HomeMy WebLinkAbout15103-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19336
Date SEPT. 5, 19R0 .
THIS CERTIFIES that the building.
Location of Propert~ 18900
House No.
County Tax Map No. 1000 Section
subdivision
ADDITION
MAIN ROAD MATTITUCK
Street Hamlet
115 Block 06 Lot 06
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated 0IINE 27~ 1986 pursuant to which
Building Permit No. 15103Z dated JULY 18~ 1986
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 ADDITION TO EXISTING DWELLING AMENDED TO INCLUDE DECK.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
BARBARA A. & GARRETT A. STRANG
H017846 AUGUST 30~ 1990
N/A
~ilding Inspector'
Rev. 1/81
FOBM NO. ~
TO~VH OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Ne 15103
Z
Permission is hereby granted to:
./...~..~.~.......~.~,,,.....~.......-' ! .....................
....... ............
at promises Ioca;ed at ...L.~S.v...c~.........._~,j..~....u. -- . .~..~ .......... ~.~ ................
County Tax Mop No. 1000 Section ..... }.~.,..~., ......... Block ...... .q~.,~,, ....... Lot No ....... ,(~, .............
pursuant to application dated ......... .,.~...~..~. ................. , 19..~.(~., and approved by the
Building Inspector.
Fee $ ...~.....'...."~'... .......
Building Inspector
Rev. 6/30/80
FORM NO. §
TOWN OF SOUTHOLD
Building Department
Tewn Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CEPTIFICATE OF OCCUPANCY
Instructiona
'C.
Thia applicaUon must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec-
tor wire the following; for new buildings or new use:
1. Final mrvey of property with accurate location of all buildings, property lines, streeta, and unusual
natural or topographic feature~.
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 sit, ilar buildings and instalt~
lions, a certificate of Code compliance from the Architect or Engineer responsib e f6r the bu Id rig.
5. ~ubmit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior t~ April 1BB7), Non-conforming u~s, or building5 and "pre-existing"
lend uses:
1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or
topographic features.
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.
lion required to prepare a certificate.
Fees:
I. Certificate of occupancy $5,00 ,
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.V&oant Land C.O. $5.00
5. UBc~ated C.O. $15.00
New Building ............. Old or Pre-existing duilding
$15.00
.... ~: ....... Vacant Land ...........
Mattituck
Location of Property .1.8~ ~ O P .... ~iP~.:t. 8gAc] ,~ .............................................
HCUM N~ St~t H~IeI
Ow~erorOw~e~ofPrope~, Garrett A. a ra A. Strang
-- -
C~ T~ ~ep No. ~0~ 8ecfio~ .: Block · .-.. Lot ....
Subdivision ................................. Filed Map No ........... Lot No ..............
,e,m,, of F.rm,,. ...............
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval Planning Board Approval '
Request for Temporary Certificate ..................... Final Certificate ........ . .............
Fee Subm ttad $. ~ ..... I
,~./ --
Construction on above described building and permit meets/~ applicable codes and regulations. _
Apphca~t
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~0] 96),7 BUREAU OF ELECTRICITY
r~ 85 JOHN STREET. NEW YORK. NEW YORK 10038
Date MJ~U~T }O,]qqt) ~pplicationNo. onfile 00515490/90 H 0i7846
T~I~ ~1~1~
o~y t~ e~tr~ ~uipment ~ ~ ~ a~ int~uc~ by t~ apricot M~ on the a~ve ~t~n number in t~ pMm~s of
inthefollowlngl~wation; ~ R~e~nt ~ ]stFL ~ 2~ FL OU~ ~tlon ~ ~tBl~kO~ ~t
~s examln~ on ~ ~GU~ ~ ~ ~ ~ ~ qO and found to be ln contpliance wlth the requJrements of thi, B~rd.
