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Home My WebLink About16813-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18284 Date AUGUST 15~ 1989 THIS CERTIFIES that the buildin~ Location of Property 485 MULFORD COURT House No. County Tax Nap No. 1000 Section 14 MAP OF Subdivision GRANDVIEW ESTATES ONE FAMILY DWELLING ORIENT Street Hamlet Block 02 Lot 3.24 Filed Map No. 7083 Lot No. 20 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 1¢ 1988 pursuant to which Building Permit No. 16813Z dated MARCH 15¢ 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 DNELLING~ ATTACHED GARAGE AND DECK. The certificate is issued to BRUCE L. AND BONNIE J. URBAN (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-83 JULY 21, 1989 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N070242 MAY 5~ 1989 PECONIC PLUMBING & HEATING 7/24/89 ~ ~ui'~lding Inspector Rev. 1/81 !~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~6B~3 Z Permission is hereby granted to: ~...~......~../..~ ....................................................... ..~...~~...~/...~..... ........................ ,o ................ .......... ~~'"'"~'~'"'"'~..'~'Z ;3'~;~'~ ............................................. at premises located at ........ ~t~..4~.~.~......;,/.j.~~....~K~dhd~ .................................... ' ...... iiii'"'i .... Caun~ Tox Mop No. J000 Sect,o. ........ ./..~.. ...... B,o~k ......... '.~. ....... Lot No .......... pursuant to application dated .... ~.././.. ......................................... 19.~..4~., and approved by the Building Inspector. Fee $. . Rev. 6130/80 TOWN OF SOUTIIOLD BUILDINGTOWN HALLDEPART~IENT SOUTHOLD, NEW YORK ! 197 765 - 1802 APPLI ATION FOR CERTIFICATE OF OCCUPANCY-~UT~L~D_.~.,,I. ,, NEW CONSTRUCTION -X-..OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property...yf~. .... -~- -~-~- -~-~ -~--~--- ~.~.~-~.C ........ ..~.g./..~...~..~.. HOUSE NO. STREET HAMLET County Tax Map No. 1000 Section ..~1.~. Block ...~.. Lot ..~.~.~..¢.. Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $ ...... ~ .............. !o/14/88 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~ ~/3 Owner ~'~,f~/--. /_.(/~;~AJ (please print~ P lu~er~/c ,~0~ ~/~ (please print) I certify that'the solder used in the water supply system contains less than 2/10 of 1% lead. (p~mbe~r' d signature) Sworn to before me this ~ _day of ~..~f,,'q/_/..d/<U , 19~. Notary Public, L ~/ffY~.)//~- County BARBARA STEPNOW~KI I~o. 4844752 Oualifi~ in Suffolk County Commission ~kes ~, Notar~ Pu~-lic - ?'i£LD i,,S ..... u. FOUNDATION FOUNDATION ROUGH (1st) (2nd) FRAME/ PLUMBIN~~'~ INSULATION PER N. STATE ENERGY CODE FINAL COMMENTS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING DATE INSPECTOR .~~ ~ 7G5.180~, BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~NAL REMARKS: DATE INSPECTOR ~/~-~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [/~NSULATION FRAMING [ ] FINAL DATE ! I~?~" ~' INSPECTOR U~//~.~ J~?lb 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [~'~RAMING ~-- [ ]FINAL DATE //1 J/~ INSPECTOR ~~ 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [~'R~UGH PLBG. FOUNDATION 2ND [ ] INSULATION [~/~RAMING [ ] FINAL DATE INSPECTOR 7GS.'1802 BUILDING DEPT. INSPECTION FOUNDATION ~IST [ ] ROUGH PLBG. /- ~]/~OUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ]~FOUNDATION 1ST ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ] FINAL __' , '.: / NE.W,r,YORK BOARD OF FIRE UNDERWRITERS ~ 8. ~HN STREW. NEW YORK, Y~.L~oze ........ ~Y 05,198~ ~23~/~u ~ u~u~ ~ ~pl~a~ion No. on THIS CEMIFIES T~T URBAN, 475 ~ULFORD CT., ORIENT, N.Y. ex.mi~ ~ ~nd ~ound to be in compliance with the ~ui~ment~ of th~ B~. Lot 20 l0 FIXTURIS BANGIS OVINS OTHER OM4MIBS NO. M NIT SIRInCl mKQNIdlCT S $~OKE DETECTOR:-i TRXCK I, iGHTING:-4 E R v I C E I 4/0 O & S COI~TRACTOR BOX 215 SOUTHOSD, #Y, 11971 LIC.~578 E This cmtiflcate must not be alWld in any manner; return to the offic~ of the Board if incorrect. Inspectors be identified their COPY FGI~ BIJILDIHG DEPARTMEHT. TiffS COPY OF CERTIFICATE MUST HOT BE ALTERED IH ANY MAFIHER. 'FORNI NO. '1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197'1 TEL.: 765-1802 Examined . .~/../3j ............... , I9... Approved..~./.~. 7 ........ , ' 9 ~.~. Permit No../.~.0~/..~..~.. Disapproved a/c ...... : .............................. ................................ (~uildin~fl'nsp e ct or ) APPLICATION FOR BUILDING PERNIIT INSTRUCTIONS BOARD OF HEALTH .' ..... 3 SETS OF PLANS ~-.--- CHECK ......... d'. SEPTIC ~0RN . CALL .............. HAI~ TO: 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 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cod~ and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ,,~/Q,~ z /-( .~ O %-~ff (Si°nature of apxqlicant,?i' name, if a~orpk~ation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... ?. .... .... ...................... , ..................... Name of owner of premises ...~..~/.~ .~....~.'......~L%~..~. ~.~..~..t.~...--~......~. ~-I .~..~..~..~. ............... /,C£i3/0 tD (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~ (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... __. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ... ~l~( Block c~ Lot c~-¢:l.~[ Subdivision ..... ~.~.k).~.kfl~.~.[t], ~.~. .~.~.~5 ..... Filed Map No....~.~?~... ...... Lot....~..D. ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~7'.~.. ~k)W-~ .D. b. Intended use and occupancy .................................................................... 3. ! Nature of work (check which apglicable): New Building ...~...... Addition ..... '%.. ~ Alter~)~ion .......... ~ ~'" Work .~. , Repair .............. Remo al .......... ~... Demolition .............. Other " ' . i , (Description) 4. Estimated Cost ....................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ 1 ...... Number of dwelling units on each floor ................ If garage number of cars 6. 'If business, commercial or mixed 'occupancy, specify nature and extent of each type of use 7. Dimensions of existing structuresi if any: Front ............... Rear .............. Depth ............... Height .............. Number of Stories ........................................................ Dimensions'of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... [. Height ...................... Number of Stories ...................... 8. Dimensions of egtire new constrttction: Front .... ~/.~. (~... Rear . . . .~./. ~ .O.. f~... Depth ...e~..~'..~oc7. ?. .... Height . . .c~. ~.( ....... ~umber~of Stories ...... ~ ............. ~..~ ................................... 9. S~zeoflot Front . ~.(e., ~6 Rear /~.~. 05 r~.,,h 10. Date of Purchase . ~".'.'.'.'.'.'.'.~. .... I/.~..~./. ........ ~..N.~fi q~f,[ormer Owner . .~.~q.~..q/~. ~..~.~g'..~..~K~ ..... 11. Zone or use district in whfch premises are situated .~.£.g.~:.v.~ ............................................ 12.. Does proPOsed construction viola!te .anti5' zoning law, ordinance or regulation: ...................... ~..~. ...... 13. Will lot be regraded .......... i ..JS/.q ............. 3~/ig. e;~qess, Jill be removed from premises: Yes 14. Name of Owner of premBes ~got~...t';~.t~.~ .O.~ .t~...W(~-A~ld¥~t~.~,~. &(~). ~g~7. Phone No. 0f'.7.~2~.~20 Name of Architect .. '~'~"""~7 '~'j' f'~S' 'rfl'b' ' '~" ...... Address ,('Y.~. .............. ¢Phone No..e.27-..0.¢?.0 ...... Name of Contractor .......... ! ................ Address .... : .............. Phone No... .............. 15. Is this property located 0ithin 300 feet of a tidal wetland? *Yes ..... No ~. *If yes, So~uthold Town Trustees Permit maybe required. 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. STATE OF NEW YORK, SS COUNTY OF ................. ' ................ ................................. being duly sworn, deposes and says that he is the applicant (Name of individual signi] tg contract) above named. He is the ........... ........... ~ .................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners,'and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannerlset forth in the application filed therewith. Sworn to before me this ' . .7 ...... day Nol~ary Pubhc, . ........ .... Count~.~~. NOT HELEN ~ DEVOE · ~RYPUSUC, ~le of Now ¥~ (S~gnature of apphcant) No, 4707878 Suffolk County Term Exp res M~rch 30,19~ ~-/ "~ : SY~EMS FOR THIS REStOENCE WILL CONFORM TO THE STANDAR~ OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. CO~TR~TION ONLY SUFFOLK CO. TAX MAP ,DESIGNATION: ~ ,~. , LAND. SUR ~S · GREENMT , NEW YORK I ' hflULF'Of2O ,_OLA4 ! SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. ~I~DWELLING ONLY ~S FROM DATE OF ~PPROVAL STATEMENT OF INTENT ~,' ~ ~';',, ~,.,__" - THE WATER SUPPLY AND SEWAGE DISPOSAL "j~'-~' '" " SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFO~:~I~CO. D~/~,~./~_HEALTH SERVICES. .,, ;. x/ APPLICANT SUFFOLK COUNTY D~PT. OF HKALTH SERVICES -- FOR APPROVAL OF' ~x,, CONSTRUCTION ONLY ,~ / DATE: APR 1 7 lqR7 '", , x u.S.,Er.,o.: ~'1 ,.", SUFFOLK CO. TAX MAP DE TION: ~; DIST. S~CT. BLOCK ,./ , OWNER ADDRESS: ......... DEED: L. ~4/~% P. TEST HOLE STAMP C ATION EB iREO "~ SEAL >'~,-,'¢~.~:'~ ~ 1~--2~ ,~ ,,~ =~F~:.,;~ R~lgK VAN L, P.C, LICENSED LAND SUR~O~S GREENPORT NEW YORK · ~'ume_s.e c. Lnrj. s.zm.,r,~o,~ If ~el~er tubing I$ used for wale~ distributing ~t~tem; piping shall be of t!tpes _K or L only. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED FiNAl C~x~TRUCT!ON MUST AL~O~ ~UCTtON SHALL MEET cOD~ ~ ,.,~ Cb~TRUCTION ER~ Plione 477-0400 ,Main Road GREENPORT, N.Y. 11944 AS ?~ O0 ~ Main Road .? Phone 477-0400