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Home My WebLink About15559-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16532 Date December 22, 1987 THIS CERTIFIES that the building ..... 0A~. f .ami 1. y..clw, e..1.1.i.n, g: ................... Location of Property . 6850 Aldrich Lane & Sound Ave. Mattituck House No. Street Hamlet County Tax Map No. 1000 Section ...].2.0. ...... Block . .0..3 ........... Lot 08 Subdivision ............................... Flied Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Nov. 20, 1986 pursuant to which Building Permit No. 1555.9Z dated . . p.e. c. :..9. ,. i J .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 family dwelling with attached 2 car garage. ' The certificate is issued to THOMAS & CATHERINE DICKERSON ..................... Xx'× ................. o£ the aforesaid building. Suffolk County Department of Health Approval ....... 8..6 T.8.q ~ .2.1 .9.. ! .2/.0.9./..8 .7 .............. UNDERWRITERS CERTIFICATE NO ............... I,J .8.6.5.3. 9..0 .... !.2/.2.4.8.7 ............... PLUMBERS CERTIFICATION DATED: MATT. PLUMBING 12/22/87 Building Inspector Rev. 1/81 FORI~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15559, Z Permission is hereby gronted to: .................................. ..... County Tax Map No. 1000 Sectio[~ ............. pursuant to application dated .../~....~..~-....~.. ............ , 10.~...(~, 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- 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 topograph{c features. 2.Final approval of Healtb Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval o1: 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 sbowing all property lines, streets, buildings and unusual natural or topograph ic featu res. 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: Additions $25.00 POOLS $25.00 1. Certificateof_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 occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... Newg~nst~uction xx Oldo P isti Buildi V tLa d ...... r re-ex ng ng ............ acan n ............. Location of Property {~.850. ,~.~d,~,.~,c,h Lane & Souqd, A,v,e: .M.att.. House No. Street Ham/et O 0 of P ty THOMAS & CATHERINE DICKERSON wneror wners roper ..... County Tax Map No. 1000 Section ..... 1.2..0 ....... Block .. ,q.3 .......... Lot., ..0.8 ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ................................. . Health Dept Approval ' Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ' Final Certificate Fee Submitted $ ............................. Construction on above described building and p~meets all app~able'~e~!n~r;g,,ulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS 10(~06~ BUREAU OF ELECTRICITY ~- ]~h 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the electrical equipment ~ ~scrib~ below a~ intr~c~ by the applicant ~med on the a~ve application number in the prem~$ of Allen ~tcker~ Aldrich La., ~ou~d Ave. ',' Laurel, N .Y. ~sexattiinedon NOV~ 16~ ~ an~foundtobeincompllattcewlththerequirements~fthlsBoard. FIXTURE I SWITCHES OUTLETS 28 DRYERS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OTHER APPARATUS: SMOKE DEI'ECTOR .%-3 E R V I C 2./0 A, WG OF HI-LEG A. WG O~ NEUTRAL 2/0 Glenn Bradley Bo~ 602 Laurel, #1227 GENERAL MANAteE This certificate must notbe altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentJals. COPY FORiBUILDING 'MENT. THIS. COPY OF CERTIF CATE MUST NOT ~BE ALTERED IH AHY IvLa, NNER. TOWN OF $OUTE~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~-5~'~ Owner '~o pn ~o~awSo ~ (please print) Plumber~ u~ _ ~_~o~~:~ ' (please pr~t) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~.