FIXTURE
OUTLETS
LECI~TACLES SWITCHES
FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE APFUANCR FEEDERS TIME CLOCKS UNIT HEATEI~. MULTI.OUTLET DIMMERS
SYSTEMS
SERVIC~ DI$CONN~'
OTHER APPARATUS:
*NO VIS[IAI, DEFECTS: "An electrical
s~{rve¥ has beeu ma~e o~ the expo~,~d
e~leetriea] equipment ~.n i:he
pretenses indioated~" "No obviou~
S E R I C
c~ c~ [ ^. w.o. .o. OF .,-tto ^. w.O. .o. OF ,~UTmS ^. w. O.
NO. COND OF CC, COND O~ HI.LECi OF NEUTRAL
MAIN {{(3AD.P.O.BOX {279
MATTJTUCK, NY, 117,2 ~ ~UCA~IE
This certificate m~t ~t be alter~ in any ~anner; return to the office of the ~ard if incorrect. {nspKtors m~ be (~ifi~ by t~ir credentials.
COPY FIX~ BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN MCY MANNER. ·
FIELD INS[~ECTI0N
FOUNDATION
FOUND^TION ~( 2~d )
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
C O?l:.iE N'i'S
Fi'NA~/
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [~/FINAL
REMARKS:
DATE
INSPECTOR ~/~ ~
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
765-1802
BUILDING DEPT.
INSPECTION
[ ]~UNDATION ~ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
REMARKS:
DATE 7//~///~/ INSPECTOR /~~
$. 8~ *05'00~'
Lot/~
Subd/visiot~ - "Moil/tuck Estates, /nc."
former/7 dohn 8 Morion Guya~n
SURVEY FOR
GARRETT STRANG & BARBARA STRANG
AT MATTITUCK
TOWN OF SOUTHOLD
§UFFOLK COUNTY, NEW YORK
MAY 18, 1981
DATE : APR. ~,0, 1981
SCALE~ I #=~0'
NO. : 81-25G
;UARANTEED TO:
WALT WHITMAN J:'~DERAL SAVINGS
LOAN ASSO C i~:ION
'FORM NO. 1
TOWN OF SOUTHOLD
BUtLDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Approved ....~. J. ~? .... 19~.~. Permit No../,,5-/.O.~ .~;-..
Disapproved a/c .~'
Received ........... ,19...
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date Jun~ 27 .,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. ,,' ~,i~,',; ~'i :; , ~ ' ~' ' '
' c. :, The work dovered:by, this application may not be commenced befoi'e issuance of Building Permit.
d. Upon approval of, this ap.p. lication, the Building Inspector will issued a Building Permit to the applicant. Such permi.t
shall be kept on thb 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 ~ 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 el
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agree.s to comply with all applicable laws, ordinances, building ~ode, housing code, and regulations, and tc
admit authorized inspectors on premises and in building for necessary inspections. ~ ~ ~
................ ~:~:~., . ./~ .'...~,-r~.-T. 77T'iZ .........
(Signature ~;;licant, or name, if a corporation)
/
...Box..1.4 1 2.,..SOughold.,..New. Y. ork.. '
(Mailing address of applicant)
State .whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................................. .........................................................
Name of owne~ of premises ..... .~nrr.e~;~;. ~....~n¢. ~arb~a~. k...5~;r~cj ..............................
(as on the tax roll or latest deed
If applicant is a corporation, signature of duly authorized officer.
Builder's License No ........ not..calco.ted. ~.at
Plumber's License No .........................
Electrician's License No.
Other Trade's License No ......................
I. Location oflanfi on which proposed work will be done.
House Number Street
County Tax Map No. 1000 Section .................
Hamlet
Block .. 06 6
.. .............. Lot ..... . ........ ....
Filed Map No ............... Lot ...............
Sub¢ivision, .................................... (Name)
~la~t~, &xisting ~e and occupancy of premises and intended use and occupancy of proposed construction:
le f arail residence
a. ~(lStlng' ' use and occupancy .......................... sin9 ¥ ................. ........................
,1~.;.~? ."~ I _ s~ngle farazlv reszdence
[~:t~t~naea U~:a~q occupancy ..................... * .......... .' .... ,. .........................
