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Home My WebLink About14360-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No.Z16820 Date April 26, 1988 THIS CERTIFIES that the building . .I.n.g.r. 9 .u.n.d.. PgP.1. . .a.n.d.. f. ?.n.c.e.; .................. 560 Theresa drive Mattituck Location of Property ....................................................... House No. Street ' ' ' h~/e~ 13 020 County Tax Map No. 1000 Section I 15 .Block ............... Lot Subdivision. Deephole Creek Est. .Filed Map No. 4.2.5.6. .... Lot No. 16 conforms substantially to the Application for Building Permit heretofore filed in this office dated 0 c t. 10, 1985 pursuant to which Building Permit No. 14360 z . dated 0 c t. 15, 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 ......... Inground pool and fence as applied for. The certificate is issued to JOlttt P. WItALEN/AUDRF. Y A.WItALEN ..................... /oh;,'o;. Oit ..................... of the aforesaid building. Suffolk County Department of Health Approval Iq /A UNDERWRITERS CERTIFICATE NO Iq750913 5/22/86 PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FORM NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERA41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 14360 Z Permission is hereby granted to: .............. 2" ..... I',,; ............................ "1 ................ ....Y.~....~.~.,.~.~ ................................ ~ ._ ~..:-;-.~... ........ ~._.'..~: ............... ~ ..... ,., .. ~ ~,...~ ...~. ,o ~..¢.........~...~..~..~~ .................... ...... "'~"'" ............................ ;' ......... :""~ ............ ,~"'~ ;'"'"'"%;:~"'"~" E' at premises located at ....~...-~.....~.....~....e~.. ...... !...~....~..~ ...... .I...~...~.~....~:~...~ .............. C~u~ Tax Map No. 1000 Sectio~ ........................ Block ...................... Lot No ......................... pursuant to application dated ....(~)..~..../:...C~.. .................. , 19.~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD 1~]6 i; Southold; N.Y. 11971 TOWN OF ~OUT~OLD J 765- 1802 ~O~ C~RY~M~CAYE O~ OCCU~AMCY Instructions This application must be filled in typewriter OR ink, and submitted I Jmmmma 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 p~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. Fees: 1. Certificate of occupancv $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date., ../~//..~./.~' .................. New Building ............. Old or Pre-existing Building ~(. Vacant Land Location of Property .......................... House No. /. ,~ Street ~, Hamlet Owner or Owners of Property .?..O../~... '. ,~...~..~/.~.~//~..~../.~. ~.~..~. ..... County Tax Map No. 1000 Section I ~ '~' Block I.~ Lot. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. I Date of permit Oc~,~.. ,l n ~2nt ~' Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ....................... .Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described bu ilding~/~p~r~i~t ~m~ee~ts al~.~. ~_ pplicable codes and regulations. Applican~.~'T' .'r.."~.7· ~,".~:. . . ~ v .................. / Re','. 10-10-78 FIELD INSF~ECTION 1. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: HE NEW YORK BOARD OF FIRE UNDERWRITERS ]~25045 BUREAU OF ELECTRICITY 8,5 JOHN STREET, NEW YORK, NEW YORK 100;36 D.,~ May 22,~8~ ,~,,,,c,t,o,,No. on/,l~ 400~47/a~ N 750913 THIS CERTIFIES THAT only the elec trical equipmen~ as descrlbed be~w and introduced by t~ applicant ~med on the able appllcation number in the pretnlses of John Whalen, 560 Theresa Dro, Matt~tuck, N.Y. the following ~ Basement ~ 1st Fl. ~ 2nd FL O~tMide Section a~o~a ~ot location; was examined on ~ay 19,1986 and found to be in compliance ~ita th~ requirements of this FIXTURE FIXTURES RANGES OVENS OUTLETS SWITCHES EXHAUST 1 2 DRYERS FLUORESCENT OTHER APPARATUS: E R V I C E NO. OF CC COND A W G, NO. OF HI-LEG A.W. G NO OF NEUTRALS PER ,~' OF CC. COND. OF HI-LEO (Swimming Pool)This certificate covers compliance on].y. Because of unusual environments it ~s and/or repairs made by a qualified person. OF NEUTRAL at the date of inspection advisable to have frequent test Brite Star Elec. 13 l¢iliett Avenue Sayville, N.Y., GENEI~AI: MANAGER ~ P~r_ ~. This certificate must not be altered in on¥ monaerl return to the office of the Board ff incorrect. Iaspedor$ may be qdenfifi~'g¥ thei~ credentials. COPY FOR BUILDING DEPARTMENT THIS COPY OF CEH:iIf;II~TE MUST NOT BE ALTERED N A~¥~MANNER. FORM NO. 1 , ~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .O.~,.[~.~,..., 19 ~.~.'~ Approved .O.~ .~..~ .... 19'~ .~. Permit No. ! .~.~.~ .~.~... Disapprove ~d a/c ..................................... ............................... i ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG, DEPT. TOWN OF SOUTHOLD~ , Received .......... ,19 .... INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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, ordinarices, building code, housing code, and regulation.s, and to admit authorized inspectors on premises and in building for necessary inspections. .... .9.v.-. ~..~. ~., .a..~. ~?..~.~ ~?=. ?.c..~.~.~..-~...~ (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. ......... .(q..~.~.,..~.. ?.,, .C~.~.. ¢~ .~9.% ......................................................... Name of owner of premises ... , .~.~x..~..~... ~..V~'9..~.~.t0. ................................................. (as on the tax roll or latest deed) if applicant is a corporatio~,~ignature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. '... ,~. '.2{ .~..~. ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ..,..e.~.o. .... .?. ~ ~.~.~ ~.~,., ..................... ~..~.-:~..5~., .o.<c, ...................... House Number Street Hamlet County Tax Map No. 1000 Section .... ~.[ .~-'. .......... Block ..... !.~.. .......... Lot....."~...~..~...~. .... Subdivision ?~...e?~..~.Q.~..~-~...~?.o._~x...~ ........ Filed Map No../'/.~. 5..~. ...... Lot...\..~. ......... (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... /.... 5X..o~.~.....~....c.~.. ........................................ b. Intended use and occupancy .... ~5'."~ .~..~-.... '~.~. £.~).O .~ .~'7~-~...~..C~....~., ........................ .A3! Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... 5. If dwelhng/n~nber of dwelhng[umts ............. Number of dwelling units on each floor ~. ,:~ ............. If garage,~i~hn~ber of cars .... i .................................................................. .. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............ ' .... ~. ..... 7. I)imen.S,~0ns of existing structur6s, if any: Front .............. . Rear ............... Depth ............... Heigh~ :' ............... Number of Stories ........................................................ Diraensions of same structure with alterations or additions: Front ' Rear Depth , Height Number of Stories ~' ~ 8: Dimensions of entire new construction: Front ............... Rear ............... Depth .....:~ ......... Height ............... Number of Stories ........................................................ 10: Date of Purchase .......... + .................. Name of Former Owner ............................. I 1. Zone or use' district in which premises are situated ..................................................... 12. I)oes proposed construction vio!.ate any zoning law, ordinance or regulation: .... 19.~ ........................ 13. Will lot be regraded ........ Tl.~ .? ............... Will excess fill be removed from premises: ~es') No 14. Name of Owner of premises .t~, \.345'~..FJQ. . Address tSGq~-r~.e-~.~x~., honeNo.~e~.'~q,.~. Name of Architect ....... ~ i ................ Address ........ . .~..~.~.'..'~..c~..'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 whether interior or corner lot. STATE OF NEW YORK, COUNTY OF .................. i .................... sig"ing, cpntract) being duly sworn, deposes and says that he is the applicant (Name of individual above named. 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 contgined in this application are true to the best of his knowledge and belief; and that the work will be performed in the mm~n~r set forth in the application filed therewith. Sworn to before me this Notary Public, o ...... Cgun ADA kJ ~flE~SE~AN , NOTARY PUBLIC, State of New York No, 52-4626956, Suffolk COL~ I i Yerm £xpirei M~rch ~0, ~9~, (Signature of applicant) Franklin t~. Saund~r$ Yhomo$ F/urr?, dr. IMMEDIATELY HO O0 - -... o c~ 5 o~o~? 5~{'"~' ~ ~ ~ ~ ~ Z ~o o 0 0! ~ m r~ 't RESPECT TO TIlE APPLICABLE REOUIREMENTS. THE CORRECTIONS M~rl NOT^I'ION$ INf)ICA1ED ON PLANS ARE FOR YOUR GUIDANCE. t. 7.VERTttELESS WHE]HER S?ECIFIED OR NOT ALL CONSTRUCTION ,. I~ ~EGULATIONS ~'~IUS[ COMPLY [O THE N.Y.S. BUILDING A~I~ i;I,dL FIIERGY CONSERVATION CONSIRUCTION CODES. 1OVEN OF ISLIP ~. ~ DEPT. OF BUILDING & HOIJSITtG A ppR?V ED .,?~/~]'l~.' ,~,~UN. ~ 81~l],- .=