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Home My WebLink About15624-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Z16472 Date.. p~q~m~.l.1, 1987 THIS CERTIFIES that the budding . A.1 t.e.r.a.t i. qn ........................ 395 Sebastians Cove Rd. Mattltuck Location of Property H ........................................ 3us3 ~o' Streot t'tam/et County Tax Map No, 1000 Section .].0, q ...... Block ,, 9.3 ........... Lot . . ,1.1,: Subdivision . .S.eb..a.s.t.ia. ns Cove ...Filed Map No.2.2.6 .Lot No. 2 conforms substantially to the Apphcatton for Building Permtt heretofore filed in tins office dated Jan. 9, 1987 pursuant to winch Bmldmg Permit No 15624z dated ..4~9...1~, .1.~87 , . was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for whtch tMs certificate is Issued ~s ...... .A.l.t.e.ra.t.zon .t~o. an ex,sting dwelling. The certfficate ts ~ssued to PETER R. STOUTENBURGH ............ iow~;e~, ¥~YCr~]( x x' ............ of the aforesmd building Suffolk County Department of Health Approval . Iq ./^ ....................... UNDERWRITERS CERTIFICATE NO ........ N.8.4.5.3.2..4..D.c. 9.'.. [ :. ,l.9.8..7 ...... PLUMBERS CERTIFICATION DATED: Wzllzam Wilsberg 10/5~87 Rev 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) N9 15624 Z Perrniss~on ~s hereby granted to: ...~......o...~.._~...r. _~.~...: .... .... ....... , .~~.....~.:.~.....J..L.~..~... .......... ,~- ~ County Tax Map No. 1000 Section ..... .,/...¢~rz~ ..... Block ....... ..~...~. ..... Lot No ...... .].l..'.:~-~..... ....~..~~....~ .................. ,19.~.., and approved by the pursuant to application dated Busldlng Inspector. Fee Building Inspector Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS ].00]093 BUREAU OF ELECTRICITY ~--- ~h SS JOHN STREET, NEW YORK, NEW YORK 100:38 U '5324 THIS CERTIFIES THAT Pet~ ~toutenb~g, 395 ~ba~t~ Cove ~., ~attituck, ~.Y. ,n thefallatrmg location, ~ B~ment ~ I~t H ~ 2ud FI ~ect,on BloH~ Lot was erommed on hOV~Jt~t3~ ~l s ~J7 aad found to be ~n comphance utth the requ~retnents of th~ Board F XlUI~ ~-- ~ / fiXTURES T RANGEs TCOOKIN~~/DISH WASHERS _EXHAUST FA~NS ~ ~RVI~ ~NECT m O* 1 S E R V I C E~ - ~ ~ ~ This cefl~ficate must not ~ olter~ in ony monner, return to the office of the ~ard ~f ~ncorred Inspectors may be ,denhhed by their credenh~}~ ~O~ FOR BUI~ING DEPARTMENT. THIS COPY OF CERTIFICATE ~ST NOT BE ALTERED IN ANY ~NNER. 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. 1~62~Z OwnerPetor R. Stou~o,qburKh (please print) Plumber ~c~, ~-~ ~/offl~,?'-/'/,:-~,,'~ ~ (please print) ~ ~ ~ I certi~y that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before ~hls ~ day of Notary Public , ~f~/~ (plumber s s~re) ~_OF SOUTHOLO APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 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 su~ey 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 disposel-(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 ~nstalla- 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 ex~sting buildings (prior to Aprd 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 buddings. 3. Date of any housing code or safetv inspection of buildings or premises, or other pertinent reforma- tion required to prepare a certificate. C. Fees' ~ h Certificate of occupancy New Dwellin~ $25.00, Accessory '$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ $ 0.00 3. Copy of certificate of occupancv $ 5.00, over 5 years $10.00 4.Vacant Land C..O. $ 20.00 5.Updated C.O: $ 50.00 Date .......................... 6. ~lteration $25.00 New Coos tr uc t i on Old or Pre-existing Building Vacant Land Loca on of Proper .................. , ............... House No. Street Hamlet ~.e t.e.? R S~ou~e~bur~h Owner or Owners of Property ' 100 Block 0.3 Lot 1..1,~ County Tax Map No. 1000 Section ...................................... Permit No .... Date of Permit . Health Dept. Approval .... ~,,A ........ Underwriters Approval ..... ~. ......... Request for Temporary Certificate Fee Submitted $..2~. ~ .0.0 ............. Filed Map No .2.2.~. Lot No .2.. ...... ~..Applicant ,E,qv, ~ ?. ,r,~je, 9~. ,L.a, ,s.~,,. ,Z, 9,c....f..o.~. p. wner ........ Labor Dept. Approval ...... ,l~. ,A ............... d App ~-$ ........ Planning Boar royal ................... Final Certificate X ............. Construction on above described building an~erm~~nd regulations. Apphca nt/~,, .ff ./,~/,~ ,_/ .... :.Pr,e.~:~ dep,} ............ z /FY OUNDATION ( ls t) OUNDATION (2nd) OUGH FRAME & FLUMBING NSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ *~MING [ ] FINAL DATE //~/~//~ ~ // INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL INSPECTOR/~~/*'-~ FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL.. 765-1803 Examined ~°''''''~'~ .... 1.~..., 19 ~? Approved '~O.