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HomeMy WebLinkAbout16260-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-17067 Date July 7, 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property .... .4.1.7.0...C.a.m.p. ?l.i.n.e. 9.1.a.. R. 9 .a.d ........... ma. c..c .~.t.u.c..k.,..~.: .Y.. .... House No. Street Ham/et County Tax Map No. 1000 Section . . . ] .2.3 ...... Block . . .0.5. .......... Lot 2 1 . 2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .J..u.i.y..2. 0. :..1.9.8..7 .... pursuant to which Building Permit No. 16260Z dated .... .J .u.l.y...2.3.,.. [ .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 FAMI'LY DWELLING WITH ATTACHED DECKS AS APPLIED FOR The certificate is issued to J. DONALD HIGGINS, JR., TERRENCE M. HIGGINS & TIMOTHY P. HIGGINS ..................... /o¥.b;, x .................... of the aforesaid building. Suffolk County Department of Health Approva[ ..... 8.5. qS. 0. q [8.8..q .J..u.l.y..5.,.. [9.8.8. ............. UNDERWRITERS CERTIFICATE NO N007837 - March 25, 1988 June 20, 1988 - Dominick De Bari, d/b/a PLUMBERS CERTIFICATION DATED: SAV-ON-FUEL Building Inspector Roy. 1/81 I~OB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ 16260 Z Date Permission is hereby granted to: , ~ .... .... !..~....~.~....~...~,..~..~....., ................ ........ ..... T~ .......... ~'-"; ........................... 't~"""' ~"'~'-"-;-"~'"'C;-~_i "~ _ ;' ................................. ; ................... at premises located at .....LJX..I..~.~.....lw~....~..~.,......~.~C~ ........ County Tax Map No. 1000 Section .... [...~-....~.. ......... Block ..... ..(~..~. ....... Lot No ..... .a,l,:...~_. ...... to application dated ........ ...~. ,~.....~,~.. .................. , 19~..~.., and approved by the pursuant Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765 - 1802 [~LDG. DEPT. TOWN OF $OUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted I~ 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 instatla- Lions, 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: I. Accurate survey of prOperty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occt~pancy 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 $25.00 1. Certificate of occupancy New Dwelling. S25.00, Accessory.i$~0.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ...3..u.n.e..~..O..,.1.9..8.8 ........ NewCons t~uc%ion ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .4. 1..7.0, .C.a..mD..~i. D.e.o.l.~' Roa. d Mattituok House No, Street Ham/et Owner or Owners of P rooerty 3.,..D.O.N./~ I¢ .D. ,H. I. ~ .G.I.N. :~ ,..O.R.; ~. T E R E N C E % H. H I G G I N $ a n d 'flNOTHY P. HIGGINS ................................ County Tax Map No. 1000Section 1~ Block 0~ Lot 2~2 Hinor . SbbdiMsion Pl..P.a.u.[..&..3.a.c.q.u.e.l.~.~.e..K.e.l.ly ....... Filed Map No ........... Lot No .............. Permit No..1.62~.0Z .... Date of Permit .7/2~/.8.7...Applicant . .0... p .0 .N .A .L p. .H .Z F .O ,LN ,S , . .%R .. ¢ . .e .t : . .a .L. . . Health Dept. Approval ........................ Labor Dept. Approval Not Ap. plicabl.e · Underwriters Approval .~../~5./.~rC.e.% t ,, ,a, f, t: .c h. Planning Board Approval N..o.t.i,;A.p.p.l.i.q ~..b.l.e. ..... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $2..5..,0.0. ....................... Construction on above described building a,,nd%ermit meet~ll ~pD, licable code,~regulations. App cant ~.~ (~~.~.~ ~/J. ]DONALD HI G~j''J'R.~ .............. Rev, 10-10-78 Co TOWN OF SOUTROLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date 3une 20~ 1988 Building Permit No. 16260Z Owner 3. DONALD HIGGIN$~ 3R., Plumber (please print) DOMINICK DE BARI (please print) D/B/A SAV-ON-FUEL Suffolk County Lie. # 745P et. al. I certify that the solder used contains less than 2/10 of 1% lead. in the water supply system (plumber' s signature) Sworn to before me this ~ day of J~;h~- , Notary Public, County Notary Public Notary Public, State of New York ~OA ~N Jo ~d ~N ~l~on ~res ~y 4, NSPECTION FRAMING ~ ]FINAL INSPECTOR .~F*.~_~//~;*~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL REMARKS: ,~, b/f", ~/~ ~,~/,,,~,~ U / / [ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING REMARKS: ROUGH PLBG. INSULATION 765-1802 BUILDING DEPT. INSPECTION ~U~ATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL INSPECT~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING [ ] ROUGH PLBG. ZND [ ] //~$UL~TION [ ~ FINAL UN[~ATION UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL . ADDITIONA'L COMMENTS: TOWN OF SOUTtlOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTtIOLD, N.Y. 11971 To Whom This May Concern, TEL. 765-1802 We are unable to complete your Certificate of Occupancy because .of the following reasons. /~ An application for Certificate of Occupancy is not on file. /~/ No Underwriters Certificate on file. /~The check is(outdated/~.)~-.O© /_~F~ No tlealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on Thank you for your cooperation. Building Permit t~ _~ _~ ~ _~ _~ Z Building Dept. this matter. ***/~No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) /% ~0~_'/F¥~f- .¢)DR HERB N GROSS Toxin Board ..... ~ e ~r S~r~d~, Mattituck, N.Y. 11952 We the undersigned have a potentially dire situation to bring to your attention at the advice of the North Fork Environmental Council to whom we (HNG) spoke on March 15, 1988. We are home owners in the small cormmunity of Camp Mineola on Camp Mineola Road in Mattituck. Recently a home ~as constructed by the Mathis Construction Company on the north side of Camp Mineola Road facing Peconic Bay. We have had flooding problems in our conm~unity very often and have all sustained some water damage on these occasions. It now appears that this new home was built on a plot of land that was "graded in a most accentuated manner. The land was artificially built up well above sea level. We realize that a certain amount of grading is necessary in order to facilitate drainage aw~y from the house. However, this new home is situated on a "hill" now and the adjacent areas will be easily flooded by this artificially imposed topography. We are not certain if this land %~s "piled up" inorder to have the house remain within the legal height limits or to attain a better panorama of the bay as there is a home interposed between this one and the water. We are deeply concerned at the unnatural drainage pattern that has been established which puts us at additional risk of flooding. Our position is tenuous now. We, tile undersi~led, respectfully request that you investigate ~'' matter on behalf of the homeowners in our community. We all have great pride in being eastenders and would hate to be left exposed to the above mentioned danger. Thank you for your attention to this letter. We urgently need your help. ~Respectfully submitted, ~. Gross Rick ~C~cio'- ' Novon Wo~ck cc: North Fork Environmental Council JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 23, .1986. Town Hall, 53095 Main Road ' P.O. Box 1 !79 Southold, New York 11971 TELEPHONE ($16) 765-1801 Herb N. Gross M.D. 2 Sutton Place, South New York, New York 10022 Dear Or. Gross: i , I am in re,CeJpt of your letter of March 15, 1988 concerning construction of a home by Miathis Construction Company on the north side of Camp Mineola Road facing PeCOnic Bay. Your letter has been transmitted to members of the Town Board, our Board of Town Trustees, and the Building Department for investigation. Very truly yours, Southold Town Clerk cc: Town Board Trustees Building De ~t. $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined...'~.~.., 19~ .~. Approved . 7.-O~....~.., 19~..~. Permit No.J. (~..~.~..0.' .~-.. Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH FORM NO. I SURVEY . TOWN OF SOUTHOLD C~ECK BUILDING DEPARTMENT SEPTIC FORM ' . ............ : TOWN HALL NOTIFY MAIL TO: INSTRUCTIONS BLDG. DEPL TOWN _OF SOUTHOLD_ 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 Bpilding 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 nece~a~'r~ns~ctions. \ ,, ~ , . .......... · ' ,.-"-~ign_ature of applic./ml~r nam~.~j.f'fi corporation) (Mailing address of applicant) N State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. V, ~(~ hq{- .~-£~pJ 0'~ ~''~~ (as offthe tax roll orlatest de~ -- If applicant, is a corpora]ion, signature of duly authorized officer. (Name and title of co~orate officer) . ALL CONTRACTOR'S MUST BE ~FFOLK ~U~TY~I~SED ~ui]~r's n~.ns~ No .... . ....... ~...~'~ ~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... ql'lO O. fd''~p t,~'£~>~-A- JPD. o 1. Lol:ation of land on wltjch proposed work w~ll be done.,tNJ~. .../~ ~.t:,-k-P. ~.c I(,,. ............................................................. : ........... .-r,. House Number Street Hamlet Cou~y Tax Map No. 1000 Section ...... 19.3 .......mock ...O.~ ......... Lot..~./..-. ~,~. ...... O.P.- ~ /_^ O ~-~lyO, ...... Lot ............... Su/~c~ivmton .{~...~A~..~..~ .~./¢('.~tl t~. ...... ~-fff~d~.. Filed Map No ..... .... · (Name) / 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy b. Intended use and occupancy ......................................... ;. bla~uxc'*o~ w~rk (check which applicable): New Building ...... Addition .......... Alteration ...~... :'~.. Repair .............. Removal .............. Demolition .............. Other Work ............... L Estimated Cost...J ............... Fee ...................................... · (to be paid on filing this application) 5. If dwelling, number of dwelling units ~1~0 ~ 6].~. ..... Number of dwelling units on each floor ........ ; ....... If garage, number of cars ........................................................................ i. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 1. Dimensions of existing structures, if any: Front ............... Rear .............. Depth Heiglit ............... Number of Stories ........................................................ Dimensions'of same structure with alterations or additions: Front ' Rear .................. Depth ...................... Height ...................... Number~of Stories ..................... L Dimensions of entire new construction: Front ... ~,~....' ..... Rear .. ~3~[, ........ Depth ...~¢ ......... Height ............... Number of Stories ......................................................... t. r;l !. Does proposed construction violate any zoning !aw, ordinance or regulation: ..~0.~. ......................... Will lot be regraded ~9.- '..~.~..~..~..~.J~O.? ~ ....... Will excess fill be removed from premises: Yes No Name of Owner of p~/emises ~Address~,~kPhone No ................ I. Name of At, chits, ct ............... ~,~,wt~}~* . ~ '-.., .... .'~ .....Address'~,~:~r .......... Phone No ............ Name of ............. ~--'~g.r¢,~. o .llJ~c~rq 1~ .... Address toq~. ~. $.UJ~e.. '~.. Phone No-~'/~,~-'....-f-O.. 5. Is this property located within"3~O feet of a tidal wetland? *Yes ..... No .~... *If yes, Southold Town Trustees Permit max be required. ~!0~,~ ~ PLOT DIAGRAM ~ Locate clearly and distinctly all buildings, whether existing or proposed, andAndicate all set-back dimensions from :operty lines. Give street and block number or description according to deed, and show street names and indicate whether terior or corner lot. ~'~, FATE OF NEW YORK, ,,, DUNTY OF.. 1~.[¢~.~. S.S ... ~.r'~. ~..~>Q .~.~ [.,~.X~...~j~.. 4. ~.O ..... being duly)sworn, deposes and says that he is the applicant (Name of individu~ing contract) ,ove named. .... , ~, ~,, ,. , , (Contracto , agent, corporate officer, etc.) ' said owner ~or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e ~d file t~s ~plication; that all. statements contained h this application are true to the best of his ~owledge and belief; and that the ~rk will be perfo~ed in the m~ner set forth ~ the application filed therewith. yom to before me this ....... ~ ......... day of..~.~ ........... ,19~ ,ta. Pub;~ :. f~ ..... ~.~ ....... : ...... County__ / ~RENCE M. HIGGIN8 . '[ tr}~ O. mn / // // A~' "~ur4'¢kjYft2D JULY ,2,~ ~.~ V~N V~L, e.6' " LI~D LAND SURVEYORS GREEN~RT ~W Y~K ....... T' SU-FFOLK CO ~EALYH DEPT., H.S. 1'40. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT. OF HEALTH SERVICES APPLICANT JFFOLK COUNTY' DEPT. OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY DATE' H. S. REF. NO. APlaROVED SUFFOLK CO. TAX MAP DESIGNATION: DIST· SECT. ~",~ ,.. ,,.,~. ,. ~ '"' P~L OWNERS ADDRESS: ,~, _, ~)NA .i .... ~.,~'-r- .~' ,; . , SEAL