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HomeMy WebLinkAbout14851-zFORM NO. 4. TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15299 Date February 24, 1987 THIS CERTIFIES that the building .... 0¢~..f.a.m.i .ly..d.w.e.1.1 .t.ng: ........................ Location of Property ,... !8.5.5...Id..E.D.A.Y.. 6V. E.~.U.E ........... .I~..T.T.I.T.U.C.K...' ................... t~ou$o No. Street Hamlet County Tax Map No. 1000 Section . 113 .Block 9 ..... Lot p./o 8 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... M~rch. 27',. J9~6 .... ' . pursuant to which Building Permit No. 1485 IZ dated .. kg.ay..7 ,..1.9.8.6 ................ 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. f~m~[¥. ~lw~/-;[~-~g..t.n.c.~.u.d.ipg..d.e.cK. ......................................... The certificate is issued to WILLI/~vl AND DIANA WALTERS (owner, ~t~JX of the aforesaid building. Suffolk County Department of Health Approval 85-80-50 UNDERWRITERS CERTIFICATE NO N786505 PLUMBERS CERTIFICATION DATED: Feb. 12, 1987  'l~ii~i;~:in~ lc't;; ............. Rev. 1/81 FORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 1~$~1 Z Permission is hereby granted to: ~:~..,.~.;...~..~ ................... ......--~.~..x.... L~.,[ ................................................... .... ' ~,~.i~.~. ~~.~. ~:~: *t premises located ot ...L?...~.~..~. .......... , ................ County Tax Map No. 1000 Sectio~..../../...~. ......... Block ...... .(~.~ ......... Lot No..J~..;...~. ........... pursuant to application dated .... .~.......~... ..................... , 19.~J..(e..., and approved by the Building Inspector. ~ee ,..~.~l....~.~ ..... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUP Instructions FEB 201981 A. This application must be filled in typewriter OR ink, and submitted .- aaammmm 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,I streets, and unusual natural or topographic featUres. ~ 2,Final approval of Health,Dept. of water supply and sewerage disposal-(S-9 form Or equa ) 3, Approval of electrical insta'llation from~Board of Fire Underwriters. ' 4. Commercial! buildings, I~dustrial buildings, Multiple Residences and similar bdildings and installa- tions, a certificate of C0d~ compliance fr~m the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicabl,e. B. For existing buildings (pri0~ 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 ownbr br 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 ~ certificate. ' Additions $25 O0 C. Fees: · 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 o.oo 5.Updated C.O. $ 50.00 Date NewC°ns gr'uc ti°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property / House No. ~ . --. Street ~ ~ /Yam/et O ner or Ow ers of Property , County Tax Map NO. 1000 Seclion ...l ./..~ ....... Block ..... f ........Lot.. ..~..~.~. -~. ...... ' ! Subdivision ................ ,,~ ................ Filed Map No ..... Lot No .............. 'yo~'/' 7:. Date df Permit Applicant Permit No../ ................................................... Health Dept. Approval ...... ; ................. Labor Dept, Approval ........................ Underwriters Approval.....,,......,.....,...,PlanningBoardApproval ..................... , Request for Temporary ~ertific!te ..................... Final Certificate ....................... Fee Submitted $ ' Construction on above described building and permit meets all applicable codes and regulations, ~lPPlicant .................... Rev, 10-10-78,I THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY' 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~ Date ~ppllcatlon No.o. flie 4~7704/86 T.,S CE"T,F ' XT 1 87 N 786505 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Bill Walters, 14eda. y Ro~, (off Wesphalia), ~4attituck, N.~ in the followlng locatlon; [] Basement [] Ist FI. [] 2nd ~1. Section Block Lot t~s examined on D~c~l~r 15t 1986 and found to be in con~pliance teith the requiretnent s o. f this Board. FIXTURE OUTLETS 57 ~ECEPTACLES 57 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS SWITCHES 40 57 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER AP~RATUS: l~tors~ 1-3/4hp 1-3, 1-5, 1-7 Ton A,Co Units $-P air handle~rs 2 Smoke Detector S E C NO. Oi~ERCC~COND, A.W.O. NO OF HI-LSG ^ w a, NO OF NEUTRAL,. A, W O OF CC CONO OF HI-LEG OF N~UTRAL 2/0 3,. 2/0 R V I BOX 215 Southo].~, N.Yl1971 LiC#578E GENERAL MANAGER 11 Per_ ~ ' ~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDIHG DEPARTMENT. THIS COPY OF CERTIF CATE MUSY~HOT BE ALTERED IH ANY MANHER HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD $OUTHOLD, N.Y. 11971 (516) 765--3690 ~rlc. CERTIFICATION D a t e Februar2L_12~__l_9_87__ Building Permit No._l_~8~ ........ 0wner_wil~i~_N~_l~e~s._~estphald~_J~ad.M~ttituck Plumber Henri J. Smith & Sonz Inc. I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. ~/~ Henry P. Smith Sworn to before me this l~t~__day of 1 9_S2__, Notary Public, Suffolk County ' B[I~NAD£¢TE L. 'rAPHf~ ,NOTARY PUBLIC, State of New York 765-180~) BUILDING DEPT. INSPECTION FOUNDATION ZST ~ ] ROUGH PLBG. ~ FOUNDATION ZND [ ] INSULATION I' ] FRAMING [ ] FINIAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION I*~F~MING [ ] FINAL ~ .~/~ *~.,,~/ . BUILDING DEPT. ~y INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 765-XS~Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL 7GS.'IBOZ BUILDING DEPT. INSPECTION FOUNDATIONIST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING REMARKS: //~ [ ] FINAL DATE ~/~r/~ INSPECTOR FIELD INSFECTi0N 1. FOUNDATION ~~(1 st_~) FOUNDATION (2nd) COMMENTS FRAME & PLUMBING STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved....~/)..C~.~. ...... 19~..~. Permit No. 1 ! .-~'... Disapproved a/c ..................................... - 2~S ~d~'~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 '~ets 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 demolitionzas herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing 9pde, ~id regulations, and to admit authorized inspectors on premises and in building for necessary i~~ /////-/.x-/ /~ ~ ,(, / . . ~f~ig_natu~ of applicant, 6//tiame, ii a corporation,~ .... (Mailing address of applicant) State whether applicant is ovinm;, lessee, ~snt, arc.hjtect, engineer, general contractor, electrician, plumber or builder. ...... ............... , ............. : ........ Name of owner of premises...(~../..~r...~.. ~ .~././~... ~..~ .~..) ..... ,-~.........., ....... If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No. ' Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. · ..... ........... .............. : House Number Street Hamlet County 'fax Map No. 1000 Section ..... ./../.~..~. ........ Block ....... ~ ......... Lot .... ./~,./..~...~. ....... Subdivision...~.~..(O...~f. ?.?~../~. {_~.~.~?..~./..