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Home My WebLink About15836-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17254 Date AUGUST 31, 1988 . THIS CERTIFIES that the buildin~ ADDITION Location of Property 715 DEEP HOLE DRIVE MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 13 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 30, 1987 pursuant to which Building Permit No. 15836-Z dated APRIL 1~ 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 GREENHOUSE ADDITION ON CONCRETE SLAB AS APPLIED FOR The certificate is issued to EDWARD TABORSKY (owner, ~)Q~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - AUGUST 29~ 1988 PLUMBERS CERTIFICATION DATED N/A Bu~lding~spector Rev. 1/81 TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWlq HALL SOUTHOLD, Iq. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15836 Z Permission is hereby granted to: .... .......... ..... ~..L~...,..~.~..~..~..~...%..~... ..................... ~v3~'"'~ ~.~,~."" ' ' %' '~ ., "~"~'~"~'-'"'~""'"'""'":"~__ ,r ................... ~"~"':'"~'""~': ........ ~ ...... ~' ................. at premises located at ......~.....~.. ...... ~..~...:~ .......... .-..~..~,~ ................. County Tax Map No. 1000 Section ....... ~.,!..%, .......... Block ....... .~.,'~ ........ Lot No..,,,~.,,,~, ............... pursuant ,o application dated ....~c~.C<~..,,.~,,~, .............. , 19,.~..~.,, end approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Build~ng Departmaent 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 ,, am-re.arum 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 bui'ldings 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 p~operty 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 ether pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupanc¥ New Dwelling.$25100, Accessory',.$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 year~ $]0.00 4.Vacant Land C.O. $ 20.00 c.o. 50.00 Oate .......... New Cons truc t ion ...... Old or Pre-existing Building Vacant Land 71 ' .E' Location of Property ................... . ....... House No, Street Hamlet Owner or Owners of Prope .. Coun ax Map No. 1000 Section ........... Block ..................... Subdivision ................................. Filed Map No ........... Lot No .............. · · .................... Labor Dept· Approval ........................ Health Dept Approval . . . .................... Planning Bo~rd Approval Underwriters Approval .... ................... Fine Certificate ...................... Request for Temporary Certificate .. Fee Submitted $ ....................... .. .. .. Construction on above described building and p/~rmit me?s all,applicable codes and regulations. Rev. 10-10-78 OUNDATION (2nd) OUGH FRAME & FLUMBING 'NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING F ] ROUGH PLBG. 2ND [ ] INSULATION ~/.,~INAL DATE: 765-1802 BUILDING DEPT. // NSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL . ~ _ / THE UNDERSIGNED TEMP # [DATE YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY OWNER'S NAME AND ADDRESS, ~ C U~RENF ~tTp~-Ll~rD §¥' ~ FROM THEIR' OFFICE Ll'~* BELOW ALL EQUIPME'NT WHICH YOU INSTALLED UMBER OF OUTLETS NO of Fixtures & ~OTORS ; HEATERS ~RANCH/' Loca- Cell R~p'~s Switch Pendant Bracket ~0.~; 'Type "Each No Each THIS APPLICATION IS fNTE~DED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED' ~'0¢~6J F AT TIME OE"li~ S P ECT~I~, THERE IS FOUND ADDITJQNAU EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE TH~ IN SP ECT~AN E~¢['~ JIlT TH [LirF, j~'E TO COVER THE ADDITIONAL EQUIPMENT, ~ PROVIDED BY THE APPLICANT. ,,~ ~ ~ =-~ PRINT NAME AND ADDRESS ~85 Job. Street J ~ A, State Street I U 584 De~aware Avenue ~ 210 ~ke Avb.~e' ~NEW YORK, NY 10038 ALBANY, NY 12207 BUFFALO, NY 14202 ~ ROCHESTER, RY 14608 I SYRACUSE, NY 13206 O E ~ '~. ~HE, NEW YORK BOARD F FIR -~opp ~ Iron BUREAU OF: ELECTRICITY examined on and found to ~ in cotnplion~e gllth the r~ui~menfs of th~ ~rd. RX~K I I I nXTU.S ] ~K~ i IC~ING ~KS I O~NS [~ WAS~IS 1XHAUST FANS This ....... certificate must not be altered ii1 an manner; return to the office of the Bocu'd if incorrect. Inspectors mayJ~'r'be 'identified' ' "by ~ : entlals.' .u. SOUTHOLD, N.Y. 11971 ', ~- TEL.: 765-1802 .! Examined'/. ~. .... , 19 Approved .. Disapproved a/c ...... .............................. .................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORMNO. 1 SURVEY ......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY CALL · ~-' fP'~' ~ ..... MAIL TO: BLDG, DEPT. ~ OF sou~, OL~ Date . .M .A .R. C. H. . .3 .0. /. ...... ,19.8.7. · INSTRUCTIONS a. This application must be completely tilled 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 adJoihing premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram ~vhich is part of this appli- cation. c. The work covered by this application may not be commenced before issuance o(Buflding perm{t. 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) .72.R.DEE.R.HOL.E.DRI~E,.M.A%TI~UGK.,..N.Y..-. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER Nmne of owner of premises ... EDWARD c. TABORSKY (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 Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No. .(~ .6.4.2.9. .............. JOHN BOGDAN , MASON RFD 2 BOX 880F~ RIVERHEAD~ N.Y, Location of land on which proposed work will be done] MATTITUCK, N. Y. SOUTHOLD TOWN 715 DEEP HOLE DRIVE MATTITUCK House Number Street Hamlet County Tax Map No. I000 Section ...... /./.~.'~. .......Block .... ./.-~ ........... Lot...t7 ............... 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 DWELLING b. Intended use and occupancy ............... ~,-~ ~ r..~ .~...~.."?.M ..... .....~.../~....~... 3. Nature of work (check which applicable): New Building ..... ' .....Addle'ion .,.. X ...... Alteration Repair .... X ......... Removal ..... Demolition , . .~... , Other Work (D ripti ) 4. Estimated Cost ...................................... Fee ........ i ............................ ' (to b~ paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................... i ............................. 6. If business commercial or mixed occupancy, specify nature and extent of each type of use .............. 7. D~mensmns of ex~stmg structures, ~f any: Front. fi..2...8. ....... Rear . ~..2...8. ....... Depth...3.1. j.. 21 of Stories 1½ ' Height ' Number Dimensions'of same structure with alterations or additions: Front ...~ ' ......... Rear ................ ~.. Depth ' Height Number df Stories Dimensions of entire new construction: Front .......... ' ..... Rear ....... ! ........ Depth ............... Height Number of Stories . 9. Sizeoflot: Front 3O.O' Rear 100' ' pth 10. Date of Purchase 411~tj~l~.~. $~$t;~. . Name of Former Owner ' F. gALES, ri 11. Zone or use district in which premises are situated ........................ , ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .. I'I0 13. Will lot be regraded ........ .N.q ................. Will excess fill be removed from premises: Yes NoX 14. Name of Owner of premises ISp.W. AP,.p.C. TABORSK/~ddress ,MATTTTUCK i PhoneNo. 2.9.8.7851.5. Name of Architect Address ' Phone No Name of Contractor .4..S.t~$9)1.~/. J..,B. QG. p&N. .... Address .... :. ~ i . Phone No. 369-82.22 15. Is th±s property located w±th±n 300 feet of a t±dal wetland? *Yes ..... No ..7.2.:~-3652 *I£ yes, Southold Town Trustees Permit may be requ±red. PLOT DIAGKAM Locate clearly and distinctly all buildings, whether existing or proposed, and. i,ndicate all set-back dimensions from property lines. Give street and block number or descript!on according to deed, and show street names and indicate whether interior or corner lot. AS NOTED g, ,c ,,, ~ 9 ~0~ ~ ~,h~ f'O ~ PM ~R THE f:O%, C~~t~ o¢cu?r, uc¥ oR USE IS! UNLAWFUL WITHOUT CERTiFiCATE ocCu?mc¥ STATE OF NEW YORK, S.S COUNTY OF... ~s.U.l~ F 0L.K ..... .......... .E.~N. b.lt.I)..C. :. X.A.B. 9 g.S.r.Y. ................. being duly sworn, deposes and says that he is the applicant (Name ofindividuaI signing contract) ; above named· ~ ' (Contractor agent corporate officer, etd.) of sa,d owner or owners, and ~s duly authorized to perform or have performed the ~'ffil$~nd'fil~,this applicatmn,~ that all statements contained m th~s-apphcataon are true to the best of liis lc~i'~dge and belief: and~tha*~.the work will be perf6nhed, in the m~nner set forth in the application filed therewith, i Swom to before ,ne th~s ; · ..: .... .... ..... dayof... .... ,19 r.7 Nota~mublic/~~.~:~~ ~.. County ~~] ~ ~ ~o. 52-dBG3491 .. ,% ~.~7.~. ~ ......... , Qualified in Suffolk Coungy ~ (Signature of applicant) ~u,ission Expires March 30, 19~