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Home My WebLink About15242-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z17485 Date November 4, 1988 THIS CERTIFIES that the building 31~NOy.AT I O.N ..................... 565 OLD MAIN ROAD MATTITUCK Location of Property House NO ............. Str'e~t ............ Ham/e~ County Tax Map No. 1000 Section 1 .2 2. Block 0 7 ...... Lot .0 2 ..... Subdivision ......... Filed Map No . . . Lot No .... conforms substantially to the Application for Budding Permit heretofore filed in this office dated .A.UG, U.S.T. 2 t,: 1,9.8.6 pursuant to Much Building Penmt No..1.5. .262.Z ......... dated SEPTE. MB .ER~ 8.: .1.986 .... was issued, and conforms to all of the requirements of the apphcabIe provisions of the law The occupancy for Muck this certificate is ~ssued is ....... .RENOVATE..E..XIS.TI..NG ,QNE FA.M. IL7 .D. WE.LL!NG.. .......... The certlhcate is issued to STANLEY J. JR. 6, JANICE FLISS ....... [own'or, ?,~a~v~x~it~&,~k ........... of the aforesaid bmldmg Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO PLUMBERS CERTIFICATION DATED: ~IA .............. .. RQ~}S.%}.~.P%: 16:..ly.~ ..... MATTITUCK PLUMBING 8/12/88 ' Buddm~ Inspecto}' ....... Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERJ,~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15242 Z Dote ....................................... 19... Permission ~s hereby granted to: at ,,,,,,,is,s ,o~a,ed a, .~.~.....~d.....~....~ .................... ~.~. .......................... County Tax Map No 1000 Section . .! .~...2~.. Bilk ....... .(~...~. ..... Lot No ..... ~ .......... pursuant to application doted ~~.~ ~)~ .... 19~., and approved by the Bumldlng Inspector. Building Inspector Rev 6/30,/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ~nk, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use' I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographm features, 2, Final approval of Health Dept. of water supply and sewerage dlsposal-(S-9 form or equal). 3. Approval of electrma[ installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and instatla- 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 prewous owner as to use, occupancy and condition of buildings. 3, Date of any housing code or safety ~nspectlon of buildings or premises, or other pertinent informa- t~on required to prepare a certtfmate. C. Fees: 1. Certificate of occupancy $5.00 2 Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date .Au~=~.12.,..198~ ......... New Budding ......... Old or Pre-existing Building . .X .... Vacant Land ............. Location of Property .. House No. Street Hamlet Owner or Owners of Property S ~; ~p~.~y.. J.,..8;. $~a~.~,c~ ¢. ~ ], ~ ~ ~..J~;, ...................... County Tax Map No. 1000 Section ....12.2 ...... Block . .0.7, ........... Lot., .2. ............ Subdivision ................ Filed Map No ........ Lot No .......... Permit No, ~,.~:~.4.2..:~.. Date of Permit .9./.~,/.8.6...Applicant .J~pic,¢. ?~-.~,~ ................. Health Dept. Approval ..................... Labor Dept. Approval ........................ Underwriters Approval ................... Planmng Board Approval ...................... Request for Tempora~ryd.Certlficate ............. Final Certificate ....................... Fee Submitted $. .-~-5~...0.Q ............ Construction on above described building and p~sFnlt meets~all apphcable cod~es and regulations. Applicant TOWN OF SOIJTHOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No./~D~.~ Owner ~ ~ (pleas~ print) P 1 umber..~. ~¢o & '' (please print) I cer%ify that the solder used zn the water supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary Public, ~ .~. {~ County Notary, Public FIELD INSPECTION DATE COMMENTS 1. FOUNDATION (1st) FOUNDATION (2nd) · / FINAL ~1,~/~ :~~ ~ ~,~ .... BLDG DF~'T TOWN CF SCq~,NOF_D Mattituck, N.Y. tanley J. Fliss Jr. .65 Old Main Rd. 1195 March 17, 1988 Town of Southold Building Department Main Rd. Southold, N.Y. 11971 Building Permit #15242 Z Mr. Lenard; We would like to request an extension of our building permit #15242Z for the renovation of our house. The permit was issued on Sept. 8, 1986 and our eighteen months are up and the house zs almost complete, but will require another one to three months to finish. Thank_you ~ iss 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INS.~,IJ.ATION FRAMING [/,/]"FINAL REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 2ND ~"'] INSULATION FRAMING REMARKS: FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [. ~ PLBG. FOUNDATION ZND ~:J*~INSULATION INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000663 BUREAU OF= ELECTRICITY BS JOHN STREET. NEW YORK, NEW YORK{OO3E ~t~ ~pplic~ion No. on fil~ THIS CE~IFIES THAT Sq'ANI,~]Y FI, I~SS, 04 ~.[N RO~I)~ NAT'{']TI)C~ N.Y~ FIX~UI~ FIXTUI~ES RANGES OVENS EXHAUST FANS 18 33 25 18 SERVICE mSCONflECT S E R NO, OF CC. COt, lO. Of CC, COND. ~I'~OK.F, DI~,TI~,CT )R. C NO, O~ HI-LEG , ,i',NN R. P.O. BOX h]C~NS~ NO, ]XX'/ This ce~ific~ m~l not ~ oltor~ in any monner~ r~urn ~ fhe oHic. of t~ ~ard if incorre~. Insp~ors may ~ idenfifi.d by fhelr credenfiols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. PROPERTY OF: STANLEY & JANICE FLISS JR, 565 OLD MAIN RD. MATTITUCK N.Y. 11952 ~nA~,I ST,~TE R a,~ D 191.