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 , ,' ,,