The URL can be used to link to this page

Home My WebLink About15332-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No. z-16084 Date August 20, 1987 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 310 Bailey Road Mattituck, N.Y. h~b hiol ....................... 's'tlo~i ....................... h~,~/e~ County Tax Map No. 1000 Section ...0. 9. .9 ...... Block 0 3 .Lot 4 . l 5 S,,hd',t~q;nn M/o Honeysuckle Hills 15 ~ ...................................... Filed Map No..79.1.9 .... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 24, 1986 pursuant to which Building Permit No. 15332 z dated .... September. .... ..........25, 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 ......... ONE FAMILY DWELLING WITH ATTACHED GARAGE & ATTACHED WOOD DECK WILFRED & LOUISE RULAND The certificate is issued to .................... ~'/oWn'o),'~,dTa'~'f. .................... of the aforesaid building. Suffolk County Department of Health Approval 8 6 - 8 O- I 76 UNDERWRITERS CERTIFICATE NO ...... N 8 02 75 7 PLUMBERS CERTIFICATION DATED: August 18, 1987 Rev. 1/81 · OR~ NO. ~ TOWN O~ $OUTHOLD E~gI/DIHG OrPARTM~T TOWN HALL SOUTHOLD, N. Y. BUILDING PE~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15332 Z Permission is granted to:, .L..~.~**** ...... ~.~....~,~ ................................. ...... , County Tax Map No. 1000 Section .... ...(~.....CJ..~ ...... Block ......(~....~. ........ Lot No......L~,^./..,&...'~.. ...... ~...~..~ ....... , 19.f.~., o,d appro,~ ~ the pursuant to (~pplication doted Building Inspector. Fee ~ Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Iostructions 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 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, 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 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 buUdings. 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 $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancv $ 5.00, over 5 years $~0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ....................../V/./..//.. NewC°nstructi°n ...... OJd or Pre-existing Building ............ Vacant Land ............. Location of Property ................... y ............................................... House No. Owner or Owners of Property ............. ;,r~/,/~. ................................ County Tax Map No. 1000 Section ........... Block ... D 3 Lot ,/.~. Subdivision ..... ........ Filed Map No ....... Lot No. ,//~,.~ ..... Permit No.../.~. ~. ~.¥ Date of Permit...gV(..~?/.~.~Applieant .. ~.~ ~.~'~....~.~...~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Bequest for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permi~ applica d ragu App cant ~ Rev. 10-10-78 ¢0f' 100077i THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy BB JOHN STREET, NEW YORK, NEW YORK 1OO;38 Apr:L1 09, 198 7 ,~ppne.~io. ~o. o.f~ 438405/86 THIS CERTIFIES THAT N 8 0 2 7 5 7 only the electrical equipment ~ ~scribed below and i~troducvd by t~ applicant ~d on the a~ve application nu ~ber in the premises of Wilfred Ruland, Jr., N/S Bailie Beach R~d, 400'~/0 Reeve Ave., ~e~Ci~u~, ~y ~.~h~fol~o~'in~b,~.t~o.; ~,~,n~.~ ~ t~trt. ~ e.d ~. 3rd. floor ~Iarch 30~ 1987 EIXTUEE RXtOEES OUTLETS SWITCHES 45 68 39 45 Section Block andfound to bain complianre u'ith the reqtdrements~fthis Board. OVENS DISH WASHERS DRYERS FURNACE APPLIANCE FEEDERS TIME CLOCK! MULThOUTLET SYSTEMS NO. OF FEET Lot DIMMERS SERVICE DISCONNECT S E ! OTHER APPAEATUS: P nelboard~. 1 32Clro, 200amp ~., l-gcir., 125amps., ~.~.C.I. Track l~hLi~14 feet R 2/0 V I C NO OF NO OF NEUTRALS 2/0 P.O. ,gox 143 certificate must not be altered ;n any manner; return to the office of the Board if incorrect. Inspectors may/> ~denhfmd by fhmr credenhals COPY FOR BUILDING ,R THI', DPY OF CERTIFICATE MUST I FIEL~ !ION FOUNDATION ~(lst) COMMENTS FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Yo STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, 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. /--~'-No Underwriters Certificate on file. /~/~ The check is(outdated/~.)~2~00 /---/~ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # Building Dept. ***/_~/No Plumber of Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) O~cupancy or use is unlawful without a Certificate Occupancy. Clear up this matter as soon as possible that legal action does not have to be taken. Thank you for your prompt at~entlon. BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~/FRAMING [ ]FINAL REMARKS: BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~RAMING [ ] FINAL 76~-Z.8~2 BUILDING DEPT. INSPECTION FOUNDATION ~IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING RE:MARKS: FINAL ..... DATE ,INSPECTOR .... 7GS-'~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION DATE INSPECTOR TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~,.~,~-~, ~3!~_~ ~please print) Plumber _~2~ ~ ~~ (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 19 ~7 · Notary Public Public, ,~/~_~_-~ County Notary ,..E FAMILY DWE!_LING ONLY YEARS FROM DATE OF APPROVAL. ',Il' OF HEALTH SERVlCE~ ~NSTRUCTION 'ONLY SURVEY FOR WILFRED RULAND 8~ LOUISE .RULAND LOT NO. 15"HONEYSUCKLE HILLS AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTYt NEW YORK . ~ut. OmZZO *~t~n~t~o. oR ~oomo. 'm m~s DATE: JULY 15,1986 SCALE= I" = 50' NO. 06 -675 I~*'~RANTEED TO= ~ ' WIL. FI~ED RULA.~I~p ~,OUISE ,~ULAND AMERICAN T~"~eI~N.SURANGE~'O.~. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 TEL,: 765-180:2 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT DEPT. ;30 JYHOLD Rece±ved ........... ,19... Date ........ . ........ , 19... INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 ~de, housing 9ode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspej~tig~s. -- ~, / ~ ,__ J (Signature of applicant, o~name, if a co p ' )~ ..... z/~..,~,....,~....,~......,¢-~...: ................ ............ ....... (mailing address 6f applicant) State whether applicant is ~er, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... /U...,,::./~...-y:~.. ............................................................. Name of owner of premises ...... *. ·. ~. ............................. (as on the tax roll or latest deed) If applicant is~T~pra.~tion, signa];ure of ~ authorized office~,~ ..... .... (Name and title of corporate officer) Builder's License No .......................... Plumber's License No... ~..'.~...~../.~ka¢. · . · . Electrician's License No.. ~....~...~ Other Trade's License No ...................... w/,, . ............................ ' I. Location of land on whic~roposed work will be do . · ......... .~.~ ~.../~ ..~.... ~.~. .......... House Number . Street Hamlet County Tax Map No. I000 Section ...... .~..~.~. ....... Block ....~. ~. ........... Lot...~..qfC. Subdivision .... t~.~).~,.._._ ......... FiledMapNo....~.9./..~ ...... Lot .... ?..~..~... .... 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 (cheek which applicable): New Building .... Addition ......... Alteration ....... i... Repair .............. Removal .............. Demolition ......... ~.. Other Work ............... (Description) t ' 4. Estimated Cost .......... * · ~..~ ........... Fee ........ q ........................... [ (to be paidl on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor ................ If garage number of cars ~ 6. If business, eommercial or mixed occupaney , speeify nature and extent of each typ~ of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... i ...... Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front ' Rear Depth ...................... Height ....... : ~"~' ' i.~.~. ~ ........ Numbel'l;lf ~toriesf,,~ ...................... Depth . ..~..~. a. Dimensions of entire new construction: Front .... Height .... ~..~. ....... Number of Stories ........... 9. Size of lot: Front ..... { .............. Rear ...................... Depth ....... ~ ............. Date of Purchase ...... ~.. ' ~. .................. Name of Former Owner .; ...~"AT~.. ,~d~ ~...~.le~. .......... Zone or use district in which premises are situated ......................... i ........................... 10. 11. 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~ ..................... 13. win lot be regraded ................... Yin excess, fin be removed from premises: ' 14. Name of Owner ofprem~sls ./~}11~.~!~.~.~.~.~. ~. ~.~et~ress ~..~./~.. ~.r~r'~'~./Phone No. ~.i.~.~..~.~...'~.. Name of Architect .... ~ ..................... Address ............... i .. Phone No .... Name of Contractor . ~. ~,( ~J..~.~...~ ~ ..... Addressing...~. ~.~.~ .~.,... !... Phone No. ~.tO.: (.J.~. ~. .... 15. Is this property located within 1.00 feet of a tidal wetland? * ~es ..... No .1~.. · 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 from property lines. Give street and block number or desctiption according to deed, and sho~ street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF. ~ . S.S / .................. 7 '.~. ............ ~...~.... being duly sworn, deposes and says that he is the applicant (Name of ihdividual signing contract) above named. ~ ~..~., 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 this application; that all statements contained in this application are true to the best of his Iknowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~UFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE~ FOR .~PPRO/VAL OF CONSTRUCTION ONLY HEALTH DEPARTMENT-OATA FOR APPROVAL TO CONSTRUCT # ~I~y CO. TAX MAP DIS~'i~O~ -SECTION 090 ~LOCK L UoT~, IS -- #mENE AK #OOWELLING$ WITHIN I00 FEET OF THIS PI~OPEaTY N THE WAT[II SUPPLY Am $[VMG[ DI~I(~AL SYETIM FO~ THIs RI~IIOI'HC:[ NOTE~ ~ =' ~AKE SUBDIVISION MAP FILED IN THE OFFICE OF THE ~LERK OF SUFFOLK COUNTY ON OCT, 16~19~1 AS FILE NO. 7019 SURVEY FOR WILFRED RULAND ~ LOUISE RULAND LOT NO. 15 "HONEYSUCKLE HILLS" AT MATTITUCK DATE: TOWN OF SOUTHOLD SCALE: SUFFOLK COUNTY, NEW YORK NO. II · YOUNG e, YOUNG ALDEN W. YOUNG,~PROFESSIONAL ENGINEER ANO LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR N.Y.S. LICENSE N0,4589.~ GUARANTEED TO= WILFRED RULA AMERICAN dULY 15,1986 I' = 50' 86 ' 675 .OUISE RULAND 400 OSTRANOER AVENUE: RIVERHEAD, NEW YORK ~ ~ ELLING ONLY THE ~EWAGE DISPOSAL AND WATER SUPPLY FACILITIES FOR THIS LOCATION HAVe'BEEN tNSPECTEO ~Y THiS DEPARTMENT AND FOUND TO BE SAtiSFACtORY ...... C ief of .............. water Management Sectt~- ................ HEALTH DEPARTMENT-DATA FOR /tPP~'OV~L TO CONSTRUCT NOTE: ~: STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON OCT. 16,1981 AS FILE NO. 7019 BRANOIS & SONS INC, 3046 SURVEY FOR WILFRED RULAND 8~ LOUISE RULAND LOT NO. 15 "HONEYSUCKLE HILLS" MAY 13 1987 · NOV, 4, 986 AT MATTITUCK DATE: dULY 15~1986 TOV/N OF SOUTHOLD SCALE: I" = 50' SUFFOLK COUNTY, NEW YORK NO. 86-675 #UNt, UTHOR1ZIED ALTERATION OR AODITION TO TNI$ SURVEY El A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EIDUCATION LAW YOUNG s YOUNG ALDEN W. YOUNG~ PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.$. LJCENSE NO. HOWARD W. YOUNG~ LAND SURVEYOR N.Y,S. LICENSE N0.45893 GUARANTEED TO: WILFRED RULAND ~, LOUISE RULAND CO. ~ OSTRANDER AVENUE RIVERHEAD, NEW YORK ' ' t PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY sYSTEM CANNOT EXCEED 2/10 of I% LEAD. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY NOTIFY BUILDING DEPARTMENT AT 7B5-1802 g AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: FOR POLI~O 2 ROUGH FRAMING & FLOMBING