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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