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HomeMy WebLinkAbout15707-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z- ]6680 ................. Date February 29, ]988 THIS CERTIFIES that the building ONE FAMILY DWELL ING Ix)cation of Property ....37.0..~yf....R..d....#. ! .9..(.H.y..a.t.t...Rg.a.d' . !..S.o.u.t..hp.l.d. ,. ~...Y.: ...... House No. Street Hamlet County Tax Map No. 1000 Section 5 0 .Block .... .3 .......... Lot 2 3 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'ded in this office dated February 17, 1987 15707 g ..................... pursuant to which Building Permit No ...................... dated ............................ F e b r u a r y 25, I 987 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 ATTACHED WOOD DECK AS APPLIED FOR The certificate is issued to EDWARD & PHYLLIS STANLEY ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval 86- S O- 232 UNDERWRITERS CERTIFICATE NO .... N838538 - 10/19/I987 PLUMBERS CERTIFICATION DATED: Sept. 17, 1987 Frank J. Meyer -:; ..... Bu la ng~speC o; --i'-i------t-~ ............ Rev. 1/81 lrO~Wr NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT NO 15707' Z fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ....~...~..~.....~.....~. .......... 19.~.~ Permission is hereby granted to: County Tax Map No. I000 Section ..... ..q~...~..--~.. ....... Block ....... .~..~ ...... Lot No ..... ~....~, .......... dated ..~.~c~ ....J ..~ ....... , J9.~..].., and approved by the pursuant to opplicotk Building Inspector. Fee $ .. ,','~, ,,~-, :,. - ,~,,. .... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG DEPT. TOWN OF,,SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must ,be filled in typewriter OR ink, and submitted I~ to the Building Inspec- tor with the followmg; for new buildmgs or new use' 1. Final survey of property wtth 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 mstallatlon from Board of F~re Underwriters. 4. Commercial buddmgs, Industrial buddings, Multiple Residences and similar buddings and installa- tions, a cert~ficate 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 buddings (poor to April 1957), Non-conforming uses, or buddmgs and "pre-exmtmg" land uses' 1. Accurate survey of 'pz~operty showing all property lines, streets, buddmgs and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housmg code or safety inspection of bullrings or premises, or other pertinent informa- ttoo required to pre,are a certificate. C. Fees- / Addztzons $25.00 POOLS $25.00 ALTERATION $25 .00 1.Certtficateofoccup~ncy New Dwellzng $25.Q0, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existmg dwelling $ 50 00 3. Copy of certificate df occupancy $ 5.00, over ~ years $]0.00 4.Vacant Land Ci.O. $ 20.00 5.Updated C.O. $ 50.00 Date .F.e.b.r.u.a.r.y..2.9.:.19.8.8. ....... NewC°nstructz°n. . .,... Old orPre-existmg Buddmg ............ Vacant Land ............ / Locatton of Property . 83~ Hyatt Road, East, Southold, New York . House No. Street f-farm/et Owner or Owners of Property Edward and Phyllzs Stanley County Tax Map No. 1000[Sect,on . . .QS. 0 ..... Block . . .0.3. ........ Lot . .2.3. .......... Subdw~s~on ........ ~ ............ Fded Map No ........ Lot No ............. Permit No. .1.5.7.Q7. Z... D~teofPermlt 2/.25/87 Apphcant Richard Saetta, Gen'l. Contractor, Inc. Hea~th Dept. Approval 1~27,/88 $6-$0-232 Labor Dept. Approval Underwriters Approval ].Qf.].9/.87..............N838538 Planmng Board Approval .................. ... · Request for Temporary Certificate ................ Final Certificate . .~ .................... Fee Subm,tted $ .%~,QQ ................. Rev 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS · [LJ(JO?~,)~ BUREAU OF ELECTRICITY ~ ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~ ~[~1~ ~att 1~., oJ'~ ~d~ew Ave., ~%~ld, N,Y. ~sexmntnedon ~ 1, lt~7 andfoundtobemconiphanceutththerequtre.~entso(th~sRoard OTH~.R APPARATUS This cerhhcate must not be altered in any manner, return to the office of t~ ~oard ;{ incorrect Inspectors may be ~denhhed by their credenhals COPY FOR BUiLDiNG DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Per~ OwnerEdward & it No. 15707Z hyllls Stanley Date September 17, 1987 (please print) Plumber Frank ~yer (please print) I certify that the solder used in the water supply contains lessI than 2/10 of 1% lead. system (plumber g~s signeted) sworn to befolre me th~s 19 ~ Notary Public .