HomeMy WebLinkAbout16972-zFORM MO. 4
TOWN OF 80UTHOLD
BUILDING DEPD~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18814
Date FEB. 21, 1990
THIS CERTIFIES that the buildin~
Location of Propert~ 1750 PLATT ROAD
House No.
County Tax Map No. 1000 Section 027
OWE FAMILY DWELLING
ORIENT
Street Hamlet
Block 0i Lot 10.5
Lot No. 4
HATAIER
Subdivision MINOR SUBDIVISION Filed Map No.
conforms substantially to the Application for Building Permit heretofore
pursuant to which
filed in this office dated MAY 12, 1988
Building Permit No. 16972Z dated MAY 12, 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, WITH DECKS, & ATTACHED GARAGE.
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
REPLACES B.P. #14560Z
Rev. 1/81
EDWINA & JOSEPH HATAIER
85-90-243 FEB. 7~ 1990
H009266 APRIL 26, 1989
JOSEPH HATAIER DEC. 6r 1989
/B ' ing~Inspector
FORM' NO. ~
TOWN OF SOUTHOLD
BUILDIHG DEPAI~.TMI:HT
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:
~.~.....~~...~.,. ........................
...~..~.,...~..-.,~...: ...... LL?..~:...1 ..............
,o ..~~..~...~....Z~...~..~.,..~..~.~....,~...
........... !..; ..................................................
at premises located at ...L.'~..~..~).........r.~2.~......~., .......... .C~I.~ .......................................
County Tax Mop No. 1000 Section ...... .(~...~'...'1. ....... Block .......~.J ........... Lot No. ~.~..~.~... ....... /~,
pursuant to application dated ....... .....~.~..~...~. ................... , 19.~..?.., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
FOB. M ~0. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~(.) 14560 Z
Permission is herebt granted to:
/...C./..o. ....................
c~ ' ~ , , I1~'~-"/
o, p~em,ses ,ocot~d ot .J..~...s.~...L..~.,~......G..4. ........... ...~.....~ ...............................
County Tax Map No. 1000 Section ....~....~...-J. .......... Block ........ .~ ............ Lot No...~..?.....!.,.~.. .....
pursuont to oppJication doted ...~..~...~.. ..................... , 19..~1...~.., ond opproved by the
Building Inspector.
~ee *.~?..¢1..'.~..~ ....
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOHTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE ..............
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
Location of Property /7~O F~/~ /~ O/~/~-~
HOUSE NO. STREET ' - HAMLET
Owner or Owners of Property .........................
Co'a~y Tax ~ap No. ~000 Section ~2~ B~ock .~/
Subdivision ....................... Filed Map
Permit No · · . Date of Permit
.......... Applicant ..................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate .......
Final Certificate ................
~ 3fo/7
Co ~
:er. 10/14/88
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
CERTIFICATION
TEL. 765-1802
Date
Building Permit No. /~ 77~'~ ~
Owner /d~~ }~'-t~J~'//~"~ //~""/~/~'-/~
(please print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn~to befor~ ~e this
19~¢.
~plum~ber' s ''
signature )
Notary Public, ~ County
TOTtN OF SOUTHOLD
OFFICI£ OF BUILDING INSPECTOR
P.O. BOX 1179
TOWN I IA LL
SOUTIIOLD, N.Y. 11971
TEL. 765-180,2
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
/_~/ An application for Certificate of Occupancy
is not on file. (~Lr~
/---9 No Underwriters Cer.tificate on file.
/7/ The check i:; (~T~=~K~/not on file. ) 4~3, ~;~
/.? No Heal. th Dept. Approval on file.
/-~/ No final inspection has been made.
Please contact: ()ur office on this matter.
Thank you for your cooperation.
Build tng Dept.
*~*/~ No Plnmber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984
TOWP OF $OUTtlOLD
OFPlCI~ OF BUILDING INSPECTOR
P.O. BOX 1179
TOWN IIALL
SOUTIIOLD, N.Y. 11971
Hovember 29, 1989
TEL. 765-1802
JOSEPH ItATAIER
1610 PLATT ROAD
OR~ENTi N.Y. 11957
B.P. #16972Z JOSEPH ItATAIER 027-01-10.4
'I'o P;hom This May Concern,
SECOND NOTICE
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
~x_-/ An application for Certificate of Occupancy
is not on file. ENCLOSED
/--/ bio Underwriters Certificate on file.
~/ The check i:;(ouL(]ate(l/n~t on file.) $25.00
~_/ No llc;alth Dept. Approval on file.
/-'/ No final insDe, ctioll has been made.
Please contact eur office on trois matter.
Thank you for your cooperation.
lltiklclkr;(j Perln.i_t'. 1t I 6 9 7 2 Z
Dui ld i;]g Dept.
i'I¢:, Plumbar Sc)icier Certificate on file.
ail per~.lits involvil%g pluml~ing being
issued after ~SprJ. 1 1,1984 )
~e notified you in July of the above thlugs needed
to get your C.O. It is a violation to be using this
dwelling without a C.O. Please attend to this immediately
or it will be necessary to take legal action.
~ FIEL~ ~N~FECTION
FOUNDATION (~lst)
COMMENTS
FOUNDATION (2nd)
2.
ROUGH FRAME~/
FLUMBING
INSULATION PER N.
STATE ENERGY
CODE
4.
FINAL
ADDITIONAL C
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING ~ ~r/~INAL
REMARKS:
DATE
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [~/j'~SU~TION
FRAMING
FINAL
REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND [
[~ROUGH PLBG.
INSULATION
[ ]~F~MING [ ]FINAL
DATE
~///~// * INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND [
[ ] FRAMINO [
REMARKS: ~)~
[ ] ROUGH PLBG.
] INSULATION
] FINAL
DATE , ~ iNSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
V B8 JOHN STREET, NEW YORK, NEW YORK 10038
Date Application No. on file
THIS CERTIFIES THAT
only the el~trical equipment ~ ~scribed below a~ in~uc~ by t~ applicant ~med on the a~ve application number in the premises of
FIXTURE FIXTURES
OUTtJ~TS NCANDESCENT FLUC~ESCENT OTHER
FUTURE APPLIANCE FEEDERS
COOKING DECKS OVENS DISH WASHERS
~TIMEAMT CLOCKS /~() AMPS. TRANS RELL . ~ UNIT HEATERS H P NO, UL EYSTEMS OF I-OUTLET FEET
V I C
NO. OF NEUTRALS
RANGES
SPECIAL REC'PT.
E R
FURNACE MOTORS
NO. OFECC, CONDpR~ OF A W O.
CC. teND
EXHAUST FANS
DIMMERS
A, WG
OF NEUTRAL
OTHER APPARATUS:
T ..... ~ENIRAt P~dANAiGEE ,?
his certificate must not be a~tered in any manner, return to the offce' of the Board '~f 'Incorrect Ins ectors maPbe
' . p y dent fled by fheir credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1803
Disapproved a/c ....................... i .............
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ~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 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 code, and regulations, and to
admit authorized inspectors on premises and in building for necessary insp/~/~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ..........................................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. ~ I~At'~-'-,~
Plumber's License No .... .~...~. ~..~."-~... .........
Electrician's License No. d~ )~t At ~
Other Trade's License No....~..1~...A,.?.~Z.. .........
1. Location of land on which proposed work will be done ..................................................
? 1.7, B. 7-/--
House Number Street Hamlet
County Tax MapNo. 1000 Section ..... ~ ......... Block ....... ~ ...... :... Lot.~...
Sebdivision. .. ]~.~. .... Lot
(Name)
2. State existing us~ and occupancy of premises and intended use and o~cupancy of proposed construction:
a. Existing use and occupancy ~ ~d~
b. Intended use and occupancy ~ ~/~ ~ ~/~d~ -
3. Nature of work (check which applicable)(New Bu~.. ~ .... Addition..i ........ Alteration ..
Repair .............. Removal .............. ~ Demolition ........... i. · · Other Work ........... i. ·
tY~, o o ;i (Description)
0
................................... Fee .......... 1 ..........................
· ' (to be ipaid on filing this application)
5. If dwelling, number of dwelling units ............. Number of dwelhng um~s on each floor ................
If garage, number of cars .......... ~.' .............................
6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e of use ..; ..................
7. Dimensions of existing stru6turps, if any: Front ............... Rear ....... i ....... Depth ........... . ....
Height ............... Number of Stories ............................ j ........................ t ....
Dimensions of same structure with alterations qr additions: Front ............ i ..... Rear ..................
Depth ...................... Height ......... , .............. Number ct~ Stories ......................
8. Dimensions of entire new construction: Front ..... .~.~.:..0.*r.. Rear .... ~.~./.. ~.*.. Depth ....~. 5..Of.t ....
Name of Contractor ........ .~..p(./~..b..-'.~. ........ Address ............... j ....Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and~ in:dicate 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. ~ 32/
Vacant tnnd
of Burke~
P top,
--,35~6* -- Hou~;e
ReS, of
Hataier
.... -'~-1685' to Main Rd,->
STATE OF NEW yO~,/RK~ ..~ ~ PLATT RD,
COUNTY OFt. L~': .(~..~'% .. ~'~, ..........................................
......... ~ ............ ~ ....................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ............................................................. . ............................
(Contractor, agent, corporate officer, etc.!
of said owner or owners, and is duly authorized to perform or have performed the s'aid work and to make and file this
application; that all statements contained /n this application are true to the best of hi! 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
............ · '-~-. .... day of. · · .Q~x~...~,-L ....... 19~.~. '~'~r'~d ;V': ~;W';'f~,"~,~; ~" .... i '
Not~ Pubhc .....................
......
~ EU~ I~ I ' .......... Si nature f "
~,~y? - ~ /. ;i'~:~.;,~~ ,~., ~g o apphcant)
636,
/
SUFFOLK CO. HEALTH DEPT. AF~ROVAL
H.S. NO.
STATEMENT OF INTENT
THE WATER SUF~LY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM TO THE STANDARDS OF THE
SUFFOLK/CO. D,EP,T~: O~RVICES.
(S)
SUFFOLK COUNTY DEPT OF HEALTH
SERVICES'-- FOR APPROyAL OF
OV[O:
SUFFOLK CO. TAX MAP DESIGNATION:
DIST. ~CT. BL(X:K 1~2L.
~000 ~a-7 I P/O
OWNERS ADDRESS:
16lQ PLA.} '?~'~,/. ~. ('
G~E/,4T, NY, I~9~7
DEED: L,7~83
TEST HOLE
~5 5UI~VEYED .~U_ L__¥ ~..~,
R~RICK VAN T~YL, P.C.
LImNeD LAND ~R~YORS
~EE~RT ~W YORK
SEAL
SUFFOLK CO. HEALTH DEPT APPROVAL
ore: Approval for well water supply
is subJaet to treatment for nitrat~h
amd Temik.
STATEMEN] Of INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM TO THE STANDARDS OF THE
SUFFOLK CO DEPT OF i~EALTH SERVICES
APPLICANT
SUFFOLK COUNTY DEPl OF HEALTH
SERVICES FOR APPROVAL Of I
CONSTRUCTION ONE Y ;
DATE: __ i
H S. REF NO
APPROVED
SUFFOLK CO TAX MAP DESIGNATION
DIST SECT BLOCK PCL
DEED L ;.~ :: P
TEST HOI..~ 'i STAMP
RODERICK V A N~_!.U Y,L~
LICENSED LAND SUR~YOR5
GREENPORT NEW YORK
/,g. , /
GREENPORT NEW YORK
'SUFFOLK CO. HEALTH DEPT. APPROVAL
H.s. NO. ~-SCF~4a,
FNote: Approval for well water aupply
is subject to treatment for nitr&!
and Temik.
~I'..AT,EM~NT Or INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SY ST E~tS FOR THIS RESIDENCE WILL
COI"~roRM TO THE STANDARDS OF THE
SUFFOEK CO. DEPT, OF t~EALTH SERVICES.
'(si ,,
APPLICANT
SUFFOLK COUN'~Y OEPT OF HEALTH
SERVICES - FOR APPROVAL OF
CONST~ L/C~T ION ONLY
DATE: ,,,
1.4. S. REF NO ~'~(~ P~tg
APPROVED' __
SUFFOLK CO TAX MAP DESIGNATION:
DIST. SECT BLOCK PCL.
OW~Rs ADDREss:
LAWRENCE M. TUTHILL
PROFESSIONAL. ENGINEER
P.O. BOX 162
GREENPORT, N.Y. 11944
(516) 477-1652
TO WHOM 1T MAY aONC~N~
Joseph Hataier em ~ Rea~, ~lea~, ~, ~d ~e~ aeve~al
al~gh~ e~alka la the ~seaeat w~lls.
are of aigmif[ea~ee ~e effeet the lat=eg[~y of ~he
ANDERSEN 3C~I 0
WIDTH 3/I
HEIGHT 4/ l l/q~
S~, F~ G LASS
OPG,POS,
FLOOR?O SILL~PG, 35
7?
4¸i
6 FRENCH
30310
INTERIOR tOTALTEREO EXCEPT
FIRERLACE REMOVED " '
AND DOOR ,~ND WINDOW CHAN6E
ON EXTERI(>R WALLS
I ,
DECKS TO HAVE
HAN~R, AIL AI~iD
STAIRS
cce DE,., K 5/4X6'~, ,
~:~_.<_2_
6~0,C.
L.
(NOTE) ANDERSEN C TC I
FRONT A. _, RE~,, GARARGE
AMMENDMENTS TO PLANS
BLDG, PE.RIVIIT 14560 Z
J. + E. HATAI E FO,
SCA LE~/~/DW~G¢O/3/8E
ISSUED 2/28/86
J, HAYAIER
~ %_. ,B~,a'lb~
~or v~ter ----
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
I FOUNDA'r[oN TWO REQUIRED
FOR POURED C..ONCRETE
2 ROUGH FRAMING & PLUMBING
3. INSULATION
~-. FINAL , CO~STRUcTION MUST
SE COUPLE'~E FOR C.O,
ALL CONSTRUCTION SHALL MEET
THE REQUIP,~MEN'rS OF THE N.Y
STATE CONS i'RUCTION & ENERGY
CODES, NOT RESPONSIBLE FOR
~'tESIGN OR CONSTRUCTION ERRORS.
$OL',.,'=~ ~"- · - IN WATER
$UPPLY sYSTEM CANNOTI
EXCEED 2/10 of
PLUMBER CERTIFICATION ;.
ON LEAD CONTENT BEFOI~r
CERTIFICATE OF Oc'CUPA/~'~
,
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
650
Phone 47%0400 Mare Road
, GREENPORI', N.Y I 1944
D~G FF F LOOT~,
- Main. Road