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Home My WebLink About16557-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Jnspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. Z~6350 Date...P~.q~P??. 29, 1987 TIIlS CERTIFIES that the building .... A.~ .d,i?.i. qn. ................................... 1825 Woodcliff Drive Mattituck Location of Property ............................................................... House No, Street Ham/et County Tax Map No. 1000 Section .. 1. 0..7 ....... Block . . .0. 6. .......... Lot .... ! .5 ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 21, 1987 pnrsuant to wbich Building Permit No. 16557z dated .0..c .t.o.b.e..r..2.3. ,...1.9.8. 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 ......... ..... 9. e. 9.k' ,a.d..d.i.t.i.o. ,n..t.q..a.n..e.x. j_.s.t.i.n..g..o.n.e...f.a.m.i. ! .y* .d,w..e.l.l.i.n, .g.. ................. The certificate is issued to JOSEPH M. & JEAN DUVA (owner, of the aforesaid building. Suffolk County l)epartment of Health Approval .......... N../.A ............................. UNDERWRITERS CERTIFICATE NO .................. N../.A ............................. N/A PLUMI½EES CERTIFICATION DATED: Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BLIILDING DEPARTMENT Office of the Buildin§ Inspector To~vn Hall Southold, N.Y. Certificate Of Occupancy No. Z16351 Date October 29, 1987 THIS CERTIFIES that the building ... Ag.c.c. ~ ~ p.r.y. .................................. Location of Property 1825 WOODCL IFF DRIVE MATT I TUCK House No. Street ftamlet County 'Fax Map No. 1000 Sectiou 107 .Block 6 . .Lot 15 Subdivision ............................... Filed Map No ......... Lot No .............. conforzns substantially to the Application for Building Permit heretofore filed in this office dated .... .O 9.t.ql? .e .r..2. ! :..1.9. 8 7 pursuant to wtfich Building Permit No...1.6. 5. .5 .7.z ............. dated 0 ............................ c t o b e r 23, I 987 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 ......... Accessory shed as applied for. The certificate is issued to JOSEPH M. & JEAN DUVA {owner, le~o~ xe~lgp~ of the aforesaid buildiag. Suffolk County Department of Health Approval ......... .N./.A. ............................. UNDERWRITERS CERTIFICATE NO N/A ~/A PI, UMBERS CERTIFICATIOI~ DATED: Building Inspector Rev. 1/81 TO~N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_16557 z Permission is hereby granted to: .............. ...~.~...~..~.....~.:~ ....... at premises located at .J,.~.~...~.....~..~.~l~:..~.-.~. .......... ~,~ .............. County---- .~{ox Mgap No. I000 Section ..... I...O....']. ......... Block ....... ~..~ ..... Lot No ....... ~..~ ............ pursuant to application doted ..... ~~.....~.l .............. , 19.~.g, and approv~ by the Building Inspector, ~ee ,..7.~ ................ "'13uilding Inspector Rev. 6/30/80 Telephone (516) 283-7200 Clarence R. Banks Attorney at Law 25 Bowden Square Southampton, New York 11968 BLDG. D~-FT. TOWN OF SOU"I'HOLD October 16, 1987 Building Department Town of Southold Town Hall Main Road Southold, NY 11971 Re: Property of Joseph M. & Jean Duva Situated on the N/s of Woodcliff Dr., