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Home My WebLink About13433-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southotd, N.Y. Certificate Of Occupancy No...Z..13.3.1.5. ........ Date ........... .A]~.r.i. 1... 18 1986 THIS CERTIFIES that the building ...M...oy.e...D.w.e.l. 1..i.ng-' .&...A.d.d...t.o..s.a..m.e ............. Location of Property ...27.0..5. ................. B.u..n~.a.l. 9.w' .L.a..n.e ......... M..a.t.t.i.t..u.c.k. ..... Mouse mo. Street Hamlet County Tax Map No. 1000 Section ....~.2.3. ..... Block ....0.8 .......... Lot ....0.2.2.: .0.0.~. ..... Subdivision .......... .X .................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..S.o.t?..Lg..m~.e..r...3:. ~...., 19.8..4pursuant to which Building Permit No. 13433g dated ..... S..~p~.e?..b?.r., . . ~.2 ....... 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 ......... .... Move Dwellinff & Construct Addi%ion to Same Dwellin --- The certificate is issued to .................. W. ! .C.K.H.A..M,. fl.: . .P.&~.K..E.~ .................... of the aforesaid building. Suffolk County Department of Health Approval ......... ~/.R. ............................. .N696813 UNDERWRITERS CERTIFICATE NO ................................................. Rev. 1/81 Building Inspector lrOR~ NO. ~ TOVtH OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) County Tax Mop No. 1000 Section .... ]...~....~. ....... Block ........ ..~. ......... Lot No ...... ...~t....~....:...! .... 'o application dated .....~~-- ...... .~.~ .......... , 19.~..~., and approved by the pursuant Building Inspector. Fee $....~....~....,..aj,..~. .... Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD 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 m I~mm~m~ 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 netural 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: 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, 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date. / ,0...--. ~.0, .-,??..'~.. ....... New Building ............. Old or Pre-existing Building .. ~ ....... Vacant Land ............. Location of Property . ..~. ...... ......... House No. -; (~ Street Hamlet Owner or Owners of Property ....~.'., ./~...~..2.~,~.--~. ..... ./.C'.~'..~..~../~,. .......................... County Tax Map No. 1000 Section . /5 3 Block .~. Lot... ~..~,, ' ( ~ pN tN Subdivision ................................. Flied Ma o ........... Lo o .............. Permit No./~...z~..~.?.z. Date of Permit ~./.~. ,~, .~.Applicant..~..~..~.~ .(~. '.~;~ .~.,/.~..~..~.~. -~. ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters=Approval ....................... Planning Board Approval ...................... Request for Tempor~.ertificate ..................... Final Certificate . .~.' .................... Fee Submitted $ ............................. Construct!on on~ above described bu ilding and permit .m'e~ts all applicable codes and regulations. (~ [~'? ' Applicant . ....~.~....~.