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Home My WebLink About23927-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO E-25159 Date JULY 29, 1997 THIS CERTIFIES that the buildin~ NEW DgB~W.ING Location of Property. 2210 GABRI~.T~ COURT MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 4 Lot 7.48 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building permit heretofore filed in this office dated FEBRUARY 10, 1997 pursuant to which Building Permit No. 23927-Z dated FEBRUARY 19, 1997 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 DW~T.T.INGWITHATTAu~u~u GARAGE & FRONT PORCH AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-lO-97-0014-JUL¥ 24~ 1997 UNDERWRITERS CERTIFICATE NO. N-425266 - JULY 10, 1997 PLUMBERS CERTIFICATION DATED J~]NE 6, 1997-WILLIAM DOOLEY Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE K:EPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK: ^UTHORIZED) 23927 Z Permission is hereby granted to..: .................. ~.~,.....~..... .......... ~.~.:.~...././~. ............................................... ,o~..~~.-... ......... ~... ......... ~.....~'~.......~.~ ........ ~,~.~. ............. ..~L:.., .............. ~ ............................................... :.~ ........ ~.. at prem,se,' located at ................................... ~- ~/0 ~.~?~..~..~Z~..~~.~ ............................. County Tax Map No. 1000 Section .../~.~... ........ Block ...~..../~..'. ........ Lot No....Z...../~...~... ..... pursuant to opplication dated ......... ~.../.~.. ................................. , 19.~....., and approved by the Building Inspector. / ~ull. e"lng Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/I0 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval ~f completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $100.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...... ........................... · New Construction ......... Old Or Pre-existing Building ................. ocatio of Property .... 2 .tO ...... .......... ....... House No. Street Hamlet Onwer or Owners of Property..~.~..~.~.~.~..~. ~./~...~.'....(~...~. ............................... County Tax Map No 1000, Section../0.~. ....... Block .... .~.~. ........ Lot .... Z~.~.~. ........... Subdivision...~LIl~ ~J~ ~.~.~ .Filed Map .~..~ .Lot...~ .( .~'..~.~.~.~! Permit No.. ~. ~..~.? ..... Date Of Permit.. ~ .//.~ .... Applicant....~f~. ~.~.6/~Z~/..~..<'~..~.- .... Health Dept. Approva ................... Hnderwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ..... ...~.... Fee Submitted: $ ............................. ..... THE NEW YORK BOARD OF FIRE UNDERWRITERS P GE 1195~99 BUREAU OF ELECTRICITY J--- 85 ,JOHN STREET, NEW YORK, NY 10038 ~ JULY 10,1997 ~ppt~ar;o,~o.o.~;l~ 137~6~9'?/97 N 425266 THIS CE~IFIES THAT ~y t~ e~ ~u~nt ~ ~H~ be~ a~ int~c~ b~ t~ ~nt ~ on the 4~ ~at~ numar i~ ~ p~s of DANIEL MALONE, GABRIELLA CO[~T, MATTITUCK, N.Y. ;, ,h,l.,owi,~ h,~.tlo,; ~-] Baae,.,,, [] I, FI. [] 2nd FL GAR/OUT .~e~,h,. EIoc/~ was examined on ~[J~Y ~8,1997 and found to be in compliance with the National Elect:~cal Code. Lo~ 7 FIXTUIm 1 150 CB I X ICOOKING DL'CK S I OVENS I mSN WASNEi~S ?IM! C~OCK$ MLL UNiT H~ATEIS W)LTI-OOT~q SYSTEMS 2/~ EXHAUST FANS MT. WATTS 1 SPECIAL RECEPT. A3~P. L:~- t PADDLE F~q- 1 WELL PU~P 1 HP--1 ~-~TORS:I-F H.P ,1'1 H.P. G.F.C.I:" 5 SMOKE DETECTOR: 6 JIM SAGE ELEC. INC~ PO BOX 38 GREENPORT, h'~, 11944-~38 LIC~ #3635 GENERAL MANAGER P#r // I This ce~ifka~ m~t not ~ alte~ in any manner; ~urn to the off~e of t~ ~ard if incorre~. Insp~ors may ~ ~ntif~ by t~ir credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P, O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. L~qA7 ~ Owner: (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( Plumbers - Signature )~) Sworn to before me this -~,c~ day of public, County L~WN 8M~ TOWN OF SOUTHOLD PROPERTY RECORD CARD VILLAGE OWNER LAND IMP. TOTAL STREET ~ ~.- I O ACR. , ~ ~., REMARKS TYPE OF BLD. PROP. CLASS DATE FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD LOT Z TILLABLE WOODLAND HOUSE/LOT TOTAL 765-~.802 BUILDING DEPT, INSPECTION [ ]'//]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL []FIREPLACE&CHIMNEY INSPEG'~rOR .~ 765-1802 BUILDING DEPT. INSPECTION [~OUNDATION 1ST [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FOUNDATION 2ND [ ] FRAMING ] FIREPLACE & CHIMNEY DAT, 2//~/:7 INSP'~TO~~ 765-1802 BUILDING DEPT. INSPECTION [, ]/~UNDATION 1ST [ ] ROUGH PLBG. [I/] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ /~'ROUGH PLBG. [ ] F/0UNDATION 2ND [ ] INSULATION ./ [ ~/FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,~~ F__~)~--. INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [.]~RO~I~ PLBG. FOUNDATION 2ND [F-,~INSULATION ] F~ING [] FINAL FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]/FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE /:~ INSPE~OR ~¢ 7GS.X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ['] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] I.J~JLATION [ I~FINAL ~/~~~ REMARKS INSPECTOR DATE FIELD INSPECTION REPORT DAI'E ......................................... co,~s ~OD~ fl ................... ~- SIAI'E EI{ER~Y CODE (l~s~ dj.I; h,nl,~Cl c,r) Al'lq.1 CAT 1 OH FOIl IIU I I.I! I HC. I?I']IIH IT n. 'lhi.. l,{,l~c.l;lim lin;hi: l,e t(~,~letely [{I e,.I 1. I,y I;yl~.,riter or ir, l,,k n,xl mfl~.ltt~l I:o the ~dtdh,B l. nnl~t:lor vllh b. I'lo~ pin,, nl.~ln~ h~ntl(~ oE lot n,~l o[ I~ lhhs,gn ~., pr~{nen. ~l~,l:{~.,~l,{l~ hi, nlq~ (.n {(, . c. 'Iht ~rk ci~red by th{n tq~l{cnt{~.~ ~,uy ,~tL Im c~.,u~s~cd I~R~re }.mm,.:e o[ ~,{hl{~ Perm{l:. 1' . ' , . k-r~q~.~ty nh.I I hnv~ I~e I Rrn. l~l.l~? tl~ lk~{ hl{.{] llmBI~cIOr. ~'{~.lr, l:hn~n, Fi~r I.h~ r~. ~ tt~.ll.~ o[ I~dhl{.{3., r.klll:l(.m ~. nllu~nl:{(.,., ~r Fro: t~mnl ~ ~bm~lltlo,,, nn ho,eh, r,/Z~dnl'lg.,n..,xl Io mb.lt m~ll~rl~d h,.l~(ttt,,. ~.~ I,,~,{~on nl~l 1~ I~dhl{.R For s~cennnry ' (~t~i I i.B - ' ' ' LINDA J, COOPER N.otary Public, State of New YoH( No. 4822563, Suffolk County Term Expires December 31, AREA = 40,264 sq, ft. s. 9 ANY AL TEPu4 T/ON OR ADDITION TO 7'b~S 51JRVEY I$ A VIOLA TION OF SECTION ~09 OF TH~ NEFI YORI~ STATE EDUC.4TION LAF/, EXCEPT AS PER ,~CTION XEO~$U~ ~. ALL ~A T~NS A~LLY TO C~Y ~ ~ ~F ~ F~ '~LTER~ BY' ~T-TO-DA~ A~ ~T ~ ~~ ~TH T~ LAW. I om fomlller with /he STANDARDS FOR APPROVAL AND CONSTRUCTION. OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES end will ~bide by the conditions set forfh fhere/n end on /he permif fo consfrucf. SURVEY OF · LOT 2 "ELIJAHS LANE ESTATES, SECT. 3 A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. looo - loa - 04 - PlO Scale: I" = 40' Dec. 4, 1996 The Iocofions of we/is ond cesspools shown hereon ore from field observations ol~d o¢ /rom dato ohio/ned from others. ELEVATION$ ARE REFERENCED TO AN ASSUMED DA ~ NO. 496/8 PECONIC S EYORS, ~ (5162 765 - 50ZO P. O. BOX 909 1250 TRAVELER STREET SOUTHOLD, N.Y. 11971 96- 317 2 %~-z~ SURVEY OF - . LOT 2 o %. ~ "ELIJAH$ LANE ESTATES, SECT. A T MA TTITUCK (~ ~,. TOWN OF SOUTHOLD ", , SUFFOLK COUNTY, N Y. ',~ ~ 1000 - 108 - 04 -P/O Z I ' Scale.. 1" = 40' Dec. 4, 1996 Mot. / 4, /997(founEof/on) AREA = 40~64 sq. ft. ANY AL TEP. A TION OR ADDITION TO Tt'E~ 51JRVEY IS A VIOLATION ~___ ,SECTION ~09 ~T AS ~ ~C~ ~09-~ ~, ALL C~T~A T~NS __T'~L Y TO COMPLY FILTH ~AID LAW THE TERM 'ALTERS_Z) [_~_~ BY ANY ~ ALL ~$ U~IZ~ A C~Y ~ -TO~A~ A~ ~T ~ C~M~ ~ T~ LAW, I om fora/liar with lhe STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES amd will of~ide by lhe conditions sel forth /herein and on perrnif fo consfrucl. The Ioco/ions of wells ond ces$peO/s shown hereon ore from Eeld observalion$ and or from dolo ob/o/ned from others. ELEV,~ TION$ ARE REFERENCED 1'0 AN A~ DA TUM, ~ '"':'~ LIC. P.o. 1250 SOUTHOLD, N.Y. 11971 NO. 49618 96- 317 2 AREA = 40,264 sq, ft. ANY AL TERA TION OR ADDITION TO THIS S1JRV£y OF SECTION 7.209 OF THE NE~ YORK STATE EDUC.4 TtON ADDITIONALLY TO COMPLY ~ITH ,~41D LAF/ THE 7'STEM 'ALTERED MUST BE USED BY ANY ~ ALL SURVE'YOR~ UT'ILJZIN~ A COPY OF ANOTHER ~YOR'S ~P. ~ ~ ~$ ~C~ ~ ~T-TO-DA~ ~ ~T ~ Cffi~ ~ ~ LA~, I om fomllier with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ond will ~b/de by /ha conditions set [or/h therein ond on the permit fo construct. SCDHS. Ref. # RIO- 97- 0014 SURVEY OF , LOT 2 "ELUAHS LANE ESTATES, SECT. 3 A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 108 - 04 - P/O Z 1 Sca/e: 1" = 40' Dec. 4, 1996 Mor. /4, 199 7(foundofion) May 13, 1997 (Final) The Iocoflons of wells and cesSpoOls shown hereon ore from field ofld o¢ from dole obloined from olhers. ELEVATION$ ARE REFERENCED TO AN A$.,~I.J/~ DA ~ (5161 5O2O P. O. BOX 909 1230 TRAVELER SOUTHOLD, N. Y. N.Y.S. LIC. NO. 49618 S TREE T 11971 96- 317 2 / / q / f ~I*CH EN ~ POR2H 50~, -'i UN E)~d./~VAT £ O