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Home My WebLink About25634-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27068 Date: 05/08/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 345 LLOYDS LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 99 Block 3 MATTITUCK (~AMLET) Lot 4.9 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9, 1999 pursuant to which Building Permit No. 25634-Z dated MARCH 22, 1999 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 ONE FAMILY DWELLING WITH COVERED FRONT PORCH, SECOND FLOOR BALCONY AMD ATTACEED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to CAROL ANNE GOLD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0151 05/01/00 ELECTRICAL CERTIFICATE NO. 32274 12/22/99 PLUMBERS CERTIFICATION DATED 05/02/00 PAUL J SCHUMANN. JR Rev. 1/81 FORM NO. 3 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) PERMIT NO. 25634 Z Date MARCH 22~ 1999 Permission is hereby granted to: CAROL ANNE GOLD 19 16TH STREET WADING RIVER,NY 11792 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR. at premises located at 345 County Tax Map No. 473889 Section 099 pursuant to application dated MARCH Building Inspector. LLOYDS LA MATTITUCK Block 0003 Lot No. 004.009 9 1999 and approved by the Fee $ 891.00 ltedSignature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This~applica~ibn must.b& filled ij by typewriter OR ink and submitqed to t~ bQild~ng inspector with the following: for new building o~ 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and qpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1.~ Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Qccupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. Location f Property .~.] P~ ~ ·I-..c~r~.. -~~- -~- - House No. Street Hamlet Onwer or Owners of Property ....... ..~_j~...~..L~..~.~...~-~ \.~. County Tax Map No 1000 Section Block .. Lot Subdivision ......... Filed Map .... Lot .~ Permit No..~.~.~.~..~. .... Date Of Permit ............... . Applicant ............................. Approval Underwriters Approval Health Dept ........................... ' ......................... Planning Board Approval .. . Request for: Temporary Certificate ........... Final Certicate...~... F~e Submitted: $ ...... ~-~]-'. ................... ................ Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (51G) 765~1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD cERTIFICATION Building per~it No. Owner: ~o u~ -- (please p lumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. sworn to before me this Notary PubliC, _ county DATE., 12/22/99 ELECTRICAL INSPECTION SER VICE INC. 375 DUNTON A VENUE EAST PATCHOGUE, NEW YORK 11772 (616) 286-6642 32274 APPLICATION No, ON FILE VILLAGE: Mattituck ADDRESS: [,Ol ~9 , Lloyd Lana ISSUED TO., Harvest Moon TOW34' Southold INTRODUCED BE' De Lane Electric Inc. was examined on 12-22-99 LICNo: 4354-E and found to be in compliance with the National Electrical Code LOCATION: Base.. x 1st X 2nd x 3rd Attic X Der. Garage Hot Tub , Pool SWITCHES RECEPTACLES FIXTURES HEATERS FANS G,F.L AIR. COND. 45 64 32 J5 DISHWASHER DRYER CLOTHES WASI~ GAR. D[SP. RANGE OVEN SMOKE DETECTOR 1 30amp 20amp 40amp 7 FURNACE OIL GAS CIR. MOTORS BELL TRA3~ SERVICE DISCONNECT 1 200 UG OTHER EQUIPMENT Outside, Res. 1-20amp well pump / 1-20amp whirlpool 1-20amp microwave 2- air handlers /2-30amp compressors Section 99 Block 03 Lot4.9 BUILDING PERMIT No'. BLUE ORIGiNAL YELLOW:COPY PiNK COPY OFFICE ' PRESIDENT This certificate must not be altered in any manner Inspectors may be tdentlfled by their credentials DNDATION (~s~) UNDATION (2ND) ~UGH FRAHE & PLDHBING tS ULATIONPERN- Y. STATE EN~RGY CODE FINAL 765-1802 BUILDING DEPT. [ ] FOUN 1ST [,/'] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ~FIREPLACE & CHIMNEY REMARKS: ~ ~-~ $ INSPECTOR/~~ ~~ 765-1802 BUILDING DEPT. INSPECTION [ ] .~NDATION 1ST [ ~ FOUNDATION 2ND [ ] FRAMING []FIREPLACE&CHIMNEY ,, ~? ~ ~- / ~// ~ [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE /~/~/~/~/,~ INSPEC~,~ 765-1802 BUILDING DEPT. NSPECTION [/,,,.~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL .[ ] FIREPLACE & CHIMNEY DATE INSPECTOR~ 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~~ROUGH PLBG. [ ]~IJNDATION 2ND [ ]INSULATION [~]~FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY - / [ ] ROUGH PLBG. [ ] INSULATION [-~l~L DATE INSPECTOR 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] RO.