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HomeMy WebLinkAbout15038-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy No. Z15948 Date July 13, 1987 THIS CERTIFIES that the building .. 9.n.e. .f.a.m.i .l~f..d.w.e ,1.1 .i.ng: .......................... 18700 Main Road Mattituck Location of Property ............................................................... House No. Street Hemlot County Tax Map No. 1000 Section 115 .Block 06 .Lot 04 S ..... Mattituck Estates Inc. . 4453 2 uomvmlon ............................... Filed Map mo ......... Lot No .............. conforms substantially to the Application for Building Pemnit heretofore filed in this office dated June 18, 1986 . pursuant to which Building Permit No. 15038Z dated June 27, 1986 wasissued, 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, garage. The certificate is issued to STEPHEN & SUZANNE CONLIN ..................... ioV,.'o). .................... of the aforesaid building. Suffolk County Department of Health Approval 86-S0-97 July 13, I987 UNDERWRITERS CERTIFICATE NO .... N803748 .April 15, 1987 PLUMBERS CERTIFICATION DATED: July 13, 1987 Rev. 1/81 lrORll NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDIi4G PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 1503~ Z Date ~ ~ 19 Permission is hereby gronted to: .................................................... ,o ...... ot premises located at .I...~L.-).O"° ........... ~ ............... ~ .~ .......... ~..~ ........................ County Tax Map No. 1000 Section ....... J../..-,~ .......... Block ..... ..~.....~. ........ Lot No ..... ..~.-~ ............. pursuant to application doted ..... ...~...~..l...~. ....................... , 19.~...(q..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 ATTORNEY AT LAW 828 FRONT STREET, EO. BOX E GREENPORT, N.Y. I1944 PHONE (516) 477-1016 July 24, 1987 Building Department Town of Southold Main Road Southold, New York 11971 Re: 18700 Main Road, Mattituck, New York Conlin, Stephen and Suzanne Gentlemen: With reference to the above-captioned matter, enclosed herewith please find the original certificate of occupancy No. Z15948 which you requested to be returned to you because a correct original certificate of occupancy was issued on July 23, 1987. Very truly yours, WHP/lg Enclosure FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCL Instructions A. This application must be filled in typewriter OR ink, and submitted -. ~ 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'ic features, 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of 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 p~operty showing all property lines, streets, buildings and unusual natural or topographic 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 1. Certificate of 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 $]0,00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .. ~. ]. 0.C)... } .~.~:N.. f~f~ ......................... House No. Street Nam/et County Tax Map No. 1000 Section ..... //~.~.'. .... Block .. ~,~ ......... Lot...~.. ........ Permit No/ Z~. Date of Permi Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. t 1971 TEL. 765-1802 CERTIFICATION Date Building Permit No. I~ ~ '~-. Owner ~t{,J~u ~ -~~. CO~)//~ (please print) (please priht) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. )lumber's signature) Sworn to before me this /~ day of = ~ , Notary Public, .~'~ County Notary Public HIZEN IL DE VOE PUBLIC, State of New York ~.000 ~ ? ,. Date THiS CERTIFIES THAT THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY/' ES JOHN STREET, NEW YORK, NEW YORK 1OO38 ~pr~.~ ~L~S,Zg~? ~pp,e.,]o,,No.o. Si,e4'1770S/~e N 803748 only the e/ectrica/equil}merit as described be]ow and introduced by the applicant named on the above application number i,n the Stephan CO~l~n~ $/~ ~4ain Rd~tBet/c~rdit%a~Dro ~ & Eaz~ward C~:.~ ~la~tlt intheSol]owinglocation; ~ Basement ~ ,stF,. ~ 2nd ~, Sect]on Bilk Lot was examined on t%~r i l 6, 1987 and fou.d to be in compliance ~' th the re,t ,irements .[ this Board. 2 FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUC~ESCENT DRYERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET OTHER APPARATUS: B lank s-4 G,F,Coi,-lt Si~oke Detector~-i T.