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Home My WebLink About13907-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14190 Date January 30 .................................................. THIS CERTIFIES that the building A d d i t i o n Location of Property . .1.565 ......... l~u.tk .I~ 9.a.d .............. M..a..t.t.i.t..u.c k House No. Street Ham/et County Tax Map No. 1000 Section ...1.0..~ ...... Block ..... 0..7 ........ Lot .... 0. ! .~ .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .~.p.v.i..1..1.9. ......., 19 .8.5. pursuant to which Building Permit No. 1.3.9.0y.Z ............... dated Raj. ~ ...................... 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 ......... The certificate is issued to Robert and Veronica Cidone ..................... i ................... of the aforesaid building. Suffolk County Department of Health Approval ....... .N/?. ................ UNDERWRITERS CERTIFICATE NO. ' # N 7 0 9 5 2 0 Plumbers Certificate 12/19/85 Rev. 1/81 I~OR.~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 13907 Z Building Inspector. Fee $ ........................ 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 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- 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 buildings and "pre-existing" land uses: I. Accurate survey of p~operty 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 $15.00 /-/,/- Date .. ......................... New Building ............. Old or Pre-existing BuiLding ...... ^ ..... Vacant Land ............. Lvcat~on of P ..... t, . .................................................................. House No. ~ I Street ~ Hamlet Owner or Owners of Property . .~ .......... .~ ..................... ;- ...................... County Tax Map No. 1000 Section /~.'~ ...... Block...............~ Lot......~:...~... ~ Subdivision ................................. Filed Map No ........... Lot No ............. Permit No, .).~.~ ~Date of Permit . ~ .Applicant. .~..~.,. ~.~. ~ .~/F~ Health Dept. Approval ........................ Labor Dept. Approval ....... ~ ................ Underwriters Approval ........................ Planning Board Approval ...................... ~ equest for Temporary Certificate ..................... Final Certificate ..................... Fee Submitted $ ~'~'~ Construction on above described builc~ Rev. 10-~0-Te Appli~ a~eets~.. ~all applicable codes and regulations. ioooe~a THE NEW YORK BOARD OF ,FIRE UNDERWRITERS BUREAU OF ELECTRICITY ,at~ ~pp,i~ation~o.o.~l,~ N 709520 THIS CERTIFIES THAT only the electri~. ~qu~mS.~t ~ described ~et~ un~ int~duced by t~ applicant ~m~ on t~ able appl~atlon number in the premises of in the following locution; ~ Basement ~ 1st FI. FIXTURE OUTLETS DRYERS RECEPTACLES 9 [] 2nd ~1. and found to be in compliance with the requirements of this Board. Lot SWITCHES FIXTURES RANGES OVENS DISH WAS::~5 EXHAUST FAN FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT at ER ,PP,RATUS; S E R V I NO OfPERCC, e,COND, j OF A.cc,W,coND.G, / NO. OF HI-LEG C E OF HI-LEG AW.G. NO OF EUTRAL$ OF NEUTRAL GENERAL MANAGER ii certificate must not be altered ~n any manner;, return to the office of the Board if incorrect, inspectors may be identified by their credentials. TOWN OF SOUTHOLD OFFICE OF BU1LDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date_ Building Permit NO. [ Owner C (~0N~, ~_~_f~_ (please print) Plumber ~%~/~ 7q (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber'S signatu ) / Sworn to beforA me this lq .~-_day of _~ 19~_. Notary Pubiic TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tIALL SOUTHOLD, N.Y. 1197! 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. ~. ~4t~_ /5/ NO Underwriters Certificate on file, /_~ The cheek is(outdated~not on file.) /5/ 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 ~ ~ 3 ~ ~ ~ Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,]984 FIELD 'iNS?~CTION COMMENTS ...... < +-~-~ FOU~BATtO~ FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE 4 o FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765- 1803 Disapproved a/c . .....~--7 .... -:~.."-~5'.'. .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date APRIn 19, 19 .8.5. INSTF, UCTIONS 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 c0~red 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 a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS ItEREBY MADE to the Building I)epartment 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 bnildings, 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.~rp~ti~ns. ~ ,/ (Signature of applicant, or name, if a corporation) RFD RUTH ROAD BOX 234G, MATTITUCK, N.Y. t195; (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... O..cP. ¢. ..................................... .................................. o - . .... Name of owner of premises ....... .~.....~.-?. ~...~J4.. ~ . .~.]..F..~. ........................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Phunber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be donc .................................................. ................ ........................ House Number Street HamlSt County Tax Map No. lO00 Section. · . l.~l.¢.: .~.0. ..... Block..O.r/: ~.O, ........ I.,ot · ~.//.: ?..~. ·O. ...... Subdivision ..................................... Filed Map No ............... Lot . .I..~.~. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................. b. Intended use and occupanc,~ ..... .~~...~.... ~..b~. :.~'..T~.....c~......~..~ ~ .~../~. ....... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition ....... Alteration .......... Repair Removal Demolition Other Work ~ ~ ~ / ~ ~ 1[, (Description) 4. Estimated Cost..~;~).. ..... ......................... Fee.~. ~ ........... !~ ................. " (to be paid on filing this application) 5. I~' dwelling, number of dwelling ,.units ........ [. ..... Number of dwelling units on each floor .... ~ .......... If garage, number of cars ..... i ..... i~ ............................................................. 6. If business, commercial or mixed occnpancy, specify nature and extent of each type of use .......... 7. Dimensions of existing stn ctures, tfany Front 50 ~ . Rear ...~'0...~.. . Depth [~J']. Height ..... l .~. ....... Nm~ber of Stories ..... I ........................................... Dimensions of same structure with alterations or additions' Front .~0, *3 , . Rear ... ~.b~-~)' 7' ' Depth ...................... Height ........ .. ·: ........... Num~ber of Stones... ] ............. 5 .... 8. I)imensions of entire new construction: Front . .~O.,.~. ...... Rear., ~% {)?.~ ...... Depth . [~'. ]..T. Height ..... I.~ ........ Number of Stories .... I ................................................... 9. Size of lot: Front ..... ].~)~jf~ ~.~ ....... Rear .... I..QO: .t~ 3.' ......... Depth . I. ~ .~.;,~. .~. . . .-.. . ./ 10. Date of Purchase .. oQ.'7, c~.t~"...q ~(. ............. Name of Fenner Ovgner J~O~.eCU....J~.~.~¢./~. 11. Zone or use district in whic~ premises are situated ...... ~lt.O..O..O. .... t~. 7 .~.~,~-~...^~.~ ...................... 12. Does proposed construction vioiate any zoning law~, ordinance or regulation: ., i .I~.Q ................. ' .... 13. Will lot be regraded . ./~...~ i .............. .~ :~... Will exgcss fill bo, removed f.rgtn~g~remises: Yes PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions fron' property lines. Give street and block number or description according to deed, and show ~treet names and indicate whethm interior or corner lot, .~.L. ~.~. ~..~. .................. being duly sworn, deposes and says that he is the applican, ?. (Name of individual sigr~ing contract) above named. He is the .................................................................................... (Contractor, age: ~t, corporate officer, etc.) of said owner or owners, and is dujy authorized to perform application; that all statements contained in this application work will be performed in the manner set forth in tim applica~ S.worn to before me this ~P~LI~S ATKfNS~N NOTARY PUBLIC, S*o}o of New Yo~ ~. 52-4665675 OualiJJed n Su olk ~un~ ~ommlssion Expires Mar*h or have performed the said work and to make and file tbi~ are true to the best of his knowledge and belief; and that th~ ion filed therewith. (Signature of a. pplica''~ 198 "Sunset Knolls Section Lot B -' MONUMENT* / ON ~IAN. 19~ 19'~19 IN 800K NO. ~ M~4P NO. /6X~, .gWS~ONS ................... YOUNG & YOUNG "/' ',' i' ""'"400~ o,~T'RaND£R A*ENUE.:RiVERHEAD. ~EW ALDEN W. YOUNG HOWARD SURVEY FOR: ROBERT & C/DONE 8 VERON/C~ ECI[ LOT N~ 1~8, B~K 16 "C~PF~IN KIDD ES~ '~ MATT/TUCK ~uA.~N~'~o= ~OU?HO~D S~ VIN~S BI SOUTHO: D ' SUFFOLK CO., N.Y. BY copper tu~°i°g is usea Jot water cJistribUfing sys~em~ P~PJ~g s~O~J ~e oJ tYPes ~ PLUMBER CERTIFICATIOIg ON LEAD cONTENT BEFORE C~a~:~CZT~ Or OCCUeANCY SOLDER -/'-"'~'M CANNOT sUPPLY S~ EXCEED 2/10 of 1% LEAD. 7~5 180~ 9 AM TO A PM FOR THE ~ATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR L