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Home My WebLink About17591-z~~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17947 Date APRIL 14, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 1645 ELISAH LANE MATTITUC%, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 04 Lot 7.9 Subdivision ELIJAH LANE ESTS. F11ed Map No. 6065 Lot No. 6 conforms substantially to the Application for Building Pernut heretofore filed in this office dated NOVEMBER 7, 1988 pursuant to which Building Permit No. 17591-Z dated NOVEMBER 7, 1988 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 ACCESSARY GARAGE AS APPLIED FOR. The certificate is issued to RICHARD & AUDREY A. MOORE (owners of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-063567-MARCH 23, 1989 PLUMBERS CERTIFICATION DATID N/A .GA~i i Building Inspector Rev. 1/81 roans tto. 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 7HE WORK AUTHORIZED) N °_ t, 1.7 5 91 Z Date ....//..,1.~.. Permission is hereby grunted t ../..F.~s" ,..~..~ .........., 19...~ g .~~ ~~ f~~ ct premises located at ...l~e..~i...7......~~~~~' /........~r~....re ..................................... ........... ................... ........... C~l~.~.%L.~Kr~........................................................... Counri~ Tax Map No 1000 Section .. ~a.4... Block pursuant to application dated ~I ~'.l... .. .. Budding inspector. Fee $...?/.~.. .. ......................................... .. . .......Q..~j.L...QQLot No......~-.9 ... ...., 1 ~C/.., and approved by the ~i Buil g Inspector Rev 6/30/80 Vri ~.~- ~ j~~S ~ : a', TOWN OF BUILDING TOWN • SOIITDOLD 765 SOUTHOLD AEPART2ICNT HALL NEW YORK 11971 - 1802 V'" ~5~~ \~ h 0 1 ~ ~~' ~f ?~~~C DATE.. ! ...... NEW CONSTRUCTION ...OLD OR PRE-E%ISTING BUILDING..._..VACANT LAND....__.. LocaCion of Property. ~~=..4 -.~1........~~~ ~~ N . ~:A:'~ ~.......f;l.F~ I_ 1 ~Tl: ~ ,(~, . HOUSE NO. STREET HAMLET ~./~j,, Owner or Owners of Property..Y.:":~'~". ~ ~`""`~~ ~'1"' ''"~~t- v County Taz Map No. 1000 Sectioa 1~ R .. Block ~ . _ ... Lot .~ :~... _ . Subdivision~GT~!~l'I~~?:~.~.~S.r~~1~~Filedt?M6ap bG~~..Lot...~?...... }~ Permit No. S-1~.~~~..Date of Permit ~~7lS~.p...ApplicanC 4'°:'ti~ ¢~lT~«' Health Dept. Approval ...._.. UnderwriCers Approval. ~.~r. .~~ Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ~./ ............ Fee Suhmitted_ $.__~ ~ ............. APPLICANT....~~~~~`" ~.". ..~j.~/L~...... . ~. Q~lx,. 3 X03 ~ Cn ~ (~9`~ rev. 10/14 88 APPLICATION FOA CERTIFICATE OF OCCUPANCY THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 ~ ,.L60107 L BUREAU OF ELECTRICITY / 85 JOHN STREET. NEW YORK, NEW YORK 10038 ~ Date NARCH 23,19$4 ApphrattonM1o onfde 597765$9/89 N V63567 THIS CERTIFIES THAT , only the akrtrtca! equipment as deacnbed 6elora and introduced by the apphcont named on the above opplsmhon number sn the premises 1 ` DICK NOORE, EIIJA LANE, CU CH6GUE, .