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Home My WebLink About19931-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-23044 Date JUNE 16, 1994 THIS CERTIFIES that the building Location cf Propert~ 4270 OREGON ROAD House No. County Tax Map No. 1000 Section 95 Subdivision ACCESSORY ~ CUTCHOGUE, N.Y. Street Hamlet Block 3 Lot 9.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1991 pursuant to which Building Permit No. 19931-Z dated JUNE 6, 1991 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 ACCESSORY GARAGE IN REAR YARD 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 ARTHUR M. & JANE H. RUSSELL N/A N-216807 - DECEMBER 13, 1991 MIA BildingInspector Rev. 1/81 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) N~- 199~1 Z County Tax Map No. 1000 Section ..... .~..~..~.. ..... Block ......~...~ ....... Lot No.....~..~./ ............. pursuant to application doted ........... ,..~.../,?~iu~....~. ................. , 19.~.~.., / Building Inspector. and approved by the Rev. 6/30/80 BLDG. DEPT. 'Iow)a SOUT o --~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 LICATION FOR CERTIFICATE OF OCCUPANCY me 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 Upre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, b~ilding 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ June 10, 1994 Date .................................. & deck ara e New Construction.g .... ~ .... Old Or Pre-existing Building .............. 4270 Oreqon Road, Mattituck Location of Property ...................................................................... ... House No. Street Hamlet Arthur M. Russell and Jane H. Russell, his wife, Onwer or Owners of Property. ........................ , ........................ . ................ 095.00 County Tax Map No 1000, Section .............. Block..03'00....... .. ...Lot .... 009.001 Subdivision ................................... . Filed Map ............ Lot .............. . . . ~ .... · 19931Z (garage) Permit 6/6/91 Peter S. D.a.n.owski~ Jr'~, Esq. Permit z~o ................ Date Of ................ Applicant. ~%~'oYh%~/~or th%' ~{hBB%~.%M' ' ' Dept Approval.'... Underwriters Approval . . Health .............................................. Planning Board Approval ........................ Request for: Temporary Certificate ......... .. Final Certicate...X. ....... Fee Submitted: $.~.~. .................... ~ / ~ /~ % LAW OFFICES PETER .-q. DANOW.qKI, JR. 616 ROANOKE AVENUE P.O. BOX 779 RIVERH EAD, NY 11901 (516) 727-4900 FAX (516) 727-7451 June 9,1994 Southold Town Building Depa~ment P.O. Box 1179 Main Road Southold, NewYork 11971 Re: Arthur and Jane Russell Premises 4270 Oregon Rd., Mattituck, NY Building Permit #: 19931Z - garage C/O #Z13386 dated April 22. 1985 - house Dear Building Department: I enclose herewith a print of a survey dated April 15th, 1994 prepared by Stanley J. Isaksen, Jr., Licensed Land Surveyor, with reference to the above premises. We would like to obtain a Certificate of Occupancy for all structures shown on the enclosed survey. I understand that Mr. Fish inspected the garage from the outside today, and will be returning tomorrow with the real estate broker to inspect the interior. If the garage passes inspection, we will submit the necessary application and $25.00 fee to obtain the Certificate of Occupancy covering the garage al~d all other structures on the premises. PSD/lis Very _~a_ ly yoy,~ //'2 '~ PETER S. DANOWSKI, JR. /¢-~'~¢ff cc, Mr. & Mrs, Arthur M. Russell BLDG. TOWN OF $OUTHOLD THE NEW YORK BOARD OF FIRE UNDERWRITERS ~08!~0t~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date '0~¢~'('¥?']4~L~ '! '~ ~ ~ o~ Application No. on file ?~.~O,]~g~ /~'~ h~ ~ ~(~ THI~ CERTIFIES THAT only the olectricaJ equipment ~ ~scribed below and introduced by th~ applicant named o~ the above application num6er in the premises of [] 1st FI. [] 2nd FI. (~R Section Block and found to be in compl once with the requirements qf this Board. Lot FIXTURE FIXTURES OUTLETS SWITCHES ~Lu~:~ DRYERS RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET E OTHER APPARATUS: E R V I C AWG, OF HI-LEG NO OF NEUTRALS AWG. OF NEUTRAL GENERAL MANAGER ~ This cert/ficate must not be altered in any manner; return to the office of the Board if incorrect., Inspectors m~y their credentials.~ COPY FOR'BUILDING DEPARTI~EHT. THIS COPY OF CERTIFICATE IvlUST NOT BE ALTERED IN ANY MANNER. FOUNDATION ( 1 st ) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: JEAN dENS AT MATTITUCK TOWN OK SOUTHOLD SUFFOLK COUNTY, NEW YORK YOUNG ~ YOUNG 400 OSTRANO[F~ AVE"U[ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN/SULATION FRAMING [~]~' FINAL~ DATE ~/~/~ INSPECTOR ~~ BLDG. TOWN Ok ~ Examine ........................ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved .... .~...'~...-~.., 19.~.j. Permit No. L~.~.~.. ! ..~.. (B uild~n~a~Inspector) APPLIGATION FOR BUILDING PEEMIT INSTRUCTIONS r BOARD OF tiEALTII ......... 3 SETS OF PLANS .......... SURVEY ................... .;;j, ............... SEPTIC .............. /:OTIPY:~. ............ ~:>~/O~c~"~>~ Z .... HAIL TO: 7./ Date .................. 19 a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 -'ts of plans, accurate plot plan to scale. Fee according to schedulo. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- etlon. c. The work covered by this application may not be c'bmmenced before issuance of Building Permit. ' d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~all 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 roll 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. i~e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to Jmit authorized inspectors on premises and in building for necessary_li~Pections. _ (Si~,nature of appli.canff,~0~name, if a corporation) ~[q,Aailing address of applicant)f/ rate whether applicant i~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. amc of owner of premises ~~ (as on the tLC roll or latest deed) 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. //w,..~...~..~. ¢?.. ..... County Tax Map No. 1000 Section ........ ~,~ ..... Block ..... k~ ......... Lot.. f,. d ............ Subdivision ..................................... Filed Map No ..... (Name) .......... Lot ............... ~tate existing use and occupancy of premises and intended nsc and occupaucy ;f prbposed construction: ~ ,~xlstln~ use and occupancy . . 3. Nature of ork (check which applicable). New Building .... Addition .......... Alteration .......... Repa/r .............. Removal .............. Demolition .............. Other Work .... ~/ ,~,/<~, ~ (D ripti ) 4. Estimated Cost ... ~ . ~ ~ eec on ! ........ ~ ............. Fee .... " ~ -.': : · . I (to be paid on filing this applicatiou) 5. Ifdwelhng, number ofdwelhng units ........ ....... Number of dwelling units on each floor ............. If garage, number of cars .i.. · · business, commercml or m~xcd occupancy specify nature and 6. IDfi~ ' · . . . ' ' extent of each type of use ..................... 7. nensmns ot ex,sting structureslifany: Front ........ 2 ·; .~.. Rear ........ · ...... Depth .. < ........... Height ............... Numl~er of Stories .............. · ' f ith ddit D~raens~ons o same structure w alterations or a ns' Fro,,* .............................. Denth ... Height .......... ~ .~ .......... Number of Stories ................ 8. Dimensions of entire new construtction: Front . ".~ R ..... ight N b:er of St ............. ear ............... Depth ............. He ............... um ories .... ', ' · 9. Size of lot: Front ........... i ~ j ...... ~ .............................. · ' .... ~ Re r ' ' ............... ~ ' ........... · ........... Depth I0. Date of Pnrchase ~ .......................... ............ ~ ........ ......... Name of Former Owner ....................... di h p 'd it ...... 11, Zone or use strict in whic ran see ares uated ................................................... 12. Does proposed construction viola e any zonin aw, ordinance or regulation: ................................ 13. Will lot be regraded ...... .... ~ ................... Will excess fill he removed from premises: Yes No I4. Name of Owner of premises .... ~. · · · Address ................... Phone No ................ Name of Architect ......... i ......... · -: ................ Address Phone No ................ Name of Contractor ~ ................... .......... : ................ Address ................... Phone No ................ [5. Is thi~ifproperty within 3Q0 feet of a tidal wetland? *Yes ........ No .... yes, Southold To,wn Trustees Permit may be required. ' .... · .... i PLOT DIAGIL4M Locate clearly and distinctly all bhildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nt mber or descriptio~ according to deed, and show street names and indicate whether :nterior or comer lot. 'ATE OF NI?.~-YORIP;,.F~. --- s.si · ..~...~-¢. (d~ .7...~ ././~. ~72.. }f.'~(d ~.q~.. [/ ...... being duly sworn, deposes and says that he is the applicant (Name of individual signing Fontract) ova named· is the ................... <~ ~ ..I~. ......................................................... . (Contractor agent corporate officer etc ) said OWner or owners, and is duly at~thorized to perform or have performed the said work and to m~e and file this )lication; that all statements containe~l in this application are true to the best of his knowledge and belief; and that the rk will be pcrfo~ed in the manner set forth m tlie application filed therewith. om to before me~t}i~ ............ ~...~ay of......~.~ .... , 19~[ ~ ~~ ; · ~'~. county · ~~~,,~ /i; ~''' :' ? -- (Signature of applicant) ROAD I~0. 00' ~//~ sros~ WOOD FRAM£ 62o02~10" W 8.00' DESCRIBED PROPERTY A4ATTITUCK, TOWN OF $OUTHOLD SUFFOLK COUNTY, N.Y. SURV£YEO FOR ~ THOMAS ~, MAGUIR£ MARGAREt' MAGUIR£ Mort. OREGON ROAD 61 6,3° 41' 40"E CM 150. 00' Y$.l' IG.O' td lA 2 ' WOOD FRA ME .q~[~ RES/D£NCE /4.,I' CM POLE N/F DoRSETT FARMS, INC. Cs 2ooz,zo,,w 8.00' TM ~1000-095-05~09.1 FU CM. -- Found Concrete Monument SURVEY OF DESCRIBED PROPERTY SITUATE A4ATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED 15 APRIL SCALE: I" = ..~0' AREA = $~',204.9 S.F, GUARANTEED TO : THOMAS M MAGUIRE MARGARET MAGUIRE BANK OF NEW YORK TOWN OF SOUTHOLD SURVEYED FOR ~ THOMAS I~. MAGUIRE MARGARET MAGUIRE Guarantees indicated here on ~hall ~i~ only to the person for whom the survey is prepared, and an his behalf to the title company~ Govermental Agettcy, lending instltution, if listed hereon, and to the csslgnees of the lendlng institution. Guorc~ntees are nat transfcrabte to eddltional institutions or subsequent owne~ Unauthe~led alteration or addition to this ~urvey is a ¥1olatian of Sectian 7209 of the New Yedc ,State Education Law. ~ of this storey map not bearing the Laml Surveyors embossed seal shall not be Considered to be a valid true, copy. SURVEYED BY: STANLEY U ISAKSEN, dR, NEW SUFFOLK, NY, 1195G (51G) YSq-Se$5