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Home My WebLink About13329-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Zfi. 3..0.9.0. ......... Date ..... D.e..c.e.m.b.e.?..2.8. ............... 19.8.4. THIS CERTIFIES that the building... O..n 9..9 a..m .i.Z.7...d .~.e. 1. Z..5_ .n~ ...................... Location of Property ... 7.5..0 .~.o..g.o.n C..o.u?.g. Mattituck House No. 'S*t/e~i ......................... Hamlet County Tax Map No. 1000 Section 1 07 .Block 02 .Lot 3.4 Subdivision Greton Estates pN .B6..6~ 8 ............................... Filed Ma o ~ .... Lot No .............. conforms substantially to the Application for Building Permit heretofore ~ed in this office dated .... 3. u..3_ y..3. Q ......... , 19.8. 4. pursuant to which Building Permit No. ? .3 .3.2. 9. .Z .............. dated ... g.~lg¢ ~.t.. 7 ............... 19.8. q, 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 ......... ... One. famil3( dwelling with attached two car garage. The certificate is issued to ARV0 & RUTH KANERVA (owner,]~e~. ~r~.~OCt~ X of the aforesaid building. Suffolk County Department of Health Approval . 1.4 - S. O- 14 9. ~ 2 / 26 / 8.4 UNDERWRITERS CERTIFICATE NO ........ N668338 11 / 16/84 Plumbers Certification 12/28/84 Building Inspector Rev, 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13329 Z Permission is hereby granted to: .... ...~.,~..~.~'.. ............................................ · ~:. _,.,.~ ........... ~. . ........................ o~ ~,,~ ,=~ed ~ ..~..~ ........ ~~....~,......~.~ ...................... County Tax Map No. 1000 Section ....... }...~...'1. ........ Block ...... ..O.....~.. ....... Lot No.....~./..~. ........... pursuant to application dated ....... ~ ..0_.~.,~,~......~ ............... , 19.~.!...,9q Building Inspector. end approved by the Building Inspector Rev. 6/30/80 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. / 3 3~ f ~ Owner ~0 /<~/J~ ~ , (pleas~ p~int~ Plumber frQ. p 0/~ /~. (please prznt) 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 ~/1 day of ~ 19~42/. / Notary Public, ~ ~ ' Notary Public / County EIlZAI3E'~H ANN ~ NOTARY PUBI,I~,, ~h(e o~ Niw yodr 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. C. Fees: 1. Certificate of occupancy $5.00 / / 2. Certificate of occupancy on pre-existing dwelling er land use $/g'/ $5.00 3. Copy of certificate of occupancy $1.00 / .. New Building .... ~ .... Old or Pre-existing Building(X) ........ ~ fVacant Land 'i ........... Location of Property Hou~ No, Street HamNt Owner or Owners of Property . .~O ~;~-~'~~ ..................... Count~ Tax Ma~ ~o. 1000 Section ....... .~ ..... Block ............... Lot.. ~.q ...... Permit No. 2~ ~ Date of Permit */~XApplicant .~ .'.~L~. m ~...~q Health · /~'~eY~ .... :..La~or Dept. ApprovaJ ..................... Dept. Approval z, ) '"' Unde~riters Approval . · ~., ~, ./..~ ......... P~ning Board Approval .................. ~.., Request for Temporary Certificate ..................... Final Certificate .... ~ ....... * Fee Subm itted $ ...... ~..~. ............... Construction on above described building and permit~mee~s all app~cable~code~ and regulations. FIE~D IN~SPECTION COMMENTS FOUNDATION__. (l~t) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ODE FINAL ADDITIONAL COMMENTS: 7GS-XS02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~]/ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ~/FRAMING REMARKS FINAL -for DATE INSPECTOR 765-~802 BUILDING DEPT. INSPECTI'ON FOUNDATION ~ST [ ] *ROUGH P~G. FOUNDATION 2ND [ ] INSULATION / FRAMING [ ~/FINAL REMARKS: ~ooo77~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-J~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~ly the e~ectrlcai equiptnent as described below and i~trod~ced by the applicator named on the above application nu tuber in the pretnlse$ of Arvo gnaerva~ 750 Greton Cou~ ~ttit~k, l%Y. Plot ~] in tke yollowing location; [] Basement [] 1st l,~. [] 2nd FI. Section Block Lot was examined on ~OV~II~J~J~C ~ ~ 19~ and fou~td to be in compliance with the require~nents of this Board. FIXTURE ! FIXTURES RANGES COOKING DECKS OVENS -- ~JSH WASHER: EXHA~US~T FANS 25 ~ ~3 2 T * * * I 30 1 SERVICE DISCONNECT ND. OF I S E R V I ~ C E I ~ ~5o cb 11 x I 2/o 1 2/o ~tu~e Appliance Fearless: 1~°~.1~ t-P~i~, p. O,l]ox 143 :,'.f~ttituc. l~. N'.Y. 11952 LIc. 2~ GENERAL This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectois may be identified by their credentials. Ap p roved~X .b~.~...~.. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · ~OUTHOLD, N.Y. 11971 TEL,: 765-1802 ., l~.~.. Pe~it No! 35 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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. ¢. 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, and to admit authorized inspectors on premises and in building for necessaw ~tspections. ~/~. {~. · .