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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 218999 Date APRIL 30, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1250 PECONIC LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section ?5 Block 001 Lot 12 Subdivision Filed Map Na. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JiJNE 22, 1989 pursuant to which Building Permit No. 184092 dated AUGUST 14, 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 ONE FAMILY DWELLING. The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-18 APRIL 3, 1990 UNDERWRITERS CERTIFICATE N0. N119531 MARCH 20, 1990 PLUMBERS CERTIFICATION DATED HARDY/ PLUMBING & HEATING APRIL 27, 1990 1 ~ c// a-i. 6L.1 Building Inspector Rev. 1/81 Form No. 6 D D TOWN OE SOUTHOLD n ~ BUILDING DEPARTMENT V TOWN HALL 765-1802 BLDG. DEPT. TOWN OF SOU7HOL0 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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-4 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~ 34?.:..~.~ New Construction..... . Old Or Pre-exipsting Building.I Location of Property.........~42:~.'~.......{~~~1~..1~:`~.~........~V,~`:~.4?'.~..... House No. ~Q~,,~ O Street - ^ Hamlet Onwer or Owners of Property... t 0`~~ ~~S~..C: ^t:f~~ :~~~s.f -}'k~: r:.~...... County Tax Map No 1000, Section..d.~.Y.U....Block..../.~........Lot...~ .J......~~...... Subdivision ....................................Filed Map............Lot...................... n c~...s..~ l . Permit No.....~~4v(.`~:.Dpatge Of Permit:~1~~.~.a..~.....Applicant. ~.i. Health Dept. Approval....to.J.:.~~.:.~.~.....Underwriters Approval.....~..vU.Q..~..~J.$... . Planning Board Approval Request for: Temporary Certificate........... Final Certicate..4~..... Fee Submitted: ' LIC ~ ~T . i THE NEW YORK BOARD OF FIRE UNDERWRITERS PASx 1 1aao9ss BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEyyVV YORK 0038 MARCH 20,1990 651093$9]89 N 19.9539. ca Date Applkotion No. on file THIS CERTIFIES THAT only the s/setrwd equipment v deaeriked below and introduced hY the opplicont named on the above oppUcation. nuwtlr tu. the pvKnisse of 9'FIO aEAR3 BIIZLDERS, erg; E/S PECON]:C LANE 238', PECONIC, N.Y. Ci _ in the following IceaLyp~H l~Baeq~nt ~ /st Ff. ~ Ynd Fl. OllT sertian 15 Black09 Lot 12 was exomined on tllnlRt +a 11,Y and found to 6e in rnmpliance with the requirementx of tku Board. RXTtNIF ACllS RXTURES RAtVOES ctIOKINO RRCRS OVREIS OMIT lIIWAUST FANS OUIIETS NDESCEM FlUGI1ESCENT OTHER AMT. K. W. AMT. K. W. AMi. K.W. AMT. K. W. AMT. N. P. 1.7 2A ld 17 DRYHtS FURNACE MOTORS FUTW! At7l1ANCE IMRlRS SrEOAt RECIT i1ME t7.OCK5 REIl IXaTNGT@S AItIt71+0ugRT DIMARlRS Q AMT. K. W. Oll N. P. GAS N. P. AMT. NO. A. W. G. AMT. AAV. AMT. AMPS TRANS. AMT. N. F. ~~~~T NAT. WATTS 3 r - 1 3a 1 SRRVICR DIECONNLCT Nt1, OF S E R V 1 G. E AMT. AMr. me pjgF. T.?2w T/awt~aw ~/Aw NO. of CC COND. A. w. o. ra.a NLLEG e. w. c.-_ w.aPE:uiKA~s - A. w.r~ ~ PEK e a cc. caNO. N4u+a a NwT\Al - 9. .100 CB 1 B 1. 4 1 4 OTHER AMARATUS: HOTORS:1-0.75 H.P. ri.F.C.i:-3 SNOEE 3)15TECTOR:-2 - WZLLIAN T.STOCR L1C./889 E 1350-5 LINCOLN AVENUF: HULBROOB„ NY, 19.7A7 filEllERAk ~ 11 Psr Thit taAificoh mutt rat be ollered in manmr; return ro tM office of the Fbard if incortact. InspeNOrs moy ba idanlifiad b! Mrirtredantiob. - COPY FOR B NC PARTfAENT. THIS COP1f OF CERTIFIGTE At1ST NOT BE ALfl~Lb M A!{tf MAN1+~R. ,,p• T,L•L.7G:-1802 tel: rC~J; ~ 'FO,~IN OT S(3kJ.~~: ,'.C _ . "5: : . OFFICE 03~ Si~UII;D~~.,: I~ISPEC-T:OR o ;T P.C4. t30'.';~2$ ~0~ SOIJTHU:.D, Y;1'. 1:197'1 /.O zi C E R T I F I C 8 T L O:N. Date APRIL 27, 1990 Building Permit Np.184092 Owner TWO BEARS (please print) Plurab2r HARDY PLUMBING & HEATING NORTH, INC. (please print) I certify that the solder used in the water supply system contains less than 2!10 of 18 lead. " (plumber's sign ure) Sworn to before me this ~_~day of 19~ ~ l7otary Pu lie Nota:° Pvh=ic L~ County flOQR Wt~i 644805201 1ELD I::SP°CTiU:J ~~UATfi . COMMENT ~ -o qj 1. - m~: a O N~(~ _ y~ FOUIDATION (1st) ~J n _ ~Z FOUNDATION (2nd) - 2. z o~ P,OUGH FRAME & ~ PLUMBING < vi H 3. ~ m _ m INSULATION PER N. Y. _ _ _ ~D STATE ENERGY it ~ , ~ ~ CODE x h C' R] 4 . ~ - FZ:JAL ADDITIOP)AL COMMENTS: p ~ _ .mob .p H~ ' O ~V J ' BOARD OF HEALTH 3 SETS OF PLANS FORM N0.1 SURVEY TOWN OF SOUTHOLD Cl1ECK . BUILDING DEPARTMENT SEPTIC r•oltrl ' TOWN HALL , EOUTHOLD,N.Y.11971 NOTIFY TEL.: 765.1802 CALL James. Cr. f1~CldhAp.... . Exatnined . ,/.y.., 197. / MAIL T0: ' p~ / p7 Town Hall, Main Road \pproved „ 19Q.~Permit No.l~.~~?` Southold, New York 11971 DisaPProveda e ~ r ~V ; (Building Inspector) F.LDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT Date ,May, 8, , 1989 ly INSTRUCTIONS a. Tliis 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 Buildin; Inspector will issued a Building Pctmit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No buildin, 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 biADE to the Building Department Cor the issuance of a Building Permit pursuant to the Building 'Lone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Rc:ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. rl~e applicant acrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authonzcd inspectors on premises and in building for necessary inspections- Town of Southold - Community Develop. . (Signa[rtre of applicant, or name, if a corporatton) Town Hall, Southold, NY 11971 (Mailing address of applicant) State wfietl~er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER RameaCownerofpremises ,TOWN OF SOUTHOLD (as on the tax roll or latest deed) it appiican[ is a corporation, signature of duly authorized officer. James C• McMahon, Administrator, C.D• (Name and title of corporate officer) Builder's Liccnsc No . Plumber's Liccnsc No. ..~s~ . Electrician's Liccnsc No. ~ Other Trade's Liccnsc No . 1. Location oCland on wldch nrn-+nmd work will be done. r~tvQ.Jp~(,f.C, , , ~{~1~~ . House Numoc, Street Hamlet County Tax ~11ap No. 1000 Section ~s . Blpck , , , , , , , Lot . , , Subdivision Filed tap No. - Lot . . ..((dame) State existing use and occupancy of prerises and intended use and occupancy of proposed construction: a. Existinguscandoccupancy VACANT l:,Jntcndeduseandoecupancy Single-Family Residence ~ai.cf~f~ - I~aDIDr~,^FG . , 3. Nature of work (check which applicable): New [3uilding X.', v Addition ~ tcration . Repair Removal , Demolition Other 1Vork . 7~) / (Description 4. EstimatcdCost.... Fee . W,aiyed• - Town Project (to be paid on filing this application) 5. IC dwelling, number of dwelling units ..........1 , , , • Number of dwelling units on each floor N./ A , • , If gars^c, number of cars .NlA . ' • ' ' ' 6. iC business, eonunercial or mixed occupancy, specify nature and extent of each type of use . N./.A , , , , , • Dimensions of existing structures, if any: Front N./.A • Rcar . N(A.......... Depth . A1~A. , , , , , , • Hci~ht ..N/A..........Number ofStorics.,N7A Dimensions oC same structure with alterations or additions: Front . NSA . .Rear .NIP......... . epth ..NlA flcight Number of Stories N/A, , • • • . ' 8. Dimensions of entire nett' construction: Front ~ ' Rear .aa~......... Depth .dZ!!; Height . ~ • vZ 1,~.. Number of Stories . 9. Size of lot: Front ~~1~.~.~ Rear ~6~i ............Depth . . ate o urchase .............................Name C Former Owner 1 1. Zone or use district in which premises are situated -?/J.FiI!~~. if/v/?ltGlG>,2(~?9,~ 2 oes proposed construction violate any zoning law, ordinance or regulation: ,N 0, , , 13. 1Vill lot be regraded \Vill excess fill be removed from premises: Yes T 14. Name of Owner ofprcmisesT.own. .n f,,$q~thold.AddressMain;Rd_ SoutholdPltoncNo.7b5-1892,•• Name of Architect ..NSA.. Address N.i9 P} q~y~~ NC?.. Name of Contractor.TWP..Rears,Bui•l,ders,. IrArddress P,0,,Qgx, 2117, Amagpl~dhdNo.329-,Qg3P.... 15.Is [his property located vithin300 feet of a tidal wetland? *YES....NOJI... *If yes, Southold Tovn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or comer lot. SEE ATTACHED SURVEY Q ST,1TE OF NE1V YORK, S.S COUNTY OF . • J ame s C • McMahon , , , , , , . , , • being duly sworn, deposes and says that 1[e is the applican (Name of individual signing contract) above named. l{cistlte„Community Development Administrator (Contractor, agent, corporate officer, ctr..) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and Gle thi: application; that all statements contained in this application arc true to the best of his knowledge and bclieC; and that tht work will be performed in the manner set forth in the application f•Icd therewith. Sworn to before me this ' ..............'?1........day of............... . 19~~ / Notary Public, ,,,,Suffolk.•°~p,~p,?~/J.[.L/1-~• County FtPE'+u Gf YOE , , , , , NOTAF ° , ~ •a Ywk • . .``y °~l (Si;na[ure of applicant) Tei~~.. C'4RROLL PLEASE NOTE A VE/yUlr Requires septic tank SU ~ to grade. $ IOM'ELL,N6J I PROPER T Y Q ~ ALIT x • x~r ,,,M, ~v A T PEC©N/C ~ T4WN OF SOUTHOLD F~ °7' e SUFFOLK COUNTY, N. Y. O v~ sue, ~ 1D00 - 75 - 01 - 12 Mi _ ~Mi ~ n .,a,,, W ~ Ssp f 20, 19®8 Q.,,.^ ~ ,t_Bricr r,- _ w K R,,, ~ T i>w ~ a ~M.y AREA : ?I,7II •q.ft `2. ~ ~IIOUI LOAM r ~ReP g MObI KTY LOAM f. ~.i S C ~D O b ~C I ;0~ 0 i ~ ~ MOUI CORM[ ~S t/11~ OITM IOK 3 ~ ~:o ~',f ~ ~ ~vn i ~ ~ DOV: a ~ 32 ~ • ~ OA p ? COAME ` O QX s~ A~ X13 ~~~p ~ F de~rlre m R r OITN 10%MA11R ~ ~ 2 _ ~ ~ "'8 PLEASE NOTE rv.. ~ . de t 5 ~ Itr' Id' 00"' W t` ~{O +l tb M.o Div g6gTp =DEED wq-tL-~R ~~sr ACTUAL LOf It is the applicant's responsibility to maintain adequate sanitary distance I i ~ ~N A~~ between all tivater sup~piy and sewage 1 ~AieKVw LoT i disposal facilities. N/q~ lCfirlOL plllfL M0. t ~ CEgfM00LS APPEAI~TO BE OVER iso~ ~CHOOLI WELL LOCATION ytatKOwry ~ ~ ~ SAND vv¢i r ~Qy'~ L 1 1~ Ib~SP.w~~ ~IfFOIK fA~7Y OEI~ARTI~E~fT OF /1EAl7N SiRVICES ~5~ ~a A. 9 FOR A!lIIDVAI OF CONiTNJC710N OILY V ~O 7>ro N/M? ~y/y s1V a ~ trtfMt /or !w]i~ ?ssAiN+ISb sps/1rm pl,7e~~H6 TIFF. ~ ~ O a ,a~a~e•!~ `may ~ to Mo Nrgdsrlt o/ I~~Ak oeulr * N.Y.S L~ NO 4 .LA L~~/ ~~ro ~ Dspwhrsnl o/ MselM dew. arrvy~s VEYORS, P.C~AR aMll? rosy ~ dNls 3020 l~N~I AooeahMAA.TN AIIir YnM •I Tln loco/ roes eaI euapoelr oAorA bo?ooA A?o hem /h/I. SOtlTHOLO~ N. Y. !1971 S+~ 'iti~T. ')F eipod . I a boor dole ol/oAro1 hoA~ oNors. AO k[,.,_ Y u. .nom^.~ _ _ _ _ 88 - 57? CA RROL L AVENUE SURVEY OF z o ~ PROPER T Y Q g wolf ALIT s ~r A~w A T PECON/C ~ " TOWN OF SOUTHOLD .