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Home My WebLink About16672-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificste Of Occupsncy No..Z..l.7.7.7.9- ......... Date ..F.e.b.r.?.a.r.y... 21, 1989 THIS CERTIFIES that the building ... A.D.D..I ?.I.QN .S..A?.D...Ab.T.E..R.AT I OHS ......... Location of Property 800 FOX HOLLOW RD. MATTITUCK County Tax Map No. 1000 Section ..... 1. 1.3. .... Block 06 .Lot 21 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Dec. 8, 1987 pursuant to which Building Permit No. 16672Z dated .... D.c..c .... 1.4~ .,..1.9.8..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 ......... ADDITIONS A'ND ALTERATIONS TO EXISTING DWELLING. The certificate is issued to FREDERICK & MILDRED COWAN ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO PENDING SLIP 1/27/89 PLUMBERS CERTIFICATION DATED: MARTINEK 2/15/89 Rev. 1/81 FOB~ NO. 0 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 ,~UTHORIZED) NO- ~6672 Z Permission is hereby granted to: ..... at premises located at ...~..o~... .......................................... County Tax Mop No. I000 Section ...... I./..~ .......... Block .... ..~...~. ......... Lot No....~.l ............... pursuont to opplicotion dated ~.....~......~. ................... , 19.~...'1..., and approved by the Building Inspector. Budding Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDINC DEPARTMEN? TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 I1971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING EUILDING.~-"-"~-..VACANT LAND HOUSE NO. STREET HAMLET O~ner or O~ners of Property.. .-~ ~JS~ .... , County Tax Map No. 1000 Section .[~. Block .~ ..... Lot i.~.[ ..... Subdivision ....................... Permit Health Planning Board Approval ................ Request for Temporary Certifieate ....... Fee Submitted: $ .................... Filed Hap ........ Lot .......... Final Certificate ..~.. ........... rev. d o 10/14/88 TO VN OF $OUTtlOLD OIVFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL $OUTIIOLD, N.Y. 11971 FEB. 16, 1989 TEL. 765-180,2 To Whom This May Concern, We are unable r.o complete your Certificate of Occupancy because .of the following reasons. /_--/ An application for Certificate of Occupancy is not on file. /_--/ No Underwriters Certificnte on file. /.-_/ Thc: check i:;(outdated/not on file.) /~/ No Ileal. th Dept. Approval on file. /~/ No final inspection has been made. contact ()ur office on ~hls matter. Z COWAN PI ease Thank you for your cooperation. Ihl.[lding Permit ti 16672Z Duild ins Dept. *~*/~ Ho Plumber solder Certificate on file. ( all permits involving plumbinq being issued after AprJ.! 1,1984 ) DEAR VI?O: I TRIED TO CALL YOU BUT GOT NO ANSWER. YOU NEED A PLUMBERS CERT. FOR TIlE COWAN JOB. FOUt~DATION FOUNDATIO~ (,~d) ROUGH FRAME PLUMBIN~ INSULATION PER N. STATE ENERGY CODE FINAL 'IO~AL COMMENTS: TOWN OF SOUT}IOLD OFFICE OF BUILDD~G INSPECTOR P.O. BOX 728 TOWN HALL £OUTHOLD, N.Y. 11971 TEL. '765-1802 CERTIFICATION Date Building Permit No. Owner F~an¢,~ * (please print) Plumber G' (please print) I certify that the solder used ~n the water supply system contains less than 2/10 of 1% lead. Sworn to before me this of 19.d~ · Notary I'ub 1 ic, _~'~O//C- County Notary ~ub lic ' IX)NNA M, ADAMI 765-1802 BUILDING DEPT. INSPECTION B76S.1802 UILDING DEPT, SPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I.~,.ULATION FRAMING [/~FINAL DATE. ://////~~' INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ~LST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [-~/FINAL DATE 765-180;~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [J/~INSULATION FRAMING [ ] FINAL , , t~/~.--.,' 7GS-I.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION xST F/ROUGH PLBG.,~ [ J FOUNDATION 2ND [ ] INSULATION [/~/FRAMING [} FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]/FOUNDATION 1ST [ ] ROUGH PLBG. [r~] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING~ [ ]FINAL DATE: .~/~,,~'*'*/"P'~' ./ / ~ 765-1802 ~' -/BUILDING DEPT. INSPECTION [ ]pUNDATION 1ST [ ] ROUGH, PLBG. / FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION ~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL REMARKS: ~ ,~,~,'--//,<~-~"'rr ~: THE NEW YORK BOARD OF FIRE UNDERWRITERS , ~ °0~9;~:~ ~ BU~AU oF m. SCTmCn'Y V-- 85 JOHN STREET. NEW YORK, NEW YORK 10038 /~t~ Fg,}~UA XY h9,~9~9 ~ppl~ntionNo. onfile ~2~ 83~/~ N THIS CE~IFIES THAT ~y t~ ~t~ ~u~m~t M ~ ~ ~ i~t~,~ by t~ ~t ~M o~ the =~ ~t~ w exami~ on ~YAN IARY .~ound to be in ~nlpllan~ with the ~qui~me.t. of th~ ~rd. FIXTUIm RXTUBIS RANGiS EXRAUST FANS O4JTLITS SWITCHIS FLUOIIESClENT OTHER 63 ~0 59 63 DRYERS FURNAClE MOTO{IS IqJTU~! AI~UAJ4Ci ~ TIMICM~I(S SERVICE O~ONRICT S E R V I TRRNSFIgR fi KW GgN.W][R[NG-I, C E SOUTHO),D~ NY, 11.971 This certificate rm~t not be altered in any manner; return ti) the h1(..~282-, Board if incorrect. Pcr~ 0 X o f W~y NOTE ~ m'- MONUMENT SUFFOLK COUNTY TAX MAP DIST. I000 SECT. 113 BLOCK 6 LOT 21 YOUNG e, YOUNG ALDEN W. YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE NO. 4589;5 SURVEY FOR FREDERICK C. COWAN MATTITUCK TOWN OF SOUTHO~ SUFF. CO., N.Y. SCALE, 1"=50' APR. 24, 1981 dUNE 16,1981 MAR 28, [98~ PRO WAN ~R~ ~.iCOWA. LAND RIVERH 0 U Z 0 "MILLER" of W~y NOTE = Il= MONUMENT SUFFOLK COUNTY TAX MAP DIST. I000 SECT. I1~ BLOCK 6 LOT 21 SURVEY FOR FREDERICK C. COWAN 8~ MATTITUCK TOWN OF SOUTHO SUFF. CO., N.Y. SCALE: I" -' 50' APR, 2.4, 1981 JUNE 16tl981 G, COWAN COWAN 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examin~q~. 3..q.., 19 h.3. Approved~'~2"~tzce,~<,. ).~., 19~.3.. Permit No. !~..~.'1 .'P>..~.. SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL -~-~ · ~f-~- - - MAIL TO: Disapproved a/c ..................................... ................................ 13, ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tkis 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 tiffs 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 shail be occupied or used in whole or in part for any purpose whatever until g 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 c~, and regulations, and to admit auth°rized inspect°rs °n premises and in building f°r necessary inspecti°ns'b .~. ~~ (Signature of applicant, or name, if a cdrJppration) · I t-j... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, enginee ,~neral con~lectrician, plumber or builder. Name of owner of premises ~'~... C .~ -*. · .~../Y~ t ~ r('~--~~5 . ~.' ..... G' t"t~ '~' '/~' .................. (as on the tax roll or latest deed) If applicant is a s0tr, p_ora~/i/~n, sig~oature of d_quly authg~r~ed officer. (Name and title of corporate officer) -" ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No. 4: ~J~'[~/~'//~.. [ ~ ~. Electrician's Liccnse No.. ~/.~.~..~....~'~.~.'... Other Trade s L cense N ...................... I. Lo~a.~ti7 ~ ofl~~work will be done]. - .~.. i~:~.~.~.: .~f).. ·~- - . .g~,.~Tr;,~._/~ck~ ............. ~;~~'/'~)'; 'us'eib{umber ~ ""-(' :": ................ Street ~ ~}"ffi~'' ': .... -: ...... Hamlet" '~?' "< ' ' '~: ....... County Ta× Map 1000 Section ..It ............ Block .............. Lot.i.Z:./. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing nse and occupancy.. [ y~...[.~...~r~ . .~..~.~.~.l,.~{f~...~../..~. ...................... 3. Nature of work (check which applicable): New Building ... Addition ...... Alteration ...... Repair ....... ~x ...... Removal .............. Demolition ........... ... Other Work ............... (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 . . ..v~ ..................................... 1 ...................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... i ....... Depth ...... , ........ Height ............... Number of Stories .......................... , ........................... Dimensions of same structure with alterations or additions: Front ............ i ..... Rear .................. Depth ...................... Height ...................... Number of' Stories ...................... .... 8. Dimensions 9f entire new construction Front . .&.. - . ...'~.l~. ' ..... Rear i"" .... ! ....... Depth ............... Height ~{0. ......... /Number of Stories 10. Date of Purchase ............................. Name of Former Owner . ............................ Zone or use district in which premises are situated ......................... I ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~.0. ......................... 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes 14. Name of Owner of p&emises a, .... Address ............ i Phone No ..... 15. Is this property located within 300 feet of a tidal wet~04J~F... No ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, andAnclicate all set-back dimensions from property lines. Give street and block number or description according to deed, and she, street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNrZ OF ........ ., ........ (Name of individual signing contract) above named. , He is the .......................................................................................... (Contractor, agent, corporate officer, etc.) .of said owner or owners, and is duly authorized to perform or have performed the smd work and to make and file this application; that all statements contained in this application are true to the best of hi4 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .ff. . day of .. ,~g-e_ ,19357 NOT~y I'l~t~c. ~at~ of Ne~ y~ /~S/gfiature o f applicant) Ho. 4707818, Suffolk Ceunty Term Expires Igerch 30, l~_~r9 SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. PLUMBER CERTIFICA T/ON ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY If copper tubing is used for water distributing Iy~tem~ piping shall be o~ typeI K or L only ,'=OUN[IAYICIN u~O ~'EOUIRED II 'N :i T T 1~940 460. ir , ,I , ./ -I TO THE BEST OF MY KNCN~EDGEo BELIEFS, AND PROFESSIONAL JUDGEHENT THESE PLANS AND SPECIFICATIONS CONFORM TO THE N~'~ YO~K STATE ~J~IERGY CONSERVAT ION 0ONSTRDCT- ~I~OSTATS TO ~E 45'-75' 2 DGIVlESTIg HOT WATER= 1~O MA . ' 3t DIfStGN TEMP. I.S. 70" O.S. '4~ ~s ~ W,~= .S~.. ~ ~& s~ ~T ~, I , ~ ~s 7)~55~ ~ OD -24~; ~rrOLK 6~ DP- 23~ . DATED 4-1-87.' 8) ~L ~5TR~TI~ ~K TO ~PLY ~I~H REVISED ENEMY .p L.O ~'T" , tO '.,~ ¢' Wtt0T'H vol'e, ' "T'- I//Z', 'U R Morichea, New (5t§.} 8'/8 '