The URL can be used to link to this page

Home My WebLink About14674-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z. I .5 16 2. Date January 5. 198.7. No 6155' WESTPHALIA RI). & 11650 COX NECK RD. MATTITU'CK Location of Property $13[~sb ~io Street ' ' ' Hamler County Tax Map No. 1000 Section I ! 3 ...... Block ! 4 ...Lot 02 Subdivision .... HE.R.I, TACE. ~ARBO. R ...... Filed Map No. 6. 8. .5.8. . .Lot No. 2 conforms substantially to the Application for Building Permit heretofore f'ded in this office dated Hatch 19 8. 6. pursu to which Building Permit No 14674z ..................... , 19. ant ...................... dated .M a. r.c h ! 9 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 ......... The certificate is issued to RIVERS IDE HOHES, [NC. (ownerylK~Vo~i of the aforesaid building. Suffolk County Department of Health Approval 85-so-230 UNDERWRITERS CERTIFICATE NO ............ .N.7.6.9.8..1.9 .............................. PLUMBERS CERTIFICATE dated January 5, 1987 '~ /'/ Building Inspector Rev. 1/81 FOBM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, iq. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 14674 Z Permission is hereb/granted to: ..~.~~....~...~.~...; ......... ~......~..~x.....~.z~ ................................................ .c~.,J~...~......~_:~.: ...... ).!..~.x .............. ~.,-..~:.~..~....~..~.~..,,....~.......~.... ~..~.~...~..~.,.~...~......~.~ o, o, County Tax Mop No. 1000 Section ........ .~.~....~ ....... Block .......... ~...~ ....... Lot NO ..... .~.-~ .......... pursuont to c~pplication dated ........~.~.~%...I.~ ..................... , 19.~.~.., ond approved by the Building Inspector. Fee ,..~b.q.,.~.~ .... ................ Building Inspector Rev. 6/30/80 TOWN OF $OUTHOLD Building Dep~rtment TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Halt ng Receipt NO. 51 0 5 1 Southold, New York 11971 Date .........(./..-~../.~..~. ...................... nd ~ ~/ O /100 Dollars tar Fee for ~)" Fee for [__--J Yard Sale [] [] Oash h~ck /.~ ~ .................... ................ Fee for Fee for r.~rtificate [] H.I,C. [] Building Permit I~1 of Occupancy [] Misc. 'o[ 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Dote ..................................... . .......... New Building x Old or Pre;e mt~g Building ............................ Vacant Land Rive~side Homes Inc. Owner Or Owners Of Property ........................................ ~. ............................................................................. Hemitage Hambo= . k 2 6155 Westphali~ Subdivision .............................................................et No ............. B~ock No ............. House ~od.66~..~ox Neck Perm{t No.....1..~.9..7..~..Z.... Dote Of e ' $/19/86 licon Rivemside Homes, Inc. P rm~t .................... App t .................................................................. Heolth Dept. Approvoi ....... .8..5....S..0...2..8~.0. .................. [obor Dept. Approval ................................................ Underwriters Approve[ ....... ..N.7..6...9.8..%..9. ........................ P~ann[ng 8oerd Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ....... .x. ................................. Fee Submitted $ ....5..:..0..0. ........................ Construction on above described building and permit meets all applicable codes, and regulations. ... Rive~side H~ Ir~'~ ./" ~ ~ Applicant .................. ~..%.....).../.../. .... /~.....~'./.J&... {. ,Z/~ ................ ~.. Swomn to before me this · .~ /6'~.~ (~~~~~ . T.FI.T. PLUMBING ;* HEATING 26 CARLTON AV. MASTIC N.Y. 11e50 (516) 399-092t CERTIFICATION January 5, 1987 Building Permit NO. lq674 Owner: Riverside Homes, Inc. Plumber: TRT Plumbing and Heating I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sincerely, TRT PLUMBING AND HEATING LTD. Terran~e Taub Sworn to,before me this 5th day of ~, 1987 THE NEW YORK BOARD OF FIRE UNDERWRITERS ](")~50~ BUREAU OF ELECTRICITY ~/Tcfs* 85 JOHN STREET, NEW YORK, NEW yORK 10038 THIS CERTIFIES THAT o~y the el~c trical equipment ~ ~scribed below and intr~uced by t~ applican~ ~med on the a~ application number in the premises of in t~ following location: ~ Basement ~, Ist Fl. ~ 2nd FL ,Section Bilk ~s examined on ~ ~ ~ ~ ~ artd found to be in compliance with the require,tents of this Board. FIXTURE FIXTURES RANGES OVENS OUTLETS SWITCHES ~-tUO~SC~NT Lo~05~ EXHAUST FANS DRYERS Zl OTHER APPARATUS: ~ ~/otors: 1-1bp 1-G.F.C.I. 1-~oke Detector 1 R V I C 1 1 1 35 Sheppard ~ali-ghto~n, N.Y. 11788 L:[c. 2t~97E GENERAL MANAGER Per ~j~ 11 7his 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 COPY OF CERTIFICATE, ,-. MUSTi?OT: ., '-~ ,;,,BE ALTERED IN ANY MANNER. 7GS.180~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING , REMARKS; [ ] FINAL FIELD INS~ECTION FOUNDATION (lst) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE COMMENTS ADDITIONAL COMMENTS 0~ 7~-1~0~ BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FMMING [ ] FINAL 7GS-180:) BUILDING DEPT. INSPECTION ["~ FOUNDATION ZST [ ] ROUGH PLBG. C-~ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 7GS-1802 BUILDING DEPT. INSPECTION [ '1 FOUNDATION 1ST ~ ~ROUGH PLBG. FOUNDATION ZND [ ] INSULATION DATE 7//~/~~~/' ,NSPECTOR,///~'~/~'~ 76S.'1802 BUILDING DEPT. INSPECTION ~] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING £ I FINAL REMARKS: ~- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE. INSPECTOR 765-~,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION IND INSULATIO DATE INSPECTOR,~ Riverside Homes, Inc. P. O. BOX 274 1159 West Main Street Riverhead, N. Y. 11901 Phone: 516 - 727-3395 December 30, 1986 Building Department Main Street Southold, New York 11971 Re: Permit NO. 14674 Gentlemen: Enclosed are final papers for the issuance of th3 Certificate of Occupancy. May we pi~k it up? annazaro Riverside Homes, Inc. P. O. BOX 274 11,59 We~ Mein S~reet Rive~he~d, N. Y. i 1901 Phone: 516 - 727.3395 August ll, 1986 Town Clark, Southold Town Hall Main Sou~hold, New York 11971 Rs: E/S Cox Neck Rd 465.28' S/O Westphalis Rd Mat%ituck 1000-113-14-5 Gentlemen: Enclosed is the application for Construction or Alteration Permit Septic Tank or Cesspool, as newly required in order to obtain a building permit from you~ Town. Please approve and inform Mr. Lassard of the Building Department so that ou~ application for building permit on these premises can be p~ocessed and permit for cons~l~uction issued. Enclosed is ou~ check for the $10 fee required. Sincerely, Enclosures cc: Mr. Lassa~d Elizabeth A. Cannazaro 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 ×an ined.. Approved Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ' .,19... 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 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. RIVERSIDE HOMES,. INC. (Signature of applicant, or name, if a corporation). (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner/builder Name of owner of premises ..... R.i.v.e.~s.i.d.e..H. qm.e.s. ,, .!qq: ................................................ (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 ..... 2.0.~.QP. ............... Electrician's License No...2~9.7.E ............... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .... S/.~/.q.~.es. 1;p. ha.!%q.R.d..a.n.d..qc~;.~.eq]~.I~4 ........... ............................................................ ~a%tituqk ....................... House Number Street Hamlet County Tax Map No. 1000 Section ...... 1].~ ......... Block .... ],~ ............ Lot ..... 2 ............. Subdivision...H.e.~.i.t.a.g.e..H.a?.b.q~. ................... Filed Map No...6.8.5.8. ........ Lot ...2. ........... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: vacant land a. Existing use and occupancy ..................................................................... b.,Intended use and occupancy I family dwelling ......... Alteration ........ .... Other Work ............... (Description) 10. 11. Zone or use district in which pr~mises are situated ........................................ 12. Does proposed construction vic!ate any zoning law ordinance or regulation: no 13. Will lot be regraded ..... Y¢$ .,! ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Rigersifle. Ho~nes~. IncAddress l~;iy.ep~.e~t.d..N.Y ....... Phone No. 727-3395 Name of Architect . .B .i .l .i . .~ .a ? r .5 .ng .~ 9 .n ........... Address .Naetic Beach NY ..~ .. ¥~¢L'3'3'93 ....... ............... rnone No. Name0fCon*ractor Riverside Homes, Inc .... Riverhead, NY ... . '7'2)'-'3'8'9S ....... , [ ......... . ................. aaaress ................... rnone ~o ................ 3. Nature of work (check which applicable): New Building . x.x. ....... Addition Repair . Remoyal .... Demolition ...... .q~Dl, x~r~ i.~ ' !, ' ~ ...... : .......... 4. Estimated Cost../..~.~.~ ...................... Fee .................................... ,, . ~ (to be paid on filing this application) 5. If dwelling, number of dwelling flnits .. 5 ........... Number of dwelling units on each floor...a..[.1..o.n..2.n.d. If garage number of ears ! 1 car 6. ltbusmess, commercmlormixe occupancy, specifynatureandextentofeaehtypeofuse ..................... 7 Dimensions of existing structure~ if any: Front Rear Depth Height ............... Number of Stories ........................................................ Dimensions of ..... Rear same structure w~th alteratmns or addmons: Front ................................... Depth .................... ;.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ..... .. ........58' Rear . .5.8.' .... Depth .2~' . Height . .2.2 .... Num?er of Stories ....2 ..................................... 9. Sizeoflot' Front 250°23 ~ n_~ 262.26 ~ -- 155.28 ........ ........... , ........... ~x~a£ ...................... L~eprn ...................... Date of Purchase .197.W&~7~ ...... Name of Former ow,a~ Saul Lerne~ Locate clearly and distinctly all buildings, property lines. Give street and block interior or corner lot. PLOT DIAGRAM ,hether existing or proposed, and, indicate all set-back dimensions from ,riCh according to deed, and show street names and indicate whether SEE ATTACHED SURVEY STATE OF NEW YORK, COUNTY OF....S.uFFg.5.K .... . . S.S ELIZABETH A. CANNkZARO . a~ ~- ~en .£o ..... he ,s tlii?//pi~llcah't ...................... ~ ..................... being duly sworn, deposes and says that (Name of individual si ming contract) above named. ' agent He is the .......................................................................................... (Contractor, agent, corporate officer, etc.) 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 am true to the best of his knowledge and belief; and that the work will be performed in the manper set forth in the application filed therewith. Sworn to before me this ............. ~.) ~ ay!of.../~t.~,~.g,~. ....... ,19 .~.(~ No. 6078900 ~i~hl~ Qxplres March .qO, SUFFOLK CO. HEALTH DEPT. APPROVAL ' ' STATEMENT oF INTENT THE WATER SU~LY AND SEWA~ D~AL SY~EMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH ~RVtCES SUFFOLK COUNTY ~PT. OF HEALTH SERVICES -- FOR APPROVAL OF O.ST.UC ,O. AP~ROVE~: ,, , , SUFFOLKDisT. CO.~cT.TAX MAP~K~SIGNAIION: oWNERS AD~E~: ": .... ' - , ' .... ~- sEAL ~VEYORS NEW YORK ' "~ ~..~ .~.~'~o~c~. ~ -- ~ ~p~ ........................................ .::. ' ---~ _ ~ ~ ~ ' . ,,,' H.D. RE~.NO ..... ~. ~, O ~ ~O :~ DATE. 3g :. THE SEWAGE DI~'OSAL AHD WATER SUPPLY FACILITIES FOR T'-:S :. o~ ~,.,~:~,e~.¢~er Management ~.3ctio~ .................. LICENSED LA;ND ~URVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (si APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. OWNERS ADDRESS: HOLI ~AMP SEAL · . ' * . SUFFOLK CO. HEALTH DEPT. , ,' u..+ ~J ~w~b.*~_; ~-~ STAT~M[NTOF INTENT /~'~ ~-~-~,-~ ~ ~A ;~;/~: -~/~ -- THE WATER ~Y AND SEWAGE DI~AL '"-- ~ _ ~"~. $YSTE~ FOR THIS RESIDENCE WILL '':'" ~A~ *;, ~__ CO~O~ TO T~ STANDAR~ OF THE ..... ~ ~--- ~:~'~.2~ ~__ ~-~"~'~ ...... m~L ~ - -' ~Z' - ~WN OF ~UTL4OLU, N.M ~FF~K CO. DE~. OF HEALTH ~RVICES, ~ ~ -' - - ~ ~/ ~, / SUFF~K COUNTY D~PT. OF HEALTH ~ k: SERVICES ~ FOR APPROVAL OF '-~ ~%o ~TY ~'~4~ I , CONSTRUCTION ONLY ~ ~ / DATE: ~1', ~ A~ . ,. ,, ~ / SUFFOLK CO. TAX MAP DESIGNATION: ' ' ~" [ DIST. ~CT. BL~K ~L. ; -: /' ~ -~) , , OWNERS ADDRESS: ' - ..... ' .. ONLY : .' AF2, EA' ~ED: L.M/A P. , SINGLE FAMILY''~E , ~ ........~1 ~r.~ :, l/'' ,/ . ..............._~_.,O~i ~ F. ~ H~E ' ~A~ ' HESE AGEDIS?O ; -'": / :":: SAL ~,h~D WATER SUPPLY FACILITIES FOR ';' '¢ / ; : .... ;-: a- ].;f of Wastew~ter Management ~ection l, - ., ~ "~"~""%'~'~"~'"~::~'-'=~"~. ~ , ~ :~,o~ ,~ ; GUA{<:.&~'~P_E:U",.:' ~ THO',. ~ ~,,~ ~ I'~ -- ~ I~'2 ¢"E~'~'A~T~A~' ~ *--- GREE~RT N~ Y~K ¸,7 t 't r . I 4~ - I W