The URL can be used to link to this page

Home My WebLink About15901-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-]6354 Date October 29, 1987 THIS CERTIFIES that the building 9.NE..F.A.M.I.I.~.Y p. WELLING WITH ATTACHED GARAGE & ATTACHED wobfi 'fi~'c'f ................ Location of Property 1065 Marratooka Lane Mattituck, New York I~l/>~s~ Ho: ............................................. Street Hamlet County Tax Map No. 1000 Section . . . ! .1 ~ ...... Block . .0.4. ........... Lot 9. I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated November 19, 1987 pursuant to which Building Permit No. 15901 Z dated ............................ Ap r i 1 13, 1987 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 GARAGE & ATTACHED WOOD DECK AS APPLIED FOR The certificate is issued to PAUL & THERESA MILESKA ..................... io¥,'o), '.,~ ¥;</$,~ ~r × x ................... of the aforesaid building. Suffolk County Department of Health Approval 86- SO- 22 I UNDERWRITERS CERTIFICATE NO. N 835363 PLUMBERS CERTIFICATION DATED: October 27, 1987 Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 15901 Z Permission is hereby granted to:. . , /'~ ' ..z.e...;..~.......a...~.....~.. ~. .... , ....~..~......~.~..:...z.:.~..~..t ........ ,o at premises located at .J. ................ ~.~...Z~.o.....~...~~ .... County Tox Mop No. 1000 Sect,on ....... .J.../...~.... ....... Block ...... O.............~ Lot No .....cL:./ ........... pursuont to opplicotion doted ........ ..~....~.~,...~.~ ..... , 19,,~....~., and approved by the Building Inspector. Building Inspector Rev 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y 11971 TEL. 765-1802 CERTIFICATION Date Building Pernlit No. /J~/~} (please print) (please print) I certify that the solder used contains less than 2/10 of 1% lead. in the water supply sy s%em (plumber's signature) Sworn to before me this [ day of ~ , 19 ~ . Notary Public, ~ County Notary Public THE NEW YORK BOARD OF FIRE UNDERWRITERS ]L(~%.JU~, BUREAU OF ELECTRICITY ~-~ BE JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIE~ THAT Pa~ ~le~, u~,a~ ~., ~tt~tu~, ~.Y. ~s exa~n~ned on ~ ~ ~ ~z~ ~7 and found to be ~ compliance u~t h the requ~reo~ent~ of th~ Board RXTURE ~ FIXTURES RANGES OUTLETS SWITCHES ~RV[~ ~T S E R V I OTHI~R A.~PARAT US OVENS MULTI-OUTLET SYSTEMS NO OF F~ET Lot EXHAUST FANS' DIMMERS C E 1 (kx~ule Electric Co~t. Inc. ~t%z~uck, N.Y. 11952 1iu.#78~ 11 : Th~$ cerhf~cate must not be altered m any manner, return fo the off,ce of the Board d incorrect Inspectors rnoy be ~denhfmd by their credenhals COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER OUNDATION ~/~( ls t ) OUNDATION (2nd) OUGH FRAME~'/ FLUMBIN~ NSULATION FER STATE ENERGY CODE FINAL ADDITIONAL °1 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ~ST FOUNDATION 2ND FRAMING REMARKS: [ ] ROUGH PLBG. [~INSULATION [ ] FINAL DATE ~//~//~ INSPECTOR~ 765-1802 BUILDING DEPT. 'INSPECTION FOUNDATION ~.ST [,,~ ~OUGH PI.BG. FOUNDATION 2ND [ ] INSULATION [ ~FRAMING FINAL DATE 7GS-X802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ DATE ~ ~__~~___INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [~OUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: ........ ~' ~ ~// DATE INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND L ] [ ] FRAMING~_~,.O ~ REMARKS: ROUGH PLBG. INSULATION DATE/(~ ~'~// /~*"~ INSPECTOR / /~ FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N.Y, 11971 TEL,' 765-1802 Exam,ned &~,~.[*. ,19~.~7 Approved~ /~. , 19;~7 PennltNo t~'a]Ot D~sapproved a/c ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT Recezved ........... ,19, Date .... 