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Home My WebLink About15137-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... ~58.4.Z ....... Date June 11, 1987 THIS CERTIFIES that the building ...a.d.d..i.t.i.o.n...'cp..e..x.i.s.t.i..rig'' .d.w..e.l.l.i.n. 9'.. .......... Location of Property .... 1.8.85 .............. Sigsbee Road Mattituck House No. ' ..... 'S'tle~f ....................... t:/,;~/el County Tax Map No. 1000 Section ..... .1.4.4....Block ........ 2. ...... Lot 16 Matttiuck Park Prop. Inc~ ..... 801 65 & p/o66 Subdivision ............................. . .ri,eu Map mo ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 10, 1986 15137Z ...................... pursuant to which Building Permit No ...................... dated.....................July' 24, 1986 .... ... . 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 ......... An addition to an existing one-family dwelling. The certificate is issued to J. ELIZABETH B. & DOUGLAS G. STEARNS (owner,~:.ffF.~.tXtR~,~) ................ , .... of the aforesaid building. Suffolk County Department of Health Approval N/A N810317 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: 3/4/87 Rev. 1/81 TOWN OF SOUTHOLD 8UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15137 Z Permission is hereby granted to: ..... ............. .....'~z~.~......u...:.~,....t.!..~.~..~ ....... at premises located at ...~.,.~..~....~'. ...... ~.,~. ~ ..~.......'..... ~.~'~g~ ..~.... ................... pursuant tO application dated ........ ..~..A~.J..~. ...................., 19.~..~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 I 11987 BLDG. D.,rT. L OWN APPLIOATION FOR OERTIFIOATE OF O00UPANOY Instructions A. This application 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 applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~perty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY 810.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .. ~.~.~..i.~., ......... 'r~,,~ co. New C on s t, z~uc t i on ...... Old or Pre-existing Building ' Vacant Land ............. Location of Property. ~.~.~..~.....~..~.~..~-~... '..~...0~.. ....... House No. ~,J Street Ham/et Owner or Owners of Property ; ~ ~. ; . v~ ~ q . ' .......... ..... County Tax Map No 1000 Sect on ............................................. Subdivision..J~..~.~."~.r~..~.~.Y.~..'~.~..~..J~.'.~..I.~..C;.Filed Map No...~...~.J ..... Lot No..~.~.~..~..1/.7_..b~ Permit No. !.~..) '.~.~ ?- Date of Permit .Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ...................... Planning Board Approval .... ..,/ .............. Request for Temporary Certificate / Final Certificate / Fee Submitted $..'~..' .~..0..f.-~., .~..~, ............ Construction on above described building and permi~t meets all applicable codes and regulations. -. .f} . ~,~' 5~1~ Applicant ' '~~' A~ ~~~ ................. Rev, 10-10-78 '~ ' Glenn Bradley Box 602 Laurel, N.Y. 11948 Lic. 1227 Per_ rhis certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT: THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTItOI,~ OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION Date TEL. 765-1802 Building Permit NO. 15i57 Owner 5C~ an~ D0aa 5¥~nS (please. pr~ht) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sw.o~ to before ~ thi9 .day of/~.J~/ , 19 ~ . Nota~ Pu~lio, 5J~ Cou~t~ (plumber's signature) No~ublic 7SS-XSG2 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE INSPECTOR 76S-~8e2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 'IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~_'"~. [ ] FINAL REMARKS-' ~ DATE ~INSPEGTOR ~ 7M)-~,SGZ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~ ~ ROUGH PLBG. £ '1 FOUNDATION 2ND [ '1 INSULATION [ '1 FRAMING/./,~/ £ ~ FINAL 76s-~,8e2 BUILDING DEPT. INSPECTION [ 'I FOUNDATION ~,ST I' '1 ROUGH PI.BG. Ii. i i~UMNi~DAGTION ZND [[~FiNNSA~qULLATION DATE FIELD N~SFECTION FOUNDATION FOUNDATION (2nd) ROUGH FRAME & ?LUMBING INSULATION ?ER N. STATE ENERGY CODE FINAL I!DATE ADDITIONAL COMMENTS: P 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved..7.4~...&. ~ .... 19~.~. Permit No../..~-./..~.'7....~.. Disapproved a/c ..................................... ................................. ......... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... 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 inspections. · ....~lailin~ ~l~;e's} ~'a~ii~i) ............ State whether applicant is owner, lessee, agent, architect, entpneer, general contractor, electrician, plumber or builder. 6XfiC, exC ................................... .....................'-' ..... '-U: ......... .. Name of owner of premmes . .~ .... ~r-v .r .... t...~7.t gal....'d ............. '~ (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 .......................... Plumber's License No ......................... Electrician's License No ....................... Othei Trade's License 1. Location of land on which proposed work will be done~ ................................................. l'& -b -kck .................. : ............. ................. : ................ ~;r;;; ..................... House Number Hamlet County Tax Map No. 1000 Section .... l'l.?. .......... Block ..... ............ Lot .... /.*. ............. Subdivision .~/~. r.~/Y.~..e~...~..~..~...~..~.er~..Ff.~.~.t.../.~..... Filed Map No...~.0.( ........ Lot .~.~.~. ~.. ~ .~ -~-~. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: occupancy .'..~ ~.~,.-..~ .V~i.[~...~.~.¢~.~ ................. , · '. ....................... Existing use and b. Intended use and occupancy . .~,V:~v..~'[.~...~.. ~.~3'.~....~. ~.. :. ~... .............. . Repair .............. Removal ........... :.. Demolition .. i il--6t't~e'r Work ......... ' ..... ;i ~ 0 j (Description) 14~ Estimated Cost '~lO~O ~ -. · ..................................... .............................. ' (to be paid on filing this application) dw~lliflg, nnmber of dwelling units.........., ....'f' Number of dwelling units on each floor...M.,'~ .......... If garage, number of cars ....M.//~. 6. If business, commercial or mixed occupancy, specify nat_ure and extent of each type of use .. 7. Dimensions of existing structures if any Front.. ~.~.~.~. ...... Rear ...2.~{ ~-t- ..... Depth ii ~i~.' Height ..... I(~.~-. ...... Number of Stories .../ .................................................... Dimensions'of same structure with alterations or additions: Front . .,~.q.{'~. .......... Rear. ,~4/.~.~ .......... Depth ...3~'~ .............. Height .... .~'-q. ~.~..~ .......... Number of Stories..Z, .................. 8. Dimensions of entire new construction: Front ~... ,q. tp..--z.. .... Rear ............... Depth ............... Height ............... Number of Stories - 9. Size of lot: Front .... 7.-,q.. ,.O...'~. ......... Rear... ~..~.14 10. Date of ~ I~I~,~T~-'~)..-. ~.~Ro.x..'..o3./.9.~ ...... Name of Former Owner ~.~4).T.~.¥. PI .of4'..~..~g ............ 1 1. Zone or use district in which premises are situated . ..~..-c.~?~.~. 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded .../4.0. ............ · .......... Will excess fill be removed from premises: Yes 14. Name of Owner of premises 1~.....I~....O)....~q~.. ..... Addres ~a~ox'g.~,t~'rsm~¥ ,,v ,,, . ~.3'.3- s~ .............. ,.--.,. rnone No ........... Name of Architect . .0..O.~.D.~..A4. ~ .fi'./..~.~..~ ........ Address ~.~..~...g~,..Jyl.~.~...~...1'.. Phone No..? .~.z..~ $7.2. ~ .... Name of Contractor 0.., ~- ~:6A~. ;~IDc .............. ~ ........... Address .... : .............. Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .2~.. · If yes, Southold Town Trustees Permit mmv be required. PLO*F D~AGRA~ 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 comer lot. ~v,g:r-o~, ,'o. TYt'~ ~ '1~: Io0o- [q~4- 2- lb. ;TATE OF NEW YORK, ;OUNTY OF..$9,~7~.91-K. ...... - S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. te is the (Contractor, agent, corporate officer, etc.) .f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. worn to before me this ............. /..O ....... day of ....... ~ ........ 19 .f.~. ota. Public, - ..... ] ... County. ~, , ~~ .laO~l~. _~Pu~N.,ic, stt~o d k Veal · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ·..L, .rtcro. ......... pLEASE TAKE NOTICE that your application dated .... 35,./.~-..~'/.....~. ......., 19 .~.. for permit to gi, t"~.. ~./,~ " ~ t,O .......... ~.,..~.~..~.t~ .... 0 ................ at Location a Property { ~..~.~.'~ ~. t ~ ~. i~'~:[~:~.. ~/aO ~ ./~..."'~.."I-."I-."I-."1~....~. Subdivi~o~. . Filed Map No.. ........ Lot No.. __. is returned herewith and disapproved on the following grounds ............................... ....i~.~ ~-.,...~. ,'Z~. ~. ~-....~.~4X ~~.~... ~ ~M ~...C~ ~l · .~ ~.. ~ ~...~~~ o~...~ .................. ) Building Inspector RV 1/BO / / t / / / J U MAP OF' Pr~'oPE'i2TY ,.,..~ ,; ,_ , ~..,., r-,,'-',r~/"-v'r-r_j,., ,' ."-i/c:-i."'~,k ! SCALE- DO', 1' AY~E.A' 10, 500 h..'~r~ ~UILDING DEPARTM~T AT ~ O~'.OW~NG INSPEC~ONS: ~ FOU)~OA~O~ 1~0 REQUIRED cOR ,OUteD ~ONCRETE ~ ~OUGH F~AMING · PLUMBING ~, INSULATION ~. ~INAu CONSTRUCTION MUST BE COMPL~E FOR C.O. ALL CONSTRUCTION ~L ME~ THE HEOUIHEMEHT5 ~A~ CONS~UC~ON & ~ER~ COD~. NOT ~S~LE ~ESIGN OR GONS~ON II t Of ,,,.~ foe mmeJ .11 of drmeln~c or this Documem Gordon K Ahlers. P.E. ,, ,..., o,d.....d...'~. E..,.... ,. ,,,.go~". -;anq~,~e ~, mme. Y. Slate. Edo~tlo~ Law ' I ' L FOU~DATIO~ - TWO FOR POURED CONCRETE ROUG~ - FRA~G ~ pLUM~IMG Offloe Of Gordo~ 1~ Ahlers,_Po ~. re-use of dmwk,~ ~ Eh- "Alteratlor, of this Docgrnetd except by a Licensed slolml Engineer, Is illegal", ~Jlofl ~0~, Subdlvlslott~ N. ¥. ~o¢¢1 Educcrflon Law, I .J [] O (~, elh.,rallem or rev~s~ns t, except by Gordon K. Ablez~, P.E. '"' ""- °''~''"'''~ ~ ~'' ~,on~, c.c,,,.. ,~ ,,,,~,.,t". 111lll ~ v~ ~1 ~no Section 7209, Subdlvlslor~ ~oop- i,~,~.,~,,x,x,'xNX-x'$-xx,x,x,',l- Office Of Gordon. K. Ahlers, P, E ~r ~.u~e of dra~e~g~ ~ Er, ~xccpt by ~ Licensed P~oCes- stonal Engineer, Is Illegal". Section 7209, Subdivision ~. Y. State Education Law 0~ Of ~ordon K. Ahlers, P. E. io~1 ~ Initial mm of drczMn~, re-use of dnvdl~ ",~.llerallon of thl~ Document e<~pt bY a Ucensect Prof~- ~al ~m~r, Is Illegal". S~ ~0~, Subdiv~ 2, N, Y. Stata Ed~cation Law