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Home My WebLink About14420-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building Date ...... .J .u.l.y.. ~ ................... ,19@ 6. Location of Property ....6.3.0.,, i ........ Bailey..B.e.~9~' .l~d., .......... I~g.t.it;uck ..... House No. ' ...... Street Hamlet. County Tax Map No. 1000 Section ...... 9.9. .... Block ....... 3. ....... Lot ....... 4., 1.6. ' Subdivision.. H. 9 .n p.y.s..u .c .2.1. e...H.5..1.1, s. ......... Filed Map No... ? 9.1.9.. Lot No ...... ] .6 ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..0.q ~. 9 .b.e.r.. 3. 9 ....... ,19.8. 5 pursuant to which Building Permit No ...... 1.q ~ ¢.0.K ......... dated ...... ~ .o .v.o.m.b.e..v..6. .......... 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 ......... .... ~. r:..~ y.a. ~. e...o.n.e.-: .f .a.m._4. ~. y..d.~, e. $ .13.ri.g,..w.i.t.h..a.t.t.a.c. lxe.4 .w.o.o.d. Ae.c.k ......... .-.2'. ....... The certificate is issued to ................. .J.O.I-t~..&..~I~EB.~g. I-t.O.F.E R .................. (owner, Ift~r of the aforesaid building. Suffolk County Department of Health Approval ' .8 5 .-~(~, .q B.9. ............... UNDERWRITERS CERTIFICATE NO ......................... ~7.5.3 0 7.7 ................. Building Inspector Rev. 1/81 FOUM'_ NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-° 14420 Z Permission is hereby granted to: dated ..~~ ....... .~....~... ....................... , ]9 ........ , and approved by the pursuant to application Building Inspector. Fee $..~.....~....~...~ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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. Su bm it Planning Board approval of completed site p lan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"_ land uses: 1. Accurate survey 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. 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'/$5.00 Date . ,~.~..z¥.~., .,~, .~../..~.~,~ ..... New Building.............~ Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...~..'~..,o ........ ./~.. ,~, ./.Z.~:.~., il~ ,E:, .~,~.~.,, ~ ~. ~-.. ,~,~J., ,~,"~ ~ ?. ,c~, .~-,,, t~.,~,~. House No. Street Hamlet Owner or Owners of Property ..~. ~. ~ ~..,~ .-'~.~. ~.¢..~... [.~ 4~.~.~-./~..-. ....................... County Tax Map No. 1000 Section ., .O,~,~ ........ Block . .O..~ ......... Lot..~;/.'~, ......... Subdivision .~.-. t~....~, .~.~,~?..Ld.7... ~ ~t..~ .... Filed Map No.~.~..~ ,~. .... Lot No. /.Z/~. .......... Permit No.~.~/.~. ?..4). .Z,. Date of Permit ~.O./Z., ..,~./¢.~.~-pplicant ~, [ .,~ p..C~.,.~.~'~; .~. ?..~..~; ......... Health Dept. Approval ,~Y.~.~; .I.~..~ .~.~. ~--. ....... Labor Dept. Approval ~ ..................... Underwriters Approval . .~.~.~. .................. Planning Board' Approval .TTT.. .................. Request for Temporary Certificate ..................... Final Certificate . ~ ................. Fee Submitted $ .... ~.o~.~O./~. 'l .~.L ,~ ....... Construction on above described building and permit meets all applicable codes and regulations. ~ ,0 ;~-~ Iq ~[,~C~ Applicant .~i~ ... .................. ~ '~Y'~:~' ;"'g'OiL'J-'~ (~ USO CONSTRUCTION CORP. Rev. 10-10-78 Main Rd., P. O. Box 439 Jamesport, N. Y. 11947 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~ 0 ~-~'.~ (please print) Plumber ~o ~,~ (please print) I certify that tile solder used in the water supply system contains less than 2/10 of 1% lead. (pl~rab~r's signets%re) Sworn to before me this Notary Public 19. 7~,. Notary PuDlJ. o~,~r.,~/'~:~/~.~'- County LAWRENCE M. TUTHILL PRD ~'~G~ ~S I 0 N.