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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219101 Date JUNE 4, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 565 BAYER ROAD MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 139 Block 003 Lot 014 AMENDED Subdivision MATTITUCK HEIGHTS Filed Map No. 1184 Lot No. 36 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 2, 1989 pursuant to which Building Permit No. 183552 dated AUGUST 8, 1489 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 GARAGE. The certificate is issued to INLAND HOMES, INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-13 JUNE 1, 1990 UNDERWRITERS CERTIFICATE N0. N128493 MAY 15, 1990 PLUMBERS CERTIFICATION DATED GALE KASKE MARCH 19, 1990 Building Inspecto,/~r Rev. 1/81 POBM NO. 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) CC f~ Qp N 0 $ J ~ Z Date ...~c~i~~%~......1/ 19.x/...! Permission is hereby granted to: ..~:L..E~...,7,~. . QQ of premises locate a .......~~~.7 ......l.1. Caunty Tax Map No. 1000 Section ...~..~...Gf....... Block ,,..~r_,,,,,,,,,,,,, Lot Na.......1..~....... pursuant to application dated ..........~~,~i~ C/ 19..~.~nd approved by the Building Inspector. Fee 5.~~~.t.7~ ~ Building I for ^~~!!~2~ Rev. 6/30/80 j ~.,.._.,w._, ' ~ °~^~NC7 " It \ n r{ ~ i m R~ ~ <e ~ 1 111 ~ i m o o i °zry7 t° ~S ~-l~ ~jY L ~`°t~'1~t~*" ~ ~ ' ~ o F xi W 7 S~''Pp~ ~ `aria 2a !4 ~".'s Cs1 1 ~ - ~t~ b..F ~ ~ v,i s T " c~' 1 ; S .7 per' ¢ ~ !i ~ ~ } k~ ..3{~i`'; S ~ ` { ~ ~ _ ~ ti. w ~ 5 ~ i. L~ ~ ~ { W C UJ ~ ~ Qf ~ cD V1 4'~ ` \J Rt, " c a C.. iy~ ~ ~ -,t ls+~* ,may ~ a " ~ ~ _ ~ . C+ .a , ~ ~ t n _p ~y - . m C_ J i8 ~ ~ ~ h F ~w s .ro ~ LA ~U'. v ~ ~ ~ ¢ ~ ~ ~ ~ R \ tl O ~ \1i U n ~ ® " ~ ~ f+4 2 ~N L. ~ ~ I ~C ~ t8 v= ~ ,~a v b ~ ~ o I I ~ ~ C ~ 1 ~ y is ~~3 - ~ } ~ v rq V ~ ~V Y 1 ~ Q ~ t~ ~ ~ ~ ~ S ~ ~ ~~;/s~~'~- ~ ~ U ~i> ~ ii.~~ I ~ ~ o 'J Ci ~ ~ j ~ _ ~ ly 2 ~.j ~ I m V L'S s- ___..~P~__M ~ _ ~ _ ~ banian~~p dof~~n~y ~ ;i I 1 y~------ ~ 0 ~ ~ i ~ O o ~O ~ ~ -0 U ~ ~ v- 1 M n u°, a ~ ''S~ cyv o j 1 ~~1<~n~ v> ~r ~ i l j ~ i II>> 4`~: ~ ~ a ? ti! ~ ~ ,DS ~ ~ - J~d- j j b ~ JfnCartd J~o~vte~~ ~nc. ~ _ _ , CUSTOM BUILDERS n R n M ~ eox 11x ll~~rJ IS ~.1 U L~ 315 WESTPHALIA ROAD MATTITUCK, N Y. 11952 (j 'y I~ ~J~U 516 - 298-9696 N u ~x May 10, 1990 '^f:+ 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ItE: Bayer Road 565 Mattituck, N. Y. 11952 Building Permit #183552 TO WHOM IT MAY CONCERN: FRONT RAILS ARE ORDERED. RAILS WILL BE INSTALLED WHEN READY. Very truly yours, Robert E. Hiltz Inland Homes, Inc. REH/gh i ~ r ~'`1 , FORM NO. a ' , f ,,TOWN OF SOUTHOLD Building Department , , ' :'Town Hall i Southold, N.Y. 11971 _ " 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions ~ ' " ~ ~ ~ ~ ' ewnter OR ink, and submitted ~ to the 8u~ldmg Inspec A. This application must be filled in typ , , . s.,~,•..-; , for with the following; for new buildings 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 of Health. Dept. of water supply and sewerage disposal-(S 9 form,or equal),.': ' , 3. Approval of electrical installation from Board of Fire Underwriters. . 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installs-. tions, a certificate of Code compliance from the Architect or Engineer responsible for the building., 5. Submit Planning Board approval of completed site plan requirements where applicable , ; ~.1 B. For existing buildings (pnor to Apnl .1957), Nonconforming uses, or buildings and "pre-existing". land uses: ~ ~ 1. Accurate survey of pxuperty rshowing all property lines, streets, buildings and, unusual natural or topographic features. ' 1 ' 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. " 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informs{ tion required to prepare a certificate ~ , ~ ~ ~ ~ t ~ - Addittona"`.