~'. irs thefo!loiveng kfrahan. ~ Bo+ement ~ lat FY ~ 2nd A7 GAR Sertton B(ork]bg5 Lot I frnaexanuned on NARCH 06,19$9 and found to 6e en cianp/ianre with the rryutrernrrsty of tlety Board RXTURE FIXTURES RANGES COOKING DEC%5 OVENS D{SH W ASHERS EXHAUST F. OUTLETS ECEPTACl.ES SWITCHES I NCANOEXENT fIUORESCENT OTHER M1i K W AMi K w nMi K W AMi K W AMT I H b 10 3 2 4 DRYERS FURNACE MOTORS WTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gEll UNST HEATERS MULT40UTLET DIMMER! AMT K W Wl H P GAS H P AMT NO A W G AMi AMP AMT AMPS TRANS AMT H P SYSTEMS NO Of RET AMT WA h SERVICE DISCONNECT NO of S E R V 1 C E AMi AAO TYPE METER EQUIP I ~!' ]\V 1 $ ]W ] b' 3W ] X AW NO OF CC COND pER % A W G OF CC COND NO Oi HI Lf G _ A w G A w G Of HI LEG I NO Of NEUTRALS f ~ NEUTf OTHER APPARATUS FEEDER5:1-4 @ 4 BASEtENT TO BASEMENT PANELBOARD5:1-6 CIk. 100 G. F. C. I:-1 G Sr 5 CDtd7RACTl]R BOX 215 SQUTHOLD, NY, 11971 This certlflcate must not be altered in LIC.#57B E return to the office of the Board If incorrect + il' t:. ~:~~ !&1 ~_~( _T~~ ~,~~ -, fc"Tn -11, _ I _„ ~~ 1" _ ~~I 'Ir- .ern' -SIY; III =tti=_ _ GENERAL MANAGER ~ V -~;I~ 11 , ~~-~_ Per lov be Idenhfled by Char credenhc -~~LD I;.S:~~Ti~;~ i {uhTE p ~o~KMLNr~ I . a +s ~? „ ! ~ ~` '' ' H ~ H ~~ rOllTIDATION (lit) ~ -~ c ; c0U1dDATI0II (2nd) _ N i ~ i z o, ROUGH FRAME & PLUMBI; G I ~ 3. m m IIISULATIOPI PER N. Y. .. "~ STATE ENERGY ~ CODE ~ ~v 4. /1 .~ m FI;tAL ADDITIOP]AL COhiMEtITS: x .~ ' x . _~ •v H . ~ ~ H H ~ O ` ~~ r _ H \ O m -o H 1?r~'l 765-iS02 BUILDING DEPT. INSPECTIQN [ f1 FOUNDATION 1ST [ ) ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ,/~ p, .~ . DATE log- 1 G~ ~ INSPECTOR ~~~ /7S9/ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL DATE ~ d INSPECTOR ~~ Y ~' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN HALL SOUTHOLD, N Y 11971 - / f TEL.. 705-1802 Exammcc . /!/ 7JJ... ., 19 ~y~ Approved .. y.,(.~. .. .., 19 ~(/Perinit No.~?.J../ l~ Disapproved a/c// ......... ..... ..... ........... . BOARD OF HEALTH ........ 3 SETS OF PLANS ........ SURVEY ................. CHECK .................. SEPTIC FORDS ............ NOTIFY .---~ ~ 7 -~ -'~ .3 ~ ~~ CALL .............. i MAIL T0: ~~ uilci Inspector) APPLICATION FOR BUILDING PERMIT Date .. .... ... INSTRUCTIONS a. Tlus application must be completely filled m by typewriter or m ink and submitted to the Building Inspector, 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 adloming premtses or public - or areas, and giving a detailed description of Iayout of property must be drawn on the diagram which is part of this 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 t shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occu shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildm; Department for the issuance of a Bwlding Permit pursuant Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and otter applicable Laws, Ordinan Re:ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein desc The applicant agrees to comply with all applicable laws, ordinances, buildutg code, housing code, and regulations, a admit authorized inspectors on premises and in building for necessary insppctior}s. ,,//~~~ / ~ ~• .. car[i rG-LEt/~.'.. f~.. t .uil.~. ~-'~ .. (Signature urt applicant, or name, if a~1corporauon, .... /I ............ .. ......~ (Flailing address of apgttcant) State whether applicant is~~ ne ,lessee, agent, architect, engineer, general contractor, electrician, plumber or bu . ... .. .. . . ......................... ........ ......::.:.............::.. . .. ~ , Name of owner of premtses .r11..' e_~rt r ~ _~ .lv/ as ~+r.. .. t. y. 2? U~cf..~~.. /~1/L: v`:c' ........... . (as on fhe tai roll or IatesC deed) If applicant is a corporation, signature of duly authorized officer. .................... ............... ...... .. (Name and title of core//orppateyyofficer) _ Builder's License No. ~,7.' :/..0 •`S.~-~ Plwnber's License No .... .... ........ . . Electnaan's License No ...... .. ..... . Other Track's License No ............. .... 1. Location oC land on which proposcc work will be done - .. . . . .. . .. ...... . . . ..... .. .. . ................... Houck Number Street Hamlet ~~ G~ County Tai Diap No 1000 Section ~ ~ .~ .......... Block .. ~:) .r'./. .... Lot . ~' ~~ ~ - r'r~ 5~ ~/ a / ~ ._ - . ~- ~ ~,, S ~ Subdivision .`.~ 2 . L ~9'P .. ..~.~. ~Y. FJ. Filcd flap No ... Lot ... -' (Name) ... 2 State c~tsung use and occupancy of premises and intended usk and o~cupanc y of proposed construction Y 6 ~" ~i ~.L: -, ;.:Z : c~ a. E~isimg use and occupancy .. ~. .. ~/. .... ... .... .... .......... b. Intended use and occupancy .(~'>.'. "~ "'•`. `~ a / •~'• 7J~ 3. Nature of work {check which applicable). New Building Addition .......... Alteration .... . Repair ............ • . Removal .............. D molition ............. Other 1Vork ......... . (Desrnpu 4. Estimated CosI . ... ~ ~/. ~[`/1J ..... Fec ...... .. . .. .. ~ (to be paid on cling this apphcauwn; 5. If dwe][mg, number of dwelling units .. .......... Number of dwelling units on each floor ... ...... . If garage. number of cars ....... ......... ........ ........... ... ........... . ........ 6 If business, commeresal or mined occupancy, specify nature and extent oC each type of use ............... . 7. Dimensions of exuung structures, if any Front ............... Rear .............. Depth ... , .... . Height ............... Number of Stones ................... ....... ... ..... .. ....... . .., >~siAn~same structure with alterations or additions Front ................. Rear ............. ti ...................... Ilcight ......... .........Number of Stones ............. . .... .. 8. Dimensions of entue new construction Front .... ~ . •"Z7 .... Rear ...~.•?, ........ Depth ~ ~..... . Height .... ~ ~:........ Number of Stones . 9. Size of lot: Front . .. ~ ~~ ~~ ........ Rear .. .. ! :..L. ...... .. Di, th ~~ ..~~.:- 7.,.......... 10. Date of Purchase ...~ 1.:. .. ~ ........ .....Name of Former Owner .? 1 p.>r ~N ': `-- .. ... ..... 1 1 Zone or use district in ~v}ticli premises are situated ................................... ..... ...... . i2. Does proposed construction violate any zoning law, ordinance or regulahon• ............................ 13. Will lot be regraded .......,,; .'y~?:-:...,,~ y....n.,• ~Vi}I excess fil] 6~ removed from premises Yes 14. Name of Owner of premised ~~.'. r'r~i ~r~~"•~:~,1 (~:~~ress J~: Y.S~:~~:`?//~f./~?G`. Phone No.:~.?~`..'.`.:'-. Name of Architect . ~ftd . ~~~ S.`~~~1~ .. Address :~'.` r .`~" 1... Phone No .......... . Name of Contractor .~ `.°.'! :`:': ~.. ~': g~w : ~'.:~. Address ... ~ ' ' l.~ :.~. tr ....Phone No........... . IS.Is this property located within 300 feet of a tidal wetland? *YES....NO.