The URL can be used to link to this page

Home My WebLink About13268-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z15722 Date May 4, 1987 THIS CERTIFIES that the building ...O.n.e...f.a?! ~ .17..d.w..e .1.1.i.n. ~ .. ...................... Location of Property R.O.W. (Kirkups Lane) Mattituc. k House No. Street Hamlet County Tax Map No. 1000 Section . .1.2. ! ....... Block ...3. ........... Lot 7 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 10, 1984 pursuant to which Building Permit No. 13268z dated . . 3..u .1.y.. ! J .,.. I. 9. .8 .4 ............ was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... One family dwelling, 1~ car garage and deck. Th~ certificate is issued to BA~IB S. & HERMINE HORTON ..................... ............... of the aforesaid building. Suffolk County Department of Health Approval 14- SO- 136 Jan. 20, 1987 UNDERWRITERS CERTIFICATE NO ......... F. 7. 2. .5 .9.5.4.... p.q c.:..1. I. ,.. 1985 PLUMBERS CERTIFICATION DATED:_ April 28~ 1987 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PEPd',AIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13268 Z Permission is hereby gro~ . , ...................................................... at premises I~ated at ..~.,.~.~.~..~.~..~ ........ ~..V~.~~ .................. pu~uant Building Inspector. Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must bo filled in typewriter OR ink, and submitted ~m -_-'-- ........... , to the Building Inspec- tor with the following; for new buildings or new usa: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unu~al natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-($-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 Aprii"l~5~), Non-c0~-6~'~'g uses,~or buildings and "pre-existing" land rises: 1. Accurate survey of p=operty showing all property lines, streets, buildings and unusua~ 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: t. Certilicateqfoccupancy New DweltJ. ng.$25.00, Acce,.~ory ..$10.00 guaine¢,'~ $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5/00, over 5 yearn $10.00 4.Vacant Land C.O. $ 20.00 5.Uodated c.g. $ 50.00 D~e .......................... 6. Alteration $25.00 New Cons truc tion ...... Old 0r P~e-ex[st~ng Building ............ Vacant tsnd ............. Location of Prope,~ ................... ....... ,,oc ......... ..... 'Z ......... Subdivision ................................. Filed Map N~ ........... Lot No ..... ~ ....... .. · · .ealth Dept. Approval j.~...~O.7.~ ...... Labor Dept. Approval ....................... Unde~riters Approval .......... Planning Board Approval ...................... Request for Temporaw Certificate ..................... Final Cortificato ................. Fee Submitted $ ~ ~ ...... ,,..,o.,o.,, 3/zf 7 C". O. z 72~ FIELD INSFECTION COMMENTS FOUNDATION (lst) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION FER N. Y. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 t~' 11, 1985 296563/~4 ~..,ic.tlon.o.o./ile N 725954 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 in the following location; [] Basement [] 1st FI. [] 2nd FI. Section Block Lot was examined on ~sT~'~' ~ e ~ and found to be in compliance with the requirements of this Board. OUTLETSFIXTURE SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST DRYERS E R ¥ I C E OF NEUTRAL 4/O 643 ~ GENEI~A[ ~MANAGER Per_ This certificate must not be altered in an)' manner; return to the office of the Board if incorrect Inspectors ma be Identfed O~PY FOR BUILDING DEPARTMENT, THIS COPY OF Cm.iYiFI~A~ .~ ;UST NOT B '~ AL~TER~Ep IN ANY MANNER. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. (ple~ase print) Plumber ~ ~ c~ '' (~lease 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 ' c:~-( day of. /ff~'~ Notary Public, Notary Public . 5R/SO~ 30~IN P-~ ¢.~ote o~ NeW york TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR I'.O. BOX 728 TOWN IIALL SOUTHOLD, N.Y. 11971 TEL. 765-1~02 Tbls is to advise you that the job Under building permit no, 13268Z__ issued to Peconic Homes Corp on __.3/,1~/~4___ for 'New Dwe~Ying is completed a fiaal tnspection has ( ) has no~ ( X ) been done. and £n order to complete this file, it is necessary that a Gertiflcate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00paynble to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date . Occupancy or use is unlawful without a Certificate of Occupancy. Please. be}p us to clear up th~s mutter so that legal action ¢loea not hnv~ to be taken. Thank you for your prompt attention. Very truly youths, VlcCor Lessard Executive Adm£ntstrator VL:;lar oriel . 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved~.~../I ...... 19~.~. Permit No. IS& .~ .~...~' Disapproved a/c ..................................... Received ........... ,19... (BuiIding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application inust 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 tayout of property must be drawn on the diagram which is part of this appli- cation. c. The work 6overed 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, 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 building for necessary ins?~ctions. , ..... ........... (Signature of applicant~or name, if a corporation) l (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber or builder. .... ~ dl .t.k...~-:. .............................................................................. Name of owner of premises..~.'~(?.~?.'5~..i..~. '~'~· · 'Tv~' '~: '~' ' '~'~'% '~' .......................................... (as on the tax roll or latest deed) I f ~p~an t !s/of °r ]~/gYy/~wat u re ° f d u~at h °rized ° ffic er' Builder's License No..k,~.Q.I~.-.'~. b~)....C~)../,,)..~..'~-~.. Plumber's License No.. ~/) .~..TF'....~.~.~ ..... Electrician's License No, ,'~,~.k?'7..~.. Other Trade's License No ...................... 1. Location of land on which proposed work will be done...~..~ ~ ..... .~..M.~. ....~....~....C~. ~ ......... .~ (3 ~ ...... .~. y ~.~. ?s. ~ . . .~. ~. : .......................................................... HouSe Nhmber Street Hamlet County Tax Map No. 1000fiection .. I .'.2:-.. ! .......... Block ...... (~.~. ........ Lot .... 7 ............. Subdivision ....... .~. /../ ~D~ ..... Filed Map No ............... Lot ............... .... (k'a~) ..... 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 ....... ]....~.~.~v3~..... P~..~.~.1..l. lb4 ............................... 3. Nature of work (check which applicable): New Building..........~ Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ' (D ripti ) 4, Estimated Cos ................................ Fee ...................................... ~' (to be paid on filing this application) 5. If dwelling, number of dwelling: units ................ Number of dwelling units on each floor ................ If garage, number of cars ..... ~../. ................ 6. If business, commercial or mixe. d occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... ~... Height ...................... Number of Stories ...................... - 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... _ Height ............... Nuraber of Stories ........................................................ 9. Size of lot: Front .......... i ............ Rear ...................... Depth ...................... 10. Date of Purchase .~F.....q~. ................ Name of Former Owner ..:[Y~l~0i~...~.~.~-q.~.~v ...... 11. Zone or use district in which prlemises are situated ......... ~'3. l .............................. .~ .......... 12. Does proposed construction vie:late any zoning law, ordinance or regulation: ....... ~ .O .................... 13. Will lot be regraded ...... ~ .... , ~ ......... Will excess fill Jae remedied from premises: Yes 14. Name of Owner of pr.~ises_~ t~,~.O~.~.. Address ~¢~2. :~r~.~..~... Phone No..~..~.~-.; ¢.~/~.... Name of Architect . .~,-~.~ ............. Address ~ .... ~'~.., ,..~ t · · · Phone No ................ Name of Contractor . .qtT}'t~g~~ ........ Address/N)..~97. '~t~k~...l~.. Phone No..~.~ .q~.. ¥.q .I. ~.. PLOT DIAGRAM Locate cleariy and distinctly al! 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 corn6r lot. , ~ FE OF NEW~O~[,~_ J _ s.s ....... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) named. , , He is ~he ' I (Contractor, agent, corporate officer, etc.) 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 conthined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne, r set ]~o~th in the application filed therewith. Sworn to before me this i ~iu~,! ~,,~, M,,,~, ~o, ~.I~ (Signature of applicant) ' Daniel Jocoby e~c~c~s ~ ~weao~ SU~Y FOR MAY 31, 1984 APPROVE~_~, , 'j ~ HEW YQRK STATE E~CATI~ CAW HEA~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT AND ~ HIs BEHALF ~ ~HE ~ITLE C~P~Y, GOV~N- ~ I N ~F CO, T~ MAP ~T /~ SECTION Iii UCK ~ LOT ~ H~E~, AND TO ~E ~SS)eNEES oF THE LENDING OTHER THAN THO~E SHO~N HEREON, OWNERS ~ ~ 4 WILLC~FORM ~ T~ $TAN~ OF THE SU~K CO~TY DEPARTHENT TO;XISTIH8 STRUC~E~ ARE FOR A OF H~LTH ~ICE~. ~ ~ YOH~G W~-<::~ ~ '" ~zY-~q: J a YOUNG ~OS~NDERAV~ERiVER~AD, NEW YORK AL~EN W. YOUNG, PROFESSIONAL ENGINEER ANO:.LANO SURVEYOR N.Y.S. UCENSE NO. ~Z845 HOWARD W. YOUNG~ LAND SURVEYOR H~ L~ ~ ~L(W),~IC TANK(ST)e CE~OL$(~) ~N ~m[~ N.~ ~. LICENSE N0,45893 BRANDIS & SONS INO, 1046 0 0 0 0 0 .CO PROPOSED RIGHT OF WAY ", / or formerly peconiC Homes 0 '~. em m em ,mm ~ o c --q OZ I I I I ! I F L-~ m I-r'! O r'r'l -.--! .7~ ,.--, r-' ..-"'~ or'- l-r-1 rwl 72 -ri rtl Oc::: ~ --I 0 f~-I I-rl rtl r-' II :~ . F Tm N 0 CL..m 0 i © C"') C/) Frl ---.4 F'r9 O0 Im"l I /' i .? I Ii! 7:Z" · Illllll Illlfll illbl l il IIlllllllll 'il Il Ill II I I [ fi] Il Illlll I ~ '' i t I. ._t ? ,I