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HomeMy WebLinkAbout16185-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy NA Z16835 April 29, 1988 t, .................. Date ............................... THIS CERTIFIES that the building . .O.u. ?..~.a.~. ~ .~ 7..d.¥.e?.~.~.n..g.. ........... Location of Property 890 COX NECK ROAD MATTITUCK h~s~ hid ....................... 's't/e~i ....................... County Tax Map No. 1000 Section I 13 .Block l 4 ,..Lot 7 Subdivision Heritage ltarb, or .Filed Map No. 6853 .LotNo. 7 conforms substantially to the Application for Building Permit heretofore filed in this office dated · June 29, 1987 pursuant to which Building Permit No. 161,85Z dated $ u 1 y 8, 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 ......... On, e family dwelling, deck and attached garage. The certificate is issued to RIVERSIDE HOLIES IlqC. ..................... ?o¥.'o;,'~'~i~ ..................... of the aforesaid building. Suffolk County Department of Health Approval . .8.6.'7.S?.--.116 Mar. ch 24, 1988 UNDERWRITERSCERTIFICATENO...... . N850392 Jan. 18: 1988 PLIJMBF~RS CERTIFICATION DATED: T.R.T. Plumbing & Heating 3~/~/ga / /~4tilding Inspector R~. 1/81 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) ~ermission is hereby granted to: .....~..~...~..-t..~ ................................................. ........ ,o ..... at premises located at ..~..~.~.....~...../~........~-...~...~. ....... ~.~~, ..................... County Tax Map No. 1000 Section ...... J.L..~ ....... mock ........ I...~ ....... Lot No ...... ..O....~ ........... pursuant to application dated ........ ...~. ~...~.~. ..................., 19~.~.., and approved by the / Building Inspector. Fee $....~L.~t..'. .......... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD " Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ Instructions A. This application must be filled in typewriter OR ink, and submitted m~=,.=~=~ 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 equ~D. 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 ail 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 $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewCons truc t ion Old or Pre-existing Building Vacant Land ~q COX NECK RD MATTITUCK Location of Property ' Hou~ No. Street Ham~t BIVERSIDE ~9~ Owner or Owners of Property ................................................... County Tax Map No. 1000 Section ... ] ! 3. ......... Block ... ! ~ .......... Lot ..... ,7 .......... HERITAGE HARBOR ....... Filed Map No. ~85~ ...Lot No. 0 7 PermitNo 1.6!8.$.~ Date of Permit 7./8../8.7 Applicant RIVERSIDE HOMES INC. Health Dept. Approval ...86, .s .0.1 !.~.. ............. Labor Dept. Approval ....................... . ,NS, 5..039E Planning Board Approval U nderwriters Approval .......................................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $......2.5:0.°. ................... Construction on above described buildi~ Applican! ,g an_~)~,[,mit ~neets all~3p~lica~ codes and regulations. E ES . T,R.T. PLUMBIN( G. HEAI' i dG lTD. 26 CARLTON AV. MASTIC N.Y. 11950 (516) 399-0921 Date: Marah 1, 1988 Building Department Town of Southold Town Hall Southold, New York 11971 Re: Building Permit No.: 16185~ Owner: Riverside Homes Inc. Gentlemen: I hereby certify that the solder used in the water supply system for the captioned job contains less than 2/10 of 1% lead. Very Truly Yours, TRT PLUMBING AND HEATING Terranae Taub President TT: eac Sworn to before me thSs 198~ ~ ELIZA~ETli A. CAI, IN~R~U ~ / '--' ~llfled in S~ffolk County /~d. No. 52-46018~ / ~.//d/~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ].0~ BUREAU OF ELECTRICITY JoH. S,REET,.EW YORK,.EW YO" 'OO '392 THIS CERTIFIES THAT o~y the electrical equipment ~ ~scribed b~low and int~uced by t~ applicant ~med o, the a~ve application number in t~e prem~es of Evans~ e/~ CO~eck Rd., 7~6.0~~ Z/o WeSt~alia Rd., Mattituck~ in the following location; ~ B~sement ~ ls, FL ~ 2nd ~3. Section Bilk Lot u~s examined on ~ 7 ~ ~9~ and found to be i. compllance u'~h the requ~retnents 9f this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 26 ORYER$ SYSTEMS NO, OF .FEET OTHER APPARATUS: S E R OF CC. COND NO OF HI-LEG NO, OF NEUTRALS AW, G, OF NEUTRAL 4 Peter charbonneau 35 Sheppard Lane Smithtown~ NoY.~ 11788 GENERAl, MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, tnsl~bct0rs may be iSdntTfi'ed gy' fh~ir credentials. L COPY FOR~plLDINO DEPARTMENT, THI~ COPY OF CERTIFICATE M~ST NQTi~E ,A~TE,REDrlN ANY MANNER , UNDATION ~? UNDATION (2nd) UGH FRAME PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL Riverside Homes, Inc. P. O. BOX 274 1159 West Main Street Riverhead, N. Y. 11901 Phone: 516 - 727-3395 OctobeP 15, 19B7 Building DepaPtment Main StPeet Southold, New Yo~k 11971 Re; PePmit No. 16185Z Gentlemen: Enclosume Enclosed is the undem constPuction/foundation ,~cation suPvey that you mequested. / / SinCerely, _ BUILDING DEPT. INSPECTION [~] ~UNDATION ~~[ ] ROUGH PLBG. UNDATION Z..~//[ ] INSULATION FRAMING FINAL INSPECTOR~ 76S-1802 BUILDING DEPT. INSPECTION ] FO~DATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE ~//~ ~/~2 INSPECTO.~ / · 765-1802 BUILDING DEPT. INSPECTION [C~ROUGfl PLBG. [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ],FINAL REMARKS: ~ [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION [ ] FRAMING [ ] FINAL DAT£ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~~R. OUGH PLBG. ~ ] FOUNDATION 2ND [ ]INSULATION [~F~MING [ ]FINAL REMARKS: Y I/ ' INSPECTOR BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING _/ ~-~L REMARKS: ~/~, ~ ~ DATE INSPECTION~r~'~ FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ]FRAMING [/~'NAL REMARKS:O,/~'- i~ (~.~, INSPECTOR 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .... 'L'~..., 19~. ?. Approved ~ .~..~..., 19~..~. Permit No..[ .~.~..~.~.~. ·~. Disapproved a/c .................................... _.. (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,lg.._ . Date ' .,19... 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 pumuant 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. .... .I.N.C... ..................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. OWNER/BUILDER Name of owner of premises .... R. I.V.E.R.S.I.D.S.. H. 0. M.E.S.: . I.N.? .. ................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. S. GORDON, PRESIDENT (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ..... 2. 0. ?..P ............... Electrician's License No....2.6.97.E ............... Other Trade's License No ...................... 1. Location of land on which proposed work will be done....E./.S..C.o.x..N.ec..k..Ne..c.k..Rd.: .,. 7.86.: .0.gl..S./.0..We..s .t.ph..a.li..a.R.d. .................... ..rd .............. ....................... House Number Street Hamlet County Tax Map No. 1000 Section J_Z8 Block 14 Lot 7 Subdivision.. Heritage Harbor Filed Map No. 6853 Lot 7 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Vacant land b. Intended use and occupancy Single-family dwelling 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building . X. . 'Addition... Alteration Repair .....: Removal ....... Demolition ...... Other Work .............................(Desc p ion, Estimated Cost .... ~..~ ............................. Fee .................................... (to be paid on filing this application) ~ .............. ~o~, ~,,,,~ 2nd £1oor only If dwelling, number of dwellin units 4 Number of dwelling units on ....................... If garage, number of cars ....... 2. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth ..... Height ............... Number of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... ~... Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front...............59' Rear . .5.9. .....' ...... Depth ... .2q,... ..... .. . Height ..... 2..........q Number of Stories .......... 2. ................... Size of lot: Front ...... %~Q' Rear 3~, $~' De~th 279 $¢ .... Date of Purchase 1,975 Name of Former Owner Saul Lerner Zone or use district in which premises are situated ..................................................... Does proposed constructmn wolate any zoning law, ordinance or regulation: No Will lot be regraded ........ Y.e.s. ................. Will excess fill be removed from premises: Yes No Name of Owner of premises .R.:i.v.e.~.s.i.d.e..H. qm.e.s. ~ I.n.q Address .... R.i.¥e.~.h.e.a.d., .N.Y... Phone No..777~3595 ...... Richa~.d.: Wandoloski Address . .H.a.m.P.?qn..B.a.¥s., .N.Y.. Phone No. 727-3395 Name of Contractor .......................... Riverhead, NY .... 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF . .s.u?Zqr~lq ........ : S.S ELIZABETH A. CANNAZARO i. being duly sworn, deposes and says that he is the applicant (Name of individual sigfling contract) above named. He is the . '. ..... A~ENT FOR BUI.'.LBER/OWNER (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 this appilcation; that all statements contained 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 NOTARy PUBLIC, State of Ne~ Yell/ / ~liclnti, im 0 o Z 0 0 liL;O/. 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