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Home My WebLink About15399-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-16265 Date October 7, 1987 ONE FAMILY DWELLING WITH WOOD DECK THIS CERTIFIES that the building ................................................ 825 Sebastians Cove Road Mattituck, New York Location of Property ~t~tJ ~ ~/'o ........................ [~/e~t' ............................ s . Hamlet 100 3 I I. 10 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 9, 1986 15399 Z ...................... pursuant to which Building Permit No ...................... October 9, 1987 dated ............................. 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 WOOD DECK The certificate is issued to NEAL & CAROL RAFFE of the aforesaid building. Suffolk County Department of Health Approval 86 - S O- 92 UNDERWRITERS CERTIFICATE NO. Iq 826477 PLUMBERS CERTIFICATION DATED: August 14, 1987 ~ Building Inspector Rev. 1/81 ~z~ ~O. Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER. MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 15399 Z Permission is hereby granted to: .... ........... i ........................... ...~~.,.~...~.....LL~,~ ..... County Tax Map No. lO00 Section ..... ./..~ ...... Block ....~.~ ........... Lot No ..... ~.l.:..J.....~. ...... pursuant to oppJicotion doted ..... .~.....~...~....~. .................... , 19~.(4:~., and approved by the Building Inspector. 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 Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tot 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 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 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 ............ NewC°n~t~ucti°n .... Old or Pre-existing Building ............ Vacant Land ......... House No. Street Ham/et Owner or Owners of Property .... .~/..~.~.~....~.. ~.,~...//~ 4~...~..~'..,~...~..~....~- ............... County Tax Map No. 1000 Section . . /~O Block ~-~ Lot. /~.' /..~. Subdivision ................................. Filed Map No ........... Lot No .............. Permit NO¢?.'~;~ ~.¢.'.Z-... Date of Permit ./.~/~/~¢;..Applicant . ./~/. ~)..L,.¥. ~.~/(~4¢, /~,/~.,,~,. ,~.... Health Dept. Approval,. ,~..4..~'~.~..-'. ~, .~2'. ........Labor Dept. Approval ........................ Underwriters Approval . . . .o~..~.~., ~.~, .7 .......... Planning Board Approval ...................... Request for Temporary Certificate ..................... Finat Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. App cant ~..~ ~ . Rev. 10-10-7a 335¥3 ¢0% 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN/SULATION FRAMING [~J~INAL 765-~,802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [~/]~NSULATION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION' [ ] FOUNDATION 1ST [ PLBG. FOUNDATION 2ND [ ] INSULATION BUILDING DEPT, _ SPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL 7GS.'1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: FINAL F1ELD I~SI~ECTION FOUNDATION ~ (~lst) FOUNDATION ( 2nd ) INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: SEABOARD SUPPLY COMPANY 317 NYE AVENUE, IR~tlNGTON, N,J, 07111 Id,J, Telephone N.K Teh~oboae 272-227-0425 ,2~2-227-08P2 December 23, 1986 Mr. Bill Lyons Lumbering Lions Inc 165 W. Montauk Highway Hampton Bays, N.Y. 11946 Dear Mr. Lyons: Our Knickerbocker Roof Cement is compounded with the same formula as our Fomastik Foundation Cement which meets FHA Spec 712-1 for foundation application below grade. Your very truly, SEABOARD SUPPLY COMPANY William Krupkin WK;de THE NEW YORK BOARD OF FIRE, UNDERWRITERS ~(~00~S~ BUREAU OF ELECTRICITY · ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the el~trlcal equipment ~ ~scrlbed below and intr~uced by the appBcant ~med on the a~ve application nu tuber in the prorates of Neak R~ffe~ ~abas~ian's Cove Rd. (a~ end)~ ~/O ~ill Rd~ Mat~ituck~ in the folJowing locatlon; ~ Basement ~ Ist FI. ~ 2nd Fl. Section Bilk Lot .~se~.,.~.edo. JU~,y 29~ !987 FIXTURE t IE FIXTURES OUTLETS E PTACLES SWITCHES NCANDESCENT FLUORESCENT DRYEES FUENACE ~OTOES FUTURE APPLIANCE FEEDERS RANGES OVENS EXHAUST FANS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I C ~TNER APPARATUS: ]--5 Ton A.C~ Unit SMOKE DETECTORS ~-1 TPJ&C~ LIGH~'ING ~ NO. OF CC, COND A.W.G. NO OF HI.LEG A W G. PER ~' OF CC. COND OF HI-LEG E NO OF N~TRALS OF NEUTRAt RFD l, Box A3 R~evem Park ,~,', Riverhead~ N.Y. 11901 Pe This certificate must not be altered in an), manner; return to the office of the Boo~d if incorrect. Inspectors may be identifiea~by their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF 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. Owner ~J~/:~ L.. (please print) Plumber ~D~' (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's ~gnature) Sworn to before me this Notary Public, ~~ County NotaryU~ublic Examined .