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Home My WebLink About15782-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z16019 THIS CERTIFIES that the building ...O.n..e.f.a.m..t.~y..d. ¥.e.1.~. ~..n.g ....................... 605 Sebastians Cove Road Mattituck Location of Property ............................................................... House No. Street Ham/et County Tax Map No. 1000 Section 10 0 ..... Block 3 .Lot 1 I. 9 ............................... Filed Map No. 78 0 7 .Lot No. i l Subdivision Sebasttans Cove .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated March 17, 1987 pursuant to which Bullding Permit No. 15782Z dated .~.a.r.c.h...2.0.,.. ! .9.8.7. ........... 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 ......... The certificate is issued to MARY MC GUIRE (o wner~F, ffeR FaXt~tr~ ~ X X X of the aforesaid building. Suffolk County Department of Health Approval 87-S0-4 I July 23, 1987 UNDERWRITERS CERTIFICATE NO ............ .P.e.n.d. ~.n.g .............................. PLUMBERS CERTIFICATION DATED: Stephen O'Connor 7/28/87 / ~llding Inspector Rev. 1/81 1~0~ NO. ~ TOWR OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOL~ N.Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-° 15782 Z County Tax Mop No. 1000 Section .... ../..~ ......... Block ...... .t~...~ ...... Lot No ....... [17....~ ........ pursuant to application dated ..... ..~.~,...!...'7. .................. , 19.~..7.., and approved by the / Building Inspector. Fee .... B~liding Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I ~ 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 suppty 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 all 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 ~'~2~5..0~"~-- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre;exist-lng dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $'50.00 Date July ~, 1987 NewCons %~uc tion ...... Old or Pre-existing Building ............ Vacant/and ............. Location of Property .............. Sebastian' s Cove ltd. ~',',attituck House No. Street Ham/et Owner or Owners of Property F~ary i,';cGuire County Tax Map No. 1000 Section 100 , Block 3 , i1.9 Subdv~on Sebastian's Cove Filed 7807 ..................... ~ ............ Map No ........... Lot No .............. PermitNo. l~.?..~.~...2z-. Date of Permit .Applicant Stephen J. Perricone Health Dept. Approval ..... ~P.'~.% ~.~...'7..~ (' ..... Labor Dept. Approval ........................ Underwriters Approval .......... ; ............. Planning Board Approval ........... ..~ ....... Re~luest for Temporary Certificate ..................... Final Certificate ........ ~ ......... .. Fee Submitted $.. $25. O0 ¢.d. :4 fda/f TOWN OF $OUTHOLD oFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /5~,2~- (please print) Plumber ~-~~ [O r~o~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this / day of ~ ,' Notary Public, ~.~ County Notary Public 765-1802 NBUILDING DEPT. SPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. £ ] FOUNDATION ;ZND [ ]INSULATION [ ] FRAMING [ ] FINAL REMARKS: /?, ,~, ~ ~"/~ ~*~"., · ~ / / / DATE "~///~//~ ? INSPEGTO / · 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~'~INAL 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION DAT INSPECTO 765-1802 ~,)~/~/~~ BUILDING DEPT, INSPECTION [ ] FRAMING [ ] FINAL , INSPECTOR ~/~ 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~ROUGH PLBG. [ ]/~/OUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE / '~ INSPECTOR 76S-1802 BUILDING DEPT. ['] FOUNDATION 1ST []~'""ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: [ ] FINAL OUNDATION OUNDATION { 2nd ) OUGH FRAME & PLUMBING fNSULATION PER N. Y. STATE ENERGY CODE FI~;AL TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 TO: FROM: SUBJECT: March 30, Town Board Victor G. Lessard Exed. Admin. Refund Mary McGuire Please issue 1987 a refund check to Mary McGuire in the amount of $192.06. This refund is due to an error in the calculation of a Building Per- mit fee. Mary McGuire P.O. Box 762 Mattituck, N.Y. I1952 VGL:hdv ~l[, ~ BOARD OF HEALTH '~ ~ 3 SETS OF PLANS , . . ~.-~ 'FORM NO. I SURVEY · O I~ ~. ~[j)~ ~:~ [~:~ TOWN HALL '" ....... ~ MAD I . ~I~,~ "~' ' ' ~};~ TEL: 765-1803 CALL ~ ~,' .~l~ MAIL TO: Examined . · · -..,,:.~, ~: Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date March 9, - 1~7.. iNSTRUCTIONS a. This application must be completely filled in by typewriter 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, and 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) ~...Q,. Bpx. 4.~ .,..lV~g.~Atuck ~ · N, Z .... .lA 9 5 2... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. general eonS;factor ....................................................... Name of owner of premises . .~.~..~3~ l~Iq .~B/t-.~. ~. ......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No.. 7.72QHI ................. ~ Plumber's License No...S.~¥.o..O ! Oprgle:r ...... ~ Electrician's License No .......... Other Trade's License No ...................... 1. Location of land on which proposed work will be done/ . .Seb&atian3.8.0o.v.e~. ~uck: ............... .......................... 8.ebas. .iam. .0o m .............................. : ............. House Number Street Hamlet County Tax Map No. 1000 Section .. ~ 00 .......... Block ...5 ............... Lot 4.~ .'..~ ............ Subdivision..S..e.b.~.~.~..ip,.n.*.s.. 9.o.v.e. ................ Filed Map No... 7.8.0.7 ....... Lot...lJ ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...v.~¢g~l~ .%0J;. ...................................................... 1 family dwelling b. Intended use and occupancy .................................................................... 3. Nature of work (check which applicable): New Building X' Addition ' Alteration Repair .............. Removal .............. Demolition .............. Other Work'. .............. ., (Description) $125 ooo o0 4 Estimated C0~t ) ° Fee ' ' (to be pa~d[on f~t~ng this application) ':'~ o~e 5. If dwelilng, number o f dwelli~units...0.~? ......... Number of dwelling units on each floor ................ l~wo If garage, number of cars ...................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............ . ......... 7. Dimensions.of existing structures, ifany: Front .......... ,...~*Rear. .... . .. . .... . . Depth ............ .. .. Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... , Height ..... 50~ ..... . ......... Nun~ of Stories .......... gel * .......... -8. Dimensions of entire new construction: Front ............... Rear ....'~. .......... Depth . .~.7 ........... Height ... 25? ......... Number of Stories .... 2 ................................................... 9. Size of lot: Front .. 2J.0o0 ..... . ........ '. Rear ...2.~0..~O ............. Depth . .~QQ,.O. .............. 10. Date of Purchase~ ....... Name of Former Owner~( ............................ 11. Zone or use district in which premises are situated..~.O.~..f~.~.~.i.a.1. ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....lX.O ............. . ............. 13. N~wfll lot~ ^fOwn~be regraded .... .'.y..~..s.:~ ~a~y'"' "' '''~'~c uuxre"~ ............ Will e~ce~s.o,filkbe, l~oxrem~d.! from premises: ...Yie.~.'98 . ...Ne 14. ,u,u u ,, m w*-,~ ..... ............... Address . -,; .............. Phone No..29.8 Name of Architect ............ ' ............... ~aoress ................... Phone No.. ' ' "i i .... . Name of Contractor~ ......................... Address .... : .............. Phone No ...... ......... ~5. Is this property ioeated w~th±n 300 feet of a tidal wetland? · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nu'mber or description accord/ag to deed, and show street names and indicate whether interior or corner lot. d0 cou y OF.. - .. 57~{.~(. 2. ~. ~¢~¢[~l~ .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. ~e is the (Contractor, agent, corporate officer, etc.) >f said owner or owne~, ~d is duly aUthorized to perform or have perfo~ed the said work and to m~e ~d file t~s ~pplication; that all statements contorted ~ this application are true to the best of his ~owledge and belief; and that the ~ork will be perfo~ed in the m~ner let forth ~ the application filed therew}th. gwom to before me this ........... ~ ........... day of. ~'...~~ ....... 19 ~ ~ ~ . ~ g. Ot~[ ...................... ~ P~tl~ ~ ~ ~ Ya~ leant )