The URL can be used to link to this page

Home My WebLink About16093-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16697 Date March 9, 1988 THIS CERTIFIES that the building ....O.n.e...f.a.m.i..1 .y..d.w..e .1.1. i. n..g.. ..................... Location of Property 50 PAT LANE MATTITUCK h36s~ ilo; ....................... 's't/ebi ....................... County Tax Map No. 1000 Section I 14 .Block 10 .Lot 9 Subdivision DEER PARK .Filed Map No. 3.2.0.4. .Lot No. 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated May 27, 1987 pursuant to wl~ch Building Permit No. 16093Z dated J u n e 18, 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, 2 car attached garage and porch. The certificate is issued to MARK S Y¥ONNE SABAT ..................... ?o¥,'0)~'~ X X ................... of the aforesaid building. Suffolk County Department of Health Approval . .8. 7. 7 .8.0.-i 6. .7..M.a..r :..7. ,...I .9.8. 8. ............... UNDERWRITERS CERTIFICATE NO. Pending 2/22/88 PLUMBERS CERTIFICATION DATED: Mike Mapes 2/26/88 Building Inspectbf Rev. 1/81 i~ORM NO. fJ 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) N~ 16093 z Permission is hereby granted to: . -- ~ ,/// .... .......... ..~.~-~.~...~.~..,...~... ...//.~:.... . '~'~5 ' ' ;~'"."; ............... , County Tax Map No. I000 Section ...... ././...~... ...... Block ....../...~.. .......... Lot No .......... ~ .......... pursuant to application dated ......... ~.~...~.. ............................... 19..~..7.., and approved by the Building Inspector. / ~:~Idlng Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 ICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ amammmm to the Building Inmec- tar with the following; for new buildings or new use: I. 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 disposals(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 pm~perty 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, 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 years $10.00 4.Vaoant O.O. $ 0.00 .q .4.C. 5.Updated C.O. $ 50.00 Date ..... :. ~. ........... NewCons tpuction../~.. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .................... ~.1~ .............. P(~L.~. LO,. O.~, ...................... j~(~.~.; Owner or Owners of Property ... ~'~4~, C..,/'~" ' '~''' ' "(~'C ~)n '/~' '~"___ ................. ~, County Tax Map No. lO00.~ection .~.'..~ ......... Block ../..~. ....... ;.. Lot .... ~ .......... Subdivision.~..~.e~'- {~)O.C ~ . Filed Map No. ~2.O..~...LotNo .... .(~. ........ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ..................... Fee Submitted $ ............................. Construction on above described building and Permit meets all applical~odes an~d2gulations. Applicant .... ~'¢! .~_...4~...~..-~. ............ 7 UNDATION (1st) UNDATION [ 2nd) UGH FRAME & FLUMBING SULATION ?ER STATE ENERGY CODE F I'N A/ 765-1802 BUILDING DEPT. INSPECTION~ [ ]FOUNDATION ZST [ ] ROUGH PLBG. [ ] FOUNDATION ;ZND [ ] INSULATION [ ] FRAMING [~]'~INAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] ~SULATION FRAMING ,r:~ FINAL DATE: INSPECTOR~?~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST I- ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [//]/FINAL REMARKS:~r/~,. ~) ~ ~-~ ~),, DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING [ ]FINAL REMARKS.~,~ ~-~:~, ~ DAT£ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [~OUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL DATE INSPECTOR~,,,,~i,..~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []/ROUGH PLBG. FOUNDATION 2ND [/] INSULATION [ ] FRAMING REMARKS: FINAL INSPECTOR 7GS-1802 BUILDING DEPT. INSPECTION ~/~] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~O.(~ {~). ~-~" (please print) Plumber (please I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. {;~ARILYN KAY HUNT NOTARY PUUi.~C, S~'~:~ o~ New'York No. 524 8~,%~5~, ,~u~foik County Term Expires J%~erch 30, 19~ Notary Public, ~O~_ County (plumber's signature) TOWN OF SOUTIlOLD OFFICE OF fiUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 March 1, 1988 TEL. 765-1802 Mr. Mark Sabat R~.F.D. # I - 7'~ ~uL~hogue, N,Y. To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. not,on file. ' / An application for Certificate of Occupancy is $25.00 No Underwriters Certificate on file. ~ /~ /~/ The check i:;(o~t~'g~t~l/not on file.) $25.00~./~ /~_/ No llealth Dept. Approval on file. ~ ~, /-_~/ No final inspection has been made. PJease contact our office on Thank you for your cooperation. this matter. Buildinq PernLi. t t! 1 6 0 9 3 Z Building Dept. ***/-~/ [1¢) Plumber .Uolder C ' ' -- ert.lf~cate on file. ( all pnrmit~ involving plumbing being issued after April 1,1984 ) LI.J Z ..J LOT I 0 LOT 9 5.45 ~5 20"W, D AR K ( DWELLINg ) ROAD 136.00' 26.9 136. O0 ~ LOT 8 ( DWELLINGS ) ~J ~ 74 CERTI FlED TO. MARK P. SABAT YVONNE M. SABAT Prepared I. a~ordm~e ~ I!. ml.la.m standardg for title IU~mlm aa e~ablbhed by the L I.A. L $, and appro~ld and adopted for such use by The New York State Land Title Association. FILED SURVEY OF LOT 9 MAP OF DEER PARK " JULY 25,1960 FILE NO. 3204 AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 - 114 - I0 - 09 SCALE I"= 30' FEB. 27, 1987 S_ . LIC. NO. 49618 ' ~ ENGINEERS , P.C. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FILED OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS. :,, 87 - 158 t~ Z _J \~ 'x ', ..LO T \ \ \ \ \ 9 C ERTIF[~,D The sewage disposal and water s~Jpply facilities f~ locatmn havre been insp¢~,ted by tt~is Departmeet other ~..ci, o..,-,~.~ f~,¢, SOUTHOLD SAVINGS BANK SECURITY TITLE 8~ GUARANTY CO. MARK P. SABAT YVONNE M. SABAT $OUTHOLD, N.Y. 11971 26.3 F36.00 LOT 8 ( DWELLIND ) DWELLING ) J.RV EY OF ?1 t LOT 9 CR " MAP OF DEER PARK FILED JULY AT TOWN 25,1960 FILE NO. 3204 MATTITUCK OF SOUTHOLD SUFFOLK I000 114 COUNTY, N.Y. I0 - 09 SCALE I"= FEB. 27, 1987 JULY I0, i987 Feb. 5~ 198,9(f/no17 THE LOCATION OF WELLS AND CESSPOOL.S SHOWN HEREON ARE FROM FI LED O~BSE~TION$ AND oR FROM DATA OBT~AINED FROM OTHERS. 87 - J58 C bJ Z <~ _J m ( DWELLIN~I ) 1~ w., LOT I0 ! .~,4,,.~. 45° 05' aO"E. ' ~ % LOT 9 fit-o/, LOT 8 ( DWELL;N6 ) DWELLING 1 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES I The~wet~' e, updy & ~e~mge dl~poml r/e, ce FOR APPROVAL OF COHSTRUCT~ON O~LY temt~ t~l, ~ Mil ~ Z~~ ~~ ~~~" TOWN 'OF SOUTHOLD Pm~ in ae~raa~ w e mmimu~ SCAL~ ~ = dandardl for t~e ~e al ~ablished by FEB. 2~ I 9 8 7 · e LI.~L~ arid app~ and adopteJ ~, = ~'~ for *~h um bY '~ ~w Yo~ State Land Title ~eJa~on. ~ SINGLE FAMILY DWELLING ONLY '- ; : ~ /~ll _ TH'~ LOCATION OF WELLS ANO~ . EY ~ ENGINEERS ,P C PE I ' ~ · ' CESSPOOLS SHOWN HEREON A~E ~ROM FILED OBSERVATIONS AND OR FROM SOUTH 0 Il 97 I Examined. ¢~E .......... 19 Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N.Y. 11971 ,TEL.: 765-1803 '' ' ~(~uildi~ In;p;~t;}) ...... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... 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, housin~g code, and regulations, and to admit anthorized inspectors on premises and in building for necessary inspec~(]Aj~_~. ~ . raailin address of applicant)J ' · ' ( g .... State whether applicant is owner, lessee, agent, architect,.en~neer, general contractor, electnman, pmmuer or eunuer. If applicant is a corporation, signature of duly authorized officer. (Name and title of.~orporate officer) , ......... -Fo Builder, License N~) .... ].! ~}1'~ ~ .~,~[~ ..... Plumber's License No .................... .x .... Electrician's License No...~'~ Other Trade's License No ...................... Location of land on which proposed work will be done .... O..~. ................ .~..~..e.. ..... ~ ........ .................... r 'r. . ................... e_., .... ................. Itouse Number Street Hamlet County Tax Map No. 1000 Section ..... ~. a-..--. ...... Block Lot .... Subdivision . .'b:~ .~../..~.~£..~ ................... Filed Map No. .~.2.~. .~. ...... Lot ...~. ........... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... /~;0 r~ .~. ........................................... ¥ ......... b. Intended use and occupancy ........ 0.C(~ ....... Scs d¢.q.c:¢..:~i~ ..... ~ ..... m./ ............ 3. Nattlre of work (check which oppllcable): New Building ......... Addition .......... Alteration ....... Repair .............. Removal .............. Demolition ............ Othe~Work ............... 4. I Estimated Cost .... '.I ."~ '"" ~' ................... Fee ......... , (to be paid on filing this application) ' lling it~. ~. ' NU Iii hfl 5. If dwelling, number of dwe un ............ tuber of dwe ng units on eac oor ................ If garage, number of cars ... i .... ;~.~ ........................ 6. If business, commercial or mi~ed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ................. .~I i i i ................ ~! ........... Dim&nsions of same structure iwith alterations or additions: Front ...... Rear .................. Depth .................. ~ ....Height ..... ---, ~ · · .~t ........ Num,_er,of S~ries ......... .t.-~,.t..,c~tl .... · ' ' : ' I~' -~' -- (D' 8. D~mensmns of entire new construction: Front , ,aL. ,O ...... Rear ,, :~ / .......... Depth , ,,~ .... ~5, ..... Height .......... '1//'-' ~[~lqber of Stories ... ~,4.. · ,¢,- ~ r, ..................... ~ ....~. .......... 9. Size of lot: Front.· t.7.7,~[~; ........... Rear··/...r~.~ ~,,. .......... Depth . .~..t~l~. ........... 10. Date of Purchase ........ ............ IiCtme of Fgrmer Owlaer ............................ 11. Zone or use district in which premises are situated .... /.~-.~.l-~(J~tl PI ,~. ' Does proposed construction violate any zoning law, ordinance'or regulatio'n:' i i i/~..~', i i i i i i i i i i i i i i 12. 13. ,W, ill !ot ?e,,regradeJ ...... :,,h~._ ?.17 ;!., .... .~ ~ .~..,.. Will exceM~fil[ be remov~c[,tfr, o~ ~remises: ,/~7o~ 14. l~ame o~ owner oxpremises t.,,~..~ .r¥~/.~..w!C.',~.q~O~'. Address 7~'.~.~.F.o.¢1...~. ~.' .~.-~'e No..~'ff~b~ Name of Architect ........ :..' .... v-~ ........... Address ._ .~,-.~,z~ ........... ,,Phc, ns No... }; ........... Name of Contractor. ~taq.~O.~..../~..,.~ .~..~.... Address~.~/.~. -~O.~} .{~ i~o~nneW~o, ff~Zkt-' ~.~.' .~. 15. Is this property locaffed with±n 1.0'*0' feel: of a t±dal wetland? * Yes ..... No ,~] .... · If yes, Soul:hold Town T~ustees Permit may be 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 bloc k number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ..... ...........--" --"' ~"''~' ~ ·.~ '~ C/<~ '. '.'~ ' '°'' .1~. .°~. .T-. ................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· He is the I , (Contractor agent corporate officer, etc.) of said owner or owners, and is dBly authorized to perform or have performed the said work and to make and file this application; that all statements cofltalned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith· Sworn to before me this ............. ~..~. ........ day Notary Public ...... ~.