3. Nattlre of work (check which applicable): New Building ..... ' .....'Addition i..¥ ...... Alteration ..........
Repa/r.. ............. Removal .............. Demolition ......... i .... Other Work ...............
~ (Description)
4. Estimated Cost ....... $.7.,000 ........................ Fee ........ ~ .............................
' ~' (to ~e paid on filing this application)
5 " number of dwelling units Number of dwellin~g uhits on each flogr
· If dwelling, ................ . ...............
If garage, number of cars . ' .
6. If business, commermal or tamed occupancy, specify nature and extent of each type of use .., .................
· ' ' 421 ~ ' /!~ pth' .2.6 2.
7. Dunansions of existing structures, if any. Front .... ~0.3 ....... Rear ... ., ....... e .... · ......
Height J fl Number of Stories ~ ~
Dimensions of same structure with ' ' ' Front .6.0 3. Rear 4 2 3
site. rations or additions: .... · ......... · ..
Depth... 3~., 2 .............. Height 1 8 Number bf Stones ......
8. Dimensions of entire new construction: Front ............... Rear ...... i ......... Depth ...........
9. Sizeoflot: Front ....... 1.2..,5 ............ /~aar q25 n,,,,h 200
' .'..5/flfi ttu[1 Tuthill
10 Dat~ of Purchase W~m~ ~,~ ,, .... r~ .....
11 ................................... zone or .... ......................
· use,district m which premises are situated ..................................................
12. Does proposed construction vtolate any zoning law, ordinance or regulation: ..! ..... .n.c. ..................
W.l lot be reg ded ........ ' ' ·
................. Wall excess fill.b..e,3~m.oyelt.fro, m pLemmes: No
14. Name of Owner of liromises ..9.-..~r. gP.g. .~ ..... Box ~z/~ ~viatta.~ .. 76 ,4.55
....... ~tuui~s ............. ~... ;'.. F/lone/No ............
Name of Architect ........................... Address ............. i ......Phone No ................
Name of Contractor ... ....................... Address ... .......... ! ......Phone No ........... - .....
PLOT DIAGRAM I
Locate clearl.y and distinctly all buildings, whet.her, existing or proposed~ and.iindicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
STATE OF NEW YORK,
country SUFFOLK
OF..~ ................ -'
r (Name of individual signing cent/act)
above named.
·.. being duly sworn, de ,oses and says that he is the applicant
He is the ' '~' ~ ' · ...... ,,.--
(Contractor, agent, corporate officer, et~ )
of said owner or owners', and is duly authorized to perform or have performed th~ said work and to make and file this
app!icat.!.o,n; that~all sta. t?m.onts contahled in th!s application are true to the best of ]lis knowledge and belief; and that tile
work wm ce pertormeo in tho manner set forth m the application filed therewith, l
~worn to before me thi%, ,~ [
Not ary Pubhc, ~~57,..~.~..~.~. "~Count y
N°larY.nP~nblJc. State of Now %,,% ' ' "// ............ "' ...........
No. 52 0~[4965 Suffolk Counhf7/3 / (Signature of applicant)
~,/
¼OTE** I: MONUMENT
su,. C~T,X M--'-~,O00 ~CT. ,l~ a"~ Oe ~.OT~
formerly d~hn ~ /~orion Guyd~n
SURVEY FOR
GARRETT STRANG & BARBARA STRANG
AT MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
~UNAUTNO~IJ[ED <ERATIO# OR A~ITION TO
, MAY 18,
DATE ; APR.
SCALE~ 1#~30'
NO. : 81-2~6
GU,~RANTEEDTO~
WALT WHITMAN~EDERAL SAVINGS
LOAN ASSOCIA~ON''~F'~'~,~.' '~,
0CCUPANCYOR GARRETT A. STRANG ~,-~
USE IS UN~UL architect
, , , , , ,,, , .... ,~-~
" ' ' ' '"' ~11
GARRETT A. STRANG
architect
Main Road P.O. Box 1412 Southold N.Y. 11971
516- 765 - 5455