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HomeMy WebLinkAbout14492-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14464 Date June 3 .................................................. 19 86 THIS CERTIFIES that the building addition to existing dwelling. Location of Property ...5..60 .... Theresa Dr. Mattituck h3use ~Vol ................... 's'tle3i ....................... h3d~id County Tax Map No. 1000 Section ...1. ~. 5. ...... Block 1 3 ...... Lot 2 0 Subdivision. pp.e.p..Hp.~.e...C.r.e.e..k..g?.l? .a.~.e.s...Filed Map No .... 6.2..5.6.Lot No. ~ 6 conforms substantially to the Application for Building Permit heretofore filed in this office dated · .N. 9 y.e,m.~..e ?..2. q. ...... ,19 .8.5. pursuant to which Building Permit No ..... ! .4.4.9. .2 .Z .......... dated ...... .d,a.n..u.a.v.y...2 ...........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 ......... Addition to existing dwelling. The certificate is issued to .... MR~ & MRS. JOHN WHALEN ................ ?o¥,'~;, ~'~k'~'~ ...................... of the aforesaid building. Suffolk County Department of Health Approval .................. .N./.fi, .................... U~t)ERWR[T~S CERT[F[CAT~ ~O ................. ~.7.~.7.7.~.~. ................. Building Inspector Rev. 1/81 :~ORM NO. ~ ?OWN OF $OUTHOLD 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~ 14492' Z Permission is hereby granted to: ....~...A....::...~c.~....c~~..z..~ LTD. .... .~,..~.~....~.....,~.~.~ ........................ .... .~c,~....'~.~.~.T...r ..~.~:.....u~.v ~ ,o ...... ..co..~.~~..~...../.~.~.~.~..c,.~......~.~......~.~..~m~.:.~. .................... ..... ~.,,~u..~.~.%....~..~ .......... ~.,~-~.~....~..QF-~.......~:~ ..... at premises I~ated at .........~ ......... ~~~......~.~ ....................................... ....................................................................................................... ~~..~..~.~, ~~...~~..~T~ ........................................................................ co~,~ ~ ~ No. ~oo0 s~t~o, ..... ~.~.~ ......... m~ ....... ~.~. ........ Lot ~ ..... ~.~.9 ...... ~r,~,t to ~pp~ot~o, ~*t~ ...~ ...... .~.~ ....................... , ~.~U~"d ~pp~o,~ ~ t~, Building Inspector. Fee $......~,..~....~ .,~.... 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 A. This application must be filled in typewriter OR ink, and submitted m~ 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- lions, 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 huildlngs (prior to April lgB7), Non-co~forming uses, or-buildings end "pre-existing" land uses: 1. Accurate survey of p~Coperty 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 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 ..' .,~..~.O.,..' .'--~., ~ .~;~'..~...~.~./..~..~ .... //~.~q..~./.~.~ ./~'., ......... House No. Street Hamlet Owner or Owners of Property ~.~..~...~...~--."~.. ~//~.. · . . .~...~.~./~'.~'~ .................. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. J./'J.~. ~.o~..~. Date of Permit ~ / ~, ./.o~/,..Applicant ~..c~O. ~.~. ~'~..~-~..~/t,,'~P~./~??.~- Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval ........................ Planning Board Approval ..................... Request for Temporary C_~ertificate ..................... Final Certificate ~ Fee Submitted $ ............ Construction on above described building and per3~t m~s all applicable codes and regulations. Rev, 10-10-78 TOWN OF SOUTItOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 To Whom This May Concern, We are unable to compl~e your Certificate of Occupancy because.of the following reasons. /~ An application for Certificate of Occupancy is not on file. ~ ~ /~/ No Underwriters Certificate on file. ~--' /~'/ T~e ~heq~ ~'si°Utdated/not on file.) /~/ No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # / ~ ~ ~ & Z Building Dept. ***~ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) THE NEW yORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY I~''~"* 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equlptttent as described below and it~troduced by the applicant ~med on the able application nu tuber in t~ premises of in the followlng location; ~ Baset~ent ~sg FI. was examined on ~.~.~a~ '~s ]~c~.) Lot FIXTURE OUTLETS 3 RECEPTACLE~ [] 2nd ~l. Section Block and found to be in compliaace with the requirements of this Board. SWITCHES FIXTURES RANGES OVENS EXHAUST FANS , FLUORESCENT DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS: E NO. OldE R~ C,~COND. R v I C A. WG OF CC, COND, NO, OF HI-LEG A, W. G, NO. OF NEUTRALS A, W G, OF Hi-LEG OF NEUTRAL TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern~ We are unable to complete your Certificate of Occupancy because.of the following reasons. /~ An application for Certificate of Occupancy is not on file ..... ~ ~~ /~/ No Underwriters Certificate on file. /~/ The check is(outdated/not on file.) /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # / // ~ ~ ~ Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 76S-~e2 BUILDING DEPT. INSPECTION  FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL ~IELD I~SPECTION DATE FOUNDATION ( ~ s~._t )_ ........... / FOUNDATION ( 2nd ) 2. ~ou~ ~M~ ~/,?c ~.~ PLUMBING I~SUL~TION PER N. Y. STATE ENERGY G~ODE ~/~ ~I~ FINAL ADDITIONAL COMMENTS: I~2 00' ~ o! 15 NOTE: m -' MONUMENT SUBDIVISION MAP FIL ED tN TH~' OFFICE OFTHE CLERK OFSUFFOLK COUNTYON Jl.~Pt PB~ 1965 AS M.~ P NO. 4,956. REVISIONS OCT.$, ~973. YOUNG & YOUNG ~IDEN W, YOUNG HOWARD W. YOUNG SURVEY FOR: JOHN WHALEN LOT NO. 16 "DEEP HOLE CREEK ESTATES" AT MATTITUCK TOWN of, SOUTHOLD SUFFOLK CO., SCALE: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 ', TEL.: 765-1803 Examined ..xJ~.~.~(. ~-~ , 19 ............. nnroved ~..~ ...... 19~ee~tNo.~...~.~%' ~ A~ . ~is,p~oveda/c...~ ...... > ............ %:",?, .............. ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ,ow~'§~ ]Received ........... )19.. · Date 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 inspectinn 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. .~ ~/ ~.~o~//~/-~o~, (Signature of applicant, or aa/m/e, if a corporation) ' .~.~. ~.<;<¢. x. ~.. ~.~, ....... .... ' (Mailing add'ess of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~.,~....qx~-r/~/~6/. g~/. ~Lo//;~. ..................................... . ...... / (as on the tax roll or latest deed) If applicant is a co~e of duly authorized officer. Builder's License No ................ Plumber's License No.../..,5.77../?. ........... Electrician's License No..~.....7. ~.. ........... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .~o ......... ¢:..~..:..~-~...~9~e .... ~~/~ ................. ... ltouse Nmnber Street Hamlet County Tax Map No. I000 Section . .~./. ~. ..... i ..... Block . .~J ~ ........... Lot... · .~'.~.'. ............ Subdivision ~-).e.~,rY .)g~./~..6~/Q.~/~.. ~.~-~]~'~' .'~.. ' Filed Map No..z.f.~ ....... Lot.../~ .......... ~- (Name1 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: / ! a Existing use and occupancy '-ff~.~-~--~rL/~-~-) ~1~(('~ .~..//~..-/~ ~U~//~ bl Intended use and occupancy' i i:;i:~~~~ i i i i i i: i 3. Nature of work (check which applicable): New Building .......... Addition ......... Alteration .......... Repair .............. Removal .............. Demolition ............. Other Work ............... 4. Estimated Cost ~ (to be pfiid on filing this applicatic 5. If dwelling, number of dwell~g units...~ / ......... ~umber of dwelling units ion each floor.. / ............. If garage, number of cars . D,~/~.~ ......... l.C/.'q~ · ' .................. ! .......................... 6. If business, commercial or mixed occupancy, specff~..n,,ture and extent of eac~l.Lype' of use . ...-~--~-~=...~-~... - . ..... . ~, r. I! ~ ~ i! ........ '~ ..... Height ] -~ ¢~O..~. Number of Stories . ./ 7 , ,~,, .. ~ . . · ............ . . · .... : ............... ................ ,..., ...... Dimensions qf~s~r~e.st~¢ture with alterations or additlons:_Front .. ~ ~. ...... , ....Rear . .,gS.. :. ~... O. ....... Depth .~].' ]. Height Z ~'TW,4gz'/ Number of gtories ~' - ,, Dimensions' "' ..... of ' ............. ' Front ........../Il /'..~' ~/...: ...... '~ Z '~ 'l i ........ '?.~..:~,r ......... 8. entire new construction: .... /,/., Rear .,. 7. ...... Depth Height {c5'/O,~. Number of Stories t, .......... 9. Size of lot: Front ..... /.f,(? ............. Rear.: .~./.rig. ............. Depth . .~.a0;~ ......... I ...... 10. Date of Purchase ........................... ~/.. Ni~me of l~ormer Owner .. ................ 1 1. Zone or use district in which premises are situated..~ft~: .~ :'~ .[~l~,,x. . .. ...... i ........................... 12. Does proposed construction violate any zoning law, ordinanceorreghta~a~an....~_ ............... .,,~%. .... 13. Will lot be regraded t~g-{~> ........................ Will excess fill be removed ,from premises: ~ ,-/ , No 14. Name of Owner of p;e~nises .~,~ ~,./.-~../~ .......... AddressoC. O0 72~We.~4'(c/M[: ~.~... Phone No. ~:~.~. ~.~.~ .~..~'. Name of Architect .. ~ ,~,2{.//~.~ .~. ~: O~../., fi'~,Aadress~?~9?.er~;', ¢/~. ,~.,~. (. Phone No. ~/drdf~.': ~z.~.O '.~ Name of Contractor f. ~.o~y~...~.~f~. Phone No. ~.~. ?z/..~ ~.... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensio ~s from property lines. Give street and block number or description according to deed, and show[street names and indicate vhether interior or corner lot. STATE OF NEWArDRK, ,,~ "" COUNTY O~' ..,4~. .... ~'~ r'h ' i ...... %'~,'_~4' ~.i....~.~... beingdulysworn, depo~esandsaystha~isthe above named. He is the ......... 7.. t', ................... i ................... corporate officer, etc.) >f said owner or owners, and is duly authorized to perform or have performed the said work and to make an, ~pplication; that ..all statements contained in this application are true to the best of l~i~knowledge and belief; and ~vork will be performed ~n the manner set forth m the apphcahon filed therewith. 5worn to before"me this ............ ¢ .Z-J.~..fl/ .... day of...,~.~ .V. ~:..r~,~ .... 19~. qo County[ ,-~ , , ,licant file this that the ¢lican0 - _ ~ £ ot 15 NOTE~ · -- MONUMENT $6'~01 VIS10 N MA P Fl £ EO IN THE OPFIC£ JAN.~ 1965~ MAP NO. 4256. OCI~, 1973, YOUNG & YOUNG 4.00 OSTRANDER AVENUE. R[VERHEAD. NEW YORK ALDEN W. YOUNG HOWAIRD W. YOUNG SURVEY FOR: JOHN WHALEN , RECEIVED 0CT3 0 1985 ~ ~OTI~ ~u~' - ~, i~' I" '~ ~1NG IN~CTIONS: - iI ~! ~ ~ , 4 FINAL ...... ~ /~;~lil ~ ,~ E Oq~PLcTF FO~ C O. !,] ~ ~l ~ ~O~[gTRUCTION sHALL ~ ~ ..... EO~IpEMENTS OF THE ~.-, , ' : ~ ~~?t[~~ ¢: ~:*.-m ~i'.; ~=~ ~ ~ ~' J THEsTATE ~ coNSTRUCTION- & ENER~ ~ CODES, NOT RESPONSIBLE FOR .jr j, L LA~' N~T~D R A ~ T ~ R W/ W' N DOW STOPS ' ~m ~ m //~//~ ~/ EXPLODED HEADER ~,~ ~oc~,~ INSULATED WINDOW PANEL ' TWO-WAY FAN AND CONTROLLER UNIT ~.., POURED CONCRETE FOOTIN~ ' ,, RIGID [NSU~TION S,D,~ . --HOUSE FOUNDATION WALL I I'- t I/8" WINDOW PNLS. 14'-5" 4 PNL$. NORTH 17'-8 5 PNLS. FOUNDATI'ON LAYOUT HOUSE ' =: , FRAMING RAFT PRE-CUT ADJUST AS NEEDED !1'-03/4" 6 PNLS. 24'- 45/8' 7 PNLS. .d END WALL¢ CO FRONT WALL FO' TO MEE SOIL CONDIIT NOTE HEADER AND SILL BLOCKING PRE'CUT TO 3'-13/B" USE AS · ACER TO LOCATE RAFTERS ~ /~ ~r~ter IN I/4" FROM OUTSIDE into sillblocking OF SILL PLATE DETAIL: RAFTER, FRAMING ~ WINDOW ASSEMBLY I 5 ,7