19 INSTRUCTIONS a Tlus application must be completely filled m by Wpewnter or in mk and submitted to the Building Inspector, wltl 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 stre or areas, and giving a detmled description of layout of property must be drawn on the diagram wh,ch is part of thru ap., carton. c. The work covered by ttus apphcatlon may not be commenced before ISSUance of Budding Perm,t d Upon approval of th~s application, the Budding Inspector will issued a Budding Permit to the applicant Such pen shall be kept on the premises available for inspection throughout the work. e. No bmldmg shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupm shall have been granted by the Bmldlng Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmlding Permit pursuant to Bmkhng Zone Ordinance of the~Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulahons, for the construction of buildings, addlhons or alterahons, or for removal or demoht~on, as herem descnb The applicant agrees to comply' with all applicable laws, ordinances, braiding code, housing code, and regulation.s, and admit authorized inspectors on premises and m building for necessary ,n~6e~ions i (Signature of apphca~t, or name, ,f a corpora~'lon) ' ..../..o. .... .............. [ma±:Lzng address or app ~.ca /bUid--'l- State whether applicant is~wner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or Ic).. d /,~.4.~./ ................ Name of owner of premises ~.~/~ ~t~g4~ O ~.~,, ~/~"' ~.~q. . . (as on the tax roll or latest deed) If apphca, pt~a c~poration~igh~u~of duly.authorized officer t/ (Name and t~tle of corporate officer) Bmlder's License No. Plumber's License No Electncmn's License No Other Trade's License No Locahon of land on winch proposed work will be done / House Number Street County Tax Map No 1000 Secnon Sub&wsmn *~-~;rozO ~ (Name) Hamlet Block Fded Map No .Lot q..J- Lot7 . 2 State ex,sting use and occupancy of premises and ,ntended use and occupancy of proposed construct,on a Ex,sting use and occupancy b Intended use and occupancy 3 Nature of work (check whxch hpphcable) New Budding .i~ .. Addation ..... Alteration Repair ·. . Removal ......... Demolition ........ Other Work ...... / ~ ~/0' (Description) 4 Estimated Cost , . .t.~ . ...... Fee ........................... (to be paid on fihng this application) 5. If dwelling, number of dwelhng units / .. Number of dwelhng units on each floor ............. If garage, number of cars J ...... ,~ . .. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7 D~menslons of exxstmg structt}res, lf any Front ........ Rear ........ Depth ....... Hmght .... Number of Stones ............................ Dunensions of same structure'w~th alterations or add~tions Front .......... Rear .......... '.. i i Depth ....... [.. Height ..... Number of Stones ........ 8 Dlmensionsofentlrenewconstruchon Front. ~0 .... Rear ~ ....... ~)~Pth''~'%F Height . /~ .... :NumberofStones.. / ................................. , ..... 10 Date of Purchase ............... Name of Former Owner .~./g~4~,~ .~/~ o~,~ ..... 11 Zone or use district in which premises are sttuated .......................... 12 Does proposed construction vmlate any zomng law, ordinance or regulation' ' .~.~i ....................... 13. Wzlllotberegraded . . .' ~'t~-'~..,... , _ .. ,Wfllexgessfillberemovedf/~q~Wr, gl~es' Yes ~o Name of Architect !,~.; . ~ .. Phone No .......... Phone 15. Is this property located within 100 feet of a tidal wetland? * Yes ..... No ~.. · If yes, Southold Town ~rustees Permit may be required. PLOT DIAGRAM Locate clearly and distmctIy all buildings, whether existing or proposed, and, indicate all set-back d/mensions from property hnes. Give street and blo :k number or descnphon according to deed, and show street names and indicate whethea interior or corner lot. STAT~ OF NeW ¥6~, s s ~ cou~v o~ ~¢~ ~'~%~ .~..,~'--- /; ,/, ~, . / - · . /~___~;"'~,/, . .~' .~/d~..~z~---- --[/.. be,ng duly sworn, deposes ~d says that he ,s the apphcar (Name of ~nd~v~dual ~gmng contract) Hemthe - ..~ . . (Contractor, agent, corporate offmer, etc ) of smd owner or ownem, ~d ~s duly authorized to perfom or have peffomaed the said work ~d to m~e and file th apphcat~on; that all statements contmed m th~s apphcatmn are true to ~e best ofh~s ~owledge and behef; ~d that tb work will be perfomed m the m~ner set for~ ~ the apphcatmn filed therewith. Sworn to before me th~s ... / ~. ......... dayof .~N~[~e6 ..... 19~~ ou ,y __ ........ ~. ~ ~ (Signature of apphcan N~ Pu~, S~e ~ N~ Y~ ,~ No. ~22563, Surfak C~- ~ Term E~{res o~m~r 31, 19~ ,q. 'u BLDG, DEPT. TOWN OF SOUTHOLD - 95~ l'-1,^i' !: TUCt~ Tr;.,,,/M OF ~SDU'}'MOL. D fltLESI4A 60: i SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. STATEMENT .OF INTENT THE WATER SUPI~..Y AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. D/PT. OF HEALTH SERVICES. i,, (SI APPLICANT ---l' SUFFOLK SERVICES - FOR CONSTRUCTION oNLY DATE: H. S. NEF. NO.. APf~'OVEO: COUNTY DEPT OF HEALTH APPROVAL OF SUFFOLK CO. TAX MAP DESIGNATION: DIST. SE:CT. BLOCK PCL OWNERS ADDRESS: I,.,, CAF"%"', ,. ~413,: = DEED: L.6~;I TEST HOLE STAMP TOF'GDIk. '10' ~[ f'dA;' 1: 'TC)vv'N OF ¢_-~31J'I"FIOI.. [¢ , I'd ,Y. R~£R[CK VAN T~.,~L~ YL. P.C, LICENSED LAND SURVIz'YOR5 SUFFOLK CO. HEALTH DEPT. APPROVAL .'~ H S. NO ..... STATEMENT DY · HE WATER SU~LY AND SEWAGE D~S~AL 5YSTE~ ¢OR THIS RESIDENCE WILL CONFOR~ TO~E 5T/AN~D~_THE SUFFOLK CO.~[~E~ SER~ES. A~LICAN~ , SUFFOLK CO. TAX MAP DESIGNATION: o~$~. SECT B~ PCL OWN[~5 ADD'E55: DEED: L.G35J P. ~ .'~ ' ,<El ) TEST HOLE STAMP ~O ~AL GREENPORT NEW YORK ~99,a7 h1AP 01: ¢ I [-i::' f b.>A. ILESI/A i' I'4A'f'"f I "l'L,.I( I~ TC)~q'4 Of 5OU I'~IOL L~, NI .Y, 'd SU ,F?OLK COUNTY DEPAI?MENT OF HEALTH SERVICES SINGLE F./~flLY DWELLING ONLY D~ OCT 0 ? f~B~.s. R~F. No. ~/ The ~ewa~e disposal and water su?ply facilities for this location have Ixlen inspected by thts Department and/of u of Wastewater Manasement %LT, LO_, ?eT ~,R~CK VAN ~YL. P.CI LICENSED LAND S~RV~OR~ GREENF'ORT NI~W YOI~K SUFFOLK CO. HEALTH ~£PT. APPROVAL H S. NO _86-'::)-2~.1 STATEMENT OF !NTENT THE WATER SUPPLY AND SEWAGE D~PO~,AL SYSTEMS FOR THIS RESIDENCE WlL I. CONFORM TO THE STANDARDS OF SUFFOLK CO DEPT OF HEALTH SERVICES. APlaLICANT SUFFOLK .COUNTY DEPT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCT ION ONLY DATE' H S, REF ~ 86-5C,-221 SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. OWNERS ADDRESS: TEST HOLE I STAMP I P SUF~LK COUNI'Y DEPARTMENT OF HEALTH SB¥1CB ' SINGLE J:~CJL'~ DWELLING ONLY DATE OCTO ? I~]~.t.S, REf, NO. The ~wage disposal and water supply facilitie~ for this location have been inspected by tbk Uepa~me~ t and/or uthera 's die did I~sl C~f ol Bureau of Wastewater Mana~ ,~ SUFFOLK CO HEALTH DEPT APPROVAL STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO, DEPT. OF HEALTH SERVICES. (S) APPLIEANT SUFFOLK 'COUNTY DEPT, OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: ~,PPROVED: DIST. SECT. BLOCK PCL. TEST HOLE STAMP E ~_~ ~9¢7 ...... ,o NEW YORK VAN: - / If eopper tubfr~g II used for water distributing at'~'tem; piping shall be of tYPea K or L on~ SOLDER USED IN WA TER ' SUPPLY SYSTEM CANNO~ EXCEED 2/10 of t9 PLUMBER CERTIFICA ON LEAD CONTENt CERTIFICATE OF OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY .L 'h " t F- ,'I