=a ~ o nr ar• oo~ E SUFFOLK COUNTY, N. Y. V ~ W ?ao.oe 1000 - 75 - O 1 - 12 ~ • I O.t'[ Z ~ 8 ~ W $ Sept. 20, 1988 ~ ^ ~ ~ i~ o ~ Sept. 8, 1989 (fours. loc.J ` aP I~Ya9~ ~ w _ _ AREA = 28,788 •q. fL sar - - - --sea I _ i.. - ea.o• q q CERI~ TO. 4 ~'oua.now ~ ~ O A/OIPC~~ ~ iTED 2 3 i~ - - - - _ _ filer` ~ ~ O • I ~.0 ~C o o ~ " i p I FE ~1 I O.1£ 2 xo ot. ws s a1• oa• ooN w ss~.e ara ?62?0'--DEED 2j?.31' ACTUAL e+~cT ~~Iwn ro* 1 NO DRAINAGE IN AA OA PARKING t_OT 1 waF scHOa DI3T. lvo. a (SCHOOL) ~yk~ NOS A. /,y~ G9L ~ ~ i o 0 + z • / N ~ ~ .S. L/C. NO. 49668 /a oeaordweo w/fA /Ao a~idww /or 1Mfe awroys as eshbBaNd a9s RS, P. C. 1 IM L.LA.L.S. oMI~ rorol oed s/o/fod /3 Nr +raw we Iy TM Ahl? YorR 3IsN Lwd P' TqN Auoda//oe. MA/N SOUTNOLD, N. Y. 1197/ 88 - 572 A -ptr '~~ttH ©`~~t pT.,h A .19®1 8.0. H. Na 89 -SO-18 ~ CA RROL L AVENUE a~~ ~ to SURVEY OF o I PROPER T Y v ~ Iwo ALeod~r ,u ~ ~Y A T PECONIC " TOWN OF SOUTHOL D o c ~ N a7• ?9' oo" E ~ SUFFOLK COUNTY, N. Y. 1000 - 75 - 01 - 12 g 1e1,, W ~ Sap t. 20, 1988 ~ ~ ~ ' ~ Sept. 8, 1989 (fours. loc.) ~j ~ ~ ~sb. 16, 18x0 (fall I i aa.e 4 ~`l _ _ - _ _ _ AREA = ?8,788 iq. ft. ~ i -I „ ; ~ ~ ~ G'ER TO , r` 44- d z sTaarr AeBTRACT /MfrQ~RpQRATED j NO1/°F ~ ~ I ~TiYOL~ VMOS BANMC T ~l Y'• 2~ VINCENT DOLL/VER ~ \J ~ - - - - _ _ peer` srja ~ SLJZAIINIE XXL/VER O ?u h ~ ,~ti ~ SUFFOLK COUNTY DEPARTMENT Of HEALTH SERVICES ~ _ , a vc ~SINGLE:Fi1MILY DWELLING ONLY aat DATEAP. R ,`~,I~gG,S. REf. N0..~~ 2 ~ ~ u. wa reo. W The sewage disposal and water supply facilities for this wa. ;'4J 8 OC"' f location have been inspected by this Department arNUor ee.e ~ yaysp =DEED other a~ 'e and foypd to,.bp~sat~sf tpr ror U. leads,,., ~L_ ?~?.91' ACTUAL "~'T 1eN°"a Chief Bureau of Wastewater Management 1 NO DRAINAGE IN PARKING LOT 1 W~ y~OOL D1BT. NQ 6 ` • (SCHOOL) ` L A O S~'9~ :"t~ oy~e cF~2 R< . ' z + • ~ b- - e Q•F- Y.S. L/C. NO. 49668 e M eeaorgeee r1gY the ~eMlerre~ ORS, P. C. Iar pNe axwre ee u/erNaied ( - O AM L.LA.L.S. eaNl erel ead edy/ed ~arAerr ea ~j~ TM Inter YeN sh/e L«rd P. O. 909 eMeNw. MA/W AD SOUTNOLD, N. Y. 11971 B8 - 572 A ~ c~~FFOIKCOG` VICTOR LESSARD Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR = z P.O. Box 1179 (slb) 76s-lsoz ~ ~ Southold, New York 11971 FAX (516) 765-1823 ~ ,y,~,~l ~ ~.~0 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD TO: JUDITH TERRY, TOWN CLERK FROM: GARY J. FISH, BUILDING INSPECTOR SUBJECT: CO Z-19436 FOR BP #18413-Z FOR AFFORDABLE HOME AT 365 RACHAEL ROAD, MATTITUCK, N.Y. DATE: OCTOBER 11, 1990 Please find attached a copy of the Certificate of Occupancy for the above building permit. The original CO was given to Two Bears today, 1O111J90. GJF:gar ~r . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No. 219532 Date NOV. 23, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 245 RACHELS ROAD MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 04 Lot 7.2 Subdivision Filed Map No. Lot No. 1 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8 1989 pursuant to which Building Permit No. 184152 dated AUGUST 28, 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 ONE FAMILY DWELLING WITH WOOD DECK AND STEPS. The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-30 NOV. 13, 1990 UNDERWRITERS CERTIFICATE NO. N148451 SEPT. 11, 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING NOV. 19, 1990 .~~.~L.~ Building Inspector Rev. 1/81 ' Y INSPECTORS ~~gpFFO(,~~, (516)765-1802 VICTORLESSARD,Principal hr0 OGy SCOT'fl»HARRIS,Supervisor CURTIS HORTON, Senior C ~ Southold Town Hall VINCENT R. WIECZOREK, Ordinance y Z P.O. Box 1179, 53095 MainRoad ROBERT FISHER, Assistant Fire ,y. ~ Southold, New York 11971 Building Inspectors Oy ® yC Fax (516) 765.1823 GARY FISH SHER 4J~~ ~ ~~o~ Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 26, 1990 TO: Judith Terry Town Clerk FROM: Victor G. Lessard Principal Inspector SUBJECT: Affordable Home 245 Rachels Road, Mattituck Copy of C.O.Z19532 for B.P. 184152 Please find attached the copy of the C.O. for the above building permit. VGL:hkd #a ~i _ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219620 Date DEC. 31, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 415 RACHELS ROAD MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 04 Lot 7.2 Subdivision Filed Map No. Lot No. 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 pursuant to which Building Permit No. 184142 dated AUG. 28, 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 ONE FAMILY DWELLING WITH WOOD DECK AND STEPS. The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-32 DEC. 26, 1990 UNDERWRITERS CERTIFICATE NO. N148514 SEPT. 12, 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING 11f19f90 ui ding Inspector Rev. 1f 81 INSPECTORS Principal Building Inspector ~o~OgUFFO(kCOO Curtis Horton = y~ SCOTT L. HARRIS, Supervisor Senior Building Inspectrn y Z Southold Town Hall Thomas Fisher .r P.O. Box 1179, 53095 Main Road Building Inspectrn ~ • ~ Gary Fish y~fj~~ ~ ~.aOt' SouFax (516) 765-1823 71 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspectar Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JANUARY 2, 1991 TO: JUDITH TERRY TOWN CLERK FROM: VICTOR G. LESSARD PRINCIPAL INSPECTOR SUBJECT: AFFORDABLE HOME--415 RACHELS ROAD, MATTITUCK COPY OF C.O. 219620 for B. P.18414Z Please find attached the copy of the C.O. for the above building permit. VGL:hkd ~ ~ li?lua~. r ~ FORM NO. 4 TOWN OF SOUTHOLD BL3ILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19193 Date JULY 9, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 65 PRIVATE ROAD #32 SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 9 Lot 10.6 MINOR SUB. Subdivision COMM DEV. AGENCY Filed Map No. 9162 Lot No. 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22 1989 pursuant to which Building Permit No. 18405-Z dated AUGUST 25 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 ONE FAMILY DWELLING WITH WOOD DECK & STEPS The certificate is issued to TOWN OF SOUTHOLD {owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-38 JUNE 8, 1990 UNDERWRITERS CERTIFICATE NO. N132808 JUNE 4 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING MAY 24 1990 ~~Buildin~pec Rev. 1/81 ' ~ Form No. 6 ~ • TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY i A. 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 a less than 2/10 of 17 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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 o£ 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction..... Old Or Pre-existing Buil~in ` Location of Property.. °'C,,''~,,~,~,^~,~-"'-, , 3Z~ . u~^C,i, ~t House No.r_p Sheet Hamlet Onwer or Owners of Proper y , County Tax Map No 1000, t ~a , , , , , , . ~ . • • . • . •~6. ~ ~ Section. .:2~. .Block. .......Lot... Subdivision ....................................Filed Map............Lot...........:5. Permit No..., 1 ~,~~,U , , , ,Date OfgqPer(~mit, 7~. , 6, . ~ ,Applicant..:-3-~~ , :J~,y G~.c~,~,~, health Dept, Approval.... ~ d.. G7, , 1, , , , ,Underwriters Approval... ~o. S.. ~:.CZ S~'~~,~ Planning Board Approval Request for: Temporary Certificate........... Final Certicate..~,:°,,, ' Fee Submitted: ~:5 CO z i9~~y ( '1 /4/90 ~ . ~f.` . ~C/~ y APPLICANT ~ ~ . _ ~ ' ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19436 Date OCTOBER 11, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 365 RACHAEL ROAD MATTITUCK , NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 4. Lot 7.45 Subdivision Filed Map No. Lot No. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14, 1989 pursuant to which Building Permit No. 18413-Z dated AUGUST Z8, 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 ONE FAMILY DWELLING WITH ATTACHED WOOD DECK The certificate is issued to TOWN OF SOUTHOLD (owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-31 - 9/24/90 UNDERWRITERS CERTIFICATE NO. N-148501 - SEPT. 11, 1990 PLUMBERS CERTIFICATION DATED MAY 24, 1990 - HARDY PLUMBING & HEATING ~Y~ ~ Bui ding Inspector Rev. 1/81 Form No. 6 ti ~ TOWN OF SOUTHOLD ~ ~ BUILDING DEPARTMENT ± TOWN HALL #4 ( ~ SEP ~ ~ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN _ gL ~.r,.>~L? TOWN C?F Sn:,I'I'I-f0'LD •1. 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 17 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building aad 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 dwellin Alterations to dwellin g $25.00, g $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 Building - $100.00 3. Copy of Certificate of Occupancy - $5,00 over 5 years - $10.00 k. Upuateu Certificate of Occupancy - $50.00 S, Temporary Certificate of Occupancy - Residential $15. 0, /CP~ommercial $15.00 7ew Construction.,~q~~. M Date Old Or Pre-exis 'ng Bu'1 ing......... ' . Location of Praperty.....~,~~,~ ~ House No. ;4~.[~v,~~ . Street Hamlet Onwer or Owners of Propert •/r'q ' y. ..1.t41C~.. `SJQ-S. / ..l ®GSIIJ ~ti==llV~L~'~.~ Count ~ y Tax Map No 1000, Section...~~~,,,,, 'y / .Block....~r~.~.......Lot...1?./..Q~7 Subdivision,,,,, " t ' ..................Piled Map............Lot..... Permit No..,~~~~, .,.Date OE Permit.',,,,,,,,,,,,,,,Applicant~,~?b~,~gR. Flealth Dept. A "'S•.•.•••.•• PProval....~-~© •:~•j_•...•,Underwriters Approval.. ~,~j,. Planning Board ~ """•'t,' APProval..... . :i . tequest for: .Temporary Certificate........ Final Certicate, 'ee Submitted: • • • ~ Q ~d........... C 0 ~ 19,310 ` APPLICANT • , VICTOR LESSARD G~ ~'G'"P'y°-' PRINCIPAL BUILDING INSPECTOR ~ L o rn ~ ~ Tgwl D,c,,,d . (516) 765-1802 ~ FAX (516) 765-1823 BYO`` ~ 7~0~ ~ Cam- ~-~.e OFFICE OF BUILDING INSPE U • „ TOWN OF SOUTHOLD X~`?s TO: JUDITH TERRY, TOWN CLERK FROM: CURTIS HORTON, SENIOR BUILDING INSPECTOR SUBJECT: CO Z-19308 FOR BP #18412-Z FOR AFFORDABLE HOME AT 315 RACHEL'S ROAD, MATTITUCR, N.Y. ~ DATE: AUGUST 21, 1990 Please find attached a copy of the Certificate of Occupancy for the above building permit. The original C.O. was given to Two Bears on August 20th. VL:gar FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19308 Date AUGUST 20, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 315 RACHAEL'S ROAD MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 4 Lot 7.24 Subdivision Filed Map No. Lot No. 2 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14, 1989 pursuant to which Building Permit No. 18412-Z dated AUGUST 28, 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 ONE FAMILY DWELLING WITH ATTACHED WOOD DECK The certificate is issued to TOWN OF SOUTHOLD (owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-29- 8/7/1990 UNDERWRITERS CERTIFICATE N0. PENDING - AUGUST 20, 1940 PLUMBERS CERTIFICATION DATED 5/24/90-HARDY PLUMBING & HEATING NORTH G~~~ I"~ Build-i~ c In~ for Rev. 1f81 Form No. 6 ` ~ ~ TOWN OF SOUTHOLD ti r ' ~ ~ BUILDING DEPARTMENT f~A TOWN HALL 765-1802 LD(3. DEPT. TOWN OFSOUTHOID pLICATION FOR.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 19. lead. 4 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, v 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 3..:. ::~w Construction......t~. O~Or Pre-existin g ilding.. :.~catlon of Property... _ _ ~S~ ,o(~._~•~~•1,~_A•••.~~ n House•No.......... UUU..,"~~~ ^~-xs.u,x 1x.~Y .~p-~'L •~!`/'/J~_ eet a et 'lower or Owners of Property,...... ~Q~.S.a.~. County Tax Map No 1000, Section...rt;~.~i ~~^'~w/11YYY~~~ pp tX....Block.....`rr. ~......Lot.....1.~~..~.~.o.,~ . Subdivision.......... ..........................Filed Map........... Lot.. ?crmit No.....~ ~,~,~„Date Of permit.. ' ~ ~r .Applicant... . ~c?~~6.~..~~: ~:~QYi ficalth Dept. Approval...~.g..Sr~.~:,.~,,,,,, .Underwriters Approval.. . 'lanning Board Approval Request for: Temporary Certificate.........., Final Certicate....t~,.~ Fee Submitted: QaG~ ~~~'~t~c~ c o~ ~ Q~ Q g •PLICANT oS~FFOIKC VICTOR LESSARD ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR F~ P.O. Box 1 179 (516) 765-1802 ~ ~ Southold, New York 1 1971 PAX (516) 765-1823 yO ~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD TO: JUDITH TERRY, TOWN CLERK FROM: VICTOR LESSARD, PRINCIPAL BUILDING INSPECTOR SUBJECT: CO Z-19293 FOR BP #18407-Z FOR AFFORDABLE HOME AT 732 LIBERTY LANE, SOUTHOLD, N.Y. DATE: AUGUST 15, 1990 Please find attached the original C.O. for the above building permit. VL:gar FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19293 Date AUGUST 15, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 723 LIBERTY LANE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 6 Lot 3.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14, 1989 pursuant to which Building Permit No. 18407-Z dated AUGUST 25, 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 ONE FAMILY DWELLING The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-19-APRIL 24, 1990 UNDERWRITERS CERTIFICATE N0. N-127637-5/9/90-N-142492-7/30/90 PLUMBERS CERTIFICATION DATED MAY 24, 1990-HARDY PLUMBING & HEATING NORTH wilding Inspector Rev. 1/81 V Form No. 6 TDWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1602 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the fallowing: 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 19. 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. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 Updated Certificate oY Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . _ :~~•w Construction.... Old Or Pre-existi:yg.By i. din O``~~~'~' ~~yy :.cation of Property..... .Q:`•~......... •~•~tL~......:...~(.K.. House No. ~ St Hamlet 'lower or Owners of Property County Tax Map No 1000, Section..../.,........ Block....:'~7..........Lot..~.t... Subdivision...... '..,,,,,,,.Filed Map........ ....Lot.............'.. /B. v ~A ?crmit No... ~,f,,,7 Date Of Permit'iy~ ~jG~ ` O f..~f! Applicant.. 1(calth Dept. ApprovalO /•::•f U::~.df...s..... / Gib •.~fl .Underwriters Approval.... ?lanning Board Approval •i . 2equest for: Tempora~/jry,~f('+Certificate........... Final Certica rr"ee Submitted; $••.a4,YSQ~O'.••....•-.... ~ ~ eo ~ iY~Q3 • APPLICANT ~ . T . .4 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219114 Date JUNE 6, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 709 HIAWATHA'S PATH SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 03 Lot 51.2 MINOR Subdivision APPROVED 4/9/90 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 pursuant to which Auilding Permit No. 184112 dated AUGUST 28, 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 ONE FAMILY DWELLING WITH WOOD DECK & STEPS. The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-34 MAY 9, 1990 UNDERWRITERS CERTIFICATE NO. N127612 MAY 9, 1990 PLUMBERS CERTIFICATION DATED HARIIY PLUMBING MAY 24, 1990 ~'~ding Inspector ? - Rev. 1/81 ) Form No. 6 TOWN OF SOUTHOLD D BUILDING DEPARTMENT ~~yy~~ TOWN HALL ~ ~ ~ +W~I 765-1802 1gWN OF 30EU7t10 APPLICATION FOR CERTIFICATE OF OCCUPAN A. 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 a less than 2/10 of 19 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ' "pre-existing" land uses: 1. 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 aver 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5,. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ;S New Construction... Old Or Pre-existing Building " Location of Property..,.1 ~ ,,,,,,,,,f;~;Ft~,,ATi{~',~5. .¢~qYt~., dv~'~~lc~ . S House No. Street Hamlet Onwer or Owners of Property...:~O.:~l,olc~.....r~ ~ County Tax Map No 1000, Section. Q 7.~'.,,,,,,,Block....~ 3........LoC...::'~:~ `$x'02' - a Subdivision ....................................F>iled Map............Loe.............. Permit No.,~.~,y, ~/,,,,Date Of Permit,,r~!!~,e:~,~,~,°/„Applicant.. 7.°.:':::..,°. ~,,,,;5„'.~'~o~c~• Health Dept, Approval .........Underwriters Approval...... ' Planning Board Approval Request for: Temporary Certificate........... Final Certicate „ ~ „ Fee Submitted: $ „ ~AIVED APPLICANT , . . r ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT ' Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219113 Date JUNE 6, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 675 HIAWATHA'S PATH SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 07B Block 03 Lot 51.1 MINOR SubdivisionAPPROVED 4/9/90 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 pursuant to which Building Permit No. 184102 dated AUG. 25, 1959 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 REAR WOOD DECK & STEPS. The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-33 MAY 25, 1990 UNDERWRITERS CERTIFICATE NO. N127610 MAY 9, 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING MAY 24, 1990 Building Inspector Rev. 1/81 . Form No. 6 TOWN OF SOUTHOLD 0 BUILDING DEPARTMENT ~ s TOWN HALL 765-1802 BLDG. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY WN OFSpU7HOLD A. 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 17, 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ' / Date ..S~::e..:-~ I/ / 5 New Construction........... Old Or Pre-existing Building., Location of Property......~.15.......~iquq'7/~ll4.f: /~A>"N............ So~~~~/d House No. Street Hamlet Onwer or Owners of Property......? w.?. . _p F..... Sa :7 yoc) _ . County Tax Map No 1000, Section...~.~ ~......Block.....p. ~ .......Lot..'~V 7--~6 S Subdivision ....................................Filed Map............Lot...... Permit No...~.b..y(~a,...Date Of Permit..R'XN a~.. g~1...Applicant..~4'Y^:.o - Sa~ti~al~ .F Health Dept. Approval...R ~ -3 ~ ,...,,,..Underwriters Approval...... Planning Board Approval Request for; Temporary Certificate........... Final Certicate..~..... Fee Submitted: $,,,.WAIVSD • APPLICAI~• . , FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219147 Date JUNE 14, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1050 SOUTH HARBOR LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 075 Biock 03 Lot 14 MINOR Subdivision APPROVED 4/9/90 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 pursuant to which Building Permit No. 184082 dated AUGUST 25, 1984 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 WOOD DECK AND STEPS The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL S9-SO-17 JUNE 13, 1990 UNDERWRITERS CERTIFICATE NO. N119524 MARCH 20, 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING MAY 24, 1990 ~~~.4~ 4 . Building~Inspector Rev. 1/81 o~~FFOIKCOG VICTOR LESSARD a` yL Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ ~ P.O. Box 1 179 (sI6) 76s-Iaoz ~ ~ ~ Southold, New York 11971 FAX (516) 765-1823 9~0~ ~ ~~Q OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD JUNE 14, 1990 TO: JUDY TERRY FROM: HELEN DE VOE SUBJECT: C.O. Z19147Z AFFORDABLE HOUSE Please add this Certificate of Occupancy to the file for the affordable houses. o~~FFOIK~oGy VICTOR LESSARD ~ ` Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ P.O. Box 1179 o ~ Southold, New York 11971 (516) 765-1802 PAX (516) 765-1823 ~O, j~ol ~ ~~p~- OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD July 10, 1990 TO: Judith Terry Town Clerk FROM: Victor Lessard Building Department SUBJECT: C.O.'s for Affordable Houses For Building Permits #18402z-18403z-18404z- 18405z-184062 Please find attached the original C.O.'s for the above Building Permits for affordable houses. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Tawn Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219194 Date JULY 9, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 195 PRIVATE. ROAD #32 SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 9 Lot 10,5 MINOR SUB. Subdivision COMM DEV. AGENCY Filed Map No. 9162 Lnt No, 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 pursuant to which Building Permit No, 18406-Z dated AUGUST 25 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 ONE FAMILY DWELLING WITH WOOD DECK & STEPS The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-39-JUNE S, 1990 UNDERWRITERS CERTIFICATE N0. N132800 - JUNE 12 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING MAY 24 1990 uildinq Inspecto Rev. 1/81 ' o~~FFOIK~oa VICTOR LESSARD a+ ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR P.O. Box 1179 (516) 765-1802 ~ ~ Southold, New York 11971 FAX (516) 765-1823 y~ e- ~,,y~l ~ y,~0 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 6/28/90 COVER SHEET T0: NORTfl FORR HOUSING ALLIANCE FROM: BIIILDING DEPARTMENT TOWN OF SOIITHOLD SUBJECT: COPIES OF CERTIFICATES OF OCCUPANCY AFFORDABLE HOUSES FOR B.P. (/184082 C.O. 219147 B.P.#18409Z C.O. #Z 18999 B.P. /1184102 C.O. 219113 B.P. 1i18411Z C.O. Zi9114 FAA NUMBER 477-1769 ROBERT PERRY NUMBER OF SHEETS 5 VGL:hkd FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219147 Date JUNE 14, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1050 SOUTH HARBOR LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 075 Block 03 Lot 14 MINOR Subdivision APPROVED 4/9/90 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 pursuant to which Building Permit No. 184082 dated AUGUST 25, 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 ONE FAMILY DWELLING WITH WOOD DECK AND STEPS The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-17 JUNE 13, 1990 UNDERWRITERS CERTIFICATE N0. N119524 MARCH 20, 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING MAY 24, 1990 Building Inspecto1~ Rev. 1/81 ' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218999 Date APRIL 30, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1250 PECONIC LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 75 Block 001 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 pursuant to which Building Permit No. 184092 dated AUGUST 14, 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 