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HomeMy WebLinkAbout17381-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18771 Date FEBRUARY 7, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 610 NAUGLES DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 5 Lot 12.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22, 1988 pursuant to which Building Permit No. 17381-Z dated AUGUST 31, 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 ONE FAMILY DWELLING WITH GARAGE UNDER & ATTACHED DECK. The certificate is issued to JOSEPH C. FALLETI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT QF HEALTH APPROVAL 88-SO-8I-JUNE 22, 1989 UNDERWRITERS CERTIFICATE NO. N-067029-APRIL 14, 1989 PLUMBERS CERTIFICATION DATED DECEMBER 30, 1988-O'CONNOR & SON S Building Inspector Rev. 1/81 Fosas xo. a 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) ~Jo O1~T381 Z Date ......7~,~,~ )9.,!f.8' Permission is hereby grouted to; , . ro G?~RJ.4>~?f.~~i.~...Q..r..,~~.L..... G `~.f ....(./L~e~~~C.~r t~ri:~~.... ct premises located of ....~p..l~...(.7.,1(/~/./.. .vG/•/I.~16.C/~~~....~j.J G~F~G~ r. " .......................................................................Q...Q..............................(/.................................................... County Tax Map No. 1000 Section Block Lot No......~R.S.t.~.,. pursuant to opplication doted 19.6/. and approved by the Building Inspector. Fee cs ...~1(/ G~~" 8... ding Inspector Rev. 6/30/80 ' 4 a ~ TONN OF SOUTDOLD ~ / BUILDING DEPART:[CNT ! 1. s1,,~! C ~1 TONN IlALL f~(7 FCB E~ ' SOUTIIOLD, NEU YORK 11971 BLDG. DEPT. i 7G5 - 1II02 TOWNUFSOUTF9OL0 i APPLICATION FOR CERTIFICATE OF OCCIIPAtlCY DATE HEN CONSTRUCTION ..i~....OLD OR PRE-E%ISTIt7G BUILDING......VACA27T LARD........ Location of Propcrty..,lO./D /1//~GLGvCL=5 _~~/U~ fJ~~!_Ti,J'Lt.c/L___. _ IIOUSE NO_~-' ~ STREET UAMLET Ovner or Ovncrs of Property...\1P.S~=,f~,/1.,~_J„f~~~~71 County Taz Map No. 1000 Section 11.~Z:/:Ul~ IIlock .Qs`~.~R4 Lot' ~~_4~°+~.~17~ Subdivision Filed Mapd d_....._.Lot._........ Permit No. L:~7~~~zIIate of Permit .$:r3~ =4Y.AppLicanC .~~~4~1.°~ ~°.•_1.i41,/CT~ Health DepC. Approval Undcrvritcrs Approval.v Planning Board Approval Request for Temporary Certificate Final Gertificate Pce Submitted: APPLICANT.. , ~ .v.~~" _ _ t ' /C~d J a~ rev. ! 0 / 14/88 (~.~c,..38y b.3 Co ig?~l . a . FORM NO. 6 TOWN OF SOUTIIOLD BIIILDING DEPARTMENT ' TOWN DALL 765 - IB02 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS ~ ' A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: i. Final survey of property with accurate location of all buildings, property lines, streets, and unusual'', natural or topographic features. ' 2. Final approval of Dealth Dept. of water supply and sewerage-disposal(S-9 farm). ' 3. Approval of electric~i installation from Board of Pire Underwriters. 