$25.00 ' C. Fees: New'Dwellino,$25..0.0, Accessory x$,10 00 Buainesa.$50 00 1. Certificate of occupancy ~ ~ ~ ~ ,.t= 2. Certificate of occupancy on pre-existing dwelling $ 50.00 ' 3. Copy of certificate of occupancy $ ~5 .~00, ,over 5 years $ 10.00 f:.'~~, 4.Vacant Land C.O. $'20.00' Date, May 30?,'1~g0•., 5.Updated C.O. ~ ~ $~~50.00 ~ ~ r j ' . NewConstruction, X„ r0'Id orPre•existing Building Vacant Land Location of Property `16 j• • aver ,Rp~d,, , Ctatti.tU.ak, . N..Y,. Hamlet ' House No 'Street Owner or Owners of Property .'•,?~T.~•~P1"I~S,•J~TC""""""" ' Lot 14 County Tax Map No. 1000 Sectwn ~:~9• • Block . 3 x„~, , s • " • ~ ~ - ~ Mat'L-itucl~ Hei~hts ..Filed Map No ].92. Lot No ~6 ' e Subdivision. ~ , t ~ t r IN~I~ 0 ~ „ 'XNC.. Permit No. 183552 Date of Permit 8~g~89 • • .Applicant , sir ~ ~ ~ ~ ' ' 't r ~ " .Labor Dept. Approval • Health Dept. Approval • • • • • ~ . ~ ' . I, , „ , N1284)3 , ,Planning Board Approval ~ ' ~ Underwriters Approval , Request for Temporary Certificate , , .Final Certificate yr 2 ;00 ~'F' Fee Submitted $ `l. , , - ~ ~ 6r' n ~ ~ nr Construction on,above describedlbuildmg and p N/fiymee all~glicabl codes and regulations ° ~ } fc ' Applicant W. L~7., e, , . :E. Hiltz I~LANp, MESx ~~N~ ~~'`',i ' _ 36 d h ;ti r nOV. ic'ia'~a I• , g. { ry f l ~t 1 i~ .3 y6s>o , ~/~/9~ ~'o ~i9ia/' ~ ~ ~ ~ ~ . • - . _ i { • , ~ ~ I~ • ~ 1 / 1 i ~ f { .i. i t i ' i I j 7N ~Y • ~ ~ jA ~.I i i~ ~ i .p ~ ,1, A:-a ..u w ~ ~ , ~ ; , ~ ~ ' . i rows o~ •s©ur~o~~ ~ ~ ; • . . ~ ~ ~ ~ , SUFFOLK,' COUNT`l~~~ ~ ~ NSW 'YORK rI . , P , i J ' { ~tl ~ ~ r • it , ! Jai' ~ ~ i MAY 24, 1966 ~ . ~ ~ , . . • , I; SECTION 201 -The Uoundarica of syfR.ne -feet find a Yxontage oP not less than throe (3) feet above tUa sold districts are hereby established not less • than -two hundred ,ground and trio upper edge of trio as shown upon the Bulldlnq Zone Mape (200) Yeot. sign shall not extend more than ' whmh nccomPany rtnd winch, w1tU all (o) Clubs, iratornlty houses and fifteen (16) Scot 'eix (0) inches abovo nolullons, roteroncea and other manor ~ golf courses. trio ground. YI trio Promisoa hna n ~ , shmvu thereon pre, botchy, declared (d) StnUlcs and riding academies, frontage of less than Ylve hundred ` to be port o[ this Ordinance, as it trio (e) T~'uneral homes and undertak- (b00) feet, the sign shall have an a[ea matters and things set forth Uy safd ing establishments. of not more than twelve (12> aquaxe map were all fully described herein. (f) RnihvaY 7assenger stations. feet and the same restrictions shad ~ , SECTION 202-NO Uullding shall bo <g) PuU1ic utility Uulldings, strut- apply. ~ '~I erected, altered or used, and no preen- lures or facflitfes, + 10-Signs as provided 1n Secl,lon 409 Ices shall Ue used Por any other then a (h) Cemeteries and the necessary of this Ordinance when authorized as , pm'POSe permitted in the zone in whloh incidental structures. a special exception by the Board of i such Uullding or premises fa located, U) Marinas for trio docking, ApP¢nls as~hcreinafter provided. :9P1<:'i'fON 203 - Tho Uoundnries mooring; or ncconvnodnLlon of SECTION 301-"A" I7EIGTI'P - In i ,I bnl.wrv•n dpda•lotn ern, unlnnn ot.herwlun ~ not more than six (C) unn• Idol "A" Itnuldrn Llnl lout AISrImliturui hullcated, elLhm• atrent )Inca, rnlb•ond conunarclnl boats. Dlxtrlnt, 110 Inllldb4(, L~ranftnr oror•tad 'I~ rlghLS-of-way or such Imes extended C-Accessory Uulldings, including ono or altered, shall Oxcoed thirty-five (30) j or lines parallel thereto or Uoundarles (1) private gm•age, when such accessory feet or three (3) atorles. i i ' of subdivisions. Where Yigures are bulldings are located in trio rear yard, Except public or semi-Publle build- shown on the zoning mops between a or a private garage within or attached fags may bo erected to a height not , street and n district Uoundnry line, they to Ehe dwelling. exceeding flay (60) foot when set Uack indicate that trio district Uoundnry line 7 -Uses custommily incidental to an addltfonal six (6) inches on all runs pnrnliel to Llio street Imo at a any oP trio abovo uses when located sides'!or snob toot such bulldings ex- cilstrtnco ns so indicated. Whoa trio on trio same lot and not involving teed Lhe height o[ thirty-five (36> feet. location of a district boundary lino the conduct oY a separate Uuslncss. SECTION 302 - "A" BUIT,DING ~ ~ Ue deter nmed by tl of scale of the map thofsProfesslonaluofilcet o studion otda Agr cultural Distrlct,'rth etotal building ' mensw•¢d from a given Ilno. Where Lhe doctor, dentist, teacher, artist, arcin- area shall not exceed twenty-[IVs (26) street layout, actually on the ground, feet, engineer, ruuslclan, lawyer, mag- percent of the total lot area. vnrlca from the street layout ns shown ~ lstrnto or prncLStloner of a similar SECTION 303-"A" SIZE OP LOT oIi trio zoning ma~is, the deslgnntion character or rooms used for home AREA-In trio "A" ResldcnLinl and F1101N1 on the mapped streets shall occupations including dressmaking, Agricultural District, no building shall nppl}' Sn such a way ne to Carry out mllllncry or similar handicrafts, PRO- Uo erected or altered on a lot havfuq , trio real intent and purposes of this ~ VIDED that the ofTice, studio or an area oP less than tweivo thousand , ' Ordinance for trio porticular area 1n occupational rooms are located in'a five hundred (12,600) square feet and L~. • ~ question. ~ dwelling in which the prncLitioner re- a frontage of less than one hundreA SECTION 204 - Where a dfatrict sides and in a building accessory there- (100) feet. Uoundnry line divides a lot in a single to, and PROVIDED further, no goods 6ECTTON 304-"A" T^RONT YARD- • ~ rnvm•r:,lup at the t11na of paasago of are publicly displayed mt Lho premises In trio "A" Resfdentfnl and Agrlcul- Ihh+ nfdlnn uor, Lho lion ed of Apponix, and n0 rdun or advorldnnmrnt !n nbnwn turn.) 7>Ixta•lOt, Lhn I•rrynh•ad IrnnL Y,u•d ur, laa•rluuftor Urovldad, umy P¢Pmlt oLhoc Lhnn a nil<u not, lw'gnv 61u«n i•wo nhull bn nt huull, I,hlrLy-Stun 131p fraL trio Inns eextrloLed ono to extend .to trio r2) aquaro foot In totul olwn, bonrhllf item Lho xtreat Ilan, whole or any part of euoh loC. only trio name and occupation (words SECTION 306-Whore property in ~ • only) oY trio practttloner, trio vfalnfty fs partly built up with ' ARTICLE TTY g-The sale at retail of farm, garden permanent bulldings and an average , "A" Residmriinl and Agricultural ~ or nursery products produced or grown setback line o[ more or less than , Dixtriot on trio premises or of animals raised thirtydlva (3G) toot has been estab• , SECTION 300-Tn trio "A" Reslden- on the premises. One (ll advertising 1lahed, no bulldings, hereafter erected list m)d Agricultural District, no build- sign, Dither single or douUlo faced, not or altered, shall protect Ueyond trio ing' ol• premises shall bo used and no, larger than four (4) feet roy six (6) lino of the average setback so, estnb- ; building shalt be hereafter erected or feet in size, advertising the sale Ot ])shed. altered unless otherwise provided in ~ farm, garden or nursery products pro- ~ SECTION 306-In case of a corner flits Ordinance, except for ono (1) or ' doted or grown on trio premises or lot of Yecord at the time of trio Pas- more of trio following uses: of animals raised on the premises. sago of 'this Ordinance, a front yard 1-Ono (1) Snm11y dweilDigs, 9-Ono (1) teat estate sign, either shall be required; same to ha on a line 2-Churches, schools and libraries. single or double faced, not larger than with the average sebback lines on both I three (3) feet by four <4) feet 1n size streets produced to a point of lnter- 3-Non-commercial parks, play- on any one (D or more lots, advertising section and If no average setback has grounds, athletic fields, bathing beach- the sale or (case of only the premises been established then a front yard, ' es,' UatUilousos or boathouses, on which it fa maintained and set back thirtyflvo (3G) test deep, shall Ue re- • 4-Agricultural forme, pouitfy farms, not toes than trio required Prout yard putted an eaoh street front, or may be nurscries,~grconhouses and truck gar- distance and not less than ten f10> decreased as a special exception by the dening (does not Include farms for feet from each side line. Board of Appeals as hereinafter trio Ureedinq or ralaing of ducks). When the advertising sign is for trio provided. i 5-Tits following uses when author- purp se of the sale or lease of acI•cage, SECTION 307-"A" SIDE YARDS- lied as a special exception by the or t~o sale of lots 1n n suUdivision, ~ In the "A" Residential and Agrlcui- Bonrd of ApPenis as hereinafter pro- one (ll real estate sign, citUer single turn) District, there shall be two (21 Y1ded: ~ or douUlc faced, not exceeding twenty- side yards, one (1) nn each aide oY (n) The cmiverslon of any build- Your (24) square feet will Uc Permitted the bulldings, the total e.ggregate of 1 ing In cxlatonce at the efYecLivo on each five hundred (600) Yect to ono both sides nhnll be twentytlvo (2a) date hereof t0 a two family thousand (1000) feet oY frontage on Ycet and no ono (1) side yard shall Uo , dwelling, trio highway or highways on which the less than ten (30) feet. ' (b) TUe erectimt or construction ~ property fronts, PROVIDED said sign PROVIDED that, in trio case of u ~ ~ • of a two family dwelling pro- 1s set back not tens than the front lot held !n single and separate owner- vided Lhat the lot shell have yard restrictions required and not Less ship at the effective date of this an area of not less than Lhnn ten (10) Yeet Yrom each side line. Ordinance, of a width ]esa Lhnn one twenEyflvo thousand (26,000) The lower edge of trio sign shall be hundred (100) Seat and of en arse lass . + than twelve thousand five hundred (12,500) feet, a single family dwclIIn exception by the 93oard .eg Appeals as mum provision for off-street parking may be built thereon with side arda hercinnftcr provided.) shall be made as follows: reduced Sift (GO) y 4-Tourist camps, when authorized (a) Dwellings - One (1) parking Y percent and may be as a special exception by the Board oP space for each Yamf)y unit. f:u•ther reduced when authorized as a Appeals as hereinafter provided, spCClal CRCepti0n by the Board oP 5-Marinas for the docking, mooring houb esIiotels, boarding and tourist, • Appeals as hereinafter provided. or accommodation of non-commercial One (1) parking space for SECTION 30G--"A" Rr^.AR yARD- boats when authorized as a special ex- each two (2) guest rooms. Tn Ghc "A" Residential and Agrlcul- ceptfon by the Board of A (c) Motels and Tourist Cottages - tural District, thero shall be a rear Pponls as One (1) pai•king apace for each guest yard having a minimum de th of herelnnftcr provided. room or dwelling unit, • twenty-five (26) feet, p G-Accessory uses of the same lot ~ SECTION 3G0-SIGNS-Tn the "M" • PROVIDED that, in case of a lot auth and customarily incidental to any Multiple Residence District the follow- hctd in sin le and se arato owrfersm permitted use and not lnvolving the Sng sIGn5 are permitted. g P P conduct of a separate business. i at the effective date of this Ordinance, 1-Signs permitted fn an "A" Resl- having a totN depth of less than one SECTION 351-ITEIGFTT - Tn the dentiN and Agricultural District. hundred (100> feet, a ain6le family Multiple • Resldene¢ Dlstrlct, no 2-On premises used Por hotel, motel, dwellinG stay be built