~.:..~...~/.z.~..~.~. ...... .~¢z..../~...c... ...... · (Signature of applicant, or name, if a corporation) ,. ....~../..x.../...../p...~. ~... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general' contractor, electrician, plumber or builder. ./5.0/~ z~..~. Nan~e of owner of premises .A ./Y.I(.0. · .VT...ff..O..7-.~.....~.4..~. .~./~. ?..~.. ' (as on the tax roll or latest deed If applicant is a corporation, signat~ure of duly authorized officer. ..... ............ (Name and title of corporate officer) ild /.3 ~ Bu er's License No ........................ Plumber's License No.. ~..o.p/'..~y~ .. .............. Electrician's License No ....................... Other Trade's License No ....................... I. Location of land on which proposed work will be done.. 5/.~. ?'.].~'.O.'~....'~.~. ?'.'~..7-. ·~7.'~· .......,~.,O.. ,~.]f. ~..-7'. ...... ..... 9. ~.~.. .............. . .c/. ~ zo~.....6.77... ........ . .ev~. r .z:,... ~34., .................. House Number Street Hamlet County Tax Map No. 1000 Section ..../.t~..'~.. ........ Block ... EP. ~. .......... Lot..~.~..~.. ........... Subdivision..~./..~.? ./~...Al....~.~./.~..~..7~.."~.~.'. ...... Filed Map No ............... Lot ..... ~. ........ (Name) 2. State existing use and occupancy of l;/remises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ O, C_ ~ /. ........./. ...... ...... b. lntendeduseand'occupancy · I}~ ~ .~."* ............ 3. Nature of work (check which applicable): New Building..........~ Addition Repair .............. Removal ............ Demolition ......... ......... Alteration .......... .... Other Work ............... (Description) 4. Estimated Cost ....... ~...~.i O. O.O ...o ~ ............. Fee ...................................... i ~" (to be paid on filing this application) 5. If dwelling, number of dwelling umts ............... Number of dwelling units on each floor ................ If garage, number of cars .... .~. ................................... .. . . ... .. ............... . .. . 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 ............... Number of Stones ....................................................... 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 ............... Nuntber of Stories ...................................................... 9 Size of lot: Front ' Rear Depth ...... 10 Dar ~(~"" fF · e of Purchase ......... i .................. Name o ormer Owner ........................... 11. Zone or use district in which premises are situated .................................................... 12, Does proposed construction violate any zoning law, ordinance or regulation: ....~.q ........................ 13. Will lot be regraded ...... .~.o~ ................... Will excess fill be removed from premises: Yes No 14 Name of Owner of premises ~ : Address Phone No Name of Architect ......... ~ ............... Address ................... Phone No ................ Name of Contractor .~., . ./~. . ( ~c. ~. '.~. '?.%.~. .y. ..... Address . .P..~.~?.*./...~..4..~.F... Phone No..&?. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. . STATE OF' NE.W~9~ .,, f_ . ........ (Name of individual sig above named· ~...~.~..//~ .~'..~,'. . being duly sworn, deposes and says that he is the applicant ting contract He is the ............................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all statements conlained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me ........................ d.,ay of ........ ~..., 19 Notary Public, .4~.~F_~ .~. .......... ' ~ '.~..~.. CoUnty DWEL~NG ONLY ~ HEALTH UCTION ONLY ,,. T/tie 6 Lot Lot I0 SURVEY FOR :',... ARVO KANEt~V,~ ~ 'RUTH KANERVA 10T NO. $~ "Gt~£FON ESTA?ES ' ~ MATTITUCK ~N ~ SOUTHO~D No, 8~08- $52 511 ~INGLE FAMILY DWEL NG ONLY SUFFO~ COUN'D' DEPAI~TM£NT OF HEALTH J~OIJ, ~J~P,RO~,~L OF CONSTRUCTION ONLY Lot Title No, 8408- $52 $11 Lot I0 :.51 SURVEY FOR I~t?VO K,4N,~R_~A a--RUTH LOT NO. B, GBETON ESTAF'£$ AT MATTITUCK TOWN ~ $OUTHO£ D SuFF~OM( COUNTy, NEW YORK N u~u~r,o~lz ~o ~oomo. ~ THE LAND SEAL SHALL DATE: JULY SCALE: / ' NO. e~ - GUARANTEED TO; SOU?HOLD SAVINGS BANK CEN?UR Y YOUNG BRRt~OI$ & I INO[ 1046 6 Lot 39 T/tie No. 8408- 352 21( HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT NOTE; ~-' STAKE SUBDIVISION MAP PILED IN 7'HE OFFICE OF THE OFSUFFOLK COUNT'Y ON SKP~. ~0, 19~6 AS PILE BRANDIS & SONS INC, 1046 I0 Lot SURVEY FOR ~VO KANEHV~ ~ HUTH /OT NO. 8, "GH~TON ESTATES AT MATT/TUCK ~WN ~ souTHOLD SUFFOLK COUNTY',, NEW ~RK . ~UTH~ZtD ALTERA~ION OR ~ODITION ~ DEC. '7, 1984 DATE: dULY 19S4 SCALE:' / "= 4~0' NO. OIS?ANCES SHOW. HERI~ON FROM I~ROPERTY LINES ~ 8,~', ~ -, //, 40~ bSTR~OER YOUNG e, YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER · AND ~AND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S~ LICENSE N0.45895 AVENUE RIVERHEAD~ NEW YORK