~acE Lighting-3&0'' 2-lites E R V I C ~/o AW, G OF NEUTRAL 325 'willow PotntRD [ic.92816E COPY FOR BUI;LDINO ~~. THIS COPY OF CERTIFICAT~ MUST ~OT BE ALT~RB~ IN ANY ~NNER. ~ FIELD INSFECTION FOUNDAq 1st/ COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL INSPECTOR 765-1802  BUILDING DEPT. ~ '~ - INSPECTION FOUNDATION ZND [ ]INSULATION/// ')"~fl /~'~-~ ~MlN. [ ]FINAL ~ CO~~ ~ ou~ oF- ~L~.. BOX',, INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS. ~ 7GS.'1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 765-~.802 BUILDING DEPT. INSPECTION DATE ~//'~ INSPECTOR 765-1802 BUILDING DEPT. / SPECTION [~]~FOUNDATION 1ST [ ]~ ROUGH PLBG. , [ ] FRAMING REMARKS: ~'~ ,~ FOUNDATION 2ND [ ] INSULATION [ ] FINAL TE ~INSPECTOR /~C~/c~,~ 0' DA ~ a ~' ~/ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING ~/~ FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ]FRAMING ~J~FINAL REMARKS: DATE _6A. LCU.LJlLTIOki.6 '.'. O.A. = to° F -, Z.A. = DESIGKI. ALLOWED DESIGN ALLOWED 5UbS¥STE~ A%EA. KTE~Io~-WALL (6~o55) o.~ .. .~- . .. KTE21OP. · WkLL (OPAQUE) 115~ t9 . o'~. 0,06'& ¢o6 , , . UAZt~'G t? % 273 O.~ ~o~5 3 ~ · 0,40 9/.~ .. ~ FI bTP-A%lO:q (V~) /~o~ l.o2.O. olbi~,'¢~0 I .' / [Iq ~. co1451'~ucTIoF-~ T° Nl~.T Ia,¥,~, EH~C.,¥ (ASPHALT pAVEMENT) RoAD ¥0 Pt~LIC WATER) To~P~/FM 102 6~ MAP OF MATTITUCK ESTATHS, INC. FILED: S£PES, /965 FILEN~ 4455 A T MATT~lUCK TOWN OF SOUTHOI D SUFFOLK CO, IV. )< II RES. CERTIFIED 1~' RIVI~RHEAD SAVINOS SECUBI TY TII'~E ,4VD GUARANI'~ CO. FOR STEPHAN J CONLIN S. UZAh~E' £. eng.n ~ p, 40we~t mmn stree r~verneod, new york 11901 (516) :569-'1717 Feb. 6, 1985 dobN-O85-767A 1000-1{5-06~04 Scale: 1"=50'. MAIN (ASPHALT pAVEMENT) ROA O ~E~, MO lt~'IIIPlNEN'S BAY CONSTRUCTION CO. P. 0. BOX 604 [518) 749-0182 SC. DI~FI'. OF HE/~.TH ~RVJ~ES ~ FE, 80W ; TOpSOil. TEST HOL S. 88"08 zo"Vi' LOT RES. I/ LOT2 MAP OF MATTITUCI< ESTATES, INC. F/LED.. SEPE S, 1965 ELLEN~- '¢~ 5$ A T MATT/TUCK TOVWV OF SOUTHOLD ~. ._FFO L K ~' PpY ~n(~ ~e~ag~ dtsp~at ~ ~/~ to the ~tandards of ~e ~ ~ ~UFFOL[ COUHTY DEP~Th~HT OF HEALTH SERVICE5 FOR A~PR~VAL O~ CONSTRUC[,OH ONLY CERTIFIED TO BIVERNEAD SAVINGS BANK SECURITY TITL£ AtVD GUARANTEE' CO FOR SYEPNAN d CONUN SUZAN'NE E. LEGGIO eng!neerl~ pc. 40we~t mgln sfree mverl~eoc~, new york 11901 (§16) :569 1717 Feb. 6, 1985 Job N-°85-767A Scale: "= :50' )/~LO 0-il5- 06--04 i MAIN ~/~ ~ ~ RoAD - FR RES, I sT)'. SUFFOLK HEALTH DEPARTMt SINGLE FAMILY DWE4.LING ONLY H,D. DATE - LOCATION FOUND l~ :) WATER SUPPLY FACILITIES INSPECTED BY THIS SATISFACTORY. ~ TESY HOLE $. 88*08 'O"iV* LOT RES. II /OT2 MAP OF MATT/TUCK ESTATES, INC. /='/LED: SEPE,~, 1965 FILEN~- ,~'~55 A T MATT/TUCK TOWN OF SOUTHOL D SUFFOLK CO, N. Y. ... L/. MORTEAGE CORP. SECURITY T/7~£ ~D GUAR~TY CO. FOR: S~PH~N ~ CONLIN SUZANNE A, CONUN se(:llond surveying eng!neenng pc. 40w,~tel~ln streetk 11901 river , new yor (~516) 569 1717 Feb. 6, 1985 dob N~85-767/) I 0 0 0-.I 15- 06,-04 Scole: I '% 30' ~;:;~ ~. ~ .~ ~t~l~/N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 !xamined . .x~xJ~..~-.'7. ..... 19~.(q. / ~pproved ...~ d-4-~ .~.2 ..... 19ff..g. Permit No./..~.~. .~. ~.~.. )isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT, TOWN OF SOUTHOLI) Date ................... 19... INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter 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 ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 hall 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 hall have been granted by the Bl~ilding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or (egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, buildil;vg')code, hous~ 99de, and regulations, and to .dmit authorized inspectors on premises and in building for necessa, insp_e~fns..~ ~/~//~ IIAItDINEfl S t3A¥ CONSTI1UCTION CO. (S~n~t~e of appl cant, or name, if a corporation) ~. P.O. ~0× 604 ' ~IJ~ELTEII ISLAND, N. Y. 11965 -"'-~ /515} 145-0'182 (Mailing address of applicant) Ctate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder qume of owner of premises Stephen and ouzanne Conl~n (as on the tax roll or latest deed ~f ap/c ~ ~/p~/~ion, signore of duly authorized officer. .... ...... gO.,: ............... 