-r~,t,~ } h-, 19~-1 Permit No / Disapproved a/c (Budding Inspector) APPLICATION FOR BUILDING PERMIT JAN g 1087 Recezved .......... ,19... INSTRUCTIONS a Ttus application must be completely filled m by typewriter or in ink and submitted to the Budding Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public stree~ or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this appl cation. c The work covered by flus application may not be commenced before issuance of Budding Permit d. Upon approval of this application, the Building Inspector will issued a Budding Permit to the applicant Such perm shall be kept on the premises avadable for mspecQon throughout the work. e No budding shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupant shall have been granted by the Braiding Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Building Permit pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances c Regulations, for the construchon of buildings, additions or alterations, or for removal or demohtaon, as hereto describe, The applicant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulations, and t admit authorized inspectors on premises and m bmldmg for necessary mspechons (Signature of apphcant, or name, if a corporation) (Mailing address of applicant) State whether applicant is o_w.n_e_r, lessee, agent, architect, en~neer cont___r, electrician, plumber or builder Name of owner of premises /~['"~/'~ 5dO&",z~z'~ZY~.(.~Z~./'~ · .. (as on the tax roll or latest deed) If apphcant ~s a co,oration, signature of duly authorized officer (Name and t~tle of co,orate officer) Budder's Llcense No ~¢'. ~24.~ ~f .~ Plumber's License No Electrician's License No Other Trade's License No .... I Locahon of land on which proposed work wall be done ~,~ot~ ~?'.,5~7-'7 ~' . ~O.~t~../~.." ~ ~///~. . . . . . ltouse Number Street Hamlet County Tax Map No 1000 Section ....... d.~'... Block ..... ~ ..... Lot ..... (/:~ ....... Suba,vis,on ~//~ ~ Fried Map No ~ ~ Lot .. ~ . .. (Name) 2 State ex~stmg use and occupancy of prennses and intended use and occupancy of proposed construction a Exmt~ng use and occupancy . . b Intended use and occupancv 3 Nature ofwork,(c~L3eck which applicable) New Bufldlng Addition ... Alteration .... Demohtlon . Other Work ~.~a, . ... Repair ~ Removal, . /~e/:/~/)- ~ kgge.o~oaT'e// .J'~/ato~,~/~r- ,~ (Descnptlon) 4 -eT-° Fee Estimated,Cost{[/ .,<;, ,,fO ! .................... (to be prod on fihng this apphcation) 5. If dwelling, number of dwelhng units . / ..... Number of dwelling units on each floor .... If garage, number of cars 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use .............. ?. Danensions of existing structures, if any Front ~./~ . . Rear . . a:~.2~. ..... Depth . ;ZO' .. Height ~ .... Number of Stones .......................... Dunenslons of same strnctur~ with alterations or addltmns Fron't~: /q/~ ~./'?.~z/;?O" ~Rear ,k-. Depth . /V~ .c.7,~,,4j~. I - . Height . .AS c~c~. c'/F. ... Number of Stones .. ~ .... 8 Dimensions of entire newconstrucnon Front . . ~ Rear . . .~7~' . . Depth . Height .... Number of Stones .... 9 Size of lot' Front .i . . ~3.o(. Rear ../?.g/ . Depth ......... .Z.Oo... 10 Date of Purchase ................ Name of Former Owner .......... 11 Zone or use district m which premises are s~tuated .... /~-_e.~r~Z~',,~r~/' ......... 12 Does proposed construction violate any zoning law, ordinance or regulation /X/o .......... 13. Will lot be regraded .' .... /%/0 . . . Will excess fill be removed from premises. Yes N 14. Name of Owner of premises/'~, ~...~4<~./*~t-./r'q/) . Address ~c'. 73'.2~.~.df.d~'~..A/e...c/q:. Phone No. ?:3 .~.- 7¢.7t/-: Name of Architect . I ..... i i/... Address ........... L~t.,. Phone No ............. Name of Contractor ................ Address ............ Phone No ........... PLOT DIAGRAM Locate clearly and distinctlyI all bmldmgs, whether existing or proposed, and mdmate all set-back dwnenslons frm property hnes Give street and block number or description according to deed, and show street names and red,cate wheth. interior or corner lot STATE OF NEW YORK, S S COUNTY OF ..... being duly sworn, deposes and says that he is the apphcm (Name of individual Signing contract) above named tte is the ~~ ~ ....... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th apphcat~on, that all statements contained m this apphcatlon are true to the best of his knowledge and belief; and that tl work will be performed m the manner set forth m the application filed therewith. Sworn to before me this f .... day of.. ...... ,,77 Notary Pubhc, .. ~/t4~...~J9.~2//~.. Count~~~ / ................ 1~ ~?~~/~7~i~e~h ~'~ ['~ (Signature of applican ,( !l,,' , %?~,d 1~ / t~trllr~ ' , ,, · tf · .................. EiL .................................... " ts+ FLZ36f~,['"L~':' ,,." -~ Fr '3- ........ :! ................................. ~L. 't