HomeMy WebLinkAbout16230-zFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z16816 Date April 26, 1988
THIS CERTIFIES that tbe building One family dwelling.
Location of Property 610 Landing Lane ' Greenport
h3d ; 'oi ....................... 's' /e3i ............................
Hamlet
County Tax Map No. ]000 Section .,..4.3. ...... Block . . . .4 ........... Lot . . .1.1 .............
Subdivision Sterling Homes
............................... Filed Map No. 4709 .LotNo. 7
conforms substantially to the Application for Building Permit heretofore filed in this office dated
July 9, I987
..................... pursuant to which Building Permit No...1.6.23. .0.Z .............
dated .... 4 u..1 y.. !4. ~.. I. 9. 8..7 ......... 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 family dwelling, with deck on 1st floor and 2nd floor.
The certificate is issued to HERBERT R. MANDEL
ro¥.'e;, .....................
of the aforesaid building.
Suffolk County Department of Health Approval 85-80-228 April 22, 1988
UNDERWRITERS CERTIFICATE NO N008103 March 29, 1988
PLUMBERS CERTIFICATION DATED: Stephen O'Connor 3/6/88
~ Building Inspector .....
Rev. 1/81
FOIL~[ NO. O
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, Iq. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No_ 1'~2~i~ Z
Permission is hereby gronted to:
..........
..... ..~..?...~..L.~ ..............................................
~ ~ , .'ir ,4 .
......... ~._~.. .... :.~ ...... ;./ ...... ~ ...........
.......
at premises located at ..... .~../...0....~...~ ........................... ...... ..~..~~
to application dated ......... ..~....~....~. ...................... , 19.~...'(.., and approved by the
pursuant
Building inspector.
Fee $...."~'.22.*...~....~.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y, 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted 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
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 p~operty 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling,$25.Q0, Accessory',,$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50-. 00
3. Copy of certificate of occupancy $ 5.00, over 5 :,,ears 8!0 00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date April 6, 1955
NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land ..........
Location of Property 6 J 0 La~ng La~6, Gr66npo4,~
House No. Street Ham/et
Owner or Owners of Property Herbert R. Mandel
County Tax Map No. 1000 Section 45 Block 4 Lot ! !
Subdivision Stea2ing Homes 4709 7
.............. Filed Map No. .Lot No.
Permit No .......... Date of Permit . Applicant Ro toWn,
225
Health Dept. Approval . ,8,5. ,5,0 .................. Labor Dept. Approval .....................·. .
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $.. ¢.5:?.0 ......................
Construction on above described building and permit meets all applicable codes and regu lations.
Applicant .. ~.
Rev. 10-10-78
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-
tot 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 pZ'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 requ ired to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $ ]. 5.00
3. Copy of certificate of occupancy $1.00
Date ............
New Building ........... ~. ~d or Pre-existing Building ............ Vacant Land ~ .
Location of Property . ..~/~ .~..~.Y.. ?.E..,~.~/.~..~'.~./. ?..../--: .~..,~.P..~./~. ?...~.~ .~..~ ....... House No. Street
Owner or Owners of Property ....................
County Tax Map No. 1000 Section ~-~ 3 Block ~ Lot
Subdivision... ,~./.~/t..Z-./W..~..//./'~. f¢.~'~.. .......Filed Map No. z/..~.~..~.....Lot No....~. .......
Permit No ........... Date of Permit .......... Applicant . .~?. ~.~.'~.f?...~.'~.~..~. ~. F.°~..~..~.~./.~...
Health Dept. Approval ........................ Labor Dept. Approval ......................
Underwriters Approval ........................ Planning Board Approval ....................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described buiiding and permit meets all applicable codes and regulations.
Applicant,..~.~..'.~. ..........................
TOWN OF $OUT~OLD
OFFICE OF BUILDING INSPECTOR
P.o. BOX 728
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL. 765q 802
CERTIFICATION
Building Permit No. /~30
Owner ~[. \ ~ ' ~,~
(please print)
Plumber .~ ~ t~l ~,~ ~\ ~- ~
(please print)
I certify that the solder used in the water supply system
contains loss than 2/10 of 1% lead.
Sworn to before me this
{? day of
Notary Public, ~/~/--- County
(plumber's signature)
Notary Public
NE~ENR DEVOE
NOTARY PU~Ll~,~t~o~ewYork
~ No. 4707878, Su~ol~County.~-~
lerm E~pires ~ch 30,19_-_~/
UNDATION
UNDATION
(2nd)
UGH FRAME ~
PLUMBING
SULATION PER N.
STATE ENERGY
CODE
FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST ~- ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
~FINAL
[ ] FRAMING
REMARKS:
76~-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [~/INSULATION
FRAMING [ ] FINAL
INSPECTOR '~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST r~ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
REMARKS:
FINAL
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
['~OUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
[ ] FRAMING
REMARKS:
ROUGH PLBG.
INSULATION
FINAL
Examined__ ..~.~
Avvroved .. .
'FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
8OUTHOLD, N.Y. 11971
TEL.: 765-1802
.I.~ ...., 19~..~.
· t ~. .... I~.'7, Permit No ............
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ,19...
TOWN OF $OUfl ,~OI D j
Date ..... .qt.l:l.l.y..7 ...... , 19.8.7.
INSTRUCTIONS
a. Tins application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3
s~ts 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, and to
admit authorized inspectors on premises and in building for necessary inspect~s'L~.ti,_y~t~,~'-~/t
(Signature of applicant, or name, if a corporation)
5.2A,.
(Mailing address of applica~)w..York
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...... gr.e. bt..e.e.e.t: ..............................................................................
Name of owner of premises ....~.e.v..b.o?.g..FI.:..t~.~..n.d.~!..8..n.d..L..o..rr.81~..n~. ~8.17.d?.1' ..........................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer·
(Name and title of corporate officer)
Builder's License No ...........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ....... .( .Lg.g..7., Sterling Homes)
N/W corner Beach Road a~ Landin~r Lane, Greenport
House Number Street Hamlet
County Tax Map No. 1000 Section ..... .4.3. .......... Block ....... .t~ ......... Lot ...... ~.1 ...... ~..'...
Subdivision .... /. · 8.t.erl ~.ng. Itom.a 8 .............. Filed Map No ............... Lot
[
(Name)
2. State existing use and occupancy of premises ahd intended use and occupancy ofprop0sed construction:
a. Existing use and occupancy ........................................ ' ....: .........................
b. Intended use and occupancy ....... Re..Si 6elq.ae, ..................................................
lu~9!ldd~ oql s! oq ~.'eq:l s~igs p~ sos
~oq3oq~ o3~o~put pu~ so~u 3oo~3s ~oqs pu~ 'poop o~ ~m~oaa~ u0uduasop so~oq~nu ~aoiq pu~ 3o~s3s a~tO 'sou~ X~odo~d
mo~3 suolsuo~p ~o~q-los I~ ol~ol~ul 'pu~ 'posodo~d ~o ~uDs~xo ~o~lo~a 'st~pilnq I~ AIlOUpslP P~ lI~OIO o~9o~
i ~DVIG &O~d
................ ON oUOqd .... J ............... sso~ppV .......................... ~olo~luoD Jo oumN
,, .......................... souolS. Jo xoq~nN ............... lqg~oH .
...................... osn jo oq~l qoeo jo luolxo pu~ oanleu Axoods 'iouednooo p~xnd ~o IgmXo~moo 'ssoutsnq JI '9
(uotl~otIdde stql ~uti~ uo ple~ oq o~)
.......................................~ ood ·: ................... oo ~000 .... eg~ ........... lsoD pol~mpsa
(uopd~osoa) ,,I ~ ..
.,I: SOI,JTHOLD
Lot 8
Lot 6
Lot 7
Area =13427 s.f.
SURVEY FOR
HERBERT R. MANDEL
LOT NO,7,"STERLING HOMES"
AT GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
DATE. OCT. 20,1c~
SCALE: J"= 20'
NO. 87-t677
Lot 6
Lot 7
Area =13427 s.f.
SINGLE FAiVIILY DWELLIt~G
sewage d~spo~l ~nd
Iocat~en h~ve been inspected by ~h~ ~p~ ~d/~
~ief o~ Bureau of Was~r'~,~a~e~ '
HEALTH DEPARTMENT-DATA FOR APPRO'vI~,L TO CONSTRUCT
N ~JIrF CO. TAX MAP (NS¥'~00 SECTION '~} II~DCK .4_ LOT
NOTE~ O=PIPE Ill=MONUMENT
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
9UFFOLK COUNTY ON AUGUST 25 ~1966 AS I'*'ILE N0.4709.
SURVEY FOR
HERBERT R, MANDEL
LOT NO.T,"STERLING HOMES"
AT GREENPORT
TO~N OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
MAR. 31 , 1988
DATE: OCT. 20,1987
SCALE= I': 20'
NO. 87-1677
YOUNG a YOUNG
ALDEN ~.YOUNG, PRQF/SSIO~AL ENGINEER
AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845
HOWARO W. YOUNG~ LANB SURVEYOR
N.Y.S. LICENSE N0.45893
BLDG.
TOWN OF SOUTHOLD
Lot 8
Lot 6
Lot ?
Areo =15427 s.f.
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT
NOTE: O=PIPE lB=MONUMENT
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
:~UFFCLK COUNTY ON AUGUST Z5~1966 AS FILE N0.4'709 .
SURVEY FOR
HERBERT R. MANDEL
LOT NO.7,"STERLING HOMES"
AT GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
DATE: OCT. 20~1987
SCALE: I" = 20'
NO. 87-1677
YOUNG a YOUNG
ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE N0.45893
400 OSTRANDER AVENUE
RIVERHEAD~ NEW YORK