HomeMy WebLinkAbout16564-z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18011 Date MAY 9~ 1989
THIS CERTIFIES that the building. ONE FAMILY DWELLING
Location of Propert~ 1235 NEW SUFFOLK AVE. MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 114 Block 11 Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCT. 23, 1987 pursuant to which
Building Permit No. 16564Z dated OCT. 26, 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 FRONT AND REAR PORCHES.
The certificate is issued to
ALICIA V. REEVE (owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-SO-244
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
4/21/~9
N048744 Dec. 6~ 1988
MATTITUCK PLUMBING & HEATING 3/13/89
Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERJGIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
656'4 z
County Tox Mop No. 1000 Section ....... I./..q.. ......... Block ...... /../. ............. Lot No ..... ..~....~'.."~... .........
pursuont to opplicotio, doted ....... ..O...~~......~4.'.~ .......... , 19.~...~., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/,80
TOWN OF SOUTHOLD
BUILDINC DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION .... OLD OR PRE-EXISTING_ BUILDING ...... VACANT LAND ........
Location of Property .......
HOUSE NO. STREET HAMLET
Owner or Owners of Property ...................................
//
~o~ ~ ~ ~o. ,ooo ~.o~ ..-.~.. ~o~ ...... ~o~ .........
Subdivision ....................... Filed Map ........ Lot ..........
Permit No./~ ~........'-/~Hate of Per~it/-~-~&.~l.Applieaot. ................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $..~5.~.~p. ............
APPLICANT
d.~. z/ia//
rev. 10/14188
THE NEW YORK BOARD OF FIRE UNDERWRITERS
[1.001381 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
~nte DECEMBER 06,1988 /Ipplicetlon /~o.o..fil~, 56293388/88 N 048744
THIS CERTIFIES THAT
only the electrlcul equipment ~ ~scribed below and introduced by t~ applicant ~med on the u~ve application number in the prem~es of
LAURENCE REEVE, NE~ SUFFOLK AVg., /POLE ~10, HATTITUCK, N.Y.
;. ~elo.o~.~ t.,~.,~o.~ ~ B.~...~.~ ~ I~ ~'1. ~ 2.a FI. ATTIC .~,.. ~1~ Lo~
RXIUE~ FIXTURES RANGES C~KING DECKS OVENS ~[~H WASHERS EXHAU$~ FANS
29 31 29 28 1 2 F
$ERVI~ ~ISCONNECT N~. OF S E
I100 CB 1 'X i 4 i i 4
HOTOR8 = 1-F
SMOKE DETECTOR:-i
MATTITUCK, NY, 11952
5ICgNSE NO. 2300 E
This cerfificofe must not ~e ~lfere~ in ony monner; return fo fha o{fice o{ fha 8oord [{ incorrect, Inspectors moy ~e identified by their credenf~o~.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O, BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date
Building Permit No.
Owner ~S. ~/~//~
(please print)
Plumber ~ ~'~'~'bC~
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber'~ signature)
Sworn to before me this
~£~./~day of
19 ~ .
Notary Public,
County Ne~,~- h~ie~ $1a~ of
N0,
Term E~pir~s Feb,
FOUNDATION (ls~/
FOUNDATION (2nd)
ROUGH FRAME
.FLUMBIN~
3.
INSULATION FERN. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ] INSULATION
[ ] FRAMING [~FINAL
REMARKS: ~
DATE ~///~//~...................~ ,NSPECTO~
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ 1 FOUNDATION 2ND [/~SULATION
[ ] FRAMING [ ] FINAL
iNSP ~ECTOR ~/~ ~, *
7G5-~.802
BUILDING DEPT,
INSPECTION
FOUNDATION 1ST [~]//ROUGH PLBG.
[ ~)UNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [- ] ROUGH PLBG.
[~FOUNDATION 2ND [ ] INSULATION
· [ ] FRAMING
FINAL
REMARKS:
·
DATE ~,/~- ~////~/ INS .PECTOR~,~~
765-1802
BUILDING DEPT.
INSPECTION
[~/] FOUNDATION 1ST []ROUGH PLBG.
FOUNDATION 2ND []INSULATION
FRAMING ~r ]FINAL
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved ~..~. · · .*SJ~'~. · .~..(0.., 19~. 7. Permit No..}.~ .~--/~.q .'~.
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOB'BUILDING PERMIT
INSTRUCTIONS
BOARD Or HEALTH
3 SETS O~LANS ......
SURVEY
SEPTIC FORH ..............
NOTIFY
CALL -:--~ ........
MAIL T :
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 streel
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appI
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 perm:
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 Occupanc
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 th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordinances ¢
Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe~
The applicant agrees to comply with all applicable laws, ordinances,, ~ding code, housing co/d~ a/nd, regulations, and t
admit authorized inspectors on premises and in building for necessa?y'~pections. ~/~),~ ~ . ~
(Signature of applicant~or/~namc~if a corporation)
· . .:,;,. .........
. (Mani~g .~d~re~ of a,pp, l~ , .
(as on the tax roil or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALL CON, TRACTOR'S MI~.T/~E SUF..~A)LK~C~O~IINT_~Y..L,I.,CEJ~I,S]ED
Plumber's ~icense No.
Electrician s License
Other Trade's License No ......................
1. Location of land on which proposed work will be done .... . ..../'~ ...................................... -.
County Tax Map No. 1000 Section ..././.~.''" ........... Block..''/./. ............ Lot...~..~. ...........
Subdivision ..................................... Filed Map No ............... Lot .............. -.
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
b, Intended use and occupancy..~%~...~...'~~ ....... : ..........
3. Nature of work (check which applicable): New Building ' Addition .......... Alteration ..........
Repair .......... Removal .............. Demolition Other Work ·.
~ (Description)
4. Estimated Cost ................................... Fee ......................................
' (to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage number of cars
6. If business, commercial or mix.ed~cupancy, specify nature and extent of each type, of use .....................
7. Dimensions of existing structufes,lT-altY: Front ............... Rear ... ........... Depth
... ............ Numoer'-*'-- - ~-~'- of~s .... '. ;..7 ............... : ...... · .........................
Height
Dimensions'of same structure with aRerations'"o~dditions:'~'-" ~ Front ................. Rear ..................
Depth...
................ ~ ~gh.t... ..... ~ .......... Number of Stories ......................
-- 8. Dimensions of entire new con~trn~fo, nt ...... . .~%.. Rear ............... Depth ...............
Height ............. Numbar of Stories .......... · .'D~, . ................
9.' Siz~ of lot: Front ......... ~ ....... ......Rear '~ ..~; .... ~;,L..."N~ ..... Depth ......................
10. Date of Purchase ......... ~..... Name of Former"O~ner .............................
1 1. Zone or uge district in which ~r~'~ ..... '~-_
;'.
.'
12. Does proposed construction violate any zoning law, ordin~_ l.,a~t~ion:~ x~ .................. ) .....
13. Will lot be regraded ....... :. ~ be removed froi~,p, remises: Yes 'No
14. Name of Owner of premises .................... ~ ~Address ............... . PhoPro,No~ ........... : ....
Name of Architect ..... ~ .... Address Phone No.
Name of Contractor ....... ................... Address .... : .............. Phone No.,~ .............
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 buildings, whether existing or proposed, and~ indicate ail set-back dimensions from
property lines. Give street and block number or description according to deed, and show street nmnes and indicate whether
interior or corner lot.
STATE OF NEW YORK,
S.S .....
COUNTY OF ................
................ ' ........... i ...................... being duly sworn, deposes and says that he is the applic&nt
(Name ofindivi'dual si~ning contract)
above named. ,
He is the
(Contractor, agent, corporate officer, etc.)
of said owner, or owners, and is duly authorized to perform or have performed the said work and to make and file thj
application; that all statements cohtained in this application are true to the best of his knowledge and belief;
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
............ ,~.._-3..., ...... da~°f ..... ~...0~.. ............ 19.
I~Jtary Public .... ~ .... i....~.g-,-..(~/...d~-. ...... County
~etl0, ~t~ 0~ ~w Y~ (Signature of aT
. No. 4707878, Suffolk Ceunty~,~
lerm Expires March 30,1~ ~ '
~' J,::'. L; A, u:
OcT. ,,~, ;987
APE. I?,
SUFFOLK CO HEALTH DEPT. APPROVAL
APF '""
ST ~~i~Ti.i~fE.T ' __ _
THE WAT£R~U~'i~tb~I~GE DISPOSAl.
SYST£M'~ FOR' THIS RESIDENCE WILL
CONFORM TO *I'HE STANDARDS OF THE
~FFOLK CO. DEPT. OF HEALTH SERVICES
A~LICANT
SUFFOLK COUNTY DEPT· OF HEALTH
SERVICES FOR APPROVAL OF
CONSTRUCTION ONLY
DATE I - ,~ - I~
H. S. REF. NO ~'.- ~O
APPROVED'
SUFFOLK CO. TAX MAP DESIGNATION:
hiST SECT BLOCK PCL
i 7.,,OD ;14. ~ i 35
OWNERS ADDRESS:
298'
e. 54
~rAMP
.~:AL
~//~ ~'~/?- 7/?
1
]Fy {~ ~"~, ,~.~,~ ,.OF F~RE