~_~C~. County ~OLO T ~ARR NOTARY PUBLIC, STATE OF NEW YORK NO ~ ~ r'~78:105 sUFFOLK COUNI'Y ~MM~ION ~PIR~ JAN ~, 1~ Notary Publzc 765-:1.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION []FRAMINGC~~ ~/,~r ~ DATE~,~ INSPECTOR BUILDING DEI=T. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ INSPECTION FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: DATE INSPECTOR/'~~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/~SULATION [ ] FRAMING [ ] FINAL REMARKS: DATE __~¢, I~SPECTOR~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [-~'~RAMING [ ] FINAL DATE ~//~~'~ ~' INSPECTO~/____~ 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS.- ~, ,~, ~ ~-/,O ~ / / 7GS-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST [ ] ROUGH PLBG. [ NDATION ZND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DA'r~ OUNDATION s t) OUNDATION ( 2nd ) 0UGH FRAME & FLUMBING NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: RICHARD SAETTA, INC. General Coatracting 4 Bootleg Alley Greenport, New Yo~k 11944 (516) 477-1637, (516) 749-1060 October 22, 1987 Mr. Curtis Horton Southold Town Building Department Town Hall Main Road Southold, New York 11971 Dear Mr. Horton: Enclosed is the architect stamped plan for the chimney at the Stanley house located on Hyatt Road in Southold, building permit no. 15707 Z. If you have any further questions, please don't hesitate to call. Respectfully yours, Richard Saetta President RS:bb Enclosure ~L ~u PPo~Ts tOLD E GEBHARD A.IA. 3 North Wellwood Avenue [NHURST, NEW YORK 11757 (516) 226-3708 ~; Ec~z:~ M p FL Ool2.. MET'AL' FI le'~FT FLoola FLUE 4" 5Euo~ ~ot LE~-- V'~ ALL FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved ale ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date .~P~r~ry. 3?, ...... 19 ~Y. INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 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, a~d 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~r, e4~ons, and to admit authorized inspectors on premises and in building for necessary inspegt-iml~__ (Signature of applicant, or name, if a corporation) · .Rfi. c.h.a.r.d..S.a.e.~.t.a...G.e.n.e.r.a.1..C, qn.t r.a.c.t, qr. 4 Bootleg Alley, Greenport, NY 11944 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .GeneEal .Contractor ............................................................................. Name of owner ofpre~nises .E.d.w.~rd..a.a. 4 .P. hyJ, I,i~ .$hanley ............................................... (as on the tax roll or latest deed) If applicon? a cor~ora~re of duly authorized officer. ~,~ ~ President .................... Builder's License No...1.3.0.8.~IJ~ ................ Plumber's License No. 1386P Electrician's License No..!Q4.9. E. ................ Ot er Trade s License No ...................... 1. Location of land on which proposed work will be done.. Right .of .l day .off.Sound. View· Avenue .............. ............................................................ 5.qq~.hq~.~. ......................... House Number Street Hamlet County Tax Map No. 1000 Section . .553. .............. Block ...-~ .............. Lot .7S~.. o~ ~ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... V.a.c.a.n.t,..L.a. nA .................................................... b. Intended use and occupancy ...1..F.a.~l.13,..H. qu.s.e. ................................................... 9 ~10 13 14. 3. Nature of work (check which applicable) New Building . $ ....... Additlon ......... Alteration .... Repmr ~ [ ~. Removal ........ Demolition .......... Other Work .......... ~ (Description) 4. Estm~atedCost $.8.9.~3.93. ...................... Fee. , (to be paid on f'flmg this application) 5. If dwelling, number of dwellmg units ........ Number of dwelhng umts on each floor ......... If garage, number of cars . ' ............ 6. If business, commercial or mzxed occupancy, specify nature and extent of each type of use ................. 7. Dunenslons of existing structures, if any' Front ......... Rear ........... Depth ........... Height .......... ~qumber of Stones ..................................... Dzmenslons of same structure with alterations or ad&tlons Front ........... Rear .......... Depth ......... i. Height ....... Number of Stones ................. 8. Dunensmns of entzre new c~nstructlon Front ........ Rear ............... Depth .......... Height ............. ~-~umber of Stones ............................................... Size of lot Front t I ~" .... Rear \, . .......... Depth ................ Date of Purchase ~/,~(~/. ~..~C ...... ,,X~Name of Former Owner ,~. ~-'/.~ ~... ~.5':*. ~- ..... Zone or use district in whxc~ ~remlses are s~tuated/~P. ............................. Does proposed construction violate any zoning law, ordinance or regulation' . ................. WtI1 lot be regraded ~ ~ ........... Will ex. ceos f*fll be ren3o~ed from,premises. Yes X ix .~ ~ Edward Stanle ..... o ~tuyvesanu ~va±,l~tl. ., ~ ~ ~'6 Name olowner olpremlses ......... :(. . . Adoress ,, .,, .............. t'llone ~o Name of Architect .Penriy .bumh~r(I~, Tut, b:ll] . Address t~.q~r4~.~d.t.l~l..zuu.u~. Phone No. 4.7.7.¥0~.0.0 . . Name of Contractor l~ch.~r.d..Sae, tta. ~ qen...C, on.t. rh~}dr~f .G. re.e.n~or.t. ....... Phone No47..7-.1633 .. 15. Is this property located w~-th~nl00 feet of a t:cdal wetland? * Yes ..... No ~ If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and dmtmctly all buddings, whether existing or proposed, and, indicate all set-back dunenslons fro property hnes G~ve street and block number or descnptmn according to deed, and show street names and indicate wheth interior or comer lot See Attached Survey & Plans STATE OF NEW YORK, S S COUNTY OF. Suffolk. .. fi>chard S.ae.t.t.a... ~ .. (Name of ~ndivldual ,signing contract) above named He is the General Contracto~ ...... being duly sworn, deposes and says that he is the apphca (Contractor, agent, corporate officer, etc ) of smd owner or owners, and ls~ duly authorized to perform or have performed the smd work and to make and file tt apphcatlon, that all statements contained m this apphcatmn are true to the best of his knowledge and belief, and that work w~l be performed in the manner set forth in the applmatlon filed therewith Sworn to before me th~s · .1.7.t.b. ....... day of Feb. r.u. ary ., 19 8.7 Notary Pubh ...... S. qf.~.ol.k. County BEVERLY A BRED£M£YER tlota~ ~bhc. State of New ¥o0 ........... No 4734549, Suffolk C0un~y,s (Signature of apphcm Term Exptres N/O/F CATHERINE & RENEE SILEO ~ A RCl A SUFFOLK COUNT~.DEPART.M~E ~NT~,t~, ~.02' ~,':~4~a~ water ~ other a~oc~and fo~d to~e ~ ~ ~ Chief ~t Bur~u of Wast~ Manageme~ - I I I ........ 215. RVEY OF PROPERTY HORTON'S POINT TOWN OF $OUTHOLD SUFFOLK COUNTY, N. Y. ' fO00 050 '- 03 23 SCALE I" = 40' FEB. 27,1987 OCT. 23, 1987! FINAL J CERTIFIED TO : COMMONWEALTH LAND TITLE INSURANCE COMPANY. SAG HARBOR SAVINGS BANK EDWARD L. STANLEY PHYLLIS A. STANLEY S. 48° I 3'20"W. N/O/F rr OTTO 8~ IRENE LINDERMAYER Prepared in accordance with the minimum standards for title surveys as established by the L.I. Ao L $. and approved and adopted for such use by The New York State Land Title Association. VIEW AVE. , revise u.c. -- 6 ..... 87 ENGINEERS ~ P. C . MAIN ROAD SOUTHOLD, N Y. 1197'1 87 151A N/O/F CAT -- & REN N/O/F M AGDALENA KIDIRKA N. 48005 '10 "E. 185.61' CE VIEw "695.16' N/O/ F OTTO & iRENE LINDERMAYER SOUND Prepared in accordance with the minimum standards for title surveys as established by the LI.A. LS. and approved and adopted for such uae by The New York State Land Title Association. AVE. 215. ~. ~, VEY OF PROPERTY - .~ /[/ A T " HORTON'S POINT TOWN OF SOUTHOLD SUFFOLK COUNTY,N, lO00 050 03 - SCALE I" = 40' FEB. 27, 1987 CERTIFIED TO : COMMONWEALTH LAND TITLE INSURANCE CONPANY, SAG HARBOR SAVINGS BANK EDWARD L.STANLEY PHYLLIS A, STANLEY MAIN ROAD $OUTHOLD, N Y 11971 S. LIC. N0.49668 ENGINEERS ,P. C. 87 - 151A VA, CAI'IT ~,1 .~8 05 ~O FZ J7 -- q RAVEL TEGT HOLE ITHE ~ATES AND SE~4AGE ~IS~OSAL SYSTEMS FOR TH'IS RESIDENCE ILL coNFoRM TO THE STANDARDS OF ITHE SUFFOLK COUNTY DEPARTMENT OF i,.E^Vr,. ,,- VACANT ¢,./,, ,oo ~ C~s-r-t~q O × ,48,5 3o It Is the maintain PLEASE applicant's adequate SeWa between all w'at~.r 8u~)p y, , disposal facilities. I t"~.,, VACA r,I T ~'~, i~ Iu c'~] ~,$UFFOLI~ COUNTY DEPARTMENT OF H~LTH 'm .~5 ~(~R APPROVAL I~F £d, NSTRUGfI.O? OF . ' q , Single Familr Reqidence '-/:,! L~ ~'~' '-i L%r r'%' ........ : '~'::~ .' - ~":"' "-~ % I DATE ~* ~ ?! ' 'r' :_:_!../ .,.~. ~ , ,r --. ' ' '"" ff copper tubing is used for water distributing system; piping shall be of type~ K or L only, sOLDER uSED IN wATER suPPLY SYSTEM cANNOT EXCEED 2/10 of 1% LEAD. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY F~NDA~ON ~0 n~QL~RED 5. INSULATION 4, FINAL CONSTRUCT ~N ~UST THE HEQUI~ENT~ ~TE CONSTRU~I~ & ENERGY ~N OR Main'Road y. 119~,4 _1 Phone 477-0400 ~ Main Road GREENPORT, N.Y. 11944 '1' Phone 477-0400 ~' , Mai~ Road / / 1%_ ILO`` / Phone477-0400 ~ Main Road [~,! GREENpORT'c ' ') '(N Y: i1044 , ,' ,,