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Home My WebLink About17150-z ' FORMN0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..,Z-17033 June 27, 1988 Date THIS CERTIFIES that the building . , ,ALTERATION & ADDITION Location of Property „3650 Ole Jule Lane Mattituck, New York NouseNo. ~ ~ ~ Street ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Nam%et County Tax Map No. 1000 Section ~ ??......Block 04 ..........Lot ~ 3 . Subdivision ...............................Filed Dlap No. ........Lot No. . conforms substantially to the Application for Building Permit heretofore filed in this office dated June 23, ]988 17150 Z pursuant to which Building Permit No. . dated . , ,June 24, , 1 988 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 . ENCLOSE OPEN EXISTING PORCH & DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to DOROTHY KLEID (owner, le7t~dCcYrlF~rNi3ly. of the aforesaid building. Suffolk County Department of Health Approval N /A . , . UNDERWRITERS CERTIFICATE NO . N /A , , PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rov. 1/81 gosa~ xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NQ 017150 Z Date „~c~?4~....~... 19..~~..8 Permission is hereby granted to: . .....1~~....~.o~...~K...... ~ ~'v...,..11.~..... ..~.:~y.:..~~.9s-:=-:....... ~py~ ,yn ,y^/, p(..' jam, }r~' r0 . ~-h.er~.Y.:m:~.-... ~•l.lL1!~... ..rQ-~f ^q-.rt~!?C:,~...~ ~:~.Yl M.td.X...QT... NKiG.~z....Th.YM1.MNVMI:. . at premises located at .w~~P.t~...... ...~f~•FIJI....:tl..a.:'.:!~~•........'..C.1.~ County Tax Map No. 1000 Section Block .....d..7......... Lot No...:3 pursuant to application dated .......~,`4JrH.R.••.•.~r,.~•••••••••••••••••, 19~.~.., and approved by the Building Inspector. Fee . wilding Inspector Rev. 6/30/80 FORM N0. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted s~~~ to the Building Inspec- 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 property 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: Additions $25.00 POOLS $25.OOALTERATION $25.00 1. Certlflcate of occupancy New Dwelling, $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4. Vacant Land C.O. $ 20.00 S.Uodated C.O. / $ 50.00 Date ......~?/a?~ NewConstruction,,,,/, Old or Pre-existing Building Vacant Land Location of Property ...3~~.......... ,~:U12, L:a!~.?J jl;~G~~~: House No. Sheet ( Hamlet Owner or Owners of Property ..~d~.~,,,IC Zi U,,,,,,,,,,,,,,,,;,,,,,,,,„ County Tax Map No. 1000 Section .....~.ao`1....... Block Lot ......!V...... . _ Subdivision ....................Filed Map No. ..........Lot No. Permit No. ~1.1.~0 Date of Permit ~.i gg..Applicant ~a~:w`Y... ~.l:e~. S{:. . Health Dept. Approval .............Labor Dept. Approval Underwriters Approval ........................Planning Board Approval Request for Temporary Certificate .....................Final Certificate ~ . ot7 Fee Submitted $ a c~- . Construction on above described building and permit m~eetsAall ap`plicabl~ c~od~es^angd regulations. ~AppllCant cC~, I Rev. 10-10-78 R~,• ~N 9 a~ Co~~~o33 1ELD i;:S:' O; lU;J ~~U~ ATr,~ i:OhiMENTS ^ » [n v 1 . 3 I--1 - - y lY FOUNDATION ( 1st ) y- v Q'~ o Cp FOUNDATION (2nd) _ - 2. z o ~ ROUGH FRAME & d PLUMBING y H 3 . ca ra IfdSULATIOtJ PER N. Y. y STATE ENERGY CODE x A 22 C .Q ® t.~t, Q ~ ~ , 4. H i FIiJAL ~ o z . ADDITIONAL COMMENTS: x h ~J ' x ro H H L H O sd ~ ,(J . ~ 9 r ~ H - ~ d [*J b H 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. (]FOUNDATION 2ND [ ]INSULATION ~~i [ ]FRAMING FINAL REMARKS . p qr E r DATE ,_.,_INSPEC'TOR (~9 Qd~g~[Q~~ ~ _ I - U._,~ BOARD OF HEALTH 3 SETS OF PLANS FORM N0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT sEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY y~ 't TEL.: 765-1802 CALL a~~ : ; ~~,1~, , , , , , Examined • •~.~".'tA•~:1..., 19~~ MAIL T~0--: Approved Wiz. 19~~. Permit No. ~ ; 71.,5'?y, ,y 4 Disapproved a/c ~ S ` JUN 2 3 l51BB • BLCG DE.i'T, TOWfv OF SOl1TyOLD ' (Building Inspector) APPLICATION FOR BUILDING PERMIT Date C(J/a:~........, 19~.>. INSTRUCTIONS a. Tlus 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 Buiiding 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,Sputhold,<S;uffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of b'u`ildings, additio{tts,or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicab~~ laws; ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises`and in buildin~:f~tr',necessary inspections. 31. a ~ ry<= t. m~ 'x _ . .s....,; fie a`~~r~,~-s a ~ t . . (Signature ot" apphcant, or name, if a corporatton) ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general oonYracfor, electrician, plumber~oi• builder. .Q,.. ................C`~.. i.~ . . . . . . . . ...t .'4 5:. . . . . . . . 'g ~ ~r~ a~ . . Name of owner of premises Ci~v:~? 1E' ` ;~~~'~~3:~Btt.4~~ D . . ~....K............ (as on the tax roll oree~) tT;~~~~~ , _~r~~' If applicant is a corporation, signature of duly authorized offices # t~t"#t'.,'t: (Name and title of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . . Otfter Trade's License No . . 1. Location of land on which proposed work will be done . . 2 7~, Ifouse Number Strect~ Hamlet Z County Tax Map No. 1000 Section t~ a Block ~ , , Lot ....°2..`;-~ Subdivision Filed (\1ap No. Lot . (Name) 9 State existing use and occupancy of premises and intended use anld occupancy of proposed construction: a. Existing use and occupancy ~aM.,.~.~.. S,.L6cd~,'-~ ~,crlq.. . b. Intended use and occupancy ~~M.~,...~`..~c~ sE°c% ~,~yc> ~ „~3=K° 3. NaPure of work (check which applicable): New Building , . Addition ! . , . Alteration Re air ihoval Demolition , . . .Other Work , (Description} 4. Estimated Cost .1}I,',tS,",t? . Fea~~~U ; . 5. If dwelling, number of dwellin (to be paid on filing this application) g units Number of dwelling units on each floor . . . . . . If garage, number of cars a 6. If business, commercial or mixed occupancy, specify nature and extent of each~,t,}'pe of use 7 He of tsions of existing s[ru NUres, iF any: Front . , .~R 1, • , • , , , , ,Rcar , t~`7 • ' ' ' • ' ' " , , . Depth . P ~ inberofStones.....~ Dimensions of samestructure with alterations or additions: Front . Rcar , . 4' new cons,; Ileight . . Number of Stories . 8. I)imensi ns o entire He,igl t . , , , , • • • . • ~truction: Front . Rear Depth ~ Number of Stories 9. Size of lot: Front , ~,D$......... Rear . . J . ~ )10,5'. . 10. Date of Purchase ' ' ' ' ' Depth .°.~~1.... , , , , , ' ' ' ..Name of Former Owner ~ • ' 1 1. Zone or use district in which picmises are situated , , . • • • • • ' • ' ' ' ' ' ' ' ' ' . oes proposed construction violate any zoning law, ordinance or regulation: • • • • • ~ • ' 14. Name of Owner of remises . GF Name of Architect P ' ' Will excess fill be removed from premises: Yes No ill lot be re raded ........~rc-Y~y 1 ,Address .~~?5~, ,Ole 5i,le LaNe,Phone No, o~7.FS.-. `7~J~• .Address . ..•~``~'+"~~•.PhoneNo. . Name of Contractor. ' .....Address.•••.~~•~••••••••~ Y . ..................Phone No........... P P y 15•lIf tess Southold Tow ted with in~00 feet of a tidal wetland? *YES....NO.... * In Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alll 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. II ' occUp RPPROVEp AS NOTED ANCY ~1R DATE: ~ a ~ USE IS UNLAVyfU~, B.p " l ~ ~ ~ WITHOUT CERTIFICATE FEE ~`_~Y . ~ OF OCCUPANCY NOTIFY BtJIL01NG OEPARTI~AENT qT 7S6 1802 9 AM 'tY3 q rely FOR THE FULLQ~VING tNSP~CTIONS, 7. FOtJN0AT10N FWp R~(lUIRED , FOR POUREO CONCRETE 'I .R~Ls-~:,.~ 2. ROUGH -FRAMING & PLUMBING 3. INSULATION ~-~V c 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. _ ALL CONSTRUCTION SHALh MELT THE REpUlp~ ~ ~ N•Y STATE CONS DESIGN ~ ~1 f~OMf1f11M.11~1M STATIi OF NEW YORK I COUNTY - , ~ ~/9p>Sy~S/ • • • ~ • ~ ~ ~ ~ ' I' " ~ • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual si ning contract) above named. He is the ~ ~ W ~.Q fr (Contractor, agent, corporate officer, etc.) • • • • • • ' ' • ' ' ' of said owner or owners, and is duly authorized to p5rform or have performed the said work and to make and file this _ application; that all statements coma{ned in this application arc true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~~JJ ' • , Notary Public, County '^ww~'' wwor NwvYaAc •0~2~°: ~CFF .`~'~-•C~...... , . dwlHlsd~~F~Cour~ty (Signature of applicant) CamMaelon ExPirea Oeoembar 8,19 ~ HWY. ANGLE ~ MON. SS/es~sO O ~SOO I ~GG~~~`~AA II ~ . 'v~ ssiesm \ s0~ as ~ X000, 2m uses \ Oo.oF ~ , ~~J ~0 /263 t TO KRAUS ROAD= ~ i ` F \ O 0 24.; ~ s ~ r' ~ \ l ~srOgr N 0~ • h HOUSE- BAMF le.o. CggAOE• Q ~O D O \ ~_~-31.9 `V ~ ~ C ^ a a~ ' ~ _ y» o~ .T 9 BYO /fi\ !may Ji ~l . _ 1 C ~~y p0~9~0~~ eG~'r~9 ~T' y ~Q \~p2 ~ o _ 9 \ - \o~FO ~p r ~ NOTE+ ' • =MONUMENT x'92 i\~6y `run c 1 ~f~ ~ SURVEY FOR DOROTHY BARON-KLEID AT MATTITUCK DATE : JAN. 30, 1978 - TOWN OFSOUTHOLD SCALE: I~~=3d' SUFFOLK COUNTY, NEW YORK No. 76-3s " iEUNAUTHORIZEO ALTERATION OR ADDITION TO THIS OF NEk. SURVEY IS A VIOLATION OF SECTION 7209 OF THE p•(E NEW YORK STATE EDUCATION LAW. §t I' SURVHYOR S INKED SEAL OROEMBOSSED SEAL SHALL y>.p.~D W, YO Or'r NOT BE CONSIDERED TO BE A VALID TRUE COPY. O (j &GUARA NTEES INDICATED HEREON SHALL RUN ONLY TO ~ Z' Z THE PERSON FOR WHOM THE SURVEY IS PREPARED, G1 AND ON HIS BEHALF TO THE TITLE COM PANY,GOVF.RN• MENTAL AGENCY ANO LENDING {NSTITUTION LIStED HEREON,AND TO7HE ASSIGNEES OF THE LENDING ' INSTITUTION. (iUARAN TEES ARE NOT TRANSFERA DLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT ~ N~ 45893 OWNERS. i~DISTANCES SHOWN HEREON FROM PROPERTY LINES 4fE TO EXISTING STRUCTURES ARE FOR A SPECIFIC ~ R PURPOSE ANO ARE NOT TO BE USED YO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES. /T(~CI/C YOUNG 8r YOUNG RIOVERHEAD"NEW YORKUE ALDEN W. YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S.LICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR ~ N.Y.S. LICENSE N0.45893