(~.~. o.gO-~..C[.., 19~.(f,. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 · EL.: 765-1802 Approved . .d~-,.?"....o-~.....~.. 7, 197.~. Permit No./.~..".~. ~..c~ . . Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received .......... ,19... INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink aBd 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 ins~ fdk State whether applicant i _~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~..~.~-..~ .~..~.~.-.. ~. t~l}..C~I~I~.~,,...~..~ .~ .~. ~---,~ .................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of Builder's License No ....... ~'~ ........... Plmnber's License No ......................... Electrician's License No ......~.~..?. ........... Other Trade's License No .................... . . 1. Location of land on which proposed work will be done..~...~...~S..~./..~..~.~.. ~.~..~'~].~.O....O~,~,...... ............... ............ . .ro, r ............ House Number Street Hamlet County Tax Map No. 1000 Section ..../.q .O. ......... Block....~...-- ............ Lot...].lq tO-- .......... Subdivision .~..~.~../..~..~.~...~.~.~,~..~.~ .'. ~.... Filed Map No. ~. ~..O. 7 ...... Lot...~'..O. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. E xistinguseandoccupancy . )~. ~ ................................................. ~7~ b. Intended use and occupancy ........................................... 3. Nature of work (check which applicable): New Building .......... Addition.. ........ Alteration .......... Repair Removal ........ Demolition Other Work ....... I ........ ...............................l'i"' (Desc ripti 4. Estimated Cost [ / Ct 00 O ................ Fee (to be Paid on filing this application) 5. If dwelling, number of dwelling units ..... ! ......... Number of dwelling uni[Is 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: Front Rear ' Depth Height Number of Stories / Dimensions of same structure with'alterations or additions: Front ............ I...;. Rear .................. Depth ...................... Height ........ ~' ~ '3 .......... Number o~tories ............. ~' ........ 8. Dimensions_o~ e~tire na.w construction Front . 6 f..-~.. Rear ~ff/4 . n~*h 1 1. Zone or use district in which premises are situated ......................... i ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: . .~.~ .................. ' ........ 13. Will lot be regraded ......... t ...... ,,> ........... Will excess fill be removed from premises' Yes 14. Name of Owner of remises 6t~..~... ~ ' Name of Architect ........................... Address ............... ! ....Phone No ................ Name of Contractor Address j Phone No 15. Is this property located within 1.00 feet of a tidal wetland? *iYes ..... No .>~-... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. red,cate ail 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 corner lot. STATE OF NEW ~ORK~_ ~ - COUNTY OF...~l~.-~.l~. ~-~ ~ ' '. ............... ~.C~ ................... being duly sworn, depqses and says that he is th~ appl{cant (Name of individual signing contract) above named. He is the .................................. i ......... (Contractor, agent, corporate officer, etc.)I of said owner or owners, and is duly authorized to perform or have performed the shid work and to make and file this application; that all. statements contained in this application are true to the best of hi~ 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 County J w ~ ~ ~ ~ ZO m w ~ z ~ 1 o~,,.~c~.~cup~ OCCUPANCY OR 4. ~i~"' USE IS UNLAWFUL cE"'"'- WITHOUT CERTIFICATE , ~or Lon~ IN 01' cA.N,~AD. I..I.,-,' 5/~. I..~ sO[C%n 1./~u ' A~PhoVEo AS MO~II~/ 13LIILDING DEPARTMENT A L~¥ OF O00UPANCY H DI ':-~T. I .~,~' I/dSOL, --t &tT' FOUNJDATI~NI P'L~ j,4 PLv~N. 2-z,. I'?.. c 7554802 .9 AM TO ~ PM FOR THE T:OLLOWING iNsPECTIONS: cOOES, NOT R~s~NSIEILE FOR ,~r ~ IL:pi ]P,~L. . DbTklL 5TL~D WALL. J'~PI~,AL ~FFI? DI~TAIb F~ ~.~H -Co~FFlT . I% J 't 17L¢I . ¢-~¢&~1 ~ ti k~ H~, C 3LIt" .I W~D DEC-,Y-, MI~,,~k4L5. HEAL gAFFE Ar MATrItu~t4. ~ . N ~LJTH E-LBVATI/kl /, /- / III ~oIZ.TH ELEVATI~M