~..' .................... FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE Ye FINAL ADDITIONAL COMMENTS: 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 ~ Owner ~/~ J~/9~'~/~'~ ~/C//_/~A~k~ (please print) Plumber ~37-, ~-ePcf~ ~ZO~f3/~3~ (please 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 /~r aay of (plumber' s signature~3 y Notary Public County ~o~N ~. ~R~sOTT~ ~OIARY pUB[IC, ~ale o{ New No 4732613 Q~li{ied m Suffolk Couqty ~ission Expires March 30, DR, /~ ~ THE NEW YORK BOARD OF FIRE uNDERWRITERS 85 JOHN STREET NEW ",~DRK,'NEW YORK 10038 O~ THI,~r CEmlFIES THAT ~ ~ e~t~cal ~ment ~ ~eri~ed b~ a~ i~t~ ~ t~ app~t ~m~ on the a~ ~pl~at~n number in the pr~es of ~ examined on o~'l~ ~ ~ t ~ ~ and found to be in compliance wi~h the requirements of t~is Board. ~ FIXTURES RANGES :OOKINGD~ OVENS DISH WASHERS EXHAUST FANS DRYERS ~RNACE MOTORS mTUR, AP~ANCE KEDERS SPECtALREC'PT TIMECLOCKS .LL UNITHGATERS MULTI~UTtET DIMMERS t ~ 100 ~ X 1 3 J 5 1-4.5AW h.W.H. ' A~OUNT E RE~T BY CHECK OR MONEY 1As'~s. Sm~A;t W~BE AY FROM:EAGLE ABSTRACT CORP. 10 CHICHESTER ROAD HUNTINGTON STATION, 11746 516-549-8848 NY DATE: 01/17/91 TOWN OF SOU~HOLD BUILDING DEPARTMENT BOX 1179 SOUTHOLD, NEW YORK 11971 RE: TITLE #: 600-S-7855 ADDRESS: 3265 PARK AVENNUE MATTITUCK, NEW YORK TAX MAP#: DiST: SECT: BLOCK: LOT: DEAR SIR/MADAM: Please send to us a copy of Certificate of Occupancy for the above mentioned premises. Enclosed is a check in the amount of $10.00 Thank you. EAGLE ABSTRACT CORP. COMMENTS: _ _ 4 q, proved, .~~.., .I. )isapproved afc .... .. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL CDUTHOLD, N.Y. 11971 TEL.: 766-1802 .~., 19~.q Permit No. I .~.~. ~.~..~'. · Received ........... ~19... CE'[~T£F'?CA T[ON' PLUNf~F,[~ ' I)E'?Ot~N ON f, IgAD CO.&rTITIVT C~Yi~TIFICA [I'~' 0t" OCCUJ ANC~ rlON FOR BUILDING PER~IT INSTRUCTIONS a. This pletely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ts of r scale. Fee according to schedule. b. Plot plan location of lot and of buildings on premises, relationship to adjoining premises or public streets r areas, and giving a detailed description of layout of property must be d~awn on the diagram which is part of this appli- ation. c. The work covered by this application may not be commenced before issuai~¢e oi~ Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~all 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 mil 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal, or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building co. housing code~ and regulations, and to lmit auth°rized inspect°rs °n premises and in building f°r necessary inspe~ t%: ~L~ ~t J -/ · .::..: ..... ............. ' · (Si~_'.z~r'e'(;[ ~p'p.'licant, or n am e,, a corporation) ..... (Mailing address of applicant) //~ whether applicant is~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. tame of owner of premises ............ ~',~.'.ff~.. ~,.~./2 .EA~.A-.-.-.-.-.-.-.-.-.~g.rv( .......... ;-':-'; · n[ t~lt~[[' 'd ~' ','' I '~q '~'~ (as on the tax roll or late~)~V ~r~ o.~..~. ~ applicant is a corporation, signature of duly authorized officer. FEE: ~ ~_~ O BY: _- ~ ~ ~ ~ k~.. / / Builder s License No ............. ~X....~ ...... Plumber's License No ......... / - ~..,. ..... NOTIFY ?'JI1-DIh~G DEPARTMENT A'"' 765-180'2 9 AM TO 4. PM FOR THJ FOLL.OWt' 'G IF,'~'?c~CTIONS: 1.FOUH'~ \TIO,N - TWO FO~ r 'IRED C~NCRETE 4. FIN;* C~' ..........., ALL COb' re:C-: -' " ',: THE R~ :,v.':~,' ~ c ..... ,' ' STATE Co~ - FRUC-T~qN ., CODES. F' 'T RE., Location of land on which proposed work will be done. ~,..,,.~. ,h'~'~l~'M' OR' House Number Street Hamlet County Tax Map No. 1000 Section ..... f~ ........ Block ..... 7 ........... Lot.. ~. [ ......... i ~ - ~' Filed Map No Lot Subdivis on ....~ .............................................................. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .~..~'..A?..D~....t.:? ........... ~ ......... : ........................... b. Intended use anti occupancy ...... t~,~.~..