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Home My WebLink About15122-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold~ N.Y. Certificate Of Occupancy No ........ .Z .1.6.0. 2. .8... Date ............ .A.u..g.u.s.t...7 .,..1.9. .8 7..., THIS CERTIFIES that the building .. 9.n.e.'~ .f.a.ra.i.l. 7..d.w.e..1.1.i.n.g...w./..g..a.r.a.g.e,..a..d.e..c.k.... Location of Property ...... .3.Q5. ............ Saltaire way Mattituck House No. Street Hamlet County Tax Map No, 1000 Section ...... .1.0.0...Block ........ .1 ...... Lot 16 Subdivision.. $.~lg~J-.r.e...E.s.t.a..t,e.s .......... Filed Map No...4.6. 8..2..Lot No ....... 1. 9. ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... J. Uly..2~, ,. 3L. 9.8 ,6 pursuant to which Building Permit No ...... .1.5.]:. ,2.2.Z ......... dated ..... J.u. ly. 22. ~. 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 w/attached two-car garage & 2nd story deck. The certificate is issued to CHARLES & ANNE McCARTHY, JR. of the aforesaid building. Suffolk County Department of Health Approval 8 6- S 0-13 2 PENDING UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: 8/6/87 Rev. 1/81 TOV/N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) 15122 Z Permission is hereby granted to: ..,....t.m.zl .................. ,o ...... ot premises ,ocoted at ...~,,~...O...~........~......~.~,~...~.~.....~~ .......... County Tax Map No, 1000 Section ..... ~.,~ ......... Block ....... ..C~....[ ....... Lot No ........ .)...,~. ......... pursuant to application doted ...... ....~..~......:~.J. .................... , 19.,?..~., ~nd approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTttOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This M~y Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~f an a~icatior~-~o~r--~e~rtificate of Occupancy i ~5~.~ /~.' .... ' ' tdated/:~ot on fil~.)~ /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # ~_ 5 _~ ~. L~ Z Building Dept. ***/? No Plumber Soldor Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Occupancy or use is unlawful without a of Occupancy. Clear up this matter as soon so that legal action does not have to be taken. Thank you for your prompt attention. Certificate as.possible FORM NO, 6 TOWN OF $OUTHOLD 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 i~ 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 topographic 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 Architact or Engineer responsible for the building. 5. Su bm it P lan n in g Board approval of comp leted site p lan requirements where app l icabte. El. 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: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 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. 0 0 Date ,~..r,.. F.?.g, 7 NewCons truct, ion ~/ Old or Pre-existing Eluilding .... Vacant Land Location of Property ........................................ .. . . ... . House No. Street Nam/et OwnerorOwnersofProperty ~'~/.~.~,~.L~e ~p.~¢/ ANIVI_: ~Vt ~ (~AI~TH~ County Tax Map No. 1000 Section . / O C) Block O / Lot.../~ Subdivision...~.'~..t.. ,T'~.I~!~ . .~?.ST.~.f¢_-.~' ........ Filed Map No.../?/?. ~..,.~...Lot No.../.~ ......... Permit No. J.~'.l.~,.": .7-Date of Permit ~7.7.~ .~.-.~.' .~Applicant..(,~.'#-.A-. ,/~.~../~.~'..+..,~..h..n.~_..../V)..c ~?..;?~ 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 permit ,rnee/ts all applicable co~J~s and regulations. ¢ p' ¢ .... /.: ..................... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000773 BUREAU OF ELECTRICITY , F~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT Charles FcC~rthy, Sa[tair Wa~ Wave Crest Lane & ~o~dview, Mattituck~ in the fottowlng loc~tion; ~ Basement ~ Ist F/. ~ 2nd FI. t~s examined on ~1~ ~ ~ ~ ~ ~ ~ andJ'ound to be in compliance u. lth the requirements of this Board. FIXTURE OUTLETS DRYERS 73 FIXTURES SWITCHES NCANDESCENT FLUORESCENT 46 33 RANGES :lOOKING DECKS OVENS DISH WASHERS EXHAUST FANS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: Motors: 1-3/4hp 1-5 Ton A/C Unit 6-0. F. C, I, 2--Smok~ Detectors OF CC, COND A, W, G. NO OF Hi. LEG A W, G NO OF NEUTRALS A W G, PER ,~ OF CC. COND OF HI-LEG OF NEUTRAL 21o 21o Main Road This ~ertifi~Gfe must not be altered in any manner; return to the office of the Board i~ incorrect. Inspectors may 6e ide0tified by their ~redentioJs. COPY FOR ~UILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU~T NOT BE ,~,LTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION / / FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FOUNDATION FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. /~/2-2_- ~---- Owner ~' ~/-~Z-S + 'z~'~'-e- "~'/C (~,~--.