The URL can be used to link to this page

Home My WebLink About14106-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Ha~l Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17528 Date NOVEMBER 18, 1988 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING Location of Propert~ 2445 PVT. RD. ~19 KIRKUP LANE MATTITUCK House No. Street Hamlet County T~x Map No. 1000 Section 121 Block 03 Lot 07 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 24, 1985 pursuant to which Building Permit No. 14t06Z dated JULY 3, 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 DECKS. The certificate is issued to PECONIC HOMES CORP. (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEBLTH APPROVAL N046267 NOV. 16, UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 85-80-99 3/29/88 1988 MATT. PLUMBING & HEATING 11/18/88 Rev. 1/81 FOP-.M NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14106 Z Permission is hereby granted to: .... ~.~.1~ ~.~.....~ ............................. ...~.~...~..:~... ....... ,... :~.,...~.~ ........ ,o..~~....~.....~..~.~ ~' .~ ................... .:. .... ~...~ ....... ..~~.. "i"~'""i "~ ~;~"~ i~".";7~Z7'2 '~".'i'~ ..... ~'~'~':"E .......... at premises located at .........I..~.~'....~........~....L,cl.~ ......... ~..:.~..~ .......................... Count~ To× Map No. lO00 Section .... L.~..~ ......... B~o,:k .....~.~ ........ U~ No...~ .................. pursuant 'o application dat~ ....... ~.~.~ .................... , 19.~.~..~ and approv~ by the Building In~ector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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. Submit Planning Board approval of completed site plan requirements where applicable. B. 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. C. Fees: 1. Certificate of occupancy $5.00 ~ /~_/ 2. Certificate of occupancy on pre-existing dwelling land use · $5.00/ ' ) - ~ ' 3. Copy of certificate of occupancy $1.00 ~ Date.. 1.~. t,I..~' ........ New Building ............ Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............... t.~. ?~..o..¢~. ........... /,~. i. .~.~. . .. . House No. Street Ham/et Owner or Owners of Property ...~-.c.. 9.v?.~;~..l.~v~,..~..C.~¢.~..- ............................ County Tax Map No. 1000 Section ,. / ~ ! Block · .~... · Lot .~ ....... Permit No... Date of Permit .... Applicant ............................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approva~ ........................ Planning Board Approva~ ...................... Request for Temporarg Certificate ..................... Final Certificate ..................... Construction on above descr bed build ng a~f p~rmit meets [11 applicable codes and regulations Applicant ~ ................... ~ION COMMENTS FOUNDATION FOUNDATION (2nd) 2. ROUGH FRAME & FLUMBING INSULATION ?ER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS 100022l, BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 O,,te Noveraber 19,1987 Application No. o. flte 421220/86 T.,. CERT,.,E~ T.AT N 844158 only the electrlcaf equipment as described below and introduced by the applicant named on the above application number in the premises of G. Horror, E/S YcLrkup Lane, Mattituck, Laurel, N.Y. in the following b,cation; [] Basement [] let FI. [~ 2nd FI. Section Bl~'k Lot November 5, 1987 OUTLET~ FURNACE FUTURE APPLIANCE T~EEDERS EXHAUST FANS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET ~iIIVIC~ DI, S~ONNEC~r , OTHER APPARATUS: S E NO' 0 ~..RC~,¢ON O C A, W O NO OF HI.LEG A W G OF CC, COND OF HI-LEO 4/o NO OF ~EUTRALS F~otore; 2-1bp Pm~elboards: i-Stir, lOOamps Selected load Panel 1-60 Amp Transfer Sw, 1-10 Amp Food ~4~[xer~ $-G.F.C.I. 3-Smol~ Detectors OF NEUTRAL 4/0 Dett~er Electric Co. P.O. Box 482 Pd. verhead, N.Y. 11901 L~c. 643E GENERAL MANAGER Per This certificate must not,be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY BUILDING THIS COPY OF CERTIFICATE I ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~'~'I~!,';,:~,il~,h~ ~ !~8~:5/.JOHN STREET, NEW YORK N~.EW .Y,O:,~.l~ ~1~Q038 EXHAUST FANS FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E E V I C E NO OFpERC~COND. A W, O NO OF HJ-[~ ~. W O. NO OF NEUTRA A W O ~/t-)OF CC, COND OF HI-LEG L$ ~ ~)~F· NEUTRAL TOWN OF SOUT OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~/0~ (please print) " (please print) I certify that the solder used in the water.supply system contains less than 2/10 of l%'lead. Sworn to before me .this (plumber's s i~__~e ) Notary Public NEW YOI~ STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION PERMIT ' PERMIT NO, 10-85-0162 ARTICLE 24, (Freshwater Wetlands) [] ARTICLE 36, (Construction in Flood Hazard Areas) PERMIT iSSUED TO gerry L. florton ADDRESS OF PERMITTEE ]~.0. Box 1008, Mattituck, NY 11952 LOCATION OF PROJECT (Section of stream, tidal ~etlund, dam, building) Laurel Lake DESCRIPTION OF PROJECT Construct a single family house a minimum of 75-+' from the wetland edge and a sanitary system a minimum of 100' from the wetlands edge as shown on the Howard Young survey last dated January 29, 1985. COMMUNITY NAME (City, Town, Village) Mattituck COUNTY Suffolk IFIA COMMUNITY NO. I DAM NO. GENERAL CONDITIONS PERMIT EXPIRATION DATE December 31, 1986 1. The permittee shaU file in the office of the appropriate Regional 8. That the State of New York shall in no case be liable for any damage Permit Administrator, a notice of Intention to commence work at least 48 or injury to the structure or work herein authorized which may be caused by or hours in advance of the time of commencement and shall also notify him result from future operations undertaken by the State for the conservation or promptly in writing of the completion of the work. improvement of navigation, or for other purposes, and no claim or right to 2. The permitted work shall be subject to inspection by an authorized compensation shall accrue from any such damage. representative of the Department of Environmental Conservation who may 9. That tf t~p dLspiay of ligh!s~nd gist. als on~fi~' W6~k h~i:eb~, authorized order the work suspended if the public interest so reqpkes. ~. i~' hot othe~:~,i~e provided for by law, such lights and signals as may be pre- 3. As a condition of-the issuance of this permit, the applicant has ac- cepted expressly, t~y the execution of the applicatlon, the full legal respon- sibility for all damages~ direct or indirect, of whatever nature, and by whom- ever suffered~ arising out of the project described herein and has agreed to indemnify and save hetmless the State from su~ts, actions, damages and costs of every name and description resulting from the said project. 4. Any material dredged in the prosecution of the work herein permitted shall be removed evenly~ without leav~os large refuse piles, ridges across the bed of the waterway or flood plain or deep holes that may have a tendency to cause injury to navigable channels or to the banks of the waterway. 5. Any materta~ to be deposited or dumped under this permit, either in the waterway or on shore above high-water mark, shah be deposited or dumped at the locality shown on the drawing hereto attached, and, if so prescribed thereon, within or behind a goo~ and substantial bulkhead or bulkheads~ such as will prevent escape of the material into the waterway. 6. There shal'l he no unreasonable interference with navigation by the work herein authorized. 7. That if future operations by the State of New York require an alteration in the position of the str~cture or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall ca,se, unreasonable obstruction to the free navigation of said waters or flood flows .or endanger the health, safety or welfare of the people of the State~ or loss or destruction of the natural resources of the State~ the owner may he ordered by the Depart- ment to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State; and if, upon thg expiration or revocation of this permit, the struciure~ fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners shall, without expense to the Stale~ and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the nuvigab{e and floo~ capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. scribed by the United States Coast Guard shall be installed and maintained by and at the expense of the owner. 10. All work carried out under this permit shall be performed in accor- dance with established engineering practice and Jn a workmanlike manner. 11. If granted under Articles 24 or 25t the Department reserves the right to reconsider this approval at any time and after due notice and hearing to continue, rescind or modify this permit in such a manner as may he found to be just and equitable. If upon the expiration or revocation of this permit, the modification of the wetland hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove ail or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 12. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others to perform the permitted work or as authorizing the impairment of any rights, title or interest in real or personal property held or vested in a person not a party to the permit. 13. The permittee is responsible for obtaining any other permits, provals, lands, easements and rights-df-way which may be required [or this project. 14. If granted under Article 36, this permit is granted solely on the basis of the requirements of Article 36 of the Environmental Conservation Law arid Pqrt SO0 of 6 NYCRR (Construction in Flood Plain Areas having Special Flood Hazards - Building Permits) and in no way signifies that the project will be free frbm flooding. 1S. By acceptance of this parmit the permittee agrees that the permit is contingent upon strict compliance with the special conditions on the reverse side. gS-~0-4 (SEE REVERSE SIDE) "SPECIAL CONDIT,IONS 16, In order to protect the Values of the affected wetlands, a~permaneat vegetated buffer zone. shall be preseryedoI There shall be no disturbance :o the naturally occurring vegetation or topographylwith±n an area extending 40~ landward of the wetland line as shown on the Howard Young survey last dated January 2 ), 1985. SEE ATTACHED CONDITI ~ONS A - cc: NYSDEC, Fish & Wildlife NYSDEC, Law Enforcement. U.S. Army Corps of Engineers NYS Dept. of State PERMITISSUEDATE JPERMIT^DMI~ISTRATOR .~ , ,.~ ~,?. n' J^D,RESS Bldg. 40, SgNY--Room2i~' ~ar 14, 1985 David DeRidder~~,/?/~4~ Stony Brook, NY 11704 7G5.'~802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FINAL ]'65-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ FOUNDATION ZND [ [ ] FRAMING REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL DATE INSPECTOR ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ......... 19~.~ Permit No. ).~. !g.~...~.. Disapproved a/c ..................................... ................................ ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 ~ 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 otker 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, ho~sing code, and regulations, and to admit authorized inspectors on premises and in building for necessary il~i°ns.).~.;fiyKA)~ ~~c~ --) (Signatu~cant, or name, ifacorpora' ) ............................ .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... .O.~..~.'~ ~ .... ~ ...... (as on the tax roll or latest d-'-)ess ..........(J-- ..... If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done..~.\ ~ ~--20 .~. .... ~ ~.Y'~...~. .... . .~..~. ........ / House Number. Street Hamlet County Tax Map No. 1000 Section ...... }..~?'..\ ....... Block ...... .~. .......... Lot.. ''~ Subdivision ..................................... 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 .... ~. ~,~..~.4~-..¢~..~ ................................................... b. Intended use and occupancy ..... .~: ~ .v~...~!.C,.. -.~ v'~k'(~.~. XL~LJ ~.[ ~', .v3..~ ........ 3. Nature of work (check which applicable): New Building .......... Rep~.~ ~ ~ ..... Rembval .............. Demolition ... 4. Estimated Cost . . .~.~.~). 4~ ......................... Fee 5. If dwelling, number of dwellingl units .. [ ..... Nu berofdv If garage, number of cars . .~ ............................ - 6. If business, commercial or mixed occupancy, specify nature and extent ~ 7. Dimensions of existing structures, ifany: Front ............... Rea~ Height ............... Number of Stories .................... Dimensions of same structure with alterations or additions: Front .... Depth ................... !... Height ...................... Dimensions of entire new construction: Front ............... Rear dition .......... Alteration .......... .......... Other Work ............... (Description) .a. ......................... (to be paid on filing this application) ling units on each floor ................ each type of use ..................... .............. Depth ............... ............ Rear .................. ~mber of Stories ...................... .............. Depth ............... 10. 11. 12. 13. 14. Height ............... Number of Stories ........................................................ Size of lot: Front .......... i ............ Rear ..................... Depth ...................... Date of Purchase .......... ! .................. Name of Forme~ Owner ............................. Zone or use district in which piemises are situated...~ ............. ~Does proposed construqt~on wolate any zomng law, ordinance or regular Will lot be regraded .y?.~-~.. j .................... Will excess fill 1 'Namelof Owner of premises .. I .................. Address .................... Phone No ................ Name of Architect ......... i .................. Address .................... Phone No ................ Name of Contractor Locate clearly and distinctly al! property lines. Give street and blocl~ interior or corner lot. ................. Address ....... PLOT DIAGRAM buildings, whether existing or propost number or description according to deer STATE OF NEW YORK, S.S COUNTY OF ................ . , .......... ...... eing duly (Name of in//~dual sig~ing contract) above named. He is the ................ (Contractor, agent, corporate o: of said owner or. qwners, and is dOly authorized to perform or have perle] application; that all statements contained in this application are true to the work will be performed in the manner set forth in the application filed there~ Sworu to before me ~[ .......... .~...~..day ;f.....~...~ ........ 19...~ Notary Public ...2~..~.~..~.,(-..~....~.~.... Count~,,~ ..-." HELEN K. DE VOE '" NOTARY P,U~LI8, S~a~e ol New Yor~ ...... No 4707878j Suflotk Count~ I Term Expees ~lar¢~r.30, 19.~7 ............ Phone No .............. d, and, indicate all set-back dimensions from and show street names and indicate whether uorn, deposes and says that he is the applicant ricer, etc.) med the said work and to make and file this best of his knowledge and belief; and that the ~ith. ............ i~ig'n~;~e of applicant) 6.* · / /? now or £orr~erlg' Jan~e~ V, MUir~hill now or formerly Daniel' dacoby SUFFOLK COUN1Y DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCT ON' (~F /Single Family Residence Only 7/Z/ HsR ' NO. _ HEAL, TH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUC$ # NEAREST WATER WAiN MI. - N SOURC/E~/Oir WATER: P~RIVATE -~ PUDCIC ~ N ~UFF CO. TAX IdAR OHi:r'~:~ SEC TIER I~,,~CK 03' LOT ~', NTHERE AR[ NO DW~LLimE WITHIN IOO FEET OF THIS PROPERTY OTHER THAN THOSE ~HOWN HEREON. N THE WATER EU~Y&NO SEWASE DleJK)~AL SYSTEM It~ THIS NE~IDE)~Or ~ WiLL ¢ONFONM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT NO~ · = MON~M£N~ PLEASE Ni~'~' .',~. It I.s .the aP.l~i~t s responsibility to ~e~ntaJn .a~!eQua;e sanitary distance De ween all water supply and sewage disposal facilities. SURVEY FOR PECONIC HOMES,/NC AT MATTITUCI( TOWN OF SOUT'HOLD SUFFOLK COUNTY, NEW YORK DATE: SCALE: NO. TEST HOLE 14.o' DEC. I~ , 1984 MAY $1~ 198'I AP~F1/. ~3, 1984 I '; $00 ' N U/MUTHO~IZEO ALTERATION OR ADDITfON TO THIS SURVEY I~ A vIOLATION O~ SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW NCOPIE$ O~ ~lS S~VEY NOT ~AR~G THE LAND , YOUNG YOUNG 4OOOSTRANDERAVENUE ~ RIVERHEAD~ NEW YORK ALDEN W, YOUNG~PROFESSIONAL ENGINEER AND LAND SURVEYOR N,Y.S* UCENSE NO. 12845 HOWARO W. YOUNG~ LAND SURVEYOR N.Y*S, LICENSE N0.4589:~ \ , } --1 iILO" : 8,0LDE~ USED IN WATEE y SYSTEM CANNOT '~UPPL -~. ~l~o ~f 1% LEAD. water distributing sys'em}[°r piping shaJ[ be ~ ; ' orLon{y 4, fl~ BE ALL THE ' STATI CODE DLC~IC APP~,OYED AS NOTED NOTIFY BUILDING DEPAATMEN~'~T 765-~d2 9 AM TO,4 PM FOR TH~ FOLLOWING INSPECTIONS: , 1, ,F0~NOATIO~ - TW~ REQUIRED F~ POURED CONGRETE- 'AL - CON'STRUCTION ~QMP[-E~E FOR C 0'.' :ONSTRUCTION SHALL ~EOIJIREMENT~ OF THE -N. Y.' CONSTRUCTION & ENERGY NOT RESPONSIBLE N OR C' Unauthorized alterahon or addition fo this document is~ viobffan of soctbn 7209 of the Now Yolk 5',ale EducatiOn Copie.~ ~f th's document bearing ~l~e e,~g~nee/s inked ~e~l or embossed se~l sh~ll not be cbnsJdered wild copies, · _ ~vO 'tr.. 0~o ,/ ':"- a~l~lii'iofi tO this document the'NeW York 5tate.Edqc~ion' ' ' . zeal or ernbo~sed se~l 5h~ll n~ :'~"~',, '1 ' ''~ " f-] r'l addition to this document is vlolaffon of section 7209 of the New Yor[¢ Slate Education Cop[e~ of th~s document not beach§ fhe errgln~er's inked seal or embossed sea~ shall not b~ -o~'~red valid LU~EI~ 29~J - 4711