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HomeMy WebLinkAbout14743-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy PLUMBERS No. Z15253 Date February 6, 1987 THIS CERTIFIES that the building .... .OF.e, . .f.a.m.i.l.y...dj?. 1..1.i.n.g.: .................... Location of Property 1100 MARRATOOKA Rd. Mattituek - - h3~s'ehio~ ....................... 's'~/e~i ....................... County Tax Map No. 1000 Section I 15 .Block 09 ..... Lot 0 I 0 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Pem~it heretofore filed in this office dated April 4, 1986, . . pursuant to which Building Permit No. 14743Z dated . .A.p.r.i..1..............5, 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 ......... One family, dwelling with attached garage. The certificate isissued to JOHN B. TANDY AND BARBARA H. TANDY ..................... ?o¥,,'e;, g 3g, j ...................... of the aforesaid buildiug, Suffolk County Department of Health Approval 86- S O- 39 I / 29 / 87 UNDERWRITERS CERTIFICATE NO. N787423 1/08/87 2/6/87 CERTIFICATION DATED: Rev. 1/81 I~OBM 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) Permission is herebf granted to: ...... ..o..~..../..~.~...~... ...................................... ~~...~.....~.:....L!...~.~..~ ...... at premises ,ocoted at ...[!.....a~...........~..~~...~,......~...~: ........ ~~***~**. ........... County Tax Map No. 1000 Section ....... ~..~...~.~. ........ Block ........O....OJ. ........ Lot No.....O..L..~.. .......... pursuont to ~pplicotion dated ................................. , 19.~....~., and opproved by the Building Inspector. Building Inspector Rev. 6/30/80 I~UREAU OF ELECTRICITY F XTURE | J | F XTURES RANGES COOKINGDECKS OVENS DISH WASHERS EXHAUST FANS ~-- 4 ~.1 ~ 1,2 4 F OTHER APPARATUS: no[or~; t-lhp., l-~moke ~==ec~or This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THiS C?PY OF CERTIFICATE iMUSTNOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P,O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Owner ~ ,o~ (please print) Plumber (please print) -- 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 ~- , Notary Public ,~~ County Notary Public NOTARY PUBLIC, State of New Ymk Ko, 4707878, Suffolk CeuldY T~m Exph'es March 30, FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hell Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY FEB .- 6 198( Instructions This epplication 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 eccurate 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 instaJlation 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of property showing all property lines, streets, buildings and unusual natural or topograph lc 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 requ ired to prepare a certificate. C, Fees: 1. Certificate of occupancy New Dwelling, $25.00, 'Accessory'iS 10.00 Business $50,00 2, Certificate of occupancy on pre-existing dwelling $ 50,. 00 3. Copy of certificete of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 ~ 5.Updated C.O. $'50.00 Date .... 2~7..~,.~. .............. NewCons%ruction ...... Old or Pre-existing Building ............ Vacant Land ............. Loca.on of Property.././O. ........ ..... . !.c4 ...... House No, Street Hamlet Owner or Owners of, ro perty .~..~!'.0....~.... i Jl .~J'.~, P..~/..~. ~(~'. ~ ~ ./~.~... '.~...'. ~,~/(J~.~ .... .c/.~. County Tax Map No. 1000 Section . .]J, .~'. ......... Block . .~..~. ......... Lot .... /.~. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No/?Z .L/X .',~... Date of Permit ?/:$~.: .o?.~.Applicant..-~. ,~,¢.0, .~...~..~.%..~6.A..'~-..~..~..~ Health Dept. Approval ...-.e .z. ~ .~.-¢, ............ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described bu ,,ding ~%~.,~rm~j~eet~ a~__.~ regu{at,ons. Apo ca t ......................................... R~v.~o-~o-Ts ' n ~.~-- ~ ._~/..~ FIELD !NSFECTION 1. FOUNDATION (~llst) COMMENTS FOUNDATION (2nd) /.~J~R N. Y. ~ ENERGY CODE FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PL.BG. FOUNDATION ;ZND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE~~/~ ,INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ~LFOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL REMARKS: 76S-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND []INSULATION []FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971  TEL.: 7654803 Examined . .~.'-...., 19~..~. Approved~. ~ .... 19~.~. Permit No. ! .L~.-/..q ~.97. Disapproved a/c ..................................... BLDG. DEPT. TOWN OF SOUTHOI.D Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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 tins 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 code, and regulations, and to admit authorized inspectors on premises and in building for necess~4?specti°ns'~(-) /Q E x /~ ·..A,.:.-.ca~..:....~-.~. :.'~....~...~w~..~ ............. USignature of applicant, or name,Mr a corporation) .~ .o... t5.Qx .~...t6 .&4.4;+ y.~r,,, c4..~...}1 .q ~..-c. ..... (Mailing address of applicant) State whether applicant isdwner) lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~.c0~:'tl~...6...'.'~..rz5 .~. O.'q...~...~..~fl-..~..O.a:..q... ~4.....~'..t~t .iq C).~.. W.-,J ............ (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 ............................................ House Number Street Hamlet County Tax nap No. 1000 Section .I.O. 9.q 7...I.}.3.-. .... Block ...0..o3 ............ Lot...9. 1.O. ........... 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 . . . ti .QC. fir~... ~ Fl .,~.J ...................... b. Intended use and occupancy ~...~.~k,.. 3. Nature of work (check which applioable): New Building .X ....... Addition ..........Alteration .......... Repair .............. Removal ......... Demolition ......... ;.. Other Work ............... j./ I (Description) .~.~ .O.~P .o. 4. Estimated Cost .... , ..................... Fee ......... ~ ........................... (to be ~ald 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 typ~: 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 .................. Dept ...................... Height ........ t .............. Number of ~tones ......... ~.. ~. ......... ~'8. Dimensions of entire new construction Front .~..3 . Rear .'~.~..' r~th ~[ 3C>o Height .. ~ ~... Number of Stories ...I. ~.'~ .......... ! ........ ~-9. Size of lot Front .O[ 9' Rear....~'.~..93 . ' ..... D~th' '.~'o'-'0,r" '.1' /g, - · ................ .. ............... -q0. Date of Purchase . .-~'. J.~.:,{ ................... ,.. I~ame.o~f Fopu. e!~O~n_er .-:'~..q~../~.~..-[--..Pi ./9.0.cj ....... 11. Zone or use district in which premises am situated..~:.~I~-~:~C~JB/~..[./~[: ~.. ~ ................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .~.i ........................... 13. Will lot be regraded ...... ~ ... · ·..,, ................ Will excess fill be removed from premises: Yes 14. Name of Owner of premises ~::~x f.[ ~0~. ..... Address ................ i' · · Phone No. ~..~q 7 .~..~..O? .... -- Name of Architect ..................... '4 ..... Address ................ '... Phone No ................ Name of Contractor .......................... Address ............... :... Phone No ................ 15. Is this property located withinl.o0 feet of a tidal wetland? * Yes ..... No ..J~.. · If yes, Southold Town Trustees Permit may be required. 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 whether interior or corner lot. STATE OF NEWpYO~I~, //~ ~ ~ COUNTY OF,~... ~'~ ........... ./...c~.~. ~. ............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above nan~ed. Heis the ,~ ~ ~ ~ ................... (Contractor, agent, corporate officer, etc.) of said owner or owners, m~d is duly authorized to perfom or have perfonned the said work and to m~e and file t~s application; that all statements contained h this application are true to the best of his gnowledge and belief; and that the work will be perfomed in the m~ner set forth h the application filed therewith. Sworn to before me ....... ~ ........... day of..~ ,o~ .... ............ ount, k Stere ~ New York. / '~of applic~t) ' Nmsw Public, ~ No. 4822563, Suffol~ County~ ¥-,-~ r:',~,,r~c ~,~c~mber 3t, ;oOZYn or formerly ~ / now or form,rl~ C.H. Wlckham' * SU~Y FOR ~ :./" ,u~o~ COU~T~ ~*~T~,~ OF H~Lm S~RWC~ UOHN TANDY & BARBARA TANDY ~R~AL OF CONSTRUCTION O~CY AT MATTITUCK DATE: FEB. I~, 1986 FO~ o~tE 0 ~U¢FO~ COUNTY, NE~ ~RK .o. e6-6~ M~UIH~IZ[O AkT[~A~ION O~AD~ITION ~ ~1} GUARANTEED TO~ SOU~HOkD NEW YORK STATE [~CATI~ hAW I~ ~ ~ ~[~hl~l IITHIN I00 FEET OF T~I PROPERT~ ~STITUTI~. GUARANTEEI ARE ~T T~SFERAI~E ~.~'"-~ ,~ ~ ~,+~+~,.,< ~ ,~ ~' ==.-.o,. j~~ YOUNG e YOUNG ~"~...AV~RiVER~AD, NE~ YORK NOTE: ~: MONUMENT ALDEN W.~UNG~PROFE~IONAL ENGINEER AND ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARO W. YOUNG, LANO ~URVEYOR , ~ ~ ~ ~w),~ic t~(l~l c[~(~) m~. ~i~ N.~ S. LICENSE N0.4589~ ~ ~ fl[~ ~TI~S ~ OR O~TA Oirm~O f~ _ / OW Or formerly ~ ~oE / John TOndy e *./-'----._.,,., ~ I ~ ~ . '"~-o~oo~S.f. ~/ ~". ~ ~.~ .......... / ~'1 ~~ _, - / ~' ~oo.45 I ~,~,.o s 84°o5'4°''~' ' / / ~--~'- . . SU~ FOR JOHN TANDY ~ BARBARA TANDY JUNE 6, 1986 APR.25~ 1986 AT MAT~ITUCK DA~E= FEB. ~[~1986 ~N ~ SOUTHOLD SUFFOLK COUNTY~ NEW ~RK NO. 86-6~ · ~u~z~ ~L1[~O~ o~ ~om~m~ m m~s GUARANTEED T~~ su~w~ = · v~m~ ~ ~¢~toN ~oe ~ ~.[ SOUTHOLD ~AN~ NEW YORK STATE [~CATI~ LAW ffC~IES ~ ~IS ~VEY NOT KARa~ THE LAND JOHN TAN~ SURVE~R'S INKED SEAL OR EMBO$~EO SE~ SHALL BARBAR~TA~U NeUARANTEES INDICTED HEREON ~L RUN ~LY ~ ~E ~a~ ~e WHOM THE SU~EY IS PREPARED HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT ANO ~ HiS BEHALF ~ THE ~TLE CMWY, GOV~N- MEHTAL AGENCY AND LENOINS INSTITUTIO~ LIS~O . NEAREST~ lAIN--MI. ~ .SOURCE ~ WATER, .,.TE__P~,C-- YOUNG a YOUNG .~ ~VER~AD, NEW ~RK NOTE: ~= MONUMENT ALDEN W,~UNG~PROFE~IONAL ENGINEER ANO ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARO W*YOUNG~ LAND 9URVEYOR M ~ L~ ~ ~L(W), ~IC TA~(~I CE~U(~) WN W[~ . N.~ S. LICENSE N0.45893 FAOIUTIF~ FOR THIS BEEN )-BY THIS DEPARTMENT AND FOUND TO BE now or formerly dohn Tondy S'$4°~ I'$O"E. 8.99 Areo = 32638 s.f. S.84°C now or formerly C.H. WickhOm now or formert¥ Frank Jr. 8 Susan KuiOWski -4 0 0 0 SURVEY FOR ,JOHN TANDY 8~ BARBARA TANDY AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK NOV. 17, 1986 dUNE 6, 1986 APR. 23, 1986 DATE: FEB'. I~', 1986 SCALE: I" = 40' NO. 86 - 67 N UN~UTNO~IZEO ALTERATION OR AODITION TO THIS GUARANTEED SURVEY I~ A vIOlATION OF SECTION 7209 OF THE SOUTHOLD NEW YORK STATE EOUCATION LAW #COPIES OF mis SURVEY NOT KARIHG THE LAHO JOHN TAN~ SURVE~R'S INKED SEAL OR EMaOSSEO SEAL SHALL BARBAR~'T NOT BE CONSIOERED TO BEA VALID TRUE COPY AMERIC~ NGUARANTEES INDICTED HEREON ~ALL RUN ~LY ~E ~R~ ~R WHO~ THE SU~EY S PREFARED HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT _.. AND a HIS BE~LE;~ THE TITC~ C~P~Y, ~OV~N- · ~E~ A~ ~ ~ELLI~I WITHIN I00 FEET OF T~ PROPERTY ..' f i~I~:~R~E~E~.~' 'T~S~RABLE ~ e= MONUMENT -- --~ # ~ LOC~ OF W~LiW), ~PTIC TANK(ST)& CE~IPOOLS(CP) ~N ~[~ ME ~ FIE~ ~TI~S ~ OR DATA OITNWO FD OTHERS BRANDIS & SONS lNG* 1046 YOUNG AND LAND SUR~,EYOR N.Y.S. UCENSE NO. 12845 N.Y.S. LICENSE N0.45893 .. TO: 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK ~N Ix~ FAc /zfl IxBFACIA F/-PtSHIN.~ ~ ~ILDING DEPARTMENt ~" 76~-1802 9 AM TO ~ PM ~R THE FOLLOWING INSPECT ONS: I FOUNDATION C~&~UIRED FO~ POURED 2 ROUGH FRAMING A pLUMBING 3. iNSULATIOr ~ ~ FINAL CO~}STRUCT1ON MUST C.C. TE CoNSTRUCtION ~ ENERGY ri -- X/~FA£1A /Z ~NtB ?AClA 7 cW I~ IX,~ ?AC. IA ¥/ I I I I I I LI £/6 V~HT WJ~,~F~E:EIV I x,~ F~C/A -- £££YAT/Oixz HOU~_ ~'0~ A4~, fi'MN-q, TAN~Y T~lzv'N O}= ..~OL]THOLP /H A T T',~ ,~"7- U ~ ,N' ~ /V~ ~,v' SCALE: ~/4"=1'-0'' I~HEET ,~ ?£ /VO ~CAL~ ZT~P F~O~ TWVG _~/,LL. ANgHOR~ 40. 0479)5'?- '-. NOT '7'0 ~ FOUIV~A T/ON PLAN FOP ~R. ~, ?ANP/ ?OWN OF ~UTHOL~ vj~~b FOUNDATION PL AIV ]Z HOUSE FOR mR. ZMR6, TAHO Y ~AL~: ~ ~o~ I~HE~T ~ A/OT 7-0 ,mL- .,41'4 - ~tt~ T ,,~ L ,O0$~ HOU5~- ~0~ MF?,~'N/~5, TAIV~Y T'~W'N OF 50UTtdOL~ ,SCA/_~ : F4'9 /LO" dA5 ~OT_~ ISHEET f )2 , 7~ T ~ ~AL~--~ ~/~"= ILOn 8CALE ~/8'-~1'.-0''~ .5 TA/R 5 POl~ ~ ER HOUSE FOE' tv~l~,d lvtRs. TAN¢Y' 7~¢k/A/ OF £OUTHO.LZP 8CAL_E; -~/8" = I'-O" I,SH£ET 7 tl II ?/_A T~Z PLAN VIEW OF TH~ /~OUNL~ATI~N vV/~LL ~htE.4TH/~IZr Il 7~ ~5~ 5U??Of~T OF LON~ITU~;~IA/A/- ~EAlV~ ~CAL~ : ~4'~l-' P'~ L Y2 p~'yWAzL  2L%~Am=/_~u~ucal I HEMANhOZ~ ~,~V~,~ I, I Ty?/['AL SONaR'ET--F 3,~F::~T/C T,4NK ~Ut£ T u,¢' "~::~o0,¢ jJ]L41~ iI~L4'~ lYd' ,4II TANK C, ;, ¢OU~E mAP CLOTA/~5 II Z;>R Y WA L ,L VAPd2,~ 7~-' F/-YWOO~;~ ~/~'~ WAZZ FOUl/PAT/ON #ALI.--5 ('./Z- /t ) /%/ E~HI - I~N~AKFAST ~-/~ ~ ~AWL /NSL/I. A7'/ON ENV_FZ.~?E t¢OUSE ~01~ MR, YM,~..S. TANPY ?OWN OF $OUTHOL~? MATTERTUE/~¢ flEW' YORK SCALE: AS NQTEP ISH/ET f0 © ..q ~0 ~YMi~OL ? P ~'A,.V/,'V~- 7'H.~Z~- WAY ..5v,// 7-~'t:/ FIITUI~'6 ~ISH ~Y~ %ATER PUMP To HOUSE FOR MI~.~M/?5. TANPY TOWN OF ~OUTHOLP MA 7- TEF¢ TUdK ~ A/E W TO;~K