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Home My WebLink About23177-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25078 Date JUNE 10, 1997 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 2200 DEEPHOLE DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 4 Lot 5.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 1, 1995 pursuant to which Building Permit No. 23177-Z dated DECEMBER 13, 1995 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 DECK ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS A. PALMER (owner) of the aforesaid building. . SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-390114 - JULY 1, 1996 PLUMBERS CERTIFICATION DATED N/A Building Insp for 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) Date........ ........j.3................... 19...L.�... Nc, 23177 Z Permission Is hereby granted to, ' ,....!��..�....a �.... ......C.......... .. ,�.. y. r...p. s ta ...,,��.��-,�........ .��. ...... . . ..:... . .. . .....fir- - .......... ........ . .. ........ .... ........... ............................................................... .................................. at premises located at........... P ........ ............. . ..... �.......-.................... . .. .,<........... :"K n.................................................. County Tax Map No. 1000 Section ....... ./ Block................... Lot S •••/............• pursuant to application dated .....................`�..4�1..z............. 19....::'........., and approved by the Building Inspector. Fee S...7 ... :... ... . ...................... ..1. .. ....... ...... ..... Building Inspector Rev. 6/30/80 Form No. 6 r, vl �S TOWN OF SOUTHOLD C -75 DEC - 1995 BUILDING DEPARTMENT jS 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 17 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. B. 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 $25.00, 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 Occupancy on Pre-existing Buildi.nH - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0/ -' 0, Commercial $15.00 Date . . . . . �,�.. V.1:'. .�4). . . . . . . . . . . . . . . . . . . . . ' New Construction. . . . . . . . . . . Old Or Pre-existing Building. .Xr�. . . . . . . . . . . . . �C .. Location of Property. .aMp. . . . . . . PG'�►'No4C. . ul1/1e. . . . . . . .�7/ f1.ITU.�1. . . . . . . House No. J Q Street Hamlet p Hamlet Onwer or Owners of Property. . . . .T JQ Mj9.� . . . .1.?. �Y.1.4 /9�tlO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . ).R% 3 . . . . . .Block. .QQ.T. . . . . . .Lot. . .001-S . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . .L��jot. . . . . . . . . . . . .I/. . . . . . Permit No. . . . . . . . . . . . . . . Date Of Permit. . . . . . . . . . . . . . . .Applicant. . 7././.OA✓. j. i . .l.\ `�( MaR Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . FeeSubmitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT co�.a5o� �gUFFO(,(earl, m y � Town Hall, 53095 Main Road • Fax(516)765-1823 9y'�Yp! � Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 2, 1997 Thomas Palmer ' 2200 Deephole Dr. Mattituck, N.Y. 11952 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. (Enclosed) No Underwriters Certificate on file. XX The check is not on file. $25.00 * No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 23177-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. *CHECK #1696 IS OUTDATED- RETURNED HEREWITH. PLEASE RESUBMIT A NEW CHECK IN THE AMOUNT OF $25 .00 SO THAT CO CAN BE ISSUED. O��gUFFO(,rco Gyp y 7G Town Hall, 53095 Main Road $ • Fax (516)765-1823 9y�ol � Telephone(516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 2 , 1997 Thomas Palmer 2200 Deephole Dr. Mattituck, N.Y. 11952 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. (Enclosed) No Underwriters Certificate on file. XX The check is not on file. $25.00 * No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23177-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. *CHECK #1696 IS OUTDATED- RETURNED HEREWITH. PLEASE RESUBMIT A NEW CHECK IN THE AMOUNT OF $25 . 00 SO THAT CO CAN BE ISSUED. j 77 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: X/z) DATE INSPECTOR t 765-1802 l 13UILDING DEPT- ` --, t 14SPECTION Q 0 FOUNDATION IST [ ] ROUGH PLBG. , [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA�R/KS: ___--- DATE INSPECTOR ''. FIELD_ItlSl'l"Cl IMI_REPUR'I' DATE --- -- _COM HIMIS ---------------- --- - - 1W I V FOUNDATION ( Ia'I') v - -- aD�`, FUUNDA'I'IOtI ( 2NU) I I(OIINII VRAHI? 