '~ 5. If business, commercialor mixe~ occupancy, spec~y~nature and extent of each type of use ..................... 7 Dimensions of existing stmctur? if any: Front ) t~..(:.. Depth .......... Rear ................... ~ ....... Height ............... Nm~ber of Stories ................................................._..... I)hnensi0ns of same structure ~ith alterations or additions: Front ................ ~ Rear ............ ' ...... I)ep~ ................... ~.. Height ...................... Number of Stories ...................... L Dimensions of entire new construction: Front .......... .... ~.. Rear ............... Depth .............. ~eight ............... Numb0r ~f StQ~es,: .............................. : ................ ). Size oflot: Front ........ · ~ear ........ ~~ .......... ~ ................. ). Date of Purchase .......... , .................. Name of Foyer Owner ............................ L Zone or use district in w~ch pr~mises are situated .................................................... , L Does proposed construction viohte any zoning law, ordinance or regulation .................... Will lot be regraded ...' ..... ~ ................... Wall excess fill be removed from premises: Yes .... k N~e 0f Owner of premises . ~E~,,l.,'~Z]~l'd ......... Address ~ (t t,[l, :. ~ .;.~>'Jl l-. tr{. Phone No ................ Nme of Architect ,~ .' i:. ~, .( ~ L. q'. ~ ),: ~ ~; .......... Address,. ~ ~ '. 4 4 J. c~.h '.'~:,! ~ '.' '.~Phone No.~ '~-.~.,.~ .. ):.. 4/ ..... Nme of Contractor~~ieu... .. Address .,~,i,;~:.. ,. il, i n..//Phone No ............. , PLOT DIAGRAM' Locate cle~ly ~d distinctly ~{ bufld~gs, whether existing or proposed, and. indicate E1 set-back d~ensions from :operty lines. Give street and blocklnumber or description according to terior or corner lot. deed, and show street names and indicate whether OUNTY OF ................. .S ............... ('::" 'it. .,. (~."* &,.[_....' "J' ~}~h,,(~" "...~{ ?.;' .~.- ... .... being duly sworn, deposes and says that he is the'applicant (Name of individual signing contract) oove named. ,_ __/Contraci~r ......... ' ': 2 k ............................ ,, ~ , agent, corporate OlIlCer~ f said owner or ownem, ~d Is du~y authored to perform or have performed the said work and to m~e and file pplication; that all statements contained ~ this application' are true to the best of his knowledge and belief; ~d that ~e ' .,ork will be performed in the mann{r set forth in the application filed therewith. worn to before me this , .' ............. day of ........ ,, _ ,otary Public, ............... County ~" ~ ., ,. :.. '.. .... FSAN~ES MESSIM ~ .... NOTARY PUtUC, S~te of New Y~rk ' ,