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HomeMy WebLinkAbout14314-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy NoZ74316 Date March 25 1986 THIS CERTIFIES that the building ........ Qn.e., ?.a.m..i .ly..d.¥p.l.!~..rig .................. Location of Property ......... bB.0. R EE.V.E.R.Qg D .................. MJi. T. T..I .T.U.C.I~ ........ House ~Vo. Street Hamlet County Tax Map No. 1000 Section .... J.0. O .... Block ... 03 .......... Lot ...... 1.5.: .3 ....... S ..... Sea Aire Estates .... 6780 3 uou~vJs~on ............................... m~eo Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·. $~.p t ...t~. ......... ,19 .~ 5 pnrsuant to which Building Permit No...~ .4.3. ]. 4. .Z ............. dated .... .S.e. p .~ .e~b. e..p..2.5. ......... 19 .8.5,, 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 ......... ·. O~e. f~sn% ~-y..4W~ ~-.1.%r~g..i.n ~ .1.u.d.%n. g..~. ,.2..c.a.r., g.a.p.~, gp.. ........................ The certificate is issued to ..... .D. ao¢.e.% ..aB.cl..~ .a.~?.%c. $.a..E.g .a.n ......................... (owner~e~e~c~o,~t~t~ of the aforesaid building· Suffolk County Department of Health Approval ............. ]. 5 .- ~.0.~ ~ .4.6 ................... UNDERWRITERS CERTIFICATE NO ..................... iq 772.4.~ 3 ~ .................... Plumbers Certificate 3/24/86 Building Inspector Rev. 1/81 ~ ~0. ~ TOW'N OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N_° 14314 Z Permission is hereby granted to: .~.~ ........... I .............................. £.~ .......... .~..~..o...~.....~......~ ............................. . . l~£z.~ .....~..~.~ ...... .~..~. ......................... ,o at premises located at ..~:.....~.....~.....~..~-~ ......... .~.~~. ............................. County Tax Map No. 1000 Section ...... L..~...~. ......... Block ....... .~)..~. ...... Lot No ...... J..~..:...~.. ...... pursuant to application dated .... ~~~......J'.~ ............. , 19..~..~., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted .- aammmma 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 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 pz~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- tion requ ired to prepare a certificate. C. Fees: 1. Certificate of occupancv $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.C. $5.00 5. Updated c.g. $15.00 Date ........ New Building ..... /~. ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .............. '. House No. Street Hamlet Owner or Owners of Property . . .~..~J~. '/.. T. ?P~..~.'.'~/¢:F. ..... ~'.~. ~ .~ ........................ County Tax Map No. 1000 Section .... ,/~. ~. ...... Block ...~). ~ ........ Lot. O. J .~.~, .~ ....... Subdivision..~.~. ~~.c¢ .... ~E~-~'~. ....... Filed Map No. ~ .~..~.Q...Lot No .... ~-~. ........ Permit No. :.'..~.z..i.2,. Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval ........................ Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $ ............................. ~.noo~se THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY .1~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 .¥.'iea.o,,No.o,,f.e ~7040~/8S N 734832 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed below and i~troduced by t~ applicant named on the above application number in t~ preo*ises of oea a~re Lane (paper s'E~ ) ,Mattituck in the following loca~ion; ~ Base,nent ~ 1st FI. ~ 2nd [~. Section Block Lot was examined on YP~b~]~"~ ~ t ~ ~ ~ ~ and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS DISH EXHAUST FAI4~ OUTLETS DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLE1 SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E R V I C NO OF CC COND A,W G NO, OF HI-LEG A W.G. PER ~' OF CC COND OF HI-tEG NO, OF NEUTRALI OF NEUTRAL 4 CeDte~: Mor~.ohes, 11934 l!c~847 GENEI~AL MANAGER this certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by th~ir credentials. 3UILDING I MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~3/~ Owner /"),~,n .e- fPz:t.1%".,'c./~_ (please print) (pl~se 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 [~A~C~/ 19~ . Notary Public,~O~[JOL[~ Not~r~ublic County DANIEL ~. ~ORA NOTARY PUBLIC, S~e of New Yor~ No, 52 - 464~504, Suffolk Counly I"IELD INSI'~CTION. . bul'tnl:l~ xo FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved . .~..~....~...~.~.., 19.8.~. Permit No. ! ~.~. l .~..~... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .................. Date .................. , 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . .&.'C~h. :ii. £~ .~...¢o.r.p.~ .............. (Signature of applicant, or name, if a corporation) . . 2¢.. . ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... . oc l .... ¢.o n:f.c, vt. r .c ............................................................... Name of owner of premises .....~X..}q.i.g, [.. Cq~.d...~¢~.'fCl'C. i0C.. ~.~dtn ..................................... (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 .... /.~.q~.: .~.-~. ............. Plumber's License No .... .~..~.~...~. ............. Electrician's License No... ~.~..'?..~. ............ Other Trade's License No ...................... 1. Location ofland on which proposed work will be done. ~/$ ~e~ ~V~ . /~ ' House Number Street Hamlet County Tax Map No. 1000 Section ... ~ .......... Block .~ ............. Lot ..... ~ .l. ~ ~.~. .... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~G&n 'F !,, 3,,,,.Nature of work (check which ap licable): New Building ...... Addition .......... Alteration .......... ' Repair ....., .......... Removal .............. Demolition .............. Other Work ....... : ....... i~ ~1 [ I q:l~ a ! (Description) ~i,i4. EstimatedCost?.~O ~ ~a~.i , ~ ~ ,- .... .................. Fee ...................................... (to be pad on filing this application) ~Tf a'~elling, number of dwelling ~nits ....../ ...... Number of dwelling units on each floor ................ If garage number of cars ~. .......... ~ .~ .... 6. If business, eommerci~ or mixed occupancy, specify nature and ~xtent of each type of use ..................... 7 Di ting ~ ifa F pth . mansions of exis structure, ny: rent ............... Rear .............. De ............... Height ............... Number of Stories ........................................................ D~ensions of same stmcture with alterations or additions: Front ................. Rear .................. Depth .................... [.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new eonstr~etion: Front .~ff~'.... Rear ~ Depth ..... ~g, ~ ......... 3~ .......... Height ........ Number of Stories ~ ............................................ 9 Size of lot: Fron{ /~Of. ' '~;ar ...... Depth ....... ~ ............ /~o~ ................................. 10 Date of Purchase " Name of Fo~er Owner 11. Zone or use district in which premises are situated ................................................... .. 12. Does proposed eons~ue~on viol~t~ any zoning law, ordinance or regulation: ................................ W~l lot be regraded ......... , .......; ....... 13. N~e of Owner of premises ~. .... Will excess fill b~ removed ~_~remises: Yes No 14 .... ~r~ ~ .~ Address ~P..~. ~-.ff~'~one No ................ Name of Architect . ~.~ .~./~n.~ .......... Address .~ ~'Fv~ ....... Phone No ................ N~e of Contractor~UI .~a~U .~ .......... Address ~'~./~.,..~&~.. Phone No. 7~. 7[~.