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/ /
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