HomeMy WebLinkAbout17656-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No z18001 Date MAY 5, 1989
THIS CERTIFIES that the building ALTERATIONS
Location of Property 1475 WESTPHALLA ROAD MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 141 Block Ol Lot OS
Subdivision Filed Map No. Lot No.
conforms substantially to the Appla.cataon for Building Permit heretofore
filed in this office dated NOV. 29, 1988 pursuant to which
Building Permit No. 176562 dated DEC. 1, 1988
was a sued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is NEW ROOF & ALTERATIONS TO E%ISTING SECOND STORY BATHROOM
OF EXISTING TWO FAMILY DWELLING.
The certificate is issued to FTF.NOR MEEHAN & HANNAH MASTERSON
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N067545 APRZL 18, 1989
PLUMBERS CERTIFICATION DATED MATT. PLUMBING & HEATHING FEB. 2, 1989
Building Inspector
Rev. 1/81
rosai xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Nq X17656 Z Date 190..U.
Perm~ss~o ~ hereby grante~~~~G/
''t'7...... 7........ ~ ..................C~.~~l 7i'~~••`~'' IG?r~/i~.,ya~%~~ff,6~
r
to .i!~i~~.. .~G//~...!/.k....+rv..•/~~~q.~tiv
ct premises located at ....lf,~.7~.7.....tfli/.~~~~~Z~a.~C-
County Tox Map No 1000 Section . l'Y."~ Block Lot No ~ .
pursuant to application dot}ed~/.~/~' a.... 19.~'~ and approved by the
Buald(ng Inspector. f'~~ ~/y/j~~
o~
Fee $..~~i~
..f.C!.o~
~uildin for
f~,G',,,,.~ C.v.
o~c- V
Rev 6/30/80
f' ~ ~ ~ ~
TOWN OF SOUTIIOLll luS
BUILDING DEPARTlSENT ~ A
TOWN HALL •7
SOUTHOLD, NEW YORK 1197
7 6 5 - 18 0 2 S~7HOl!? .
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE 02,02_/89
NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING. X...VACANT LAND........
Location of Property.....~~.Z~.....'•~'atphalia Road P.attituck
HOUSE NO. STREET HAHLET
owner or owners of Property.. Elenor Meehan ~ °_annah Masterson
County Ta% Map No. 1000 Section ..~~1. Block Lot .8.......
Subdivision Filed Map ........Lot.......,,.
Permit No. .l'~6,-rj6....Date of Permit ..~4~-~1~B8.Applicant E nvironment East, Inc
for' wners
Health Dept. Approval Underwriters Approval..............
Planning Board Approval
Request for Temporary Certificate Final Certificate X
Fee Submitted. $25~D0--`-`=[t-15y~.5
APPLICANT ...Pr®~e..for.Owaexs
y
SOS/
z i~0° r
C.o-
rev. 10/14/88
_ ~
-
THE NEW YORK BOARD OF FIRE UNDERWRITERS Pnce x
1U(U)C21 BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK. NEW YORK 10038
Date APRIL 1k,19k9 APPlicationNo.onfile `'')f.3fl'lk8(RN N OF=7545
TH13 CERTIFIES THAT
only the ekrctricd puipment r deserihed GeloTO and introtkseed by the opplicant named on the phone eppiicotion numher in thepromiass of
:.MF.ELIAN M1 N. MASTtt2SON, W~`.5CPi1AL.~.CA AVf., MAI'TITUCK, N. Y.
in thr folblrinR bcotion; ®Bsuement ? Gt FL ®Ynd Fl. Section Block Lot
wee examined on AP R i 1., 1'14' l) N ' and found to 6e in complioncr with the reyuirementx of thu Bosrd.
tIRTUN FIXTUlR6 RANOlS COOIlINO D[CKS OVlNS OISN- R%NAUST FANS
OUTIlTf ACVf S~ICILR INCANOESCEM ~ NUgIl1ClM OTNER NAT. K. W. AMT. K. W. NAT. K.W. MAT. K. W. AMT. N. P.
~I (1 k
DRYRRS FWNAp MOTORS K1TYM AMIIANq FRtOMf SPltlAI NC'~T TIW fIpCKS Rltl UNIT IIFATERf DIMMlRS
AMT. K. W, dl N. P. OAt N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPt. TRANSI AMT. N. P. NO. d RRT MI7. WAILS
SRRVIOF DKCONNlCT NO.Or S E R V 1 C E
AMi. Aw. TTPe ~ 1 w Tw 1 w Tv ~ w tw 3 w ew ~ER%C~' a GC.' oi+D. a NI-IEG ~ h
•~0 No. a NtU1RAL5 ~ ~~~l
? ]f)0 Ck X X 7/fl 1 lCl
oTNn AF?ARATIIS:
Nh:C;6ERS_T-3 k 'l. RA^ih'Mf:Nfi 1'4 )ND FLOOR
FANElIS71ARD5:]-S CIR. I`1
G...C. C:_J
PAUL R. 1~11RN:i L.Cf.p281_ F:
'l 7'.+ TOWN HARBOR L ANC
SOUTH01_D, NY, 1C97~i OrllAtM- ~
11
Per
This artificaM mwt not ba oharod in a matmsry rNwn to M~ office of MIa Roord if incorroct. Inspectors may Ise identiRed. by their c/wleMiak.
