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Home My WebLink About14348-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15782 Date May 28, 1987 THIS CERTIFIES th ildi One family dwe 11 inS at the bu ng ............................................... Location of Property 18600 Main Road Mattituck, New York House IVo. Street Hamlet County Tax Map No. 1000 Section ...1.1.5. ...... Block 6 .Lot 3. Subdivision Mattituck Estates ...Filed Map No. 4453 .Lot No. .3 conforms substantially to the Application for Building Permit heretofore filed in this office dated September 16, 1985 .. pursuant to whicll Building Permit No. 14348Z dated......0 c ..... t o b e r..........9, 1985 ...... . 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 and wood deck The certificate is issued to WINDS WAY BUILDING CORPORATION ..................... ?o¥.'e;,:ti f4i/X X .................... of the aforesaid building. Suffolk County Department of Health Approval ...... 8. 5. T.8.0.~ ! .5.8 .......................... UNDERWRITERS CERTIFICATE NO. N 750549 PLUMBERS CERTIFICATION DATED: 4/23/87 Building Inspector Rev. 1/81 TOV~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 14348 Z Permission is hereby granted to: ...... ~'.~.~:..~..4~........~....~.~.....~..~ .... .................. ....... .~.~..,:~.~......-.......~...=~......~.<.Z.7...( ~o ' = ,,..c..~ :.(.../.~ ................. .~...~.~.~:z~.~..~.......~.~.~.....~..~ ........... ~ .~ ............ County Tax Map No. 1000 Section .... /./..~..-~..i ...... Block .....~....~.. .......... Lot No. ~..~.. ........ pursuant to application dated ...... ~-~....~..~...~.. ................ , l~...~..~-and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUP Instructions This application must be filled in typewriter OR ink, and submitted in duplicate 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 featu res. 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 bu[tdings, 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 surYey of peoperty 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 required to prepare a certificate, C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling ~r land 3. Copy of certificate of occupancy $1.00 use $/~/$5.00 New Building ............. Old or Pre-existing Building(H) ......... =/Vacant Land i ............ Location of Property ,., ........ z ,x, .......... ~ ......... House No. Street Owner or Owners of Property...~. ?i".~/~ .~,~ .-,~7', . ,. , .~..~ ..................... / County Tax Map No. 1000 Section ..... /4) ........ Block ............... ~'('- Lot .... .LC,, ~. ....... Subdivision...m)~.,.~/'~/~.... ,~. ~ .. ,~.~led Map No. ,f~, .~.. ,~...Lot No, .. ,.~ ......... PermitNo...1,~,~.~,~. Date of Permit ...~.~/~./.~'.~Applicant .. ,~,, ,Y~,~ ,~, ,~/C~,~ ..... Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ........................ Planning Board Approval .................. ~,., Request for Temporary Certificate Final Certificate ~ * Fee ~ubmitted $. ,~:~..~ ~ . .V/~/:.~,~, ~ ~ b/.mn.~ Construction on above described building and pe. pa3f~pp~a regulat~i, jpn~s, ~2<1.,'-'~L4]), /~ppllcanl:,,¢'....? __ .~:. ........ ¢./-., ............... /,. ,.,._..,~%, ...... Rev. 10-10-7a TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. / ~3~ (please ~rint) (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 ~ 3 day of ~ , ~otary Public,~~.~County Notary Public HEU~N lC DE VOE I~rrARY PUBLIC. $~ate of New York No. 4707878, Suffolk County(~ Expires March 30, looow:~ THE NEW YORK BOARD OF FIRE UNDERWRITERS Winds Way B~lding ~, SIS . ( ~as exami~ed ol~ ~ ~ ~ ]'~ and found to be in co.~pliance with the requiremer~ts of thls Board. FIXTURE 2~0 DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 26 DIMMERS SYSTEMS NO. OF FEET OTHER APPARATUS: 1-G.F.C~I. ]-E~O/~ Detector E R OF CC COND, 1IO I C OF HI-LEG NO OF NEUTRALS OF NEUTRAL P. O. Box 14~ ~)~ This certificate must not be altered in any manner; return to the office of the ~ard if incorrect, inspectors may be identified by their ~/ed~n~ ~ >) CQP~FORBUILDINGDEPABTMENT. THISCOPYOFCERTJFIGATEMUS~NOTB~ALTEREDINANyMANNER. ,OUND~TION (~st) 'OUNDATION 2. (2nd) ,~OUGH FRAME & PLUMBING £NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BUILDING DEPT. INSPECTION FOUNDATION 'IST [ ]ROUGH PLBG. FOUNDATION ZND [/~ INSULATION FRAMING [ ] FINAL ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ..... ,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, relationshlp 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.ips~ections. (Signature of applicant, or nmne, if a corporation) · ts .... ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... . .......................................... Name of owner of premises .~4].'..~. · .... ~. , ~'.t-4 t/.~. t .~. · · CO~. -27..' .......................... ..... (as on the t~x roll or latest deed) .... If applic~ct is a corporation, signature of c~ly authorized officer. .... ,. ................ :.... ......... ........ (Name and title of corporate officer) Builder's License No .......................... Plumber's License No...~.~..~ .~ .?~ ..... Electrician's License No...~.~.....Q[. ~... Other Trade's License No ...................... 1. Location ofland on which proposed work will be do{n<~e(°.O~O~ ~*,~ .~ '{k}.~.~,?.:.%?..~.,.~..~.~. .......... ....... .............................. House Number Street Hamlet County Tax Map No. 1000 Section .... 1~7. .......... Block ..... O.~ .......... Lot ..... .O.~. ......... Subdivision..~Cr3¢~"..~..~.~..~.Q-.~..J · .'~..~..~.¢... Filed Map No...q.q~..~. ·.. Lot... ~ .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ ".~rMT.C~.~..7......~.. ........................................ b. Intended use and occupancy ........ ........ '~}&~.; ;.*',;tF:'~ "-k&~ ?"7 ,:J .......................... Nature of work (check which applicable): New Building ....~..'.. Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ~"~ o.0.~ i' ~" (to be paid on filing this application) 5. If dwelling, number of dwelling tmits ...~. ?..~ ....... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixe~ occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ............. Depth .............. Height ....... ~ ...... Number of Stories ............ i .......................... i ..... Dimensions of same structure with alterations or additions: Front ................. Rear .................. D pth .................... ;.. Height ......... ~ .... ,,. ........ Number of Sto~ies ............ '#. · J t .... 8. Dimensions of~l~ire new construction: Front ....'~.9.--..~ ..... Rear .... .-I.q."..q,r',,.. D th . ~.~'.~.O. ~ ..... Height .... .X?. ........ Number of Stories ....... . .(2J~... ........................ ~P.... i ............. 9. Sizeoflot: Front .... .L~.o.....~ ........... Rear .... t. ~ .............. Depth .... .'~..o.~ ............. 10. Date of Purchase ., :~.~.. ~ .................. Name of Former Owner ............................. 11. Zone or use district in which pr6mises are situated ............................. . ........................ 12. I)oes proposed construction ¥iol, ate any zoning law, ordinance or regulation: ..... ffld.~. ...................... 13. Willlot beregraded ...... ,[/' '~"~'~, .......... ,'o' · '--' Willexcess fill be remov_ed' froro premises: Yes 14. Name of Owner of premises .~.~ '(~' '~1. ~%.~.(~ess .19.~.. Pr4~q. ~,~ ~hone No..T¢.C.w ~ .~ Name of Architect ......... i ........ ~ ......... Address ................... Phone No ................ Name of Contractor ..... .~"~"~ ............. Address ....~-~.~ ........ Phone No .... ~'~,~¢~.-. .... PLOT DIAGRAM Locate clearly and distinctly alt buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocklnumbar or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE)V-YORK, . x~ S S (Name or ina~viaum slgn~g contract) above named. He is the ~ .~. i f(( (Contracto~ agent, corporate officer, etc.) of said owner or owners, and is duly auth~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 man,er set forth in the application filed therewith. Sworn to before me this (Signature of applicant) EL= 36.2 EL: $5.9 MAIN ROAD (NYS. RTE.25) . N.88o ~j,8, 20,,E.' ~ N.88ooo'20"E. I00.00' I EL:38,8 f/,~' 18~.00' EL= 57.? - < Lo~4 . ~o~ 3 ~ot ~vea = 20,000 s ' ~J 0 0 o b ,0 EL=~2,8 L EL: 33.8 0 LOT NO.3 "MATTITUCK ESTATES,INC." MAR.29,1985 SUFFOLK COUN~ DEPARTMENT OF HEALTH SERVICFS AT MATTITUCK DATE: FEB.26,1985 FOR~PP~OVAL OF CONSTRUCTION OF ~WN ~ SOUTHOLD SCALE: 1%50' ,/Sleepily ,.side.c~ Only~/~ : SUFFOLK COUNTY. NE, .RK No. 85-61 ~GUA~ANTE~ INDI~T[O HI'ION ~LL RUN ~LY ~ ~E ~ FOR WHOM THE $U~EY IS PREPARED HEAL~ DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT .. ~o ~ HIS EEHALF ~ THE TITLE C~P~Y, OTHER THAN THOSE ~HOWN HENEON, OWNERS ) g~ zJ2~ ~ RIVER~AO, NEW YORK NOTE: M ~MONUMENT ' ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUBDIViS;ON MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S. UCENSE N0.12845 SUFFOLK COUNTY ON SEP, 8,1965 AS FILE NO. 4453 HOWARO W. YOUNG~ LAND SURVEYOR ~ L~T~ ~ ~C(W),~C T*NK(S;)~ CE~S(~) ~, ~E~ N.Y.S. LICENSE N0,45893 BRANDiS & SONS INC. 1046 EL: 35.9 EL: 36.2 MAIN ROAD (N.YS. RTE. 25) ~ LOt4 ~t 3' Lot 2 Area = 20,000 s.f, ~~ ~,;,88008'20"W. i00.00' SU~Y FOR WINDS ~AY BUlLDIN6 COR~ LOT NO3 "MATTITUCK AT MATTITUCK DATE= ~UNE ~1986 ~N ~ SOUTHOLD SCALE~ ~"=50' SUFFO~ COUNTY~ NEW ~RK NO. 86-575 ~UTH~IZEO ALTE~TION OR AODITION m ~15 ~UARANTEED ~=, SURVET · A VI~ATION ~ IECTION 7209 ~ THE EQUALITY ABSTRACT INC. MCOPIE$ ~ mis ~VEY NOT KAR~G THE LAND LONG ISLAND MOR~AGE CORP. NOT IE CONSIDERED TO M i VALI0 TRU[ COPY HE~ DEPARTMENT'DATA F~ APPR~ Ta C~STRUCT AND m Hit ~LF m THE TITLE C~P~Y, GOV~N- M~EM ~ ~ HELLMI WITHIN 100 FEET OF T~I PROPERTY MSTITUTI~. GUARANTEES ARE ~T T~SFER~BkE OTHER TH~ THOSE SHOWN HKNEON. OWNERS N THEATER S~Y ~SE~eE M~AL SYST~ ~ll N~OE~ fl DISTANCE~ S~fl HEREON FNOM PR~RTY ~NES I WI~C~FONM ~ TM STANW OF THE S~ CO~TYDEPARTMEMT TOEXISTIHG STRUC~RES ~[FOR ASPEClFIC . , NEW YORK NOTE: I-MONUMENT / I ALDEN W. YOUNG, PROFE~IONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ~ AND ~ND SURVEYOR N.Y.S. UCENSE N0.12845 SUFFOLK COUNTY ON SEP. 8,1965 AS FILE N0.4453 ~ ~ HOWARDW. YOUNG, LAND SURVEYOR M~L~KLIW),KKJCTANKIIT)iCE~I(~)WHW[~ ~ ~, N.Y.S. LICENSE N0.45893 ME M FI[~ ~TI~I ~ OR DATA OITMMO F~ OTHERS f cdpper tubigg:is u~ed ? for water, distributing ' p pi s~all b~ system; ng of types K o~r L only ~ , ' US~D~IN WATER SvL~: SUPPLY SYSTEM CANNOT '. ~XCEED 2/10 Of ~ ~ LEAD', ,: rLv~ C~z~Ze~T~oN " ON LZ~D CONT~T ~0~ CERTIFICATE OF OCC~A~CY ~" 765:180~ ,9, AM TO 4 PM FOP, THE " FOLLOWING iNcPECTIONS:~ - ; 1. FouNDAIJON ~ TWO REQglRED ' ~OR' pOURED ~NCR~T5, ~-' ' 4, FINAL -CON'STRDCTION ~US~ ' BE coMPb~E FOR C,O. , ALL C~NSTR0~TION 5~ALL MEET ~ THE R~QUiREM~S OF ,THE N.Y. STATE CONSTEUCTION & ENERGY CODES.' NOT R~5PONSIBLE FOR D~GN O~ CO~T~CTION ?' - .-.4