The URL can be used to link to this page

Home My WebLink About16803-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17896 Date MARCH 29, 1989 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING Location of Property 1500 WILLOW TERRACE~ ORIENT~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 26 Block 2 Lot 26 Subdivision WILLOW TERRACE Filed Map No. 5407 Lot No. 7 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2~ 1988 pursuant to which Buildinq Permit No. 16803-Z dated MARCH 14, 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 AS APPLIED FOR The certificate is issued to MARY DeMARTINO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87 SO-190-MARCH 20~ 1989 UNDERWRITERS CERTIFICATE NO. PENDING - DECEMBER 2, 1988 PLUMBERS CERTIFICATION DATED MARCH 22~ 1989 - HARDY PLUMBING Building ~pector ' Rev. 1/81 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) Permission is hereby granted to: ..~..~..,.~G~_ L..,~..:~..,.....u.~..~ ........ ~ ,o at premises located at ...L~.......~..~....'~..~.L.L. ................. ~ .................... Coun~ Tox Mop No. 1000 Section ...... ~:~...~..~ ...... Block ....... ~:~....'3:m... ..... Lot No ......."~.~ ............ Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 . TOWN OF SOUTHOLD 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This appl{cation must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec~ tor with 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 appl.icable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I 1. Accurate survey of p~operty 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: Add±tions $25.00 1. Certificate of occupancy New Dwelling. $25.0.0, Accessory'iS 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certiflcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 ~'~.'~..~;~.~.. 5.Updated C.O. $ 50.00 Date ...................... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Locat,on of Property ..... .... . Owner or Owners of Property .... !. ~ ~ County Tax Map No. 1000 Section~,~L~ Block ~) ~ Lot ~ Subdivision. ~ ~...~?..~,~...¢x~.,.,.,.,.,.,.~J...~..~¢,~%o,.. .... Filed Map No...5~. ~..%').. ,Lot No, , Permit No. , ;. ~. .... Date of Permit ...2//. ,~./~ppiicant ......... Health Dept, Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building a~ ap~?a/ble ,~e~n pp / ........ 2 ....C. ................................... TOWN OF $OUTtlOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ttALL £OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date ~./??/sq Building Permit No. /~f~ ~ ~... Owner Joseph and Mary Di Martino (please print) Plumber Richard Durand/Hardy Plumbing (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 ~ay of /%1~C~'-- " Notary Public, ~~ County Notary Public ~ .1NANCY 8. WRIGHT blotat~ Public, S[~te of New York No. d ;g7478 Qualified in Suffolk County Lmnmi~sion Expires~rch 3~ ~ FOUNDATION FOUNDATION ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ( ~oo ' ~.oC VACA 1,4 New York State ~ D~partment of Environmental Conservation NOTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation, Law for work being conducted on this site. For further informa- tion regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Permit No. /O -- ~'~' 03~ NOTE: This notice is not a permit Regional Permit Administrator /~.( :~ ~:J,~.,/~ ~n oF SOUTHOk~ TOW~ TRUSTEES -) ,:Y .... This Wetlands Permit No. 2~ .............. has been granted by the Town Trustees kaccording~to - · 382 ..... Laud Use For Mary i~formafion furnished ~n Apphcatlos No ..................... fi~ed by ~pp.ca~ ..................................... De~rtino ........................................ o~ ~rch 10~ .... 19..~.... A map of the proposed work wi[[ be kept on file in the Trustee Office unde~ the aD~[icatio~ number 9ive~. ~ ,,,~ Perml~ grantee to ao the ~o.owmg wor~ ..................................................................................... 80' ~rom above the H~ and associated sanita~ s~5,te~...~Eox~matle~ [~'. ~R~ ~W ~-- ~°nstruct approx. 150' of rock .[i~-ra~ 9~ 3~ ~d$~ ,~f ba~d f~s~Dg,,~K~K,,~rbor. Locatioo of proper~ on which work to be done Willow Terrace' Lane, Orient . Creek, Bay or Harbor fronting property Orie[~t Harbor approx. 150 lin. ft. Size of work: Length ........................................................................................................................... %M',,l+k Approx. 1 Height Above High Water ......................................................................................... :... Depth Below Low Water ................................................................................................. ~Ya, rds to be Excavated ..................................................................................................... Yards to be Filled ....5,0...,c.u.:...z.d..s.:. ................................................................................ To be trucked in fr. Manner in which material is to be removed or depomted ......................................... 9.qL. .~ ...... upland site. ~,~, Residential ......................................... Intended use of prope,.. ................................................................................ Conditions if any ........................................................................................................................... 7G5-1802 / BUILDINGDEI~. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION ZND [/~NSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ['~F~MING [ ] FINAL REMA~RKS: ~ ~'' DATE INSPECTOR 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ] FINAL REMARKS: DATE '~ , ~U~AU O~ ~CTmC~ ~ ~p~lc~ion ~o. on ~,W THis ~E~mms ~T ' flXW ~l ~T~ [ WX~B { ~ I~l~S{ O~ {~W~I ~ FANS ~IIMBCl BIII~ONMIC[ S ! ! V ! C, ! HO'i'ORS: 1~-1 H.P. G.F.C. I :-5 S~OKP; DKTKCTOi( :-1 OF NEU~L · XX I)AI,~. I~,hF, C IR .C Per ~ I ~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH 3 SETS OF~P~ LANS -~'J~... SURVEY . ;~' o CHECK ........ SEPTIC FORM ..ff, J~: ...... NOTIFY CALL .'~ .~4-~ .! 9 .... 19.~.~. Permit No. ] k .~?. Approved Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ........ ~./.~. .... ,19~..~ 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 sliowing 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 permil 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 ufitil ~ Certificate of Occupanc5 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 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, housing code, and regulations, and tc admit authorized inspectors on premises and in building for necessary inspe~t~ns. / ~,~ . ~ ~/, ' ir .... (Mailing address of applicant) State ~vhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ ......................... . .................................... ' of premises ..~'/~,~t~.r.,..,~,,~· .~. ............. ..................................... Name of owner (as on the tax roll or latest deed) l.f.a~yi~~.n ' .~..~~~ri~e~. 7 f ricer' (Name and title of corporate officer) . ALL CONTRACTOR'S 10IIJST BE SUFFOLK COIINT¥ LICI11q$1tD Builder's License No .......................... Plumber's License No ........ .&Iff..~.?....~. ....... Electrician's License No. . Other Trade's License No. ~'~'~'~[ 1. Location of land on which proposed work will be done...¢7~. .... .~..2~t[°..~.. ~..~....0~,,../,~ .~.~-. .... ~ ........ House Nmnber Street Hamlet County Tax Map No. 1000 Section ..... .~.~'.: ........ Block .....~....~. ....... Lot...q.~.. - Subdivision. ~. jo?.. ~,.'~./.~..~...&~.Z... riled ~ap No .... 4~'ffe~. ...... Lot ............... (Name) 2. State existing use and occupancy of premises and intended nsc and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ... (,~d¢.. .r .... .~. ¢, ...................... ' ................ · Nature of work (check which applicCble): New Building ... ~. ..... Addition .......... Alteration .......... Repair Removal i Demolition Other Work I (Description) Estimated Cost ........ j. .? .................. Fee ...................................... ' (to be paid on filing this application) .0pj k~ ling units on eac If dwelling, number of dwelling units ............ Number of dwel h floor ................ If garage numberofcars ' .~.69 q If business, commercial or mixed ocbupancy, specify nature and extent of each type of use ..................... Dimensions of ex~stmg structures, lfiany: Front ............... Rear ..... Depth ............... He'gl N i f St ' 1 it ............... umber o ones ......................................... . ............... Dhnensions of same structure with alterations or additions: Front ................ Rear .................. Depth ...................... ~eight ...................... Number of Stories ............... t ....... :. Dimensions of entire new construction: Front ....~.O...' ..... Rear ....'~,O ........ Depth .. ~[ ~ ...... Height ....... [ .~.t ..... Number !of Stories ....... tl~4~..~ .......................................... '. Size of lot: Front ..... ~l c~ ..... i ........ Rear ...... gL .~. ............ Depth .... 1.~..~ .~. .......... I. Date of Purchase .............. I...,...........NameofFormerOwner ......................... .. .. · Zone or use district in which premises are situated ..................................................... ocs proposed construction violate Ony zoning law, ordinance or regulation: ... ~.*. ............. Will lot be regraded .... ~0 ..... i ................ Will excess fill be removed from premises: " Name of Owner of premises .~.#,~ .~. Dgtr~ .tb,~.~. Address .~ ~t. Ire i ~,~..dE, ..... Phone No..~..~a";.~ .6.,~.~,., Name of Architect .... : ..... ',' · i ......... -' ....Address ......... .tl~-q.d:/~ . Phone No ................ .. Is this property located within 300 feet of a tidal wetland? *Yes .~... No ..... · If yes, Southold Town Trustees Permit may be re~uire'd. PLOT DIAGRAM [dings, whether existing or proposed, and. indicate all set-back dimensions from bet or description according to deed, and show street names and indicate whether Locate clearly and distinctly all bui operty lines. Give street and block nun :crier or corner lot. 'ATE OF NEW ~R~K, )utcrY OF. '~.5' ?'~.~: .... ~ ........ jf~'O~'O/'. P.~. ~..~..~..,~.~¢-~. ........... being duly sworn, deposes and says that he is the applicant . (Na~ffe of individual signing eontr/ct) eve named. is the ....................... . ......... ...................................................... (Contractor, agent, corporate officer, etc.) said owner or ownem, ~d is duly au.thonzed to perform or have performed the said work and to m~e and file this plication; that all statements cont~ned h this application are true to the best of his knowledge and belief; and that the ~rk will be perfomed in the m~ner set~ forth in the application filed therewith. ,om to before me this ............ of.. No. 62-8125850, Suffolk Co~ Term ~lr~ O~er 31.19~ ~Af~_i/_.L EXPIRES T~O 0T S 0_~Tu~r.' . RODERICK VAN TUYL, P.C. LICENSED LAND SURVEYORS GREEN~RT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. E FAMILY DWELLING ONLY' YEARS FROM DATE OF APPROVAL STATI~MENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORI~J, TO THtE ST~J~DA~D~ OF THE su F F o, ~'~. ~¢~I o ¢'4~'~ .~J~. v,c ~ ~. I6ANT SUFFOLK COL SERVICES - FOR CONSTRUCTION ONLY DATE: H.S. REF NO ~ APPROVED OF HEALTH APPROVAL OF SUFFOLK CO TAX MAP DESIGNATION: DIST. SECT BLOCK PCL OWNERS ADDRESS: VALaEY ?l {2E..I',4 N,Y DEED: L. P. TEST HOLE STAMP SEAL ~ SUFFOLK CO. HE.a~TN D~PT. AIIqiROVAL ,, . I',.dAP OF P2OPE~TY /~ ~ 0 ~ 'Z__. '",, ,o¢oMA, IR..Y DEHAP_TI NO ~iTATEI~NT OF INTENT ' "~.--,. ' ~',.,..~ '"~-~' '" ~'~ ~% \ ..... ~7 .............................. ,,.,','--'""''"T'"'""'""""°'"""~"°'"~"',o, ','.,~ ,,~,,.,,,, w,-,. ~'~ '"%L~,,, --' ,, % ~X 4-. 6, ,,o.,.o,,,,, TO T.E ,TANOA,,,, OF T.E ,j'' \ 0 t % SUFFOLK CO. DEPT. OF HEALTH SERVICES. ~ .x.%~., ...~....'~ \ ~,~.T,,,.,,=T,o.'E"V'~E'--"O"o.-. A P,'.OVA. DP H- S. REF. NO.: '~ "'¢':'~'~ '"~';"""" .... '"~ *,~OVEO: ~; . i~-./;,;:% .,"\% \ 0,,-,. ,,,,-,. ,,,.o,,,, ,.,=,. '"a ~-' -, .- ._ s '~' '" " II~'A,tT ~ , o, 'v4,~°'~' ,¢ ', THE WATER ~F~LY AND sEWAGE SYSTEMS FOR THIS R E$tI~NCE WILL CONFORM TO THE STAHEIARDS ~ THE SUFFOLK CO. D~PT. OF HEALTH ~RVlCE$. COUNTY SERVICES -- FOR CONSTRUCT ION ONLY DATE: H. S. REF. N~.: DEPT. OF HEALTH APPI~OVAL OF ~UFFOLK CO. TAX MAP OE$1GNATIO~: mST. OWNERS 8~5 DE~D: L. P. "~ BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. v~/FOUNDATION 2ND [ ] INSU~TION F~MING [ ] FINAL DATE., ~[~:~"~ INSPECTOROL~ ~,}~ If eOppar tubing i~ Used for water distributing · yStem; piping shall be of types ~ SUPPLY SYSTEM CANNOT;,, ,~' . i. EXCEED 2/10 of I% LEAD; '" oCCU?~NC'~ O~ USE IS UNtA~NTUL '1' T F 0 U