ONE FAMILY DWELLING. The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-18 APRIL 3, 1990 UNDERWRITERS CERTIFICATE NO. N119531 MARCH 20, 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING APRIL 27, 1990 Building Inspector Rev. 1/81 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT ' Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219113 Date JUNE 6, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 675 HIAWATHA'S PATH SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 078 Block 03 Lot 51.1 MINOR 5ubdivisionAPPROVED 4/9/90 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 Pursuant to which Building Permit No. 184102 dated AUG. 25, 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 ONE FAMILY DWELLING WITH REAR WOOD DECK & STEPS. The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-33 MAY 25, 1990 UNDERWRITERS CERTIFICATE N0. N127610 MAY 9, 1990 PLUMBERS CERTIFICATION DATED HARDY PLUNIDING MAY 24, 1990 Building Inspecto~ Rev. 1/81 ' FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219114 Date JUNE 6, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 709 HIAWATHA'S PATH SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 03 Lot 51.2 MINOR Subdivision APPROVED 4/9/90 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 pursuant to which Building Permit No. 184112 dated AUGUST 28, 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 ONE FAMILY DWELLING WITH WOOD DECK & STEPS. The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-34 MAY 9, 1990 UNDERWRITERS CERTIFICATE N0. N127612 MAY 9, 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING MAY 24, 1990 ~ e' °l f~ 1, . Buildin^ g pecto~r`~~ Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219190 Date JULY 9, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 200 PVT RD #26 & 60 PVT RD #32 SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 09 Lot 10.1 MINOR SUB Subdivision COMM. DEV. AGENCY Filed Map No. Lot No. 1 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22 1989 pursuant to which Building Permit No. 184022 dated AUG. 25, 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 ONE FAMILY DWELLING WITH WOOD DECK AND STEPS. The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-40 MAY 7, 1990 UNDERWRITERS CERTIFICATE N0. N132803 JUNE 12, 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING MAY 24, 1990 ~ ~ uilding Inspector Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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-4 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 17 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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 Co 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15,100, Commercial $15.00 Date l~ ,0 New Construction......~Old Or re-existing Building. aloo eel Location of Property........la.Pr!&(.~:4:~Jj~,~.G'~;~J,~...:1~-~~.~-:~.....~`G~.S~.~.4~.I.S~'.... House No. ,,y S'a k ~ /{oaD S reet Hamlet Onwer or Owners of Property y~..... fa, / County Tax Map No 1000, Section..... ~,J...,B1ock......~.d......Lot.~.~~~. Subdivision.}}.(G.~..~~//..~~.^^~~ ............................pFileCd~ Map............Lot..................... Permit No.. J~.4.~'.(..~r: , -Date Of Pezmit~:~, S,1/, ~ J, , ,Applicant~~.~Ee~.. ~-ld.`A.~L~,Sa,~~ Health Dept. Approval....... ~(~,Underwriters Approval...~:S~d,~~~,~~~~~/ Plannin Board A g PProval Request for: Temporary Ce~r{tificate........... Final Certicate... Fee Submitted: $,,......~I:S...~J ~ 990 APP cANT A . , FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219191 Date JULY 9, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 190 PRIVATE ROAD #32 SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 09 Lot 10.2 MINOR SUB Subdivision COMM DEV AGENCY Filed Map No. Lot No. 2 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 pursuant to which Building Permit No. 184032 dated AUG. 25, 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 ONE FAMILY DWELLING The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-35 MAY 7, 1990 UNDERWRITERS CERTIFICATE N0. PENDING SLIP 7/9/90 PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING MAY 24, 1990 Buil ing Inspector ~ Rev. 1/81 - Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ' A. 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 17, lead. ~ S. 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building aad 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date „ l ~ _ New Construction......~Old Or Pre-ex~~s~tin~Bu3lding. Location of Property........l~U..... n•.1~ ~f House No. ...~4~-.~~..'U.~.`~.~.`:t'....... 'To-rv-w- S'vu_,S reet Hamlet ` 6 Onwer or Owners of Property... r• q r~ p ti County Tax Map No 1000, Section..... l ....Block....., iJ..(......Lot. , „ ~ /0, Subdivision .~.,...pFilQ'epd~ Map.........,..Lot..........,.,a Permit No...~ ~ .7. , , , ,Date Of Permit~-ti-t`i:~, .C;~, Q, .I, , ,Applicant...~.{~.Sa~Jw.~...-1G~.Sl.~~l~.,c~~~ Health Dept, Approval..... ` q , ; , ; ~ S~ q • •l• • :~i.Underwriters Approval..... , I,~.~ f Planning Board Approval Request for: Temporary Certificate........... Final Certicate... Fee Submitted: ~;5,,,~?,,,,,,,,,,.. ~o.~- .