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Home My WebLink About13545-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13960 Date October 24 1985. THIS CERTIFIES that the building ........ .a.d. d. ~ 73,o.n...~..a.c..c .e.s.s.o..~ .y.. ............... ~.,- 430 Sail'ors Needle Rd. Mattituck Location of Prop,,[y ...................................................... House No. Street .... I~l~r~/e~ County Tax Map No. 1000 Section 1 44 .Block 5 .Lot 2 9 · 1 & 3 0 Subdivision X .Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore Fried in this office dated October 18 19 84 pursuant to wtfich Building Permit No. 13545Z dated ....... N. o..v.e.m.b.e..r..1.6. ........ 19.8.~., 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 ......... Deck addition to .dwelling & accessory cabana for pool area. The certificate is issued to , JOHN J. & L. ILLIAN C. NEWMAN (owner, of the aforesaid building. N/A Suffolk County Department of Health Approval . ,~ ........................................ UNDERWRITERS CERTIFICATE NO. N 71 1 9 06 & N 711 8 9 9 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 13545 Z Permission is hereby gronted .... . .~.~z~....../..,.....~...~.v~..~.~.. ............. .... , .Z..¢....7..... f.//.//.,. Z~Z-/,~. ~.,.......~/.~ ........ ...... ~.~,,,z~..~z× .,,..~..~ ............ ,o ...... e',~.,.,~.~..~..~-.. ....... ~,~,~.....~.~~..~...~.....~~~. ¢..,~ ~.~.~ .f.......:./~~...-~..x.....~.~.~...,,,~_.~.: .......... ot premises located at .....~..I~.~........~...~..Q;/,~,,..~........~.~~....~.~....."~.. ................. ..................................................................................................... County ToX Mop No. 1000 Section ../....~.'..~.. ........... Block .~....~..........~Lot pu,uan, to application dat~ .0~....~ .......................... , 1~., and oppr~ by the Building Inspector. Fee $..~.. ................. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Bo Instructions This application must be filled in typewriter OR ink, and submitted im~ 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 Archil~ect 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 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 New Building .... .~;.. ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property '/ ~"~./'~/L.o/~ ~,~_,~_,..~.~,,~u/.~ ./.~/~/T/T~,/E._ ~. House No. Street Ham/et Owner or Owners of Property .~ ~'O~f/&) ~,. "Z'rcc'../~..~.:....~....~....~... County Tax Map No, 1000 Section ':..4'.~...~',~, ....... Block .~ .............. Lot .~'. ..... <-?. ...... Subdivision ................................. Filed Map No./} .......... Lot No .............. Permit No./.~....~.~:~.. Date of Permit,(.~.o~/.dd'?.. .Applican ~ ............ Health Dept. Approval ........................ Labor Del~. Approval ........................ Underwriters Approval ~. ...................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitt-ed $...~. :?~..'.~.~, ·..~..~.'. ] ..... ' Construction on above described building and perr~t r~eg~/~l//applicable co_~s and regulations. FORM NO. 3 TOWN OF IgOUT}IOLD BUILDLNG DEPARTMENT TOWN CLERK'S OFFICE SOUT][IOLD, N.Y. NOTICE OF DISAPPROVAL .... PLEASE TAKE NOTICE that your application dated .. · r~ .... 19 for permit to /~.,~.... Y~.~.C~... ~..~~..~ ........................ at ttouso ~o. ' ..... S~t ...... Ham/et County Tax Map No. 1000 Section ..(,~.~. ... Block .~ ....... ~t~- ~V Subdivision ~ Fil~sd Map No ~t No -~ is returned herewith and disapproved on the following grounds . . . ~.~ ..... ~ ... (~. · ~...~:~-~:...~-~'~, · · r~. ~.. ~.a. ~ W,. ~. /Building Inspector · Rv 1/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS 100077,1 BUREAU OF ELECTRICITy ~3 E5 JOHN STREET, NEW YORK, NEW ~ORK 1003~ $21076/85 THIS CERTIFIES THAT in the following location; ~ Baseme~$ ~ 1st FI. ~ 2nd FL ~ Section Bloc~ Lot Oc~obe~ 03~ '~9~ SWITCHES FIXTURE OUTLE%'S RECEPTACLES DRYERS 14 SYSTEMS NO. OE FEE7 S E .o. O;E.%CO.O.1 OTHER APPARATUS~ I C A W. G, NO, OF HI-LEG OF CC. COND. AW.G OF Hi-LEG NO. OF NEUTRALSI AW, G OF NEUTRAL R~l~nd ~],ect;ric Co~ ~a~tituok ~ 14Y 1.L95~ GENI:I~AL MANAGER .,.~! ¢15~ This certificate must not be altered in any manner~ return to the office of the Board if i~correct. Inspectors may be jdentified by their credentials. ~ ~ COPY FOR BUILDING DEPARTMENT. THIS COPYOF C~RT~IE~CA~ ~US~ ~O~ B~LTERE~ IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDI[RWRITERS BUREAU OF ELECTRICITy 8.5 JOHN STREET, NEW YORK, NEW YORK 10038 Date O~tobor 08, 1985 ApplicatlonNo, onfile 321077/85 THiS CERTIFIES THAT N 711899 only the electrical equipment as described below and introduced by the applicant nambd on the above application number in tile premises of Jack Ne~,n ~ in the following location; [] Basement ~] 1st FI. was examlned on OC~O~ O.~ t ].985 FIXTURE OUTLETS DRYERS OTHER APPARATUS: FIXTURES EECEPTACLES SWITCHES INCANDESCENT FI.UORESCENT [] 2nd FI. Section Block Lot and found to be in compliance with the requirements of this Board. RANGES ;PECIAL REC'PT S R FURNACE MOTORS FUTURE APPLIANCE FEEDERS OVENS DISH WASHERS UNIT HEATERS MULTI-OUTLET SYSTEMS ' ' ' NO. OF FEET C 21o - EXHAUST DIMMERS OF NEUTRAL 2/0 P,O. ~ox 143 ~tta, tt~ck, ~Y 11952 ~i~242~ GENEI~AL MANAGER ,~~~oard ,,co{red. Inspecto[~ ma..~ jdentified by their credentas. - OOP~FOfi UILD~GDEPAfiT~E~T. THISOOPYO ~,: CE ~F ~ ~ T ..... ~ , . IT , E~ED iN ANY MANNER. FIELD ~NS~CTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ?DE FINAL ADDITIONAL COMMENTS: 925 HEMPSTEAD TURNPIKE FRANKLIN SQUARE, NY 11010 (516) 354-9100 (Nassau) (516) 654-3610 (Suffolk) (212)895-2228 (New York City) (914)358-9088 (Westchester) -- INSURANCE SERVICES -- GROUP INSURANCE LIFE - HEALTH. DISABILITY INDIVIDUAL (Personal & Business) LIFE - AUTO - FIRE - HOMEOWNERS LIABILITY - THEFT - MARINE John J. Newman, President October 18, 1984 Victor Lessard Town of Southold Building Department Town Hall Southold, N.Y. 11971 DGar Mr. Lessard: Enclosed is my application for a Building Permit to add a Cabana and raised deck around the pool area for our home at Sailors Needle Road. The survey plan and letter from New York State Environmental Conservation are also attached. Please advise if you require anything else from me. The pool company, Pools R Us, have already filed for a pool permit with you and it is pending. JJN/pc Enclosures P.S. Also attached is permit fee of $10.00 BLDG, DE, PT, TOWN OF SOUTHO,J.D 9~25 HEMPSTEAD TURNPIKE FRANKLIN SQUARE, NY 11010 (516) 354-9100 (Nassau) (516)654-3610 (Suffolk) (212)895-2228 (New York City) (914) 358-9088 (Westchester) INSURANCE SERWCES -- October 23, 1984 Mr. Victor Lessard Town of Southold Building Department Town Hall Sou%hold, NY 11971 GROUP INSURANCE INDIVIDUAL (Personal & Business) John J. Newman, President BLDG, DEPT ~ T~WN OF~0UTHOL~ Dear Mr. Lessard: As per our phone conversation yesterday, which was MOnday, I wish to resubmit the Plan showing the Cabana to be added to our application for a Permit. I have enclosed a copy of the original Plan sent to you in my letter dated October 18th. In this new copy, I have crossed off the location of the Cabana and indicated the new location. JJN/pc ~ Enc. X~W ¥OPd~ STA~ DEPART,',~MT OF ENVXP/)NX~NTAL CO~SERVATXON ~gu!a~o~ Affairs Unit ........... Stony g~ook,'N. -11794 ............... '(516) 75X~7900 0 ,k review ha~ be~a made of your wo' New Y~;~'k Stat. e Department of Ea~rlrcum~nP-al Cc~servatton ha~ found __ ptt~l __~ project to -- Greater thaR 300' {rom inventoried t~dal wetlauds. ~ grea~er ~han 100' In length c~t~c, ted pre. or td sap~e~.b~r 20, 19~7. .... ~r~Ward of 10~ ~tour elmvatio~ abe-~ m~m $~a le~l ~. a grad~l, nat- -- ~ of top~hic~ crest of bluff, c)3.~, o~du~ in ~x~ of 10 feet i~ ~va~ion ~ve ~.-se~ level. ' ~fore, uo'pe~t ~e~ Article 25 (T~dal Wet~.d~ of the Con~rvat!on Law) ~s req~.red at this' time. since the ,;%~.~ pr~:,~:~. Or ~dlfi~tions to the project Troy r~quJre a pe~it, It is your res~ns~ty 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL · ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined..,~...0'7~.....d..~. .... 19 .~..