~/~.~.//~. ..... Filed Map No..../..~...C~. ..... Lot..//.~...~. ..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... .~..~..g2,//../%d.~.. ............................................... b. Intended use and occupancy ......... .~?~.~/~ · ......................... 3. Nature of work (check which applicable): New Building ...... Addition ..... Alteration ........... Repair .............. Removal .............. Demolition ........... ... Other Work ............... ~ (Description) 4. Estimated Cost .......... .~..~..~J..~. .................. Fee .......... , ............................ '~ (to be Paid on filing this application) 5. If dwelling, number of dwelling units ....... ' ...... Number of dwelling units on each floor ..... I. ......... If garage, number of cars .../M.I~ ..................................... ~ ........... l ............... 6. If business, commercial or mixed occupancy, specify tnature and extent of each ty~e of use ../~l.~. ............. 7. Dimensions of existing structures, if any: Front.. ~J[.~ ......... Rear ....... i ....... Depth .............. Height ............... Number of Stories ............................ : ........................... Dimensions of same structure with alterations or additions: Front ............ ! .....Rear ................. Depth ...................... Height ........... ., .......... Number off,Stories . .~x.... .............. 8. Dimensions of entire new construction: Front . ..... . .'~. · · · · Rear . .Tr'.~.'., ....... Depth . .............. o'O' Height .... ~. ?.~. ...... Number of Stories .... ..~. ..................... ; ........................... 9. Size of lot: Front ..... ~..0.O,~ .... /.gO~.. Rear ...... /..~. '. .......... Depth .... St'~./ . . 10. Date of Purchase . .'TC~_-~J!J..~?...~/fi.l~. ........... ~ame of Former Owner~-O~r~ ~:~O. ~ ~ ~.~.'(l~i i i. i.' 11. Zone or use district in which premises are situated .... ~".~ ................... ........................... i 12. Does proposed construction violate any zonin~ law, ordinance or reeulation: . .~,).O. ................... ..... 13. Will lot be regraded ....~.~...:...... ~.;....~ .~ ........ Will excess~fill be removed from premises: Yes ~ 14. Name of Owner of pr~mises .[~ih~2~. '.~x&(~al~Address~0, .~.~. t.Y..l^ ~ .~.c~u Phone No..7(~.~. :~.~.-~...~. Name of Architect .(,w~rr.~t"l~,..,~ ....... Address ./~l, Ox~ ~.~.~t~i~one No ~f~.~.' ~'~/~:~, Name of Contractor...~qJt .~..~.'...~... ....... Address ............... ~... Phone No ..... ~ ......... i 15. Is this property located within 300 feet of a tidal wetland? * yes ..... No .h~... · If yes, Southold Town Trustees Permit may be required. ' ~o,~ PLOT DIAGRAM ,~Q ~ c~'[~_~q,e_w,~.'?~ · Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dnnensions fro~n~ property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. : He is the .............................................................. i ........................... (Contractor, agent, corporate officer, etc.) ! 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 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 .............. . ...... day of ............... 19 ~ Notary Public, ... ~.. ~ .............. County (Signature of applicant), T--~1~""1%'~7r~.~. .~..-~ ' ' . ~,0,000 si · 'RE: LOT .3 MINOR SUBDIVISION FOR JOHN M. DIVELLO I~ FRANCES C, DIVEt. I..O NOTE: Z~ =STAKE e=IRON ROD WITH CAP ONLY ...... .- ..~,i~. v ri~&LLING :)uffOLK COtllqTY Di:pARTMP-N1 OF HEALIH ONLY FOR /,¥4;f',ovAL OF CoNST. RUCTION ~,PpROVED~~ HEALTH DEPARTMENT'DATA FOR APPRO~ "O CONSTRUCT WE s TPH4L 14 / SURVEY FOR WILLIAM J. WALTERS, Sr. G DIANA S. WALTER AT M~,TTITIJCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ~o JOHN M, DIVELLO ~ FRANCES C. DIVELLO D~PAR~EN~ OF HEALTH 5~RVI('~ SU~Y FOR WILLtA~ & WALTERS.Sr. ~ DIANA S. WALTERS COU~TY oNLY FEB. ~0~ APf);~c)vAL O~ CONSTRUCTION - AT M~TTITUOK DATE: NOV. 18,1D85 50' SCALE: OAT~~~ ~UFFOLK COUNTY, NEW ~RK NO. ~PPROV~O~~ ~ NEW YORK STATE E~CATION LAW ~E ~R~ ~R.WHOM THE $U~EY IS PREP&RED HEAL~ OEPARTMENT-DATA F~ APPRO~ TO C~STRUC T ~.o ~ Hl~ ~LF ~ THE TITLE C~P~Y, GOV~N- ~ ~F CO. TAX MAP ~9~9 SECTION ~1} ~CK ~ LOT~ g H~E~, AgO TO ~E ASSIeNEES OF rile LENDING H~E~ A~ ~ ~ELLI~ ~ITHIN IOO FEET OF T~S PROPERTY INSTI~UTt~. GUARANTEES ARE ~T T~SFERABLE TO A~ITIONAL INSTITUTI~S OR SUBSEQUENT ~LIC~T, I ~ iOD ~ P~PERTY LINES OR FOR THE ERECTION ~ FENCES . YOUNG YOUNG RIVER~AO, NEW YORK NOTE: LOT NUMBERS SHOWN THUS: LOf Z REFER TO "MAP OF PROPERTY OF WILLIAM B. COOLING "~ FILED IN THE ALDEN W.YOUNG, PROFESSIONAL ENGINEER OFFICE OF THE CLERK OF SUFFOLK COUNTY ON AND ~ND SURVEYOR N.Y.S. UC/NS/N0.12845 MAY 10,1921 AS FILE NO. 745. HOWARD W. YOUNG, LAND SURVEYOR M~ L~T~ ~ ~L(W),~IC TANK($~I CE~S(~) ~N ~[~ N.Y.S. LICENSE N0.45893 ~RANDIS & SONS INC, 1046 S~NG!.£F,~MiLYDWE'LLINGONLY :'- ;:':' ~: DATE fr~.~ t ~ )l~,-J' -- // ~OC~'TION r-~.~,¢E BEg'4 'ePEGTED BY THI E -' ..... - .... S .EPAR[MENT AND // .~ I I I ~'"l , _~. I1'11 ' :, ",~:~ ........... a D~-~: ~ ,I ~ ~, ~-~o,~,~,,~2:. I i ~ 'HI ~N N~ , , . : ~ F~UNDAT ION NOTE S: ~OT~ Bu~'~.~0 4 pM ~ ~ , ,', USE IS UN~WFUL "~~ L ~~ ~~ [ ~ / FLO*.~ I SLABS ~ ' ~ ..... ~ ............. ] ..... ~ i~ ?, COhCRETE I~AB~ tZLC HAVE EXPANSION : ~ .... ] ~ ~ ~ J, I~ ~-'~ ~ I '~ ~: REQUIRED. WI~O~ CERTIFICATE -~ ~ ~'~ * ~: ' , ~-' I , ~ [ ~,~~; i i ' I ~ J 8. DOUBLK ALL FLOOR JOISTS AROUNO OPENINGS & BELO~ ALL · r ........ ~ ,~ ' ~ ~ BEARING AND PARALLEL PARTITIONS. OF OCCUPANCY ~u~Y ~EM ~NOT , , I ~ ,, ~ ,, ~ L~ , . ,, , , i ~CEED 2/10 d f% ~AD. 7-~ ~ I~'-~' ~-~ ~ ~-~ ~l -~ PLUMBER ~E~IFI~ ~ Main Road P.O. Box 1412 Sou )Id N.Y. 11971 4. #V,A~' E'IM,~XPHEHT I~S,T [D~,FGRN TG S~CTZ,~# &l~.13 OF THE ~tz~, STATE ~G'RGY 7. THE [XRE~ACES SHALL BE CONSTRUCTED, IN CORPLIA~E gITH SEC~ZON" 40Z.4 Cd) OF Tfl~ gEV YORK STATE ENE,~GY ~O,PE. GARRETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 516 - 765 - 5455 NOTES 15, ~LL N~D~I,I II~ERS ARE TO,BEAR ON A RZNINUfl Of 2-~'x~'' 16. PROV~JDE~I~2." A~STOIE RESIST~NT GVPSUH OQA~D ON VALES AND. CEILINGS 18, ~ALL Z~SULATZQM ~LL ~ 3~'(R-11) KRAFT FACED 8ATTS ~'~T~ VAPOR 6~"'CR-ZE)KRaFT FACE~ BATTs AT ATTZC AND 6" (R-19)KRAF.T 19. CONTRACTOR ~O PR~VZOE ~J LAYER O'F BUILDING PAPER BET~EN SU~ FI#ZEN ALL ]raDo~s SHALL IE IJ~S~.U~,ATES GLASS, VINYL CLAY klT.~ $C#t£NS ~ A~ ~A~OFAC~A~EA iT A#NE~BEN. O¥IEN SHALL PROVIGE SA~EGU&~O~, P:LkNTERG, I#G~S4 O~t ~GGTECT[VE NEARS TO .C~US~D CA,P C~NTi*CTOi ]i T'i CLI~ ~LL DOff I MI~OU ~ASS & LEAVE ALL FLO~I, ~ PLETION. GARRETT A. STRANG Brchitect Main Road RO. Box 1412 Southold N.Y. 11971 516- 765 - 5455 GARREETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 516- 765 - 5455 GARRIETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 516- 765 - 5455 J+ =b Main Road P.O. Box 1412 Southold N.Y. 11971 516- 765 - 5455