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Home My WebLink About15644-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCLrpANCY No Z-18440 I Date OCTOBER 3r 1989 THIS CERTIFIES that the buzlding. ALTERATION Locatzon of Property 9025 ROUTE 25 (MAIN ROAD~ MATTITUCK~ N.Y. I House No. Street Hamlet County Tax Map No. 1000 Sectzon 122 Block 06 Lot 20 Subdzvzszon Fzled Map No. Lot No. conforms substantmally to the Applmcatzon for Bumtd~ng Permzt heretofore filed in thzs office dated JANUARY 21r 1987 pursuant to which Building Permzt No. 15644-z dated JANUARY 28r 1987 was zssued, and conforms to all of the requirements of the applzcable provisions of the law. The occupancy for whzch this certlfzcate issued is ALT~A~ION TO EXISTING OFFICE COMPLEX AS APPI,T~ FOR. The certzfzcate ls issued to SUFFOLK COUNTY LAND DEVELOPMENT AGENCY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-87-013-8/16/1989 UNDERWRITERS CERTIFICATE NO. PENDIIqG - AUGUST 7r 1987 PLUMBERS CERTIFICATION DATED OCT. 7r 1987-MATTITUCK PLIPMBING & HEATING Rev. 1/81 I~OB, M NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETIbN OF THE WORK AUTHORIZED) N9 15644 Z Dote .....~~ ................... , 19..~.,~ / (~ Perrmss~on is hereby granted to: .... ~.~....z.~.~. ...................................... ....... e,,~m,ses ,ocot~ o,...~...0......~-- ...... ~...~ ........ -m~.~ ................... County Tax Map No. ]000 Section ..... /.~,,.,.~, ...... Block .....,~,,.,~, ......... Lot No...~,..~? tO application doted .....~.. ~ .w~,,J~ .......... , 19~'..~.., ond opproved by the pursuant Building Inspector Building Inspector Rev 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y. TENIPORARY Certificate Of Occupant7 No Z[6808 Date Apral 20, 1988 THIS CERTIFIES that the bmldmg . 0 f.f.r.c.e...c.o.m.p..1 .e.x. ..................... [ 9025 Route 25 Mattituck Location of Property., .............................................. ~vouse No Street Hamlet ]I000 Section 122 Block 06 .Lot 020-022 County Tax Map No Subd~v~mon .................... Fried Map No ........ Lot No ............ conforms substannall~ to the Apphcanon for Bmldtng Permit heretofore fried in this office dated J a n. 2 1, 198,7 pursuant to wtuch Bmldmg Permit No. 1 $ 644 z dated.J...an'..28..'l . 1987.... wasmsued, and conforms to aH of the requirements of the applicable provimons of the law The occupancy for which ttus certtficate is msued m ........ The certificate ts msued to NORTH FORK BANCORP of the aforesatd bmldmg. Suffolk County Department of Health Approval P end lng UNDERWRITERS CERTIFICATE NO Peud lug 8 / 7 [ 87 PLUMBERS CERTIFICATION DATED: Mattituck Plumbing & Meeting 10/7/87 Bmtdmg Inspector 1/81 FORM NO. 6 TOWN OF SOUTHOLD Build,rig Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Thru applicauon must be filled in typewriter OR ink, and submitted .- ,....=m~ to the Building Inspec- tor with the following; for new buddings or new use: 1. Final survey of property with accurate location of all buddings, 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 buildin~gs, Industrial buildings, Mulbple Remdences and simdar buildings and installa- tions, a certificate of Code comphance from the Architect or Engineer responmble for the building. 5.Submit Planning Board approval of completed rote plan requirements where applicable. B. For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey ofJ pzt3perty showing all property lines, streets, buildings and unusual natural or topographic features 2.Sworn statement of'owner or prewous owner as to use, occupancy and condition of buddings. 3. Date of any houmng code or safety inspection of buddings or premises, or other pertinent informa- tion required to prepare a certihcate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelhng $ [ 5.0 0 3. Copy of certificate of occupancv $1.00 i.~/~.~ 4.Vacant Land C.O. $5.00 5.Updated C.O. I $15.00 Date ... ~) ns m on ...... Old or Pre-existing Building ............ Vacant Land ............ truc Location of Property ...~.~ ............................~ ~ .~...O~.-~.'. . .~-~,~.. ~-,_, ............ House/Vo. Street Ham/et Owner or Owners of Property ........................................................... CountyTax Map No. 1000 Section ./.~..~ ........ Block ....~.& ........ Lot .~.o)-O --~ Subdiwmon ................................. Fded Map No .......... Lot No ......... Permit No ......... Date of Permit ...Appl,cant .. %N.. ..~ ............. Health Dept. Approval ....................... Labor Dept. Approval ........................ Underwmters Approval .................... Planmng Board Approval ...................... 8eque~ for Tempora~ Gert~flcato ..................... Final Cerdhcate ..................... Fe~ Submitted $ ............................ Con,ruction on above de~r.bed bu,ldmg and ~t meets all~p~le::~gulattons.~ R~, 10-10 78 OUNDATIO)~ ( ls t) OUND~TION ¢2nd) OUGH FRAME & PLUMBING NSULATiON PER N. Y. STATE ENERGY CODE FINAL TOWN OF SOUTHOI.D OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Buildlng Permit No. Owner ~ ~ (please print,). Plumber (pleas~ Priht) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me thzs 19 o~. Notary Public, ~/~ County (plumber' s slgnat~ Notary Public FORM NO. 6 TOWN OF SOUTHOLD Budding Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must be filled in typewriter OR ~nk, and submitted ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Fmal survey of p~operty 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 mstallation from Board of F~re Underwriters. 4. Commercial buildings, Industrml buddings, Multiple Residences and similar buildings and installa- tions, a cert~fmat~ of Code compliance from the Architect or Engineer responsible for the buildmg. 5.Submit PIanmng Board approval of completed site plan requirements where apphcable. B. For existing budd~nlgs (prior to Aprd 1957), Non-conforming uses, or buildings and 'pre-existmg' land uses 1. Accurate survey qf p~Operty showing all property lines, streets, buddings and unusual natural or topographm features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of an,/ houslng code or safety inspection of buildings or prern ses, or other pertinent informa- tion required to prepare a cerbfmate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1, Certff~cateofoccdpanc¥ New Dwellzng $25.Q0, Accessory ,$I0.00 Bus,ness $50.00 2 Certificate of occupanc,/on pre-existmg dwelling $ 50.00 3. Copy of certlfmate of occupancy $ 5.00, over 5 years $10.00 4.Vacant LandlC.O. $ 20.00 5.Updated C.O~ $ 50.00 Date ........................ NewConstruction ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .., ........................ · .................. / ...... House No. Street Hamlet County Tax Map No. 1000 Section .......... Block ........... Subd~wmon ............................... Fded Map No .......... Lot No .......... Perm,t No [~)(.0 qq~7 [/;~)J.~7 Apphcant ........... Date of Permit ........................................ Health Dept. Approval ...................... Labor Dept. Approval ........................ Underwmters Approval ....................... Plannmg Board Approval ...................... Request for Temporary Certificate. V~ na e cate ................ ................ Fi I C rtifi ....... Fee Submitted $.. ~L.). .................. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING FINAL REMARKS: DATE INSPECTOR FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y 11971 TEL, 765-1802 Approved ..... 19 Permzt No .. Disapproved a/c ................................... BOARD OF HEALTH 3 SETS OF PLANS SURVEY CHECK SEPTIC FORM NOTIFY CALL AIL TO: (Bmldzng Inspector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a This apphcatmn must be cc mpletely filled m by typewriter or ~n ~nk and submitted to the Building Inspector, w~th 3 sets of plans, accurate plot plan to Jcale Fee according to schedule b. Plot plan showing locauonJof lot and of bmldmgs on premises, relationship to adjoining premises or pubhc street_, or areas and gwmg a detmled desqrlptmn of layout of property must be drawn on the dmgmm whmh is part of tins appli cation. I c. The work covered by tins apphcation may not be commenced before issuance of Budding Permit d Upon approval of this apph,'catzon, the Bml&ng Inspector will ~ssued a Building Permit to the apphcant. Such permi~ shall be kept on the premises available for mspectlon throughout the work e. No bmldmg shall be occupied or used in whole or m part for any purpose whatever untd a Certificate of Occupan% shall have been granted by the Buikhng Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the msuance of a Bmldmg Permit pursuant to th. Bmldzng Zone Ordznance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances o Regulahons, for the construchon 'of buddings, additions or alterahons, or for removal or demoht~on, as hereto described The apphcant agrees to comply with all applicable laws, ordinances, bu~dmg code, housing code, and regulations, and t, admzt authorized znspectors on premmes and m building for necessa.ry(inspechons (&gnature of applicant, or name, zf a corporatzon) (Maihng address of applicant) State whether apphcant is owne~, lessee, agent, arcintect, eneneer, general contractor, electrician, plumber or budder (as on the tax roll or latest deed) If ~:ant is a c°~r~°r,~tl°n, 2~._ature of duly auth°rlzed officer (Natrt~ and title of corporate officer) Builder's License No [ ~. ~.t,~ P/umber's License No I- Electrician's L~cense No Other Trade's License No Location of land on which proposed work will be done House Number Street County Tax Map No I000 Section J ~ ~ .... Block Hamlet Lot <J o~ tQ .C 2 Subdivision .... Filed Map No ..... Lot : (Na'rJe)'' State exmtmg use and occupancy of premises and intended use and occupancy of proposed construction a Ex~shng use and occupancy /O~_C.~k w,..~'-'., c~ C~X.c_.~ b. Intended use and occupancy . .~. tr.~.,~ ................... 3. Nature of work (check which apphcable) New Bufl&ng Addition . .. Alteratmn ~ . Repair .... Removal ........ Demohhon .. Other Work .... ~. ' '~.. (Descnptmn) 4 Estimated Cost . . ]/~O~ ....... Fee ............................ " (to be prod on fihng thru apphcatlon) 5. If dwelling, number of dwelhng umts ........ Number of dwelhng units on each floor ......... If garage, number of c~rs 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use .. 7 D~menslons of existing struqtures, if any Front . Rear ....... Depth ...... Hmght ..... Number of Stones ............................ Dtmenmons of same structu!e w~th alterations or ad&tmns Front ........ Rear Depth .... Height ...... Number of Stones .............. D~rnenmons of entire new c6nstructmn: Front ......... Rear ............ Depth .......... Height ...... Number of Stones ...... 9. Size of lot Front ....... Rear ........... Depth ................ 10. Date of Purchase .. ~ . Name of Former Owner ............... 1 1 Zone or use district in which premises are mtuated .................................. 12. Does proposed constructionI violate any zoning law, ordinance or regulation' . .................. 13 W,1I lot be regraded . . ! .......... Will excess fill be removed from premmes' Yes I' 14 Name of Owner of premlsesl ..... Address ........ Phone No . .. Name of Architect . I Address ........ ~ i ' ~ ........... Phone No. Name of Contractor ~r.. \ .o~-o~/~. Address .......... Phone No 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold TownlTrustees Permit maybe required. PLOT DIAGRA~ Locate clearly and distinctly all buildings, whether ex~st~ng or proposed, and indicate all set-back dm~enmons fro property hnes Give street and b~ock number or descnptmn according to deed, and show street names and ~n&cate wheth interior or corner lot. STATE OF NEW YORK, S S COUNTY O-F% ........ (Name of ~ndlwduaI mgmng contract) above named ~ He ~s the ~__~v~r3~'0~-- O~ ~ ~ (Contractor, agent, co,orate officer, etc ) of smd owner or ownem, ~d ~s duly au~onzed to perfom or have perfo~ed the smd work and to m~e ~d file apphcatmn, that all statements contained m thru apphcatton are true to the best ofhm ~owledge and behef; and that work wdl be perfomed ~n the m~ner set forth m the apphcahon filed therewith Sworn to before me thru ....... ....... ~f ...... day o .~ ... County ~ Notaw ~bll~[ ..~.~[~ ..- .... . .~ ~~v (St~ature of apphca, I'TdC I.C ~ TAG. ff OOl~M' tubing II used for wst~r distributing iy~tlm; piping ~hall be PLUMBER CERTIFICATION ON I~AD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/~0 of 1% LEAD. 3 fit.c- f~¢c~l . =0 '4 I ! oA ' ~o$F[ Ia 7 I I A la7 IaS I%A ~oq I I I Io7 t leA 1ITA II~,^ F. ILX/A-f I ~ bJ f/e" I''~' I . it¸ NORTH ~.,BAN K MATTITUCK' , '. F'OR'K NEW YI:IRK. ,/,il II I NORTH ,,~BAN K O FORK" i4 d~ MATTITUCK , NEW YORK t ' N Ir,) NORTH BAN K FORK ,JOB I¸, ..WA L- L, F WALL, DATE NORTH N EVIZ ¥CiRK T'fPlC,,~,L Roof Op~.~iI,,4G v4Jr ,4' - ~O'V'l" ANC. HO~ DETAIL iIi KEY' PL~.N. MATTi?UGK FLOOR 5PAR. E..5 &ANI I"fO ~% - C_.LosE.T':~ ~ 'TOILET OWE\CE. IcC. 104 CONFEB, E3' IO~ · LUNC.H FkM 116 FILE CONFERENCE 105 ' R,F_¢.- E.PT, ~ 01 LIGHTING PLAN ~CALE 1/8% I'-0' COPY' ~ACHINIF_. LEGEND ti H.P E.F FkECESSED FIXTURE. TYPE 'A' RE-CESSE_D FIXTURE TYPE_'D' CEILINI_____~ HOUk~TEO EXFF FIXTURE. TYPE 'E' P,,EC. ESSE.B FIXTURE TYPE 'F' ' -- 2EILIN6 AMD 5MOKE IbETEC_TO~. HEIkTbETEC.TOI::~ FIREALAP4Vl MANUAL PUL~. STATION. THREE. WAY 5WITCH C.OMTROLLE~ 'o2 HOMI:: RUM TO PANEL CIRC. UFT' ~$6¢ 2..~-12. -~/4" .---C )UPLEX. REC_ EPTAC. LE. 3ROUNI] FAQL'T REC-EPTAC-LF~ SURFACE MOUNTED FIXTURE. TYPE. ~J' NEW 5L~R~:ACE. HOUNTE~ £L£CR'RIC. PANEL . MERGENC Y 15A'I-FERY Ut~fT ELECTRIC MOTOR'~JITH DISCONMECT SWITCH ~qEAT PU~P ~,HAU ST EAt4 O. ! LIGHTING FIXTURE GENE~L ~OTE~ I. ALL LAYOUT5 ARE 9IAGPC~ATIC., CONTRAC.TOR CONbUIT, ~o,x. E5 P, t4~ EOUIPHEkIT TO SUIT FIELD C. ONI3ITION5 oP, A50IP, ECTEbBY THE A~,C.~iTECT/EN61k~EE.F,,, 2.,CONT~CTOF'~ 5HALL EX,A. M INE."'~4E SITE BEFOP, E_ ~,OBMI I t tl~l~ ~t5 DIE). A5 ~P~OVEO BY ~E OWN~A~H~E&T. AMY 5ERN/\C-E 0~,. 5¥5'FE.M. AFPP, OVAL ~,EFoP. E- ~RO't-~(~ 5.~NAL LOC/N-fl0~I OF~.LL NEW Wi01~,~ 514ALL ~,E 15E.TEI;i~llhl~_~ ~Y ALHITEfl.TUI~./NL PLAN3 OklL¥, ELECT~,.tC.~L PLAIN5 SHALL t~C~T E~E OSE~3TO ME~'~U~... ~, LAYOUT5 It4E~ICATED A~E APPP, O~,IV~ATE - TOBY. RNALLY GET BY A6R, EEHENT 'WIT,S A~'"_.HC~EC.T/ENGIt, dEERON T~E POWER PLAN SCALE I/8": 1:0" EXISTING SANK DETAIL N.T.S :ri NOTE TH~ NEATING CONT~TO~, %~&LL INSTAu_ N~ ~ j CABLE "N~N ~Ol,K ~ 5~ AN~ CO~T~ ~N 50 C-Ftm ~l'Zo c~m iz. Y4 F RST FLOOR SCALE /8"= I':O" PL6N ~ NOTE "NEF'( N,[W?~XHAUST FAN ) 197o P, PI,~, ~ O,Z~5 c~,p. pp,ov~P... I,~,~'~ 5u~*.'.'.'.5'Y.~-D "rYp,~ "BP" I~,ooF NOTE "NHF'(NEW HEAT PUMP) LEG,END Wo ~4 l~,c, Am~ MODP__L 5H-~ WI'TH TYE Fob ,Z NEW HEAT PUMP NOT TO SCALE ' ~I~TOp~N oP, 5Uppu"r A. IP, [~UCT [~F~A~.JC~, ~-15'rr-{~5 S E C T I 0 N 'A-A" NOT TO SCALE NEW' AUTOMATIC WET SPRIINKLER SYSTEM NOT 'ilo SCALE ALARM VALVE AND PIPE ~IN. tAOOP DETAIL TRIMMINGS NOT TO SCALE iII 5-. Z U A A HEATING WIRE) NOTES FI RST FLOOR PLAN SCALE I/8": I'.O" PLUMBING FIXTURE SCHEDULE I E F-Sw/ 5W K~ Y ' ;,. IH EATI: N G