HomeMy WebLinkAbout18658-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
SOUthold, N.Y,
CERTIFICATE OF OCCUPANCY
No 21$606 Date DECEMBER 1, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 50 CAPTAIN KIDD DR. MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 03 Lot 028
Subdivision CAPT. KIDD ESTS. Filed Map No. 1672 Lot No. 161
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 25, 1989 pursuant to which
Building Permit No. 186582 dated NOV. 21, 1989
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 TO EXISTING ONE FAMILY DWELLING.
Z.B.A APPROVED
The certificate is issued to MICHAEL & GALADIA TOFFALES
(owner, xxxxxxxxxxxxxxxxx)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
tel.
Building Inspector
Rev. 1/81
roam xo. a
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)
Na 8 G 5 8 Z Date ..N...c:-~-.MC~;:....~:.1 19..p.9
Permission is hereby gro`nt~ed/to: n n
'"'w`..........
at premises located at ..~~....~rt.~:~:>.... K r
County Tox Map No. 1000 Section~~.?,.,.....~.a..~....... Block ......Q..+~........4Lot No...Q.3-.~.........
pursuant to application dated I. M1..a.~ 19.4.., and approved by the
Building Inspector, v
Fee $..lc~.~.7..
......~.~.-a-~- ...G?~.~:~.--~............
Building Inspector
Rev. 6/30/80
• TOWN OF SOUTHOLD
BUILDING DEPART?LENT
TOWN HALL
SOUTIIOLD, NEW Y032K 1]971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY /(~J,
DATE ..3.~. I~oy . ~~J
~ ~~c./c
NEW CONSTRUCTION ...._..OLD OR PREpp-~~E%ISTING BUILDINGyy~~..._..VACANT LAND....._..
Location of Property..~._.e~1.1:..N!~:~...~~`:-~. Ke~7'iZjeC~,•~°
HOUSE NO. STREET HAMLET
Ovner or Ouners of Property...~J~-~.-1- ,,!/i~ ~
County Taa Map No. 1000 Section .lQ.~. Block ..Y.~ Lot ~g..
Subdivision Filed Map ........Lot.
Permit No. /UL~~~•Date of PermiC ./1~:~~/~.ApPlicantA~..u~~~..........••• i
Health DepC. Approval Underwriters Approval..............
Planning Board Approval
Request for Temporary Certificate Final Certificate
G~ a~-
Fee Submitted: 5...,~~..-.-.--
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' APPLICANT.~~~{iY~~.-. _ .
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`ev. 10/14/88
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IIlSULATIOf! PER N. Y, I H ~
STATE EflERCY
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ra~,r~, ;~EC1UrlteCJ OCCUPANCY-OR ,
Fz~n s~vu~ocoNCn~Tt:.. _ - - -I9S~1R UNIAWEU{.
2. R:?UGH - FF?AMING ~'x PLUMBING
---a--nvsoLA-rrON y{~IIHI~UT CERTIFICATE
- - -
Of OCCt1~AN - - -
4.. FINAL - CONSTRUCTION MUST
-------dE'f;OMPLFfiEfOR C.Ea - - - -
ALL CONSTRUCTION SMALL MEET
THE REQUIREMENTS OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
FORM NO. 3
TOWN OF SOUTIIOLD
BUILDING DEPARTb1ENT
TO~YN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date ~ ~:.Y.....~, .ate......., 19 .g. 4.
To ~ll;lCN(~~I.},s ~1~l.A~t~4...!~f=Fr~LIS
D C< aR ('`fv~.t u-1.. l ~ . , p, i2 t u r .
PLEASE TAKE NOTICE that your application dated ~ l'(. Y . , 2: j~......., 19 .iF. ! .
for permit to C,'O,ll ST_'~;t~, ci....~tz G!`.. P.l ~ at
Location of Property ....~~...CfhhT~lwl.f~l~(~...~~lU~ UL(?¢"[[: l-t,U.G(<.._....
- House No. p r Streei ~ 1 ~ ~ ~ ~ ~ ~ Hamlet
County Tax bfap No. 1000 Section L.~.~?...... Block p.3....... Lot ..Q.~: .
Subdivision Filed Map No. Lot No. ..~r~. .
is returned herewith and disapproved on the following grounds ..U A4D1c,t~, , f}~~-j f G t~~ , XX (j/
gr~~Y~oa.l,, (DOS ~ ~!~.M.la'ot.;(,co?-i ILot2u.,~1a.c.C•~. „t,,,~,r
,5.-..;..:Co.k,gr;2uGilo~v
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.(.4!~!-4... ~O v. 4-.~..:.~,~.~?.~ ~...xu,5 U r're G-e ~ae'T-
fL i~ u~ J2- r2.~ ...5. ~.i..~3.14 c.1: ~ ...V JZt,~ u c%... ~ .fit u t ~ t31`
Ttf,~, , 7D K c ac C . , h3,v,U'r_2t~.. ~ E ~ ~hr ~ LS ~ .
Building Ins ctor ~
RV 1/80
I~
765-1802
BUILDING DEPT.
.INSPECTION
[ ]FOUNDATION 15T [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I SULATION
[ ]FRAMING [ FINAL
REIYIARKS:
L^ -
DATE ~ ~ INSPECTOR
j
BOARD OF HEALTH
3 SETS OF PL.1NS
FORMNO.1 SllRV6Y
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC r•oart
' TOWN HALL
SOUTHOLD, N.Y. 11071 NOTIFY
- TEL.:7G5.1802 CALL
~'I• MAIL T0:
Examined ~''.'1F.":'~':`~• ~ ~ 19 8 9
Approved 19 Permit No.. .
uf<2.il~;Q;'..,V••~`Jd~y•~tl~(I,~v,[U......... ~ L~.r~~~/!``.,t.,
Disapproved a/c rr~~
I~e.E~'`• •`•-e , MAY 1 51yj3~
Building
Ins~~....... 11TH
~F SOU
HOLC ~L~
APPLICATION FOR SUILDiNG PERMI-i"`-
INSTRUCTIONS /
a. Tltis 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.
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 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, Ne~v York> and other applicable Laws, Ordinances or
Rcculations, 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, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary ins~pect~i~o/nos.
(Signature of applicant, or name, if a c r6porauon)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder.
~j~ / s, n l P
Name of owner of premisesl4'L?'~!/~~~.`.~`?')~. v.~~-/~.4'•/~....•/.~. .~J~1•/5
/ (as on the taz roll or latest deed)
IC 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 . .
OtherTradc's License No . / /rte
1. Location of land on which proposed work will be done. • - . ,/.'~J , , • • , , • Yf • • •
.'".Q....C~~ 1~..l.~i.~~.,C~v't'u~
House Number Street, Hamlet
) rr~~ .
County Tax iWap No. 1000 Section ...l• ~ • • • • • • • • • Bluck ll Lot ~ • • , , , • _ _ •
Subdivision Filed htap No. , Lot .
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
i%
a. Existing use and occupancy ....~.~~.,/.....~~7`.f~~•'~~y.~,.,.. ~5. ~
b. Intended use and occupancy • • • •~7•'Q^CrG`> • • • "rY• • • • • • • .
3. A'ature of wort. (check which Idpplicable): New Iluilding • Addition rUteration .
Repatr Rcrnoval Demolition Other 1Vork .
f~» (Description)
4. EstimatcdCost~1F:..,!`~(.~~'{.~~.d Fee.....................................
S. If dwcllin number of dwellin (to be paid on Cling this application)
g, ~ units ~...I> I~ f,; , , , Number of dwelling units on each Moor
If garage, number of cars f, ...l7 , • • • , • . •
6. if business, commercial or mixFd occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front , x,(0,•,3, , , , , , ,Rear ..•..`~S•.~...... Depth . .
Hcigltt . Nu~ttber of Stories ~ .
Dimensions of same structure with alterations or additions: Front . Rear ,
Depth . IIeight , Number of Stories
Dimensions of entire new construction: Front , , , , , , , , , , , Rcar Depth . .
Height Number of Stotics
9. Size of lot: Front. }}~U. Rcar ...~.attgl~........... Depth•..,,,..,•,•.,..•..,,..
10. Date of Purchase . ~Y.'„ , lr.if. ...Name of Former Owner ~Y'.c~Y~ rQ . .
1 1. Zone or use district in which premises are situated , .~~t6~ f'~...kq:..... , ,
l2. Does proposed construction violate any zoning law, ordinance or regulation: O .
.
13. 1Vi11 lot be regraded . \Vill excess fill be removed from premises: Yes No
14. Name of Owner of premtses . .Address Plionc No............... .
Name of Architect .Address ...................Phone No.............. ,
Name of Contractor ~ `
• ; • ......Address ..Phone No.. ,
15.Is this property loci~ted with in 300 feet of a tidal wetland,? *YES....NO./~f,2~
*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 fines. Give street and block'inumber or descriptio according to deed, and show street names and indicate whether
interior or corner lot.
I',
k X b L ~ri~'F
l" l~~~h D SE ~ Ft ~t ~ ~ 7
,~6,:/~
STATE OF \E\V Y'ORK, S:S
COUNTY OF . .
(NamL of individual si nin ~ • ' ' ' ' ' ' • • • • 6cing dilly sworn, deposes and says that he is the applicant
g contract)
above named. ' ,
Ueisthc
(Contractor, agent, corporate officer, ete.)
~f said owner or owners, and is duly ~authorizcd to perform or have performed the said work and to make and Gle this
-pplication; that all statements contaitjed in this application arc 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.
