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Home My WebLink About15324-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15841 Date June 11, 1987 THIS CERTIFIES that the bulldog one- family dwelling. Location of Property 6600 New Suffolk Ave. Mattituck House No. Street Ham/et County Tax Map No. 1000 Section .... .1,1.5 ..... Block ...... .1.5 ....... Lot 25 Subdivision. ~).e.~p..H. ql..e..C.r.e..e.k..E.s..t.a.t.e.s., .Filed Map No. 4256 .Lot No. 21 conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ~p~k~¢.r..1.9, t..1986 pursuant to which Building Permit No. 15324Z dated ....... Sep.t.e. r0ber..2. .4 ,..!9..8.6 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 attached two-car garage. DANIEL & HELEN DANIELOWICH The certificate is issued to ..................... [o~'n'o'r~Z~ek'fO'2ti~'liti. ..................... of the aforesaid building. Suffolk County Department of Health Approval ........ 86- SO- 171 UNDERWRITERS CERTIFICATE NO ...................... N793826 PLUMBERS CERTIFICATION DATED: 6/11/87 *Sliding doors blocked, not to open without steps. //_~ Bd~ilding Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, Iq. Y. BUILDING PEP, J~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 15324 Permission is hereby gronted to: County Tax Map No. 1000 Section ...... I.I....~.. ......... Block ..... I..~. ........ Lot No...~ ............. Building Inspector. Building Inspector Rev. 6/30/80 FIELD INSI~ECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I~ to the Building Inspe¢- 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 equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Mu{tiple 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: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $]0.00 2. Certificate o~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 5.Updated C.O. $ 50.00 Date ................ NewC°nstructi°n . .'X~N.. Old or Pre-ex[stin§ Building ............ Vacant Land ............. Location of Property ...... ~'..~..~ ..... .~..,4_~.....~...~.....~/?~...; ..... ~./~y-...~./...~.-~ ...... House No. /'~ / ' Street ~ ¢ · Hamlet Owner or Owners of Pro ert .,~ 0,, P Y ....... ........................ ............ County Tax Map No 1000Secton /~P ..... Block .... <2..~.. Lot ~"~ ..... Subdivision ............... ~..~.¢ .~ //~. ~ .~...~Filed Map No. ........... ,c/~.)--~ .Lot No ..... .'~.~ .... Permit No.../~/~........ ~' '( Date of Permit . .~/. .~//.~.Applicant ........ . ; .... Health Dept. Approval ..... ...b~/ .............. Labor Dept. Approval ........................ Underwriters Approval V/ Plannin oard royal ...................... ........................ g B App Request for Temporary Certificate ..................... Final Certificate ...... ~ ............ Fee Submitted $ ~ 5 '(~---~ ~::~ ~ Construction on above described building and pe~li~ee~t.~all appli,ca,ble cj~es~and regulations. ....... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000771 BUREAU OF ELECTRICITY ~ 19885 JOHN STREET, NEW YORK, NEW YORK 10038 ..,~ ~,~,~,.~. :L2, ~' .~...~.t,o. No. ,,,, ,-.e ,~,~.3~/8e N 793826 THIS CERTIFIES THAT only the efectr~cat equipment as described below and introduced by the applicant named on the above application nurnber in the premises of Stanley Danielowich, s/s New Suffolk Avenue, 200' w/o Da%nRa Dr., ~Rttituck~ N.Y. FIXTURES RANGES COOKING DECK~ OVENS DISH WASHERS EXHAUST FANS 32 26 32 SYSTEMS Smoke Deteotor S E R NO OF HI.LEG A. WG OF HI-LEG NO O~NEUTRAL$ A, WG OF NEUTRAL 3./0 Ruland Elect. Co. ~~ P.O.Box l~3 Mattituck, N oY. 11952 LiO$242E GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspedors ~y be identified ~y their COPY FOR BUILDING DEPARTMENT. TH~S COPY OF CERTIF CATE ~UST NOT BE ALTERED N ANY ~HNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. I~%~ Owner 3~1~ ~ ~'~10~J;'~ (please print) Plumber ~{~ Q) C~rJN~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this ~.