~ day of 1997 County Notary Public iUNDATION/( ~ s t ) OUNDATION (2nd) OUGH FRAME & PLUMBING ~NSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~. ~ ~//~/ 76S-1802 BUILDING DEPT. ~ ~INspEcTION []FOUNDATION 1ST [ ] ROUGH PLBG. []FOUNDATION 2ND [/~NsuLATION []FRAMING [ ] FINAL REMARKS.._ ~ BUILDING DEPT. INSPECTION FOUNDATION 1ST ~ ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL BUILDING DEPT. INSPECTION []FOUNDATION 1ST []ROUGH PLBG. []FOUNDATION :)ND[]INSULATION []FRAMING []FINAL REMARKS: ,~,/~ /F /~'~~ ,DATE ~:: 7GS-1802 BUILDING DEPT. INSPECTION [ F~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING £ ] FINAL REMARKS: ~ SURVEY FOR THOMAS A. D~CKERSON ~ CATHER~N£/Vi, DiC~ER$ON AT MATTITUCK TOWN OF $OUTHOLD SUFFOLK COUNTY~ NEW YORK DATE: ,JUNE $CAL£: I": 60 NO, 86 - ~ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Received ........... ,19... ,isapproved a/c ..................................... 61[¢- 12qq ' 41 gl& 60 . ..................................w (Building Inspector) APPLICATION FOR BUILDING PERMIT Date... JJ04?.~.../. 1 ..... , 19~.i(°. INSTRUCTIONS ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildh~gs on premises, relationship to adjoining premises or public streets ' areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ;tion. c. The work covered by this application may not be commenced before issuance of Bu/lding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant· Such permit ,all 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 .all 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 ailding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the constructiou of buildings, additions or alterations, or for removal or demolition, as herein described. im applicant agrees to comply with all applicable laws, ordinances, building .code, housing code, and regulations, and to lmit authorized inspectors on premises and in building for necessary in~~ b~ra.~t4 . ..Vz~./] 'm'p~x' 'ffj~ (Signature of applicant, or name, if a corporation) .... eq .~. 9~'..~. q~. .............................. (mai. ling address of pp ica t) rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. lame of owuer of premises ~t~o.,-:2¢. ?..q:..~,~. 9..? ~.%t? .~.rqqq~ .,Wt....~.: c~,~c<~zso,v" (as on the tax roll or latest deed) ,· 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 ....................... Othm T~ade s License No ...................... ~5 0 co.~e~..q~...mpp~.,~/. ~¢... ~w.?..~??..,yp....4p.q,. ......... Location of land on which proposed work will be done .......... House Number Street Hamlet County Tax Map No. 1000 Section .. y.g.o ............ Block ... 0.'.~ ............ Lot...0.~. ............. Subdivision .................. : .................. Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ~JAd_At,3F b. Intended use and occupanc' ... ~D.~.. I &¢ .................................... Nature of work (check which applicable): New Building . .~. ...... Addition . Repair .............. Removal ............ Demolition .......... E~ti~nated~" ': .~0 Cost ........... /.6.0._O ......... Alteration ... Other Work ............... (Description) (to bepmd on filing this application) 5..If dwelling, number of dwelling units ............. 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. Dimensions of existing structures, if any: Front ............... Rear ...... ! ....... Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front ........... ~ ..... Rear ... Depth ...................... Height ...................... Number of Stories ...................... .... ' Rea): ..~ .... 8. Dimensions of entire new construction. Front ............ ~,~ ~' .. Height ............... Number of Stories ........... /...:...