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Home My WebLink About14290-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No... Z14373 Date ...... April 29 8..6 New Dwelling THIS CERTIFIES that the buriding ................................................ · 1480 Matt. itu,ck.. Location of Property ...................... Eli. $ ah ' s. Lane HOu~ No. ' ..... '~b~i ......................h,~i,, County Tax Map No. 1000 Section 108 .Block 03 .Lot 005.12 Subdi~on Greenbriar Acres Fried Map No. 6.6..0.9 Lot No. 8 conforms substantially to the Application for Building Permit heretofore filed in this office dated .S.elqt.: 3 19 85 14290Z ............... , ... pursuant to which Building Permit No ...................... dated ....... S.e.p.t......1.7 ........... 19 .8.5., was issued, and conforms to all of the requirements of the applicable provisions of the lawn The occupancy for which this certificate is issued is ......... --- To Construct..A New. .Private One Family DwellincT --- The certificate is issued to .................... ~.HA~ ,. ~.QG.I~R .% .JUNE of the aforesaid building. Suffolk County Department of Health Approval 85 - S O- 141 N743903 UNDERWRITERS CERTIFICATE NO .................................................. Rw. 1/81 Building Inspector FOBM NO, 0 TOWN OF SOUTHOLD BUll. DING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PEPJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 14290 Z Permission is hereby granted to: ~ .... .............. .... ......!..~.~.....~f~.~...~f~....~.~n. .~.~:~..m.......~...~:.......~..I.t.m.~ ....... ,o ..................................................... ~..; ................. ;~ ................................. ; ................................... ot premises Iccoted at ,..[,~,,,~,,.~.,.,.....~,,.%,,~.~.....~,,~,....~~f~. .................. County Tax Map No. lO00 Section .... ./..?...~.. .......... Block ...... ..~.....~. ........ Lot No ........~'..~.../...~...:.. pursuant to application dated ....... ~.~....~. .............. , 19..~...~...'~ and approved by the Building inspector. Building Inspector Rev. 6/30/~0 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ii 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, properW 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. For existing buildings' (prior to April 1957), Non-conforming uses, or~guildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res, 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 $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.Oo $5.00 5. Updated C.O. $15.0 0 Date .. ~.p.r.i.1. .1.4. ,. .1.9.8.6 .......... New ~uilding . .Y.E.S ......... Old or Pre-existing Building ............Vacant Land ............. Location of Property 1480 ,Elijah Lane Mattituck House No, Street Ham/et Roger & June Schai~ Owner or Owners of Property ............................................................ _ 5.12 County Tax Map No. 1000 S~ection 108 Block 3 ..... %.. LOt ............ Subdivision..G.r.e.e~?.r.l.a.r..h.c?.e.s. ............... Filed Map No. 6609 ...Lot No. 8 Permit No. 14290 z Date of Permit 9/17/85 .Applicant James D. eL. ucca Health Dept. Approval ........................ Labor Dept, Approval ........................ Under'writers Approval Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .5...qq ........................ Construction on above described building and permit meets all applicable codes and regulations. ¢,, ik~'-~-(O Applicant .. .~. ,)3J~ ............................ Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF: ELECTRICITY 88 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT ~. ~ait, ~lij~ ~ Lane, F~ ~ide ~ut~ ~ ~ ~ ~d, ~ttit~ N~Y. ~ ~he fol~owlng ~oc~t~on; ~ ~aze~nent ~ 1st gL ~ ~nd FL Sect~o~ Block Lo~ was examined on ~ 1 ~ ~ ~ and~o~nd to be irt comp[ia,tce w~th ~he requlren~ents of this Board. 43. ~g 40 4~ DRYERS FUTURE APPLIANCE FEEDERS TIME CLOCKS , UN[THEATERS MULTi-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: 'iYe~k Mg~ting 6' 0" 5 Litet~ I 1 Gust av Bartra 227 timt Br~ak~mter Road Natti~uck~ N.Y. 11~2 Lie. 15@9~ must not be altered in any manner;, return to the office of the Board if incorrect, inspectors may be identified by their COPY FOR~BUILDING DEPARTMENT. THiS COPY OF 0EI~TIFI~T~ MpS~ ~0.T.;BI~. ~ALT~RED IN ANY MANNER TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner/~,'~ ~'//~,'~3' (please print) Plumber ~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~1t5 s~ig~ature) Sworn to before me this ,{f~t,/,; day of ~ , Notary Public, ~ County ~cary Public NOTARY pLJ~?LIC, S~cte of New york No. 52:463,3565, Suffolk Coun~ 7GS-~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [,~INSULATION FRAMING [ ] FINAL REMARKS: '~ :5-/,, "> DATE /:~./ . ,,? INSPECTOR 76S-XSOZ BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST ~ ROUGH pLBG. FOUNDATION ZND [ ] INSULATION /~"FRAMING [ ] FINAL REMARKS: DATE ~ / , INSPECTOR 76S-1802' BUILDING~ DEPT. iNSPECTiON~ FOUNDATION 1ST, [ ] ROUGH PLBG. [ ] FOUNDATION ZND, [ ] INsULATION~ [ ] 'FRAMING REMARKS: FINAL ~lELD INSPECTION COMMENTS ,~OUNDATION (2nd) OUGH FRAME & PLUMBING iNSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL °wOUTHOLD, N.Y. 11971 TEL.: 765-1803. Approved.--~t...~.kW~?~...~."1.., 19 .}.~. Permit No ............ Disapproved a/c ..................................... SEP - 319!'o BLDG, DEPT, "I'OWN OF $OUTHOLD (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 ~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 must 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 Cextificate 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordh~ances or [egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ?he applicant agrees to comply with all applicable laws, ordinances, build' .~)code, housinfi.~e, an)t.-~egulations, and to mit authorized inspectors on premises and in building for necessary, ins~'--- --~ .... .(&fghature of applicant,x~name, ifa corporation) gtate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. of owner of s: w ............................ (as on the tax roll or latest deed) 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 work will be done ............................ : ..................... House Number Street Hamlet County Tax Map No. 1000 Section , [ O ~ Block ~ Lot %~ ~ Subdivision...~..?. 7~--..~w.N}...~? .~ ~ .~'..~....~-.~o...~ .~:..~.. Filed Map No. ~°(°Oc~ Lot .~. .... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................. . ..................................... b. Intended use and occupancy . .~.~ .~C~ [-=.~..--,.. '~\..~.~. .... . .~_-_~...'~.. ~.W.... L .~3..~..(o.. ............... 3. Nature of work (ch~k which applicable): New Building .... ~ ..... 'Additio .......... Al~eratiod .......... Repair .,.. ~.. i./. · · .O. t .... Removal .............. Demolition ............. Other Work ............... ~ -_ ,,, , "' ~ ,' ' (Description) 4. Estimated Cost: ?.\'~; .c? ?. ~ .c?.~..°..~ .O..V ......... Fee .................................. : ~)~!,t~,!~,' ,~,- '-':~?~O1'_;_ j ! '~' (to be paid on filing this application) 5. If dwelling, number of dwelling! units ............... Number of dwelling units on each floor ................ If garage number of cars ' 6 If business commercial or mixe'd occupancy specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ....................................................... Dimensions of same structure w~th alterataons or additions: Front ................. Rear ................. Depth i Height Number of Stories ' ' · ...... Rear .... ~7..7..: .....Depth . .~ ........ .... 8.Dimensions of entire new construction: Front .... ./..7. ~ Height .... J -/ .......................... ...... ,,.. Number of Stones ........ 9. 8izeoflot: Front .... ~.~..O..~.i ............ Rear .... 1~.O..<~. ........... Depth .'"~:q'.~ ............... ........ 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: ...bl.(:~. ........................ 13. Will 10t be regraded ...... x./. ~ .S. ................ Will excess fill be removed from premises: Yes 14. Name of Owner of premises . .! .................. Address ........... t '. ...... Phone No. , .~... . .. . Name of Architect .'~ .~..~.~.~..V~..%.L. ?..c'..c~. .... Address . \~-,~ k,~.~.P.~. .M~.~. ..~ Phone No..~... ~ [[ .~'~' I' Name~ of Contractor : Address 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 bloct interior or corner lot. number or description according to deed, and show street names and indicate whether ..... ~...~. .~~..,[~.'. ...... /~,?.~,'.'.~._J~eingdulysworn, fleposesandsaysthatheistheapplicant _ ~/ (Name of in~l signing contract) a~named. ~ , (Contractor, agent, corporate officer; etc.) of said owner or owners, ~d is dhly authohzed to perform or have performed the said work and to m~e ~d file this application; that ali statements contained ~ this application are true to the best of his ~owledge and belief; and that the work w~l be perfo~ed in t~e m~ner set forth ~ the applicarion filed therewzth. Sworn to before me this , U . k / { *_ . ~~ k ) ' ~ No.fy Public, / I X [ ~ ( ~ ' ~ Qualified In S~lo~ ~ ~ .... ~ ~ (S~gnature of applic~t) ~ ~ Commizsi~ Expires M~h . ~1.,?' FOR APP~O\'."'-L C~ OONSTRU~TION OF ~ · ~ngl~ Famdy Residence Only ' ~PPROVED ~ SURVEY FOR o,w~ ROGER SCHAIT 8 JUNE BOUSSON LOT 8 "GREENBRIAR ACRES" P~%~o~ M,~. ~77~ AT MATTITUCK DATE NOV 2, 1984 S~ ;~eR~k~m %=: ~WN OF SOUTHOLD SCALE, ~":4o' ;J~ ~, ~Lu~ SUFFOLK COUNTY, NEW YORK ~o 84-.~o44 N O~UTHORIZEO ALTERATION OR ADDITION TO ~4S 6UARANTEEO TO ROGER SCH~I~~ . COPIES ~ THIS SURVEY "OT SEARING ~HE LANO JUNE SOJ~ ASDRESS NOTE=~ = MONUMENT SUBDIVISION MA~ FILED IN THE OFFICE OF THE CLERK OF - ALDEN W. YOUN6, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON OCT. 7~ 1977 AS FILE NO. 6609 AND LAND SURVEYOR NY.S UCENSE N0. i2845 HOWARD W. YOUNG, LAND SURVEYOR ~ ~ L~T~ ~ ~(~), SEPTIC TANK[ST)a CESSPOOLS(CP) SH~N HERE~ N.Y S. LICENSE NO. 45893 ARE ~ ,FrlELD OBSERVATIONS ~D OR OATA OBTAINE~ FROM OTHER S L,Ot ~THERE ARE NO DWELLINGS WITHIN ~00 FEET OF THIS PROPERTY ADDR'ESS TEL NOTE:· =MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY 'ON OCT. 771977 AS FILE NO. 6609 SURVEY FOR ROGER SCHAIT E~ JUNE BOUSSON LOT 8 "GREENBRIAR ACRES" AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE: NOV 2, 1984 SCALE: I": 40' NO 84 -- 1044 GUARANTEED TO: ~OGER ~Y OF N.Y. YOUNG a YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER ANO LAND SURVEYOR N Y.S LICENSE N0.~2845 HOWARD W. YOUNG, LAND SURVEYOR N,Y S LICENSE NO 45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK SURVEY FO~ ~ ~ ~T,~ D~ . ROGER SCHAIT & JUNE BOUSSON SCHAIT MARCH 21J986 aULY AT MATTITUCK DATE' NOV 2, 1984 lnspectoa by this dep~z'tment ~ found SUFFOLK COUNTY, NEW YORK NO 84 1044 ' SURVEYOR'S INK[ O SEAL OR EMBOSSED SEAL SMALL USLtE T~'IN~ANC~MP~Y OF N.Y. ~UARANTE[S m. OmC~T~D HEREON SHALL RUN ~LY NOTE:B :MONUMENT SUBDIVISION MAP FILED INTHE OFFICE OF THE CLERK OF ALDEN WYOUNG, PROFESSIONAL ENGINEER SUFFOLK' COUNTY ON OCT. 7~ 1977 AS FILE NO. 6609 AND LAND SURVEYOR N OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIRCATE OF OCCUPANCY APPROVED AS NOTED PEE: ?Vl)'°~' S*: 6 ~" ~-- NOTIFY BUILDING DEPARTMENT AT 765-1,802 9 AM TO 4 PM ~RTHE ~OLLOWING INSPECTIONS: ~ FOUNDATION ~0 ~EOUIRED FOR ~DURED R ROUGH FRAMING · PLUMBING ~. INSU~TION 4. FINAL ' CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCT ON SHALL MEET' THE REQUIREMENTS OF ~HE N.y J,~ATE ~N~TRUCTION & EH[RGY If eoIX)~ tubin~ Il ulMt for witter dlwlbutlnJ m/Jtem~ piping ,,hMI b. of typel K or L onl,/:. .o SOLDER USED IN WATER SUPPLY SYSTEM CANNOT PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY / N t tiC 14 L o," --I ~LZ~ I 7T" - 4" 7'- ?.." ~ 55 '- 0" 4 Lt..." . II I I RIVI~ IV I I I I 1 I Ii TION. A--A ~.sJ ri : ,L,.ll ' ,l'YP, WALL SECTION t I ,t- ~ - __1 ~0-?~.%