The URL can be used to link to this page

Home My WebLink About13716-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ....... g 1 .66.1.Q .... Date ............... d. u ~- Y..9. ........... 19 $ 6. THIS CERTIFIES that the building ........ a..d .d.~.~. ~ .o .n.. .............................. ~,:_-~n ..... ,. 320 Sailors Needle Rd. Mattituck Loca~*w~ u* £~.ula~*~y ........................................................ House No. Street ' ' 121~/ei· County Tax Map No. 1000 Section 144 .Block 5 .Lot 28 Subdivision X .Filed Map No. × .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated F e b r u a r y 8 1985 pursuant to which Building Permit No. i 37 ~ 6 g dated ...... ~.a.p.c.h...~ .............. 19.85,.. 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 ......... A~dition to existing one-family dwelling. The certificate is issued to ............... .F.H.Z..L .L.I.F.. ~.A ~.[/. ~ .E ~ ......................... ( own e r , }~,Ye ~ & Yt~Y~7~v]TtZ of the aforesaid building. S ffolkCo tyD rrm tofH IthAppro 1 N/A- u un epa en ea va .......................................... UNDERWRITERS CERTIFICATE NO ................. N696815 Building Inspector Rev. 1/81 FOn, 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) Permission is hereby granted to: , · ..-.'-'t"....'..~ ........ '-.....'.~~-I.~ .... ~..~.~!.~~..~ ......... ..~..~....~ ....... ~..~. ........... , ,~.~..~.o .... County Tax Map No. 1000 Section ..................... Block ~ Lot No. pur~uont to appllcoflon d~t~d ...... ~ .............. , 19..~....~.., ond appro¥~t by the Building Inspector. ......... Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 APPLICATION FOR 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 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, C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancv on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date..~4-'/! .~ .................. New Building ............. Old or Pre-existing Building .... ~ ...... Vacant Land ............. Location of Propertv House No. Street Ham/et Owner or Owners of Property ......... .~,~./?.(:/~/~./~47/~, .F/.'~ .~. ............................. County Tax Map No. 1000 Section ....~Y~. ........ Block ....~, ......... Lot.~.~. ........... Subdivision ................................. Filed Map No ........... Lot No .............. · Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval .. ,.~/~ .............. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .................... Construction on above described building anc, Lczac,mit meets all appJicab,l~codes and r~gulations. ~ ~ppficant .... ~ .....~.. ¢ f~;~. ~ .... ~ ~ .................... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N,Y. 11971 TEL. 765-1802 CERTIFICATION ~ Date 6/14/85 Building Permit No.13716Z Owner Phillip Marrlner (please print) Plumber Will~am DeBarl (please print) I certify'that the~Older used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me this day of 19 Notary Public, County Notary Public FIELD INSPECTION COMMENTS FOUNDATION FOUNDATION 2. {lst)~ (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- O~- 8~ JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT ~p R, ~r~, 320 ~i~r N~ ~ ~t~t~k, ~ Y h, the yollo~i~ Ioc. t~on~ ~ B.se,,,e.t ~ 1st FI, ~ ~.~ FI. Section Blo~ Lot ~.s .~.,ni.~d o. o~]e 13~ 1985 and found to be in compliance with the rbqulremer~ts of this Board. FIXTURE OUTLETS 11 DRYERS FIXTURES RANGES ,OVENS EXHAUST FANS RECEPTACLES SWITCHES FLUORESCENT VAPOR 12 8 11 MOTORS APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C APPARATUS: NO, OF CC, COND, A W G, NO, OF HI-LEG AW G PER ,~ OF CC. COND OF HI.LEG i ~/o E NO~OF NEUTRALS AWG OF NEUTRAL 1/o ~ouds ~.'le~ri¢ 175 ~hird Street Box 166 St. James~ N Y 11780 Lin 192 E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectc;~rs COI~YiFOR BUILDING OEf'ARI'MItNT. 'I'HI~ 11 may be identified ANY MANNER, 765-1872 9 AM TO 4 PM FOR 'THE FOLLO~'Ui,x4G ":SPECT~ONS: I. FOUN~'AT;'3..".4 _ TWO REQUIRED FOq ~-~-':JqED CONCRETE 2. ROUG~ - FRAMING & PLUMBING 4. FfN~zL - C~.SU~UZ-'I~N MUST BE d~t?t-'mE FOR C. O. ALL CON~TEUCT!ON SHALL MEET THE RED~EEMENTS OF THE N Y. STATE CONSTRUCTION & ENeRGy CODES. NOT RESPONSIBLE ~qR DE~6N OR CONSTRUCTION ~ FEE: 5"~-~ SY: Y'. ¢. NOT,FY B~ ,~ ~,~,~ ,DEPARTMENT AT FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEA,~ETA NO tha yo app' i nd ted .,.~~ ......... , 19 ..... =~,~o. o~ ~o~t, ~~.. ~.~,, .......... ~... ~unty Tax Map No, 1000 Section .... /~.~ .... Block ... ~,~ ..... l~t ........ Subdivision Filed Map No · Lot No is returned herewith and disapproved on the. following grounds .~7~~~ Building InspecLor FORM NO. 3 TOWN OF SOUTItOLD BUILD1NG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Subdivision ................. Filed Map No ..... - ............ Lot No .................. is returned herewith and disapproved on the. following grounds ~ ~ .~.._ .)J~ ~. _7. ~.. Building Inspector RV 1/80 Examined . .x~.(~r'..~..d(., .... 19 .~.~. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-180:3 Approved ' 19 'Permit No Disapproved ale ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ...F.e.b.~..u.a.r~. ~ ....,19 ./].5 INSTRUCTIONS a. This"~pplication must be c'omplete~ly filled in by typewriter or in ink and sub~nitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scfile. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is par~ of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to~the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Matht$ .Con. tracting. ~c. (Signature of applicant, or name, if a corporation) z..s.tp.n...s.t...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... 9.e. ner ~.l. CoB.t.l~t c.t.q~ ............................................................... Nmneofownerofpremises Mr, .a.n.d Mrs. Ph~.lli~p Marrlner (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...'.S.u.f.f..oJ..k..[ .0.4.4.7...H.I .... 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 ... ! ~ q. Block ~ Lot ~ ~. .... Subdivision. ,1.~...S.a.l.g.. ~a...l~e...V.I.],], .~.e. ........... Filed Map No. A .~/.~. ........ Lot .... // .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: : a. Existing use and occupancy Ro.S irle.nt ~a~. b~ iiit~laO~fl use and occupancy . ~P.q ~.ql~t~ ~O1 ..... ' ' i,R~pair 4. Estin 5. 6. 7. I0. 11, 12. t3. 14. . X Alteration ~ ' '" : New Building .! ......... Addition ................ r. ·. ~. ~ ioval Demolition . Other Work ' ~ ~ ~ (Description) ,0,0 Fee '-' (to be paid on filing this application) ~. 'Number of dwelling units on each floor If dwelling units ........................ If garage, number of cars .................................................................. If business, commercial or mixed occupancy specify nature and extent of each type of use ..... : ............... Dimensions of existing structures, If any: Front.. ,53.3 ........ Rear . ,6..8. ,/:1.' ....... Depth ....~.9.. 7 ...... Heioht .. :[..~.'. ...... Number of Stories, . .~, ........ :_,: ~:. , ........................ D~menslons of same structurel with alteratmns or addmons: Front ..... b.).. ) ........ Rear ..... .6.8. fl. ........ , - ' ' 2' · Depth ... ~.9..7 ......... .:... Height ...2 .............. Number of Stones ..... ~[ ............... Dimensions of entire new construction: Front .... 2..0 ~ ........ Rear . .2.0. ~ .......... Depth ...2.2. ?. ........ Height ,..2.2. ...... ; . Number of Stones ..... ~ ...................................... Size of lot: Front ...................... Rear ...................... Depth Date of Purchase , Name of Former Owner Zone or use district in which premises are situated ..................................................... Does proposed construction ¥iolate any zoning law, ordinance or regulation: .... 09 .......................... Will lot be regraded ...... r~0 ................... Will excess fill be removed from premises: ~s Name of Owner of premises ?..h.~.~..~gY.v.~.n. gY. ~ .... Sailors Needle mlt~ ~- 2.9.8.~¥.-.?0 Name of Architect ....... ~,. .................. Address ................... Phone No ................ Z3.8. Name of Contractor ~..gh~-.~'-~ .~.°B.b.v..ag.b.~.n. &,..I.n. ~ddress 5.'.$9Y.1.~.~. 9.n..S.~. :.. Phone No ..... .-9 .... Garden City, NY PLOT DIAGRAM C0vmv OF ' 1 ' ~eing duly sworn, deposes and says that,.he is the applicant (Name oflnd~vldual s~gmng contract above named. , ~ ' hie is the .:i'll ~ (Contractor, agent, corporate officer, etc.) . of said Owner or owners, and i~ ~duly authorized to perform or have performed the said w6rk and to make and file this application; that all statements 66ntained in this application are true to the best of his knowledge and .belief; and that the work will be perfornied in the manner set forth in the application filed therewith. '.1 i ' Sworn to before me this . . . .day of ...... .....................~. ,,-. ,.., 19~;. . ' " ......... Co nty /Z.-~ ~,.,/' '/ . /./~ , . ........ u 'otary Pubhc,; .. ' [ NOT/t~Y pUBLiC, Sta ~ ' i ~ 4 0~878, S~llOIk 12 YOUNG &~YOU 400 OSTRANDER AVENUE, ~IVERH ALDEN W, YOUNG SURVEY FOR: · PHILIP t~. M~fft?lflE~ , LOT NO. II, "S4LT L4KE VIL. M TTITUC~ SOUTHOL~~~r~,