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Home My WebLink About14185-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy No. z13983 Date November 1 .8.5 THIS CERTIFIES that the building .. S. e. c. 9n..d.F..199.r . .A.d.d .i.t .ig.n..T.o.p.w9.1.1.i.ng ............. Location of Property 50 Second St. & 2330 Bray Ave, Mattituck House No. Street Hamlet County Tax Map No. 1000 Section ....12..6 ...... Block 07 . .Lot . 015 Subdivision ............. .X ................. Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... 4u. 1.7..23. ........... 19.8.5. pursuant to which Building Permit No....1.4.1.8.55 ............. dated......................August 2 ..... . 19.8.5. , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which t~s certificate is issued is ......... .... Construct second Floor Addition To Existing One ~mily Dwelling .... The certificate is issued to TRAPAI/I, FIR. & MRS. BEN (owner, ~~t) of the aforesaid building. N/A Suffolk County Department of Health Approval . .~ ........................................ UNDERWRITERS CERTIFICATE NO ................ .P.e.n.d.~n.g ........................... Building Inspector Rev. 1/81 TOWN 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) 14185 Z Permission is hereby granted to: ...... ~ ............. ~ ............ ~....:~.. .... ~....~.....~.~ ............................... ..... ~.z:~.~.~..,..~..,..."./:. ...... /...~.,~59 ~ ............. ~ ............ ~.~.E ...... ~m~...~.~..~m.a~g ............. ~ .......... ......................................................................................................................... ~~..~, V County Tax Map No. 1000 Section ..... /~-t~ ......... Block .,.,,~.,,,~., ......... Lot No....~.../...~,...-: ......... pursuant ,o application dated ....... ..~.~....g..~.........c~.....~.. .................. , 19...~...~..Tand approved by the Building Inspector. Building Insl:mctor Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS (}01~.], BUREAU OF ELECTRICITY ~5 JOHN STREET, NEW YORK, NEW YORK 10038 ..t~ ~ove~r :~,~ ~..,~..o.~o.o.~,~ 3~s[1/~5 N 716609 THIS CERTIFIES THAT only the electrical equlpme~t as described bel~ and int~duced by the applicant ~amed on the above application number in the pre~ises of Benedict; ~r~pan~ Second St~ Cot, Bray Ave~ Mattit~ck~ in the/ollowing location; ~ Basement ~ 1st Fl. ~ 2nd ~1. Section Block Lot was examlned on~O~ ~X' ~ ~ ~ 9 ~ ~ and Jound to be in con~pliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT G.F.C0 I,-- 1 Smoke Detuctor-' 1 S E R I C NO OF CC, COND.J A W, G. NO. OF HbLEG A W.G. NO, OF NEUTRAL5 A, W. G. 3 1 5 Pattl B~rns 275 57o~n Ha.rbor Lane Sollthold~ NoY., 11971 lic. ~282E GENEI~AL MANAGER Pe~ ,J '~-]- 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 FOR E ILDINGDEPA,RTMENT. THI~COPYOFCERT!FI~A?EMU~STN~EALTE~ED.!NANYMANNER FORM NO. 6 TOWN OF $OUTHOLD 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 ia IIIBIIIIB~ 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 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 p~operty showing all propertv 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 New Building .... .~. ....... Old or Pre-existing Building $15.00 Vacant Land " Location of Property .................................. ~ ..................... House No. Street Hamlet Owner or Owners of Property ..... ..................................... Countv Tax Map No, 1000 Section . ~ 2- (~ Block 0 ,'7 Lot... ,~,~..-~ Subdivision .Filed Map No. .Lot No, ~;7 Permit No. [L~I ~.~.'..-~.. Date of Permit ~ ~,.~:~ ~pplicant .... ]~J.. ~J~ .~. ............... Health Dept. Approval ........................ Labor De~t. Approval ...................... Underwriters Approval ....... Planning Board roval .................... Request for Temporary Certificate ..................... Final Certificate ...................... itted $ ~ Fee Subm ....................... Construction on above,,described building and permit,~neets all applicable~odes and re.~cl,ations. ~ ~ % Applicant ........... .~.~.. )~ .......... Rev, 10-10-78 COMMENTS FOUND~TIO~ ( 'ts t) FOUNDATION (2nd) ROJGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE I"INAL ADDITIONAL COMMENTS: 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 \ TEL.: 765-1803 Examined ~fi~ . · ~ ...... , 19~.~.~ Approved..~...t~...'~.. ..... , l~.~.~ermit No.. [.(1~/..~. · · .~'7 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS TOWN OF SOU,I~OLD ,. Received ........... ,19.. · a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets 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 ~r areas, and giving a detailed description of layout of property mus! be drawn on the diagram which is part of this appli- :ation. 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 hall 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 hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or [egulations, 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 ~dmit authorized inspectors on premises and in building for necessary in[,p~c~pns. ~-, t~, ,,'~ J~ o. ..... .pF~..~.....e... ?. ?..~...~...~. ~ ....... (S~fiature of applicant, or name, if a corporation) (Mailing address of applicant) ~/ [State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. amc of owner of premises . . .~.] . ~. ,: t.,.~[ ......... (as on the tax roll or latest deed) ~f 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 ...................... Location of land on which proposed~o~r~ wi~l~ done .... C.' O../~...~Z...O.F...~..~. . .~. ............... ..... ................ 00 .................... House Number --Street Hamlet County Tax Map No. I000 Section I;l, qo Block (371 Lot Subdivision ..................................... Filed Map No ............... Lot .?.~. ........... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~9./,,). ~-...y.~ .~.L. ~...~..~. ~t~. ! ¥.~, ....... , ....................... Intended use n p v D~ ~ ~'~cC--Ot~.O ~LO0~ I~ ~.'~.~ O':i B" ....~. !~. b. a d occu_anc_ ./~ ........................... . ..,. ....... ~.....;...~..~ ..... / 3. ~Natu~ or'York ckwhich pplicable): New Building ..... ' ..... ddition .......... Alteration .... Repair .. ' Removal ..... Demolition ............... Other Work 4. Estima.!e~d~.... . Cost.... ,', .~..).0~.o., ....................... Fee 5: '~'I fd~'sTti~lg;' num b er 'of ~tweillng umt s .... ~..~ ........ Number of d~ '8. 10. 11. 12. (Description) ........................... (to be paid on filing this application) elling units on each floor ................ 13. 14. If garage, number of cars .... ! ............................... If business, commercial or mixed occupancy, specify nature and extent )f each type of use ................. Dimensions of existing structures, ff any Front ..... ~...~.--.o ..... Rea' .. ~ ..... Deuth . ~ o o Height ...I.,."g..":.O ~.~ NumberofStones...~.~.~. ................................... , .......... Dimensions of sa e structure With alterations or additions' Front . ~5-~'- O." Rear ~i . ' ' Depth ..... .~..0..~-.D ........... Height .... ~T. 0. ............ ] 4umber of Stories-J.~d/.{~. ................ Dimensions of entire new cons[ruction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ......................................................... Size of lot: Front . "~. ........ Rear ...................... Depth ...................... Date of Purchase .......... ' ................... Name of Form~: Owner ............................. Zone or use district in which p~emises are situated .................................................... Does 'proposed construction violate any zoning law, ordinance or regula Will lot be regraded ........ i .................... .Will excess fill Name of Owner of premises ~.i~.~...~..fs..Pf.~....I ..... Address Name of Architect .. .~ .................. Address ....... Name of Contractor .~i~i :C J~otld ........... Address PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propos property lines. Give street and block number or description according to dee, interior or comer lot. STATE OF NEW YORK, COUNTY OF... S.S being duly s' (Name of individual sig:' ung contract) above named. He is the ........... (Contractor, agent, corporate o: of said owner or owners, and is ddly authorized to perform or have perfo] applicatioff; that all statements con(ained in this application are true to the work will be performed in the manner set forth in the application filed there~ Sworn to b!efore me this ........... .07...3. ....... day o:f ...... .......... 19. .ff Notary Public, ......... ~ ............ County HREN K, DE vot NOYRllY PUBLIC State of New York ........ fi"/ ....'~' ion: ... ~/.0. .......................... >e removed from premises: .Yes. No ~.. ~./~J.T.a.c~-Phone No .............. ............ Phone No ................ ~,~%~. ,;,/}L. Phone No..c/77.7/.O. 7.~. · · ~d, and, indicate ail set-back dimensions from and show street names and indicate whether yom, deposes and says that he is the applicant ............................ reed the said work and to make and file this best of his knowledge and belief; and that the ~ith. ' -J 'i '1 ' '1: