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Home My WebLink About15320-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z 15990 Date July 23, 1987 THIS CERTIFIES that the building .. p.n.e..f.a.m.i.~?..d.w.e.~.~.i.n.g.. .......................... Location of Property 735 Stars Road East Marion House No. Street Ham/et County Tax Map No. 1000 Section 031 .... Block 03 .Lot 06 Subdivision..8.~.a.r.s..M.a.n?.r ................... Filed Map No. 3.8.6.4 ..... Lot No..4 ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .8.ep.t....1.8.,..1.9.8.6 .... pursuant to which Building Permit No..15J2.0g ............... dated.................SePt' 24, 1986 ......... ., 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 ......... .... .O.n.e, family dwelling , garage, 2nd story deck. The certificate is issued to Jerry & Beatrice Tuthill ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval .... .867.897 J .5 .9... ,luSty. ¢¢ ,..1.9.8 ? ............. UNDERWRITERS CERTIFICATE NO N80811 I May 6~ 1987 PLUMBERS CERTIFICATION DATED: July 15, 1987 Building Inspector Rev. 1/81 FO~.~ NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG P EP~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE'rlON OF THE WORK AUTHORIZED) No. 153~0 Z Permission is hereby granted to: .......... .~..~...~.~ ........ ~1...~..~ .............. et premises located at .....~...~[.~. ...... .~-..~....~ ........ ~....~....~.....~.~ ........................ County Tax Map No. 1000 Section ......~....~..~ ....... Block ..... ,.C~.....~. ........ Lot No....,.(~....~.. ............ pursuant ,o application dated ..~..~..~ .......... ~...~.. .., lO.~.k., and approved by the Building Inspector. Fee $..~ ............. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink. and submitted ~ lam,,,,,a 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 topograp;~ic features. 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. Commercia{ 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 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 1. Certificate of occupancy New Dwelling,$25.Q0, Acc~ssory,,$t0.00 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 .7/ i ,./' 5.updated C.O. $ 50.00 Date ...... .~ ................ New Cons truc t ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ....~.~.~'...%.'~.o~. ¢.~'..~. ~..~..'.....~.~..~.. ~(~.~.~..t .Q~'~.I.. ~%~.'.~; ......... House No, Street Nam/et Owner or Owners of Property .~.~.1~ ~, .~...~)'5....~.~'.~..~....~..~.Jr..~.,.¥..L~. County ~a~< Map No. lOOOSection .~:~.l Block .(~3 . Lot Subdivision .~(~, .~,~?., ~e~,J. ,)(~(NIt,Yp.~ ....... F lied Map No. 3 ~/~.¥,...Lot No...~. .......... Permit No. ~/.~ .~..d... Date of Permit ~ .Applicant . [~/2/~-~-/~(. '.~r. /. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ... 7//.~/~.~. Fee Submitted $ ...... ~ ..................... Construction on above described building and permit meets all applicable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS '~00107~. BUREAU OF ELECTRICITY ~ SS JOHN STREET, NEW YORK, NEW YORK 10038 ,.re 06, 1987 ,pp,i a,lonNo..n i, N 808111 THIS CERTIFIES THAT o~y the electrical equipment ~ ~scribed be~w a~ introduc~ by the ap~icant ~med on the a~ve application number in the prem~es of Je~ ~ill, S~ ~d, c/O C~r Drive~ ~st ~rion, N.Y. OUTLETS DRYERS SWITCHES FLUORESCENT 53 53 44 FURNACE FUTURE APPLIANCE FEEDERS EXHAUST FANS TIME CLOCKS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: 4 G.~ .C.I. 1 E~oke [~3tector S E R V I C E OF CC. COND ] A' W G. NO OF HI.LEG r A w G, NO OF NEUTRALS PER ~ OF CC. COND OF HI-LEG 1 t 2/0 / 1 2/0 G & S Ela~ri~ ~ox 215 $~u'~hold~ N.Y. 11971 GENERAL MANAGER Per_ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their )PY FOR BUILDI ~RT PY OF ~ rlFICATE, BE ALTERED IN ANY MANNER. 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. (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of l%'lead. ~ (p~mber's signature) Sworn to before me this ]~ day of 19~ . Notary Public,~ County ~Notar~y FIELD INS?ECTION 1. FOUNDATION. {1st) FOUNDATION (2nd} 2. ROUGH FRAME & ?LUMBING INSULATION ?ER N. Y. STATE ENERGY CODE COMMENTS e ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] ~/SULATION FRAMING ~'] FINAL REMARKS: DATE INSPECTOR ~ ~-~/~ 7GS-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [/J~RAMING [ ] FINAL REMARKS: ,DATE //////'~./~' "~ INSPECTOR 7GS-'~802 BUILDING DEPT. INSPECTION [ ]/~FOUNDATION ~.ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE//,~/~///~ INSPECTO~ // 765-~802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL BUILDING DEPT. INSPECTION FOUNDATION I~T [ ] ROUGH PLBG. FOUNDATION 2ND ~NSULATION FRAMING [] FINAL 7G5-t802 BUILDING DEPT, INSPECTION rE ] FOUNDATION XST [ ] ROUGH ,PLBG. [ ] FOUNDATION 2ND [ ] INSULATION , I [ ] 'FRAMING [ ] FINAL LABS, INC. Environmental Testing Laboratories 575 Broad Hollow Road, Me(villa, New York 11747-5076 · {516) 694-3040 LAB. NO 7073&0o FIELD NO ~ Water/Waste Water Laboratory · Hazardous Waste Laboratory · Air Testing Laboratory TiME COL BY 05/17/87 05/20/87 HARRY GOLDMAN WATER ANAL. YSI8 MAIN RD JERY TLITM~[/.L STARS R[I,~ E. MARION MATT][TUCK, NY 11~22 ~ CWF/ST APC/ml {~1) N~trates (mg/~N) (10,0} 8~,~ 0 Alkahmty (mg/I CGCO~} ~hfarm act~rle ~ ~ ~ ~ ~[ ~ Color (umts) (15) Chlorides (rog/I) (250) 1 ~ 0 Phosphate {mg/I P) Odor' Cold (3) Alkahn[ty (mg/I as CaCO~) Copper (rog/I) (1.0) 0 Oi~ ~ Sohds (mB/I) {mg/~ CaCO~) Nomograph ~ Tit¢atlon COPIES TO: oz--~,-t ccd / REMARKS ~JR-.I.S HEY,, TUTHILL~ Eo MARION SATISFACTORY! RESULTS REPORTED MEET ~' ti,S, ])RZNK~[NS IdATER STANDARDS, ( ) - Maximum Containment Level (MCL) N.Y. State Sanitary Code LABORATORY DIRECTOR DATE REPORTED LABS, INC. 5,~ BROAO HOLLOW ROAD. MELVILLE. N.Y. 11747. 516~694-3040 HOLZMACHER,, McLENDO, N and MURRELL, P.C. · ENVIRONMENTAL and INDUSTRIAL ANALYTICAL SERVICES Harry Goldman Water Analysis Main Road Mattituck, NY 11922 Sample ~h No. 755537 Date Collected: 5-19-87 Date Received: 5-20-87 Type: Potable Water Additional Sample Info. See Lab Report # 707560 Collected By: D 99 vinyl chloride . . . methylene chloride . . 1,1-dichloroethane . chloroform ...... 1,1,1-trichloroethane. 1,2 -dichloropropane. trichloroethylene. tetrachloroethylene. chlorobenzene.. benzene .... toluene. . . m-xylene .... o-xylene . . . p-xylene .... o-dichlorobenzene. temik ..... Results reported meet N.Y.S. Drinking Water Limits. Date Reported: 5-31-87 ug/1 < 1 < 13 < 1 < 1 < 1 < ] < 1 < 1 < 1 < 1 < 1 < 1 < 1 < 1 < 1 3 S E. Laboratory Director FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined 19 Approve~..~.~ .~..~., 19~(~': Permit No. ).~...~..~..~..~ Disapproved a/c .......................... i ~ ................................ .~'~ i~~difig inspec.~r~ . .~....'.. APPLICATION FOR BUILDING PERMIT 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 ~ 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .~v ~ ' .F.,... ....... (Signature of applicant, or name, if a corporation) State whether applicant is ,owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. cb uo~x~ ~_ ..................................................... Name of owner of promises ....~.~'.T..¢\ .~ ............ ~.,[~ .................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~.~,..*3.~\B~ ............. Plumber's License No...~3$-~h.~x.~ ............. Electrician's License No..~.h'ln._.~ ............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done..~ffi*O. '~v---- ~ ............ ~.~.0~,5...~..&.: .... ~-.', !....~.~-~... '[L.W~-.m ,4: ............................................................ House Number Street Hamlet County Tax Map No. 1000 Section ..~./. ............ Block...~,~ ............. Lot...~ .............. Subdivision .IYl.~..*.~..~.~e.5.. )/~fi.~. 0.~.. Y ........ Filed Map No. '~.~i' ~.~ ........ Lot ...l] ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ..... 3. Nature of work (check which applicable) New Building ~K, Addition .. Alter~ti,,- epmr .............. Removal ............. Demolition ........ J. ·. Other Work ............ ~ ~ O ~ (Description) 4. Estimated Cost .. ~O.0 4.fi-0D..--..'lt..~ ~ ................ Fee . [to be paid on fihng this application) 5. If dwelling, number of dwelling units .... ~. · ·. / .... Number of dwelling unffs on each floor ~. ............. If garage number of cars 0, 6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... ~ ....... Depth ............... Height ............... Number of Stories ............................ i ............................ Dimensions of same'structure with alterations or additions: Front ............ . .....Rear .................. ~D.epth .. ........ . ............. Height ..... _.. · ~ ............. Number pf 'Stories ...... 8. u~mensions of entire new construction: Front ~5.. ~. ,0 R~r ~; ~ ~, ' ,, '2' ~ ;q -'~; ........ u~:_~, ..... ' .,' ............. .--,;~,. ~. ...... ~epm .~.;~ 34 ........ xxmgnt ............... l'qumoar or ~tories .... ~a, .......... 9. Size oflot: Front ....~.%5.,.0 ............ Rear..13/5~.o.& . . Depth ../.$..q'.,.O~ ........... 10. Date of euronase .... 7.= ............. ame o} Fo & ' g ,. ........ 1 1. Zone or use district in which premises are situated ....... ~* lt,[r~Tt~.L. ..... i ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: i .~.0 ..... W,,ill lotb~e,,regrade~d .... .... .~.~45..., ......... '. ....Will excess fill be remove~ from premises: _~ No 14. ~ame o~ Uwner o~premlses .. k,qmTmt&..-VOArkt~l. Address ~.~4t.O. ~0¢0'~/>~.j Phone No Name of Architect J~:~',.l~a.q z~O aaa~ O,~,~,, ,2i' ' ',, '-" ' ,* ..... ~' ' .............................. -'-~u~-~.