~i 96 . y APP GANT ~ . ~/y® FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219192 Date JULY 9, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 290 PRIVATE ROAD tF32 SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 09 Lot 10.3 MINOR SUB Subdivision COMM DEV. AGENCY Filed Map No. Lot No. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1989 Pursuant to which Building Permit No. 184042 dated AUG. 25, 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 ONE FAMILY DWELLING WITH WOOD DECK & STEPS The certificate is issued to TOWN OF SOUTHOLD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-36 MAY 22, 1990 UNDERWRITERS CERTIFICATE NO. N132805 JUNE 12, 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING MAY 24, 1990 Building Inspector Rev. 1/81 I Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ " A. 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 n less than 2/10 of 17> 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ` "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building aad 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 huilding $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over S years - $10.00 4. Updated Certificate of Occupancy - $50.00 5,. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...6...1.6-. New Construction.....: Old Or Pre-exi ting~B~ ilding..... Location of Property....t~~U..... ~~~~~~~y~.~;;,,~c~,,;~nq,C~_ _ House Nopp.~~ ~o-c,yu_ A treet Hamle • • . • Onwer or Owners of Property..,~N.~.. ~1. ~ c;, . ' County Tax Map No 1000, Section....~~......Block.... d..~ 7O'~ Subdivision ....................................Filed Map............Lot.............:... , Permit No.. ~.~~~~~,,,,Dpate Of Permit.~,~~~,Applicant...~.~.~~,~;~„~;a~,(~ Health v 1....9. - ~ A~,• ~t Dept. Appro a ~,:~~,,,~„~q,,,,,Underwriters Approval......J~'.~~J,~ Planning Board Approval ~ Request for: Temporary Certificate....`....... Final Certicate... Fee Submitted; $ , , ~S o~~ ~ ~ ~~~x,..• • • • • . Co z~9~Ra- ~/9~96 ~~6 p P ICANT ~ ~ . ' r~M1 ~ ~1 ~ VICTOR LESSARD Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ " " ~~1 ~ P.O. Box 1 ] 79 ~ Southold, New York 11971 (s 16) 76s-~ eoz ~ `a=a ' , t ;;r FAX (516) 765-1823 _ ~ t rJ~ OFFICE OF BUILDING INSPECTOR TOWN OF 50UTHOLD August 7, 1990 North Fork Housing Alliance Greenport, N.Y. 11944 Re: Copies of Certificates of Occupancy for Affordable Houses. ]--218999 8--Z 19113 2--219114 9--219190 3--219147 4--219192 5--219193 6--219194 7--219191 Amount due 9 copies @ $5.00 = $45.00 Curtis W. Horton Senior Building Inspector 3 . NORTH FORK HOUSING ALLIANCE, INC. PUI~CI'~ASE OR®ER (Formerly the Greenport Housing Alliance) 110 South Street ' GREENPORT, NEW YORK 11944 Show this purchase Order Number 0 0 2 5 9 7 cn all correspondence, invoices, stopping papers and packages. (516) 477-1070 DATE OF ORDER REQ NO. 8/7/90 3531 SHIP TO ' ro Soa.tho.2d Tawn Bu~..td~.ng Dept. NORTH EDRK HOUSING ALLIANCE T"ouiri Ha.KQ P.O. Box 1119 110 South StlEeet SOutho.Zd, NY 1 J 911 _ _ Gneen ont, NY I l 944 A.?§ "•,~.°E : s; :~•"F' , n.:: . L... •`"-:sa~;w. asss,:<,,, ;'tissi<.. ticr c:.:i'? s r ..,:.r r:' 898/.Y d... #i's"finis 3~;:.s..: v. ev_ sa„ R,.., . , KAlEN SW payment ~GfrvzoaijPg~p dT,V; €~~Jv~rS , ~t ,=v w : w~.::.. ~ . ~ ~ _ ~ ; ' ~ 9 Cap.iea og Cent.i{~.cated o{ Occupancy box 5 00 45 00 ' . z A/H Pna,{ect 3 _ ___v___ _ _ 5 7 +i - AIIG~f ~ f°j ~ ~s , ~ t i ~ # _ s - . _ ~ ~9 _ _ _ ' l r~l.n ~>T 4 8 7. Pleass send-copies of your invoice. 2. Order is to be entered in accordance with prices, delivery and specifications shown above. 3. Notify us Immediately if you are unable to ship as s~ed. - Authorized by I Hem~F453Grayarc,P.O.HOx2944,Hertfatl,CT06104-2944 ORIGINAL fiJ Wheeler Group, Irm., 1882 I - ~ i> _ _~_m. . k a t O~ v ~/~~N~~/~r~o~///6o via/ ~;ryP/ , criers ~°co~ .34>c ar° s'o °°O> G/ H°5°e° 4~~kcd°s~cs`c ~ sG9Qi r O J// dL 4°( 07 l ~'>ai„R/°° ~°///P~n~,~aphs~<S well /90'i 0 ~ D4 IEW AVE. `t _ ___.-Nr° /9~ _.---~_.__wtl/! .G, reeafen _ / s,nk°°w4 / I ~ I N/0/F, I N/0/F WILLI PM u Y¢c a'Or WO/F LOUIS BHELEN 9 pHILLl6 JAR052 u ?y m\ I NJO/F JOHN JD6EPM TERP LOM6AP DI JOHN McCARVILI i - s°- aaaz~ 460.00 •~y~ _ _ T ~ ~ ~ fND. s ~ v I N. 42° 14' 10'~ E. vine 13ao3' «'~'0 nAO a.iaD 1566T' sia[ xvo " _ •vz,.i 153 30 I M, P z o ? ~ 2 ff a a 2 ~ N r, u ~ ° ~y1,- ~j,~ - m m 'n O~ I ~ _ w N c F ° o _ A w ~ $ mA i 3 O O o z z ° - _ ~ m ~ ~ m AREA 30,019 FT. ~ AREA = 30,000 SO.F7 AREA - ,000 SO. FT. a' _ I c ~ 0 p I r i•H fxo. \O\py R=1500 ®xus,° m_ D,re ? 00 4 L: 13.62' i. x•~¢ fe>/ { •I xo y0~ •I.ae. Wy well y2 ,"l i y= P~ 128.94' O xze.o 124.83' •l az.o Ls3' J o o «aD,o 5.43°11'40"W. 2S3.TT' p:2S~ ~ ~ ~ uxEa n.aie TH _ n x p S.qT°g3'20'W. 9233' CM°40 PROPOSED fM.2A, ROAD G•I.ao.D e 8 a m ~ 150~WI0E1 °o. p N. 45°II~40"E. 233]7' R`2,t ~ o T IIT.OS' «'z*° 136.]2' (cJ Po P OJO, 2y>B>' S~ R=15.00• 6ti. O • 4'•' L = 13 82' x.az.D ' t We« n I ere o m ' ° z _ ~ ° ° 9 3 y m T I"~ O ° O m. O m s ~ ~ m m AREA = 30, 431 SOFT. AREA = 30,214 SOFT. AREA = 30,000 90.F7, u x _ o ~ TO 'REMAIN AS rC PEN , > ~ SPACE 1 m aPp~ou' edge o>l dzrmP a Y~24~8~ ~ m o ° ~~m ~ ~b ~ s h 3 ~ x,«z 139.02' xzaa 16800' xm,r 161 t1' •i aer a N N95°11'90"E 466 T3' / r- ~ ~ /7'7 fp i OPEN SPACE ~ / m M1P[ ` _ N rm- ozRa asn _.~EA =1.173`5\S ° N a ° / o ° I ~ i 5.33 °41 X90" W . s C LONG ISLAND LJGHTING tl t*~ya R/o/F JOHN A MUIR COMPANY EASEMENT ° es~°9 ,GEORGE G. MUIR 8 FRANK B ARNOLD I . Ya can { TAT ~s~yF