6 I ° -------I'---------------"------__ '-------- ------- U' I'LIIMIII NO 0 _ v---- cvv— —ccl v»>avv L_v.—ao�:ava>v___ _ INSULATION PER N. Y . SPATE ENERGY CODE I ale I I• I NA I. =aa=== =---------------ami e=�as1C===e --====_ms _ ¢aa¢»a==»>aa=a=------>=> ADD1'('f ONA[.aCUHhfBN'CS:=-a-aaaa- t'1 -. -- --- --------------'- --- - -- -------- _ rl v ------------- "I THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 1135021 BUREAU OF ELECTRICITY F 88 JOHN STREET, NEW YORK, NY 10038 Date JULY 01,1996 Application No.on file 11819496196 N 390114 THIS CERTIFIES THAT only the electrical equipment m described below and introduced by the opplicant named on the above application number in the premises of THOMAS A.PAYd9ER, 2050 DEEP HOLE DRIVE, HATTITUCK, N.Y. in the following location; ❑ Basement ❑ Int Fl. ❑ 2nd F1. CAR/OUT Section Block Lot was examined on JUNE 26,1.496 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES I RANGES ICOOKING DECKS I OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENTI FLUORESCENT I OTHER I AMT. I K W. I AMT. K W. [ WTI K.W. Ami I K.W AMT H.P 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT TIME CLOCKS I BELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT N0. A.W.G. AMT AMP. AMT. AMPS. TRANS. AMT H.P. NO.OF FEET AMT WATTS f SERVICE DISCONNECT NO.Of S E R V I C E M@T@R NO.Or CC GOND. A.W.G. A.W.G. A.W TO A�^TP' TYPE EQUIP. I X 4W t,e'3W S.S•SW ]p IW PER a OF CC.GOND. f��HlG OF MFLEG OF NEUTRALS OF NEUTRAL r 1 200 CB 1 X 1 210 1 2!0 I OTHER APPARATUS: t i — I E THREE "Ce ELECTRIC LTC.#3327E Id,c RT. #1, BOAC 45H SOUND AVENUE GENERAL MANAGER RIVERHEAD, NY, 11901 11 >a Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials, 1 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU$T NOT. 'BE ALTERED IN ANY MANNER. UNDERWRITERS CERTIFICATE REQUIRED a�� mTs r£ _.. - � ��u .. - TE: SPP 061 !DAS NOT i ® _ f 4Z-xz �— IVC �'`s7l/Y�' eReE'//1// Bdm- e ¢ �, NOTIFY?BUADNG DEP T AT -_.- OUT ^� ` 765-1 BO2 9 RM TO 4 M FOR THE " a rs m cnz r�pr v� FOLLOWING INSPECTIONS: ® res. 1. FOUNDATION - TWO REQUIRED Z i FOR POURED CONCRETE I 1 ROUGH - FRAMING & PLUMBING — C�'' 3. INSULATION �vq S 4. FINAL - CONSTRUCTION MUST 13E COMPLETE FOR C.O. C a ALL CONSTRUCTION SHALL MEET fi �ECI( ROo9 THE REQUIREMENTS OF THE N.Y. �X/STi yyc1 STATE CONSTRUCTION &r ENERGY - CODES.- NOT RESPONSIBLE FOR DESIGN-OR CONSTRUCTION ERRORS ! e � f Fllvls �� _ � - - tt�t�Scn - a�np Exrsriag [cf( -- _ -_ - -- �asoveeP/!�Lv /��/y1HrT;;Z,CX t lDpo - OpL5- !. 9 seR�6iv�'ab�► i 2 -, 4 x}a EXtSif�'ct 4a°t' r � r _--" � �NCGosca SKtRT/}RDua.,D — (�i`(/y FLooR CoyeRep WiriilLYwood {��,�}j// o (-�a7 WALLS /oM /r7G/n�R � 7 ,� G �CL oc,r- e.A/CGlo's R � PA pe I 0) CRI10 x Li Idloc ! R l FLoolt WACLS cectONy aOSOl�ec�fwLc Q� M13Tf n Doo 03- 014 - oo,r 'Pas ' r r d — d 1 ; 1 _ }i� 1 WRQ APl 4 * �{� � ,'f � � _, j}jjy,}��{{' � t �• fA UL�k T-^ ro,� ' eeAA�q � r � _EY .FR' :4x _ yy v wx s' t €•. rt r "3 + IY -a- G-^ - r FOHMNO. 1 3 SETS OF PLANS . . . . . . . . . . TOWN OFSOUTHOLD SURVEY . . . I . • . . . . . . . . . . . . . BUILDING DEPARTMENT CIIECK . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC rolltl . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 ��]J 9 / TEL.: 7651802 tOCALL � . .�`.�• 15. . . . Examined . . . / . . ., 19 3 / �j t1AIL T0 : Approved . . .Ci,1%��`� . . , 19! .JJ✓Permit No. . S? �.�� . . Disapproveda/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( din BuilAP OgR IrJ/nj)�s/pec/Jt/o/ r) BUILDING PERMIT Date . . . . . . . .. 199L 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 schedule. ib. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ir 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 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, buildhig code, housing code n regulations, and to admit authorized inspectors on premises and in building for necessary inspect• . . . . . . . . . . . . . . . . . . . . . . . . . (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. D.GvN.�✓� . . . . . . . . . . . . . . . . . . . . . . . . . . . .�.t. . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . Name of owner of premises . . . I•!%�/371!�.S. . .l9 P��MG'/�' . . . . . I . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . I . . . . . . I . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . Plumber's License No. . . . . . . . . . • b• Electrician's License No. . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c�c?6. ®. . . . . . Qee. .l�a�e . . DRi.t�e . . . . . . . .� T%.�'Tv.c. � . . . �� . . . . . . . . . . . . (louse Number Street Hamlet County Tax Map No. 1000 Section . . .r,R.3. . . . . . . . . . Block . . .00.4. . . . . . . . Lot . .n� . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . .i' . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . .. / �./4 �=. . . / /9/t!/,/z Y. . .A'.l.e'.e.6 . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . .`�/ �. . . � . . � . ./ J . . . . . . . . . . . . . . . . t . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . .?. . . . . . Alteration . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . ¢ L/ (Description) 4. Estimated Cost . . . . . . . . U. /l. . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling,number of dwelling units . . . L9/VE. . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . ^. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify u a ure and extent of eth,>ype of use . . . . . 7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . Rear . . . . . . . . . . . . . Depth . . .�. . . Height . . . . . . . . . . Number of Stories . . . . . . . Q.,N.E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of s me structure with alterations or add* 'ons: Front 3 . . . . . . . . . . Rear . . . . .3 &7 . Depth . . . . . . Tt. . . . . . . . . . . . . Height . . . . . . �. . . . . . . . . . . . . Number of Stories . . . .O^J6. . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear .! .. . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . , . . . . . . . . . . . . . 9. Size of lot: Front . . . . . .CAW . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . Depth . . .6;�J 7 . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Na iRe of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . .H.+P� . . . . . . . . . . . . .jj . . . . . . . . . . . . . . . . . . . . . . . . . 11. 12. Does proposed construction viol to any zoning law, ordinance or regulation: . . ./V.c7. . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . 1b. . . . Will ex ess fill be re iv dNfro remises: Yes No 14. Name of Owner of remises l l`>!a htS. .�.l °1 � p p M a1!1ex Address O. axo11 d' vy/j.R3 Phone Nodqa`.1of Name of Architect . . . . . . .,1y/�. . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 15. Is this property within 300 feet of a tidal wetland? *Yes. . . . . . . . *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 property lines. Give street and block u u ber or des iption according to deed, anal show street names and indicate whether interior or corner lot. d, i l r„t C Ph 7"r 7'T, 17_ r ° u F: STATE OF NEW YORK, S.S _- COUNTY OF . . . . . . . . . . . . . . . . . ��?./1.'l l S A . . . L �t–. . . . . . . . . . . being duly sworn, deposes and says that lie is the applicant (Name of individual signing contract) above named. Heisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Q . . . . . .� . . . . . . . . . .day of. . , 19 . 1.S Notary Public, . . . . . . . . . . . . CountyC'�`'----- LINDA.J.r00pFR . . . . . . .i. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nc„sry Public,State of Now York (Signature of applicant) , Nu-4822563 Suffolk Countyq� .:�fl "=xpires December 31,19 Y MAP OF PROPOSED LINE CHAIJGE PREPARED F02 TH13MND PA E- Q. AT 44r MATTITUCIL S-C 5 � T�WSv OFJ'-.'+.iT!-ICGl7 , ltil.`r T / ' `' A6DFLE5SES: i W 1 m t9 N nN 39� zl._ poot. ' �oo•y- �) .. THOMAS All PALMEre Z•1.493 e T P.O. ElOX 21& cu x v- "�-� N. 47"z1 -P 0� CUMHOGUGUE,N.Y. 11995 o m o I �RAvE°�Ma ane, ' sp.nr � �" � C TEL.246.8279� '_ , •SSE `_ / ? (P/iY{i•LY cumov-IPJ — 1 - QSw 1.eXI5T ��` ily, � " I v ro to 8 SUNNYSIDE LAWF { $ .o �° (20t.7¢) ---_ C�— tl�g�. o Q S--- u ui c WE_TfO2T. T. ,06880 1S I ¢ !STow F2.Ho IIS r i � P i W C 199-53) 31_ 5.293730"W. 217 a:a or '11 e1¢Ilnui bs COil9iJJietl ' -:Intlir.,!ed faraou=h drn ' 1 N/F TQ(2(Z[V I � s'�' :`- cpcmon larwhoni lla-m it I hN r d en hisb^hd:Ic ire LY SCALE -40'_I it <� ,,✓^ NATES+ r i I.:Uf F"7_r�^:.0_IA•K NfAp DATA: PALME;c' =0-125Jj L - V FES.Z3,G94 '�!�u@5 - IOOq ic3 .;• � I \ FICEY- MAP { 2,PROPETZTY 15 IN 5UILDNG ZONE- 2•AO \\ 2E5lDC-WTI_AL. WW GTN517Y AA.. QONTOU2 SHOWN 127EFCtZ , TO ;5UPI ,� Lv. -- - — - - - I DRW. AE2IAL �LI2VEYDATUM=MEAN SEA LE'JEL - - ---- - ----- - - -- 1 it _�r._,._.�—,— _— __•.__- - "_- __ ___ _. - - - . . - . - - . . .. - - . _- -- -- - - - - - - - - '