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Home My WebLink About15734-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-15623 Date April 9, 1987 THIS CERTIFIES that the building DECK ADDITION, SWIMMING POOL & FENCE Location of Property 600 Eastward Court Mattituck, New York House No. Street Hamlet County Tax Map No. 1000 Section I 15 .Block 07 .Lot 05 Subdivision M/o Eastward Manor ...... Filed Map No. 5606 .Lot No. 6 conforms substantially to the Application for Building Permit heretofore filed in this office dated March 9, 1987 pursuant to which Building Permit No. 15734. Z dated Ma r ch 9, 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 ......... DECK ADDITION, SWIMMING POOL & FENCE The certificate is issued to GERRY & NANCY HORTON ..................... x .................... of the aforesaid building, Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO ..... N 8 0 I 2 9 6 N/A PLUMBERS CERTIFICATION DATED: ~Inspector Rev. 1/81 FOBM NO, ~ TOWN OF $OUI~IOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15734, Z Permission is hereby granted~t~ o'~., oo"~ .... , 7 .................................................. ~,:~ ................. ~'"';~ ...... ';.~ ....... R"f'"J ..... ?'"Z"'""; ......... at premises located at ...~...~......~...?.....~....~ ........... ...l~....~.~ ............ County Tax Map No. 1000 Section ..... l..~....~..'~/. ....... Block ..... ..~.?.. ........ Lot No ...... .(~..~..'~.. ....... Building Inspector. Fee $..~.... .............. Building Insl~ctor Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 Instructions A. This application must be filled in typewriter OR ink, and submitted ,~ ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey 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 disposal-(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 installa- 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 existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing alt 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 buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwelling $25.G0, 'Accessory ,$ t0.00 Business $50.00 2. Certificate of-occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00~ o.oo 5.Updated C.O. $ 50.00 Date .. ! ............ New C on s t. ru c t i on Old or Pre-existing Building Vacant Land '-'- Location of Property .............. ?...~...-.- ..... ~-.( .......... House No. Street lYam/et Owner or Owners of Property .~'{~...~.C,<~.~/..'t KJ(~k'~'.~r /~'t°~..~..'.r'~'.O,~'/~ County Tax Map No. 1000 Section ...././.~.. ... ..... Block . .~.7 .. ....... Lot ..... O.~'- ......... 'Subdivision. ~/~./~..-~..~.'...f~..../~..__~. P .~.~. .... Filed Map No~.~'.~..O.~....Lot No..~. .......... Permit No./¥~'?~..--~.~.. Date of Permit .~/~/~.~...Applicant .Q'..~...~.../~..O..~...~. ......... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .O~. ~ .O. ~. ................... 76S-'"80~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ;~ND [ ] INSULATION [ ] FRAMING ~NAL 76~-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PL.BG. FOUNDATION 2ND [ ] INSULATION FRAMING [/~NAL 7GS-~.802 BUILDING DEPT. INSPECTION FOUNDATION *IST [ ~ ROUGH PLBG. FOUNDATION 2ND ~ I INSULATION I* ] FRAMING ~,-"~ FINAL REMARKS: OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING ]NSULATION PER N. Y. STATE ENERGY CODE Fi;;AL . ADDITIONAL COMMENTS: zoooeea THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY JOHN STREET, NEW YORK, NEW YoRK 10038 N 801296 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application nu tuber in the premises of Gerry Hor~con, Ev~twood rjour~ 'End of Street Off Routs 25, Mattituck~ Out~lde FIXTURE OUTLETS SWITCHES ] 1 FIXTURES [] 2nd FL Section Block Lot and/ound to be itt compliance u'ith the req~iretnents of this Board. RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS ~ULTI-OUTLET DIMMERS SYSTGMS I NO, OF FEET SERVICE DISCONNECT S E R I C ~.,~!,~.G_._I~.~L_)~ Tlzis certificate covers compliance at 'tb~ ~te of i~ion o~ly. ~e of un. ual onvi~nts it is ~sable to have fr~uent test ~d/or rep~rs m~e by a q~lifi~ ~on. Glenn Bradley ROx ~2 L~urel, N, Y. 119~8 Lico 1227 GENERAL MANAGER This certificate must not be attered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE;MUS~ NOT BE ALTERED IN ANY MANNER. (amined.-~g~...~...~.. pproved . .~..0~-.~..~.. 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.y. 11971 TEL.; 765-1803 ., 1972 ., 19'~..P. Permit No. I .~.]..~..~.~. · BOARD OF HEALTH 3 SETS OF PLANS SURVEY ......... CHECK .......... SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .... .~.../.9 ......... 19 ~9 INSTRUCTIONS a. This application must be completely filled in by typewr!ter or in ink and submitted to the Building Inspector, with 3 .s 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- tion. c. The work covered by this application may not be commenced before issuance of Building Per'nit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. ~uch permit all be kept on the premises available for inspection throughoUt the work. e. No building shall be occupied or used in whole or in par~; for any purpose whatever until ~ Certificate of Occupancy all 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 filding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. le applican.t agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary ins~,ns. _q'~ [,~k t~,~J~ _ , '" i~i'gnatur~p~"ca'n~j ;r name, if a c;'~giatidd) .... . , .... .a".,...pAx..¢xTV.x.x. vc.t . .oY. :.5(: .I.iq'n (Mailing address of applicant) rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . ...................................... 'amc of owner of premises ...~D.~.%IC..~..47:....~..&.~. ¢ .~....~.~..CY7 .~.~-. .............. ..................... (ds on the tax roll or latest deed) · applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S HUST BE SUFFOLK COUNTY LICENSE~ Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ..................... ; Location of land on which proposed work will be done~ ................................................. ...... : ..... ltouse Number Street Hamlet County Tax Map No. 1000 Section .................. Block .................. Lot ................... Subdivision ........ ~--. ............ Filed Map No ....... Lot ............. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~*. e ..... .~ 07~... h..c~d~'. (.~:,.Q .~ ................................ b. Intended use and occupancy ....................................................... 3..Nature oCwo.~k'(check which applicable): New Building., .... ' ..... Addition ...W.. . Alteration .......... Repair .............. Remove! .............. ' Demolition ....... Other Work'. (Description) 4. Estimated Cost. . . .'. · .~ ....................... Fee .................................. ' (to be paid on filing this application) 5. If dwelling, number of dwelling un~ts ..... .......... Number of dwelling units on each floor .............. If garage, number of cars ....... i ................................................................ 6. If business, commercial or mixed o~cupancy, specify nature and extent of each type of use ,..;...'.' ...... i. ...... 7. Dimensions.of existing structures, i? any: Front .............. t Rear .......... .... Depth ...... , .....~.. Height ............... Number of Stories .............. . ....................... i.. ............... Dimensions of same structure with ialterations or additions: Front ................. Rear ................ Depth ...................... ~Helght ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front .......... ~ ....~ Rear ............... Depth ............. Height ............... Number of Stories ................................................ Size of lot: Front Rea¥ ~ ~ ..... " Depth ' 10. Date of Purchase ............. : ................ Name of Former Owner ........................... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violateI any zoning law, ordinance or regulation: ................... '....: ..... 13. Will lot be regraded ....... .,,, 0.q> ................ Will excess ill! be removed from premises: Yes' 14. Name of Owner of premises .(.,~.~.~..~.../.~q~..~..'~. Address .f~.G: .V~..\ .YM~...~. ..... Phone No. ~q~' ~,~'7-~... · Name of Architect ............ , .............. Address ................... Phone No ................ Name of Contractor ...... -~(..~. ............. Address .... : .............. Phone No ...... t ......... 15. Is this property located within 300 feet of a tidal, wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all b~ildings, whether existing or proposed, and, indicate all set-back dimensions from prop.erty lines. Give street and block number or description accordinlF,to deed, anti inte or or corner lot. : show street names and indicate whether ApF'ROVED AS NOTED NOTIFY B~JILDING DEPARTM~T AT ~F5.1~2 ~ An~ TO ~' PM ~R THE FOLLOWING IN~PEC~ONS: FOunDATION' ~O REQUI~ED FO~ pOURED CONCRETE ROUGH FRAMING · PLUM[~NG & iN~tlLATIO~ ALt ~:C,'°~CT'IO~ SMALL ~EET STATE OF NEW YORK, COD[.,. " I ~L:e~J*cu"~" ('("'~T~qkiCr;'~ crtvtO["' 2OUNTY OF .............. Q i J ...... (~a~e o~]~i~l ,~ ~._~.. ~.~,j C ,~ , y that he is the applicant n( cBPANCY r{~ is th~ ............................................................ v, ~ ~o~tra~tor, agenL, co~orat~ officer, ~tc.) ~f said owner or owners, ~d is duly a~thorized to perform or have perfomned the said work and to m~e ~d ~c t~s .pplJcaQon; that all statements containe'd ]n this application are true to the best of his know]edg~ and belief; and that the ,~od~ wU1 be perfomned in thC mmner se~ forth ~ Lhe application ~ed therewith. ~worn to before me this .~..~. day of !'~'~Z~.4~-~' '4otary Public, ....... ~-*- · · HELEN K, DE VOE ~A~ ~BL C, S~te of Ne~ Y~k No. 4707878, Suffolk C0uq~ 7 ~m ~pir~ ~rch 30, ...... , 197.'.7 'C°untyq4 ~ ..~..~ ' ' (Signature of applicant)