~. ~.. ................................................. 10. 11. 12. 13. 14. ' ~ ~ Alteration Nature of work (check which applicable): New Building .......... Addition .I .............. ~' · ' Other Work Repair Removal ' Demolition (Description) Estimated Cost ......... ~>..t~.. ................. Fee ................................. '* '(to be paid on filing this application) If dwelling number of dwelling units /. Number of dwelling units on each floor :"'.. - If garage, number of cars .................................................................. If business, commercial or mixed occupancy, specify nature and extent of each t~pe of use .. r. .... - ..... ~ ....... Dimensions of existing structures, if any: Front... ~-.~F.t ....... Rear ... ,,2J~.t ...... Depth ...~t~,7 ....... /~J'! Number of Stories ~,, .iq .~. lteight ................................ . ............................ Dimensions of same structure with alterations or hdditions: Front ... ~,2.~.*. . ~.. Rear . Depth ..... .~.~ .' ............ Height .../07'.. ~. .............. Number 6f Stories .... O~..~. ........... Dimensions of entire new co~t~h'u~t'io,: Flu,,£ Rea, D~'pth Height .... :';...' ...... ,Number of Stories .......................... e 4 ............................. r D~te of Purchase ........ l.~. ~.~. ..... ' ......... Name of Former Owner: .. ~.:/~..'. ~/.Cd~. ~, ~ ...... use district in which premises are situated ' Zone or ..................................................... g I ordi lat' ~.o. Does proposed construction violate any zonin aw, nance or regu mn: ............................ Will lot be regraded ..... ..~..~.,,,...~ ............. Will excess fill be removed from premises: Yes (~) Nmne of Architect -- Address . Phone No Nmne of Contractor .~ ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. lindieate all set-back dimensions from property lines. Give street and block number or description according to deed, and show stre6t, names and indicate whether interior or corner lot. : STATE OF NE~ YORK, t ...... .~.:..~t~-~,f~--~..~g~ ~ ......... being duly sworn, deposes and says that he is' the applica,at (Name of individual signing contract) above named. : is the (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d application; that all statements conta~ed ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner set forth ih the application filed therewith. Swam to before me this No ~2-~vvvv su~o~k Coun~ ~ . ' ~Signature of apphc~t) Commission Expire* March 30, 1~ Matthews TEL No.516-556-9S95 3an 16,91 15:50 No.OlO P.02 DIST, 1000 123.00 08.00 LOT 1.0277 - ) COHSULT YOUR LAWYER liiFOI,,lll SIGNING THiS IHSTIIUHIIHT · 'I'HIS IHIITI~UMIIt, IT SHOULD IlS TIll5 INDEHTUR£, Ir,;.le Ihe '~0-I'~' (lay of ~tLlc~r , nlnele¢~) hondred ami e-[cjhl~y~sjl BETWEEN J. PARKER WICKIIAM, residing at (no number) Airway J)rlw Ma'ttituck, New York 11952, party of thc first peri, and PIIILIP~ MOTTOLA, Rookville Centre, NeW York 11570, reslding at 15 Parkwood Coup, t, parly of the secmtd part, W,ITN£S$1'~TI,I, tl,~t Ihe party of Iht first mart it Consider ...... ~':~;~':J":~, pa~d by the parly of the second parl (Joes I[~rc~ -r .......