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Home My WebLink About17791-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT , Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17741 Date FEBRUARY 6, 1989 THIS CERTIFIES that the building ADDITION Location of Property 870 VILLAGE LANE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 6 Lot 16 Subdivision VILLAGE MANOR Filed Map No. 3669 Lot No. 19 conforms substantially to the Application for Building Permit heretofore filed in this office dated SANUARY 17, 1989 pursuant to which Building Permit No. 17791-Z dated SANUARY 30, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to PATRICK & SONYA LEIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED NJA L Building Inspector Rev. 1/81 eosas xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU57 BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 017791 Z Date ....~.~~a ~~s.,~ Permission i~reb grant ; ct premises located at .....,~'.T.~..../.~E~.C..... ~!x<il~G County Tax Map No. 1000 Section Block .......~~...........~+Lot No......~.~~ pursuant to application dated 19.Q/...., and approved by the Building I~n'spector. Fee ~ .:,10 c,~~ / B ing Inspec or Rev. 6/30/80 'M w ~ ~ -rv F l~ ~ 5 FORMN0.6 ~ ~ l TOWN OF SOUTHOLD 1~~'~ Building Department ~ FEB 3 i~~9 ~ Town Hall ~ ~ Southold, N.Y. 11971 ~ `h. APPLICATION FOR CERTIFICATE OF OCCUPAN Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspe~c- torwith 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 installa- ' 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pYt~perty showing all property lines, streets, buildings and unusual natural or topographic features. 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date . , Feb...3r. 1989, . _ . New Building .............Old orPre-existing Building X Vacant Land . Location of Property .870 , , , , , , , ,Village. Lane, , , , , , , , , , , , ,,Mattituck; N: Y . House No. Street Hamlet Owner or Owners of Property Patrick,&, Sonya, Geis, County Tax Map No. 1000 Section ...114 , , , , , , , , Block ....6.......... Lot ...16, , , , , , , , , Subdivision .................................Filed Map No. ..........Lot No. . Permit No. 1, 7, 791-.2 Date of Permitl./.34~89 ..Applicant ..$~s3n1~Y. ~.•..k'~~S.S .,fx'.•........ . Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval ........................Planning Board Approval Request for Temporary Certificate .....................Final Certificate X . Fee Submitted $ . ,15.00, Construction on above described building and permit meets all applicable codes and regulations. Applicant $,te(~~.,e,Y..~.. Fl}ss, Jr Rev. 10-70-78 (~zc,. ~ 6 S'I$ Cod. )77y1 ~ /1 , ° ~ - ~ ~ n ~ A ~ ~1 ~ i f ~ L' r r ~ ~ ; -o ^ ~ T+` ~Ni ~ k ice. S Iii ~ in r In ~ i 3; ~ ~ ! ~ ~ ~ ~ ~ _ ~ v ~ C . C'~x1 ~,~C~ ~ ~ x ~ ~ ` ~ r~ ~ a ~ f o A n tD an ~ S ~ ff ~ u fw-r O rt o ~ Q` rt F'• rS x w ~ 00 0 4 m cn rn 0 i ~ ~ ~ w ~ ~ ~ r w i ~ ~ i N i t ~ 77~/ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f l ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ 7 FRAMING [~INAL REMARKS: C DATE a ~ ~ INSPECTOR iISLD I;:SPECTiU;J ~~UAir. ~ i;OMMENT° v t. _ y FOU1dDATION (1st) C FOUNDATIOid ( 2nd ) _ - _ 2. N\ z ROUGH FRAME & o O PLUMBING ti~ 3. m ~ i m I1dSULATI0f7 PER N. Y. y STATE ENERGY CODE x a r FZidAL ( - ADDITIOPIAL COMMENTS: ~ x?