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Home My WebLink About13157-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16870 Date May 17 1987 THIS CERTIFIES that the building .... .Z.~.q~. 9.U?.R..S.U.I?.~.L~.~..~. 99. .................. Location of Property 645 Alois Lane Mattituck, New York House No. Street Ham/et County Tax Map No. 1000 Section ...1.2.3. ...... Block 06 .Lot 4.5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore tiled in this office dated .~ .a.y..2. [ :..1.9.8.4. ...... pursuant to which Building Permit No..1.3. ! .5.7..Z. ............ dated . . .q.a.y..2. .5 .,'..I.9.8,.4 ........... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlfich this certificate is issued is ......... INGROU~D SWIMMING POOL & FENCE The certJficate is issued to FRANCIS & MARY MALONEY ..................... ?o¥.'&'~k~¥z~ht':~ .................... of the aforesaid building. Suffolk County Department of Health Approval ............ ~./.A. ........... UNDERWRITERS CERTIF[CATE NO. N852411 - February 4, 1988 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 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) N? 13157 Z Permission is hereby granted to:. .... ....... ......... ~ ................. ,..~_~ .................................. ,o .......... ~.~~...z.~~....~~..~.. ~.' .............. ~.~ ........... ~~....~...~~ ....... ~.g~ ........ ~,,~,,e,,~,ed~, .......... (.~.~t .......... ~.~.~ ....... ~~ ..................................... ................................................................................................................ County Tax Map No. 1000 Section ...... /.'~'~.~.. ....... Block .~.~. ............. Lot No....~....~.....~...'....~...--- /,C//~,~ ~.. 19 Z.~., approved by the pursuant to application dated .................... ~ ....... ~'.. .................. , ..... and Building Inspector. Building Inspector Rev. 6/30/80 APPLICATION FOR FORM NO. 6 TOWN OF $OUTHO LD Building Department Town Hall Southold, N.Y. 11971 765- 1802 Instructions This application must be filled in typewriter OR ink, and submitted .. =------- 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 topograph{c 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 sifnilar 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-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, occupancV 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 $I.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date .......................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. 645 Alois Lane Mattituck Location of Property ................................................................... House No, Street Ham/et Mary & Francis Maloney Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 123 Block6 Lot. 4.5 Subdivision ................................. Filed Map No ........... Lot No .............. 131572~ . Permit No ......... : .' uate or Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ......... ; .............. Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ..... .$.5.; 0..0...~.~...~...~. ,'~'>.. Construction on above described bu ,lding ~it meets all a/~'c~l~e~c~o~,s ~_~d ~gUlations. Applicant . . .~..~ ~,~-S .';~..lq .'~'.~ .~ .--V.'T .............. Rev. 10-10-78 7 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000663 BUREAU OF ELECTRICITY ' THIS :E~TIFIES THAT only the electrical equipment ~ ~scribed below and int~uc~ by the ap~icant ~med on the ~e appllc~tlon number in the premises of ~rank ~olo~ey, Alois Irene ~ End , 0~ Ca~p ~no~ ~o~d, ~at~tuck, ~.Y, in the following h~ca~ion; ~ Baser~nt ~ Ist ~7. ~ 2nd ~7. O~d~ Secti(.t Blah ~t u~s exa~nlned on J ~ ~ ~ ~ 1~ ~ and found to be in cotnpliance trlt h the requiretnentz Qf this Board. 1 1 2 1 DRYERS FURNACE MOTORS FUTURE APFUANCR FEEOE~S RANGES OVENS FANS ~$ME Ct. OCKS UNit HEATJRS MULTt -OUTLE1 DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E NO OF CC COND PER ~' R V t C E AWG O~ CC. COHD A. WG OF NEUTRAL ~(.S.~._i~.~_~_.~,~I~__O..L]~. 'I"nis certificate cover~ compliance a~ the ~te of inspection only. ~c, ause of ~u~al environments it is ~isable to have frequent test and/or repairs madm ~y a q~mlified permon~ Glenn Bradley Box 60'2 Laral~ N.Y, 11952 Lie. 1227 This certificate must not be altered in any manner; return to the office of the Board f ncOrrect GENEEAL MANAGER 11 v,,_ ,/. may be identified by their credentials. ~CoPy FOR ~UILDIHG DEPARTMENT. THiS COPY OF MARY E. MALONEY 645 ALOIS LANE B~g & T~vsr Ca MATTITUCK, L I,, N+ Y+ 1195P MEMO Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 January 19, 1988 Mr. Francis Maloney 645 Alois Lane Mattituck, N.Y. 11952 Dear Mr. Maloney: Pursuant to our telephone conversation of today, I return herewith