~a~]~ll Gl lel~o~zars and o~h~r vah~able ~. t~k certain, plot~ piece or ~r~l of l~d, with the ~ildingm ~d i~rov~nta ther~n ~rect~, sit~t~, lyi~ ~ld ~i~ at ~ttituok, t~1 the ~t~)ld~ ~ty of Suffolk ~ld Stat~ of New York, ~unded ~d desGri~ as ~I~ at a ~int l~ the northerly line of B~igalow ~d %~lich said ~lnt ~ks the s~thwest ~rner of ~remis~s a~ut to ~ descri~ ~ld the s~th{~st ~r~er of pr~ises for~rly of R, C. ~pf, now or fore.fly of Joseph J, ~ 'l~E fr~ said ~int or plaoe of ~ginning ~r~l 26 degrees 49 minutes 00 se~s ~st, 246.2 f~et to.the southerly ~,~ of ~ep ~ ~sterly al~ the $~therly ~k of ~ep I~la Cr~k ~uth 40 d~reos 19 minutes 52 ss~nds ~st 108,01 feet; ~ ~uth 26 degre~ 49 minutes 00 se~nds W~st, 213.79 fe~t to nor~R~rly lin~ of B~galow ~d; 'lI~E along th~ northerly line of Bungalow ~d North 57 degre~s 43 minutes 00 se~nds ~st 100 f~t to tbs ~int o~ plaoe of ~id premises ~ing k~lo~ as~ ~ ~ B~%galow ~ad, ~ttituok, ~ 11952 ~i~ ~d intruded to ~ ~rt of the ~ pr~ses ~wey~ to th~ grantor her~in as 9rattle in [~ ~t~ 11/18/76, re~rd~ 12/6/76 i. Liar 8153 C~ 33]. SOBJEC'i" TO A right-of-way of others over th~ existing travelled road to Bungalow Lane as It oro3se8 tho herein described premises as p~r an Agreemoat dated November 18, 1976 and recorded in tho OffiGe of the Clerk of the County of Suffolk on May 13, 1977 Jn Liter 8235 of Conveyances at Page 397. TO~E,I'ItI~R with all righl lille and inleresl if any of Ih~ par y of c first peri il, ar,( I( an Sll(,*l ~o~s,~?Hmg (I,e above descril~d premise~ 1o the cc, ler incs II,ere()( 'I'OGETIII~L, .~d,t,., .[ ..... ..... ~ -,g.l,m~mlse5 ;ierelll gram el i 1o Ihe ParIy of J e ~¢c'ond na,'i I.- *:.: ..... . , . ..--~ A.;.. , AND Ibc p~rl~ of Ibc firsl parl covenants fl ~1 ? ~ p~rly of ha fir~l parl has mol done o s~flcr(,d ~hercb5 Ihe ~a~d premi~cs h~ve btcn cncumbt~cd m an~ way whal~wr, cxcepl &s AND ti~e peri of Iho first ar ' o ' ' . , . Y.. . p I ~ c I~phancc ~lll] Se¢lion 13 of he Lien I~w cuvcmanls I/mi , Inc.?tH part w.I Y~CelVe Ihe COll~lderalloll for Ih*s c~ veyancc ami w ] mid ~1,., . ~ , , Iht peri} Thc word "parly" shall be construed as if il read "parties" wheoevcr II~e SellSe of this II)dcm, ~lrc so IC(luircs, IN W~TNESS WHEREOF, Ihe party of the first part has duly executed Ulis deed (he day a.d year first above he ~O~ dmyo( Oeoembe~, 19 O6 , before me ~nally c~me J. PARKER t' kn,~wn lo bt, lhe individual described {. and who IIt'd Ihe (orc~ni~ inslrument, ~nd acknowledKcd t~ exe~uled the SUlne, ~ot~r~ Public, ~tnte of New for~ qulllfJml In ~uflolk (~4Hijn,~ ! os NIW YO#K, OOUHT% QF SSt d~e day o[ 19 , before mc e k.own, wh~, helng by file duly sworu, did depose and hat be resides at No, lu: is Ihe ; , the cnrporation described ~d which executed the foregoing '.strt ne tt tho he s's die seal of said corporation' that the meal ~xed dd instrument is such corporate s~'al; thai t was so ed by .~der ol d~e board of dlreclors' of said corpora- and that he signed Is nan e ti ereto by l,ke order. TEL N0.516-536-9593 Jan 16,91 STATI OF NIW YOIIK, COUNTY OP On 15:30 No.OlO P.03 SSi day of 19 , before me ~ personally came tn nit known tn be the individual described ill and who exee.ted ti e Ioregoulg tustrumct)t, .nd acknowledged that · ecuted thc ~ame, AII 2 4 1907. ]flANSFE'R BUFFOLK COUN' On thc day of 19 , before *ne personally came the snb,~cribiog wduess to d? (orcguiug htstrUment wilh who/il ] aln personall~ acquanflc(I, with, beJltg by itsc dilly sworu, did depose a~ul say (hat be rcsi(Ics that he*knows lo be the Individoal described iii and who executed d~e foregoing hlslrumenti lhat he, said sub~cr|bhtg ~itucss, was present and saw execule the sSme; and fi,at lie, said witness, at the same time subscribed h ~tau]e am witness thereto, EUGENE BECIITLE, JR.r ESQ. 11 Clinton Avenue Rookville Centre, NY 11570 Zip No.