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Home My WebLink About3389-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ..... ~Z!?~fi.q ..... THIS CERTIFIES that the building .... P.R..~y.A.~.$...O.b.E...~.A.~.!~..Y' p.w.~..L.~.!~.q ............ 1900 Westview Drive Mattituck, New York Location of Property P~Os~ }V'o] ....................... ~/e~' ....................... P~l~i County T~x Map No. 1000 Section . . 1.0..7 ....... Block . . .7. ........... Lot .... 2. ] ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 6, 1967 pursuant to which Building Permit No. 3389z dated ..... Ma r. .............. ch 6; 1967 . ....... was issued, and conforms to aH of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... PRIVATE ONE 'FAMILY DWELLING WITH ATTACHED GARAGE WILLIAM & MICHELLE BECKER The certificate is issued to ..................... {o~4n'e'r,'~Xt~Xx .................. of the aforesaid building. Suffolk County Department of Health Approval June 27, 1967 by R. Villa UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A Building Inspector NOTE: This Certificate of Occupancy updates CO Z-2741 dated 6/30/1967 Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFI'CE SOUTHOLD, N. ¥. P. ERTIFIE:ATE DF DIgE:UPANBY No. ~ ~ Date ..... ~I~e ..30 . , 19 ~.~. THIS CERTIFIES that the building located at l,/e~lev, DI~ Street Map No. ~ Block No ~ . Lot No. ~ ~~ek~. ,~,~.,- ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...~ ~ 19 ~ p~suant lo which Building Permit No. ~. ~ dated ~Z'e~ 6 , 19~ , was issued, and conforms to all of the require- ments of the app]icable provisions of the law. The occupancy for which this certificate is The certificate is issued to ~I11t~- & ~i~he~te- ~oke~ ...... ~e~ ........ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~e 27, .19~ .by R,.F~la.. Building Inspector FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 3389 Z Dote ........................ ~ ........... ..~......, 19..67.. Permission is hereby granted to: A. lle~lly & l~on~ Imc ~/¢ tt~ll~a~ l~eker & ~fe ................ ~..t.~.t.~.~.k..,......~.:~... ......................... to ..,~..0...~.~.~......1~...,1~....~ ..~.~.m..?...~,..,.~,.~..~.,~.?..'.~..~..l~ ................................................................... :~a~t~Ltuekt ~ ~Y, pursuan$ to application dated [faZ'C]:l 6 19.6..~...., and approved by the Building Inspector. tee ~....x..o..:..o...o. ......... Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. I:::ERTIFIC::ATE: OF Qr.P. UPANOY No. Z ~]. .... Date ......... ,~lme. 30 , 19. ~.~. THIS CERTIFIES that the building located at .. West~lmv I~ ......... Street Map No. ~: ... Block No .... ~ ..... Lot No. ~ . ~%~l%uek¥ 1~,¥., ....... conforms substantially to the Application for Building Permit hereto£ore filed in this office dated .............. ]4al'~l~ '~ 19.67 pursuant to which Building Permit No. dated ...... l~z'el~'' '~ ,196~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...l~i.Vate. olde' f~mity · .&te}til~g .................................. The cer~ificat~ is issued to .. ~Ill~. & ~4:~ohei. le. Peekel- ....... (~'ueI'~ ......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .J~le .27, 1967...by. Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in Wpewriter 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. For existing buildings (prior to April 1957), Nonconforming 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 features. 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 reqmred to prepare a certificate. C. Fees: 1 Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $i0.00 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 T,~ncl C.O. $ 20.00 5.Updated C.O. $ 50.0~ Date June 10, 1987 NewCons tpuc tion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 1900 Westview Drive, Mattituck, New York House No. Street Hamlet Owner or Owners of Property William & Michelle Becker County Tax Map No. 1000 Section 107 Block 7 Lot 21 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 3389Z Date of Permit 3/6/67 .Applicant William & M. ichelle Becker Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ 50.00 Request for an updated Certificate of Occupancy to include ............. f;n~' gA*Ag~: ' 'ThAnk you. Construction on above descmbed building and perrn~, m_,p~t~ ,~11 appli,~able codes and regulations. Applicant... N~a~i~A..~zc~kh~m ~z~-~--~-r....///~///'///f'~- ..................... Rev. 10-10-78 C. OE 15~5~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in wpewriter OR ink, and submitted ~ ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of properW 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. Bo For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all properW lines, streets, buildings and unusual natural or topographic features. 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 $10.00 2 Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of cert~ficate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Lmm~ C.~)... ~ 20.00 June 10, 1987 ~____~pdated C.O.----------.------$ 50.~TU~ Date .......................... NewCons truc%ion ...... Old or Pre-existing Building ............ Vacant Land ............. Locat~on of Property 1900 Westview Drive, Mattituck, New York House No. Street Ha/n/et Owner or Owners of Property William & Michelle Becker County Tax Map No. 1000 Section 107 Block 7 Lot. 21 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 3389Z Date of Permit 3/6/67 .Applicant William & Michelle Becker Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted$ 50.00 Request for an updated Certificate of Occupancy to include ............. ~ha'~fA~&.' ' 'TSAnk you. Construction on above descmbed building and perm~ m~t,I iMI applicable codes and regulations. ' ' ' ~Si~iil'~;~ ~t~kha~ .......................... Rev. 10-10-78 S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH 2 7 Date Bldg. Permit No. .~ ~ ~ 7-.. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed location) have been inspected by this department and found to be satisfactory. District En$1n~gF District Engineer FO~I NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. F×amined .... ~~.~.....~...., 1 ~...~...?. · , 2- ..... Approved ~ ' , 19 ........ Permit No. Application No .......................... APPLICATION FOR BUILDING PERMIT Date ......................... .~J~..q~ ......... .5 .......... , 19.62 .... 1 NSTRUCTIONS o This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buddir Inspector. b Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets, areas, and g~wng a detailed description of layout of propertymust be drawn on the diagram which is part of this applicatioi c. The work covered by this apphcation may not be commenced before ~ssuance of Building Permit. d Upon approval of th~s application, the Building Inspector will issue a Building Permit to the apphcant. permtt shall be kept on the premises available for ~nspection throughout the progress of the work. e No building shall be occupied or used in whole or ~n part For any purpose whatever until a Certificate of Occupan, shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Braiding Department for the issuance of a Budding Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulohons, for the construction of buddings, additions or alterations, or for removal or demolition, as herein describe The apphcant agrees to comply with all applicable laws, ordinances, building code and regulations. A. Reilly & Sons Inc (Signature of applicant, or name, if a corporation) Mat tituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build: Contractor Name of owner of premises ...~..~.];...]..$...a~.....~...~.....~..~.e..]...~.e. ...... .~..e..g..~..¢.~ ........................................................................... If applicant ,s a corporate, signature of duly authorized officer (Name and t~tle of corporate officer} 1. Locat,on of land on which proposed work will be done. Map No: y.!.e...s.~.¥..J;.e.~ ........................ Lot No' . ............... Street and Number ...~..../~......(..Jr..~.~.i...ct:..e.....°..~....~..~.~..~..). ..... .~j...e...s.~.¥..Jz..e...~...?.~..v..e..~ ..... .~.~..~..~.?1..~...a..~. ............................. Mumc~pality 2. State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy ............. .?.~.a..~.~..~...]..g..~. ......................................................................................... b Intended use and occupancy ....O:t'Le....f.at~].q~..zl:~¢~._'l zz'z~ ........................................................................ 3. Nature of work (check which apphcable). New Building ..~..:~... ...... Add~hon .................. Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................................... 4. Estimated Cost ...2.,3.~.0.Q.0...~..Z~..~ ................................. Fee .... ~.Q ................................................................................ (to be pa~d on filing th~s application) 5. If dwelhng, number of dwelling units ........ ..o.~.~ ............. Number of dwelling umts on each floor .......................... If garage, number of cars .......................................................................................................................................... 6 If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use ............................... 7. D~mensions of ex~sting structures, ~f any: Front .......................... Rear .......................... Depth ........................... Height .......................... Number of Stories .............................................................................................................. D~mens~ons of same structure w~th alterations or aadit ons: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8, D,mens,ons of entire new construction: Front ...... .bF..8. ................. Rear .......bc.~ .................. Depth Height ............................ Number of Stories .... .~.q ................. 9. S,ze of lot. Front ...~.66.,8~. .......... Rear ......... '1 .~.~. ........... Depth ...]r..~.Q ....................... 10. Date of Purchase ...........]L06.~ ................................... Name of Former Owner .... .~........~.o...~..~..s...o..~. .......................... 11 Zone or use district ~n which premises are s~tuated .................. .~..~.....c1,~.~..'~ ............................................................ 12 Does proposed construction violate any zoning law, ordinance or regulation? ....... gP ......................................... 13 Name of Owner of premises ~...~.....~....~fLg.~.~ ........... Address ............................................ Phone No ................... Name of Architect ...................................................... Address ............................................ Phone No ................... Name of Contractor ~,..*....~..~.$~kl,,y...~..~.O.~.~...~....Address ....]:~ft.t,%;:L~,'bl~ .................. Phone No ................... PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether ex~sting or proposed, and indicate ail set-back dimensions fro, property hnes. Give street end block numbers ar description according to deed, and shaw street names and indica( whether interior or corner lot. STATE OF NEW~ ~.YORK, S S. COUNTY OF ....~.l;~.~.C~JZ¢ ........... I~Toz'~a. rt ~.eJ.].'l~. be ng duly sworn, deposes and says that he is the appllo (Name of individual signing application) above named. He is the ................ C~DZ~.~Z'.~D.?,c~ ............................................................................................................ (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 this applicatton, that all statements contained ~n this application are true to the best of his knowledge and bel and that the work will be performed in the manner set forth ~n the apphcation filed therewith. Sworn to before me th~s .................. ...... day ............. ................... , ,O Z ~ ~ , ~, ~ ,~ ..~..~.~...~.~.: ..... ~.f~&Z~~ .... Notary Public, ~.j~.j~.~.m.,..~. ...... ~.~ Co~}~;~ ~ ~c~:T / (S~gnature of applicant) ~ ~ NOTARY ~BblC, Sta'e o~ '~':ew York -- ~o. 52 3235120 Suffolk Couaty~ Term gxp~res ~rch 30, ~9~