The URL can be used to link to this page

Home My WebLink About15884-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. z-16195 Date September 22, 1987 THIS CERTIFIES that the building ADDITION TO EXISTING ONE FAMILY DWELLING Location of Property 210 West View Drive Mattituck, New York House No. S~reet Hem/er County Tax Map No. 1000 Section ...1.3.9. ...... Block .. 0..1 ........... Lot I 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 6, 1987 pursuant to which Building Permit No. 15884 z dated ...A.p.r.i. 1...I .0. ,.. ! .9.8.7. .......... 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 ......... ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR ELOISE BOWDEN The certificate is issued to ..................... [oh;n'e;','tgs~V~"gg~t~X .................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO.. N 831983 PLUMBERS CERTIFICATION DATED: July 20, 1987 Bull4ting Inspector Rev. 1/81 FO~Wr NO. l~ 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) N~ 15884 Z Date Permission is hereby granted to: ........................... ............. ...~....¢.......~...!...~ .......................................... at premises located at ...~...]....O..~-.J~.~.......-J.~..,..~...:.-..-~..~-.~.... ...................... County Tax Map No. 1000 Section .... /,.,~,~ ......... Block ...... ,.~,,I ......... Lot No ....... ~../. ............. to application dated ..... ~......~ ......................... , 19~.7.., and approved by the pursuant Building Inspector, Fee $..,.,~,....:.' ,,.'~, Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF JUL 2 3 t98T Ao Instructions 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 disposai-(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), 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 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. Co Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 New Building ............. Old or Pre-existing Building .... .~ ....... Vacant Land ............. Location of Property ....2.~.0..¥.e.s.t..¥.~.e.~..'R..d.. .....H.a.t.t.~..t.u.c.~. ~ ....N.~ ¥, .................... House No, Street Hamlet Owner or Owners of Property ?...~.s..~.1. ,o.L.s.e...Bg.w.d.e..n ....................................... County Tax Map No. 1000 Section .~.3..9. ........... Block .... .0.~ ........ Lot.. ~.~. ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.1.5.8.8.~.Z .... Date of Permit .4/ .q/. 7..Applicant $ ~:~n].~y..~.... ~i~.~$. J,~. ............ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate .... X ................ Fee Submitted $. 5,.O.Q ....................... Construction on above described building and ~ermit meets all applicable codes and regulations. Applicant .................... Rev. 10-10-78 Co TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date '7/~-0/~-7 ! Building Permit No. if:~ Owner/~rS. &/~.~ ~. Y~3~. (please print) Plumber ~7~¢~ ~U~,~ &;n;6- (please print) I certify that the solder used in the water supply system contains less than 2/10 of l%'lead. Sworn to before me this Notary Public, ~/~ (plumber's ~ignature) THE NEW YORK BOARD OF FIRE UNDERWRITERS 1.000663 BUREAU OF ELECTRICITY ~-~l~ 85 JOHN STREET, NEW YORK, NEW YORK 10035 THIS CERTIFIES THAT Eloise ~wden~ Westview Drive ~ ~t~itack~ N.Y. in thefollowlng location; ~ Basement ~ Ist FI. ~ 2nd ~7. Section Bilk Lot was examined on ~ ~7 ~ ~7 and found to be in complia.ce u'ith the reqttiretnents Qf this Board. FIXTURE FIXTURES RANGES :OOKINODECKS OVENS DISH WASHERS EXHAUST FANS 2 1 2 2. DRYERS MOTORS FUTURE AIPPUANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT S E R V I C OTHER APPARATUS: OF CC COND NO. OF HI LEG Laurel. N.Y, 11948 Lie. 1227 ~BMId~a~ ~ANAGER This certificate must not be oltered in ony manner, return ,o the office of the Board if incorrect. Inspectors mo be identj.~u~''~j b~)fheirX cre~enfiols. COPY FOR BUILDING DEPARTMENT. THIS, COPY OF CERTIFI~E MUST HOT BE ALTERED l. ANY ~.NE.. OUNDATION J(lst) OUNDATION (2nd) OUGH FRAME & ?LUMBING 'NSULATION FER N. Y. STATE ENERGY CODE FINAL · ADDIT!ON~L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ~ZND [~j~NSULATION FRAMING *,, £ ] FINAL DATE OCCUPANCY OR USE iS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 765-1802 ~ ~ BUILDING DEPT. INSPECTION FOUNDATION 1ST ~/'-ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [/~RAMING FINAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ I INSULATION [ ] FRAMING [ ] FINAL ~REMARKS: ~ '~ ~ 765-1802 BUILDING DEPT. INSPECTION [~ION 1ST [ ] ROUGH PLBG' [ ] FOUNDATION 2ND £]INSULATION [ ] FRAMING []FINAL REMARKS: ~, ~ / DATE · / INSPECTO ~R~~~__ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ', TEL.: 765-1802 Examined...O_~./..O.., 19 . .(~.A~../'..0.., 19~...~. Permit No./.~'. aa.~t.'~.. Approved Disapproved a/c ..................................... ................................. ' ': (Building Inspector) APPLICATION FOR BUILDING PERI'IT Received ........... , 1 9 · · · Date ...AP.r.~!..1.,..1..9.82, 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and 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 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. UponSapproval of this application, the Building Inspector will issued 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 admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) 565 Old Main Rd. Mattituck (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises . .~. ~.c.~....B~..~}?/ ..... ~.O..Od..b.~..~.,..F7 .k.O. ! .~..4 ............................... (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 .... .1.2.,.9. 8..5.-.H.I. ........... Plumber's License No ......................... Electrician's License No. 1227 - E Other Trade's License No. ( .M.d.s. 9 .n.)... 8..5 ......... Location of land on which proposed work will be done .................................................. 2.z. 9' Pr,- .................................... ............................ House Number Street Hamlet County Tax Map No. 1000 Section ....... .t'.~.. ~ ......Block ..... ./ ............ Lot ..... /./. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use ahd occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Residential b. Intended use and occupancy Addition of mud Room · . ' ~ 3. Nature of work (check which applicable): New Building ..... ': ....'Addition ....X. ..... Alteration .......... ..... Reinoval ............ Demolition .............. Other Work ............... ~ i (Description) 4. Estimated Cost...: ~-:"...$. ~ ~ ~.0,Q, 99 .................... Fee ...................................... i ~' (to be paid on filing this application) 5. If dwelling, number of dwellin~ units... J- ......... Number of dwelling units on each floor ................ If garage, number of cars ...; ......................................... 6. If busaness, commercml or max,ed occupancy, specify nat, ure and extent of each t~fpe of use ................... 7. Dimensions of existing stmctu~es, ifany Front. 36' . Rear 36'r De,~th 2.6'" Heaght .... 1 Number of Stories .. e. .................................... Dimensions of same structure with alterations or additions: Front ' " 1 ' 6" Depth ...... 2.6. ~ ......... q . .. Height .... .7 ................. Number of Stories ,. ,QBe ................ ~-'8. Dimensions of entire new construction: Front ., 5: B.". ........ Rear . . ~ ............ Depth ...7. ' ~4-igh + 1~3.' ......... Nuhh. er of S*cries ..o.tle 9. Size of lot: Front ..... Cgr~e%'.. Rear ..1.J_..0...5.8. ............. Depth .1.1.8.:4..6 ............... , 10. Dat~ of Purchase ...... 19fi.0 .................. Name of Former Owner ............................. 11. Zone or use district in which p~emises are situated .... l~¢~i.c[~o t:i.a.1.... 12. Does proposed construction violate any zoning law, ordinance or regulation: No 13. Will lot be regraded ........ i ' ' NC) ................ Will excess fill be removed frompremises: Yes XNo 14. Name of Owner of nremises Glenn Bradley ~oP.0. Box382 Laurq~h,,~ 298-4079 Name of Architect ......... , .................. Address ................... Phone No ................ Name of Contractor .S.t.a..n.lp.y...3:..F..1.'$ .s.s..3. r..... AddressO. 1..d..M.a.i..n..ll.d.:..[yl.a.t. tPhone No..2.9.8.- $ 7.9.q~. .... 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. ., I STATE OF~ NEW YORK, COUNTY OF ................. ............................ , .................... being duly sworn, deposes and says that he is the applicant (Name of individual sigfiing contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy 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 manndr set forth in the application filed therewith. Sworu to before me this 19~?. Notary Public ........ ~).a~...(/.pf~. .....County ~ , ~.a'U't'~ o, ~, ~ ~7 (Signatuto of applicant) . .. 707878, $~olk ~un~ ~ lerm Expires March 30, ]9~