~ . ra ' x ro H 9 \ H H Z l+ ~ \\y • 9 r H O. [*J H w I i i V' n ~ ~ _ a x a • a- A ~ - aw ~ m r ~ ~ 2 ` ~ n ' ~ ~ X~ S i o >v - ~ v ~ X ~ ~ ~ e ~ ~ ~ ~ ~ ~ ~ ~ a ~a ` ~ ~ ~ ~ ~ ~ ~ .p ~ ~ ~ ro {i7 ~G rt o rt o ,i ` `'O ~i ~ r C r• r% u m cn rn 4 ~ ~c w ~ ry'~ ~ w m ~ m r r. vii ~ i l,l, I_~ \~;"~L ~ r o.~ ~ ,FORM NO. t 1! ~ ~ TOWN OF SOUTHOLD t', J~ t'~ ~ ~ $ BUILDING DEPARTMENT TOWN HALL r- ~,.a,2.n,.,.m.,.._.,„, „nil-~;,/~ SOUTHOLD, N.Y. 11971 Fs~ rt, ott>r. ~ 7~t+.rUty`-c;t '"C>u1'FtOr_C~ r TEL.: 765-1808 ~p2, ~ ~ ~ _ .,..o............:..,~,~...,....f Examined 19. c~.r,,. Received........... , 19, , , Approved .~~3~ 19~/. Permit No. ~l. ~7.~.~! d f6 Disapproved a/c ~ 1 (B~ g Inspector) s ~ f' 0-~-~ P.~ APPLICATIO!!!!!!N//////FOR BUILDING PERMIT ~Ydfa-~-~~ Date 19 . ' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c, The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department For the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to com 1y~with a ,~~,,pplicable laws, ordinances,. building code, housing code, and regulations, and to admit authorized inspec d~Ae~'~in building for necessary ins ctions. ~ y~ ~ ~ (S' ture of applicant, or name, if a corporation) a.-., . fks 'Y1Y:11~~q~k"4 ~t~~lgAtllsF4 t~'t~st..r" Y rare ~ w;at:. 4? i;,tfi;~F 565 , , ld ,Main. ,Rd,, _ ,Mattituck.. ,N.Y..... , . . :r y~d?t1°7y a4=~="""'k" (Mailing address of applicant) State whether applicant a~1`dt1~$?*1§~~~z~et'itF;'architect, engineer, general contractor, electrician, plumber or builder. ggt~hl~At9rl'~ $ ePl+3€n~~.~'t s, t('r,? ben e r aryl..pCpo n.t.ri a c t ox ;''r : F.': ; ' . ' . . S TSf tNi 4 t~ f ~t}~ Y ry Name of owner ofpremisestl:Ba~t;r',iek,'R~'.Sonya Geis "~~i~9 .t.f.~t"' ` ' ` ' (as on the tax roll or latest deed) If applicant is a cy~o~y,{~p~}+of~(t~ sjgltaturetof duly authorized officer. (Name and title of corporate officer) Builder's License No. 12.,.R85H? . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. . 8.7.Q . Vi.l.lage..l,a~e,,, ,Matti tuct, , , , , , , , , , , , House Number Street Hamlet County Tax Map No. 1000 Section , 114 , , , . Block ..6 Lot . , 16 Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ,Residential Home b. Intended use and occupancy ,Residential Home with Deck I 3. Nature of work (check which applicable): New Building . , Addition Alteration . Repair . . . . Retrtoval Demolition ..............Other Work Degk, , , , , , , , , , ~ ~ i (Description) 4. Estimated Cost , 90A...QO Fee , . , . I (to be paid on filing this application) 5. If dwelling, number of dwellin~ units 1............ Number of dwelling units on each floor . . If garage, number of cars . . 6. If business, commercial or mixed occupancy, specif nature and extent of each type of use . 7. Dimensions of existing structu;es, if any: Front ~4.......... Rear 54......... Depth 26.......... . Height Number of Stories ...1 , , . Dimensions of same structure with alterations or additions: Front 5,4,'t, , , , , , , , , • , , Rear ..58 ~ . p ' ...Height Number of Stories .....1 . Dimensions of entire new construction: Front 19.r....... Rear . ,19 Depth 2 ~ . Tdeigh± Number of Stories . . 