~4 ..... PLOT DIAG~M Locate ele~ly ~d distinctly fll[build~gs, whether existing or proposed, ~d~ indicate all set-back d~ensions from prope~y lines. Give street and block aumber or description aeeord~g to deed, ~d show street n~es ~d indicate whether interior or corner lot. STATE OF N~W-~RK, z COUixrrY O~ .. ......... Y~...../4;;~..UC.<~ G.~o4 ~ .................. being duly sworn, deposes and says that he is the applicant (Name of individual signjing contract) above named. He i Ih (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 are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this [~T/~R¥ Pl/llt~ ~.~11~¥1~I (S'gnarure ct applicant) ; TITLE NO, TI284-4644 ~U~'OL~ "countrY' ~,C~';~.'r;:T 0~,, .~,LT., S~VlCCS DANIEL U; EGAN ~'PATRICiAM EGAN ~; _ ~ , ~ LOT ~. ~ "SEA-AIRE ESTATES" VAL OF CONSTRUCTION ~,~~~.,).~~.~..'~su~ro~.cou.~,:.tw~.~.~..,: ~' : ~ ,o.~ ,~-,,~ ~*~-~ ~ ~ ,..~e WITHIN oD Fr~T'OF' ~S ~hOkE~Ty ' .OF H~LTH;~ CgS;~ I '' ~ ' '~" ® '"'~"-':' -~:~-~ i~t'-- ~ ~- "-' .~ ;:,,, ,; ' :,.,, ~: ,,,,', , ,;;.," ~:~ ~,;I~.:~,!.~,~ ~.~l~ ' ~AO, NEWYORK J ,. '' ', TITLE NO. TI284~4644 I *APPROVED ' '~ * ' ~ ,, ~su~v~v e~w~o, ~sgczm.,' v~Oe~,~ TCOR TTLE GU~ANTEE , . r ~ * , NEW yORK~TAT~ E~CATI~ LAW ' ' -- A A ' ' ~ ~ ~ ~R WHOM THE 5U~EY 15 PREPARED DEPARTMENT D TAF~ PP~O~C~$TRUC~ N'N~ARIST W~ MAIN 'MI + NSOURCE ~ WATER' ~I~T[~P~I~ MENTAL AGE~CY AND LENDING INSTITUTION LISTED CO. T~MAP mI~O~ECTI~K aO~ LOT~ H~E~, ~D~TO*~E'ASSIGN~S OF THE LENDING , SINGLE FAMILY DWELLING ONLY t~e ~e~a~e disposal ~,~ eater S~:ppl.~ facilities for tht; lo(,a'~ion ha,ye been [nspeot~ by %his dopa*~u% ~d fo~ KO b~ ~tf~fao~O~ - H~AL~ OE~AE~M~N~-OATA F~ APPRO~L TO C~S~U¢~ ADDHESS NOTEI A=STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON FEB. 8,1879 AS FILE NO. 6780. BRANDIS & SONS INS, 1046 TITLE NO. T1284-4644 ~9 z po~v' ? ~AR ~ BI~ SC, SEPT, OF SURVEY FOR DANIEL L. EGAN & PATRICIA M. EGAN LOT NO. ~, "SEA-AIRE ESTATES" AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK JAN. 50,1986 NOV. 22,1985 DATE: NOV. 21, 1984 SCALE= 1" = 50~ NO. 84- II 44 RUNADTHORIZED ALTERATION OR AOOITION TO THIS SURVEY IS A VIOLATION Of SECTION 7209 O~ THE NEW YORK STATE EDUCATION LAW RCOPIES OF THIS SURVEY NOT KARI~IG THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT IE CONSIDERED TO BEAVALID TRUE COLaY NSUARANTEES INDICATEO HEREON SHALL RUN ONLY TO THE J~RSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANy, GOVERN- MENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS #DISTANCES SHOWN ~EREON FROM PROPERTY LINES TOEXISTING STRUCTURES ARE FON A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH GUARANTEED TO' TICOR TITLE NORTH FORK BAI DANIEL YOUNG a YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LANO SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE N0.45895 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK t? ?5 Z (b Z 76~, ,g4 7 / q '434 1 .36 ~I 03 I I If copper tubing i~ u~td for wa~r distributing ~/.tem; piping .hall be of tybe~ K or L only SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 19G LEAD. PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY NOTIFY t:IUILDING DEPARTMENT 765-1802 9 AM '[L~ 4 PM FOR FOLLOWING INSpFrJT(ONS: 1 FOUNDATION -,WO~ ~EDUIRED FOR POURED C,G~]CRL~ D: 2 ROUGH FRAMIf,;G ~, %~ 3. INSULATION 4. ~:~NAL CO~STRUCTION MUST RE GOMPLETE FOR G.O. ALL COi"]STRUCTION SHALL MEET THE REO-U[REMENT$ OF THE N.¥ STATE GONSTRUGTION & ENERGy CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTROCT~OF,~ JOB No $1DF- ~ L~.V~T~ON I 1 1 No SHEET - - ' -- I'11¢ I ~LJIL t50'-%3'-0N .... C 0 L 0 N l ~IOT 'TO ~CAL.~ AL' ~Cor ~i:TUNILL COIdST. COI~. E L £ V AT I 0 hi S ~HI~T CKD MY SCALE OF' D W I:~ E. 2 ~OSTON COLONIA, L fc::,~ GR/jWILL CON~I':. 1:: 0 U N C) /~, T \ 0 W J I h,%l,.~. ... . . ..... .. :....