°: :" *If qes, Southold Town Trustees Permit may be required. PLOT DIAGIZAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions t property fines. Give street and block number or descnption according to deed, and show street names and indicate whe rntenor or corner lot. STATE OF NEtV YORK, S S COUNTY OF ............... . ....... • • • • • • • • • • • • • • • • • • • • • • • • • • • • .. .. being duly sworn, deposes and says that he is the appli~ (Name of individual signing contract) above named. Eieisthe ................................... .... ... ....... ............... ................. (Contractor, agent, corporate officer, etc ) of said owner or owners, and a duly authorized to perform or have performed the said work and to make and file application, that all statements contained m this apphcauon are true [o the best of his knowledge and belief; and that work will be performed in the manner set forth in the apphcauon filed therewith. Sworn to before me this ...... ...... 7 ........ day of .. a ~ 4*Y.........., 19 dg Notary Public, .. ~, ,3f',., ,~i`,¢; ~~,~-, , , , , , , , , County HELEN K DE YOE NOTl1RY PUBLiC. Stab of Pkrr Yark do 4707878,SuffoiNCo Tema Expires M:rch 30. , L ~"~-y'~G-~=~ ~.~ . d~z7 :.`•`. (Signature of applic t ~0~ ~P 0~ L ~• 1' L `1~ DZ r~h1 APO ' ~LP o~~ ;, l , ~. Q3 263 .~ ~_ -~ Ln ~-- "'CSo V ' w w- "o _ F /J .y ~ ~a°_ 461 _~~^E{J) N O - i of 'Y, ` .• tP ~o i ~ syj _ le, k ~ ~ '_ ../ ' ~~_-_._ 13_ _ y ~~ A !k~' ~o ~ i R ~ , e O9 6Q 2 V' ~._ ~2 I ~ fPUj' \ CC{Dyi7g2t~Ty HF6TTH DEPJ~T~~r "'-'-~LLL_ H. D. Fes, # ~ SC• - IE Y 2 ~~ 'a - C~ off, Ls P ~! \3,, fare i e~;~e di= ~aos:1 .,a `_ i~ ci_StSas for t-_+I loc .Tt~r.,T_aFlp _ ~ SnaF°ciF• this a-`on have been pl` to be sat 8 d~c3rtnsnt and found 5`'~DZ` ~~ ip ChOfA c~OSerYal g~}nBer a.. 2 ices r N ~o ~°- ~,, O U•I AUTHORIZCO ALTCARION OR AOOITION iD THIS SURVEY IS A VIOL 4TION OF SECTION 7309 Of THE NEW YORK ]TPTE EDUCATION L1W CO>ES Of THIf SURVEY MAP NOT BGRINB THE LPNO ]Ufl VETOR ] iNHEO SEAL OR Eu BOS3E0 SGL SHALL NOT BE WNSIOEACD' TO BC A VALID TRUE COPY CJARANTEES INOIUTEO HEREON ]YALE PUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PAE9AAED, PND ON N13 BEHALf i0 THE TIiLC COMPANY, 40VERMHENTAL AEENCY ANO LENDING IN3TITUTIOx LISTED HE9EON, AND TO THE PSSIGNEES OF TxE LELCIND IN]i1TUi10N GUPRAVTECS ARE MOT TRANSFERABLE TO AOOI iIONAI INSiITUf10N3 OR SUBSEOVENT Ow HER] / ef: , \ ~ . -2~ . °~t NOTE a > MONUMENT SUBD/V/SION MAP FRED !N THE DFFJCE \ OF THE CLERK OF SUFFOLK COUNTY ON FEB /4, /9T4 AS F/LE NO 60 fi5 7~His LOCATION ^r ••"rTT S AP'D r,ESSP06Z3'I S904VR HE^^' , I ^: T ! I-'D G3;ERVATIONS 8lfD/08 FHO,a ,._:..:..,uanlii~D PBOIIt OTHERS REYISIONS YOUNG & YOUNG 400 OSTRAN DER AVENUE, RIVERHEAD, NEW YORK ALDEN W YOUNG HOWARD W YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR LANG SURVEYOR N Y S. LIC NO, t2B49 N Y S lIC NO a3B9 ]1 SURVEY FOR: R/CHARD A. MOORS ~ AUDREYA. /11ffORE'' ~` LOT NO 6 • E,'' ' I " EL //AH'S LANE ESTATES , S CTlDN / " ~- I AT MATT/TUCK GUA A TEED TO. • GUA AN EED )./TEED/Y/S/O~,G AME /C N T/TLS' /NSURANp~ TOWN OF SOU OL$.SA.V/NCS BANK` SOUTHOLD R1CR 6A1,/DRF~~/MC SUFFOLK CO , N. Y, aY •, ~V ( ~ J SCALE• , GATE NO. / ~~ = 50 APR. 28, /976 T6-306 %AE lT 3133 9-TA Ao91]