5' (Name and title of corporate officer) Builder's License No...1.5..9..S.h..e.l.t.e.17..I~.l.a. 13.d.. Plumber's License No..5.99.S.P. ................ Electrician's License No.. 28.1.6..E .............. Other Trade's License No ...................... Location of land on which proposed work will be done ........ .M.a.t.t.i..t .~.c.k. ............................... / '7o 0 .................................. Na&n. Ro&d .l~a~.g&tuck .Esf.~tes .............. House Number Street Hamlet County Tax Map Nc). 1000 Section .... ll5 ........... Block ...0.6 ............. Lot ...... Q4 ........... Subdivision. N.a. tt. $.t.u. qk Es.t.a..t.e.s..~l;tg.o ......... Filed Map No .... 4453 ....... Lot .... 2. .......... (Nmne) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy Single family frame dwelling. 3. Nature of work (check which applicable): New Building ,, ~ .' ..... Addition.. 0. 1. 2. 3. 4. roperty lines. Give street and block number or description according to.deed, and show lterior or corner lot. ....... Alteration ......... Repair .............. Removal ............. Demolition ......... Other Work .............. (Description) Estimated Cost ....... $.1..~ .5.,.0. O..O: .0.0. ............... Fee If dwelling number of dwelling units ... ]- .... Number of dwelling units on each floor number of cars .~ If garage, ................................ ' ......... i ............................ If business, commercial or mixed occupancy, specify nature and extent of each tyl3e of use .... ?..O. .............. Dimensions of existing structures, if any: Front ............... Rear ....... i ....... Depth ............... tteight ............... Number of Stories ......................................................... Din~ensions of same structure with alterations or additions: Front ........... ;!..'... Rear .................. Depth ...................... Height ...................... Number ofiStories ...................... Height .~.~. ! ~ ~,.,~ ~. Number of Stories .....1. ......x ~ .............. ...................... ~' ..... S~ze of lot. Front ...................... Rear ...................... :Depth. ...................... Date of Purchase . .~p.b. ~..6~..~.9.~5. ............. Name of Former Owner .!.Qh.~..2..s.~.~.i~..a..~.a.. ~.o?.o.s. ....... zone or use district in which premises are situated ......................... i ............................ Does proposed construction violate any zoning law, ordinance or regulation: . .No ............................ Will lot be regraded ....... .Ixlc~ .................. Will excess fill be removed from premises: Yes No · .BI. d No.~.9. 8..- 9~.~.~..., Name of Owner of premises $.teph~fi~iSn. uZa~ddress P..~..o.~.~?...B.a?. v.. Phone ... l~mt t~ ~uc~ Ph ne Name of Architect .......................... Address ............... .... o No ............... Name of Contractor ~o.$0~..Qlll~.oJl ........... Address 8~...~,rdiJ~q~ ! ~..Bgphone No..7..49.-.0.~} ·~. ·, ·. Dr., Shelter ils.,NY PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. irtdicate all set-back dimensions from street names and indicate whether Survey attached with plot plan~ 'TATE OF NEW YORK, S.S ?OUNTY OF ................ (Name of individual signing contract) bore named. being duly sworn, deploses and says that he is the applicant ~e is the ................................................ , ........... ! ............................. (Contractor, agent, corporate officer, etc!) f said owner or owners, and is duly authorized to perform or have performed the isaid work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the /ork will be performed in the manner set forth in the application filed therewith. .worn to before me this I£ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY OF OCCUPANCY ,,,,,,,~ R ' , SOUreR USE.'~ W.~..F.~. ~. ~ FOLLOWINe ~NSPEC~ONS: . ~ 1 ~UNDATION ~ REQUIREb FOR POURED cONCRETE ;,~i'FINAL :COtJSTRUC'T~O~ ~OST 'IRE COMPLETE FOR C.O, -- ^~[ CO.STRUCT~O" S.^LL T~ REQUt~MEN~ O~ ~E ~ EN~GY ~D~, NOT ~NSIBLE ~R .~m. o. cO~T.u~o~ rr~ ]11 rF rr X Ir · ~f U T FL-Ad h'-4" U t" I ¢¢'-b~ i ~orl bi mi Fouflp,~l-lo~ c--i f--- tI , i ©P~OTIOPI