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Home My WebLink About6694-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDA'rF~J us~'~IFICATE OF OCCUPANCY No ~-25820 Date JULY 10, 1998 THIS CERTIFIES that the building Location of Property 400 WA'rsK VIEW DR. House No. County Tax Map No. 1000 Section 78 Subdivision DWELLING SOU'£~OLD, N.Y. Street Hamlet Block 7 Lot 55 Filed Map No. Lot No. conforms eubstantially to the Application for Building Permit heretofore filed in this office dated J~NE 25, 1973 ~ursuant to which Building Permit No. 6694-Z dated J~FI~E 28, 1973 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 ATTA~H~ C~%~A~E * The certificate is issued to (ownere) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WILLIAM J. & PATRICIA DOROSKI JAM. 8~ 1974-R. VIT.T.& N-131243- DEC. 5, 1973 *NOTE: THIS UPDATES CO Z-5733 DATEDJAM. 11, 1974. lding ' nspector Rev. 1/81 lrO'n-M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6694 Z Permission is hereby granted to: {bO. ~o .~....i. ~.e., ...n..e...-.....~..e.... f.a..~J.y...C,.,,.e..~l.i, n~ ...................................................................................... at premises located at .][Za..,[a.h~.~.?.~,~..~r'- ge ............................................................................. ............................................... .fl~t~14 ......... 1I..~:,, ........................................................................... pursuont ~o opplicotion doted ............................... ~.~0.....~.~....., IgC. ti..., and opproved by the Building Inspector. Fee $ ~.~..~,..0. ~. ........... Building Inspector/ BLDG. DEPT. : *mw. OF ~;OUTHOLO Form No. 6 /)/~L~- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 ali 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 less than 2/10 of 1% 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-existing" land uses: i. 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. ~ 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~ing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. '2. Certificate of Occupancy on Pre-existing Buildin~ - $I00.00 3. Copy of Certificate of Occupancy - = 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of occupancy - Residential $15.00, Commercial $15.00 Date...2T.~.'...~M .~........ .................. . ~w Construction .......... Old Or Pre-existing Building ..... ~ .......... i ~t~. ~:.~, .~ z' ×~ ..... /.. ¢..~/: ~ iY.: .......... ~atiom of Property .......................... House No. Street Hamlet ~, ~ ~,,,~ ~.- ...................... twer or Owners of Property..~ ......................... ~ - 7~- ~o mmty Tax Map No 1000, Section ........ ck ................ Lot ...................... ~----- Lot ~bdivision... .. .... .. ...... ................. . . Filed Map .................................. 1~::~. ~l)?. ~rmit No.' ............... Date Of Permit ................ Applicant ................ ............ g.A../.~ ...... ~ .......... ~alth Dept. Approval .............. Underwriters Approval Lamming Board Approval ........................ ~~~. ~quest for: Temporary Certificate ........... Final Certicate... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 THIS; CERTIRIE$ THAT only the e~trical equipment as described belo~ and ir~troduced by the applicant ~amed on the above application number in the premises of Joseph Doros]:i, e/side l,/a~rvlew Drive, ~100' N/O Main Bayviewp Southold in the following location~ Basement ~ 1st Fi. ~o~e~ami,edo, December 3, 1973 .X,UR, I n OUTLETS ECEPTACLE$ SWITCHES INCANDESCENT ;? 18 [] 2nd FI, outside Section Block and found to be in compliance with the requirements of this Board. COOKING DECKS OVENS DISH WASHER AMT, K.W. I AMT. K,W. LMT. K.W. L TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLE SYSTEMS ~T. MPS. TRANS. NO. OF FEET V I C E OF CC. COND. 3/0 NO. OF HI-LEG 2-1.0kw, 2-.75kYr RANGE! 1 14. 2]. ~kYek$ FURNACE MOTORS FUTURE APPUANCE FEEDERS iPECIAL REC'PT 3c SERVICE DISCONNECT NO. OF S OTHER APPARATUS: Wa~er HeaCer: 1-~.Skw Moto~'/s: 1-1/2bp Elec.room heaters:~-2.0kw, 2-1.Skw~ A. W.G. NO. OF NEUTRALS OF HI.LEG Lot EXHAUST FANS DIMMERS OF NEUTRAL W.B. Ruland, Mattltuck, L.I. GENERAL MANAGER Per ~, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CeK~rICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 4 TOWN OF $OUTHOLD BUILI~ING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupnncy No. ~..573~ .... Date ............... 8an .... II ...., lg..~t~ THIS CERTIFIES that the building located at E./.8. W&.t~rvSew. D~. ........ Street Map No..xx ......... Block No.~cx ........ Lot Noa:x~ .. Smlthold .. N.o.Y, ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... J~um ..... ~., 19 '73' pursuant to Which Building Permit No...66.9~Z dated .......... Jun®...28..., 19.73., 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 .. Pr~.vat~ .one..fa~ily. dwall~g .................... · .................. The certificate is issued to ~ose.ph. Do~osk~ .... ~er ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . · Jan. · 8...19~l~ · · blt..R o. g~-lln .... UNDERWRITERS CERTIFICATE No..~I..~.~1~.~... D~c. ~...~97.~ ................ HOUSE NUMBER .... 1+00 ...... Street .. ~/atex~v~w. -Dr~.v~ ..................... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink., and submitted in DUPLICATE to the Building Inspector 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 dispasal--(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 installations, 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: I. Accurate survey of property 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 ./.... Date ................... / New Building ..... .~........ Addition, ;~ --~-_ -, ~) ~ ,, //. ,s / ,,~"~Ol'd or Pre-existing B~uilding ........... ~.. Vacant land .............. Location Of Property ....... ~....~~......~..,~_......~. ....... Owner Or Owners Of Property ../~.,~......~...~~ .................................... Subdivision ................................................................ Lot No ............. Block. No .......... ,~ House No ............. Perm t No ~?~.~...,~,~, Date Of Permit .~'/.~..~.~.Applicant ~ ~ Health Dept. Approval .~.;~..c~........?..../... ........ Labor Dept. Approval ................................................ Underwriters Approval ~.i.../....~.../~.-~...~. ............... Planning Board Approval .... Request For Temporary CertifiCate ................................ Final Certificate ......~ ............................... Fee Submitted $ ..~.~.~ ................... Construction on above described building, o/J~/permit,-/V_,// ,e-,~ meets all~applicable,,.~/~i/'~'~ codes and regulations. pp ~r,~ .~.. ~,:,,, ,'~,~, .~,~-~ .......... e~,,..,', ..................................... Sworn to before me this ........... ..... Notary Public .................................... County (stamp or seal) SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D.Reference EASTERN DISTRICT, RIVERHEAD, N. Y · 1.Applicant ~--~ ~' ~ ~- '-Ph°ne~?-Section Address - . 8-Lot o. · Hamlet ~-~O~!!~~_ ,~ "" .... '~-~ance to nearest main _~l_r.~ ' .Pablic water-supPzY name_. ~ ~ ~1~0 enter on center plot plan ~-Lot Size: WidthS.%.. ~.en~~;.? ~;~.ellar? ~, ] Slab? /_J Crawl Space? 5_Dwelling: Sing_l? [a..m~,l.~y ,~, ~. O~.ec~stm~esspools y /Shallow pools / /Other f I. il-Septic tank insloe clmenslo t --~_..2~ C.~snools: ~lock sizeL.___inCSoU ..~,:ou . 12-Precast sections: /~JNumber~oq~[~ Total blocks below in~'~: ~1 '2~2 33 ,. PLOT PLAN Capacity .,Gals. I 0 5~ 6 · 8 lO 12 ~6 ~to O O~q street V A-r ; The Undersigned CERTIFIES: ,,Constmction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, Sewage Disposal Systems". Da~~-~ Signed '" Owner ~ or Builder FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System Date (~/ZZ/'> ,,. Sign (10/65 Revis.) s-15 BUILDING DEPARTMENT- TOWN CLERK'S OFFICE 19~ 19...'.~... Pemit No ~,.~ ......... .................... Approved ..~. .......... ..................... , Disapproved a/c ............................................. ~ .........................~,~,,~'~'~ ~ ,~ 4 ,,~ ~ c~' (Building InspectOr) ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS~' -- This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, ~ltl~ 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 erees, and~,. giving a detailed description of layout of property must be drawn on diagram which is part of this application. c. The work covered by this application may not be commenced before issuam:e of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 beer~ 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 I~uildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. ~lName and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ..................................................... Lot No ............. Street and Number ..~...~)~......~...~ ....... ~~....~... ...................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... ~....~..~..~ ................................................................................................. b. Intended use and occupancy .....'~..~~. ........................................................................................ ~. ' Nature of work (check which applicable): New Building ................. Addition ..................... Alteration ............. '.. Repair ......................... Removal ......................... Demolition ...,, ................... Other Work .................................... ~ ~ o ~ (Description) 4. Estimated Cost ...~.~.. ................ ,~ Fee .,..;/..D......;,......~=. ...................................................................... ~ (to be paid on filing this application} 5. If dwel)ing, number of dwelling units ....... ~.....~. Number of dwelling unitS on each floor ......................................... If garage, number of cars .......~;'~. ............................................................. .~ ........................... ;. .................................... 6. If business, commemial or mixed occupancy; specify natu'm and extent of each type of use ..................................... 7. Dimensions of existing structures~ if any: Front .....................Rear .................... ~ ...... Depth ................................... Height ................................... ~ ....................... Ndmber of Stories .~...;. ..................................................................... Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Number of Stories ........................................ 8. Dimensions o~ entire new construction: Front ....~,~..../. ........... Rear ....,~.~,./.. ............ Depth ......-~...~'.~..../~... ......... Height ......... ...1~.../.. ............................. i.. Number of Stories .......~'.. ............................................................................... 9. Size of lot: Front .....~..?....~.../.. ............Rear ........... ~'X~x/...~..../. ........ Depth ...... ./...~...?'..:.../~... .......................... 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~...4~.. .............................................. 13. Will lot be regraded -..~w~ ...................... Will excess fill be removed from premises: [ ] Yes [vi/No 14. Name of Owner of premises/....~,_~t....~..~~;.~~/~.~.....~.,~ (Address) (Phone No.) Name of Architect ................................................................................................................................ :.-..~ ............... Name of Contractor .~.~....~,~., ................... , .~.. ,.~.,,~d,~.. ................................................. tAddress! (Phone No,) 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 wheth- er interior or corner lot. STATE OF NEW YORK, /)1 ,~ /_ ) ~- COUNTY OF ........,~3~ .................. ) 0,3 .......................... ~~ .......... ~ ~ ......................... being duly sworn, deposes and says that he is the applicant above named. (Name o[Jndividual signing contract) He is the .................................................................................. ...~...~.: ................................................................................................. (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 performed in the manner set forth in the application filed therewith ..... L~K TERRI ucc r. ..................... o, ... ~ · 'GRO.>~: ND ! 50' P~OPC.$ED ~85,96 '~4 TO~A VIOLATION ~ SECTION 7209 OF THE NEW YORK STA~ EDUCATION LAW. - NOTE-EL.L/~,.T 0N,G A~E ~EO Ot,4ANE,L~¥KFi? ,.% W/ bV'Z NOTIFy BUILDING DEPARTMENT 765-2660 9AM TO 4PM FOR REQUI,t. ED INSPECTIONS: 1. BEFORE BACKFILLING F~U~DA. TION OR START FRAMING ~, BEFORE COVERING PIPELINE