~1 If copper tubing is ~ 20 5~. F~, for water distributing system; l~Iping ~hall be APPROVED AS NOTED FEE 71. -- BY' ~, c L NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: FOUNDATION 'tWO REOUtRED FOR POURED CONCRETE 2 ROUGH FRAMING & PLUMBING 3. INSULATION 4 FINAL CONSTRUCTION NIUST I~ COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET l THE REQUIREMENTS O!: THE N.Y ' ~I'ATE CONSTRUCTION & ENERGY CODE~. NOT R~SPOfl~I~LE FOR r~t~IGN OR CG=~ISTRUCTION ERRORS _L C/O. / \ cio. I I pl..UMBER CERTIFICATION ON LEAD CONTENT EEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2710 of I% lEAD. I o ope~ porch OR~ iS UNLAWFUL Will-lOUT CERTIFI~TE OF OCCUP~CY ¢/0. clx. 1 / Approved ~j~ 9 Disapproved a/c FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.. 765-1~o2 ,19iq , 199 (* Pemut No / 4g',~l'~ o~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Eece~ved ........... ,19.. Date Aug... 20 ........ ,198~ INSTRUCTIONS a. This apphcatlon must be completely filled m by typewriter or in ink and submitted to the Bufldmg Inspector, with 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 adlmnmg premises or public stre. or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this apl catmn. c. The work covered by ttus application may not be commenced before issuance of Building Permit d Upon approval of this application, the Building Inspector wril issued a Building Permit to the applicant Such peru shall be kept on the premises avariable for inspection throughout the work. e. No buridmg shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmldlng Permit pursuant to t Building Zone Ordmance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buridmgs, additions or alterations, or for removal or demolition, as herein descnb, The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and admit authorized mspectors on premises and m bmldmg for necessary inspections (Sl~cant, or name, ~f a corporation) 565 OJ_d. M~in. Rd... M~ti~uck .Lq,Z,. (Marimg address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electnclan, plumber or burid. ..Owner & Bui.lder .. Nmneofownerofpremlses Stanley $. & JaBice Fliss Jr. . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer 2 (Name and title of corporate officer) Builder's License No 75 Plumber's License No 23.66T Electrician's License No 1,;~].E.. Other Trade's License No Location of land on which proposed work will be done · 565 Old. Bain 13d. . . House Number Street County Tax Map No 1000 Section J-2.Z .. Subdivmon " (Na~e) '' Hamlet Block 07 .. . Lot. Fried Map No Lot State ex~shng use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy I~Iotno.. ............ b. Intended use and occupancy 2~eoova~ ~.oln..of. mx~.s t J-~;.~O~'~, .~....,.- 3. Nature of work (check which applicable)' New Bu,ldmg ' Addition . .X. ...... Alterat,on . .X. ..... Repaxr ...... Removal ......... Demolition ......... Other Work ..... (Description) 4 Estimated Cost $1.5.,.0.0Q ................... Fee ............................. ~' (to be pad on filing this apphcat,on) 5. If dwelhng, number of dwelhng units ,0U~ ......... Number of dwelling units 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. Dnuensmnsclfexhstlngstructures, ifany Front 36~ ....... Rear .35.~ ...... Depth ..34: ......... Height .1.9.. 6. ..... NumberofStones . 1.4 Dlraenslons of same structure with alterations or additions Front . · 4 ' . Number of Stones . Depth ,3... Height 1.9! 6:' ................. 8. Dimensions of entire new construction Front ........... Rear . ~4........' .... . Depth . .~ ....... ~h, . Number of Stones ...................... 9 Slzeoflot Front '200t .......... Rear .J-91.~ Depth 268~ 10 Date of Purchase Nay 15~ .19.8.5 .......... Name of Former Owner ~l~ry ~la~l:O.c.~ .......... I 1 Zone or use &strict in which premises are situated B J, .............. ' ...................... 12 Does proposed construction violate any zomng law, ordinance or regulat:on No 13 Will lot be regraded . . .N9 .............. Will excess ~l be removed from premises Yes X N 14. Name of Owner of premises Stanley Fliss. ~.r. Address 5.~5. Ol.cI Main Rd. Phone No 298-.87.90 .... Name of Architect Phone No. Name of Contractor S. ta~'ley J.' FlYs~'J}'.' ·Address ............... ................... Address Sam~ Phone No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. mdicate all set-back danenslons rrm property hnes Give street and block number or descnphon according to deed, and show street names and indicate wheth. intenor or comer lot. STATE OF NEW YORK, S S COUNTY OF .... (Name of lndlwdual signing contract) above named being duly sworn, deposes and says that he is the apphcar He is the ............................................. (Contractor, agent, corporate officer, etc ) of smd owner or owners, and is duly authorized to perform or have performed the smd work and to make and file th apphcation, that all statements contmned m this application are true to the best of his knowledge and belief, and that th work w,ll be performed in the manner set forth m the application filed therewith. Sworn to before me th~s ..... df . .. day of .. ).~-~-../]' ...... ,19t~..~ ~ ~ ~,~7 (S,gnature of applican