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HomeMy WebLinkAbout17268-z y FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17134 Date JULY 28, 1988 THIS CERTIFIES that the building ADDITION Location of Property 615 EAST LEGION AVE. MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 3 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1988 pursuant to which Building Permit No.17268-Z dated JULY 27, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to ROBERT & PATRICIA PATCHELL (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bui ding Inspector Rev. 1/81 .f FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NoZ-17135 Date JULY 28, 1988 THIS CERTIFIES that the building ACCESSORY Location of Property 615 EAST LEGION AVE. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 3 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1988 pursuant to which Building Permit No. 17268-Z dated JULY 27, 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 ACCESSORY SHED The certificate is issued to ROBERT & PATRICIA PATCHELL (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-398437-AUGUST 17 19'T8 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 n~oaai xo. s 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) ~0 017268 Z Date ........~j.~"`~~ 19.~~ Permission is hereby granted to: ..........`t~. dom...... ,~„G~~ti%~irS::v4. .......~r..r...~...~,.. f0 ~r~r'.'~'Q~r1cS L~......~:!'1 ...:~:~.'.!^':':1....SM!,~(,~„!...;!%I/~74~Wtr!".:45(............... ........~,......0~~.~.~.~...~G4-k.~~.,.....~-...- ct premises located at ....................fQ Caunty Tax Map No. 1000 Section ......1~.~:........ Block Lot No....x,..~~ pursuant to application dated .........1~.~~ 19. ~5., and opproved by the Building Inspector. / Fee oZ Co . Q ~ Building inspector l Rev. 6/30/80 FORM NO. 6 TOWN OFSOUTHOLD 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 ~ 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, acertificate 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 $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ]0.00 Business $50.00 2. Certificate of occupancy onpre-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.Updated C.O. / $ 50.00 Date NewConstruction,,,,/.Old rPre-xistingBuilding Vacant Land ` ,Q,/ Location of Property .'~~•'/,I~ ./,-~.!~T, ~G.~~2-,/"d !1/.f ~l~'T7/Tl/Gr~ House No. Street Hamlet Owner or Owners of Property . , ~'fTQ Etc--: L L County Tax Map No. 1000 Section ZY, , , , , Block ~ Lot 3.~ , Subdivision .................................Filed Map No. ..........Lot No. . Deck Permit No. 17268.-z Date of Permit ~~?~~88, , ,Applicant , ,ROBERT PATCHELL Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval . ...Planning Board Approval , , . Request for Temporary Certificate .....................Final Certificate . Fee Submitted $ . 25.00 . Construction on above described building an p it II ap ica a co and regulations. Applicant. Rev. 10.10-78 ~p~„3sa~ C~~~)713~ i FORM NO. 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 ~e~~.r to the Building lnspec- torwith the fallowing; 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, acertificate 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 $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ]0.00 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.0. $ 20.00 ~7~~~„8ri S.Updated C.O. / $ 50.00 Date...../,. NewConstruction,,,,/.Old rPre-xistin Buildin Vacant Land 9 9/~ Location of Property 6/,I-~ ,.~~.!~T. oGE~,~-rd , , , , , ~!`/`T7:/TUGI~ House No. Street Hamlet Owner or Owners of Property , , l/; !f'-TG' Ffc-: L L County Tax Map No. 1000 Section ..../..L,Y, , , , , Block Lot . Subdivision .................................Filed Map No. ..........Lot No. . Permit No. . (726$ , . Date of Permit ~~??~88, , ,Applicant , ,ROBERT. PATCHELL Health Dept. Approval . . ......Labor Dept. Approval . Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate . Fee Submitted $ 10.00 . . Construction on above described building an p ~t II ap ica a co and regulations. Applicant. Rev. 10.10-78 35.~~s 1713s (E, ~ V QA THE NEW YORK BOARD OF FIRE UNDERWRITERS PAC;r~, ' 1000343 BUREAU OF ELECTRICITY r 88 JOHN STREET, NEW YORK, NEW YORK 1x038 SE't'TEMBER 1)7: t9RR 5E~5986RRlR8 H t73154~6 Dote Application No. on file aE THIS CERTIFIES THAT Doty the alactFicel equipment os described 6ebw and introduced by the applicant named on the abase applicstion number in the premises of RONF",RT PATCHEI., Y..I,EGION AVE., MA't"CITIICK, N.Y. in the ollotein location; ,~n1 Basgr~Fgpt SHl3() f R A1Y(iI1H'1' j.a, 1_Yri75 ? 1"t F(. ? Ynd FI. Sertion Block Lot Fros eromined on and found to 6e in compliance Erich the requirements of th(a Buord. NXTURE ACtRS SwIi01E5 RXTURES RANOlS COOKIFIO DECKS OVENS dSH WASHERS EXHAUST FANS OUTLETS INCANDESCENT~FIVORESCENi v ANT. K.W. AMT. K.W. AMT. K.W. AMi. K.W. AMi. M. P. DRYERS FURNACE MOTORS NTURE AFFUANCE IRWRRS SFKIALRK'FT 71MEtXOCKS Nll UMT BEATERS MUl1t.0UT1ET DUAMERS AMT. K. W. Oll N. P. 6A5 N. P. AMT. NO. A. W. G. AMi. AMP. AMT. AMPS. TRANS. AMT. N.>, SYSTGAf AMT. WAils NO.OF F@i 7 ZU SERVIId dSOJNNKT fq. OF 5 E R V I C E AMT. ANP. TYPE ~ 1PTM 1/]W ]P ]W ],e KW rEi COND. ACC. COND. ~~OF NI.LEG ~~N NO. OF NEUfRAlS OF NEVTDRAI OTHER AMARATUS: r? ~ ~ <rtX)pAi,E £.I~ECTRTC 7355 MAIN R()AA cEENEeu MA.TT~ITUCK; MY; 11962 11. I,IC,k:NSE N0. 783 H Per ~ This certificate must [qt be dterad in any mantar; roturn to the offin of 1M Ooord Ninmrnet. Inspectors may M ideMffied by their crodenfials. ~.i _ . ~ . _c~~ o~~uer~rr. ' ;se ~~T~ ~~r~. lELD I;:S:'~CTiU;J ~IUATr. ~ COaKN(ENT° ~ 'o ~ t. H _ _ - _ _ H rOUtdDATION (1st) - i ~~b ~d FOUNDATIOtJ (2nd) - 2. z 0 ROUGH FRAME & ~G PLUMBING H 3. ~ y IIJSULATIOId PER N. Y. ~ STATE ENERGY ~i e• CODE ~ ~a r m 4 . FIidAL o 2 ADDITIONAL COMMENTS: x ' x b• H 9 ~ N 2 O x m A r y x \ ra H //~l ~ C~ a ,o C~' g j~ 00 t~ ~'7" ~ 1 ~ x.°~t1 ~ ~ l ~ l .~i ~ ~~iv'd~~ i ,F ~ I i iF I 1 F i ~4tV~T~cdGT~.~ ® .J('~ F g,?,~ ~C 6 ~~G° 6 ~y~tii~f d~I? 3 , ~ ~ ~ ~ c ~E~ e. ~~~-i ~L00 ~C `-16 /J % S f ~k~ ~S~ /~aG~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING FINAL REMARKS: J~ C ~ v7 CO DATE ~ ~ ~ O!/ 1 NSPECTOR T~?'~~~ B0~1RD OF HE.\LTH 3 SETS OF PLANS FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC Foa.f . . TOWN HALL EOUTHOLD, N.Y. 11D71 NOTIFY TEL.:7G5-1802 CALL Examined 1904 MAIL T0: ~ • . Approved .....//.ll??7......, 19~~Pennit No. ~f~q?•l0•~, , Disapproved a/c~ D ! {99B ...-~Y 7?.sie~ 'lrtn~i o . e (wilding Inspector) APPLICATION FOR BUILDING PERMIT -7 ~ Date r~ ~ Ig'.". . INSTRUCTIONS a. Tltis 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 0 1 or demoli o , as herein described. ' The applicant agrees to comply with all applicatife laws, ordinances, buildin co ousi ~ co d re ations, and to ' admit authorized inspectors on premises and in building for necessary inspec .t x ~°9 (Sign Lure of applicant, r name, if a corparauon) • ~ (Mailing address of applicant) ~'t'qi', State whether applicant is owner, lessee, agent, architect, engineer, g~~tl:i'~1''contractor, electrician, plumber or builder. ;t : - ~AIA/1i trfo~-: • W+.• - Name of owner of premises .~D~.~ 2•!. • • , ~~%•C•r7~G-~'L$~l1MM~~ °Is"'•' • • . • • • • • • • • • • (as on the tax solJ, or tat ~t~e~~~ • • • • • • • • • • • If applicant is a corporation, signature of duly authorized officer. ~ ` - _'-'It=i3'3~! , . ; z, 'a~. e..s.tR'1'~3ktt~13 ~i~fi~ ~ t r~i~rrlt(IWki 1fUM (Name and title of corporate officer) }~Q1~ a51~l1.~ Y11~°~ r Builder's License No.N©:'~~!'• ~~t'~'g~j-=- . Plumber's License No. . Electrician's License No. • d, ,J Other Trade's License No . . 1. Location/fof land on which proposed work will be done. ~r~,, ,CE~~jypN y~(/G= House Number ~ Strcet~ " • • • • • • • • • • • Hamlet 1 , County Tax Map No. 1000 Section Block Lot..~~............ Subdivision F.ilcd Map No: (Name) Lot............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existrng use and occupancy . b. la[ended use and occupancy • • • ~ f ~ ~ ~ • ~~c~c - , •4 •J. • 3. nature of work check which' ~ p ( Rc applicable): New i3uilding , . Addition ~Vteration Re air jnoval......... ' ' ' ' ' • • • Ucmolition , p . Other 1Vark . 4. Estimated Cost , , 0 (Dcscnp[ion) - Fec 5. If dtvcllin~ (to be paid on filing this application) „num cr oC dwclh da ~ g units Number of dwetlirtg units on each floor . 7. Dimensions o(• If ramie, num Sri of dastructu ed occupancy, specify nature and extent of each type of use . , , , , , , , , , , , 6. if b ~Srness, comrncrctat or mrx',res, if any: Front , , , , , , , , ,Rcar , , , Hcr_ lt,"". ` ~ , , ~ r Ucpth . Dim s•,; tid,~ ka~~,~nbcr of Stones • . Dep tctiT~rci~iyith alterations or additions: Front • . • • ~ • ~ ~ • ~ ~ ~ ~ ~ ~ • ~ ~ ~ ~ ' ' ' ~ Rcar . 8. Aim ns t~~~"~~}. Ilci t Number of Stones . • . • • • • • • . I-Ici ' ons~f(t lion: Front • . Rear , 9. Size .~j.,;, NC~~• r of Stories Depth . 10. Da[ec0,f.la,t~tO3~t+l't7P,4t'!' . [ Rcar . Depth . r•s ~ . 1 1, 'Lane or use district in which ' ' ' ' ' ' ' ' • • • Name of Former Owner ~ • • ~ ~ ' ' ' • ' ' ' ' 12. Does ro P~'emises are situated . ' ' ' ' ' ' ' ' ' ' ' • • ' P Posed construction viglate any zoning law, ordinance or regulation: 13. 1Villlotberegraded 14. Name of Owner of premises . ~~'?:f r, pq-rcycz~' ' ' 1Vtlt exc s Till be rc ovcd from premises: Yes I, PJame of Architect " • • Address .~/yr, ~„r~,egio~• Phone No..?7^.~,-&S~Z~~o Name of Contractor ~ • • • ~ ~ ~ • ~ ' ' " • • • Address ...................Phony No.. • _ • IS.Is this property Located within '..Address.. .PhoneNo.. _ *IE yes, Southold Town Trustees P ermitemay bearequiredetlandY *YES....NO.... i PLOT DIAGRAM 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 i A,P,~PJ((~~ftv~n ttS'i MnTFl1 , ~ ~'i.J ~R ~ ,)?•i i ~ S~ © ,,,.per L.A,..~ ~I'fu:a NE4UIRE0 stdCF1gT83`- ~ ~ W _ '~"a°+ ~rillON: NHI~.~.u'~ ,~i. fl, _ ALA QQAf~'R(1CT1QN 1 ~ ~ tom! ! 1Fi8 REQUIREMENTS q ~THEMNE~Yt. t`'°"e) °'~a., i1/1Tt CON8TRUCTtO ENERrai~X~r ~ ~ ` ~ f7~O8L IIOr~M~M111~~~~ILE Fd~1 , . , i1111Oliri STATE OF NE~V YORK, S; ~OUNTY OF S bovc ..........................i........ (Narnc of individual signitt~h contract) ~ ' ' ' ' • being duty sworn, deposes and says that Ile is the applicant ,named. ? Icisthc i, Y (Contractor, agent, corporate officer, etc.) • • " " " " " • f said owner or owners, and Is dul Ituthorized to perform or have performed the said work and to make and file this tPlication; that all statements contam:d in this application arc true to the best of his knowledge and belief; and that the 'ork will be performed in [tte manner spt forth in the application filed therewith. ,vom to before me this , , , ....day of . 19 t9~ / ~tar}• Public, fa....~.!`!g:-.~~..... County Q®~ 701818~',Su~ttal lb~u ; . ~ (Si;nature of applicant) Txm Exgres Match x,19. J 3 N F k e~o° JAMES LL ,3D CREEK 0' ~~x 4 S.RB°23'41"E. ° ~ Wpap BULNNEgD BO.BDI 2 m o y N o O- [~11 _ ° 1 1C. ' ~ oa' ,o 2 c, E Q ~ SP ~ o E o ° ~ Q f o m ~ ~ -J 1 y O• ~ O II. 'a 1 Wopp ~ .~j d DELI( e o• ti Q, ms• J ~ J T n q - N 11IIla _ 'r ~ E[' z e>oRV r iD _.'.s'.,.."°'.,..""~„R.`:.. _ o m o 4V FRgMf NOVS[ !A 2 n ^ 1'V. n T' 4 T m y ? n 2 d Ian e.a' as.[' r' / gti' ITI I T.e•~ D BAST LEG/ON A!7jo35pO`W ENC65 pD, " 0eK»O3a x C rn A~FNUE nze9° w. SURVEY FOA ROBERT PATCHELL 81 PATRICIA PATCHELL AT MATTITUCK DATE NOV. 8, 1984 NOTEI I. •=MDNUMENT TOWN OF SOUTHOLD 2TOTAL AREA•I0,65T 9.F. SCALES I"p2O' • 3. SUFFDLK COUNTY TA% MAP SUFFOLK COUNTY, NEW YORK NO, 84- DI571oooSECTI?[ BLDDa LOTOao 119q N uNlutpop¢[D pu EppTroN oR SDDlnox ro TNIS GUARANTEED TOr SUR VEr IS p VIOLRIOM OC SECLION >!09 Of tME NfVYOpRSTpTEEDUCRTrONtEw GREENPgN7S ~SBLDAN dS9OCIATION N COR[5 0{ TNIS SURVEY NOT B[.EpIMO TNF LpNO SUR VF YOp'S INX[0 SENL Oq ENBO35[0 9ENL SMxLt ' MOI BE CONSIDFRCO TO BC p V1LIp iRVF COBV /.I; i` r li. MpUpRINiEE3 IMpI<PTFD NEREON SNgL qUM OMLV TO T% rNE VER$pN {OR VNOM THE SVRVEY IS pREpRpfp~ %1< Z` - ~'y~. Tn HMO ON NIS BENpLI Tp rNE LITLE LOMR~NY, DOVE pN~ 1 NC NTNL NG[NLY IND LENOINO IN$tli VrlON Lr5 TE0 JO HSTRUT•IOM GUIRNN TEES NBESMOTrTR1N5CCRE BL[ r0 NOOI TIOM RL IMStIfUf10H30R SVa SEOVf NT «'RMER9 /1VLII ! OISTINC[9 SMONM XEREON {ROY pp OOIRTY LINES TO EMISTIryO 9LpUC iURC9 EpF FOp A 3>[CI{IL ..:1/ r ' BVpB03( RMO ppf NOi TO a[ USED TO [STNLISM 1'p Op[RiY LIN[3 OR FOp )M[ [pECT10N OC iCNCU. ~ YOUNG 8i YOUNG RIOVERHEADNNEW ypRKVE ALDEN W YOUNG,PROFESSIONAL ENGINEER AND LAND 3URVEYDR N.Y.S. LICENSE N0.1284y HOWARD W YOUNG, LAND SURVEYOR N Y.S LICENSE N0.15993 NnnxLis B SANS rxi