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Home My WebLink About16521-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. z16303 Date September 19, 1987 THIS CERTIFIES that the building . .A..d.d.i.t.i. 9P ..................................... Location of Pro erty 1685 Westview Drive Mattituck P /~/~s~ it'o] ....................... ~r'e~t' ....................... County Tax Map No. 1000 Section . .1.0.7. ....... Block ...0.7 ........... Lot 08 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 8, 1987 pursuant to which Building Permit No. 16521z dated .0,c.t. °..b.e.r.. ! ! ).. [ 9..87 ........... 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 an existing one family dwelling. The certificate is issued to Jacob Mollick(deceased) & Elizabeth Mollick (o wrier, Fe~,voX ~bZ)X X X X of the aforesaid building. Suffolk County Department of Health Approval ... N/A UNDERWRITERS CERTIFICATE NO ........... N./..A ..... PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 ~O~mr NO. ~ 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) No_ ] 6521 Z Permission is hereby granted to: .... .............. .~.~~......~.....~ .......................... ....... County Tax Map No. 1000 Section ....... ~...~....~. ....... Block ..... ..~...~. ......... Lot No. ~ pursuant to application doted ..... ..C~....~...~......~.. ..................... , 19.~....~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 BLDG. DEFT, TOWN OF SOUTHOLD 765- 1802 ---------------,~--~--~-- APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor with the following; for new buildings or new use: 7. 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 Pianning 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 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 end 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. O0 -- BUSINESS $50.00 ACC,~S, OR~' '" ~q ' $]0.00 2. Certificate of occupancy on pre-existing dwelling $ S0 . O0 3~ Copy of certificate of occupancy $ 5.00, over 5 years $ I0.00 ·'.'Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .9g.t.,..8.,..19..87 ........... NewConstpuction ...... Old or Pre-existing Building ............ Vacant Land ............. · 0¢¥ w Location of Property estview Drive Mattituck House No, Street I¢,w~/e t Owner or Owners of Property .flacob Hell±ok (deceased & Elizabeth Hollick County Tax Map No, 1000 Section . .]_.0.7....0p ....... Block , .97:.0.q ....... Lot .... .0.8.:,0.0,0 ..... Subdivision ................................. Filed MaI) No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Boarc Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... ' Fee Sub 1 tted $ ........................... Construction on above described building and permrt meets all app'licable codes and regulations, Applicant , ~..~. ~.., F~;tci ~ abeth Hol lick ......................... R~v. 10-10-78 FOUNDATION (lstl FOUNDATION ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Exmnined . .~....~-~+.... .... 19 Approved ~...~4...... !!.., 19~..q. Permit No./. ¢..~..&.l. ?:?. Disapproved a/c .......................... .. - .)2~)., · ................................ ......... (Building Inspector). APPLICATION FOR BUILDING PERMI 3 SETS OF PLANS ....... FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK .......... BUILD~NGDEPARTMENT SE?TIC FORM · TOWN HALL NOTIFY Lundstedt a Foy $OUTNOLD, N.Y. 11971 .2.9.8.-.9.1.5.5. TEL.: 765-1802 CALL ....... MAIL TO: LUNDSTEDT & FOY Main Road P. O. Box 366 1948 Date . .Og.t... .8., ........ , 19 .8.7. 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. Upon approval 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 &aws~ 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, hoQsing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. , . .... ..... 'c"r ..... :; .... (Si(nature of applicant, or name, if a o poratio ) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner ................................. Name of owner of premises . . .J.a. 9~.b..M.o..1.lick & Elizabeth..Mo..1.1.i.qk. ........ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on wliich proposed work will be done] ................................................. ..... ./.$..~. .......................... W..e.s.t.v.i, .eW..D37i¥.e. ............ .M~t:.t.ituck..: ............. House Nmnber Street Hamlet County Tax Map No. 1000 Section ..... .1.0.7., .0.0 ...... Block . . .0..7...0. Q ......... Lot .... 0.8.: .0.0. q ........ 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 ..... qn. e..-.~.a,m.i..ly..d.w.%l.l. 5..n.q .......................................... b. Intended use and occupancy ....deck ............................................................ 3.Nature of work (check which applicable): New Building ' Addition i deck Alteration Repair .............. Removal .............. Demolition .......... ' .... Other Work ............... (Description) 8400 00 Fee 4 Estimated Cost · (to bt paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling un,)ts on each floor ............. If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each t~pe of use ..................... 7. Dimensions of existing structures, if any: Front .4. 0. ~3, & 1. ~ .. 9... Rear 3. .9 ...3..~ ...1 ~...9.. Depth ...2.8. .......... Height Number o f Stories oP.e. Dimensions of same structure with alterations or additions: Front ........... : ...... Rear ................. Depth ...................... Height ...................... Number of. Stories ................... ~--8 Dimensions of entire new construction: Front . .' .... Rear ....... I. Depth ........ r~etK ~2 ~ 24 ' Height ............... Number of Stories ................ I ............................ 9. Size of lot: Front ..... .7.5 ............... Rear ....... 75 ............. ! Depth .... 2.7.5 ............. 10. Date of Purchase ...J..u.17.. ], ~ ,..], ~ 5 ~ ........... Name of Former Owner l.Nithp.].~. ?rnper.fi.ie $ ,..Znc o 11. Zone or use distribt in which premises are situated .... Resid~r~t~al ...... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...i..N. 9 ......................... 13. Will lot be regraded ............................ Will excess fill be remov~ed from premises: Yes No 14. Nam~nen~m~esElizabeth MollickAd~ra~~ Westview Drive Ph~Nn 298-8019 Name of Architect ........................... Aooress ............... :. rhone mo ...... : ......... Name of Contractor .......................... Address .... : .......... i ..... Phone No 15. Is this property located within 300 feet of a tidal wetland? *Yes, ..... No ..... ~If yes~ Southold Town Trustees Permit maybe 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 sh~w street names and indicate whether interior or corner lot. See copy of attached survey. STATE OF NEW YORK, COUNTY OF...S.U. ~F.O. hK. .... . . S.S ....... .E.I~ I ~D.E. TH.. ~QI~I~ !.C.K. ............ (Name of individual signing contract) above ~amed. Heisthe .... owner ...................... ........ being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, et?.) of said owner or owners, and is duly authorized to perform or have performed th~ 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. Sworn to before me this' ........... ~. ' ....... day of. O.c&ob~r. ............ 198.7. Notary Public, · ....... s3K. f.~I..,.~k ................. County N0taryPubl,c. Stat~0tN~w¥0tk Eli~beth Mollick ...... NO, 4832984 (Signature of applicant) Ouallfled m Suffolk County /,/oN.. ,,?. II°IT'ZO"E ' 7~.00 ~NO ~ON. r~x lot 8 7G.O0 HA I'T//'UCtf % F]EVISIONS: DATE ,, ~,,