F T AL R D IN ANY MlllNER.
v. _ _ ~ _ ~ _
TEL 765-1802
~p5~'FFUL/~cpG TOWN OF SOU'i`HOLD
O yet OFFICE OF BUILDING INSPECTOR
z P O BOX 728
~ yc TOWN HALL
y0~~1 ~ SOUTHOLD, N.Y 11971
C E R T I F I C A T I O N
Date
Building Permit No. l~ CpS~a Z.
OwnerF l~'1L'~ hnrv `x ~ j1'1l~>7c;e~o.--
(please print) /J
Plumber ~ V < rr~ ;vlq'd"~ C
(p ease print) ,
` v
I certify that the solder used in the water supply system
contains less than 2/10 of 1~ lead.
(plumber's s>_gnatu
Sworn to before me h>_s
cday of L. -~~ce~,~
_~_z,~ ~ ~ es~J
19~L• Notary Publ} j
Notary Public e; ,County
Nci~; r'u&ic srrrs ;tew York
No 492^758
Q'Ji~rfUL' tf, `~iU~~~n GJLnh/
Term Espaas i-ab 5n, iv~i
-1£LD I;.S:cC:;u:~ ~~UnTn ~ ~OtYhiCNT°
A
t. ~ a
H
_ _ y
FOUI7DATION (1st)
c
POUNDATIOIJ (2nd) m
2 . is / ~"`d
• r
z
O
ROUGH FRAME & a
PLUMBING
H
3. - ~
rn
IIISULATIOII PER N Y. • •
STATE ENERGY
CODE
a
a
4, m
.v.7 H
FI;dAL a '
Q, o
ADDITIOIIAL COMMENTS: `-+C/ ~
m
' x
-ti
~H'`\•
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [,,~iNSULATION
[ ]FRAMING--~~"" [ ]FINAL
REMARKS: y~~ ~~ti
DATE d~ ~ INSPECTOR ~~~ti
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST" ROUGH PL
[ ] [ ] BG.
[ ] FO~JNDATION 2ND [ ]INSULATION
[ FRAMING [ ]FINAL
REMARKS: Gloir~ T~~
~ r
DATE ~ / INSPECTOR
f~~~e ~ '~i~14_~~~;~
I' ~f ~ FORM N0. 1
2 ~ ~ ih~.J TOWN OF SOUTHOLD
BUILDING DEPARTMENT
(i0..DG DcPT TOWN HALL
TOWN OF SOUTNOLD _ SOUTHOLD, N,Y. 11971
TEL.: 765.1802
Kammed .~a~ , 19~.~ Received......... , 19.. .
pproved ..~a/......., 1~Permit No. f~6`Si?.~
isapproved a/c . . . ~.k~. .~oM
{Budd~nspector)
APPLICATION FOR BUILDING PERMIT
Date ...Ngvem4eY'„22r., 19 .6s
INSTRUCTIONS
' a. This application must be completely filled in by typewriter or to ink and submitted to the Budding Inspector, with
t rs 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 premises or public street
areas, and giving a detailed descnphon of layout of property must be drawn on the diagram wtuch is part of this appL
tion.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this apphcatton, the Building Inspector will issued a Building Permit to the applicant. Such permi~
,ill be kept on the premises available for Inspection throughout tha work.
~ No building shall be occupied or used in whole or in pazt for any purpose whatever until a Certificate of Occupancy
aUhave been granted by the Building Inspector.
APPLICATION 1S HEREBY MADE to the Building Depaztment for the issuance of a Building Penntt pursuant to the
ulding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances of
:I{ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnbed.
~ applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
suit authorized inspectors on premises and in building for necessary inspections.
E,nyirgnment East,,Inc*,,,,,,,,,,,,,
(Signature of applicant, or name, If a corporation)
3075 Indian Neck Lane
(Mailing address of applicant)
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Ge.naral Ggntxaci;.ca . . . .
uae of owner of prenuses E.le aox..Mee hsa. ?a .Hannah. Master.aga. .
(as on the tax roll or latest deed)
appli an is a c ti n, signature of duly authorized officer
fy . . Pxesid~at....
(Name and title of corporate officer)
Builder's License No. ?~.556H,I .
Plumber's License No . . .
Electrician's License No
Other Trade's License No. ~
Location of hind on which proposed work will be done. . . .
. .11+7,5, 4Testphalia Road . . ..Mattituck.... ,
1-louse Number Street Hamlet
County Tax Map No 1000 Section ...141.......... Block 1 Lot...8
Subdivision Filed Map No Lot .
(Name)
S[ute existing use and occupancy of premises and intended use and occupancy of proposed construction.
a. Existing use and occupancy .Two„fpmily,dwe113,riC„
b. Intended use and occupancy two fa milt' dwelling with remodeled bath
3. Nature of work (check which applicable): New Building Addition , . Alteration . , .
Repair Removal . Demolition . Otfc~k~ .
escnption)
Estunated Cost...'.' Fee
(to be paid on filing this application)
i. If dwelling, number of dwelling units , Number of dwelling units on each floor , ...l...... .
If garage, number of cars
i, if business, commercial or mixed occupancy, specify nature and extent of each type of use . .
7, Diniensions of existing structures, if any' Front . .......Rear , , Depth , , , , , , , , ,
Height ...............NumberofStones...,................
Dmtensions of same structure with alterations or additions Front Nq, Chan(;e ,Rear .
Depth .height . , , Number of Stones , . .
i. Dunensions of entire new construction: Front , , , . Rear ........Depth .
Height , Number of Stones T~ai9e..ab t~A. bath.., 09~.... • p• • • • . 26~ .68, • • • • • . • • .
i. Size of lot. Front .107-.«R~ Reaz . , • ~3 De th .
1. Date of Purchase . ...Name of Former Owner , , .
I, Zone or use district in which premises are situated$v6.j.d@ nt.j,al , . , , .
Does proposed construction violate any zoning law, ordinance or regulation: ?~O .
3, Will lot be regraded ....NO.. , ...Will excess fill b removed from premises: s N~
t. Name of Owner of premises fijri<eehpnf
Hmasterso~dressB?x 102, , , , ,phone No. 298-, ~i33 ,
Name of Architect AddressMat$ituck,~ fY ~ ,tphone No .
Name ofCantracto~nvir?nment~East Inc 3d'~5~7ti93'ari'Neck
t... , Addressee d ~ ni'd; ' `V'Y 'I19~~vne Nv. 731}-r7~-.7)i.... .
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fror~
operty hnes. Give street and block number or descnpUon according to deed, and show street names and indicato whethe
44Por or corner lot.
See Attached
aTE OF NEW YORK, S.S
11NTY OF .
, being duly sworn, deposes and says that he is the applican
(Name of individual signing contract)
we named.
is the
(Contractor, agent, corporate officer, etc.)
paid owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi
~hcation, that all statements contained m this apphcauon are true to the best of his know?edge and belief; and that the
k will be performed in the manner set forth in the application filed therewith.
im to before ine this
aryPublic, County
HELENKQEWE
NOTARYPUaLIC,8lateotNewYotN (ignatu[eofapplicant
No 47078/B,SuflolkCou
Term Exwres Mereh 30,1
s '
N'~w c~.ooF A~DEU ~o ~.xtiS'~tr~ s
e~~~t -r~, ~o~~ Lx~'?-~~r~cr rtiocF
E'J("rEND R~'nG~~= Tc' exIaTINC~
20C?F TO FOf~M G(YICKET
2X~o C~~G6E
.
c
r
~ ~i
I~ ~ ~
~--I f~'l~l INSV~YtoN
s.o„
}~WMBtN
l3 0"
EXISTI~~C 2 1~i~y~PnE[~
_ PLUMBER CERT/F/CAT/ON
1-'`~ ~J c ~ ~I.ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
• SUPPLY SYSTEM CANNOT
' ~ EXCEED 2l10 of ~3b LEAD.
H copper tubing is used
for water distributing
system; piping shall be
of types K or L on
APP V 0 AS M~
HATE: a ~1~ ~.r. ~
,s sv:
F.pING DE AT
NOTIFY
S C CT 1 U~ O Fo~l~ow?N~ INSPrcnaMS: FoR THe
t FOUNDATION - TVNO pEQU1RE0
FOR POURED CONCRETE
2 ROUGH - FRAMING ~ PI,U?,ABINQ
jj~'''``~~ f~ ~9 V 0. FINALA~O CONSTRUCTION MUST
i.~~tJ~~A6~~ Q BE COMPLETE FOR G.O.
~ ~t.J'Tri~V~ THE REQUIREMENTS OFATNE N~
~ S COOES GONOT R RESPONSIBLE EFOR
~ ~~i E~~ S1! 1 6 C~~~~ 6 ~ DESIGN OR CONSTRUCTION ERRORS
„Q ~
~~I~~~-~~~.1 CSIDE~~I~E
SCALE ~ = I U~ APPRDV;D, Y ~ ~ ~`'f~~C DRAWN BY
FICATlOn1S "r0 4E °ATE' - ~r' ' G
r~ SUf3CUNTRACTOfZ,S SCCT(UNS O ~ O
nE ~ t' N.Y . S ~3~1>-~~ n~ CT ORAWIND NUMBER
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