9. Size of lot: Front 1Q4 ~ Rear : ; Depth 2.7,$ ~ , . ..,...P.~' 119 22 10. Date of Purchase Se t I84,,,,,,,,, Name of Former Owner .Original,,,,,,,,,,,,,,,,,,, 11. Zone or use district in whichpFemisesaresituated...~.e,$j~fler}i<~p1,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,• 12. Does proposed construction viplate any zoning law, ordinance or regulation: . 13. Will Iot be regraded 1J.a ..................Will excess fill be removed from premises: Yes X No 14. Name of Owner of premises Mx,., , Mrs . ,Geis , ,Address ViLl~e Ln, Nlattitax..>ghone No.298; 505,7• , , , • , , Name of Architect ..................Address , , . , .......Phone No.......... , Name of Contractor Stanley, Fli;~~ JX. , , , , , , , , ,Address 565 9~d 1~, M~tt•.. Phone No.29,8: ,8,79.0, , , , , , PLOT DIAGRAM ; Locate clearly and distinctly ajl buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~ . ~~~0 NA?IFY A 786-tB02 A AM 7b 4 fAi{ r0lt tFIE FOLLOlNIN01NSPECTaOM$: 1. FOUNDATION - TIMOIItQU1REp FOR POURED CONa~1ETE 2. ROUGH - FRAMING D PWMOING 3. INSULATION 4. FINAL - CONSTRUCTION MUflT BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOWREMENTS OF THE N.Y. STATE CONSTRUCTION alt ENERGY ~:OOES. MOT RESPONSIBLE FOR 'r",~iGN OR CONSTRUCTION ERROR8 I~ STATE OF NEW YORK, ! S.S COUNTY OF . • • • • • • • • • • • • • • • • . • • • • • • • • • • . • being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) above named. He is the .....................1'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 this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manrier set forth in the application filed therewith. Sworn to before me this I .d]a/y ojf~.. 19 Notary Public, .7~:. 511. . d-~:-........ County NEIEN K, , , , , , , NONo~470787&; SIDE VOE , C~........... . fate at New ' ' ' uPPoikcounty (Signature of applicant) Term Expires MnrFrh 30,19 .tt II ` JAN I i 19f~9 ~k14~1; T, i,... /Dr ~ N.~9 5C o0 i II ' /I 4 VI / I OY t ~ w z p ~ P ~ ' m ~ ~ ~ Pe ~ ~ P w o p. •v- ~ ~ ~ o ~ ~ j ~ p ` ~ ~ m N b ~ ~ ~ ~ d ~ , ~ O U i ~ - W 8 ~ C r ~ 2y~ O6 m 'D I A 'N .,y 7 N 'o OQ~,QOI ap ' ~N lad ~ Zee°~ 2 .w~ ~ o~ ~ Y ?r. , ~ lT ~ CDDOtCC yy. ~.9 o ~y o, o,_ Y f~ Y z N Op O Op_ O~ z rn .o 0 Z N W tN O p P o= P~~ R NorE: •:MCNUMENT SUBD/V/SYCN MAP F/LED /N THE OFF/CE OFTNE CLERKCFSUFFCL K CCl/NTYCN OCT. ?4, /962AS F/LENO.3669. REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W.YOUNG PgOFE5810NAL ENGINEER AND LAND SURVEYOR LAND SURVEYOR. N.V.S. LIC. NO, 12845 N.Y.S. LIC. N0..~5593 SURVEY FOR: ~PtE °F NFh, UNAUTHORIZED ALTERATION OR ADDITIDN TO 5 THIS SURVEY I$ A VIOLATION OF SECTION PATR/CK GE/SQ SONYA 6E/S RD w ° I]A2W9 OF TIIE NEW YORK STATE EDUCATION LOT NO. /9, V/LLAGE MANOR CONIES CF THIS SURVEY MAP NOT BEARING ~ ~ C THE. LaNU SURVEYORS INKED SEAL OR ~ ~ ~ £MHOSSEO SEAL SHALL NOT Hf CONSIDEHEO ru BE A vnuo rHBe covr AT GUA N ED MATT/TUCK EQU/ A Ti9~4C OHR cUARAN TI_t5 INUICATEO NEHEUrv SHAIi NUN O ONiY IL 1HE 4(kSON EGIi M'HOM THE TOWN OP ~O~T~OI D `E1y~ 4589' S.IRVtY IS PRE PAREO~ ANO ON HIS BEMAIi (fO vO~ LO fME TITHE COMPANT~ GOVERNMENTAL