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Home My WebLink About23495-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: 2-25877 Date: 08/11/98 THIS CERTIFIES that the building ALTERATION Location of Property: 9275 NASSAU POINT RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 118 Block 4 Lot 14.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 10, 1996 pursuant to which Building Permit No. 23495-2 dated JUNE 12, 1996 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 WINDOWS INSTALLED TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOAN M KEATING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A c c B lding nspector Rev. 1/81 FOXX NO. s 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) N923495 Z Date ...re1......................................... I9.1'?A' t Permission Is ereby granted to* k .......... ........ - ..... ..< ? ../.. ................................... ................. to .G0 f......r�C&Ao- ...... .. ..........� f.. 1 .lt .......... ........ ................................................... at premises located at ..... .. .. %5 . ........ .. . .. > ............................. .......................................I..................... cr rl• .............................................................. ................................................................................................................................................................ County Tax Map No. 1000 Section ....41 .......... Block ........./�....... Lot No. pursuant to application dated ......... ...... ............................ 19..�� , and approved by the ( Building Inspector. Fee 5....1.4.1.! f k .. ..H. wg ..............Unspector i Rev. 6/30/80 t Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 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 "pre-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. C. Fees - ; 1. "Certificate of" Occupancy - New dwelling, $25.00, ;Additions to dwelling $25.001, Alteration's to dwelling ,$25.,00, ,Swimming, pool $25.0&,:Accessory building $25.00, Additions `to. accessory building $25.00:, Businesses $50.00.' 2. Certificate of Occupancy 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 J$15.00, Commercial $15.00 Date . . . . /3i�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . Old Or Pre-existing Building�. . . . . . . . . . . . . . . . . ` '' (p�� Location of Property. . .. . . . �s. . . . . VO,Ito CGC�-'.-" 'Uc !�1t r.. . . . . ..? �.. . House No. Street Hamlet Onwer or Owners of Property.. IJ��1 � l4 : r J� County Tax Map No 1000, Section. . .j.� . . . . ..Block. . . .41. . . . . . . . . .Lot. . . . . . y'. ... . . . . . . . . Subdivision. . . . . . n. . . . . . . . . . . . . . . . . . . . . . . . . .. . . ./FJyull/ed Map. . . . . . . . . . . .Lot. . . . . . . .,. .L. . . . . . . . . . . . Permit No.�� . !. . Date Of Permit. . .. . . ?.'.'. . . . . . .Applicants �V1��11� .4 ! . r ..'U� 1 /�, F-UVL 0 l.6 Xj1;i1 til L�r 2' 4z/ Health Dept. Approval . . . . . . . . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . lea Planning Board Approval. . :. . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . .Fifiai` tic 'e. . . . c_ , Fee Submitted: $. .c J U.. . .. . . . . . . . . . . . . Q4.) ap-serm `lq . . . . . . . . . . . . . . . . . C-. S 19�I APPLICANT THE NEW YORK B, ARD �,OF FIFE 1001093 BUREAU OF ELECTRICITYUiNi, RERyVF�1�'ER5L �"� �'��A�� ai� :; }�mit- I , -� ' 85 JOHN STREET, NEWS YORK "NY 10038 Ii- Hl !' i : I I' j)7 ; . , NR— Date flff -It THIS CERTIFIES THAT . t° li,j i tl 1'I ��i f" Itl. �l'" 141 111 il! ill 11( ,iI �j1C Al' f tt, P1 a 1i .111--"9I ii IU""1!N 111 Iit- I only the electrba/equipment oe described 6ebfe and introduced 6y the opplfcont Homed on the o600e opplfcation number{ft tf+e pipfr+itee�l�/'1'�, STANLEY KEATING, 9275 NASSAU POINT ROAD, CUTCHOGUE, N,Y �l1'`411'1Gli'61�Isi,'<l�l!l�iiill� i u =.h I qi: III. t' .111 fll 'Ii tllt in th<JolluLcinR(fication; ❑ Basement ® fat Ft. ❑ 2nd Fl. > 7 Syrdun', 1Block -Iii li' Iwit ff� 1!1L was examined on NOVEMBER 25,1996 and found to be in compliance with the�National Elecfncai Cod81'�i( 1 V III h1�1';� t I1111ii�S FIXTURE FIXTURESRANGES COOKING DECKS OVENS -'tt DISHWASHERS EX AUST°FANS" OUTLETS EC!►TACLiS SWITCHES INCANDESCENT FLUORESCENT I OTHER IAMT. N.W. AMT. K.W.'" AMI. KW:, AMT, K[W.:... MiY,'T 1' 6 5 1 all! �� NI 1'�1 1P "tl[I11RN �ll(�itll ti4t��((ili1 DRYERS FURNACE MOTORS FUTURE ARUANCE FEEDERS ISFIECIAL REC'PT TIME LOCK 'j EHL r UNIT"EATERS MULTI.OUTLEt 11 DMMERSt,�I? AMT. K.W. CHL H.P. GAS H.P, AMT.'' NO. ,A.W.G. AMC AMP:: 1 T.; AMFSJ_TRA S., AMT., Iz H. _' 1Si'STEMS . M . ,P " NO.OPFWT;` 1144 my i �i FAIJ 1��la h �f 1111ilIi1 1 dy1 �IIi��'tliSi (t 1�ISIlNl�ili�lllli�li�il: IJ#��II(ili :..SERVICE DISCONNECT Minn. ;n . .v;n y,,41 ' E ' R „-'1 V '!! I'i 11IC`- 17VM IX3W 3X3W 3X�W 'NO.Of CG GOND AW.6.....: 'i .'IiiA: EQUIP. PERP Of CC.COND. . NO.OF HLLEG - .tANLIEG NO OF NEUTF�I II"'+ AW 1� "Of,�lW RA �"al �I'111Rq� '111 If E11111f11f llilllllt�`IIi�Ij1111� Ill� iilllI OTHER APPARATUS; m .Til ':1L lil lli 'I!1 iA i@ llt !ItIll 1 U iN ill-lii 1[v Zl !!7 JIi i(1 `11 Il ill In 414llflllh(il`d (1111fHL��111 1 silk - t 11 11 3 Iti !I 111 Iii ill fll I(=11i IHIM 1 111 11 itII 61 aIi it l `il flt lil -A' II 'ii! Til tti il! 11F Ili_ill Ill ! -a 1 1 ii' t pi tlr '1'i ill Ill Ili 1Ii �1�. I:�iIL: 11–01 1 111 111 ili '!+I hl Ilii q ilk. 1 p!1111 1 1!? 1 t !1111{11. r!�1111111i i tl f(1{iI�I1liitelillili�lllliEil -7 if11 i!ljill it Ili ;5'UfMt '3illn lj(!}tllilil li 111lI, ptlllt'11+I'1l�iIIIIIIIiIllilill�li!l11T111ti�, ' 11111 II 11111!°lll lillli �Illl i11��1 t, DOROSKI ELEC. INC� LIC #2941— ai ut.1 I II 1!t 111 I' IHIt i' 425 MONSELL LANE 5i11j1U 1111! flit"'1(111 y1 �IIII ICit �i"I' CUTCHOGUE, 'NY,, 11935 n },11i r6 fit !1llII III��III IIII�IA� �_l This certificate,mmt not be altered in any Ilnnnery'return to thsofficsof the Board if; hg1F!(,= r !�/�eDP/tPaat tAde 4' Environment East, Inc. 3075 Indian Neck Lane P.O. Box Peconic,New York 11 11958-0190 516-734-7474 `vo�ooG� y� i2 lq fib. TERM iT- 2,3 4 9 D d g'2.75 N�sAy � BLDG DEPT C(-/TcKD i'S-U 6 ,rowraosounor�i,r ., , PZeouaQ �� /t, L e'�cc��it hao lze,/� - •-,te�U l v-e c cerrl.r 0,0G C cZ�'�¢C� /' ) o r' n fa,Ertctt aco(is - 2x$ O h �! ! ! N lu K ci k i to i _ # n �k'pY " UPGRhoE EXIST• wtt 4 n�5 w!z ri ® �R F�nEC R�Dt 170 Vit. Z- u! 4tT5. 3 °` d (G„(= Tt eel Cz �Z�IDt�C� �, 'Q 12/4-2—w°z1 Cal NEW �O IN'LEtZtO rp.E ct{ PCoft-s- `Lha 15T. D+nl, FZY't l.t V . [-Z- �•n A-S FlGQ 7> {3� U�GPPCDC"' ` fir' rOfGrtt . Of �a KSYtove cats„ EX 5T• Dooms N h % <S � LQ � N AU m � t i - - - - - - - - - - - - - F�•t84t D�tP °tiokz auB4Z Dt-tP4to42 Dct$4Z- s UPGF�Aoe EXIST. DOQfILF- SLAz;ED L-HCTZ, I F �Q• - rc� $� tis ITS cc>D= - i FP�NCt-Fo 'DC'YJ}ZS� 2x$ ' � � 45 i• .D1t.� , t�''i � Li V _ fz HERDE.� fts CE.Q ' Tp 3E U�'GRAD'=? f��..5'J iZG1�10W. EY�ISZ• � � �.� GXLST• .'700e'L - Wirt9oW j � J I o� v 0 f r h < j N f r ; q m i DrtP41o42 Dct84Z- UrGFhPC, EX1.ST. Vvltt WS WiTF{ 1>00P�L.t✓ S AMFEt-> t-)h{FTss N'f•s e�ot< M-1802 UILDING DEPT. NSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ' [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: s DATE 4 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ MING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �� INSPECTOR � G IFIELD-INSP1,k7f .ON REPORT DATE COMMENTS ----- --_- _______________"__=__ ---_________________ -_ Ililt ` =-----�I--- ------------------- -- - II FOUNDATION ( IST) I It -------------------- FOUNDATION ------- II FOUNDTION -_(2ND)__ I u ATION-- ---- _____-___________________________________ ROUGH FRAME & I jl __ PLUMBING ;r--------;I- -------- ti - ---------- --------- - - -------------- INSULATION PER N. Y. I --------it------ ---- - --- � �(� STATE ENERGY1 It ------ _----- -- - CODE u--------I'-�40- -- _. - --- u _ it I ----- ----------------- ii FINAi. ---------II- -- ------ -- -- _ ---ADDITIONAL. COMMENTS- V ---- --II-III------- --- - ------ ----------- `y�� II-III----------------------- -- ---- ----------- FA 's UOARD OF HEALTH . ,. . . . . . . . FORM NO. 1 3 SETS OF PLANS . ,. . . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . _ . . . . . . . . . . . BUILDING DEPARTMENT CIItcr . . . . . . . . TOWN HALL SEPTIC PORN . . . . . . . . . . . . SOUTEL.: 7 5.18N.Y11�J71 TEL.: 765-1802 nUTIPY ; CALL 19 19 . . . . . MAIL 'f 0 Approved . . . . . . . .. 19 Permit No. ! . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . (But mg • pcctor) APPLICATION FOR BUILDING PERMIT Date /�.® . . . • . . . 19 . /q 6' INSTRUCTIONS a. This application must be comlletely 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 descriliLion of layout of property must be drawn on the diagram which is part of this appB- 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 MAI)E to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Now York, and other appllcable 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 withI applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on prerni and in building for necessary inspections. N�•4E?g L` .. .. . lta c' . . . . —' (Signature of applicant, or name, if a corporation) (Mailing address of applicant) 9S State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 4. . . . . . (WTQ IC.P� ..� 7 .(. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . .�\.R 'Y . A. . . • R :• . . s.°. . F—�T(N �. . . . . . . . . . . . . . . • . . . . . . . . . . . (as on the tax roll or latest decd) If pl'c tt • ur f duly autliorized officer. (Name and title of corporate o 1 r) s Builder's License No. MAY 141996 Plumber's License No. TOWBLDG, OF SO'DEPT. HOt O Electrician's License No. . . . . . . . . . • . . . . . . . . . Other Trade's License No. . . . . l . . • . . . . • . . . . . . . . I. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . Mouse Number Street Hamlet County Tax Map No. 1000 Section . . . . . .� . . . . . . . . . Block . .-?. • . . . . . . . . . . . . Lot . . 1 .. . .. " Subdivision . . . . . . ... . . . . . . . ' . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name)t. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .`�l ` �• ./�. . fNt�.l! t /r� 1 • . . . • • b. Intended use and occupancy . .,. 4?L . �� . . . ��1X(\l/l�. 41 �1! .t. .. w v Unovo2 I, Nature of work (ch k which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . ?/. . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) 1. Estimated Cost . . .575 ad: . . . . . . . . . . . . . . . . . . . . I . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . (to be paid on filing this application) i. If dwelling, number of dwelling units . . . . . . ! . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i, If business, commercial or mixed occupancy, specify nature and extent of each typ of use . . . . . . . ,. . . Dimensions of existing structures, if any: Front . . . . .9-J. / . . . Rear . . . .JZ?.. . . . . . Depth . :?�. . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . ./, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front .N P, , . 5� ?4�NG%ear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . IIeight . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . .i. . . . . . . 3. Dimensions of entire new construction: Front .N�?. . N . .hjQR Vw). . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . Nuynber of Stories . ). Size of lot: Front . . . . .1.D 0 . . . . . . . . . . . . . Rear . . . . . .l. . .. . . . . . . . . . . . . Dept . . . . . . : . . . . . . . I. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nanpof Foriirer O ner I. Zone or use district in which premises are situated . . . . . . .hCG . . u�.°. . . . . . . . . . . . . . . . . . . . .'. . . . . . . . >.. Does proposed construction violate''a{{iy zoning law, ordinance or regulation: . .V.D.. . . . . . . . . . . . . . . . . . . . . . . !. Will lot be regraded . . . . . . [�. . . : . . Will excess fill be removed frompqremises: Yes No 1C . . . . . Fj�`f 5 4��rSO a kk110 7 t. Name of Owner of premises .S: . .4-�t-:�. . . . . . . Address . . . . . . . . . . . . . ne No. . .�A:. ;6.(.49.v ' Name of Architect �.. Address . . . Phone No. . . Name of Contractor �PJ�. � .� �- Address 3q_T?. IA a44^.':-MCOThone No. . .7.�3� i, 'Is this property within 300 feet of a tidal wetland? *Yes. . . . . . . . No. . . . . . . . . ' *If yes, Southold Town 'Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether iterior or corner lot. s i i f TATE OF NEW R bU Y O . . n l S:S C w ,-, , , , , , , , , , , , , , , , , , , being duly sworn,deposes and says that he is the applicant (Name of individual lig contract) ove named. istile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . (Contractor gent, corporate officer,etc.) said owner or owners, and is duly authorize o perform or have performed tine said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the, A will be performed in the manner set forth in file application filed therewith. orn to before une this . . . . . . . . 1. . h . . . . . .day of. . . 19 . tary Pub 'c, e . . .\, • •� ount C (Signature of applicant) ELIZAHETN ANN NEV LLE Notary Public,State of Kzw York No. 57-8125850,Suffolk Co Term Expires October S1, 79 K • y I r ir t o 2442 sD h a. - ''2'4+z 5v z 2z U�'G�PJtie'l=. - ex iST: wt Nsxsw 5 wiT rl " r OCCUPANCY OR PROVIDE OPENINGS FOR 'USE IS I°N ,tlVF'U1 EMERGENCY ESCAPE AS WITHOUT CERTIFICATE Tl REQUIRED EYPARL 714 OF OF OCCUPkNCY N.Y. STATE NUILDING CODE. I�AR .Q D,AS NOTE"FEE meq/ _ 1 ntt�o�lFv Hua, t G oEPnr�Tnn . 765-1802 9 AM TO B PM FOR THE 1 - ,ClNINfj INSPECTIONS, . ECI E a�u uDATlori rr�rl,,RcwmnReo Km (t)P IFc CONCRETE " - I_ ', _ � ;a GG�'�e 41 9f.An'� '• PLUN9LtuNG y - 4, FINALCONSTRUCWIN (MUST' _ BF,4 UMWLCTF.FUEc C.U. ALS. CON'', TRUCTION SHALL MEET FHE REQUIREMENTS OF THE N.Y. - ' ilAfiTC CONSTRUCTION & ENkRC`! � CC3C3fS. NOT RESPONSIBLE FOR 6FSRfdld OR CON:'v 1'RUCTION ERRORS 9 � o ` I o 2� 1 592 � . i71t� FL -,092 - -- �ti.n._�.....r •_ K-�AT I NG 1� Iz��rtC� W C.. • r OATE.✓. R?. /� 4`" ,✓ ` .r. •' .ILp+r.�. V{ L,+f+ aye ORMYINON RfiR ttAeti T IFIA IS C,