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HomeMy WebLinkAbout15440-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. Z16158 Date September I1, ]987 THIS CERTIFIES that the building .... 9.n.c.. f..a.m.i. 1. y..d.w.e. 1..1 .i?.g... .................... Location of Property 360 SEBASTIANS COVE ROAD MATTtTUCK County Tax Map No. 1000 Section .... 1.0.0. ..... Block .... .0.3. ........Lot 1 I . 8 Sec. II Subdivision .S.~.B.A.S.%.A.I.N.S..C. gy.E. ............ Filed Map No. 7807 ...Lot No. 05 conforms substantially to the Application for Building Permit heretofore filed in this office dated .... Oc.t....2. .2~.. 1.9. .8.6 ..... pursuant to which Building Permit No...1.5.4.4. .0.Z ............. dated 9.c.t. qb..e,r. .2.9. .,..1.9.8..6 .......... 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, garage and B.P. amended to add deck. The certificate is issued toLEHESK BUILDING CORP. ..................... iO ...................... of the aforesaid building. Suffolk County Department of Health Approval . 86 - S O- 218 ...A.u.g: .2 .4.,. 1987 UNDERWRITERS CE RTIFICATE NO .......... .P.E.N.p I..N 9.. 9./..8 ./.8.7. ....................... PLUMBERS CERTIFICATION DATED: PETER VICTORIA 8/4/87 Z.B.A. approval 9/10/87 / ........... Rev. 1/81 i~O~J~ NO. ~ TOWN OF SOUTHOLD BUlL.DING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. / 5440 Z Permission is hereby granted to: at premises located at ...~,~.~.0.....~~.....~ ........ -..'~.~ ........ County Tax Map No. 1000 Section ...... /...~ ....... Block ...... ..C~......~... ...... Lot No ..... .[.[..,..,.~.. ........ pursuant to application doted .... .0...~..~........~.....~'... .......... , 19..~..~, and approved by the BuiJdlng Inspector. Building Inspector Rev. 6/30/80 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTltOLD, iq.Y. 11971 CERTIFICATION TEL. 765-1802 Building Permit No. /~ 57 ' ~-~please print~ p 1 u mb e r~,/~,~ ~//.~. ~ ~F/~;7~ (please print~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (~umber's signature) Sworn to before me this ~ day of ~ -, 19 77 · Notary Public,~J-cOunty REGINA B. MATTHEWS NOTARY PUBLIC, State of New York No, 52-4636665, Suffolk County Commission Expires .... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and submitted I~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Finat 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 o~ equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buiMings, 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~operty showing all property lines, streets, buildings and unusual natural or topograph ic 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 3ertinent informa- t/on requ ired to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25,00, Accessory ,.~lO.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date~[~. U.<~.~-. 10 New C on s t r u c t ion Old or Pre-existing Building Vacant Land Location of Property ."~.4.O...¢..~.14 .~.~. 77.J~..~.-~'...~..0.(4/.~.../~.0)~.1~ ...... M n ,~J~L~ .'.~... House No. Street Ham/et Owner or Ownersof Property .~-.~--~r..~-~...~(-~.l..~.7. . . .~...~.~. .................... County Tax Map No. 1000 Section ... /,~,0, ....... Block ..... ~. ~ ...... Lot. ,~. ,/?,t ,0. ,0, .(~.'. , $. :Z Subdivision ~ ~" . .~. ~.' iled Map No ......... Lot No. Permit No./.--¥.z~/. ¢0..Z Date of Permit Z .Applicant L~-, k .~.~'.~..~.C~./. ~[.~¢. / pt Annrnvn pt App Health De .-...- .................... abor De . reval ........................ Unde~riters Approval ................... Planning Board Approval ...................... Request for Temporary Certificate ................ __inal Cer ..................... Fee Submitted $ ............................. Construction on above described building and permit mee~s all applicable cod.,es,and regulations. A P P I ica n t -~..~J~ · ~.~/~ . . ~..~-~.~., ............ 'OUND~TION ~( 'OUNDATION (2nd) IOUGH FRAME & PLUMBING iNSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL 765-~,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL ~,o, ~-,,~ _ INSPECTO/~__~~_ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ~TiON [ ] FRAMING [ 7 FINAL ~*~ ;~_..._?~'~ ,- BUiLTD~I'NI~0D2EPT. INSPECTION [ ] FOUNDATION 1ST r ] ROUGH PLBG. [ ] FOUNDATION ZND~ [ ] FRA~MING ~L REMARKS: ,~"-~ ,~//~,~ / 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [/~'~OUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ~':'~RAMING [ ] FINAL DATE INSPECTOR 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~'j~OUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL 7GS-1802 BUILDING DEPT. INSPECTION DATE ~ INSPECTO~ P.O. GOX 325, MATTITUCK, N.Y. 11952 / 734-7171 FRONT STREET, GREENPORT, N.Y, 11944 / 477-1858 August 25, 1987 Gentlemen: Please let it be known that the new construction job performed by Alfred Skrepecki at Sabastian Cove, Mattituck was Insulated by Hunter Insulation to meet or exceed the Building Code. JPH/jbt FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL No ................................ Date...~.(,~.,~.~. ~,~.'2 Fo ..... , 19..~.7. ~'~,~.~--~~ ~~'~ ........... . .~. ~..~ ...... }'[,EASE TAKE NOTICE that your application dated .... ~/~ ................. 19 ~.. for permit to construct .... ~ ................................... at Location of Property ...~ ~ ~ .......... ~....~ ........... House No. Street County Tax Map No. I000 Section ..... [~ .... Block ...O. ~ ....... Lot . Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds .~Z.~ ..... ~..~ .... ~._.'~?z ..... ~'. .... ?~.~.~z. ......... Bu~qng Inspector RV 1180 FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................ ~ ............... Date.....~--X~..~.~...'.';77..~. .......... , 19 . .~..7. To ..... ..... .... e.e ......... PLEASE TAKE NOTICE that your application dated .... ~ ~ ................ , 19 ~. · for permit to construct .... ~ ................................... at Location of Property ...~ .......... ~ · .~ ........... House No. Stree~ County Tax Map No. 1000 Section ..... /~ .... Block ...~. ~ ....... Lot ./~'.~ ~... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds . ~~. ~ ..... ........ /' Bu~/n~ Inspector RV 1180 L.o'~ G SURVEY FOR ~o~r.u~,,~ LEHESK BUILDING CORPORATION idac, ce Only LOT 5 "SEBASTIAN'S COVE , SECTION TWO" F. N0,(~~ ~ AT MATTITUCK TOWN OF SOUTHOLD ~:::~e,~-~_~ .... SUFFOLK COUNTY~ NEW YORK No. 86 = 1145 UA~g u] ~ ...... survey ~ A V~a~ON ~ SECT~O~ Z20] ~ THE - ] SUFFOLK COUNTY NATIONAL BANK OCT. 8, 1986 DATE: SEPT. 26 ~i986 SCALE: I" = 50' FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .©..o.~....~.9.., .a.. ~.., 19g..(p. Approved . .C~.. ~....&.q.., 19~.~.. Permit No. ].~.~.~.~ .'~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19. · Date .... .O. qi;,..9 .......,19.8.6 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app 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 pern shall be kept on the premises available for inspection throughou[ the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan 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 t 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 describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit anthorized inspectors on premises and in building for necessary inspectious. ......... i..n.g' .c.o..r p.. ............ (Signature of applicant, or name, if a corporation) P.O. Box 900 Mattituck, N.Y. 11952 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Owner-Builder . Lehesk Buildin9 Corp. Name of owner o~pre roses ........... . .............................................................. (as on tile tax roll or latest deed) If applicant is a corporahon, signature of duly authorized officer. me and titl~ df Lorporate officer) , 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 ................................................. Lot ~ ~-- ~O Sebastians Cove Mattituck [-louse Number Street Hamlet County Tax Map No. 1000 Section 100 Block 03 Lot. 011. 008 Subdivision Sebastians Cove, Section Two ...... 7807 05 ..................................... i~neo lv~ap No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occnpancy Open Land '" b. Intended nsc and occupancy Residential Housing ~i.~'w~.~ ~ ~'- ' ~ 3. Nature of work (check which apiplicable): New Building .... x. ..... Additio. n i ........ Alteration ? ..... ,:.. Repair .............. Removal .......... Demolition ......... Other Work .............. i (Description) Estimaied Cost % '~.~.0 0.0.,9.0q Fee ! " (to be paid on filing this application) 5. If dwelling, number of dwelling,~Units.. 1 ~' x ............ Number of dwelling units on each floor ....... If garage, number of cars ,,. ,~, ............. 6. If business, commercial or mixed occupancy, specify natuz~e and extent of each tyre of use .......... X ......... 7. Dimensions of existing structure!s, if any: Front ............... Rear .............. Depth .............. Height Number of Stories Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ..................... Height ...................... Num bet of Stories ................... 8. Dimensions of entire new constm, ction: Fro, ut ...... 6.9 ....... Rear ..... .6.0 ........ Depth ....~? .......... Height 2.0. Number of Stories 1~ . ''' '"'"""166 ~ ' " ..... ' /208 ........................ 213'0 .............. 9. Sizeoflot: Front ........... , ........... Rear ...................... 0. Date of Purchase ........... i ........ Name of Former Owner ..... o 1. Zone or use district in which ' ' situated ......... Res ±don't±al premmes are ............................................ 2. Does proposed construction viol~.te any zoning law, ordinance or regulation: ........ .N.C. ..................... 3. Will lot be regraded ....N.q~..g.~.k.e.i. y ..... : ....... Will excess fill be removed from premises: Yes No X 4. Name of Owner of ~remises L .e.hesk Buildzng Ccar, n Box 900,Mattituck~- .. 298-5051 v · .~ ................. mmress- ................... rnone No ................ Name of Architect .......... ! ................. Address ................... Phone No ................ Name of Contractor .' Address Phone No 5. Is this property located WithinlO0 feet of a tidal wetland? * Yes ..... No ..... · If yes, Southold Town Trulstees Permit may be required. PLOT DIAGRAM Locate Clearly and distinctly ail ibuildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether ,terior or corner lot. / ~1 IN!TV (~I~ Suffolk S.S Alfr Sl~rz ecl~i bein u sworn, deposes and says that he is the applicant (Name of in divid ual signi,ng con tract) ore named. Corporate Officer is the ' (Contractor, agent, corporate officer, etc.) said owner or owners, and is dul~ authorized to perform or have performed the said work and to '~nake and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~rk will be performed in the mannei set forth in the application filed therewith. ?om to before me this . ..... ....... day ofl... ...... , ................ ' Nota,y Public08tale of New Y(x~ n I a No. 48226o.1. Suffolk Terrn Explre.~ Deo~mber 81, 1 e.~e MILL LO~ 6 ,. of HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT # ~UFF CO, TAXMAP D~$T IOOO SECTION !~ I~.OCK o'~ ~E~ A~ ~ ~ELLI~I WITHIN IOO FE~T,OF T~S PROPERTY OTHER THAN THOSE SHOWN HE~EON, N THEATER SUP~Y ~ SE~OE DI~AL SYSTEM ~ ~11 R~IDE~ WlLLg~FORM TO THE STAN~DI OF T~E SU~K COUNTY NOTE ~ · =MONUMENT .A= STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON NOV. 50~ 1984 AS FILE N0.7807 SURVEY FOR LEHESK BUILDING CORPORATION LOT 5 "SEBASTIAN'S COVE , SECTION TWO" AT, MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DEC. 50, 1986 NOV. 15~ 1986 OCT. 8, t986 DATE: SEPT. 26,1986 SCALE: I" = 50' NO. 86 = 1145 GUARANTEED TO: SOUTHOLD ALFRED YOUNG a YOUNG ALOEN W. YOUNG, PROFESS/ONAL ENGINEER AND LAND SURVEYOR N.~S. UCENSE N0.12845 HOWARD ~ YOUNG, LAND SURVEYOR N.~S. LICENSE N0.45895 BANK NCE ~5~~ 400 OSTRANDER AVENUE RIVERHEADt NIEW~ YORK SURLY FOR EO~ APPROVAL OF COflSTR~]gIlON OF LEHESK BUILDINg CORPORATION ,, Single Family Residence Only LOT 5 "SEBASTIAN'S COVE, SECTION TWO" ~ ~"~ HS '~ AT MATTITUCK DATE= SEPT. 26,1986 DATE ~WN ~ SOUTHOLD SCALE= I" = 50' APP~OV[D~ ~ '~ SUFFOLK COUNTY, NEW ~RK NO. es = u45 EXPIRES lW0 YEARS FROM DATE 0F APPROVAL , ~utfl~lzED ALrEM~TION OM *COITION ~ mis ~UARANTEED TO~ SU~V[Y ~ A VI~&TION ~ SECTION 720~ ~ THE ~ SUFFOLK COUNTY NATIONAL BANK ~ ~ ~coPlz$ ~ ~1s S~VEY NOT ~AR~G THE LAHD ALFRED NGUAR*NTEE~ INDICTED HEREON ~ALL RUN ~LY m FIRST A~RIC~.I~CE HEALTH DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT OTHER THAN THOSE IHO~N HIREON, TO A~ITIONAL INSTITUTI~I OR SUBSEQUENT ._ YOUNG YOUNG, RIVER~AD, NEWYORK NOTE ~ I -'MONUMENT ~=STAKE ALDEN W. YOUNG~ PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S. UCENSE NO. 1~845 SUFFOLK COUNTY ON NOV. 30~ 1984 AS FILE N0,7807 HOWARD W. YOUNG~ LAND SURVEYOR ~ ~ L~T~ ~ ~L(W),~C T~N~IaT)m C[~OLS(~) ~ ~Z~ N,Y. S. LICENSE N0.45893 ~g m~ FIE~ ~TI~S ~ OR DATA OITN~O 8RANDIS & SONS INC. 1046 SUFFOLK COUNTY HEALTH ENT SINGLE FAMILY qLY H'.O. REF. DATE THE SEWAGE DISPOSAL AND WATE 'I[$ FOR LOCATION HAVE BEEN INSPECTED BY L.o~ G " ~..o'~ 5 J \~ 4448~ s.. oo~ ~:eoce ~ $~6'mo: \~c, HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ff ~UFF CO. TAXM&P ~41T IO0~SI~CTION_~ItU3CK 9~ LOTOlI.OOe #THERE ARE NO DV/ELt. I~$ WITHIN IOO FEET OF THIS PROPERTY ~40TE I II '-MONUMENT /%= STAKE SUBOIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON NOV. 30t 1984 AS FILE N0.7807 6RANDI$ & gONG INCo 1046 SURVEY FOR LEHESK BUILDING CORPORATION LOT 5 "SEBASTIAN'S COVE , SECTION TWO" AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTy~ NEW YORK # ~UTHORIZED ALTERAI'IO# OR ADOITION TO THIS GUARANTEED YOUNG e, YOUNG I1ALOE~ W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNG~ LANO SURVEYOR N.Y.S. lICENSE N0.4§895 4UC ? ~ JULY 2, 1987 DEC, 30 1986 NOV. 3~ 986 OCT 8, 1986 DATE: SEPT. 26,1986 SCALE= I" = 50' NO. 86 = 1145 ~,NK 400 OSTRANDER AVENUI RIVERHEAD, NEW YORK