-t~w vnone No ia - ' ,... Name of Contractor .......................... Address ................ ! ·.. Phone No ................ 15. Is this property located withinl.00 feet of a tidal wetland? * Yes ..... No · If yes~ Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fi'om property lines. Give street and block number or description according to deed, and show; street names and indicate whether interior or corner lot. iTATE OF NEW YORK.~'.. ~ ~ ] .... ' ~ '~ ~'~' ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) hove named. is the (Contractor, agent, corporate officer, etc.) said owner or owners, ~d is duly authorized to perform or have performed the said work and to m&e ~d file this ~plication; that all~ statements contMned ~ this application are true to the best of his ~owledge and belief; and that the ork will be perfo~ed in the m~ner set forth ~ the application filed therewith. ~om to before me thi~ 2he water supply anQ sewage azsposaj system for this residence will eon- germ to the Standard of the Suffolk Oe~t¥ Denartment of Health Service. uc~~D ~A"o SU6vE~s GREEN~RT N~ YORK .i ~UFFOLK COUNTY HEALTH DEPARTMENT .-' DATE JIJL' 2 2 I~' .......... THE ,SEWAGE DI~3SAL b ND WATE~ LUPPLY FACILITIES FOR THIS L~ATION HAVE BEEN INS~CT~D BY THIS DEPART~NT AND ~UND TO BE ~SATt~AC~RY.~ ..... ~ief ~ W~ter' Mana~ent Sectlofi /0oo- o ZI - 3' - ~ ~ER}CK VA~ TUYL, LICENSED LAND SU~EYORS GREEN~RT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H, S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (s~ SUFFOLK COUNTY DEPT. Of HEALTH SERVICES -- FOR APPROVAL Of CONSTRUCTION ONLY DATE: , H.S. REF. NO.. APPROVED:. SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. OWNERS ADDRESS: DEED: L. ~"' TE~'i' 'HOLE STAMP SEAL ? 0 F SUFFOLK CO. HEALTH DEPT. APPROVAL H. S, NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (s) i i , AP~'LIcANT ·~u~ruL~ ~,uu~ SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO.. APPROVED: ' SuFFOLK'Co. TAX MAP DESIGNATION:' DIST. SECT. BLOCK ECL. OWNERS ADDRE~: DEED: L, P. ' TEST HOLE ' STAM~ ' d If copper tubing Ii us~ ~ D AS NOT~ ' ., for water di~ribufing - ~o~ ,o "~ OCCUPANCy ~OW~G ~.,:~ 4 ~'~ AT ~o.,~.~.?*.o~c ~. ,,~ USE IS UN~WFUL ~ ..~. =o***,?.. WITHOUT CERTIHCATE _~o~" ~.-" ~-,~or -,;'%c?,*~o~..- -, OF OCCUPANCY ~uPPLy SYS~ _ ,~ ~D. ~L~ co.sf,~5? ~o~ c.o. ,-usr ' RTiFICATION ' ~ OH C2~°~S/~E ~Y uMBE ~ BEF ' ~. ~.p co~up~Cv ! = ,, ,~:~,~c, ~. ~/~ J~ ~ ~ ;20 : Pr ' I~ ~1 / ,~, [ ~ - 0 .... , ~ ~-~ , 7 ~ J ~T~ I ~'~ I ~ ~ ' ' ~ .//~///./~'~'~/~/,:',~/~: ~4,~. :, ":I ~ ......../ L:~z ~,~ ., :' ~ -" / ~ ~ //' . I ~ s~t~s~, 'Z '~ ~ { "~'~'~ '" ~'~) ' , u' ::' ~ '~] i J [ I i 52:o" ' - ~," m~m r-Tm ' O, / R ~ '~ ; ' ' I I ~' ' ~ s~ ~,'~ ~/~ ~/a ; ~'0~[ J . ~ · . , ,, ~;~:~,. i ~ ;",~.'. '.' ," ~ '. - I , [ m ~:B" /~B" ~:~" ~:~,, ~ ~OU~ DATtOM PLAM / '' .............................................................................. I '1 -I - ii H __JL .... J J II A C-L~t ~E D ~ '- o" , ! G! CL. ,I L t e ners, Inc..,~o. 4,' ,L II II fiD. / / V/zg; ,~OOA4 / I,M ~ 4,'/4 7toAI LL A4~TAL b/~,'~ ~D~£--~.k $4"~ ~/" ~/x£b ~,-A SS ~10 MLoo~ ./slrs ~ /~ F To~ oF /~$ _/. 4Z' ~'~AF~L ,c/4/ /- anners, inc. DESIGN NO, 1981 NO. OF 4 4