~watn to before me this
rotary Public, ,~.1:E: Ue2 County y~,~~
NEIEN K DE VOE '
N No~970787&,SuttolkCouw~~tttYyya,,k~~ (Signature of applicant)
Teem Expires RAtsreh 30,19..x.[
,
Lot 160
9 S.86°00'30°E. /
13455'
of
p ?a ° : as.a~ ~ O
OpD ~ / /'1 ~j~ ~
...t rv I aTORY FRAME NDUEE ~
A aARAOE ~
•
2 I ~ 22.a' 2Y7~-- ~
LOt 162 ~ ~ , t~~• 2.a'axm¢vER ,~i~ ~~0'a' ry
' ~ b' / ~
~ ~ I ~:3sI ~ sz , j¢ ~ ~
o
h i ~i =1 X14 NT./
O ~ TEET HOLE ~ ~ LOtI6I` ~
z A eo = 9669 s.f. _ h J
1 `3~• oo v
I a
-._.T
_ N.86°0030"W 90.50 F'2~•
WATER MAIN~~_
CAPTAIN KIDD DRIVE
~3UFFOlK COUNTY HEALTH DEPARTmEP3T /
TEST LADLE
SNJGIE FAMILY DWELLING ONLY /
LOAM
81 L T Y
I ti.D. REF. NO. ~.s,2`~o-fR D.a'
LOAM
f QUU L
~ ~9p7 ~ aILT 2.a'
DATE sANDr
a 0'
THE SEWAGE DISPOSl1L AND WATER SUPPLY FACILITIES FORT , IS COAPBE
I.OCA'fiON HAVE BEEN INSPECTED BY 7HIS pEPAR7MEN"f ANC) BAND
12.0'
' FOUND T'O BE SATIS(~JAC'[)ORY./~ SANDY
J" V^. 4~~j T a1Lr
!d i zo.o'
MEDIUM
CFlief of Wastewater management Section BAND
2a.0'
.~.e.••-ao...-n,.~..+~.,..®,wo..o...,..,~,~.~.• COARSE
SANG
sq .o'
SURVEY FOR I JULY 21,1987
JUNE 10,1987
MICHAEL 'i'OFFALIS 8( CALATIA TOFFALIS MAR 31, Is67
LOT N0. 161,~•CAPTAIN KIDD ESTATES° AN.28~11987
AT MATTITUCK oarE: JAN. 6, 1987
TOWN ~ :~titi"I'HOLD 5CALE: 1°=30'
SUFFOLK C~IUNTY. NEW YORK N0. 86-1442
N UNAU THOIIIY EO ALTLMTION OR ADDITION TD TNIy
SURVLY tS A VIOL.6TION OP SECTION 7209 OF THE P~EJOF Mg
NEW YORK STATE ;iDUCATION LAW ~ ~ h
NCO?IES OF THIS S1IRVEY NOT LEARWD THE LAND
SUR VEYOR'y INKED TEAL OR ENy0SSE0 SEAL SMALL Pet®
' MOT 1[ CONSIDERED TO LE A VALID TRUE COPY b®
NSYARANTLES INDl GATED HEREON SNAIL RUN ONLY lO ~
HEALTH DEPARTMENT-DATA FUR APPRON41. TO CONSTRUCT T"E PLNyoN FOR wNOM THE !LIMEY IS PREPARED ~
AND ON NIy yEMALf 10 THE TITLE COM/AHY, OOVERN-
N N[MLST WAf[R ~AIN_ML! NSOURC[. OF WATEk. MIW1TE-PUBIC ~ MENTAL AOENCY AND LENOINS INSTITUTION LI STEO
M SUFF CO. TA%MAP pST 144Y. SLCTION IDs !LOCK 33.. LOT oze HEREON, AND TO Tr:E AyyIDNEEf OF THE IENDINO
NTNLRL ARE IIO OW[LIIWy WITHIN 100 FEET OP TWt ?ROP[RTY INSTI tUT10N. OUANANTEES ARE NOT TRANSFERABLE
OTH[R THAN THOSE SHOWN HEREON. UrN
EN15
fONAl INSTITUTION! OR SUBSEQUENT ~yo ~
N TH[ WATER yU?FLY AND fEMNBE DISFOBAI. SYST[M Fdt MIS Ng10[NCE N OHTANCLS SHOWN HEREON FROM PROPERTY UN[f ~y~V'/ -y
WILL CONFORM 70 TN[ fTANOMOS OF TNI: SUFF0I.K COUNTY DL?AMNENI TOE%ISTINB STRUCTURE! ARE FOR A SPLCI FIC a
OF HGITH f[RVICp• PURPOSE ANO ARE NOT TO LE USED TO Ff TABLISN ®`W
AIfLICANT. /ROPERTY 41 NEa OR FOR THE ERECTION OF FENCEf I.5® §pgLY d
A0011[Sy
T<L• 1 YOUNG >e~ YOUNG RI~VER~AD~NEW YORKE
NOTE: ~=MONUMENT STAKE ALDEN W. YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN ThIE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S.UCENSE N0.12845
SUFFOLK CIXINTY ON JAN.19,1967 OAS FILE N0. 1672
' HOWARD W. YOUNG, LAND 5URVEYOR
NTH[ LOCATION OF WELL(WI,/[PTIC TANR(ST)B CESSPOOLS(CP) MOWN NERLON N.Y. S. LICENSE N0.45893
ARE MOM FILLD GBBERIMTIONf AND OR DATA OBTAIN[0 FROM OTHERS
BRAN018 A SONS INC. lOAe ,