HomeMy WebLinkAbout18387-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18288 Date AUGUST 15, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 440 COX NECK RD. MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 113 Block 14 Lot 009
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 10, 1989 pursuant to which
Building Permit No. 18387-Z dated AUGUST 15, 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 DHCK ADDITION AROUND INGROUND SWL!4IING POOL ~ ATTACHED
TO EXISTING ONE FAMILY DWELLING AS APPLIHD FOR.
The certificate is issued to RANDALL 6 CAROL FEINBERG
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
1' ~ YC-. W
c~
Building spector
Rev. 1/81
• s~osa~ xo. s
TOWN OP 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°- 1 II 3 8 7 Z Date .........,~.V.:...../..S"........, ,9.g.~
Permission is hereby granted to:
..........~qY.........~ ~.4~...~L
~.....t~::~~:... ~:.y..:....~ ?.9.
p (1 ,
.
Qrs.'!:..aft'0....~r.:U aa..... d........ ...ate
~ ~ dd
at premises located at ..........:R. ......l;J~.....................
...y..~..2.~:......... ~
~-A-~
County Tax Map No. 1000 5ectio .......J.I..~......... Block Lot Na.. 09
pursuant to application dated ..~~•...•1• 19~~.., and approved by the
Building Inspector. \
Fee $.~.~~.'`.~:.a.....
. rS.~°.: ~
•
: .
. . .
Building Inspector
Rev. 6/30/BO i
7as ~ 3 G gCo
TOWN OF SOUTDOLD
BUILDING DEPARTMENT
TOWN DALL
a
SOUTUOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE.. ~S.Z'~~q
NEW CONSTRUCTION .......OLD OR PRE-ERISTING BUILDING......VACANT LAND........
Location of Property....
UOUSE NO. STREET /UAMLET
Ovner or Owners of Property.. C~'`!?O. ~~~i?v~Fi2~'~. - • - • • • • • • •
Coun[y Taa Map No. 1000 Section . ! ~ Block Lot .~0~
Subdivision Filed Map ........Lot........K.,.~( ~j[~
Permit No. .~~.~`5~.~..Date of Permit .~~i5'`~`~...Applicant ..~~$S=':="`':.:•:.~:~
Bealth Dept. Approval Underwriters Approval..............
Planning Board Approval
Request for Temporary Certificate Final Certificate
Fee Submitted: $
' APPLICANT
cod ~sas
.rev. 10/14/88
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IIJSULATIOf1 PER N, Y, ~ • •
STATE Ef7ERGY
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ADDITIOf1AL COMMENTS:
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BOARD OF HEALTH
3 SETS OF PLANS
FORM N0.1 SIJRV EY
TOWN OF50UTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FOttM
' TOWN HALL
EOUTHOLD• N.Y. 11rJ71 NOTIFY n
TEL: 765.1802 CALL . • ~°f 3~$~? :..n.I. .
Examined rMp'~. ~.5. 19~q~. vo MAIL T0: Qk,r~)r )$9 ~0v
,~pproved~'y'rq~. I ~ 19.1 Permit No. ~ .4.~.~.~ ~ tt rtl t~~
DisaPProved a/c Q ~ ~
~m!J
~i! ~
~ Il
tj
~ AUG 1 0{988
~c~( k-~'... BLDG. DEPT.
(Building Inspector) TOWN OF SOUTHOLD ~
APPLICATION FOR BUILDING PERMIT D
Date Z d 15
INSTRUCTIONS
a. Tlus 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 he 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, New York, and other applicable Laws, Ordinances or
Regulations, for the constrvction 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 insp tions.
(Signatt~ PP icant> or name, if a corporation).. .
c(o •DAJtO ~ . VIA-{Zk„t~ Box 189 ~f o~(ac• ~i2
, (Mailing address of applicant)Sf~ AQ6~
71gb3
State whether applicant is owner, lessee, agent, architec engineer, general contractor, electrician, plumber or builder.
J .
Name of owner of premises' ~AaP.Y. • • . • • • A • • ~~,(~B~•~r
(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 Lirense No . . .
Electrician's L.iccnse No . . .
Outer Trade's License No . .
1. Location of (and on which proposed work will be done. .
Cox TIECk-....~~.D•....... .......l~faT-(tTJGIL--
house Number Strcet. Hamlet
County Tax hlap No. 1000 Section ~ ~ 3 • Block • , , • • • . Lo[ , .
Subdivision .~..r4rf~~ Filed l.lap No . Lot .
•(Name)
State existing use and occupancy of premises and intended use and occtupancy of proposed construction:
a. Existing use and occupancy , I •iQM I l`~• • • • ,'Q~;11~,!„iL(N/~~ • • • • • . • • . • • • • • • . • •
b. Intended use and occupancy • • • • • • SR.M~ • • ° • WIr~ • • • • •/~11,A4 .
3. Nature of work (check which applicable): New Uuilding Addition Alteration f~c,~
Repair Removal Demolition Othe~}~"~•~~
(Description)
4. Estimated Cost.. ~ 2 ~~?~C7 Fee.....................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ~y...... Number of dwelling units on each floor .