4. Sworn statement frog plumber certifying that solder used in system contains less' • than 2/10 of 1Z lead, 5. Commercial buildings', industrial buildings, multiple residences and similar, . buildings and insta]lations, a certificate of code compliance frow the Architect or Engineer responsible for the building, 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings~,(Prior Co April 9, 1957 non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all propcrtq lines, streets, buildings and . ~ unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abst~,racC of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of'~,Occupancy is denied, the Building Inspector shall state [he reasons therefor in',vriting to the applicant. 3. Date of any housing 'c ode or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of~the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D: FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions Co Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to 'Accessory buildings, $25.00 -'IIusinesses $50.00. 2. Certificate of Occupancy oa pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. ?pdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15 00 Residential ' I Commercial .P' ` moo. 1oi14/ss TEL. 765-1802 ~~SVFF~~CpG TOWN OF SOUTHOLD y'.c, OFFICE OF BUILDING INSPECTOR ~ z P.O. BOX 728 ~ TOWN HALL yO,y,O~ ~ ~~0~ SOUTHOLD, N.Y. 11971 ~l C E R T I F I C A T I O N Date ~ (q~r30 / R Building Permit No. U / .3~/ L Owner ~os~Atf FAhtiE7"i' (please print) Plumber (~~~ohnv~' ~ ~f'l.h (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. (plumber's signature) Sworn to before me this 3 day of ~ tt+~ „per, y ~ ~z U~ 19 Notary Public Notary Public, „~i~,~-Q,ei~-County M11fARY PbUBt~SC ~a~ o~f~93en YetY wa arorora°°s~~~kc~,,,py Perm ~~zpires R4srch 30,1 ' ~LtT:zrJ,` TEL.7G5-18t„_ `p5~~ ~O~y T0~'1`1 OI' SOUTIIOLD ~~,-j~~;'~~y y~ ~'c OI~1'ICIi OC' PsUILDING INSPF.CT'OR ~ a P';?;i' ~ TOSVN 1IA LL O,y SOU"I~11OLD, N.Y. 11971 ~3 . ~~~7--~'~ January 16, 1990 Mr. Joseph Fallen 762 Naugles Dr. Mattituck, N.Y. 11952 'Co Pthom This, May Concern, 4;e are unable t.o complete your Certificate of occupancy because of the falloc•~iny reasons. An application for Certificate of Occupancy is not nn file. (ENCLOSED) /E~~/ No i7ndercariters Certificate on file. /,/J/'('he check .i::(~il~l&IC~LRC~47K~r:ut on file.l $25.00 ~:o llca].th Dept. Approval on file. t:o final insl~~ect:ion has been made. P]easr.. r_ontact: our office on this matter. ' Thank you for your cooperation. l;u.ilclir,y Pcrm.i.t: 11 1 7 3 8 i Z IIuilc3inq Dcpf. t**/~ tlo Plumber Solder Ccrt.ificate on file. ' ( al.l permits involving plumbing being icsuccl aft.cr April 1,1984 E _ _ / - _ _ - _ TFIE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 J.Q35101 BUREAV OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Uate APRIL 14,1989 Application No. on fife 58694988/88 N 067029 THIS CERTIFIES THAT only the electrical equipment as descrihed below and introduced by the opplicont Homed on the above application numher in the premises of ifILLIAM HUDSON, 610 NAUGLES RD~~--tt~~ LOT #Pn/0 012.000, MATTITUCK, N.Y. in lhefollowing LFCOtion: ~ Basement LXJ Ist FL LU 2nd FT. GAR SertionQ99 Blocl05,00 Lot uws exornined alL MARCH 23,1989 and found to be in contplianee with the requirentenix q/'this lfaard. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDFSCENT FWORESCENi OTHER AMl K.W. AMi. K W. PMi KW. AMi K.W. AMi H.P. 22 6 26 22 1 1.2 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME ClOCNS gEll UNIT HEATERS MULTI.OUTLET DIMMERS - AMi. K. W. Oll H. P. GAS H. P. qMT. NO. A. W. G. AMi. AMP. AMT. AMPS TRANS. qMT. H P SYSTEMS pMT. WAii$ NO.OF FEET 4 F 1 30 1 SERVICE DISCONNECT NO.OF S E R V I C E AMi AMP, TYPE METER I 4W I 0W ] ~ 3W KW NO.OF CC COND. A W G NO OF NI-lEG A. G NO Of NEUFRAlS A. W G EQUIP. PER .6' OF CC.COND OF NbIEG OF NEUTRAL 1 150 CB 1 X 1 1 1 ~ OTHER APPARATUS: G.F.C.I:-2 SMOKE DETECTOR:-1 ~~2~4'~~L y~y~~~~~~ C & R ELECTRIC LIC.#3788E G~j~7l~ P.O.BOX 2186 AQUEBOGUE, NY, 11931 GENERAL Y{ GER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. 1cLD II;SPEC: iU;. ~~Ji::~ ~ ~OaKM.~NT~ V - - 1. ~ 4 z ~ H ~ ~M~ FOUNDATTOt1 ( 2nd ) ~ 2. z ~ o O P,OUGH FRAME PLUMBING ~ k9a-cQ~ ~LR~v~~e0 y INSULATIOP! PER N, Y. ~py~~ STATE ENERGY ~-e3>~k- CODE D~l~ c 1 `,r~`i. C*]~~ 4 < FINAL a n o zy ADDITIOI] COMM TS: x ~ p C~/C GL7 n~ ~v ' x ~v W v~ H~ H O O z ~ g1 M a r^ 7 H n_ x O d ~ m ~ -o H 765-1802 ~ /2 G ~ BUILD{NG DEPT. t SPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: rt-.~%J~„ ld~vrq~/ . ~ ~ ~ DATE ~ 2 ~ INSPECTOR ~ 765-1602 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE INSPECTOR l'~~51 ~ - rss-isoz ~u~LDiNG DEPT. ~~n, 1 NSPECTION [ ] FOUNDATION iST ( ]ROUGH PLBG. [ ]FOUNDATION 2ND [/~1' INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ lti-a~ ~ 0~ ~ _G~^~ ~ ~ d rtr L~r DATE ~ 0 g"d'' INSPECTOR ~~tti 0 u~ ~~3 fss-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T (~OUGH PLBG. [ j ROUNDATION 2ND [ ]INSULATION 4 ['FRAMING [ ]FINAL ~ REMARKS: ~ n.~ f n i t i DATE ~ INSPECTOR ~ , . 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ OUNDATION 2ND [ ]INSULATION I, [ ]FRAMING [)FINAL ,i REMARKS: D t i i y f f i fCf{ I 4 DATE INSPECTOR [ ~ ~ _ ~ ~3~1 765-1802 BUILDING DEPT. INSPECTIAN [ ~NDATION i5T [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL ' REMARKS: f t I i I i i t DATE ~ ~ U INSPECTOR j f ~ ~ ~ _ . 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Q ~ n' ~ °g L/,t''sL o`~~.~os~ 5Zo ~ ®D ~ ~y fah ~ .3~ °Jo.53 ~ ~ ~ ~ 1 ~ n ro ~ o d L a i Lufye.~s 20. O y ~ ~ ~ ~ ~ ti O 6~ "8' N ~ c. O ~ ~ ~ ~ ~ m \~j EL.Q•6 Tc ~~~an•~ ~L'SS . ~`f f ~ B.;o ,y ~ v ~./ZS ~ y~ ~ ~ i ff,n, ti vl ~ ~ b ~ 0 wti N u3° x./6.4 ~ ~ ~ q Iv y l~ n d, < S. p0.20 mac. tb.4 ~ ~ v C ~c.ze< ~,az T m ~ . o ~ ~ r 1 ° o ~ F _ ~ a ~ i T { to ~ t`> of t'; X D ~ N .Tz j c m ~ ^m ~ r b o z' ~ r. c~' f ~ U1 l~-T\1 vw, ~ c, `c>- i:> ~ i`J in FY c-r c~ ~ szy e..-~. ~ t0 ~ , h~ n>° ~ ~ t~~g. ~B9 -NS rv ~ ~ ~ C, ~ ,y cn BOARD OF HEALTH t'~~ C 3 SETS OF PLANS i __~-'~~~'"~!`il.~\,tl~ls-~ FORMN0.1 SURVEY ~.....,,.-..a ~ . ` ~ TOWN OF SOUTHOLD CHECK nW 2 2~~ BUILDING DEPARTMENT SEI>TIC FORDS . TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY BLDG. DEi'T. TEL.: 765-1802 CALL TOWNUFSOUTHOLD MAIL T0: Examined . 19e~, Approved ; .d'/„3/........., 19(f~Permi[ No. ~7S3~i%j~ Disapproved a/c . ( uildi nnpeetor) APPLICATION FOR BUILDING PERMIT Date 15 . 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, code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Sigpature of applicant, or name, if a corporatton) • ' _ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. r ~ ~ ' Name of owner of premises . J.c9~ L. P-../:~... ~•...~iel-ti ti .z`'.. ~ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plutnber's License No. Electrician's License No . . Other Trade's License No . . 1. Lpcation of land on which proposed work will be done . • ............~.ld ......~~l~-G-h4= s...~hll!?.......~~-.~1 TcRC.K........... House Number Street ~ ~ • ,1 Hamlet / County Tax ~9ap No. ] 000 Section Block t,t~, . • • • • . Lot Subdivision Filed ~[al~ No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~h? ~ U .t• • • • . • • • b. Intended use and occupancy ..f,!.f?•~-/~'••••••••••••••••....... a 3. Nature of work (check which~l,applicable): New Building Addition ~~Iteration , . Repair Removal Demolition , Other Work . ~ ~ ~~cription) pp ~ 4. Estimated Cost.:~4.Or,d~..'. Fee (to be paid on filing this application) 5. If dwelling, number of dwetli i tjg units . , , , . ~ , , , , • , , , Number of dwelling units bn each ?oor . , . ~ . , . If garage, number of cars ~ . . 6. If business, commercial or mixed occupancy, specify nature and extent oC each type of use . 7. Dimensions of existirg stntcttires, if any: Front Rear Depth . Heiglit ...............NyrnbcrofStorics............,.......................................... Dimensions of same structure ';with alterations or additions: Front . Rear . Depth ...Height . ,Number of Storie~s~........ , , , . 8. Dimensions of entire new constntction: Front ....~:3r~6..~... Rear ~>~.~.":~a.... Depth . x,7.:/.4..... . Height , Number of Stories , 9. Size of lot: Front Rear . ~v2..3.~. 9.~...... Dc~Pth . `X.~'`, . 10. Date of Purchase , , , , l.~ 8.~°........ , , , , , , , ,Name of Former Owner CP.F 11 u. FF . 1 1, Zone or use district in which premises are situated . . P P olate any zoning ]aw, ordinance or regulation: ..h° . . oes ro ose constru~c}tion vt ~a 13. Will lot be regraded ...4 .5. ~ .....................Will excess fill be r mov&d,f~.m premises: ,Yes 'l Nc 14. Name of Owner of pre` ises .~0.5 ~e+-(I.eti , Address7~.s`71F,°!-~"l..'~^^~: Phone No~p,$.: ~$Z?;S?. . Name of Architect ..p:"2~'2r.' ..(ki-(~Ca.•S . y , ,Address ,G.".uo.Cyy4 .Phone No . Name of Contractor C~'e ~ , ,~.(,q V;~, • Address cTJ~:sr~t V:~ .Phone No.. ~ . IS.Is this property located within 300 feet of a tid wetland? ^YE5..._NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly a(l 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 comer lot. ' i•'EwF~•tYll~dley~~g~9p9VpICry:B~./PJ~^t~`l,*a/ ~C~g'F+fiy(+Sy~I~JR. !'l.1 fRC~~OV Ni. I..XV6V 4 1~~I b~.• nt~~d/1~ 9~R~~iBu~~ FtECiRAO9Fk3 t.t3T DpIVEWAY CpNSTYiUI'TIOfO ~Ol C63NSTFIUCTION ' i STATE OF NEW YORK, COUNTY OF . ~S•S • • • • • • • • • • • • • • ~k^':'!~ • being duly sworn, deposes and says that he is the applicant amc of individ al s~ni cc ng contract) above named. Efeisthe Q.CC-1.~.4c~....................... (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 into to the best of his knowledge and belief; and that the work will be performed in the mannenset Cortlt in dtc application fled therewith. Sworn to before me this N tP,~ublic, T , l~-!.... County UNDAJ. COOPER 0 (Signature of applicant) ' Notary Public, State of New York No. 4822b83, Suffolk County Term Expires December 31,18