~ day of ~ , 19.~C~' Notary Public TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. /--// An application for Certificate of Occupancy is not on file. ~c~e// /--/ No Underwriters Certificate on file. /~ The check is(outdated/n3t o~_n file.) ~D~ O /~/ No Health Dept, Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. -Building Permit It ~/ c~' ~ A ~ Z Building Dept. 0600 ***/_~No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 765-'~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]//I~OUGH PLBG. FOUNDATION 2ND [//] INSULATION [Z.-]'~FRAMI NG [ ] FINAL DATE, INSPECTO 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INS~ON FRAMING [/.~I=INAL REMARKS: DATE .'~//~//~ INSPECTOR' 76S-1802 BUILDING DEl)T, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~/j/FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE/~,.~/,/~' 'NSPECTOR~ 7GS,.180Z BUILDING DEPT. INSPECTION [ ] FRAMING FOUNDATION XST []ROUGH PLBG. FOUNDATION ZND []INSULATION []FINAL REMARKS: 7GS.t80Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION ~~MING [ ]FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 765-1~02 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2:ND [ ] INSULATION [~'RAMING FINAL DATE , /~ INSPECTOR NEW SUFFOLK S'85 ° 08'O0"E 20 ' ~ ~ ~ tisJ ~.0~"-~ ~ 2~e LOT 22 ~ ,se/ vacant N'87°19'20" W' ,~ 120.00' LOT 44 [ LOT 23 ( dwelling ) ( dwelling ) ' SURVEY OF LOT 21 "MAP OF DEEP HOLE CREEK FILED' dAN. 28 , 1965 FILE NO. AT MATTITUGK TOWN OF SOUTHOLD SUFFOLK COUNTY I'000 II 5 I 5 The water supply & ~ewage disposal sys- [ n terns Ear this residence will conform lo lhe S C A L E = 4 0 ' ~tandard~ of the ~uffolk &unly~epa~- JUNE 20 , 198 6 menlof~l/h.~e~ice~ / AUG. 14 , 1986 Z Z 0 ESTATES" 4256 TICOR TITLE GUARANTEE STANLEY L. DANIELOWlCH'~"/"JR. HELEN E. DANIELOWICH .Y.S. LIC. NO, 49668 RS 8~ ENGINEERS ~ P. C. Prepared In aceordance with the minimum ~tandards for title surveys as established by ~he LI, A. LS. and approved and adopted ~or such use by The New York State Lan~ t[iRe Association. (516) 765 ~-'"~020 P. O. BOX 909 ELEVATIONS ARE REFERENCED TO MAIN ROAD AN ASSUMED DATUM SOUTHOLD, N.Y. 11971 ,86 - 342 a NEW 21 82. .re/: · ,~ ~,/~ S.85° 08'00'' ~ __;.L E. LOT 2:0 ( Vecanf ) o o 0 ( vacent ) SUFFOLK AVENUE d~-,14 120. 09' TEST 22 0TM LOT 21 LOT 22 VOcent ) i,i Z Z 0 r~ "MAP Frepared in accordance with the mlnimum standards for tille surveys as established by the L.I.A.L.S. and approved and adap~'ed for such use ,t~y The New York Stme LonJ / N.Y.s.._ L,C. (516) 765 5020 P. O. BOX 909 MAIN ROAD SOUTHOLD , N.Y. 11971 SURVEY OF LOT 21 OF DEEP HOLE CREEK ESTATES" FILED' JAN. 28 , 1965 FILE NO. 4256 AT MATTITUC K TOWN OF SOUTHOLD SUFFOLK COUNTY , N.Y. I'O00 - 115 - 15 25 SCALE I" = 4.0' JUNE 20, 1986 AUG, 14 , ~986 OCT. SO, 1986 CERTIFIED TO: TICOR TITLE GUARANTEE STANLEY L. DANIELOWICH , JR. HELEN E. DANIELOWICH NO. 49668 ELEVATI NSO-~-'-~E REFERENCED AN ASSUMED DATUM TO 86 - 342 ~ (vacant) NEW SUFFOLK AVENUE 2L ~ ,r~/ z2, 14 . ~/~ S.85 o 08'O0',E LOT 20 VaCant I I 22.0 ~ i22.09' I I i% W~LL I h ~2 2' ( Vacant ) o SUFFOLK COUNTY H~ALI t EPA~ENT o 8~OLE FAMiLf ~EI.L~G ONLY ~ o H.D, REF. NO ........ ~4 ¢~/, ¢ ~ ~e.:~n~ ~hlef o ~~na~ement ~cti,on TICOR TITLE GUARAN, TE.£.. LONG ISLAND ' MORTGAGE CORPdRATION" MAP ~:. ~.,~LE/CREEK ESTATES" STANLEY L. DANIE~OWICH CONIC SURVEYORS 516) 765 ' 5020 P, O. BOX 909 MAIN ROAD SOUTHOLD~ N,¥, ~1971 TOWN OF SOU'THOLD SUFFOLK COUNTY I'000 - 115 -, 15 - 25 SCALE I" = 40' ,/,. JUNE 20, 1986 ' · ~andards for title surveys as estabh.h me L.I.A. LS. ~nd ~ppr~ed for such u~ by The New Y~k Sta~ Land Title NO. 4966 8 ENGINEERS , p. C. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM 86 - ,342 A,e,c ~ ;v FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1803 : Approved~~...