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Home My WebLink About13831-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ZI7455 Date October 26, 1988 THIS CERTIFIES that the building .. ,~D~).% % .I D.N. .................................... Location of Property 2425 BAY AVENUE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section .... !4..4 ..... Block 04 .Lot 004 Subdivision ............................... FJJed Map No ......... Lot No .............. conforms substantially to the Application tbr Building Pemnit heretofore filed in this office dated .... .A.p.r.x.' .1..1.,.. J .9.8.5.. pursuant to which Building Permit No... 1.3..8.3.I.Z. ............ dated . .~. p.r))..3. :2.1.9.8..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 ......... SECOND F~OOR BEDROOM ADDITION & DECK. The certificate is issued to WILLIAM C. & LINDA E, MERCIIRIO ..................... joY&i, ',~?~'~ ...................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N 7 5 3 8 7 2 .6 / I 1 / 8 6 PLUMBERS CERTIFICATION BATED: PERFECTION PLUMBING & HEATING 2/2/88 Building Inspector Rev. 1/81 l~Oll~ NO. I~ 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) ~383~ z ~o,,...~..~ ................................. ~ Permission is hereby granted to: .......... .L,.~,.~...E......I~.~.~.~.~.a ..... ..... J..'~.~...~:.......~.~..A.v..~.~ ................... ........ ~.~.:.~u..c.~..,....al.,.~.....u...g ~- ....Z...~.....?...~..~.!..<,.. ............................................................................................. at premises located at ....C~ ............... r '] ....... ' ~ County Tax Map No. 1000 Section ...l....~....~.. ........ Block ....... ~ .......... Lot No. pursuant ,o application dated ...... ~[~..,......I ....................... , 19.~...~.., and approved by the Building Inspector. Fee $....~....~.......~..~. / Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD 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 i ~ 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 natura~ 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 property 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 Duildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: ions $25 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy N~D~-~'~'~-~-5QO0, Accessory ~$I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ IO0.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of PropertV ................................................................... House NO. Street Hamlet Owner or Owners of Property County Tax Map No. 1000 Section ............... Block ............. Lot ............. Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo/.~,8.~../... Date of Permit 4/.//~..~-~..Applicant .~.../'.~.~./..~..~. Health Dept. Approval ........................ Labor Dept. Approval ........................ ~nderwriters Approval ....................... .-]51anning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. and regulations. C. 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. 13f31 Owner ~/// ,/~fCMf~ (please print) Plumber ~;/~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plu~06er' s signature) Sworn to before me this ~ day of ~ , 19 ~. Notary Public, ~~/U County Notary Public 14ELEN IL DE ~OE NOTARY PUI~LIC, State of New Yod~, No. 4707878, Suflol~ Term Exp~i'es M~mh ~0, F.I ELD INSPECTION FOUNDATION (1st)' COMMENT~ FOUNDATION 2. (2nd] ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ?BE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST I- ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~FINAL REMARKS: L/~//~ ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH FLBG. FOUNDATION [ ] FRAMING REMARKS: ] INSULATION THE NEW YORK BOARD OF FIRE UNDERWRITERS ].001331 BUREAU OF ELECTRICITY THIS CERTIFIES THAT only the elec trlcal equipmertt ~ ~scribed be~ and i~troduced by t~ applicant ~d on the abo~ appl~ation number in the premises of in tke fotlowlng Iocat~ .~ B nt FIXTURE OUTLETS 3O RECEPTACLES SWITCHES 23 ~3 ~ 1st FI. ~ 2nd FI. Section Block Lot and found to be in compliance with the requiretnents of this Board, FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: 1-G,F. CoI. l~Sabke Ik~eector S E R V I C E NO, OF CC. COND a.W. G NO. OF NEUTRALS A W G. PER ~/' OF HI-tEG OF NEUTRAL A W G NO, OF HI-LEG OF cc ~OJ~D. Pat Lm'~e ~(atti~;uek, N.Y. 11952 This certificate must not be altered in any manner; return to the office of the lENT. THIS J F CER if incor GENEI~AL ]3. Inspectors may be identified by ANY MANNER, ' FORM NO. 1 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined.. .,. J ................ ^pproved/-. .a 3.., '4or,nit No. Disapproved a/c ......... '~ .............. ;..>' ' ' 77 ..... ,. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ............... , 19 d~''~- 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 scliedule. 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 tlie 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 h~spector will issued a Building Pemfit to the applicant. Such permit shall be kept on tlie premises available for inspection throughout the work. e. No buliding 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 fbr 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 premises and in building for nece sary m~pectmns (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ oc. ?. .a.4 ?. ............................................................................... Name of owner of premises . ~G:+4-~.,/,.~..G/.. ~ (.~. ~,P.. ?.~..../~. ,~-~¢.~.~. <o, ............................... (as on tlie 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. --[.P, Plumbe~ s L~cense No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land ou which proposed work will be done. ' .... ...... .x ...............................................' llouse Number Street Hamlet County 'fax Mat, No. 1000 Section .... /~..~:, ,~.' ........ Block .... q ............ Lot../~.T .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy ofprenfises and intended nsc and occupancy of proposed construction: a. Existiug use and occupancy .... ./. · .-~.?/. ?. .... /.~..'P?A"../(q.? .5.'g'..- ..... ./..4~'q.,~:~..vd ................ b. Intended use and occupanc, 5-.~...~.'.77,~..k'.(. /~:~?.~../.~.~.~7 ...... / .;9.'.,?V./.? ................. 3. Nature of work (check which abplicable): New Building ..... ' ..... Addition ...~f.~ ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (D riptl ) 4. Estimated Cost ....................... Fee ........................... *" (to be paid on filing this application) u ' ' ' N be fd lli its each floor 5. Ifdwelling, n mberofdwelhng~umts ............... um re we ngun on ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7 ..... if any: Front Rear Depth Dnnenslons of existing structures . Height ............... Number of Stories ...................................................... ... Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth. ~ Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... lteight ............... Number of Stories ........................................................ Size of lot: Front ' ~ ~ Rear Depth Date of Purchase ' Name of Former Owner Zone or use district in which prgmises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ................................. Will lot be regraded ........ j ................... Will excess fill be removed from premises: 5. ,s No Name of Owner of premises ~r~:~.r[q. OV~ ....... Address ~o..~,,?>,.~. 4F,'t..CF. ...... Phone No.'-6~:q?..6'.7.. rt... Nmne of Contractor ......................... Address ................... Phone .mo...,~.._,:~fi>~'_.~ )Jr' ' 10. 11. 12. 13. 14. Locate clearly and distinctly all property lines. Give street and block interior or corner lot. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether STATE OF NEW YORK, COUNTY OF ....... ~.S ...... /~../.g(..D..ff....l~.~':...,/7..~..~.2~ .~..~<../f_'.~.o. ............ being duly sworn, deposes and says that he is the applicant (Name of individual sign: ng contract) above named. He is the ..................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements contained in ~this application are true to fl~e ,b. est of his knowledge and belief; and that the work will be performed in the manne~ set forth in the application filed tl~erewith. Sworn to before me this ~ ........... ....... day or Notary Public, ......... HEt.[N K. DF' VOE J I]OTARY PUBLIO, Sk~le of Neil York N0, 470187g, Suff0Ik · ~. ¢..~ .~..&% County . ................. ~ '/" , (Si~ature of applicant) III DP, TH SOLDER USED ~ F/AT~]~ SUPPLy SYS£t~'M CANNOT EXCEED 2/lO of 1% LEAD. PLUMBER CERTIFIC/ATIO~Y' ON LEAD CON~UNT BEFOR~ CERTZ-;%~CA2~ OF OCCUPANCY copper tubing is used for water distributing sys em; piping shall be K or L onl~y types APP~,OV~.D AS NOTED 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ~]. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE D. ROUGH - FRAMING & PLUMBING ~. INSULATION 4. FINAL - CONSTRUCTION BE COMPLETE FOR C. O. ALL CONSTRUCTION SHALL THE REQUIREMENTS OF THE N.Y. ~ATE CONSTRUCTION & ENerGY CODES. NOT RESPONSIBLE DESIGN OR CONSTRU~ION ERRORS, ~J /.% xl Phon~ 477:040~0 '~~ GREENPOR%, N:Y. i t:9~a,