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Home My WebLink About12937-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certi[icafe O[ Occupancy No...Z.1.2.6..8.7 ......... Date .. Aug. 10 19 84 THIS CERTIFIES that the building . .O.n.e..F..a.m.i.J:y...D.w.e..1.1.i.n,q.. ~.i.t}.h...D.e. qk. ............ Location of Property 145 Horton Ave. Mattituck House No. Street Ham/et County Tax Map No. 1000 Section , .1,4..1 ....... Block . .0.1. ........... Lot 0 3 7.2 Subdivision ............................... Filed Map No. 158 32 .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 8 19 .84. 12937Z ..................... , . pursuant to which Building Permit No ...................... dated ..... .Iv[. a. .r .c .h ........ 1.........6 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 ......... New One Family Dwelling With De.ck The certificate is issued to INLAND HOMES, INC. (owner, I~u ~r't~traTIt) of the aforesaid building. 8/7/84 13 .SH 5.88 Suffolk County Department of Health Approval ............... Y . .-. .................... UNDERWRITERS CERTIFICATE NO...........Pending... .................................. . Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN HALL SOUTHOLD, N. Y. N,O BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 1293~ Z Dote .... ..~.,.~ .................. Permission is hereby grantee[ to: ~ __ I~ ............. :~....~..~..~...~.J.2..~ ......................................... .~...~.~,.....~...~.~... ........ .~.~ ............ County Tax Map No. 1000 Section ..... J...L)..I ........... Block ...... J ............... ,Lot No......~.,.~....:.....,:~.... pursuant to application dated ..... ..~..~.~...~. ...................... , 19..~...~.., and approved by the Building Inspector. Fee $..L ..~...~...'.~....~.. .... Building Inspector Rev, 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: - - 1. Accurate survey of peoperty 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: I. Certificate of occupancy on pre-existing dwelling/r Certificate of occupancy $5.00 2. 3. Copy of certificate of occupancy $1.00 / land use $/s-/$5.00 Date ....... XX New Building ............. Old or Pre-existing Building(Z) ......... ~/Vacant Land ... Location of Property 3~4,~'~orton Avenue, Natt±tuck N. ¥. 3-3-952 House No. Street Ham/et Owner or Owners of Property ~NLAND HOH~;S, ~ County Tax Map No. 1000 Section 3.4,'1 Block 3- 37.2 Subdivision ................................. Filed Map No. 3-5832 .Lot No. Health Dept. Approval..8./.7../. ,8.~. j..~.,T .~.~..~77: ~..Labor Deptl Approval ...................... ,.. UnderwriterSRequest for TemporaryAppr°val Cert f cate/'"~...~o ' ' es ..................... Final Certificate .. Fee Submitted $ 5.00 Construction on above described building and per~'tmee~s all app~ca~fe~.code,~ and regulations. ~t~ ~-,~ ~-"'~ ~ A'pp cant 03 .... ,- ....... ......................... Rev. 10-10-Ta Rober~ E. HJ. ltz,' ~LAND HOMES, INC. FIELD ~NSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL )DITIONAL COMMEN FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved. .... me it Disapproved a/c ..................................... Application No .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date March 8 1984 INSTRUCTIONS a. This application must be completely filled in by typewriter of 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, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, m~d to admit authorized inspectors on premises and in building for necessary inspections. ....... ................. (Signature of applicant, or name, if a corporation) · .~.o.x...A~7.,...~.a.t.~.i..*.u.c.k. ~. y....¥:. ).?..5.2 ........ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Nmne of owner of premises .......................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Rober~ ~. Hil~z, Presiclen~ (Name and title of corporate officer) Builder's License No .......................... Plumber's License No. 517-P Electrician's License No. 2816 Other Trade's License No ...................... [ ~/~.. Location of land on which proposed work will be done. ~ .H.q .r.t.o.n..A. y?.n.u..o~..~i. ~.d. ...... Ha~i~uck, N. Y. House Number Street Hamlet County Tax Map No. I000 Section 141 Block 1 Lot 37o2 Subdivision ..................................... Filed Map No...1.5.8.3..2 ....... 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 1 family dwelling , XX 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work . . ~-I~ (Description) 4. Estimated Cost. ¥~' e (2 ~ ........... ~ ......................... Fee ...... '. ............................. (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits.. 1. ............ Number of dwelling units on each floor ................ If garage number of cars : 1 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Nun]bet of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth : Height Number of Stories 8. Dimensions of entire new conm4uction: Front...5.4 .......... Rear ... ,54 ......... Depth ...28 .......... Height Number of Stories 9. Sizeoflot: Front ... ~00 ................... Rear 86 Depth . .1.7.6. 10. Date of Purchase ........... : .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction rio!ate any zoning/aw, ordinance or regulation: ................................ 13. Will lot be regraded ......... i ................... Will excess fill be removed fr. om premises: Yes No 14. Name of Owner of premises . .]~I~ILAND. H.OM$$, .I.N. gXgldress . .B.o.x...1.1.7.,.M..a.'c.~.~.~ .ul~[{,one No..2..9.8.-.9.0..9.6 ..... Name of Architect .......... i ................. Address .................... Phone No .... ;. .......... Bo.x ]l~,lqa~.t. xt.u~k ,. 298 9696 Name of Contractor . .. I.N. .L. .J~.'D. . .H. .O~.E. .S ,.I.N.C. :. . . Address ...... ' .......... l'none 1~o ................ PLOT DIAGRAM Locate clearly and distinctly allI buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, iS.S COUNTY OF... ~.UFFQI~K ..... .............. Roher ~:. ~.,. l:UL.l.~.z. ................. being duly sworn, deposes and says that he is the applicant (Name of individual sign!ng contract) above named. Contractor He is the ...................... . ................................................................... (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 contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manned set forth in the application filed therewith. Sworn to before me this NOTAq'/P4Bt. IC. St;~t~ 0f New Ym~ ~ber ~ E. Hil tz (~ture of applic~t) N. 34° 40' 00'~/. / "2.7' W. Z.O"W." J . 176.1g' o~oa A3-1BIHS