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Home My WebLink About10570-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22695 Date NOVEMBER 4~ 1993 THIS CERTIFIES that the building DWELLING Location of Property 1935 WESTVIEW DRIVE House No. Street County Tax Map No. 1000 Section 107 Block 7 Subdivision Filed Map No. MATTITUCK~ N.Y. Hamlet Lot 5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 27, i980 pursuant to which Building Permit No. 10570-Z dated FEBRUARY 27~ 1980 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 ATTACHED GAP~E & WOOD DECK The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN & JANET CONFORTI IO-SO-12-AUGUST 19~ 1980 PENDING - AUG. i8~ 1980 N/A il~ing Inspector Rev. 1/81 FOF~I NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10579 Z Permission is hereby granted to: ../...~..~z~.'..~. .................. .......... ....... . ~o.C~.~~.c~:...~=...~~ .... ~.~/~.....~.~'~ .......... .................... ~.~.zu...C.~u.~./~l .......................................................................... ot premises located a~ZT~m. ...... pursuant to application dated~"'~ ....... Z7. ....................... 19~..., and approved by the Building Inspector. Fee $ ~/~...~.f ......... /'' / Building Inspector ................ FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the bmlding ................................................ ' 193.~ Westv~ew Drive Matt~tuek~ Location of Property House No. Street ............................ County Tax Map No. 1000 Section .. fi..07 ...... Block . 9.7. ........... Lot ..... ........ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Applicatmn for Building Permit heretofore filed in this office dated · ...~'.e.b.p..u.a?.y....2.7 ...... 19 .8.0. pursuant to which Building Permit No. 05702. dated ..... ?.o.b..~.u.a.x:~y..2.7 .........19 ~.0. , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wtfich this certfficate is issued is ......... Private One Family Dwelling John Conforti ~ wf. The certificate is issued to ..................... [dt~n'o'r,'~d~'~'l~' ..................... of the aforesaid building. Suffolk County Department of Health Approval 10-~0-1 2 Atlgust 1 9, 1 980 UNDERWRITERS CERTIFICATE NO ............. p.e.~.d.l:..ag ............................. Building Inspector Rev 4/79 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY InstruotJons A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 Arch tect or Eng neer 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 peoperty 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 $§.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date...t~'/.~../l .~. ~. ............. New Building . ...~, ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property / ¢3~t/ ~u/~;'~?'.~.~..J~....l~.~'.,. ~I~.~..~.¢'.Z~ -.~'J/~.~lH~/am~e; House No. Street Owner or Owners of Property .... . ,'~. · .~..~....~..~. · .~.~J..~/~.J.~. ................................. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Fded Map No ........... Lot No .............. Permit No. !.~.~` Date of Permit ~'/~?/~/~pplicant ~J . .~, .~ Health Dept. Approval ...I..0. ~ .~.. ¢..~./,, .~'-. ......Labor Dept. Approval ........................ Underwriters Approval....j~~ ......... Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ...P~... ................ Fee Submitted $ ............................. Constructmn on above described building and p~rjit meets ali app, Jic~ble codes and regulations. Applicant .................................... Rev. 10-10-78 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-ex%stzng 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. ~. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 yea~s - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00 Date October 14, 1993 ew Construction ........... Old Or Pre-existing Building .... ~.~p.~).. ~cation of ~ er~,, 1935 Westview Drive rrop ~ .................... . Mattituck House No. Street Hamlet ]Wer or Owners of Property. John J. Conforti and ~9~. ~-..Conforti lunty Tax Map No I000, Section..~..QO ..... Block .... P~..00 ...... Lot ..... D~,QDP ......... ~bdivision ............................... Filed Map ............ Lot ...................... rmit No ................ Date Of Permit ............. Applicant ............................ alth Dept. Approval .......................... Underwriters Approval ......................... arming Board Approval .................... quest for: Temporary Certificate ........... Final Certicate ...~ ...... Submitted: $..5. Q, 9p ............... ~ '1 DoS& FIELD-INSPeCTION FOUNDATIOY (1st) ~OUNOA~O~ (~n~) ROUGH FRAME & PLUMBING COMMENTS INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDIT[ COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/d :':~... ,~.. ........~ APPLICATION FOR BUI LDING PERM IT Date ........ '.~./~...~..., Application No./. (~).~..'~. 7 .~' ...... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted fin triplicate 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 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 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 buildings for necessary inspections. admit authorized inspectors on premises and in .... ~/~/".A/.~ .~..~.t~ ....... '~' ~o~/~a~ii~ ~ 'c'~o~r ~r~a'do'~ .... · ' (Signature of apl~licant, , ' p ' ) . . t f . : ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. g.L,L~, i O.t.~.t~ .................................................................... Name of owner of premises ~ lq.. tt lqq ... r~.. ............. ~. ........................... (as on the tax roll or latest deed) If applicant is~ corporatio~n, s~gn~re of duly auJl)orized 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 wilI be done. ~' ~'~ [/l ~'~d /~'~ , ........ . ..................... ........... House Number Street Hamlet Connty Tax Map No. 1000 Section ... {~ '7 .......... Block .... ~.~ ......... Lot..~.~ ......... Subdivision .................................. Filed Map No .............. Lot ........ -~ .... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of pioposed construction. a. Existing use and occupancy .......... ~.~...~ ....................................... b. Intended use and occupancy ....... ~ ................................................. 3. Nature of~work (check which applicable): New Building .. ~ .... Addition .......... Alte~tion .......... Repair .............. Removal .............. Demolition ............ Other Work ............... (Description) 4. Estimated Cost ,~'~, .c~?,-~ ~ Fee ~...~C~.~'-~ (to be paid on filing this application) 5. If dwelling, number of dwellingiunits C) td~"-- Number of dwelling units on each floor If garage, number of cars .... :. ~0¢~'7.. .......................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each 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 ................... ,.. Height ....................... Number of Stories ............. , ........ 8. Dnnens~ons of entire new constmctzon: Front .t.~.~ ~,. .. Rear .. '~. ~ ......... Depth . ~A-. .......... Hezght . .~ .......... IST~mber of Stones ..... g2, ................................................. 9. Size of lot: ~ront ....-), .;~... ............ Rear ..... 2~.~. ............. Depth .~,~.~,.! .............. 10. Date of Purchase/.~.')~. ....................... Name of Former Owner ~. ~.o.~ .~5.,~..~. t ~X ....... 11. ;gone or use district in which prgmises are situated ......................... ,.~ ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....~4 ~. ......................... 13. Will lot be regraded .../~t .~.. .............. ~.. Will excess fill be removed from premises: Yes 14. Name of Owner of premitses O~,/:/9..q.~. ?.Mf-.~.(¢.~. ~.r..~!. Address ./~., P.,~ ~.~.. ~/.o.~. ~ ..... Phone No. ~. ). ,. ,X~ *%, ..... Name of Architect ......... J.t....~.z/i,.)~i ~/~ .Address ........ ?4/t'~,~'...a~.¢. Phone No Name of Contractor ~ ./~,~'~../T.~./~.?. i.. ? .... Address .ZOO.. . Phone No. ?.C.(:! .44 PLOT DIAGRAM Locate clearly and distinctly all buildings, whett~er 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. STA rE OF NEW Y~(~)R , ~ ~ COUNTY~-~0~'~)~1, ~ ,,.-..,..._ //'~ '(']' ' ' ''~" .... '~ '" ', ' ' above named. ~ He is the ~' I ' agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all statements conlained in this application are true to the best of his knowledge and belief; and that the' worl< will be performed in the manner set forth in the application ~ed therewith. Swum to before me this ...................~'0/.~ day Ofl ~.~/,/,f~../,/4 ................ ~ ! , lg~ . Notary_Public, ................ '. ~//~ .... County ~/ mz/~-[T~ ~N.N. ~I .[V[,L~ w,~ ~ (Signature of apphcant) NOT/~RY PUBLICJ State of New ~o~ ~ . No 52.8~258~0, Suffolk County form Expires [March 30, 1O~ OWNER: Ttl"k~ su~. De. CERTIF, RODER, tCK ~AN TUYL. ~. C, DATE: APPROV~: H.~S. NO, N'I~NT CONFORM TO ~E ° FRO.N t" iliiiitliitT CER'[IFICATE (iF OCCIi~Att,CY [: E E'\/AT! 0 N o TO 4 PM FOR THE IN~CTIONS: - ~/O REQUIRE~ CONCR~E FP~M}NG & PLUMBING ' CONS?.U TTION MU~ FOR C.O. I ° 'REA~ - F_ L E. X/A'iT t 0 t 0 U N,,I) ATI 0 Pl._AN ? F L ,0 0 R, _1 I1 o.%ECOND~ F LO0¢,, PL/~N- SS ° gE CTI ON' - SID£ . F_LEVATIOI\i-