your check #1233 dated July 18, ]986 in the amount of $5.00. Please send us a new check in the amount of $25.00 along with your underwriters certificate for your swimming pool and we will then be able to issue your Certificate of Occupancy. Thank you, SOUTHOLD TOWN BLDG. DEPT. Georgia Rudder, Secretary TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. is not on file. /~No Underwriters Certificate on file. /Z/ The check is(outdated/not on file.) /Z/ NO Health Dept. Approval on file. /~/ No final inspection has been made. An application for Certificate of Occupancy Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ I ~---- I ~_ ~, Z Building Dept. ***/~/ NO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FIELD INSPECTION DATE COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ~OUGH F~AME & PLUMBING INSULATION PER N. Y. STATE ENERGY C~DE ADDITIONAL COMMENTS: 7GS-1802 BUILDING DEPT. INSPECTION FOUNDATION '~ST [ ] ROUGH PLBG. FOUNDATION ZNDr / [ ?INacTION FRAMING [/~INAL C FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 · ~ No. . :.../. Approved .../~.~...~..~..?.., 1~.~. Disapproved a/c ........... ~'~...--f~... ....... ',/ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No .................. Date .~../..M. / ........... 19~. t4z: / a. This application must 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 sliowing 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 whicli 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, and to admit authorized inspectors on premises and in building for necessary, inspections. ,~ ~ ?. .... (Signature of aplJlicant, or name, if a corporation) .r..r.... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises . ./.r./.~.~l...A~..C.~.ff...I~...,~, .~../~.~/ .... . .fi)..,~..~..~./..bt.¢~._. ........................... (as on the tax roll or late~t deed) If applicant is a corporation, signature of duly authorized officer. (Name and ti e officer) Builder's License No../~ ..................... Plumber's License No ......................... Electrician's License No.. ~r~.,4.,~ h¢,,)4.~. ......... Other Trade's License No ...................... 1. Location of land on which proposed work will, be done..~./~. .... ~.4 .............................. 6 ¢5~ .~l.o.l.l .,(/-}~.~..,. .~.]~..wT-... ,~..77..,4'.q./<~ .,44.~. House Number Street Hamlet County Tax Map No. 1000 Section /ol ~ Block (a - ~ Lot .?/.'..~.T. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of pro?osed construction: a. Existing use and occupancy ........ r ............... /;:.. i~, ,.. ~,.~ ;.~ ~ . ........................ b. Intended use and occupancy/~. ~.~ ~< ,:W,2... 5. ~ 4~:.'.~'~'i(i:i'.LP/~.¢ ~ ~-.~ ................ 3. Nature of work (check which at)plicable): New Building .......... Addition .......... Alteration .......... Repair .............. Rem6val .............. Demolition .............. Other Work .~'?d./;,~'1. ! (Description) 4. Estimated Cost ............. ...~...o.~..o. :~?.~. ............ 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 mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, ifany: Front .... . ........... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... i · · Height ...................... Number of Stories ...................... 8. Dimensions of entire new constmction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ........... i ........... Rear ...................... Depth .......... ,; ........... 10. Date of Purchase ............................. Name of Former Owner ...... x~..-./.'~.~..~..~.-.-.-.-.-.-.-.-~..~. :. ......... 11. Zone Or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...... ,~t.~t~. .................. Will excess fill be removed from premises: Yes 14. Nme Of Owner of premises .~.~ .~'Jfl)A-~.4~'..~... Address . ,~.. ~.~... ........ Phone No ................ Name of Architect .......... ................. Address ................... Phone No ................ Name of Contractor . ~..~ ,~.~'.~.~..~'.ff....'Y:'. J.~..,~./.". Address ,~1.~... ~.~l .~. ~Cr, 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 blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF N~EV~R~K,, ~ :S.S COUNTY OF ... d~. ~:.~..'~...~..~.... ~.'~..~. 7~ ¢~ ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing cofftract) above named. : He is the.. ....................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dulg authorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements cont¢ined ~ this application are true to the best of his knowledge and belief; and that the work will be performed in the m~ne~ set forth in the application filed t~erewith. Sworn to before me this ..... ~. · ·. ~,-~-~*~ ~,day oi ...... ~.~. ~ Nota~ubli~c .... L:.''' '~ ...... i' .o .~