~ Approved. ..: .... Disapproved a/c ...... ] .............................. APPLICATION FOR BUILDING PERMIT BLDG, DEPT. TOWN OF $OUTHOLD Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations for the construction of buildings additions or alterations .o,r~ for re.moral pr demolition, as he,rein described. [he applicant agrees to comply with all appncabte taws, ormnances, euuumg cooje, ho~g code, anu legtllla[lOllS, aYlu ~.O (Si¢2ure of a~?licant, or name, ifa corporation) / ................. , (Marling address of applicant) / r y , v/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......... ~7.O.I~. ~....N.$.~..F~.N.. T,IE.S.E..Lg.~.T.E...N.E.~..[~..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) Builders License No. "./,~.. ~.. Plumber's License No ................... ./(. -- · Electrician's License No ............... /. ...... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ................... q.e. e0.l ..2o .d ............... [q..7. ..................... House Number Street Hamlet / County Tax Map No. 1000 Section .... /..~. ~. ......... Block. ~ ~'"- Lot~.Zff:/~.~-- Subdivision..Salt. ;hake..V. il[Lage ............... Filed Map No ............... Lot ............... (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy .... .pr±v~te. re.$±dence....O. ?..~.=. . .F:.-~.../~. (.&:.~.. ..................... b. Intended use and occupancy .... pri~z&te, r~s£de~l.ce...7~../..~)4~--~..~:. ~.MT. ~..~ ~ "' 2'("') ........ 3. Nature of work (check which applicable): New Building ..... ' ..... Addition. ~{... ...... Alteration Repair .............. Removal ............. 4. Estimated Cost... $.4.C[~00D .................. Demolition : Other Work i ~ ,~¢'~,~' (Description) ........ Fee ' ............ '~ (to be paid on filing this application) 5. If dwelling, number of dwelling units.. 1 ........... Number of dwelling uniis on each floor .e.x.i..s.t.i.n. 9 ...... If garage, number of cars . 2..q~r. ~_¢qJ,~.tj,n.q ......................... : ............... ;...: ........ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..... ~qr~ ........... 7. Dimensions of existing structures, if any: Front ............... Rear ....... ! ....... Depth ...... i ........ Height ............... Number of Stories ............................ ! ................... ~ ........ DimenSions of same structure with alterations or additions: Front ............ i ..... Rear .................. Depth ...................... Height ...................... Number o~Stories...$0~..$¢l:Y.e&( ...... 8. Dimensions of entire new construction: Front ............... Rear ........ i ....... Depth .............. Height ............... Number of Stories ... fi.q~, p.l.a.n. ............... i ........................... 9. Size of lot: Front .......... Rear ...................... iI)ant'h Seo Survey 10. DateofPurchase 8/1/.84 Name of Former Owner iHz;[da Grz~'~z~h 11. Zone or use district !n which premises are situated ......................... i ........................... 12. Does vroposed construction vinlate any zoning law, otdinance or regulafion: .N. o.i ........................... 13. Will lot be regraded .. Slig. ht ................... Will excess fill b,e removed from ~remises: Yes 14. Name of Owner of premises .~[ObP, .J.., N.e. wraap.. Address ~J~h~.l.l~,~l~n~ ~ ~zl~-~295 Name of Architect ........................... Address ............... i ....Phone No ................ Name of Contractor .......................... Address ............... i ....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 sho'~, street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. JOHN .J....N..E.W..M~.N. ,. OWNER .................................... being duly sworn, depo'ses and says that he is the applicant (Name of individual signing contract) ab named ] " He is the (Contractor, agent, corporate officer, etg' of said owner or owners, and is duly authorized to 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 ofh~s' 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 NOISY ~PU~.IC, s~,~o'o~ ~ow ,'tor~ / / tA (Signature of applipant) Oual~fled h~ ~N,~s~au Co ab/ ) ' ~/ ' , Comm;~slon ~xplro* Mar~h 30, I ~ 7