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Home My WebLink About15281-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlng Inspector Town Hall Southold, N Y. CERTIFICATE OF OCCUPANCY No Z-15207 Date J~d~UARY 15r 1987 THIS CERTIFIES that the building. Location of Property 550 SUNSET AVENUE House No. County Tax Map No. 1000 Section 115 NEW DW~.LnING MATTITUCKr N.Y. Street Hamlet Block 03 Lot 04 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 2~ 1986 pursuant to which Building Permit No. I527I-Z dated 8EPTF24BER 19~ 1986 was issued, and conforms to all of the requirements of the applicable provisions of the law. %"he occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED GARAGE The certificate ~s ~ssued to RUSSELL & JUNE NINE~ MICHAEL & LINDA HAND (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N788152 PLUMBERS CERTIFICATION DATED 86-SO-151 DECEMBER 29~ 1986 Rev. 1/81 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) N°. 15281 Z Permms~on ~s hereby granted to ............. i~"~;"'i ii ~:~ ~" ,o. at ........................................................ premises located at ...~..~...~.......~ ...... ~eiiiiiii'~i~i'iiiiiill County Tax Mop No 1000 Section . IJ-~' Block ...... ..C~.....'~... ...... Lot No ...... ..0.~. pursuant to application dated ~.~p~'~,,~i.~ ~ ...... 19~.~,, and opprov~ by the Bu,ldlng Inspector· Rev 6/30J80 FORM NO 6 TOWN OF SOUTHOLD JAN 8 ~6l Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be fdied in typewriter OR ~nk, and submitted in duplicate to the Building Inspec- tor w~th the following; for new buddings or new use 1. Final survey of property w~th accurate location of all buddings, property hnes, streets, and unusual natural or topographm features 2. Fma~ approval of Health Dept of water supply and sewerage dlsposal-(S-9 form or equa$). 3 Approval of electrmal installation from Board of Fire Underwriters. 4. Commercta[ buildings, Industrial buddings, Multlple Residences and s~milar buildings and installa- tions, a certificate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where applicable. For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses' 1. Accurate survey of peoperty showing all property hnes, streets, buddings and unusual natural or topograph ~c features. 2. Sworn statement of owner or previous owner as to use, occupancy and condmon of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent ~nforma- t~on required to prepare a certificate. C Fees' 1, Certificate of occupancy $5 00 2, Certificate of occupancy on pre-existing dwelhng ~r 3. Copy of certificate of occupancy $ / land use $ IS-/$5 00 Date . .T&nu_ary ? ~ 1987 New BuddmgX~. ..... Old or Pre-existing Bu~ld~ng(~.) ..... = iVacant Land ........... Location of Property ~.(10 .~ns9.1% .~v. enue. ~. ~.a.t.t:..i.t.u.c.k. ~..N.t..Y ;..1.1..9~.2. ...... = .......... House No Street Hamlet Owner or Owners of Property .~g.s.sel.1 & ,Tu.~.e..~.'_.~.e, .~i.c.~.a,..e.~..&...[,.J.~a...H.a;.~ ......... County Tax Map No 1000 Section 1].5 Block O:~ Lot..0.4. Subd~wsion ....................... F~led Map No ........ Lot No ......... 15281Z Perm,t No .......... Date-of Permitg/..1.9/.8..6...Apphcant .I~.. ,L~..O..H..(~..~.S.,..I.N..C., ............. Health Dept. Approval 1/5/87 .Labor Dept. Approval .... ,. Underwriters Approval ........................ Planning Board Approval .................. ~ ,~ Request for Temporary Certificate...~.o. .......... Final Certificate .. ¥.e.s. .......... Fee Submitted $ .5; .O.O. .................. described bu dd~ng~m"~per-mzt~ meets all app~cable~%des and regulations. Robert ~. Hiltz - INLAND~MES~ INC. Rev 10-1078 P.O. Box 896 Mattltuck,N.Y. January 14, 1987 $outhold Town Building Dept. Main Road Southold,N.Y. 11971 Dear Mr. Lessard, As per our telephone conversation regarding the premises at 360 Sunset Avenue, Mattltuck pertaining to the ~ssuance of the Certificate of Occupancy, we do hereby agree to the following terms: 1. We shall erect & ~nstall a temporary walk and steps according to the bulldlng code and as per your requirements. 2. In place of the aforementioned walks and steps, we shall erect and complete a wood deck by May 15,1987. Weather conditions permitting, completion of this deck may be at an earlier date. We appreciate your prompt attention to th~s matter and look forward to receiving our Certificate of Occupancy. Sincerely, M~chael J. Hand L~nda R. Hand MARIE FRISZOLOWSKI Notary Pubhc, State o1~ New York No. _L£~ 557 Qu~i,f:e~t m S~folk Co~ty FIELD INSI~ECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE COMMENTS FINAL ADDITIONAL COMMENTS: TOWN OF SOUTffOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date December 29~ 1986 Building Permit NO. 15281 Owner Russell & June Nine (please print) Plumber Frank Fazienza d/b/a Bay (please print) Plumbing & Heating I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. / v '(plu~r 's~gnature) Sworn to befor~ me this ? day of ~£~ , 19 Notary Public, ~%¢o/1~ County N~tary Public PEGGf J. Will Fl, Ncr*fy Pc~ t~', b+qt? of N~w Yoek 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. INSULATION [ ] FINAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL INSPECTOR 765-1~02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING £[ ] FINAL REMARKS: ~_~ f ~ DATE INSPECTOR 765-1802 BUILDING DEPT, INSPECTION []FOUNDATION 1ST []ROUGH PLBG. []FOUNDATION ZND []INSULATION []FRAMING []FINAL REMARKS: 765-X802 BUILDING DEPT. INSPECTION I' 'I FOUNDATION Z. ST [ ] ROUGH [ ] FOUNDATION 2ND [ '1 INSULATION~ [ ] FRAMING I./_[ ] FINAL DATE ~/~/~ INSPECTOR ~.~___.~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 0~7/[ 85 JOHN E~TREET, NEW YORK, NEW YORK 10038 ".'~ :~nu~ 13,L.m '~"""~"'"'"~" ~"~"~ ~S~/8~ N 788152 THIS CERTIFIE~ THAT ~icheel Hand, w/s Sur~set Lane, W:Heratoo~ Ave., Mattituck, N.Y. ~s examined on ~r~ 5 ~ ~ 9 ~ 7 and found to be m co.lphance u ~th the re~t~rement ~ of th~. Board HXTURE [ [ FIXTURES RANGES__ OVENS DISH WASHERS EXHAUST FANS Motors - T- lI!. P. G.F.C.I.-1 Smoke Detector-1 I c Eeco Elec. Col~0.(Cliff Cornell) 325 lqi]_]ow Point Poad Southold, N.Y., 11971 lic.~2816E GEf~d~L MANAGER Per 11 -- This cerhficate must not be altered In any manner, return lo the office of the Board d incorrect Inspectors may be ~denhhed by their credentials COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY/vL~NNER MAIN ROAD N YS RTE 2.5 ] ~1ol F W fRSING [ dwefhng ) TEST HOLE 50CO ( dwelling ) N/O/F LAND OF NINE 30 a N 88°$?'40"W 90' 29 5 TEST HOLE 2 07 28 ' N/O/F SHEILA A WIRStNG ( dwelling ) Prepared in accordance with the m~ standards for htle surveys as estabhshe by the L I.A L $ and approved and adapted for such use by The New York State Land T~tle Association. .urn AREA = 26,225 SO FT ) ~ N Y S LIC NO SURVEY FOR RUSSELL B JUNE NINE AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. fO00 115 03 - 04 SCALE I' = 40' JULY 18 ,1986 SEPT. 25, I986 CERTIFIED TO RUSSELL NINE JUNE NINE 496 18 PECONIC SURVEYORS (516) 765 - 5020 P O. BOX 909 MAIN ROAD SOUTHOLD , N Y 11971 ENGINEERS , P.C ELEVATIONS ARE TO AN ASSUMED REFERENC ED DATUM 29 81 86 - 374 N/O/ F SHEL~A A W IR$1NG ( dweHrng ) TEST HOLE et 3O0O ~'o,~,','~ 1,2' P~./~ MAIN ROAD ( N Y.S RTE 2.5)) N/O/F' LAND OF NiNE 191 90' ( dwelling ) SUFFOLK COUNTY DEPARTMENT )F HEALTH 17' JUL 23 ~986 TOWN OF $OUTHOLD SUFFOLK COUNTY, N.Y. S C DF?T OF HEALTH ~RV/C£S lO00 - ~5 03 04 SCALE I' = 40' JULY 18 ,1986 The wu{er lupp¥ & ~,woge dlspo~l ~ndards of the SuffoLk County Depa~- menl of Health Semites. CERTIFIED TO J ~ ~x~117 + M~c~ N., 11962 ~ LIC.NO the L I. A. L,% and approved and adopted for such use by ~ ~ ¥o~ ~ Land PECONIC SURVEYORS ~ ENGINEERS , P.C {516) 765 - 5020 P O. BOX 909 MAIN ROAD ELEVATIONS ARE SOUTHOLD , N Y 11971 TO AN ASSUMED REFERENC ED DATUM 8(; - 374 T,~ST MbLE ,.~- ,-- ~,00~ ' -' ~'~'c ARE~=26,225SQFT ~ ~, :~* :,- SURVEY FOR ~o~.: ~ ,, ',, ,~, RUSSELL ~ dUNE NINE ,.~t~ · AT MATTITUCK ~ ~. ~'1';:~ ',4,: TOWN OF SOUTHOLD ~,e ~',' " SUFFOLK COUNTY, i~'d ~ ::,. ~ N.Y. ~ ',,, ~*, SCALE I" = 40' ~ ~' , JULY 18 , 1986 ' ~ = ,; SEPY ~5, 1986 ~V~U~%. ,"~tandaras ~or tide surv y //~%~ the L I t~ L S. and approved and ad-, teJ C ~ ~ T I FInD TO ~or such use by The New York State , ~_~j~ SOUTHOLD SAVINGS SANK ~~~ N Y S LIC NO ~96~ RUSSELL NINE '/ ~~~. JUNE NINE PECONIC SURVEYORS ~ ENGINEERS , P 5~6) ~6 5 - 5020 P 0 BOX 909 ~AIN ROAD ELEVATIONS ARE REFERENCED SOUTHOLD , N ~ H97~ TO AN ASSUNED DATUN 86 - 374 19 Examined Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y. 11971 TEL 765-1802 , 192~' Permit No/~'-~l ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT DateAugu.st . .2.9.., 1986. INSTRUCTIONS a. Th~s application must be completely filled in by typewriter or in ink and submitted ~n tnphcate to the Bufldm · 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 stree, or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl cation c The work covered by this application may not be commenced before ~ssuance of Building Permit d Upon approval of this application, the Building Inspector will issue a Building Pemut to the applicant Such perm shall be kept on the premises available for inspection throughout the work 'e No building shall be occupied or used m whole or in part for any purpose whatever until a Certificate of Occupanc 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 tb Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances · Regulations, for the construction of bmldmgs, additions or alterations, or for removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordinances, bmldmg code, housing code, and regulations, and t admit authorized inspectors on premises and in buildings for necessary inspections. INLAND HOMES, INC. (Signature of applicant, or name, if a corporation) Box tl7,..Mat.t.l.tu, ck, N. Y. 11952 (Malhng address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Genera~ ~ontr~c~gr .... Nameofownerofpremlses Russell Nine ~, ,June IN:the .. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer Robert E. Hiltz - President (Name and title of corporate officer) ' ' ' Builder's hcense No Plumber's License No 517-P .... Electnc,an's License No 2816 Other Trade's License No c~ ~, 0 Location of land on which proposed work will be done ~ Sunset .Ave.. ~lffi~, blattituck, N. Y. House Number Street Hamlet County Tax Map No 1000 Section ] ] 5 Block Q3 .... Lot. ...04 .. Subdivision ..... Filed Map No ..... Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction a Exmtlng use and occupancy ~...~..c~ .,g_~ .. b. Intended use and occupancy ] Family Dwellin9 ."m ~ z - -~'4 4 5. If dwelling, number of dwelhng umts If garage, number of cars .... Nature of work (check wl~ch applicable) New Building XX. ...... Addition Repazr .... ~ Removal ...... Demolmon .. EstnnatedCost. ~.. ~.0t 00. 0 ·.. Alteration ... ..... Other Work ....... (Description) (to be paid on ~mg thru application) .... Number of dwelling units on each floor ....... 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use 7. Danensions of exmtmg structures, ffany Front . Height Number of Stones ..... Dnnenmons of same structure with alterations or additions Front Depth Height 8 Dimensions of entire new constructmn Front. q ~ Height .. Number of Stones ............................... 9. Size of lot Front 13) .. Rear I~ :~ ........ Depth . ]c~/. .... 10. Date of Purchase ~ ...... Name of Former Owner .... I 1 Zone or use dmtnct m winch premises are situated ................ 12 Does proposed construction violate any zoning law, ordinance or regulation' q~. ....... 13 Will lot be regraded ....... _ Will excess f'dl be removed from premises Yes 14 Name ofOwnerofpremlsesRussell & June Nxr/~ldress Name of Architect . Name of Contractor I'NLAN.D .H.O?~.E.S.~" ' IN~} Rear .... Depth ......... Rear ........... Number of Stones .............. Rear . q ° .... Depth No Surl~t. Lane ,P'Ig~:l~hone No 298 r-B.480 . Address Phone No Address ~9x. .ll7~M.a. tt. ,NYPhone No 298-9696 PLOT DIAGRAM Locate clearly and distinctly all bmldmgs, whether existing or proposed, and, indicate all set-back dnnenmons from property hnes. Give street and block number or descnphon accordmg to deed, and show street names and indicate whether intenor or corner lot. ! 9/ STATE OF NEW YORK, S S COUNTY OF SUFFOLK ,. ROBERT E. HILTZ ........ bemg duly sworn, d~po~ses~mdsaysthathemtheapphcan~ (Name of ln&v~dual mgmng contract) ' above named ~ He is the Contractor ' ~' (Contractor, agent, corporate officer, e,~c.) of smd owner or owners, and ~s duly authorized to perform or have performed the said work and to make and file tlu~ apphcatlon; that all statements contmned m this apphcataon are true to the best of his knowledge and belief, and that th~ work will be performed m the manner set forth m the apphcatmn filed therewith. Sworn to before me thru Notary Pubhc, c~... dayof ...~ ....... 19f.~. . ~_!'11~1~81~ Robert E. H5 1~ (Signature ofapphcant -~E ,~ ?... E La- VAT I Oh4 %- CoCAL~' [,/e.'= I~O'' ~ FP.,, ONi'>' APPROVED AS NOTFJb FEE: ~' ~ BY' V- NOTIFY BUILDING OEPARTMENT AT 785-1~2 9 AM TO ~ P~ FOR THE FOLLOWING INSPECTIOI~: FOUNDATION ~lO a~Q~IRED FOR POURED CONC~ ~ 2 ROUGH FRA~IN(~ ~ ~MSING 3. iNSULATION 4. FINAL CONSTRUL~ION MLJST ~ COMPLETE EOR ALL CONSYRUCTION SHALL ~IEET THE REQUIP~MENTS OF THE ~A~ CONSTRUCTION & ~NERGY COD~, NOT ~NSI~E FOR m~IGN OR CCNS~UCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY If eel~et tubMg b uMd for v~tlr dir, rlbuting ~ Idlflng ~all ~ Mtyl~e K er L only PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIfiCATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/tOol I% LEAO. .I / Phone 477~)400