~L, E:N(31N E:E:R INLET ~-ANE EXT. 13REENPQRT, N,Y, 11944 ra I~lE i[N pD ~'T '7-I ~, 5 ~ A I)R - 8 1986 ~3LDG. D£gT, TOWN OF SOUI'HOED Mr. Victor Lassa,rd, Department Head 8outhold Town Bmlldlng'~epartment Main Road Southold, NY Aorll 8, 1986 Ret lZ~20 Z 430 Bailey Beach Read John Hofer, Mattituck Bmtlder Larry Lizo Mr. Vietor Lassard With reference t ur meeting yesterday, April 7, The following eomment~ are made to ~he eheek~'li~t Itemm No~. 1,2, 5, and 9 This work has been do~e a~ required Item~ 3, ll, 12, 13, and 14 ~hese item~ ~fer to he~ers over door~ whi~ have been done im aeeo~anee with st~da~ ~e~lee. ~tem NO. 4 Thi~ wall has ~en removed ~tem No. 6 ~ have reveiwed the deml~ eh~ge In the gauge and a~or$ve th~ ehange, that ~ing of the addition of ~ 3 2"x12" girder, smppo~ed by ~ colm~ with ~immm ap~ of girder ~t 12' and the mae of 2"xlO" -16" oe ceiling Joists Item ~4,,The Jol~t ~oae~ng in this are~~ ie 18", brat a spacimg of would stil~ meet load requirements Item No. 8 The~ will be no door i~ the living room to allow ~ sho~ distance to the 60-6 glas~ door ~tem l0 This he.er will be increased to 2 2~ 2"x6" ~tem 15 Bloeking to be prowid~ where there are plumbing emta. Item No. 16 Bridging will be provided at plmmb~ emro. " ~e~eetlf~ly THE NEW YORK BOARD OF FIRE UNDERWRITERS 1135021 BUREAU OF ELECTRICITY I~'~ 88 JOHN STREET, NEW YORK, NEW YORK 10038 Date :rm~ ~,~0~ Ap~licatio. No.o,,S,l~ S~0~/a~ N 753077 TH[S CERTIFIES THAT only the electrical equlpmertt as described belo~ and introduced by ~he applicant named on the abo~e applicatloR number in the premises of i~ the followlng location; [] Basement [] 1st FI. was examined on Jl~lle ~ ~ ~ ~) ~ (~ FIXTURE OUTLETS S1 DRYERS RECEPTACLES 65 4g0 Bailiebeach Rd,~ Mattituck, N,Y, [~ ~nd rt. outside $~ction Block and fou~d to be in compliance with the requirements of this Board. SWITCHES FIXTURE5 RANGES OVENS EXHAUST FANS 4.7 Lot SYSTEMS NO. OF FEET OTHER APPARATUS: Motor$~2-F H.P,, 1-1 H.P, Fan Speed Control G.F.C.I.-2, Smoke Detectors-2 E R V I C E NO.O[ERC~COND. A W, G. NO OF HILEO A W, G NO. ~ NEUTRALS A W, O Three 'C' El. ectrzc Inc. Rt.~ Box 45M~Sound Ave. . ~Jhis certificate must not be altered in any manner return to the off ce of the Board if inc ........ , ..... . uuFv Fu~ BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ~LTERED IN ANY MANNER. LAWRENCE M. TUTHILL R - 8 1986 ,~3 LDG, DEPT. TOWN OF $OUTHOI.D April 8, 1986 Mr. Victor I~.~sa.rd, Department Head Southold Town Building~epar~men% Main Road $outhold, NY Re~ 1~20 Z 430 Bailey Beach Read John Hofsr, M~ttituok Bnllder Larry Lizo Mr. Victor Lassard ith reference to,ur meeting yesterday, April The following eomment~ are made to %he checklist Items Nos, 1,2~ 5, and 9 This work has been done an regui~ed Items 3, 11, 12, 13, and 14 ~hese ite~ refer to headers over doors whldhave been done in accordance with st~dard p~ae%iee. Ztem NO. ~ This wall has ~en removed Item No. 6 Y have reveiwed the des~ eha~e In the garde and a~or$ve th~s eha~ge, that ~ing of the aSditiom of a 3 2"x12" gi~er, s~ppo~ed by a eolu~ with ~immm span of girder ~t 12' and the ~e of 2"x10" -16" oe ~elliag Joi~ta Item ~ The Joi~t zpae~ng in this are~'la 18", bmt a ~paeimg of 24" would still meet lo~ reqmi~ment~ Ytem No. 8 The~ will be no doo~ i~ the living room to ~llow a sho~ distanoe to the 6 -6 glas~ door Item 10 This header will be increased to 2 2~X 2"x6" Item 15 Item No. 16 Blocking to be provided where there are plumbing eats. Bridging will be provided at plumbing cuts. ~es~eetif~lly sabmItted, ~ 765-~.802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [/~ ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL / / FOUNDATION 2ND I~ INSULATION FRAMING [ ] FINAL DATE INSPECTOR .,, ¢~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND £ ] ~SULATION FRAMING ~/]/FINAL 765-180:) BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :)ND [ ] INSULATION FRAMING [ ] FINAL ,,-? .... :. , / ./,/ . ,4// // ...... ..... .., DATE ' INSPECTOR ... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 ocr 3 01985 BLDG. DEPT. TOWN OF SOUTHOLD Disapproved a/c ......... -. ................. ~ ........ ...... )~il~ii~ii~'I;'~;~t~;5 ........ APPLICATION FOR BUILDING PERMIT Date Application No .................. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted.~._?m 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the ~vork. e. No building shall be occupied or used in whole or in part for any purpose wkatever 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 buildings for necessary inspections. ·. L.t .s..o....c...o..~ ~.,..~.e.a. ?.: ............. (Signature of applicant, or name, if a corporation) ~.. p..o. ?,..o.~...q.,..q...4~.s.e.~.~...~,.~.. .... (Mailing address of applicant) I I ~ %q. State whetBer applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. ..Ce..-.---------------~e.~..~..~... ~.o. t~ .'77.~?..~.'T.o.O, ................................................ Nmne of owner of premises . JO }--~.~'~. ~..['..~..~'~ ¢.~.leln.. ~--~.o. :~..J~..~.... .................................... (as on the tax roll or latest deed) If ~orporat/on, sign~ature of duly anthorized officer. (Name and title otcorporate o zcer) Builder's License No. ]~[..2.T-.. mlmuber's License No .... 7~..~..% ~ ........... Electrician's License No .... ./4. ?~..7. W..~.. ........ Other Trade's License No..'-:: ................... ~t~}/~¥~l). ~ 2ag,"' t'°'/O 1. Location of land on which propos,ed work will be done. A//..~/~ ......... ~..~.~.t,'. ~. ?.?.~. ....... .......... ~.,3..o. ........ g :~.. to..~..~..': .e..O ............. D .~.~.7X..,-x..,,,..,~.~-,... e~::d. .............. House Number Street Hamlet County Tax Map No. 1000 Section . .~ ............. Block . .O..~ ............. Lot .~q ~.~. ............. Subdivision .~.4.o. 1'4,..~. 5; .re. C.~/~,..~. lf.~ ~q ...... Filed Map No. ~. ~./. ~. ....... Lot./.¢ .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............. .~....~t:MIX~ .............................................. b. Intendeduseandoccupancy /~. .~ { .L.D. . . .O. .t'4.. .~.. . ~.~. .i~.~. /.L'. ~. . '3~t ~ '.~. ~. '.~~e, .~',"~"' .................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ... D,' :;'; ...... RemoVal .............. Demolition .............. Other Work ............... ! (Description) 5. Ii' dwelling, number of dwellin.~ knits .... ~. ......... Number of dwelling un,ts on each floor..~.. ........ If garage, hum bet of cars .. eR,:i ............................................................... 6. Il' business, commercial or mixed occupancy, specify nature and extent of each type of use ................. 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ........... Height Numlber of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .............. Depth .................... ,.. Height ............ · .......... Numberpf Stories ...................... 8. Dimensions of enl;ire new construction: Front . .~..'~',.. Rear .4(.~. ' . .' . . Denth Hei ht ~. , Num er of Stories ,/ . g ............ .... ,2..,._ .......................... ......... 9. Size of lot: Front ... i. Z~., .......... Rear .... '..07,..,~- ............. .~Depth ~..O.O., .. 'i i.' ..... 10. Date of Purchase ..... ~..~. ~. ................. Name of Former Owner .................... 11 Zone or use district in .... · which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ..... /~" ~'I ................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises-.~q' ~ ~ . ~9 .~.. ~..~w. .... Addressg[~'~. 7/-ff~/l.~..~...t~./~../'f~ Phone No~.q~.-~.. ~'.~../ ..... Name 0f Architect .~,.~ ~,.~.~...~,..*,.~..~.¢:..--. ..... Address ................. :.: Phone No. ~'~'-;n'd~,~;,k:J ' ' ' Name of Contractor .~.l ~.o..~p.~.~ Ih..~. ~. ~iP.,.. Address ~ q~.h(!~ ~.10.,'~*tqo~.*. Phone No .... property lines. Give street and blocklnumber or interior or corner lot. PLOT DIAGRAM Locate clearly and distinctly all. buildings, whether existing or proposed, and, indicate all set-back dimensions from description according to deed, and show street names and indicate whether STATE OF NEW YORK, i S.S COUNTY OF ................. [. ' ......... ~ .~..~-.~..~..~.~... ~ ~, ~.o.. .- ............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ..... ~_~ .~ ,4.'~[-.~.~.,.~.e,.~.'~ .o. t~. ................................ ............................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all statements con~ained 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 fried therewith. Sworn to before me this , ........................ ay of ..................... ,19 Notary Public,.. ~.. ~, ,,~, .~..~.. ......... Count ~~,~ 'Y~" ~nature o f appllcan 0 ~i- "~~ ~ ¢ SINGLE FAMILY DWELLING ONLY '*"' ° SU~Y FOR JOHNA. HOFER & THERESAA. HOFER ~UFFOLK COUNTY DEPARTMENT OF H~LTH SERVICE~ LOT 14 "HONEYSUCKLE HILLS" AT MATTITUCK DATE: FEB. 15,1985 FOR APPROVAL OF CONSTRUCTION ONlY ~WN ~ SOUTHOLD SCALE: ~ .. SURVEY ~ A VI~ATION ~ SECTION 7Z09 ~ THE JOHN ~ ~PPROVED - aEw YORK STATE E~CATION LAW NGUAHANTEE~ INDICTED HEREON ~tL HUH ~LY m HE~ DEPARTMENT-DATA F~ A~RO~ TO C~STRUCT ~ ~R~ ~R WHOM THE SU~EY IS PREP&nED OF HbLTH S~,C[S.LISO CONSTRUCTION CORP tOEXlStING STnUC~n[S ~[FOR A SPECIFIC _ - . __ YOUNG YOUNG NOTE~ ~sMONUMENT ~= STAKE ALDEN W, YOUNG~ PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 SUFFOLK COUNTY ON OCT, 16~1981 AS FILE NO 7019 ' HOWARD W. YOUNG, LAND SURVEYOR SURLY FOR JOHNA, HOFER & THERESAA, HOFER LOT 14 "HONEYSUCKLE HILLS" APR. 9,1986 AT MATTITUCK DATE: FEB. 15,1985 ~N ~ SOUTHOLD SCALE= 1"=50' SUFFOLK COUNTY, NEW ~RK NO. ~utH~tzEe ALTERATION OR ADOITION ~ ~HS GUARANTEED TO~~ HE~ DEPARTMENT-DATA F~ AppRo~ TO C~STRUCT ~E ~ FO~ w~o~ ~H~ su~Y ts ~ ~F CO, T~MAP ~IT ~SECTION ~ ~CK ~L LOT 4. ,~ H~E~, AND TO ~E ASSIGNEES OF THE LENDING NOTE* ~MONUMENT ~ STAKE~~ ALDEN W. YOUNG~PROFESS~ONAL E~GINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND ~NO SURVEYOR N.Y.S. UCENSE N0.12845 SUFFOLK COUNTY ON OCT. 16~198~ AS FILE N07019 HOWARDW. YOUNG, LAND SURVEYOR ~ ~ L~ ~ ~LIW), ~lC TANKII~I CE~OLS(~) ~N ~g~ N.Y.S. LI CEN S E NO. 4589 SUFFOLK COUNTY H~,AL'[H DEPARTMENT NGLE FAMILY DWELLING ONLY THE SEWAGE 31SP~O AL AND WATER SUPPLY FACtLITIES~OR THIS LOCATION H, VE BEEN INSPECTED BY THIS DEPARTMENT AND FOUND TO Bi; SATISFACTORY, .... ChI f Of Was'~e-~--aier i~ana~&~nt Oection ' -- NOTE: II=MONUMEN'~ /%= STAKE SUBDIVISION MAP FILED IN THE. OFFICE OF Tile CLERK OF SUFFOLK COUNTY ON OCT. 16,198! AS FILE N07019 # THE LOC. AriaN ~r Wtt, L(W)~ ~lC TANK(ST)I C[~OLS{~) ~N ~[~ SURVEY FOR ~-~!~.~, · ~ .' ' JOHN A. "OF~;a T~ERESA A. I~OFER LOT 14. HONEYSU.~RLE HILLS ,~ AT MATTITUCK ~'., ~ ' ~WN ~ SOUTHOL~ N COpI[s ~ ~IS S~VEY HO~ ~AR~G TH[ LAHO JUNE 10,1986 APR. 9,1986 DATE: FEB. IS,J98§ SCALE: I" = 50' NO. 85- 83 GUARANTEED TO~ JOHN A. HOFER THERESA A. HOFER ANTEE CO. V/""tl IKIt"~ ~ /~./I, Jl~l~3 <3l I~/UI~I~3 RfVERHEAD, NEWYORK ALDEN W. YOUNG~ PROFESSlOHAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR N.Y.S. LICENSE N0.45893 L OC I A ,C¥ NOT~FY BUILDING DEP~'~TMENT AT 765-1802 9 AM TO 4 PM POP- TidE FOLLOWING iNSPECTIONS 1, FOUiqnATION ' TWO REQUIRED FOR pqURED CONCRETE 2 ROUGH - FRAMING & pLUMBING Phone 47 ~0400 M;fi~ I~tm~d (;t~t,:FN pOR:i', N.Y. 1 t. 944 OWG £L~VA-T~ 0