~ILJGH PLBG. [ ] FOUNDATION 2ND [/./]"INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLAC~./CHIMNEY FOIRINO. I TOI~I OF SOUTHOLD BUILDING DEPAETHENT TO'ilNDALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 BOARD OF HEALTH ............... 3 SETS OF PLANS ......... ' ...... SURVEY ........................ CHECK ......................... SEPTIC FOISt ................... NOTIFY: ............ 'Date.. '~ -~J~ 19 C~? INSTRUCTIONS ? completely filled in by typewriter or in ink and subnitted to the Building Inspector wi 3 sets of plans, ac~,rrate plot plan to scale. Fee acconting to schechle. b. Plot .plan eho~rlng lseation of lot and of buildings on premises, relationship to adjoining pr~nises or public streets or areas, and §ivir4~ a detailed description of layout of property u~st be dram on the dingr~m vhich is p~r~ of :this applicatian. c. The ~ co~ered by this application my not be c~,~nced before issuance of Building Permit. d. Up0~ ~ of this application, the Building Im~ector will issue a Buildi~ Pemit to the applicant. Such pemlt shall be.kept on tim p~-..Ises available for inspection tht~c~hcat the ~ork. e. No building shall be occupied or used in ~aole or in par~ for any purpose ~/aatever until a Certificate Occapancy ~hall have been ~rseted by the Buildi~ Inspector. /~LICATIO~ IS ~ ~ to I~e Buildi~ lIel~r-,e',~ for the issua~e of a Building Pemit porlman~ to the Building Znoe Ordinm~e of the To~ of Scuthold, ~uffolk County, ll~ Yo~k, and o~er applicable La~s, Ordinances'or PeguLations, [or the toast, trion of lmildings, additions or alteratioas, or for reiro~al or ~litica, as herein described. ~e applic~t agrees to _co~.ly with all applicable l~s, ordinances, beildi~ code, housing code, and re~lations, and to ~,t~it sethorized inspectors ca premises and in hiilding for necessary inspecti,~s. .... .... .... (Sigcatore of applicant, or na~, if a co~oration) (Nailius ~rese of applicant) .......... ~ architect ~oiseer 'oo~eral coutractor, electrician, plu~er or~ hiilde~ State ~aether applicant IS ~er, te ~s~ee, -~.-s ~ '~'~ . ' ~' ,~ ~ . k . i I ._ ~ .~_ \ ...................... .~..~.v,.~.~.....~.~..~..~.~ .~...t~. ~.--q 5-~:.-~--q.-)x,-~- ~-~.---"~-' ~'~' ''~': :9.~ ...... .... ....................................................... ~ of o~er of pr~isee ......... Q~.~ ........ ' (as oa the ~ax ~oll or Latest deed) Builders License No ..................... Plumbers IJ~-o~e No ................ Electricians License No .................. 3. l~ture of ~ork (cheek ~hid~ aPPlicable): Ney Building .......... ~iti~ .......... ~terati~ ........ ~; . If ~r~e~ ~r of ~r~ .................................. ~pth ............. ~i~t ................ ~r of 8tories . . t~i~t ......................... ~r of Stories ..................... PLOT DIAGRA14 ~ Itmate clearly and distinctly 'ail buildings, daether existing or proposed, and indicate all set-bsck dimensions from property lints. Give street and block ribber or description according to de~l~ and sho~ street nmaes and i,n(I, icate ~hether iuterior orcorner lot. 8FKIE OF N~d ~K, : O3U~I P/ OF .................. ..... .......................................................... ~i~ duly ~m, ~s a~ ~s ~t ~ is Om a~l.i~t (~ of iMivi~l si~ing ~traet) I~ is the ......... , ......................................................................... (~tr~;' ~nt,~ co.rate officer, etc.) of ~id ~r or ~rs, ~ is ~ly2 ~t~ri~ to ~rfom or h~ ~rfo~ am ~ig ~ ~ to m~ ~ file this a~licati~; ~at atl star--nfs cmta[~ in ~is a~llcatim am t~ to ~e ~st of his ~l~ a~ ~liefi a~ flint ~ m~ will ~ ~rfo~ in tt~ m~r ~t forth in ~e a~llmtim fil~ ~. / . om to.helot. ,, this .... ....... day of ~LIZAB~I'H A!~TATH NOTARY PUBLIG. 8~te of N~Yo~ ~. 01 ST6008173, Te~ Expires JUne 8, 20~ ~X~WT~O~ ~T~O~ ~ SANITARY SYSTEM . :~ BY H~L~ ~A~ENT , .. I ~OT NO. 9 ONEYSUCKLE HILLS oc~ dUN~26~ ~ ~ ~ ~ I I"WN S~T~O~ /' DA~ . FFOLK COUNTY, NEW ~RK NO. ~UTH~tZ[~ ALTERATION OR AODITION ~ , TATE E~CATI~ LAW ........o....o......o.. .o..,.,o..~ ,..,.u.,. o..u...u... ~'_ I' ~uffolk County EOFE~ ~ =EF~E ALDEN W. YOUN~, PROFESSIONAL ~NDIV/~N ~P P/~ED IN tHE ~IOE OF TH[ CLERK OF AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 ' SUFFOLK C~Y ON OC~ 16; 19~1 AS FILE NO. ~019 HOWARD W. YOUNG, LAND SURV[YOR .... SURVEY OF LOT 9 MAP OF HONEYSUCKLE HILLS FILE No. 7019 FILED OCTOB£R 16, 1981 SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-99-0.5-4.9 SCALE 1"=40' APRIL 14, 1999 MAY 14-, 1999 UNDER COflSTRUCTtON SURVEY AREA = 26,666.56 sq. 0.615 aC. CERTIFIED TO: CAROL ANN GOLD A. Ingegn Land Surveyor PHONE (516)727-2090 F~x (516)722-5093