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Home My WebLink About16182-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z16436 Date November 25, 1987 THIS CERTIFIES that the building..P.o. 9.1..a.n..d..:.e.n..c .e .............................. 14605 Main Rd. & 50 Maple Ave. Mattituck Location of Property ........................................................ House No. Street Hamlet County Tax Map No. 1000 Section l. ! .4 ......... Block .. 0..8 ........... Lot .. 0..6 ............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 22, 1987 .. pursuant to which Building Permit No. 16182Z dated ...J.u. 1..y..7.,.. ! .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 ......... ..... I~g~Ou~.d..pgo.1..~,v,.d.. f. e. ~3.c.e...a.s..a.p.p .1.i.e.d.. ~p.r.; ............................ The certificate is issued to RONALD W. & DOROTHY J. SCHWEIZER ..................... x×'× × × ............... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. N 825456 8 / 6 / 87 PLUMBERS CERTIFICATION DATED: N/A ~ ~ / ~ ........ B u~ding Inspector Rev. 1/81 FOR~ NO. B TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby gronted to: ...... l..~..2.0..~ ....... .~..l..t..~.. ...................... Coun~ Tax Mop No. 1000 Sect,on ...... Z~ ......... Bilk .......~.~ ....... Lot No...~.~ .............. Building Inspector. Building Inspector Rev, 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 TOW~--O ~ S_OUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 featu res. 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 sitepla, 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 other pertinent informa- tion required to prepare a certificate. C, Fees: Additions $25.00 ~(~LS'"~25.~ 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$)0.00 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.Vacant Land C.O. $ 20.00 87 5.Updated C.O." $ 50.00 Date .~F/]'.Z/.'. ............... New C one t ~uc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. . Location of Property ................ ~ ..... ~ ........ ~r~i:~ ....... House No, Street Nam/et Owner or Owners of Property Coupty Tax Map No. 1000 Section ............... Block ............. Lot '~ Subdivision ................................. Filed Map No ........... Lot No ............... No/~,/8~' .~/~//~.~. Applicant ?/~//,~ Permit .......... Date of Permit .........................., . Health Dept Approval ' Labor Dept Approval Underwriters Approval. iy¢~. ~.~'. ............... Planning Board Approva~ ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. ~.. Construction on above described building and permit meets all agplicable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,()~.~.50Z~ BUREAU OF ELECTRICITY ~- k~l 85 JOHN STREET, NEW YORK, NEW YORK 10038 5456 O.t~ AU~lat 6, ],987 ~pptlcationNo. onflte ~9~893/87 m THiS CERTIFIES THAT Sch,~izer~ cio ~4ap~.e Ave. & ~ain Rd,,~ Matti%uck~ N~Y~ in the following location; ~ Basement ~ Ist FI. ~ 2nd FI. OUt~ ide Section Bl~,k Lot u~s examined on Jk~ [ y 30 ~ ~. 987 and found to be in compliance with the re,l.lr.ments ef this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS FANS OUTLETS SWITCHES FLUORESCENT DRYERS SYSTEMS NO. OF FEET E R V I C E o OTHER APPARATUS: THIS CERTIFICA~'E COVERS COMPLIA~CE AT T~E DATE OF Brite Star Electric 1i0~3398-E MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors mo), be their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. U:;DATION ~st) UNDATION ( 2nd ) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL PM FOR THE MAi~' (fl.Y. ~' .t t BOARD OF NEALTN 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY ........ TOWN OF SOUTHOLO CHECK .......... BUILDING DEPARTMENT SE?TI.C FORM ............. TOWN HALL $OUTHOLD, N,Y. 11971 TEL,; 765-1802 NOTIFY CALL · ............... MAIL TO: Exam ined . ...'~.~4~...~. .... 19~..]. Approved.fl~. . .'~.., 19~ .~. Permit No..[ .~. ! .~..~.. '.~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOF[ BUILDING PERMIT I)ate If ~z- 19.o*.9. INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink anti 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 prmnises 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 Bui/ding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permil shall be kept on the premises available for inspection throughout the work. e. No buildh~g shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc5 shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issum!ce of a Building Permit pursuant to thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances oi 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 tc admit authorized inspectors on premises and in building for necessary iny, pe~ctions. ~., / (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bui _.. .......... .~. ~--', ~-; ~:~ ....................................... Name of owner of premises. ~.O A.~/f.... ......~L~ ...... --~-'c/~/co ~-'Z ...... .... 2- ~'.....~ . ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No../'/~ .~. ~. f. ,-5.. ......... Plumber's License No ..... ./.2/.~. ................ Electrician's License No....~/.'Y ................ Other Trade's License No...///.~. ............... 0 1. Location of land on which proposed work will be done~ ~.qg(.2zU..~..&7)9.,.~7"../'~ 20/~..~..~...~....~. ~ . ~.~/.; ......... .... /'/¢. . .... ¢.<_ ....................... llouse Num bet Street ltamlct County Tax Map No. 1000 Section ..... ././..~: ........ Block . .~..~ ............. Lot..P.¢ .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occtlpancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...O.~. 7~......~%~..z~.c .~.. b. Intended use and occupancy , ,,'~/-/, ~ · .~./~: ./~,C .~, ."7....~;.¢.~.q'7. Q.,?~/,~c-~ (¢ .~.~r_?..~. G .................... Nature of'work (check which applicable): New Building ' ...~.tq~ottP~>. Alteration .......... Repair .............. Removal .............. Demolition ............ ,. Other Work ............... (Description) Estimated Cost ' · (to be p~id on filing this application) ff dwelling, number of dwelling units....A~./..4 ....... .. Number o f dwelllng units :on each floor...,c'/.,,7 .......... If garage number of cars .da./. <7.. If business, commercial or mixed occupancy, specify nature and extent of each type of use .. ~.t3 ......... :, ..... Dimensions of existing structures if any: Front /~."/,.:3 ~ Rear ~r~., .~../ Depth . 3'-~,.O'7 ...... N b of St i lleight ............ um er or es ..................................................... Dimensions'of same structure with alterations or additions: Front .... ~ ./~..q~. .... Rear .................. Depth ......... ..'=.. ......... . tteight ... 777. ... Number of Sitories.........~ ............. Dimensions of entire new construction: Front ..... ir/c? ...... Rear ...... fi.c?'.. Depth .~-..Q... lteightz .,P¢?~.q ~ 0 Number of Stories /,cL6/7.,.~ Size of lot: Front .... . .°~/'. '.it.~ ............ Rear..'Wr6.6...¢ (a.. ~e.¢ 6, .... Depth .. ~..c,,.q(. :~. 85. .......... Date of Purchase ............................. Name of Former Owner ............................. Zone or use district in which premises are situated .......................... ........................... Does proposed constructioh violate any zoning law, ordinance or regulation: .42. Will lot be regraded ./~.r.~.t.,r~..,,/: %..._-. ............ Will excess fill be removed from premises: Yes t'.N~ Name of Owner of premises ff-~.,94ff-. ~...~./4.u/.~t.~-t::T,q-Address g/~oV.ff-P2 ~.r.rtr¥~.t.r-,. Phone No..~. ~ ~..=-.ff..B.~.. Nme of Architect .'07,4 Address ' Phoue No Nmne of Contractor 42.0., .~.rV'.(~'~ tO, lw. ~,5 ........... Address/.~.7.o../3. ,~...org, kq'/ea-. Phone No. & .5~.-.. I?!.~ .~.. 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 all set-back dimensions frmn perty lines. Give street and block number or description according to deed, and show street names and indicate whether .rior or corner lot. ZFEOF NEW YORK, } S S JNTY OF..../:q?/j~'¢~..cA~..... ' ............ ]g~:¢4l~'~...~...~'~..~-.~. ............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ., ,, s the ........... . .~...,~...T'~....c~....~=.. ............ , .................... ........................... (Contractor, agent, corporate officer, etc.) ~ ;aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this lication; that all s, taternehts 'contained tn this applic~tio'n'are true to the best of his knowledge and belief; and that the k will be performed in th'e manner set forth ih the application filed therewith. ~rn to before me this : ' ' ary eublickf~,~/[.r>,.a~..y~/.~ .~. ~ZL-Z. rP_ -// ~ . County ~.~ · U MARYLOU REILL~7 , .' NOTARY PUBLIC, State of New York .. ~¢,~...~...~,~,~.,~.~ ............ No. 4805679 ' Qualified in Nassau County ~g (Signature of applicant) Commtss~on Expires September 30, 19--