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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 Z-22302 Date MAY 6, 1993 THIS CERTIFIES that the building ADDITION Location of Property 1400 BAILIE BEACH ROAD MATTTTUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 3 Lot 11.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 31, 1959 pursuant to which Building Permit No. 17744 Z dated JANUARY 31, 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 CONCRETE BLOCK FOUNDATION (PIERS) UNDER EXISTING ONE FAMILY_ DWELLING A5 APPLIED FOR. The certificate is issued to CESAR A. TORRAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A B ilding Inspector Rev. 1/81 L0 ~O(d.SUoL 1 roaaa xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 0 ~ 17 7 9~ Z Date ~'~~..1 19.f1./ Permission is fiereby granted to: 1.//..-.,3.1.......... 7. ~ . . .ate...... >y.~...,.......-~.-~......~ ................~y.~`. ct premises located at ...~7.'~.C~........:4~....u".1.~../..~"e~"~'G........ ~?.l~~K~.......................................................................... ........................................................................pp..~~..................................................................................... County Tox Map No. 1000 Section ...........l..9..... Block Lot No........lrr.•:.`.~.•.... pursuant to application dated 19........, and approved by the Building Inspector. /~X v Fee $.•••%s/... 9 ~~Bui in to Rev. 6/30/80 c~~FF~~/(`, TEL. 765-1802 0~0 Cpl TOWN 0~ SOUTIIOLD !`c OFFICE OF BUILDING INSPECTOR o = P.O. BOX 728 w°+x~'`1 ~ TOWN HALL ~~0~ SOUTHOLD, N.Y. 1 1971 SECOND NOTICE FEBRUARY 8, 1990 CESAR A. TORRAS Box 667 MATTITUCK, N.Y. 11952 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. /X~ An application for Certificate of Occupancy is not on file. ENCLOSED No Underwriters Certificate on file. /xR' The check is(X~, /not on file.) $25.00 No health Dept. Approval on file. ATo final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit If 1 7 7 9 4 2 FOUNDATION (PIERS) Building Dept. No Plumber Solder Certificate on file., ( all permits involving plumbing being issued after April 1,1989 ) ~i~h~>, TEL.'C,5-180 S~~FOt~r~ . `~p*,,,r~' C~~ T0~'PI OF SOUTIIOI,I9 ~:r>;76;;;i~~ ' ~ OI'i'ICI. OP BUILDING INST'ECTOR `'l,`.,. 4';~4k z P.O. BOX ] 1 79 ~ m + j'~ ~ TOWN IIALL SOtIT'IiOLD,N.Y.1197i June 21, 1989 CESA A. TORRAS BOR 667 MATTITDCR, NEW YORK 11952 To [4hcm Tl1is May Concern, Pte are unable to complete your Certificate o.f, o~ccunancy because .of the following reasons. /_N/ An application for Certificate of Occupancy is not on file. ENCLOSED) *lo tJnder~,~riters Certificate on file. / / 't'he chec4: i:; (~R(~~.e /not on file.) $25.00 No 1L;al.th Dept. Approval on file. No final inspection has been made. P]ea:;e contact our office on this matter. - Thank you for your cooperation. B+c.ildinc7 Pcrm.it-. U 1 7 7 9 4 Z Building Dupl. ''`k/_/ Uo Plumbar ;;older Certificate on file. ( a7.1 permit:; involvS.ng plumbing being i~sucd aft.cr April 1,1984 ) r'lELD il:S:iPC:iUtJ ~~llAiE ~ COMMENT° ~ -v m ~ 1. ~ a H - H FOUtJDATION (1st) ~~j C FOUNDATIOIJ (2nd) _ m 2. o O ROUGH FRAME & p PLUMBING H 3. m m H IIJSULATIOP7 PER N. Y. STATE ENERGY CODE x~ a r m 4. y FIiJAL ~ p z ADDITIONAL COMMENTS: x ra ro H ' x 9 O 2 • x M a~ r H d R7 H ~`_z" r i ` ~ i (N ~ Q, ! ~ ° i o j ~ a ~ ~ i r r ,r ~ _ fi ~ - n n ~ n ~u J 1 m 0 ~ 1 ~ ~1i9 ~ a ~ ~ ~~V " ,T _ 1 - ~ 1 1 y ` g! q Q n ~ a G A ~ < r i ~ ~ ~ f t~' t ~ ~ ~ ~ -~a a- n ~ ' n_._,_._. ~ - `zs - 4 - ->i . ~ x ~ i ~ B•'.t., ,r y~~ i ~ .t-- 8 ~ 6 u r m " ~ e } fi'' ~ 0 ~ ~ ~ 0 ~ u~ ~1 12 fi 0 ~ ~ ~ ~ ~ ~ f4= / 3, Uy~ V - ~ ~e TX 1 1 - - - / 1 t / I r O ~ ~ 1~ ^ -J pQ ___~I ~'w ® Of7 !!/~D, AWN -~T V ZT p cmnmDmrr-m-nZ000Q ~„-~im ^i' O OZOp2~rrD*~O~~W .o 2~ ~ ~ ~ CD~sc- ~~y~~~$Z~~~~~~ y 1 ~ ~y ~y~ pr ~Z A ak g~S ~ 201 ~j ~~~Dy-" p xm ~ i ~ ~ n ~8~g ~l I i ~-~,'~,~'^,i BOARD OF HEALTH ~.~~~~rhC~~~l~f,..,~ ..Q.(~:. ~~~~^^--~.~;.yW..~„~._--,,~r~~ 3 SETS OF PLANS 4V FORM N0. 1 SURVEY . . 1 ~ .JAN 2 3 1989 TOWN OF SOUTHOLD CHECK • • - " BUILDING DEPARTMENT SEPTIC FORM ~~s°""~_`.."" TOWN HALL _ fdLf:r_,. . , ~ NOTIFY c~ 1'U2~'!(v r,~ ~ - , , SOUTHOLD, N.Y. 11971 7~ S / ~ -3 L~'w~ .-r~.~.... TEL.: 765.1802 CALL • MAIL T0: Examined . `'p~~........., 19~~ Approved ~~1......., 19~Permit No.~.~ 7nj,T"~ Disapproved a/c I ~ ~t t~ . Buildi Ins e r) APPLICATION FOR BUI DING PERMIT 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 comply with all applicable laws, ordinances, building code, housin c d ,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. 1 ~ r (Signature of applicant, or name, if a corporation) I J ~ ^.31...~ ~ ~~.t~ve. "...D.(.e5~:.{~ i. ~.~5°. ~ :Y" 11,~~5 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......~wne.w' Name of owner of premises ~.C..S d.~:....~ Q I'I':~:`J . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. . ?.~a~......~~il~e..a~.ac(~ ...~~aol ..............~.aELi E.vc~~..................... House Number Street Hamlet County Tax Map No. 1000 Section t Block ~ Lot .5 Subdivision Filed Map No. Lot............... (Name) ~ 2. State existing use and occupancy of premises land intended use and occupancy of proposed construction: a. Existing use and occupancy 1'.(;S.I.d.e,Y1 G.C.' . ` i b. Intended use and occupancy I'.e."? ~ ~ C~ ..~~~.<:a,e-,.c~T. ~ I 3, Ret air of work (check whicRle1applicable): New Building Addition Alterati n a . ; . p oval Demolition O,th~Work ..~c11.51 n~.... ~~//GO+~ (Description) 4. Estimated Cost ~,SO 0~' Fee . ` (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor N//'l . If garage, number of cars N~~ A 6. If business, commercial or mixed occupancy, specify natur extent of each t e of use . + I ell Ip it ~ I. .ll.... 7. Dimensions ofl ex;Ming structures, if any: Front 6, , 6 . ~ Rear Depth y... 3..... . ..~..........1 Height Number of Stories r N t 5t ON Depth ith alterations o ditl s: Fronnt 111 ~ R... , . Rear . ~ ~ ~ ..........p. D mensions fire newtcons' ' 'Height , . , , Number of Stories . ruction: Front Rear De th J~ . Helght Num er of Stories . ~ ~ ~ .~JA ~ , 9. Size of lot: Front . ~ OD Rear .:.0...08.......... Depth r I m..... , 11. ZDone or usecdistrict~i wlPii h pr . • 3 Q .:`..L~ Name of Former Owner LC h.+11/. f ~L'l SCCI.It :..:W r~ .m.C y emises are situated ....I..... . 12. Does proposed construction violate any zoning law, ordinance or regulation: .n P . 13. Will lot be regraded Q.O...... .......Will excess fill 12G,removed from premises: Yes No p ~ 5a.r . A.~,~©lYr~S.. Address (~~.°3~, .~F fr1..~VC :(.~.Oe¢tlyPhone No~'~`~"5~'.5°Q~q . 14. Name of OArchitect remises. 4. • . • • . • • • • , .....Address ...................Phone No............... . ame o ontractor 15. If yes, Southold TowntTr~ " • Address Phone No............... . within 300 feet of a tidal wetland? Yes No P P Y * ustees Permit may be regqu~ired. PLOT' DIAGKAM Locate clearly and distinctly all 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. i / 0~~ k g`~ ~ _ QeO~ Q,0' ~ , r ~ ~ r-•- ~ ~ , '3P ~E' ~ ~ 0O~ ~ gzoa3 ~ ~~~a~ ti ~ fir. o, r~ _ w i m .o frame may- ~ cofto9e 00 4i ~ _ O ~ ~ o O O O Z ao. oo' _ _ bFa'I1;lE_ Bfy~H N.75°04'30"W.- STATE OF NEW YORK, S.S COUNTY OF . • . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (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 con~ained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manngr set forth in the application filed therewith. Sworn to before me this Notary Public, ..J~: eP^.!J . Y?~......... County NEIEN K. DE VOE York NOTARY PUDLIC, Statc otCNew ' ~ . . No.47078'7R,SuKolk ryb~ (Signature of applicant) Terra Expires Mxrch 30,19