(..~...~..~.~ .... ........................Depth ............... 9. Size of lot: Front ......... / ............ Rear ...................... Depth ...... t~ .............. 0. Date of Purchase ...... ..~../~.~ ................. Name of Former Owner .~,l.l~.,.. ~.-~t)..~. ........... 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: ............................... 3. Will lot be regraded ..................... Will excess fill be removed fro,m, premises' Yes No 4. Name of Owner of premises. XGerl . A . t, s_ O'Jress ,lrffd e No Name of Architect .. ~A)~.$. .~'~.~O4. ~ ....... Address .~'0¢.r{.~ .(~../.~r~...a'...~.. Phone No. .7..~..~..~b~-.~.~.,.... Ntnne of Contractor Address i Pi~one No 5. Is this property tocated w±th±nlO0 feet of a t±dal wetland? ~,Yes ..... No . .~.. e If yes~ Southold Town Trustees Perra±t may be required. PLOT DIAGRAM i : Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from ,roperty lines. Give street and block number or description according to deed, and show street names and indicate whether aterior or corner lot. TATE OF NEW YORK, OUNTYOF ............ ..... S.S (Name of individual signing contract) ~ove named. e is the ........... . (Contractor, agent, corporate officer, etc.} C said owner or ownem, ~d is duly authorized to perform or have performed the Said work and to m~e and file this ~plication; that all statements contained ~ this application are true to the best of hi's knowledge and belief; and that the ork will be perfomed in the m~ner set forth in the application filed therewith. worn to before me this ~ PUBUC, ~ of ~w ~ ~'~'~~,~ , (Signature of applicant) SOUND ,,,~ 4VENUE TEST ~HOLE TOWN OF'SO~J~..____T~OL_ HEALTH DEPARTMENT-DATA FOI~ APPROVAL TO CON'~TnUC T NOTE= B=MONUMENT ~=STAKE SURVEY FOR THOMAS A. DICKERSON 8~ CATHERINE M. DICKERSON FEB. :5 1987 DEC. 1G,1986 AT MATTITUCK DATE' JUNE 6.,1986 TOWN OF SOUTHOLD SCALE: I"-- 60' SUFFOLK COUNTY, NEW YORK NO. 86-468 GUARANTEED TO: SOUTHOLD SAVINGS BANK YOUNG a YOUNG ALDEN W. YOUNG~P~OFESSIONAL ENGINEER AND LAND SURVEYOR N.~S. UCENSE N0.12845 HOWARD ~YOUNG~ LAND SURVEYOR N.~S. LICENSE N0.45893 EQUITY AB,,~ 400 OSTR~NDER AVENUE RtVERHEAD~ NEW YORK -- ,I',5'~ * $81° , ,, ~ /~- ~o"~. AVENUE P~Y SURLY FOR THOMAS A. DiCKERSON 8 CATHERINE M. DICKERSON 'SUF~LK COUN~ D~ART~ENT OF ~TH AT MATTITUCK DATE: aUNE 6,1986 FOR APPROV~ OF CO~U~ON O~Y ~WN ~ SOUTHOLD SCALE: f': 6O' . _~_ SUFFOLK COUNTY, NEW ~RK NO. 86-~8 DATE .~u~H~ZZO *~.A~ON O. AOOmO. m HE~ DEPAR~MkNT-DATA F~ APPRO~ TO C~STRUCT THE ~R~ VO~ WHOM THE SU~EY IS PREPARED OF HULTH I~lCgl, ~ ~ PURPOSE ANO AgE NOT TO BE USED TO ESTABLISH i ,~.,~ ~ ~,~-.. ~ +~oo ] ~] YOUNG 8YOUNG NOTE~ B= MONUMENT ~= STAKE - ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENS/NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR "~ L~ ~(W),~lC TAHK(ITIi C[~OLI(~)WN ~[m N.~S. LICENSE N0.4589~ ~UR~Y FOR " SUFF~UN~Y'DEP~E~OFHE~S~IC~ THOMAS A. plCKERSON CATHERINE M. DICKERSON ' St~GLE ~A~JL~ DWELLING ONLY FEB. ~ 1987 DEC. I 1986 DATE~F~'~TH.s. EEF. flO. ~ AT MATTITUCK D~TE: UUNE 6,1986 The sewage disposal and water supply faciliti~ for th~ ~N ~ SOUTHOLD SCALE: I"= 60' ~ location have been inspected bythis Departmentand/or SUFFOLK COUNTY NEW YORK NO. 86- 468 other a~r~es~nd fe~d,to ~ ~tisf~tor~. HEAL~ DEP'ARTMENT-OAT~ F~ APP~O~L ~0 C~STRUCT ~ ~ ~o~ ~o~ ~ su~ ~s .... RIVER~AO~ NEW YORK NOTE~ B=MONUMENT ~=9TAKE ~ ~ ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LANO SURVEYOR N.Y.S. UCENSE NO. 12845 M ~ L~T~ ~ ~L(W),~IC TANK(IT)~ CEs~ogs(~) ~N ~E~ ~ HOWARD W. YOUNG~ LAND SURVEYOR N.Y.~, LICENSE NO,A58g~ G .? L ~ ..................... J ..........~ _ ....... Y .0~. \1 /o//o w, vtz ,,~,¢_.~ 2~ LB" /5 L