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Home My WebLink About12826-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z..Z.a.a.qv. .......... Date April 2 19 85 THIS CERTIFIES that the building ....... .A.d..cl.~, .ig.n.s' .............................. Location of Property 5 7 5 Riley Ave Mattituck House No. Street Hamlet County Tax Map No. 1000 Section . 1.43 ,Block 04 .... Lot 015 Subdivision... X .Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Dec. 30 ,19 .8.3. pursuant to which Building Permit No, 12826Z dated,..........................."*an' 5 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 ......... Construct Add. itions to Existing Dwelling The certificate isissued to KIMBIS, PATRICIA & JAMES ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval ..... N. [.~. ................................. UNDERWRITERS CERTIFICATE NO ............. ~..6.8.2. .9.1.1 ............................ Building Inspector 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) 12526 Z Permission is hereby granted to: .................. ~..',r.~. ............ :.,. .................................. .......... :~?,..,,~/~,~_...~. .~.: ......................... ,o ..... ~x ~ .4 /. ` :::~ ~ . `:~ ~`~ ~ ~ ~ ~: :~~ ~ ~ ~ ~ ~ ~ ~ ~ :` :.~. ~ ~ ~ ~ ~ ~ ~ ~ ~/2 ~ .:. .~ ~ ~ ~ ~ ~: ~ ~:. ~ ~/~:. ~ ./~W~ .... ~....-: .~: ............. --'~""..'" ':'""-~' ......... '~ '~:' '"'x~ .......... at premises located at ....... County Tax Map No. 1000 Section ..... ....:~-~? ....... Block ....(~...,.~/.... ....... Lot No....~C~../.',:.~.~.~ ...... pursuant to application dated .... .~.?.~.-. ...... ~,~. .................... , 19 and approved by the Building Inspector. Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000708 BUREAU OF ELECTRICITY ~(~ 85 JOHN STREET, NEW YORK, NEW yORK 1003~~ THIS CERTIFIES THAT James '~imbt~, 575 Riley Avenue, Mattituck, NY i~ the following location; ~ Basement ~ 1st FI. [~ 2nd FI. Section Block Lot Mar~h 11, 1985 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 14 DRYERS SYSTEMS OT~de, 1-14cir., 100amps. S E R V I .o,~ ~c.~co.~) OF CC. CO.O __ 2 NO, OF HI-LEG C E ,2 Se,,[ ~rato, ~lect. rician Wigg/ns Lane Greenport, ~¥ 11944 Lie#lO49 ,: rhls certificate must not be altered in any manner; return to the office of the Board if ihco~'rect Iospectoi~s may be identified by CO~I~OI~ I~ILDIlY~ OI~PAI~llviI~N¥. 't~115 CO[~' OF CER II~ICAI~ U i" NOT I~E ~ 71d~Eb IN ANY MANNER 765-~,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ '1 FOUNDATION ZND [ ] INSULATION N FRAMING [ ] FINAL DATE ! INSPECTOR/~/Y~~ 765.1802 BUILDING'DEPT,' INSPECTION FOUNDATION xST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL / FIEBD I PECTIQN,, FOUNDATION. - ROUGH FRAME & __ PLUMBING INSULATION FERN. Y. STATE ENERGY ~ODE F NAL ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF $OUTHOLD Building Department Town HaS1 ,%uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitte~p![cctc 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, propertv 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res, 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 land use --?z~ e-E× ±s t ±rig C, 0, $1 5 · 0 0 3, Copy of certificate of occupancy $1,00 Va.c~nt !~nd C. 0. $ 5 · 00 Date... ;~/~/~?. ............. New Building ....~.. ...... Old or Pre-existing Building .~.'. ....... Vacant Land ............. Location of Property . .~c.~ ............ /~.! [{..._f~¢.~ .~ ................ ~.)C.4.,.~.~.c~ ..... House No. ' ~' Street Ham/et Owner or Owners of Property .... ~7(~ .v~t.~.5...J~ ,.~.~ I ~ .... Jg~.~L£.~(~ ,¢.~.....~ I.w-~ I/. .......... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~ ,3..(~. Z.. Date of Permit . ~.fiE'/~'~...Applicant..~,~.~-~-'~. , ~.~ .~-,,~IC ............... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval , ,¥,,,; ............... Request for Temporary Certificate ..................... Final Certificate ,. ~ ................ Fee Submitted $ .~ ....................... Construction on above described building and permit meets all applicable codes and regulations. C..~_. ~?~Oq Applicant ... /:~/~-~.~ ............................. Rev, 10-10-78 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 TEL.: 765-1802 Examined . ./.~rd..~ ........... 19~ :C Approved/~..~ ..... ~.7...... 1 ~ peri, it No.. (~)?:..~.?:~i~F~ Disapproved a/c ............. .._.. ......... ~"' ..... ..................................A/. . (Building Inspector) APPLIGAIION FOR BUILDING PERMIT INSTRUCTIONS Received .......... ,19.., Date ................. , 19 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 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 removat or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatioq_s, and to admit authorized inspectors on premises and in building for necessary inspections. ,~/ ~ ~ (Signature of applicant, or'flame, if a corporation) .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises . (~te'~ ~ .,~.~..~d?.(¥/.~ /~z'.~,~,ta' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title .~corporate officer) Builder s License No....J~.ff. ........... Plumber's License No...~o.,.I¢ .................. Electrician's License No..~.'.%~ ................ Otber Trade's License No... :'...' 7. ............. 1. Location of land on which proposed work will be done, , ,¢7.,~.3'7..z/?~. '~'~t~''' .~.t~ ............................ . ............... .......... ...... ....................... House Number Street Hamlet County Tax Map No. I000 Section /~r.~ Block . .~. ~. Lot. .~..~..f"-- . Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constmcfion: a. Emstmg use and occupancy ... ,/¥..,:Z..~ .~ ?/.¥. ............ ~'~'~ '; ~;~/i, ;:;~ii :~.:.~.~.~:."'~ ........................ b. Intended use and occupancy...?...~.~..m., ....r.~ .,74..~/~?.t2.~~ :':~ 5 .:.~'~f?...~.?'..~,¢Y~.~.~. · · Repair .............. RemoVal ............ Estimated Cost .. ...dPC:~..... ............... Nature of work (check which applicable): New Building .......... ,Addition...~..a~ST~/r,~ Alteration .......... Demolition .............. Other Work ............... -~ 7,c-~U (Description) (to be paid on filing this application) Number o fl dwelling units on each floor..~.. ............ PLOT DIAGRAM Locate clearly and distinctly ~I1 buildings, whether existing or pro property lines. Give street and blocklnumber or description according to interior or ( )rner lot. STATE OF NE~'J~OP~, /~,g "S COUNTY 0Fk/3zZfi'ff/~ff]'. ... I ~'~' ....... ~~...i~..[(/,.~g.-¢-~,~-. · ·~· ...... being (Name of individual signing contract/) above named. ~ ent, orp of said owner or owners, and is dulyXi"~ta' h'orized t6'PCrform or have pphcat~or~; that all statements contained m this application are true work will be performed in the manner set forth in the application filed Sworn to before.lne tiffs ' ..... ~..~. ~d~ ........ day, ., 19 .~ Notary Public, ....,,~...-~x,,'O,.~,...~ · County ~osed, and. indicate all set/back dflnensions from teed, and show street nmnes and indicate whether sworn, deposes and says that he is the applicant Itc officer, etc.) erformed the said work and to make and file this the best of his knowledge and belief; and that the ~erewith. (Signature of applicant) 5. If dwelling, number of dwelling units ....~. ........ If' garage .................... number of cars /-'P',,,~ ........................... ' ........ ~ .............. 6. If business, commercial or mixed occupancy, specify nature and exte at of each type of use .................... Dimensions of existing structureS, if any' Front ~ ~q, J' ear ,~., '~ ~ De~th ~ l'~ ~ ~ x~ 7. Height .... ]ff.~ ....... Numger of S~o~es. ] ~ ~ ~ ~ ~ ~ j ~ ...~..~]~.~.,.~..]~]~¢~]~...~]~ Dimenstons of sa~3tmcture wi~h alterations or additions:~ront . ~ ........... Rear ... ~ ......... Deptl .... ~ ~,. ............ ~.. Height .... Z~ ............. Number of Stones... ~ ~ff ...... ~ .... 8. Dimensions of entire new construction: Front .. Y~ ......... ar ...Y~ ~ ...... Depth . .~. ~(.~ ...... Height ~... J.g. ......... ~umi'ber of Sto~es....d~'. . ·., ..................... ~._ ............. ' . .:' ........... 12. , ~ Y ' g w,o dinanc rreg lation: .................... ~ ....... 13. WH1 Io~ be regraded ... ~. ~ ....... ~..,., ...... Will excess~ill be ~e~oved from premises: ~ No 14. Nme 9f Owner of premise~ .0~m.e.$... ~(~ .~4.. Address . .d~ C.~,.~.?..~. Phone No...". ............ N~e of Architect ~ ~'.~ ............. Address ~" ,~s ~ Phone No ~$5~ ~-~- Nme bf Contractor.. ~.ff~ ......... ~]] Address ~]~ ~ .~4 ] ~. Phone No~ ]~]~¢] ~¢~ ?OR/ o/- · ~ ~ Lof I TITLE NO. PERS 732310 NOTE: ~J -' MONUMENT LOT NUMBEBS BEFEf? i'D SUBOIt/ISIOIV "MAP OF GEO. H., ~YM. 'T. ~ D. T. I~ILEY "FILED IN THE OFFICE' OF THE CLERK OF SUFFOLK OIV NOt/, 22'~ 1929 AS MAP NO. 196 SUFF. CO. TAX MAP I000 - 145-04-015 A~E,~ -' 5582 S.F. SURVEY FOR J~M~S NIMBUS E~ PATt~ICIA I~IMBUS AT A¢~ TTITUCt¢ TOWN OF $OUTHOLD SUFFOLK COONTY, NEW YORK ~UNAUTNORIZED ALTERATION OR AODIT~ON TO THIS SURVEY IS A VIOLATION OF SECTfON 7209 OFTHE NEW YORK STATE EDUCATION LAW. ~ COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE COHSIDERED TO BEA VALID TRUE COPY. NGUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM '[HE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY~GOVERN- MENTAL AGENCY AND LENDING INSTITUTION LISTED DATE SCALE: NO. GUARANTEED TO= JAMES SECURIT MAY 15,1983 / "-'$0' 83 - 508 NIMBUS CO. YOUNG a YOUNG ALDEN W. YOUNG,PROFE'SSIONAL ENGINEER AND LAND SURVEYOR N,Y. S. LICENSE N0.12845 HOWARD W. YOUNG~ LAND SURVEYOR N.Y.S. LICENSE NO. 45895 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK