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Home My WebLink About23006-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23860 Date SEPTEMBER 12, 1995 THIS CERTIFIES that the building ADDITION Location of Property 1155 DEEP HOLE DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 13 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23, 1995 pursuant to which Building Permit No. 23006-Z dated SEPTEMBER 11, 1995 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to G. SCOTT & PATTI J. VERITY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Buil ing Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ............... ....l./................................ 191 NE, 23006 Z Permission Is hereby granted to; �s....., ..... s%,....................... s%.....sue ... ... �.l��o� �.... ........./t'.........i� ............ ✓...........�- ...........��.................. � i �f ........... / - ........off...... ,�� : ........ ��,<....... ....... �� Gsr ..�............ ..�....... ........................... / -�� at premises located at............... s�..............,/. ..... ...................... ..............�f ........................ ....................... ..........................................�/�� / .G- ........ County Tax Map No. 1000 Section .....��......... Block........1.,�........... Lot No. ......ZQ.............. pursuant to application dated ......... a........ 19.......`�_ and approved by the Building Inspector. Fee$.......�✓............. /dl�ng Bufpector Rev. 6/30/80 - Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT AUG 231995 TOWN HALL 765-1.802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains Mess than 2/10 of 1.7 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer. responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00,. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial $15.00 Date . . . . . .July. .24!. .1995. . . . . . . . . . . . . . . . . . . . New Construction. . . . X . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . 1155 . . , , , Deep Hole .Drive . . . . . . . . . . . . .Mattituck. , . , House No. Street Hamlet Onwer or Owners of Property. .G:. ,S�Qtt ,Verity, & Patti, .J:, Verity, . , , , , , , , County Tax Map No 1000, Section- - Ila-0. . . . . .Block. 13-00. . . . . . . . .LoL-. . 0 10.O.aO . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . .FjJ ud Hap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit NO. . . . . . . . . . . . . . . .Da,te Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certica -e. . X . . . .j Fee Submitted: $. . .25.•.O.Q . . . . . . . . . . . . . . . . . . . . ^C 0��?j8,& 0 APPLICANT William D. Moore ' , ,THE NEW PORK, BOARD OF`I,FIRE UNDERWRITERS CmS i BUREAU:OF ELECTRICITY t_t�illli�„!!I 1, ( 85 JOHN STREET NEW,YORK NEW YORK 10038 L I i "Date A lecat:on No ore Lle N (; November- 29 F 1977 s pp f 40361 1, I G THIS CERTIFIES. Tlit- HAT'; only the electrecaCequepment as described below and introduced by the applicant mined on the above application.number in the premises of Frank R. Zaleski � , �1035 Deep Hole Drive Mattituck L,I. in the following locations Basement ❑ 1st Ft. ❑ 2nd,Fl Secti on Lot- 114:, outside Block i was eamined on Novmbr 23 977 m e requirements of this Boarde FIXTURE - FIXTURES RANGES ICOOKING DECKS OVENS I DISH WASHERS EXHAUST FANS RECEPTACLES SWITCHES INCANDESCENT"FLUORESCENT ,:OUTLETS MERCURY _ v la :iAMT,:. K.W:.., AMT. K.W. AMT, K.W. AMT. K.W. AMT. •H.P. . , DRYERS j'• _FURNACE.MOTORS,; I: FUTURE APPLIANCE•FEEDERS.;SPECIALREC'PT .TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT_', K W. OIL "i`H:P.-- GAS �'-H P. '; 'AMT "-NO '::A W G:- ; MAT;: CAMP.; " .AMT.' .AMPS. TRANS. AMT. H. AMT.- WATTS SYSTEMS NO.OF FEET {1 IT 20 1 40 . SERSUCE.DISCONNECT. :,. NO. _..._.._'-: i ... 5... E R -IV C .. . E METER NO.OF CC.COND- A.W.G. A.W.G. A.W.G. AMP. ,TYPE EQUIP. 1,0.2W IId'3W 3,0'3W 3,0.4W NO.OF HkEG NO.OF NEUTRALS PER H OF CC.COND. OF HI•LEG OF NEUTRAL OTHER"APPARATUS: -`:- J. 1-G.F.C. I. - € (Swimming"Pool). This certificate covers. compliance at the date of inspection t:only ,- Because of"`"unusual:environments # ' ,, ' 1 i is advisable'.,to "have' frequent test and/or `repairs made by` a qualified person. !I ( Ruland Electric" Co.`L Poo. Box 143 r I i Mattituck, L�Io 11952 _ L1C� 242— GENERAL ARIAGE D Per;- This certificate must not be altered in any manner;return to the office of the Board'if incorrect.` Inspectors may be identified by their cr' entials:' WILLIAM D. MOORE Attorney at Law 315 Westphalia Road P.O.Box 23 Mattituck,New York 11952 Tel: (516)298-5674 Fax:(516)298-5664 July 26, 1995 N G=i7 I Town of Southold Building Dept. Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: 1155 Deep Hole Drive, Mattituck, NY Dear Ladies/Gentlemen: Enclosed please find an Application for Building Permit and Application for Certificate of Occupancy for the deck at the above referenced premises together with a survey of the premises which shows the deck. Also enclosed is our check in the sum of $100. 00 for payment of your $75. 00 fee for the building permit and $25. 00 fee for the certificate of occupancy. If you have any questions, please do not hesitate to contact US . Thank you. Ar-mu, y yours, . Moore WDM/mr Encls . rss-isox BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARK K�7 DATE 6 � INSPECTOR .�j BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PL.1. S . . . . . . . . . SURVEY . . . . . _ _ . . . . . . . . . . . . TOWN OFSOUTHOLD 2 31995 BUILDING DEPARTMENT CHECK - - _ . . . . . . . . . . A TOWN HALL SEPTIC FORH - . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 _ TEL.: 765 1802 t,DTIFY ' CALL Examined . . . .E• ..,.�/ . . . . ., 19�5 HAIL, TO ; . . . _ . . . . . . . . . . . . Approved . . . . .. IS Permit No. 3004 . . . . . . . . . . . . . . . . . . . • Disapproved a/c . .: . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ding nspector) APPLICATION FOR BUILDING PERMIT Date . . .July . 19 95. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink acid 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 br 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 sliall 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 sliall have been granted by the Building Inspector. APPLICATION IS fIEREBY 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 cod o co a�dr6gulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) William b. Moore ' P.O... Box. 23 Mattituck,. qy. X 1,952, , , (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. agent Name of owner of premises .Gr, ,Scott Verity, and Patti J. VeriaX (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. Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1155 Deep Hole Drive Matt ituck House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . Block . . . .I3 .00 , . , , .. , , . .Lot . . O1,0.,p00 . . . . . . . . Subdivision . . . . . . . . . . . . . . . ... . . . . . . . . . Filed Map No. . . Lot . . . . . . . . . . . . . (Name) 2.. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .Qrie. .f.amil.y. .dwelling. . . ... . . . . . . . b. Intended use and occupancy . . . . . .Qne. famjl.y. .dwe_1.Jj4g. with deck ns;;:• ,^'ayt . . .., •3. Nature of work (check which applicable): New Building . . . . . . . . . : Addition . .X. . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . Other.Work . . . . . . . . . . . . . . . � � 4. Estimated Cost . . . . . . . : . . . . . .. (Description) . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . : . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units ... . .1 . . . . . . . . . .. Number of dwelling units on each floor . .•. 1. .. . If garage, number of cars . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of•e.ach type of use 7. Dimensions of existing structures,if any: Front . . . . ... . . . . . . . . . Rear Depth Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . Rear Depth . . . . . . . . . . . . . . . . . . . . . . I-ieight . :. . . . . . . • � Number of Stories . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear Depth .Height . . . . . I . . . . . . . . . Number of Stories.Height . . . .eight 9. Size of lot: Front . . . . Rear. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase 7-5-95 Depth . r hase . . . . . . . Name of Former Owner F�4;Zk .4 . JP,hElnna, ,Zaleski, 11. Zone or use district in wliicli preinises.are situated . . . . . . R-40 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . .n9. . 13. Will lot be regraded no . *. . . . . . . Will ex es ll be removed'from premises: Yes 14. Name of Owner of premises G. Scott' 'Veri'ty `Address 1 b Deep Hole T1r of Architect Pat•t•i J: -Verit•y • • 1�attituck• • • • • • • :1'tione No. . . . . . . . . . . . . Name i ect . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . 0 . . . . Phone No. Naive of Contractor . Address . . . : . . . . . . Phone No. 15. ' Is this property within 300 feet of a tidal wetland? *YeS, No. X. . . . . . . . . . . . . . *If yes, Sou thold'Town Trustees Permit may. .be required. 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. AAUP ROVED AS(NOTED / DATE: //. 9.r 13.P.# FEE Zr- BY: NOTIFY BUILDING DEPARTMENT AT 765-tBO2 9 AAA TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, COUNTY OF . . . . S.U.F.F0LK. . . . , •S.S Wi.],l� a�n ,D. , i�oQe, ; , , , , . • . ... , , , . . . . being duly sworn, deposes and says that lie is tine applicant (Name of individual signing contract) above named. He is the . . . a.Jent. . . . .". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 perfonned in the'manner set forth in the application filed therewith. Sworn to before me this T� . . . . . . . . .�?R ro. . . . . . . .day of. . . . July. . . . ... , 19 . . 95 Notary Public. . . . . . . . . . . . . . . •Suffolk, • , , , . . . County MARGARET C.RUTKOWSKI . . N014 Puft State of Now York William D. Moore (Signature of applicant) No.4982528 ma rind in Sdo&Otwrdlt Commission E)#OsJM 3..19 9? El WAY to 7..E ,s of f 4. .. iy. UI =e ,an r `ttye Nz."y Yor%Siatt 1 � "� l� �(� 1 'C!- . 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Y i - _j _ _ _ _ I�_ ...___._. _._.... ...._,1 ._...__ _� 1 . _ � ...__-J 1 1 j 1 ANDE4EN® P]ERMA SIIIELD® WINDOWS & P&IO'DO RS1 FO COO MN ER(�IAI. & INS TUTIONAL USE 1