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HomeMy WebLinkAbout49009-Z gUEE01K Dy Town of Southold 5/17/2023 P.O.Box 1179 CM 53095 Main Rd Southold,New York 11971 r_ CERTIFICATE OF OCCUPANCY No: 44107 Date: 5/17/2023 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 960 Marratooka Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-9-8.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/28/1983 pursuant to which Building Permit No. 49009 dated 3/10/2023 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: alterations and additions to existing single family dwellingas applied for. The certificate is issued to Parkin,Dianne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49009 4/4/2023 PLUMBERS CERTIFICATION DATED 0 Aut r ed ig ature r TOWN OF SOUTHOLD o�SUFFol,t�� �� ay BUILDING DEPARTMENT C2 TOWN CLERK'S OFFICE "o SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 49009 Date: 3/10/2023 Permission is hereby granted to: Parkin, Dianne 820 Marratooka Rd Mattituck, NY 11952 To: Constuct addtion to existing dwelling as applied for. Replaces BP #12232. At premises located at: 960 Marratooka Rd, Mattituck SCTM #473889 Sec/Block/Lot# 115.-9-8.1 Pursuant to application dated 3/10/2023 and approved by the Building Inspector. To expire on 9/8/2024. Fees: PERMIT RENEWAL $62.50 ELECTRIC $90.00 Total: $152.50 Building Inspector FORM NO. L 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) r . 12232 Date :..�� �............"�.................. 19 5 Permission is hereby granted to: - ..... to ................................................................................................................ .lip, ..j_ ..................... / _ atpremises located at ....................................................I........... ..... .�. ....... ............. ................................................................................ .........................................................................�.�.... County Tax,Map.No..•1000.Section..:�l................... Block � .... Lot. Lot•No�..........r......,...... pursuant to application dated ......................... ... 19 ., and approved by the Building Inspector. Fee `"�.....-r ..... r ................................................................................ Building Inspector Rev. 6/30/80 pf SO!/TyQlo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 ae sean.deviinCab-town.southold.ny.us Southold,NY 11971-0959 Q�yCOUrtN� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Dianne Parkin Address: 960 Marratooka Rd city,Mattituck st: NY zip: 11952 Building Permit#: 49009 Section: 115 Block: 9 Lot: 8.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 8 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 100X2 A/C Condenser Single Recpt Recessed Fixtures 7 CO2 Detectors Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 11 4'LED 3 Exit Fixtures 11 Sump Pump Other Equipment: Chair Lift, 100A Panel 20 Circuit/ 12 Used, 100A 20 / 20, 100A Sub 12 / 12 Notes: " AS BUILT NO VISUAL DEFECTS " Two Story Addition Inspector Signature: - Date: April 4, 2023 S. Devlin-Cert Electrical Compliance Form qOF SOUTyO� b # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINALv� (�$ , [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] D12E C/O [ ] RENTAL REMARKS: I f r A�IQD 4e A) 4v �41�fk \,00r DATE ZOY3 INSPECTOR �O�aOE 50UTya� � + l ci V # # TOWN OF SOUTHOLD BUILDING DEPT. `yCourm, 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] `CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: t(t wno&—rd- to-i azi 0 r J�tr"J- f446 d- o o kailroew q y 2-5 q . - DATE / -Z7, /Z INSPECTOR IC Iln I� II IUI I� ( � or MAY 1 7 901 LD dufwinn,utN r %., W. ,et a M � T R Y � � � f r � l •� t t r l #r i i a„ 1 r s ' .• � �s.�• 'F y Imo' It w �V90 --�- r I f ko A le w��i �j/ . j�i� ���i�'%';• '-.X11 ,il � ,, �I , Ir 2 1l I'LL SS93 1��S1 Olk V low • r .� Vol& - � o Z J t S t t O � C CD v, O -o o Orn . rZ d � O C3 N W J ON IiA O N U 0 :. w� 3 mow. s o , c 0 1b w o Z m � o � Ic Ic C j4q o z m � o O a TT � W U 00 O N ;r ► APR 0 4 2023 =4g i , x 1 r� i s ..� r ..s :J �r s" r a� { y l � t• tib`. a I i Iti r r, 044 k�� r +� i1►� 1 M t,�L Its ILP IC Vr APR 0 4 2023 VOWN OFSOOl H&D 1pp St p 3 F- 1 .' .. ,n,,. .r.. .. . .. ...d► 49 1-0 dr For AV APR 04 2023 WN SOl IT44n) _..md 4 � s r R 1, .Mr , .I / t`;• � / f r, .... I L -\ 11L lc APR 0 6 903 i JWNCFC NrrF" 1► '--COVO dOF'SOttf r FIELD INSPECTI.,ONDATE COMMENTS y FOUNDATION ( 1st ) . -0 FOUNDATION ( 2nd ) 2 . z C), ROUGH FRAME & PLUMBING 13 A 3 . x, + m INSULATION FERN . Y. f .,-go 9� STATE ENERGY aCl CODE x .4 s j S 2 I CSI oa.� r 3 4 . a cz zpm « S FINAL V y QY- ADDITIONAL COMMENTS : rec I ozg-7 o y� H O Z x -3 t� y FORM NO. 1 TOWN OF SOUTHOLD �' BUILDING DEPARTMENT .,. TOWN HALL P� ISI SOUTH N.Y. 11971 ?�o TEL.: 765-1802 Frc�z, Oc,o ' Examined led. . . . . . . . . .. 19 . . 5 Application NO. . *. . . . . . . . . . . Approved `&17 . . . . . . . . ., 1 Permit No. . Disapproved a/c G'j2C1�u. ' . . . . s . • • • . . . (Building Inspector) ' APPLICATION FOR BUILDING PERMIT � INSTRUCTIONS. a. .Tliis application must ;be completely filled in*by typewriter or in ink,and submitted in triplicate to the Build*-. Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accord*''to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to.adjoining premises or public strei or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap' cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d': Upon apprc:al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern',, 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 Occupan 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 .t:, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for re oval or demoliti as herein describe The applicant agrees to.comply with all applicable laws, ordinances; building co a housing code, regulations, and admit authorized inspectors on premises and in buildings for necessary inspectio �pp_ (Signature of applicant, or name, if a corporation) P7 (Mailing address of applicant) State whether applicant is owner, lessee', a ent arc'iitect engineer, Ppg , general contractor, electrician, plumber or build::;- �L N E2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . : . . . . . . :. : . . . . : . . . . . . . . . . . . Name of owner of premises . �i4�lC/N ^l$ • f,/AlVI�/E. . • . �/�K/n/. . . . . (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. Cl ' Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No.' . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . q Q. 1. Location'of land on which proposed work will be done.• . � 'ee�TDD�fGI. . .' . . . . . . . Mrs Tl'. . . .��„� J�\. House Number Street Hamlet - County Tax Map No. 1000 Section . . . . . .l .r. . . . . . . . . SBlock . . . . . .6,�( . . . • . . . . Lot . . . • • • ' Subdivision. . . . . . . .Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed hlap No. . . . . . . . . . . . . . Lot . x. . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . S�/�I G� , , �' ,� /,J� /n/� . . . . , , • . . b. Intended use and occupancy . . . . S/�M... . . . . . . . . , • �:'t:� . . . . . . . . . . . . . . . . . . . . . . • Y AddiT'e ✓. . . . . r _ __ ..�..i: . . . L'..... ........ . . . . . . U�:_ iiGft: . . . . . . . . . . . . . . . r u (Description) C.:,, A. � . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fie . �r�. . . . . . . . . . . . . . . . . . . (to be paid on filing this application) �. If dwelling,number of dwelling units . . . . / . . . . . . . . . Number of dwelling units on each floor . . . ... . . . . . . . . . . . Ifgarage,number of cars . . . N.oNG . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . i. If business, commercial or mixed occupancy, specify natury and extent of each type of use . . . . . . . . . . . . . . . . . . . K : '?' � T. .Dimensions of existing structures, if any: Front . . .z1 ���. . . . . . Rear . 1t!O.". . . . . . . . . Depth . . . . . . . . Height . . .ZZd. . . . . . . . . Number of Stories . . . . .I)LI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . .,3•S. .�' . . . . . . . Reard. >3. . . . . . . . . . Depth . . .7�.J`��. . . . . . . . . . . . . Height . . . .�./.�. . . . . . . . . . . . . . . Number of Stories . . . .4 . . . . . . . . . . . . . . . . i. Dimensions of entire new construction: Front . . . . . . . . . . . . : . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Hei-ht Number of Stories . . . . . . . . . . . . . . . ). Size of lot: Front 1�0 . . . . ... ... Rear . . .�4< .��. . . . . . . . . . Depth /VY&- :s . . . . . . . . . ). Date of Purchase . . . .�f 3.0. . 0. . . . . . . . . . . . . Name of Former Owner DOrt1A-1.0 . 11,,W.•4',P/14-1411. . 1. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ?: Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Wil] lot be regraded �,�. . . . . Will excess fill be removed from premises: Yes No 1. Name of Owner of premises !Q�t.94�.�t ��!Y��. Address AUz 744(W,AY . Phone No.4�fYP- 4444S.34_- . Name,of Architect . . . . . . . . . . ..R1 . . . Name'of Contractor /P.19 fj'. .,Qp,�V� IVR!✓ . Address•,r r✓1c°S` T. /v:Y . Phone No. �'{i.2. 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 :tenor or corner lot., 1140 TATE OF N Y RK, S.S OUNT . . . . . ... . beingduly sworn, deposes and says that he is the applicant Tamp of individual si ring contract) .)ove.named. eisthe . . . . . . . . . . . . . .4 rV 'L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the 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 -ork will be performed in the manner set forth in the application fled therewith. worn to before me this . . . . . . . . . :�a!! . . . . . . . .day of. �. . . . . .. 19 .0 ota blit, . . . . . . . • . • • • • • •- A� ��.�nty New YOT1 52.8125850. Suffolk Cott` . . . . -�/. . 7. . . . . . . . . . . . . .•m FYnires MarCh 30. 19_7 . -" (�isnature of gpp"lic2int) _ L , FORM N0. 1 • TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 (��e - �;e�� Examine / , 95 'v V ' U`Ij—l-.,'m-•e,-1 Application No. . .. . . . . . . . . . . . . . I// '57 Approved `�`. . .. . . . . . . . . ., 1 Permit No. . . Disapproved a/c . :77ec -.. . ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . / ` (Building Inspector) APPLICATION FOR BUILDING PERMIT Date �G3!Qv!�:QY. .:Zg. ., 1983 INSTRUCTIONS a. .This application must ;be completely filled in'by typewriter or in ink,and submitted in triplicate to the Buildi 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 strer or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc-.,al of this application, the Building Inspector will issue a Building Pennit to the applicant. Such pern shall be kept on the premises available for inspection throu,hout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan sliall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for re oval or demoliti as herein describe The applicant agrees to comply with all applicable laws, ordinances; building co a housing code, regulations, and admit authorized inspectors on premises and in buildings for necessary inspectio �pp, (Signature of applicant, or name, if a corporation) ��D•,�G . ."ljf /'I!4TT,Tu,,Lk N.1'. (Mailing address of applicant) State whether applicant is owner, lessee, agent, arc'iitect, engineer, general contractor, electrician, plumber or build, 4. wN E2 . . . . . I . . . . . .. . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises rCe? !_ i 14. i4!?1C/n/ ) ¢rl� //4NNy!'�K//V (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. . . . :� Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No.. . . . . . . . . . . . . . . . . . . . . .. . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done.. . �"I/t�?!e �DD/fCl� 12b House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . . . Block . . . . . .�.(. . . . . . . . Lot :�b.� . . . . . . . . . . . Subdivision . . . . . . .(:. . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . Lot . .X. . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . .. n _ b. Intended use and occupancy . . . . � . . . . . . . . . .�,1�: . . . "t . . .. . . . . . . . . . . . . . . . . . . . . . 1 AddiUm -�-r-•-- . . . . . . . . . . . . . . .._ . . . . . � (Description) . .. .:: cu i:. �. �.� ��. . . . . . . . . . . . . . . . . . . . . . . . . . Fce . ���� . . . . . . . . . . . . (to be paid on filing this application) If dwelling, number of dwelling units . . . . . . . . . . . . . Nuinber of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, number of cars . . N.oNG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . i. If business, commercial or mixed occupancy, specify nature and extent of each�tY��e of,use . . . . . . . . y:. . . . . 1 Dimensions of existing structures, if any: Front . . .Z�. �. . . . . . . Rear . 14. .J. . . . . . . . Depth . J�?.Jr . . . . . . . Height . . .:XP . . . . ... . . Number of 'stories'. : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ,3.5.��'. . : Rear 3d a . . . . . . . . . . Depth . .7. .. . . . . . . . . . . Height . . . .•�./.�. . . . . . . Iv'umber of Stories . . . .. . . . . . . . . . . . . . . . 3.' .Dimensions of entire new construction: Front . . . . . . . . . . . . : . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . ... Height . . . . . . . . . . . . . . . Number of Stories �.,d'/�. . . . . . . . . . . . . . ./ . .�S j . . . . . . . . . . . . . ). Size of lot: Front . . . l�. Rear . . .��f�.it . . . . . . . . . Depth . Y.4- . . . . . . . ... . . ). Date of Purchase . . . .6/sT�,�p . . : . . . . . . . . . . Name of Former Owner Dorr.Ni9.L.� G. Zone or use district in which premises are situated . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . . . . . . . . .. . . . ?. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Will lot be regraded ,$. ,p ` . Will excess fill be removed from premises: . Yes No 1. Name of Owner of premises !Q�1 l.9�.�.4: 'K!�. Address AlaA,(' 4cfi;N:�,e%- . Phone No.�f�- 444 S-34 . Name of Architect . . . . . . . s . . . . . . . . . . . . l'le. Name of Contractor ,Cy1UW. .,Q11,��/��1/9!✓ , . Address�R �°.��a?Tr N. : . Phone No.,7V. :..3p77". . . 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 :tenor or corner lot. rZ TATE OF N Y RK, S.S OUNT • • • • • �.=,.-c�-• �. . • . • � . . . . . . . . being duly sworn, deposes and says that he is the applicant 'ame of indivii nitlg contract) dual s .)ove named. e.is the . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ?plication; that all stateme!lts contained in this application are true to the best of his knowledge and belief;and that the •ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . :� . . . . . . .day of.. . . . . . . . . ., 19 .0 A66ETH f New Yo[B �. 5.2-8125850, 5o}folk Co ty . . . . . . . . ...' 7. . . .�� . . . . . . . . . . . . . nim Fgnires March 30, 19_7 (SienibjrP of nnnlinnnt) Z DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD C* � e�ie lfill Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 ti���l ��0 � �® Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownny.aov - seande—southoldtownnv.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: J)Leznnf, L, RQ-T-" Address: V90 aR-rkkookc , R. Cross Street: Afw Phone No.: ' 4 0 Sv li- Bldg.Permit#: q C W9 email: �aoko. G) t C," ra Tax Map District: 1000 Section: LL5 Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle AIH That Apply: Is job ready for inspection?: �, YES ❑NO ❑Rough In ,Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect Else rvice Reconnect❑Underground❑Overhead # Underground Laterals 1 F12 H Frame Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION z �� ` I�UI DEPARTMENT- Electrical Inspector ��y�� P��� TOWN OF SOUTHOLD 5� dll Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerra south oldtownny.aov - seand c2southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail information Required). Date: �j Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an-email copy of Certificate of Compliance Elec. Address.: JOS SITE INFORMATION (All Information Required) Name: Address- OW `x(90 Cross Street: Phone No.: Sv Bldg.Perrnit#: L� email: molooko. ® tC,�ot r�. �"► Tax Map District: 1000 Section: LL5 Block: Lot: , BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage. Circle Ali That Apply:.. Is job ready for inspection?: YES ❑ NO E]Rough In ,,Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Tamp Information: (All information required) Service Size❑1 PhF—]3 Ph Size: A Meters Old Meter# ®Neve Service®Fire Reconnect®Flood Reconnect®Service Reconnect®Underground®Overhead # Underground Laterals 1 2 H Frame M Pole Work done on Service? FjY FjN Additional Information: PAYMENT DUE WITH APPLICATION f1 I PERMIT � Address: Switches Outlet s)fK1 G FI's Surface Sconces H H's'c� Fans Fridge HW Exhaust ' Oven Wap Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments Cif( �T� �/✓ c-Lpj 2 z r T ' TEL. 765-1802 TOWN OF ' SOUTHOLD .41 OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 M E M O R A N D U M SUBJECT: Building Permit Applications Building Permit applications for all new buildings and additions to existing buildings shall include the following: ACCURATE PLOT SURVEY SHOWING: • Existing or proposed structure • Dimensions of set backs from all boundries THREE SETS OF BUILDING PLANS TO INCLUDE: • Foundation plan • Floor plans • Elevations • Cross Section showing: Foundation -)tt Floor joist QIP Ceiling joist Insulation Rafters All construction d6tailing, shall meet .New York State. Building Construction Code and conform to New York State Energy Conservation Construction Code. DATED: April 6, 1979 �'�" 00-/2 �- �+✓�/�""`" h aids FORM 661 N. Y. DEED—Fall Covenant TUTBLANX REGISTERED U.S.PAT.OFFIGE (L8weo11917,Chap.681,Statutory Form A) ruffle,Law Prinl,PubA'sheis,Ru1/ano,,N .Made the. ' Twenty.-third day.of February Nineteen Hundred and Eighty-Three rrn J. PARKER.WICKHAM, of Airway Drive, Mattituck,, New York 6 ' party of the first part, and ROBERT A.' PARKIN and DIANNE'L: PARKIN, his wife, residing at f Marratooka Road, Matti,tuck; New York` parties of the second part, that the part y_ of the first,.part,, in consideration of +. One -Dollar t 41 0 0 j lazefut money:of.the United' Stades, and other v a 1 u a b 1 e c o n s i.d e,r a t i o n s paid by the part i e s , of the second' part, , do hereby grant and release unto the part i;e s of the second part, and. assigns forever, all 'that piece and parcel of land si.tua'te i.n ,Mattituck9: Southold. Town,, ,State of New York ,, bounded and described as follows: BEGINNING at a point formed b,y the intersection of the . Northerly ,line .oT Robert A:, and Diane .`L.. Parkin and the. Westerly -line , of . Marratooka Road, .running'. N. -840 49 ' 30" West 1,55 . 19 feet along. the land now of. Parkin to a point ; thence N. 150 46 ' 30" East 20 Feet along . land' formerly . of C. H . Wickham to a '.point ; thence S . 840. 49.' 30" East 146': 5 feet more or less by and along land formerly' of C. H. Wickham to a .point in the Westerly line - of Marratooka ,Roa,d; thence South 50 521 .East 20 feet by and along . . , the ,Westerly line of Marratook.a Road `to the point of beginning.'. 1 4, ter ;r Z Ovtlft,rwith the, appurtenances and all the estate and _''rights of the party of the first part in. and-to said premises, to ���-Mtbh�� the premises herein granted unto. the par.t i e s of the. second 'part, . or the survivor -and assigns forever. .. said party, of .the- first . part covenant..s as follows:'. AW That said . party l of the .first part is seized,of said.premises in feesimple, and has good right to convey the same;. PtA1 . That ahe part i e S. of the second -part' shall quietly, enjoy the said premises;:' ( tl' That the said premises are free from incumbrances; That the party,. of the first part' abitl . execute. or procure tiny further necessary, assurance of the.title,to said premises; . . .That said par.ty. .of. thefirst part . will:forever OB A Milt#. the.;.title_to saidpremises. RtWOO MhOt0f., -the party of 'the_ first port ha ' hereunto'sett�. h i.s hand and seal the day and year first above. written. 34 It Proot urt.Q ; VERON ICA C. TABORSKY NOTARY PUBLIC, State of New York No. 52-b519999' Suffolk County Commission Expires March io, 1!5 *t 7tr of'WeW vork (501tiAg Of SUFFOLK Town Of Southold On this twenty-third day of February Nineteen Hundred and Eighty-three before me, the subscriber, personalty appeared to me personally known and known to me to be the same person described in and who executed the within Instrument and he a-eknowledged to me that he executed t same VERONICA C. TABORSKY NOTARY PUBLIC, Slate of New York No. 52-4519999 Suffolk County Commission Expires March 30, 19 fq 00 A Q o � U H � m �I 37 W \ Q P-4 ii z A %,L U w E CL �, 0 o �ll I � IN LLi� ¢ o Ij I.,.. r � LLJ (0z,� q W y< m �t Iii III'�I II I� IGT �— Sr a adard N.Y.B.T.U.Form 8002. 3.79-70M—Bargain and Sale Deed, wiih Covenant Against Grantor'}Act,—Individual or Cor pot Arion.(single.cheer) r� CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE,made the 30th day of June , nineteen hundred and eighty BETWEEN DONALD A. HILDESHEIM, a/k/a Donald Hildesheim, and FLORtNCE E. HILDESHEIM, his wife, residing at 4485 Hood Avenue, Titusville, Florida 32780, party of the first part, and ROBERT A: PARKIN and DIANNE L. PARKIN, his wife, residing at (no #) Old Harbor Road, New Suffolk, New York, e� party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto.the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in Ifi= in Matti.tuck, Southold Town, Suffolk County, New York, described as follows: BEGINNING at a point formed by the intersection of the northerly line of Audion DISTRICT property and the westerly line of Marratooka Road (Road Angle monument) and running 1000 northerly by and along the westerly line of Marratooka Road, North 51 52, West, 262.92 feet to the true point of beginning; running thence from said true point of beginning, SECTION North 840 49' 30" West, 203.97 feet by and along land now or formerly of John Tandy to 115.00 a point; thence North 15° 46' 30" East, 129.81 feet along land formerly of Wickham, now Mattituck Airport to a point; thence South 840 49' 30" East, 155.19 feet by and BLOCK along land now 'or .formerly of Wickham to a point in the westerly line of Marratooka 09.00 Road; and thence South 50 52 ' East; 130 feet by and along the westerly line of Marra— tooka Road, to the point or place of BEGINNING. LOT 008.000 The Grantors herein are the same persons as the Grantee in deed dated 3/21/51, recorded 4/19/51 in Liber 3205 cp 238 AND deed dated 10/17/61, recorded 11/3/61 in Liber 5076 cp 247. r c� R'ECEIVE : Ei.x�; $--------- REAL ESTATE �ir��sa`� 41� • J U L 7 1980 TRANSFER TAX SUFFOLK COUI'4TY TAX 1.1;\P �j'+.� • DESIGNATION Dist. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances Sec. and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of RIk the party of the second part forever. Lot(s). AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the saidpremises have been encumbered in any way whatever, except as aforesaid. AND the party of the, ftsrpii tf,in• compliance with Section 13 of the Lien Law, covenants that the party of the first part will recei ,.`¢o sac ration for this conveyance and will hold the right to receive such consid- eration as a trust•fund tto'be d" ied t jot the purpose of paying the cost of the improvement and will apply the same first to the payn5enr of_tYf&-t8St of the improvement before using any part of the total of the same for any other -purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. 1N WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: Donald A. Hildesheim v Florence E. Hildesheim STATE OF NEW YORK, COUNTY OF SUFtti9.1 , ss: STATE Off' 4- 4 YORK, COUNTY OF On the 30th day of June 19 80 before me On the day of 19 befort me personally came personally came . DONALD A. HILDESHEIM & FLORENCE E. HILDESHEIM to me known to be the individuals described in and who to me known to be the individual described in..and who executed.the foregoing instrument; and acknowledged that executed the foregoing instrument, a'nd acknowledged that they executed the same. executed the same. G, ota y ubli LZ ABIGAa.A.V MHW- " Nd"Publla�8ua of Nov York No,61.4642871 Guelftd M Suffolk C"" commission EXPires M@rch 90,19— STATE OF NEW YORK, COUNTY OF ss: , STATE OF NEW.YORK, COUNTY OF SS: On the day of 19 before,me On the day of 19 before me personally came personally came to me known, who, being by me duly sworn, did depose and the subscribing witness to, the foregoing instrument, with say that he resides at No. whom I am personally acquainted; who, being by me duly sworn, did depose and say that he resides at No. that he is the of that he knows the corporation described in and"which executed the foregoing instrument; that he to be the individual knows the seal of said corporation; that the seal affixed described in and who executed the foregoing instrument to said instrument is such corporate seal; that it was so that he, said subscribing witness, was present and saw affixed by order of the board of directors of.said corpora- execute the same; and that he, said witness, tion, and that he signed h name thereto by like order. at the same-time subscribed h name as witness thereto. bargain aft �aie' eeb CH11C)A fl ,��� I Ifret��PPE I'r;��� ' f� . SECTION WI l Ff COVE•NANI' AGAINs'r GRANT OR's AC I•s TITLE No. BLOCK, LOT DONALD-A. HILDESHEIM & WIFE TOWN SOUTHOLD TAX BILLING ADDRESS TO r' ROBERT A. PARKIN & WIFE Recorded At Request of The Title Guarantee,Company RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Dirtribured by GARY F. OLSEN, ESQ. TITLE GU TEE- : P. -O. Box 38 NE RK Mattituck, N. Y. 11952 ATICOR COMPANY Zip No. W U 0 z o oc 0 r� o LU Cd Q > i rE Neu LU W i 1 now or fol-merl Y Cedric y Wickham 94"f930'E '0 r e /55./9' t`l ♦ � r �♦ a` � .� 7I.�' r \• Ol n0O h wy. •w Of 1 G.o' �1 D O ( X9.0• �' N se V 0 �ftgl +Aad �o y AREA b o y,qi qi N 84'49'30,,W 203.97' r now or formerly ✓ohn Tandy 0 N O O O ro N N 1 //;gAlrroY an�l� �,onr,Aes1' now or formerly EVelyn Audion - 1 SURVEY FOR ROBERT A. PARKIN 81 DIANNE L. PARKIN AT MATTITUCK DATE : MAYS, 1980 TOWN OF SOUTHOLD SCALE: 1"=40' SUFFOLK COUNTY, NEW YORK NO. 80-253 it UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO* SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. CHICAGO TITLE INSURANCE CO. *COPIES OF THIS SURVEY NOT BEARING THE LAND ROBERTA. 9 DIA KIN SURVEYORS INKED SEAL OR EMBOSSED SEAL SMALL NOT BE CTO BE A VALID TRUE COPY. , *GUARANTEESDERED INDICATED HEREON SHALL RUN ONLY TO q(r-Of NEW YOR'P THE PERSON FOR WHOM THE SURVEY IS PREPARED, qP W. YO` AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- °� z\�( MENTAL AGENCY AND LENDING INSTITUTION LISTED * {�> `"' �rY1 HEREON,AND TO THE ASSIGNEES OF THE LENDING ..' '? '1 p INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. x y xZr'y f7 1 +.• *DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC O 1 PURPOSE AND ARE'NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES. / / �4r �� s s�' D���_ F�t.o 0 k; 60 Ns 0�2 dbiTj'p Q $ I 00 6 -11 - ••L +---�••�• '�`--�+• `it ^?• •�*•: •T tr."-}--?_- ,'f%�'F"'..,, I'f_f;,,F-; ",_` - .—._-__I- 0_w �JO --/��---r- }-- ST S I [ �/7v I i i---� i I �I f I � I { I rpfl—�—I•�G—QC�SSi tNS�.1L�9?1�M I :'� i�� I I I 11� I , • i 1 � f _ lb I i � ! )NSiAE WA L5 _ I U.IS�I•r4'7� 1 ZF¢eV r� Dr t� Y I — C4NC2E� t3C.oCl� •PiFQ -•----- ....- - •----- - � � A-4 ilaQVI&Eb 71 fop 1, Cc _ , FooTiuG�S rb.�E . _ , �r i - I r V f • _ I WAUs Alb • --c--..l--EN.rl�ANC� I ---- ---i--'---- --I --- --- I-'--i --'�--1--�-- ---I'---�— ---I --j---'— - -- ----' -- ----....- --�-- - __ - - --_I_- __ {'r _? - _- _ _ _.twr" � -'rm' .✓� ,..r.. 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FEE: d ` BY : ' NOTIFY BUILDING DEPARTMENT AT L virvGRooM i 765-7802 9'AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ;�I 1 2. ROUGH - FRAMING & PLUMBING r 3. INSULAT!,0N { \ + 4. FINAL - C7N-5-D!1CTION MUST- BE C^,A";P!...Y:TE F,7-1R C. 0. } ALL CONSTR;)C--!ON SHALL MEET i i } THE REQ t.!IP',:MENITS OF THE N. Y. _ STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. a t ST r f 1, 'i' .:f.: .. wia,l,. tray '`H`'^` .7., .ti i`i• civ.' _ .- .. __ z �r -,x, . a - _ - ;;'' '� .fir"' ^_Al nay''' 1. tF M• Y - .jC' ,1.-,..N. .;.: :e.A:a J' •)e . J u.f-. ty:. I'1 w , , i-' 11 :'•r a or . «_ ',:v •. t� - �' s w a'` s ')] 1-.r,S-.St,K, .. - " C�•d"a - _ - 4 L " _, r-'^ - - �C' .- . .'psi C a- ' '+ c• J F - vsJ.`` •w`ti: L-% ^k a �!' _ - +i�j9 rj " I. I '1' ..3.''- - - .. - G. 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