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Home My WebLink About21599-zFOILM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23768 Date JULY 14, 1995 THIS CERTIFIES that the buildin~ Location of Propert~ 6960 SOUND AVENUE House No. County Tax Map No. 1000 Section 121 Subdivision NEW DWELLING Block 5 Filed Map No. MATTITUCK, N.Y. Street Lot 1.2 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 1993 pursuant to which Building Permit No. 21599-z dated AUGUST 18, 1993 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 ATTACHED OPEN PORCH AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 WATCH HILL REALTY & DE%-ELOPMENT CORP. 92-SO-68-DEC. 22, 1994 H-045937 - JUNE 22, 1995 JULY 11, 1995 - WILLIAM DANA FOBM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. NO g1~99 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date.....~.' ,/./.~.. .............................................. ............................................ ................................................................................. County Tax Map No. 1000 Section ...... ~../.. ......... Block ....... ~ ........... Lot No. ,..,?..~...-...~.. ............. pursuant to application dated .......~, ._/.~... ........................................ 19...~.....~.. ..... and approved bythe Building Inspector. uilding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTUOLD BUILDINC DEPARTMENT TOWN ~LL 765-1802 JUL I' I APPLICATION FOIl CERTIFICATE OF OCCUPANCY 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: i. 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-existinR Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 V" Date .................... New Construction ........... Old Or Pre-existing Building ................. Location of Property ...... ,~gP~,Tt,~ ~_~76/~ ~,~7-~--(-z-~ ' ............................................. House No. Street Hamlet Onwer or Owners of Property..~..t.~.~..~..~....~..z4~. ?./.&~...~...~..~./.~.~..~...~...~.~.~..~..~.~.~.~./~..~..z/.~ .~..~.. .... ............. County Tax Map No 1000, Section. Y~ ~ Block .... ~ ........ Lot ...................... Subdivision .................................... F.i}ed Map ............ Lot ...................... Permit NO..~! ..~....Date Of Permit ....... Applicant.~.f.~.(.~.~. Health Dept. Approval .......................... Underwriters Approval ......................... ?lanning Board Approwtl ........................ kequest for: Temporary Certificate ........... Fim~l Certicate ........... Fee Submitted: $ ............ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765A823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE Building Permit No. _ ,-~/~7_..-- (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this Notar~"P~blic, ~- ' County / I ~' - ............. )~,~B~T L SCOTT. J~. ~/ NOTARY PUBLIC, State of N.Y. N~/ 4725089, Suffolk Cou~t~ ~rm Expires Ma,/31, 19:::~_~ THE NEW YORK BOARD OF FIRE UNDERWRITERS r~s ~ 8052149 BUREAU OF ELECTRICITY -- 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date J[~E 22,1995 ~4pplicatlon Mo..,ft~ 87113395/95 H 045937 THIS CERTIFIES THAT WILLIAM DANA, 6960 SOUND AVENUE, HATTITUCK, N.Y. ia the following location; [] Besement [] Ist FI. [] 2nd FL OUT Section Block Lot ~s examined on JUNE 19,1995 and fou,d to be in compliance with th~ National Electrical Code. FIXTURE FIXTURES RANGES OUTLETS SWITCHES 32 34 OTHER OVENS EXHAUST S E R O~ CC. COND 2/0 I C E ~/0 958 SUNRISE HWY. BABYLON, NY, 1~704 GENEEAL MANAGER This certificate must not be altered in any manner; return to the office of the ~ard if incorrect, inspectors may be identified by the~'~credentials. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] IN/SULATION [ j INAL [ ] FIREPLACE & CHIMNEY REMARKS: 0 ~*~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] ROUGH PLBG. [ ~SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR /~,~ ~/ FOUNDATION lst) FOUNDATION 2. I2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: 765-XSOZ BUILDING DEPT. INSPECTION [ F~OUNDATION 15T [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [~ROUGH PLBG. [ ] F~UNDATION 2ND [ ] INSULATION [ ~FRAMING [ ] FINAL DATE///d-/~" :~ INSPEC'I'O~__~~' 76~-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~'ROUG" PLBG. FOUNDATION 2ND [ ]INSULATION [ ] FRAMING REMARKS: FINAL 765-X802 BUILDING DEPT. INSPECTION ~LBG. FOUNDATION 1ST .~.~NDATION 2ND [ ] INSULATION [ ] FRAMING FINAL THE NEW, YORK BOARD OF FIRE UNDERWRITERS PAGe, ~ 8 0 ~ 2650 BUREAU OF ELECTRICITY , * 8.5 JOHN STREET, NEW YOFtK, NEW YORK 10038 e ' ~ ., ~P?~gR ~1~19~3' ' 8187~893/93 'H ~36787 THIS C~RTIFIES THAT , FIXTUEE RXTURES ~RANGES EXHAUST FANS )T~EE APPAE~TUS: }tO~OR~;~-I~ H,[~, 958 SUNRIES HIGHWAY d~*E&~ EEMIT BY, CHECK OR M~N~Y ' OEOER TO THE O~ER OF TilE NL~d '~¥O~K ~O~ OF IlEE UNDERWI~ITF. I~ IA$ CA~H EEHT SY MAIL WKL U AT 11 765-1802 BUILDING DEPT. INSPECTION ~FOUNDATION 1ST [ ] [ ] FOUNDATION ZND [ ] [ ] FRAMING REMARKS: ROUGH PLBG. INSULATION [ ] FINAL DATE SUMMARY OF TOTAL THERMAL RATING If the Total Thermal Rating is zero (0) or greater, the proposed design for the building.envelope complte~ with [ilo Energy Code. FLOORS 02, BASEMENT/CELLAR'N~L5 Wall Perimeter Exposure Above Grade Wall U-VAlu~ Depth of Well U-Val~e Below. Grade 03. StAB I~SU~A~lO~" Slab Perimeter Insulation R-Value ~INFILTRAIlON CoNtROL ~Cond,tttoned Floor Area Feet Feet inches Feel Sq, Ft. ' SOUTH FACIN6 qL~ZING Soqlth Glass/Iota1 Glass Percent Gl. Area/Gross gall Area ......... Pnrcmfl, CondiLioned~['loor Area ~ ...... Sq. FL. TOTAL IltER~AL RATING JUDITH T. TERRY, TOWN CLERK Town of Sodthold Southoid, New Y Phone: 516-71 RECEIVED OF: ~''~ CASH 046977 RECEIPT ....... ,-~AL DISTRICT APPLICATION Permit. No. Fee '$ .,~,,~', O ~ CONSTRUCTION or ALTERATION Pt~RMIT SEPTIC TANK or' CESSPOOL DATE rNO. A ' SEPTIC ESSPOq ~ DESCRIPTION OF PROPosED CONSTRUCTION, OR ALTERATION . ~ ~ ~4~ LOCATION MAP: Mu~t be attached hereto before permit LOCATION OF PROPO]SED CONSTRUCTION OR ALTERATION: 0 ~NER OF O~VNER MAILING IADDREss: ~ ~ ~O~,~ TELEPHONE NUMBER OF CONTAC~,'PERSON: "TAX MAP NO,: ;ection , f&l Block~ ,, BUILDING P RN 7 NUNn R CROSS R FER NC := ~ ~ TOWN OF SOUTHOLD ~ ,.. , BUILDING DEPARTMENT 765-180;3 Disapproved a/c . (Bu~ing tnspector) APPLICATIO~ FOR BUILDING'PERMIT g0ARD OF HEALTH 3 SETS OF PLANS SURVEY CIIECK TO: .. INSTRU6TIoNs a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with: sets of plans, accurate plot plan to slcale. Fee according to schedule. b. Plot plan showing location lof lot and of bdildings on premises, relationship to adjoining premises or public sti'cet: or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram.which is part o£ this appli cation, i ' c. The work covered y tiffs apphcahon may not be commenced before issuance of Building Permit. . shalid'be Uponkept onappr°valthe r of. this application,. , .the Building. Inspector will issued a Building Permit to the applicant. Such permil p emzses ava/lal~le 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 ~hall have been granted by the Buildling Inspector. .., B .A, PP.L~ICATION IS HEREBY M~DE to the Building Department for the issuance of a Building Permit pursuant to the uimin= zone Ordinance of the TOlWn o£ 8outhold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction ?f 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 pren dses and in building for necessa,ry inspections. ' a: . (~iggirture of applicant, or name, if a corporation) .... /_.7, d.. . :. ,ff. . . . /f.7. f.,( ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generaJ 'contractor, electrician, plumber or builder. Name of owner of premises ..... (as on the tax roll or latest deed) If applicant is a corp, orationl signat~ of duly authorized officer.' ' . ' (:ameandtitleofcorpo~ate,~f./ce~')T ' ' '' Other Trade s License No ................. I. Location of land on which propolsed work will be done .......... ) ... .... ' ' ....................................... ' House Number ~ Street ........ Hamle~ .............. County Tax Map No. 1000 Section · ............ · ,- ... Block ................ Lot · ' · . · . · ..... '. Filed Map No ....... Lot (Name) ....................... 2; Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy i .' · 3. Nature of work (check which applicable): New Building ......... Addition . Alteration .. RepMr .............. Removal .............. Demolition .... : ......... Other Work. .-''''~i~ 4. Estimated Cost. ' ( ) ................................... F~e · - ' (to be paid on filing this a lic ' 5. If dwelling, number of dwelling units ' [ . x,_.x~_A ~ PP~ at/on) .............. ~umocr OlUwelling units on each floor .... .J . · If garage, number of cars ....................... ' ............................. i '.. ' ' 6. If busiuess, commercial or mixed occupancy, specify nature and extent of ca'ch t e o 7. Dimensions ofexi~tin- stru,-~ .... .,- ~, . ~ .., / . yp , fuse ..... ~ .... ,, . ~,.,~_ ~. ~ ~-~'-'.-%liany: trent.. . t.,-? Re~ L.q~ ~, . _ ..:'/ ........ height ./~ *, 4- xtu .... '}.' ......... r ..... · ' ............ -uer o,~tones .... z ...... ' ..... ii .... · DD~mo[t~smns Qf same structure with alterations or a&litions: Front ..' .~.'/~ ' 'I~;~i'' j. ;' ' .... ~ ~ v ..................... Height , N . ''L'''. ............. · ' ' ........... .; ..... '.. umoer of b~tones ........ ~ ........ ~. Dimensions of entire new construction: Front ...... ,~: ..... Rear ..... Heig it .,('~' / .. Num~ ~ ~ , ' ............ ,~r oI Stories ......... r. ......................... 10. ~iaZ;°{fl~tur~[a°s;t' '0~g~.'~j_".~.'," i~ ~'0" Rear..: .... I. OL. ~' ...........oD~t/~h. 11. Zone or use district in which'o're~n'i~iff~',-,.'~i,~,'; ',~/t~ffJamc of~Fo[m~er Owner 1~ .9otq, t./o,;o~. u~-¥ O~r/;/~,~' i .12. ocs propose° Constructinn violate any ~oning law, ordinance or regatinn: ....... ~ ..... ~j ............. 13. Will lot be regraded . . ,x ..... ; ' :.' · · ~'.": ........ ~ .....Will excCs~ fill be removed from premises: , Yes ' . No 14. Name of Owner of premises t.~.&.~/gldtc,c ~.,6?.Fi~t,o ................ ~°d~ ................... Phone NolO.')..~.~ Name of Architect .......... L~'./.~q- ..... '.'. ·.. Address · 'Phone No ............. .. ~.. Name of Contractor ........ '.4q./4 ............. Address ..... 15.' Is this property within 300 feet of a tidal wetland? ;~'e's'.'.'.'.'.'.','.'' Vhol~No ......... · *If yes, Southold Town Trustee~ Permit may be required. No.?t~ ..... '' ''''° .--. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-hack dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 'lq° 1 ' STATE OF NEW YCHC, K_ CouNTy OF . .~.'.,.,.~..% .... s.s .......... 6~. ~c..c. ,/.,4...~. .... D..~P....' ......... being d,~y sworn, deposes =d says that he is tl~e applicant (Name of individual signing contract) above named. (Contractor asent ~omte officer et~ ) .......... ' .............. of said owner or owners, ~d is duly anthorized to perform or ]lave perfo~ed the said work and to m~e and file Ibis ~pplication; that all statements contained N this application are true to the best of his knowledge and belief; and that the aork will be perfomed in the m~et forth in the application filed therewith. ' ~wom to before me this .... ,,- J s. e9o 3'4o"E ~U~Y ~ILLIAM, DANA & WATCH HI~REALTY~ DEVELOPMENT CORP. ' OCT. ~, JUN. 50 AT MATTITUCK O~TE: MAY 28, 992 ~WN ~ SOUTH~D SCALE: I" =~00' SUFFOLK COUNTY~ NEW ~RK No. 92- 0437 NEW YORK STATE E~CATION LAW ~COPIE$ ~ mis S~VEY NOT ~ARWG THE LANO SU~VE~R'S INKEO SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDE~D TO BE A VALID TRUE COPY XGU&RANTEE$ INDICTED HEREON ~L RUN ~LY ~ HE~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT ~[*~ ~ WHOM THE SU~EY ~S ~c. ~ ~ ~ ~NDER AVE~E NOTE:~=MONU~NT ~=~E O=IRON PIPE ALDEN W. YOUNG~PROFESSIONAL ENGINEER &NO ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR ~ ~ m[~ ~MTI~S ~ OR OATA OITMKD F~ OTHErs SUF[OLKCOUNIYDEPARIMENIOFHEALTHSERVlCES WILLIAM, DANA & WATCH HI~ REALTYB bEV ELOPMENT CORP. JUN. 50 1992 FOR APPROVAL OF CONSTRUCTION OF AT MATTITUCK DATE: MAY 28, 992 Single Family Residence Only SUFFOLK COUNTY~ NEW ~RK NO, 92- 0437 EXPIRES' ARS FROM APPROVAL ~ co~ts ~ mis ~v~Y .oT NOT "[ CONSIO~OTO ~AVALIO T"UE COPY NGUARAN~E~ INDI~T[O HER[ON ~ALL RUN ~LY DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT A~D ~ ms ~HALF ~ THE TITL~ C~Y, N~NEST ~ IA N--MI. ~ N SOURC~ ~ WATER, ~I~TE ~lC __ MENTAL AGENCY ANO LENOING INSTITUTION LIS~D ~LICMT, , ~ CC(~ ~ ~ PURPOSE ANO AnE NOT TO BE USEO TO ESTABLISH ~ ~NDER AVE~E NOTE=~=MONU~NT ~=~AKE O=I~N PIPE ALDEN W. YOUNG~PROFESSIONAL ENGINEER AND ~NO SURVEYOR N.Y.S, UCENSE NO, 12845 HOWARD ~.YOUNG~ LAND SURV[YO~ L~ ~(W),~IC T&~(~i C[~I(~) WM ~l~ N.Y.S. LICENSE N0.45893 BRANDIS & SONS INC. , L'F=F-~'.~IDE' ~ LF-V,~-"T-I o ~...j~ DO NOT PROCEED ~lT~ F~~I~F~I~ ~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNTIL~!I SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED 4. FINAL - CONSTRUCTION MUST BE COIdIPLETE FOR C.C. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y- STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSISLE FOR DF_SIGN OR CONSTRUCTION ERRORS O ,:0 4L 4" oOii.,°, PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER - EXCEED 2/10 OF I% LEAD. isoFFI'T x/E~n'5-