-7-/F~' ~. (please print) / Plumber Ltd~-r~ ~ ~. ,Do4~ ~_~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber ' s signature~ Sworn to before me this Notary Public, N~ot ar~ ~blic County NOTARY PUBLIC, State of tqo. w Yor~ No. 7135315, Qualified m Suffolk Co Corem Expires 8/31/8~ 765-~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: DATE INSPECTOR '~ ~'"~'~ ' BUILDING DEPT. INSPECTION I' ] FRAMING REMARKS: ,, FOUNDATION 1ST [] ROUGH PLBG. FOUNDATION ZND []INSULATION []FINAL ,/ DATE 76S.1802 INSPECTION FOUNDATION 1ST [~//ROUGH PLBG. ] FO/JJI~ATION 2ND [ ]INSULATION ,'~/~RAMING~/~ [ ] FINAL [ dwe L 0."r,~ 20 225.00' ~-repared in accordance with the m,., standards for title surveys as established the L.I,A,L$, and approved and adopted , // ~'// LOT 12 ~'~n N. 7~ o 00' ~O"E. ~ for ~eh u~ by Yhe New Yo~ ~ta~ Land // °~o4'* ~ ~4'~ · . ~ ~.. ~~ood~ ~ ~ ~ Ti~e /~/ J~ ~ PS/ . ~1 I~ ~ /x¢~ ~'~ J~ ~J~. ~/~ k ......... ~ ~' ~,~j/ ~ ~t~ 225.00 ,,.o~ ,' ~// ~o7 ~ ' Lot ~z ~ ~o~ ~ ~ / ~ SURVEY OF ESTATES" ~~~ ~ Tow. o. SOUT~O~ [~_~ WAVECREST LANE SUFFOLK COUNTY, N.'Y. ~~~)')1 ,ooo -,oo -o, - f~~.~J~S LIC NO 49668 CERTIFIED TO : , -- ..... ~~ ..... _ ........ ~_ __ CHICAGO TITLE INSURANCE coMPANY ~ALC I ~tsie ) ~z o R O- BOX 909 LONG ISLANDMOR~AGE CQRR MAIN ROAD ELEVATIONS ARE REFERENCED SOUTHOLD~ N,Y. ~197l TO AN ASSUMED DATUM q ~ zz %dwelhhg ) vacant ) ',o LOT 16 (dwelling)l ~516) 765 5020 P. O. BOX 909 MAIN ROAD SOUTHOLD, N.Y. 11971 83.64 S.?~ ° 00'30" W. LOT I? (dwelling) £.?. · - 34.00'- ~.- I ,50-00' '~ 77. 225.00' LOT 18 vacant) WAVECREST LANE 74 98 ~k' _~.75.45 LIC. NO. 49668 CERTIFIED TO : CHICAGO TITLE INSURANCE COMPANY ENGINEERS~ P.C. CHARLES Mc CARTHY ANNE Mc CARTHY cA,~,-'I--~_s ~- A-,~.~ Wl~°-r~]""/~ ~OaO (o~ ~c~A~- ELEVATIONS ARE ~.~,~u~, .-,/-ll?~~ TO AN ASSUMED SUFFOLK COUNTY DEPARTMENT OF HEALT. H SERVICES FOR APPROVAL OF CONSTRUCTJCN ONLY --I SINGLE FAMILY ~XP~ES TWO YEARS FROM ~ Prepared in accordance with the minimum standards for title surveys as established by r1'1 the LLA. LS. and approved and adol tar such use by The New York State Title Association. '[he ~wter ~ppl¥ & sewage disposal sys- /,~* ? terns for this residence will confc~m~to the dwelling ) ment of Health t, MAP F~LED SURVEY OF LOT 19 OF SALTAIRE ESTATES" AUG. 3, 1966 FILE NO. 4682 AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.y. I000 I00 - OI - 16 SCALE i" ' 40' dUNE I$, 1986 dUNE ~0,1986 REFERENCED DATUM 86 - 311 LOT ;5 ~ ~ 0 ( vacant ,,~ LOT 19 8,% 64 mo,~. S.7~ °00 30"W. ~ LOT 16 LOT welling )~ ( dweltin~ well ..... N.Y.S. LIC. NO. 496'68 ENGINEERS, P. C. E CO'NI C SURVEYORS ~516) 765 - 5020 R O. BOX 909 MAIN ROAD SOUTHOLD, N:Y. 11971 34.00 -.~_.- 50 00' 77.3 (vacant) WAVECREST LANE 74.98 Prepared in accordance with the minimum s~andards for title surveys as established by the L. I- A. L S. and approved and adopto_~ for such use by The New York Stc~te I~nd ac~ y~'ociatiem ~-~/ C~ "~ (dwelling,) ~" ~"0 ~7%f ~75.45 : ; SURVEY OF LOT 19 CERTIFIED TO : CHICAGO TITLE INSURANCE COMPANY CHARLES Mc CARTHY ANNE McCARTHY LONG ISLAND MORTGAGE CORP. ELEVATIONS ARE TO AN ASSUMED "MAP OF'$ALTAIRE ESTATES" FILED AUG.I 3, 1966 FILE NO: 4682. AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 - I00 - OI J6 SCALE I" - 40' JUNE I$, 1986 ,IUNE 30,1986 REFERENCED DATUM 86 ' 311 'FORM NO; 1 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 ', TEL.: 765-1802 ... ...... Approved .'N],,P~ 19 ~[*. Permit No.}. ~.]..2...2...~.. BLDG, DEPT. TOWN OF $OUTHOLD Disapproved a/c ..................................... I (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .'.~.!...~.? !."/{. ..... Rece±ved ........... ,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, bu~' d,i;ngxcode, housing code, and.r~gulations, and to admit authorized inspectors on premises and in building for necessaryA/r~,e(z~tdd~//./~* ..-~.,,~/'~"-jJ (Signature of applica~/t~n. ,~me, ~a corporation) .... ./.4.?..*/ .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... x'"'. ...................................... ..... : .... ;_ ................... Name of owner of premises ...C.t.~ ~.F./4~. ,5:.. ~.q,?.r~/;../'~.,*fi.f/...o~....../~..... ~.d~ j .~.4..~.~./.....~.f~..,: ........ (as on the tax roll or latest deed) 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 .................................................. .......... ..d.0..3-.2. .... .............. .... ............. House Nmnber Street Hamlet County Tax Map No. I000 Section ....... /. O..O. ..... Block .... .O..I ........... Lot ..... .].~. ........... Subdivision....~./.5:..h..77'/cyJ.t~ !~...~.-.~.~.,~77f~T. ~. ....Filed Map No. ~./'& ?..f~. ?.,.2.. Lot...l ~ ......... (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~./.'.~. ~.~./q .7//~... ?..~.c..c .~?,~. ?7. J-..~..~'. 1) ................................ b. Intended use and occupancy ~,e Y/P ;~ Xa c ~ ................... 3. Nature of work (check which applicable): New Building .......... Addition..: ........ Alteration ...... ~.. Repair .............. Removal .............. Demolition i Other Work 4. Estimated Cost ~ [ ] .~./ O O O, (Description) ................. -~ ................. Fee .......... ~ ........................... (to be paid on filing this application) 5. If dwelling, number of dwelling,units . ."... J ......... Number of dwelling unils on each floor ........ , ....... If garage, number of cars .... ~ ....... 6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e 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 oflStories ' . ............ -'-8,. Dimensions of entire new construction: Front ...(~.~ .... . ..... Rear .. ~.~... ...... Depth ,~..~. ....... Height ~-~'f ..... Number of Stories ~ 9. Size of lot: Front ...].O~. ( .............. Rear ...].Q~.f .............. Depth . .~,~,~.~. .... : ....... 10. Date of Purchase . Ate~v,s.~.../.c/fl.d ............. Name of Former Owner .2R .r. 11. Zone or use district in which premises are situated .................. 12. Does proposed constructio, n violate any zoning law, ordinance or regulation: . .~.'i.0. .......................... 13. Will lot be regraded .../~.O: .................... ,, Will excess fill be removed from premises: .- ~ . No 14. Name of Owner ofpremisest-lh,~-.~.r..r.g.n..~..~..oF, al..~/<~{tidress ~.O.,..~?.~,./.b. 7.~.,.5??.~.~./.dPhone No 7~.~.' - Name of Architect ~)~;.~..e~q ~tJ.~.~.~( !~O~/.2.~ddress . .~-.~.~£{,~?: .~.,~.. Phone No' .t./'~ '- o~'33 .... Name of Contractor .,~'.~.].V~./4....~e~2~£.~. ..... Address .... ; .............. Phone No ................ PLOT DIAGRAM ' Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whett~er interior or corner lot. STATE OF NEW YORK, -- ~ ~ COVNT¥ .... ... ~.b.&..~k.~....,~...(~. ~Z £..~/a...,~.. ~ .. ........... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the.D./4fiAJ ................................................... ........ ... (Contractor, agent, corporate officer, etc.)i 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 hisiknowledge 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 .... ~r...~.'....~...~..~.~ ..... County , X,. '~' I ~~T~ " (~"~ "/'" '~" ' ....... i 'dr' '-'' '6-''' ( Sigca'(ur~f~' :-'~' '~ applicant) ........ I APPROVED AS NOTED 765-1802 9 AM TO 4 ~ ~R THE F~LOWING tNS~CTIONS: ~ ROUGH ;~AMING & PLUMBING ;HE REQUIREMENTS OF ~E N.Y ~A TE CONSTRUC~ON & ENERGY COD~= NOT RES~NSlBLE ~R ~ESIGN OR CqNSTR~ON ON LEAD CONTENT ££YC "~3 CER T/FICA TE OF OC m : ~ r~ ~ ~ , PLUMBER CERTiFigA TION -'""*° ~ OCCUPANCy OR USE IS UNLAWFUL WITHOUT CERTIRCATE OF OCCUPANCy SOLDER USED ~tV W,47ER S I'/PPL Y EXCEED 2/,,~ - CANNoF ' ,, %eo Phone 47%0400 '.~'. Main Road GREENPOR't, N I t 944 gL_ '.ti ' 7