~.~.., 19~..~. Permit No.]. ~..a.~.~ ff. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT .cfi> ~ ~ 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 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 inspectipn/. . ,.,,~ ......... ~: ~.~...~...~..../.~,./.~:'~. · 4~.. (Signature of applicant, ~r name, if a corporatioff) ........ Lo.~,, .4./.~.../~..: ................. ..... ......... ....... (mailJ_t~g address of tapplicant)bUide State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or .................. /~.4,'/~...x~4.. ............................................ /.~ #: ~../~.~, D~x2~ fo ~,, ! (as on the tax roll or latest deed) If applicant is a ¢o~Dration, signature,of duly~uthorized officer. ~ (Name and title of corporate officer) Builder's License No .......................... Plumber s License No ........................ Other Trade's License No ................... ~ ~ O ~2 House Number Street Hamlet County Tax Map No. I000 Section 11~' Block ]~f'~ Lot ..... "'~(Name) Filed Map No ......................... 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 (~Tfi/~.~ ~'~'~'f .~.~7 /~/,V' 6-//,¢~/(~ ......................... 3. Nature of work (check which applicable): New Building .......... Addition ! Alteration .......... Repair .............. Removal .............. Demolition ....... ~... Other Work ............... I (Description) ] ~ .CO../.~..~?.. Fee 4 Estimated Cost (to be paid on filing this application) 5. If dwelling, number of dwelling units.. . ............0 ~l-~-" Number of dwelling unit~, on each floor .......... ..... . If garage, number of cars ..... ~ ................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: t~ront ... Rear : Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front .... ......... i .....Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .... ').t>.t Rear .) .... , ....... Depth . .-~.~. '...., ..... Height ...... /.q ! ...... Number of Stories .... l ....................... ' ...................... 9. Size of lot: Front ]~.~0.'. Rear. . ' D i~'~.°i'/. "' ................. ,tM .............. epth ............. 10. Date of Purchase ~(~ .......... . Name of Former Owner 11 Zone or use district in which premises are situated: 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~ ......................... 13. Will lot be regraded ... ~ ~.,~ ..................... Will excess fill be removed from premises: Yes 14. Name of Owner of premi~es~f.~udJ.~ .~ Jq~l.~..~p.~.t~./2.~.~'-~tddress .~.~ ~.o../..~..~.q..~q .~.... Phone No. ?.~,. (,a.~.'~,-~ Name of Architect .................. ; ......... Address ............... i · · · Phone No ................ Name of Contractor . ~..t .~.°.z..14/.~...07: ~.tl. %,.. Address ............... ~... Phone No ........ ,~ ........ 15. Is this property located within ti00 fdet of a tidal wetland? * ~es ..... No .../~.. · If yes, Southold'Town'Trustees Perrdi~ 'maybe required. 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 sho~ street names and indicate whether interior or comer lot. 'STATE OF NEW YORK, S.S COUNTY OF.. o, ............. ............. r~. ¢..~. r...~.~..~..t~..~.~..~. ({ ............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) He is the .............. : ...................................................... (Contractor, agent, corporate officer, etc.) i of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tt~s application; 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 N,ot~ryPublic,r-.v.~, .......... ~..~. ...... County ,-~'~--~2 __ ,,., ~ . ........................... Not ~NDA~ CO01~q~ / (Signature of applic~mt) . arY Publlo, ~teteof NewYm. k,,~./ No. 4822663, 8uffotk CounW. Term Expires December 31, 1 ~.~..~ ~] OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY :