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Home My WebLink About14986-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 5outhold, N,Y, Certificate Of Occupancy THIS CERTIFIES that the building ..... .d.e.q .k..a.d.d. $ b3.qn. ........................... Location of Property ... 5fi. 5 MaTflower Rd. Mattituck Ho~ No: ....................... 's'de~i ....................... hi~l',i County Tax Map No. 1000 Section ....~.0.7. ..... Block ...... 8. ........ Lot .... .2.2. .......... Subdivision ........... .X. .................. Filed Map No....X ..... Lot No ....... .X. ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... J.u..n.e..5. .......... , 19.8..6pursuant to which Building Permit No. 14986 Z dated June 1 6 19 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 ......... Deck addi t io .n.. The certificate is issued to NEAL RAFFE ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval .................... ~ f.~ ................... UNDERWRITERS CERTIFICATE NO ......................... N / A Rev. 1/81 Btfilding Inspector FOEM NO. 0 TO~N 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) ~T.o 14986 Z Permission is hereb/granted to: ....... /~J~'./..~.L_...~./.~ F.....~...r=~_ ................... ..... ................ ........ ...... to ..... .~.C~.I~.5~..z..-~.L,,..~...-C:.. ....... ~t_..~-~.tC-_._.,.....,,f..~..~.~.. L.'~..O.~..x4......'L'Z..O ............................... ........... ~-'~.t.~..~..~..~..C-~ ....... .~..~v...~....~-~(._~.~.~ ......................................................... ot prem~e~ ~ocoted ot ........ .~..I,...~.. ...... ....~.......~.~.~..~..~v..~.~.~..~ ....... .~(~.-<D ..... ................................................................................. ~...1~... Z~,.E~..L.~..~...C..L<_..;... Z'~.,~ ........... County Tax Mop No. 1000 Section .... .J..(~J....'"~. ..... Block .....~....~. ....... Lot No....~...-~..~ .... pursuant ,o application dated ..~Tu.J~I~ ....... ~ .................. , 19.8..~ and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL, 765-1802 JAN 2 9 1987 Jan. 20, 1987 Neal Raffe P.O. Box 338 Mattituck~ N.Y. 11952 Dear Mr. Raffe: This letter is a follow up of our phone conversat'ion today regarding the amount due for your Building Permit. The Building Permit # is 14986Z and the amount due is $50.00. Thank you for your attention to this. Yours truly, Secretary ~ .SI/73 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southotd, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I ~ to the Building Inspec- .... =*h the following; for new buildings or new use: ..... ;*h ~ccurate location of all buildings, property lines, streets, and unusual NEAI. RAFFE , ,o nrm or equal). CAROL RAFFE UA¥~=LOW~ ROAD ~_ ' 3 6 5 6 ' buildings and installa- ~nsible for the building. ~--MATTJTuCK' N. y. 11952 P~y ~o ~,~ dicable. .~/ .... $ ~ ~ ..... ~ings and "pre*existing" ~ '~ .......... ' .... and unu~al natural or ~ DOLLARs 'w'"'"~=°"°"" other pe~inent informa- ' ~:0 2 ~NOShg~: ~ 0009~ 5~~ 2. Certificate m 3. Copy of certificate of occupancy' 4.Vacant Land C.O. $5.00 $15.00 Da~e .......................... 5. Updated C.O. / Ne~ 8u~d~n~ .... ~.. .... O~d o~ Pre-ex~st~m~ BuHd~m9 ............ Vacan~ Land ............. Locadon of P~opsrty ~ / .............................. r ................... Owner or Owners of ~ropertg ......................................... CounW *ax ~ap ~o. 1000 Section .... l P ~ ...... Block ....... ~ ....... kot ..... ~ ~ ....... Subdivision ................................. Filed Map No ........... Lot No .............. ~)fl~g.~C::~TDateof ~lt¢[(~,~Applicant J~,.~,Q,.! C,~,~,~,. Permit No .... Permit ......................... Health Dept. Approval ........................ Labor Dept. Approval .... : ................... Underwriters Approval ........................ Planning Board Approval ................... Request for Tem pora~_.C~ertificate ..................... Final Certificate.. i,~., ...... i ....... Fee Submitted $ .~....~....~..~..' .~. % .~..~. ........ Construction on above described building and permit meets all app~jcal~e c~des and regulations, 0%1 ............. ...... .......................... Rev, 10-10~78 FIELD ~NSP~CTION IDATE COMMENTS FOUNDATION (lst) FOUNDATION (2nd) ...... ROUGH FRAME & PLUMBING ' INSULATION PER N. Y. STATE ENERGY ,., C?DE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F//OUNDATION 2ND [ ] INSULATION £~ FRAMING [ ~ FINAL REMARKS: "~' ~,~ ~ ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .Jt.)l~.~7--..(.~...., 19 .~. 'fO-'~ ...... ~{~. Permit No..1..~.~ ~. ~'- ~ Approved . .~1...ibt .~ ~/~ ., 19 ..... Disapproved a/c .............. i .......... /~ .......... I/I} ' ' ' (Building Inspector) APPLICATION FOR BUILDING PERMIT Jill 5 1986 BLDG. DEPT. TOWN OF SOUTHOLD Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and 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 cgde, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectio (Signat~i~rof appii-ca~it, u~ name, if a corporation) ..... .. .... m ,,/ · ~''4~'' :: '. .... '~'4 ........ q'..1'~'-~ ....... State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises ...... : .... ~..~...Ct'......~.~ .~.( .~. .......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Build.er'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.. 'I~ .............................. ; .............. .... ............ House Number Street ............ Hamlet County Tax Map No. 1000 Section ..... \ .0..~ ........ Block ...... .~. .... Lot .....~'...~. ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ .~.~.. ~..0.~..~.?....~.~ .............................................. b. Intended use and occupancy ......... .~f.~.~. } .O..~.O..~.~''.· .~...~.. ................................. 3. Nature of work (check which jpplicable): New Building .......... Addition .......... Alteration .......... Repair ... v'... ~ ...... Removal .............. Demolition .............. Other Work ...~).~..e,..~ ..... 4. Estimated Cost ........ .~. ?.: ~...~ ................. Fe .... ~ ............ , (to be paid On filing this application) 5. If dwelling, number of dwellin~ units... ~::: .... Number of dwelling units on ~ac.h fl..oor ..... :: ......... If garage, number of cars . ..i..... ....................................... . ... · .. . 6. If business, commercial or mix,'ed occupancy, specify nature and extent of each type of use ........ - ............. 7. Dimensions of existing strudtu~es, if any: Front ......... ~..~ .... Rear .............. Depth ~-. ............. 'tuber of Stories Height ............... Nu · ...................................................... .Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth .................. 4 · · · Height ...................... Number of Stories ..................... 8. Dimensions of entire new cons'truction: Front ... ~.~2..,~.~. ':... Rear .../~ .z~...~. ..... Depth . ~..D. ~..77. .... Height -~.t¢..~Y~F~../~.~., ~Nu~nber of Stores .. :~-...: .... r..! ........................................ 9. Size of lot: Front ..... /¢.~ !. ........... Rear ..... ~..~..o ............. Denlh ...... ].O..oj~ ............ 10. Date of Purchase ...... / .~.¢.{~ ................. Name of Former Owner .. ~..~.~..~ .~..~..~....~...~?.t;~.~.. 11. Zone or use district in which plremises are situated .... ~. ~'~."/.-C~.7~.. ............................... 12.. Does[proposed construction viblat~e ~n,~ zoning law 6rdinance ~r regulation: ...... x~, F~... ................... '13. Will lot be regraded ....... i · ~... · .~, .,,., ~ ..... Will excBj, s fill. be reroove~l,~rom premises: Ye~ No 14. Name of Owner of premises . ~...~ ...~....~... Address . .~..~..t)~....~....~,... Phone No. ~ ~ .~.~?. G, ..... Name of Architect ....... ~-~. ~ .............. Address ................... Phone No.. ~. 2... ..... Name of Contractor ...... ~t),~. ~ ............. Address ................... Phone ]2~.~...~.. 7~. 15. Is this property locate~ within 1.00 feet of a tidal wetland? * Yes ..... · If yes, Southold Town T~ustees Permit may be required. - i ~ PLOT DIAGRAM ~' - - ]Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and bloc interior or corner lot. number or description according to deed, and show street names and indicate whether STATE OF NEW YORI~,, .,* COUNTY OF ,.. ~......t~-.. :.., S.S .......... i ..................... being duly sworn, deposes and says that he is the applicant (Name of indi¥iduai si~ning contract) above named. He is the · ~ .................... ~ (Contractor, agent, corporate officer, etc.) of said owner or ownem, ~d is dgly authorized to perform or have perfomed the said work and to m~e and file this application; that all statements cogt~ned M this application are true to ~e best of his ~owledge and belief; and tkat the work will be perfo~ed in the m~ner set forth in the application filed therewith. Swom to before me this , ....................... lday 9f... ~.~ ........... 19... No Publi , . ........... County ~.~ ~_ _.:~.,,, ~ . . .~ ...................... ~*-- ~[RON C~ C. 1 auu,~h, ~ . (Signature of applic~t) ~ flOIARY PUBLIC, State 0l New York No. 52.45t9999 Suffolk County .C~mmission Expires November ~0,