If garage. number of cars .
6. If business, commercial or mixed occupancy, specify nature and extent of each jy~el of use .
7. Dimensions of existing structurfs, if any: Front , , Rear Depth 2~', , , , , , , , .
Height Number of Stories , .
Dimensions of same structure with alterations or additions: Front ~!'l, , Rear .
Depth ~ FIcight Number of Stories .
Dimensft~s~df~ent`ice new constjruction: Front Rear Depth , .
Height ...............NumbcrofStorics............
4. Size of lot: Front ..:......4.~~.......... Rear l.`t~.'......... Depth .
10. Date of Purchase } . . Name of P rmer Owner .
11. Zone or use district in which premises are situated ?R~'r? ~4 . . .
~ 'late any zoning law, ordinance or regulation : .
1... oes pro ose construction vio
l3. Nill lot be regraded , . . . . \Vill excess fill be removed from premises: ,Yes No
14: Name of Owner of premises ........Address . Phone No.
Name of Architect ~'ui 11.. ; W: ~.4dE. Address /3.~. <~~"~~4~'~rKJ~'. Phone No..J 2yy'"~~~-- ~I ~QQ~~. .
_ Name of Contractor 1 D . . /hAR~(o4F. Address ./.d 9 , n1Q~nc. $Q•... Phone No.~2J::3~ rl.~a. • . .
15.Is this property located with in~00 feet of a tidal wetland? *YES....NO....
*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 lines. Give street and blockjnumber or description according to deed, and show street names and indicate whither
interior or corner lot.
A
r
i
F ~
STATE OF ~ .,1V ~ R1`, S.S
COUNTY O .
w being duly sworn, deposes and says that he is the applicant
(Aam o~ndividual s~ ning contract)
about named.
(Icisthe
'i'
(Contractor, gcrtt orporatc officer, ctcJ
~C said owner or owners, and is duty authorized to perform or have performed the said work and to make and Gle this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
vork will be performed in the manner, set forth in the application (Ilcd therewith.
worn to before me this
..........rG i~ ......day of l , ....~i..``°.: 19 .4 ?
votary Public, J-~~•~~• • County / • . • .
C/~ . . ..tI~.IIJI.`. ~..p .
(Signature of applicant)
~ DATUM APPROXIMATE
LOT AREA=46,6605q.tt
NEAREST WATER MAIN
IN EXCESS OF 1,000FEET
NOW OR FORMERLY ~ TAX MAP
ROBERT and DIANE AOAMSON DIST. 1000 SECT. 113
DWELLING (WELL) BLOCK 14 SOT 9
~
sat S 21°25~IOIIE. 190.01 stk.
Stk
(40.0) IS' EASEMENT TO A4RK AREA -W (741
N ~
Qt N
'D -+1 E,clh?~, f d'
N ~ Gi?~y~" 10 N
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~~INIn ~OOL
4~ ! ii ~~W 9~~~ CESSPOOL
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ills, _ _ ~ O
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62.0 la o 11 U9 r~ 9Q
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WELL . ~ ~A
Z ~ 303.51
(39 7) (400) ~
~ s¢t N. 22°13~30~IW. 190.00 stk.
c4o1) COX NECK ROAD (39.7) '
~LIL 45
(VACANT) NOTE SEPTIC TANK, CESSPOOL AND b"/ELL
I LOCATIONS BY OTHERS
DEC 15,1982 FINAL SURVEY
RESURVEY 3-20-1984
SUFFOLK COUNTY DEPT. OF THE WATER SUPPLY & SEWAGE NAME
HEALTH SERVICES FOR DISPOSAL FOR THIS RESIDENCE
APPROVAL OF.CONST. ONLY WILL CONFORM TO THE STAND- ADDRESS
DATE ARDS OF THE SUFFOLK COUNTY
i
H.S. REF. N0. DEPT. OF HEALTH SERVICES. I'
APPROVED BY TELEPHONE
JOB N0. 81-94 FILE N0. HERITAGE HARBOR
' SURVEYED FOR RANDALL J. G CAROL FEIN BERG I
' LOT N0.9 j
MAP OF HERITAGE HARBOR
SITUATED"' AT MATTIT'JCK
TOWN OF SOUTHOLO -SUFFOLK COUNTY, N.Y. ,
SCALE 1" = 50' DATE 4 - 13 - 1981
'GUARANTEED ONLY TO FILED MAP N0. 6853 DATE SEPT. 18,1979
BOOK N0. L L PAGE
HAROLD F. TRANCHON 1R. P.C.
LAND SURVEYOR
SUCESSOR TO WILLIAM G. METER
/ _ 1 NORTH COUNTRY ROAD - WADING RIVER
1^_~~.'""^(/ - 7`'T~' ~ NEW YORK 11792
F. TRANCHON 1R. N.Y. LTC. NO. 048992 (516) 929-4695
PENN. LTC. N0. 21115_E j