thereon with a building herelnaYtcr erected or altered boarding and tourist house purposes, rear yard of less than twenty-five (25) shall exceed thirty-five (3G) feet or unless otherwise provided as n special Sect, when authorized as a apeclal ex- three (3) stories in height. exception by the Board of Appeals as cePtion by tho Board oY Appeals as SECTION 352-BUILDING AREA- herclnaftei• provided, one (U ndvertis- hm•emafter provided and PROVIDED Tn the "M" Multiple Residence District, Sng sign, either single or doublo faced, further that in no case shall the rear the total building area shall not exceed not exereding fifty (60) square feet sn yard be Icss than tittcen (15) feet, S1tty (50) percent of the lot Wren, Wren, the lower edge oY which shall be SECTION 309 - "A" ACCESSORY SECTION 353 - ST'LE OP LOT no0 Icss than four (4) feet above the IIUILDTNGS-Tn the "A" Residential AREA-Tn the "M" Multiple Resi- Ground, and tho upper edge oY which and Agricultural District, accessory dmme District, no liufiding shall bo shall not exceed more than thirty-flue buildings may occupy forty (40) Per- erected or altered on a lot having an (35) Yeet above the ground. Such sign cent of the required rear yard up to area of less than twelvo thousand flue shall advertise only the business Con- an nveraGe height of eighteen (iG) feet. hundred (12,600) square feet and a ,ducted on the premises, and shNl be set The yard area allowed by such ac- • frontage of less than ono hundred back not less than five (5) feet from cessory buildings shall be included Sn (100) feet. ail street and property lines. computing the percentage oY lot area SECTION 354 -FRONT YARD - to be built upon and PROVIDED In the "M" Multiple Residence District, ATLTICLI's TII ri further that no buflding of any kind the requh•ed front "lt1-i Muriiplo Itesidcncc Dlstrlct or nature shall bo built within three less than thirty (30)yPedt shall be not SECTION 370-In the "M-1" Multiple (3) Sect of any lot line. SECTION 355-Whero the Residence District, no building or ~ SECTION 310 - OPP-STREET fn the vicinity is partly built up pwdth Premises shall ~be used, and no bu11d- PARI{ING AREA-In °A" Resider- permanent buildings and an average Sng shall be hereafter erected or altered tiN and AgriculturN Districts, no setback line has been established, no unless otherwise provided in this Or- building shall ba hereafter erected or buflding herelnaPtcr erected or altered dfnance except Yor one (1) or more of nll,cred or added to In excess oY fifty shall protret beyond the lino of the the following uses: C50) percent of Its area prior to the averaC.e setback so established, 1-Alt permitted uses in "A" Resi- nrlop(+on of this Ordinance, unless not SECTION 356 - Zn the case of a dential and Agricultural Dtstrfets. less than one (1) •parlinG space for corner lot oP record at the time of the 2-Dwellings designed for and oc- ench family unit therein shall be pro- adoption of this Ordinance, a front cupled by not more than four (4) ' vided for. For all places of public as- yard shall be required. Whero nn aver- families. sembly including auditoriums, churches age setback line has been established 3-Boarding and tourfet houses. and slmi)iar public gathering places on each street, the yard depth shaIl 4-Accessory uses on the same lot erected there shall bo provided not be established on a line with said with and customarily 1ncldental to any less than one (1) parking space for average setback lines protected to a Permitted uses .and not involving a each seven (7) 'permanent seats !n point of intersection. If no average separate business. such buildings or for each part oP the setback lines have been established, the SECTION 371-A71 premises 1n the ' total area within such building or rer(ufrcri front yard shall not be less "IvT-1" MulCipte Residence District shNl structure as is or may be made avail- then thirty-five (35) feet Yrom each comply with the provisions of Article able for seven (7) permanent or street line unless decreased as a apeclal TTTA with respect to building height, temporary Bents. T31e formula for pro- exception by the Board of Appeals as buflding area, size of lot area, front vidh;G an adequate parking area fs hereinafter an area of three hundrec) thirty-four SECTION 357 (ded. Yard, side yards, rear yard, oH-street (334) square feet SIDE YARDS - Tn Parking area and signs. per required motor the "M" Multiple Residence District, vehicle unit. thorn shall be two (2) sido yards, ono ~ AItTIC1:E YV AZLTTCLE YTTA (1) on each side of the buildings, the "ri" Business District total aggregate of both side yards shall SECTION 400-In the "B" Business 'Bf" bIultiplc Residence .District be twenty-five (25) feet and no one District, no bufldin or SECTION 350-I11 the "M" Multiple (1) sido G Premises shall Residence District, no bulldln or rem- Yard shall be less than ten be used, and no buflding shall he here- G P (30) feet. after erected or rtltered unless other- ices shNl be used, and no building shall SECTION 35G-REAR YARD - Tn wise provided In this Ordinance, except be ;;erenfter erected or altered unless the "M" MuItiPle Residence Dlstrlct for one (1) or more of the following i otherwise provided in this ordinance there shall be a rear yard having a uses: except for one (1) or more of the Sol- minimum depth oP twenty-five (25) i-All permitted uses in the "A" lowing uses: 1-All permitted uses fn "A" Rest- feet, Residential and Agricultural, "M" drntiN and Agricultural and '4V1-1^ SECTION 350 - OPP-STREET Multiple Residence, "M-i" Multiple • Multiple Residence Districts, PARISTNC AREA - Tn the "M" Residence, "B-1" IIuslness and "B-2" ~ 2-fiotels and motels, ~ • Multiple Residence Dlstrlct, no build- Business Districts. 3-Tourist cottages. (More than ono Sng shall be hereafter erected or altered 2-Storage houses. ' (t) Tourist Cottage may be permitted or added to fn excess oY fifty (GO) 3-Ice manufacturers. ~ on a lot when authorized as a s eciN Percent of Its area prior to the adop- 4-Express Carting or hauling oH'ices P flea of this Ordinance, unless n mini- or atatfons. + 4 r /p o '3 765-1802 BUILDING DEPT. 1 NS~PECTION [ FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( ]FINAL REMARKS: ~ v DATE lJf 4 ~ INSPECTOR G L~ ~ 765-1802 BUILDING DEPT. INSPECT101~ [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ l FRAMING [ ]FINAL REMARKS: C~f~-~.a~~C,k?~ r" DATE ~ O ~ INSPECTOR ~ _'l lG~ 765-18®2 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ' + ROUGH PLBG. [ ] F UNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: DATE ~ 6 ~ INSPECTOR icL~ ii:$: c. +2 TIJni., II :;GMMENT~ ~ ~ Iq3 m~ a c0Ut7DATI0t1 ~I H~ (1st) ~~11 ya? c .'OUt1DATI0tJ (2nd) m~ 2 . ..l.~to z 0 'OUGH FRAME & PLUMBING 3 . ~ ~ I1ISULATION PER N. Y. STATE ENERGY CODE I a d g FI17AL o ADDITIOtlAL COMMEN ~ ~ x ;x~ ~ J~ r' \ • ~ ~V m Q~l a ~ y art • v Q m t b y W THE NEW YORK BOARD OF FIRE UNDERYYRITERS pAGe l 1.19511a BUREAU OF ELECTRICITY bb JOHN bTREET, NEW YORK, NEW YORK T008B Date MAY 15,199a .tpplicationNo.onjile 67617390/90 N 1a8Q93 - TNIS CERTIFIES THAT f only the electrkal puipwsent es described 6elotD and Introduced 6y thatppltoott narPSed on tM oboes RppGioation wumber trs the promlese of - INLAND tlOM$5, BAY$R AV$, MATTITUCK, N.Y. ~y GAR/ATTIC/OUT w in ehefo/lorrinR Location; tn,.~ @~r~R~nt ~ Lxt Fl. L'J Ynd Fl. Srrtiun Bock + Lot APRIL l~s, 19YV and ound to 6e in com konce with tke uircmentx u tkFs Bwrd. reex examined un P • ml NRNRE TAgES SWITCMK TUBES EANOES COOKNIE DECKS VBif W E%NAUST FANS triRtETS INUNDESCENT FIUdEt[FNT GTNER NAT. K. W. AMT. K. W. AMT. R.W. AMT. R. CA AMT. M. P. 16 39 a3 16 DRYERS wRNAC! 1NOT1M5 wTrM! A?NIAtICE 1xoERS SKCIAIRErn TrRtE CIOCKS ~ IAIIT 1NATtNf DlkttAlRf AMT. K. W. Oll R t. GAt N. P. AMT. NO. A W. G. AMT. AMP. AMT.. AMPA TRANS. AMT. M. P. itD. ~ ~T AMT. WATIt - 3' r 1 a 14 a Ra ~ ~ SERVIC4 DISCONNICT ttb. os S E R pp~~ V 1 C E _ - AMT. AMP. 1YPE 1 X tW 1 X ]W ] X 3W ] X teI NG. RR MGON6 OP CC LdJD. No. a N41RG ~ NO. or NeunAls ~ •l - 1. l0a CB 1 X 1 2 1 2 OTtwR AMAIIATUS: G.F.C.I:-4 SMOR$ DST$CTOR:-.1 `E ~G Y ~ SAG$ & LAD$MANN INC. LIC.S3635$ p'l P.a.BaX 1768 SOUTSOLD, NY, 119?1 tE~NRAI RRAIIAOEE 31~,; Prt• - This nrtificate must rat ba akxed in any manrnr; return to tM office of Ihe. Board if inwrrsp. InspscMrs ~i rdRt~ifltd by_ tiMlr _+cwd?Mwlt COPY FOR BUIi,DBIf: DE ARTIAEKT. TIRS COP1f OF CERTI GTE MUST NOT BE Ate IN tLllMER ~ , TEL. 765-1802 ~pS~FF~~~pG TOWN OF SOUTHOLD y~c OFFICE OF BUILDING INSPECTOR c m P.O. BOX 728 TOWN HALL `'O,y~o~ ~ ~~0~ SOUTHOLD, N.Y. 11971 '~7 C E R T I F I C A T I O N Date March 19, 1996 Building Permit No.7~~~rc~7 Owner INLAND HOMES, INC. 565 Bayer Road (please print) Mattituck, N. Y. Plumber Gale Kaske (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. ( lumber's signature) r Gale Kaske Sworn to before me this day of 19 90. ~ ~ Notary Public Notar Public County ~ RoS€ F7. DoNN€t.tv y ~ Notary Public, State of New York No. 82-4624196 Suffolk C9U99f}~ 7srtn Exp~re~ 3 0 ' ~p •-°•---....a BOARD OF HFALT~,I#„ lsJ ~ ~ 3 SETS OF PL.A~1S •j FORM NO. 1 SURVEY ,J. . ~ ~ ~ TOWN OF SOUTHOLD CHECK • • J,y • • / BUILDING DEPARTMENT SEPTIC FORM j TOWN HALL NOTIFY BLDG. ~tpr SOUTHOLD, N.Y. 11971 •tOWNOFSOUrNpt,O~ ~ ~ ~ TEL.: 765.1802 CALL • • • - • • - - • • - - - • - ....a._......._. Qp MAIL T0: \t,proved . ~ tO .G(...., 19/.~'.~Permit No.. /r Disapproved a/c , ' ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT i"' Date ..~ugRSt 19$9. INSTRUCTIONS ' a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 is of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slto~ving location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- rtion. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit gall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy call have been granted by the Building hnspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the uildittg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Ite applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to trait authorized inspectors on premises and in building for necessary inspections. ......~LAN•D HOMES, . ~`?G. . (Signature of applicant, or name, if a corporation) ..$P~ .I.~7.e. M$tta,truq}t,~..~r. X..a-~.9~~....... (Mailing address of applicant) fate whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...............General, Contractor ame of owner of premises ...~~.D •HOl`1ES; • ]?ETC i • • • • (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. >tabert..E.. FLiltz.,..~xes........... ~ (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . „ Plwnber'sLicenseNo. ....2/t51P Electrician's License No...3635k'i . Other Trade's License No . s ~s-• Location of land on wlticlt proposed work will be done. .:`3~3 ~dy.Pi~'. Road.,, ,N)~~t~,t~ttCk.~..TT.. X, . sG,s- .......~.1.. ~ayex . ~tl...ixatt i.tuck > . ~...X.... . }-louse Number n Street Hamlet ~'ir County Tax Map No. 1000 Section , 1.39........... Block 3 Lot ....1!+,~, , , , , , , , , , , , Subdivisiat Mattituck .Heights Filed Map No. 1~2 Lot 7j.6 . , . (Name) State existing use and occupancy of premises and intended use~and occupancy of proposed construction: a. Existing use and occupancy ~h~-.r/.~...r~2~~'~ . b. Intended use and occupancy 1..Eami].g. Dwelling . .3. J: lure of work,fxheCk.which applicable): New Building .,g..•.... • Addition . Alte•ea: R~••,~air , LRemoval ~ Demolition Oilier lYork`. , 4. Estimated C st ..~~.Q.ll`.~-~ Fee ~~~..7~.~~•~.:~... (~i.~` (to be paid on Glirtg this applicauon) • 5. It dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars C. If business, commercial or'mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front Rear , • Depth . Ileight . . : Number of Stories • • . Dimensions'of same structjare wit}t alterations or additions: Front Rear . Depth IIeiglrt ...........Number of Stories . 3. Dimensions of entire new construction: Front a ~ Rear . . a. 6 Depth ~ .4.... . Ileight 1.~~ y' Number of Stories . ~ . I. Sizc of lot: Front .....5. ;4, • Rear • Depth 1 J . Q . 10. Date of Yurcltase ....Name of Former Owner . I I. Zone or use district in which premises are situated . . 12. Does proposed constructio,trviolate any zoning law, ordinance or regulation : . _ 13. Will lot be regraded .......................Will excess fill be removed from premises: Yes 1 Name of Owtter of pretnisos ....................Address • ......Phone No............ . Name of Architect . .......Address ...................Phone No.... Nance of Contractor ...........Address ......Phone No............ . I5. Is this property loci;ted within 300 feet of a tidal wel-land2 *Yes No * t ma be required. ~ • if yes, Southold T" ow~Trustees Permi PL~ ll1AG1U1M Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions ft property lines. Give street and lilock number or description according to deed, and show street names and indicate whet interior or corner lot. _ ~ , ~ ~ , gyp, ~o 1b_ N•{~ ' !o 1..'~ i _ _ ~ _ S"fA"I'L' OF NGW YOIZIC, ~ COUN'PY OP . SUk'FSI~K....... S.S • , , , , • , , , , Ro:gex't..E.. Flzl.t2 . being duly sworn, deposes and says that he is the applic (Name of individual signing contract) above named. ~ .1. I Ie is the CPT1.fix'&C~A.x . . I ~ (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 application; that all statementsl~contained in this application are true to the best of ]cis knowledge and belief; and that work will be performed in the ttianner set forth in the applicatiatt.Gled therewith. • i , , , , Sworn to before me this ' .clay,oyf... Notary Public, ...../~~:~~.T,I,•,.~~:~~.-~..... County / y pp Robert E. Hi1tz `T-~'(~(Signat a of applic (t@TARY q~p,~~e ap New Yak Alo. # u eIM County~~ ierin F.epiree tvh yQ, ls.-•I•f- GRANT BLVD. ( CONKLIN RD.) i ~ ° LOT 37 ° 0 0 0 LOT I6 O LOT 57 OF /NN 2311R OnR EOVE! S. 58 ° 551 301 E 150 001 W000 FENCE OYW 2T•N CN x1.292 ~ C.N, el 23.1 O.!'N. FI. 26.0 - I 2ntl Oly 0.2~W. °o O.H. o _ oan .Pman 33.P. W WELL o~ 3 a 66'_ W c _ LP _ 5e• ~ 2 STORY FRAME m I p ~ ~ N LJ zee sy. d IQ .O 6'6• ryOUSE d 6AFAOE ~ OI O. H. i M ~ ~ ~ LOT 50 s of O p } V n so A ON LOT 17 ° 66 16.0' 2 33.L' Q ~ 60. ~ O-RES M 1° LF LO F 36 o vi m Z VES ~ e1.2T.T 0.6' - M230_ CN Q _ - ~ ~ _ 4-~ 112A3 _ .16'5 • • V - 1.9'S. A ~ •Af PHALT `PAVE RENT - FR. OMR N. 58°55 ~301IW - ~ 150001 LOT 59 LOT 18 LOT 35 H. S. REF NO. 89 - SO - 19 SIIFFOU( COUNTY DEPARTMENT OF HEALTH SFRYICF3 SINGLE GAMILY DWELLING ONLY UN G 1 1990 pq6( _ H.S. REF. N0. The sewage dispaaal and water suDPty focddles far This location have been Inspected by this DeparMlent and/or Other ag~,nt es~nd foupd to tis ry. Chlel Bureau of Wastewate Marregement SURVEY OF LOT 36 • °~tahf~jJQE6J MAP OF MATTITUCK HEIGHTSII p ~.EW`~FILED JULY 24, 1935 ~{T'1+1'~+'i]!1,~/'.h~f"F~T![.^"J AREA = 7,500 sq.Ft AT MATTITUCK - TOWN OF SOUTHOLD rL~ - SUFFOLK COUNTY , N.Y. - 1000 - 139 - 03 - 14 CERTIFIED TO : SCALE III = 2 0 I INLAND HOMES TICOR TITLE COMPANY MARCH 9 , 19 8 9 TITLE NO. 1ZBO - f9QE March 5, 1990 ~ final ) 40 LAND SL z~ A. rN~~9y FC ~ I o CI A i i ~ III'-~; I ~ N.Y. S. LIC. NO. 49666 P CONI ~~il y. RS , P.C. (516) 765 - 5020 P.O.BOX 909 MAIN ROAD ELEVATIONS ARE REFERENCED SOUTHOLD , N. Y. 11971 TO ASSUMED DATUM LO CA710N TO FOUNDA iION D.R - 89 - 169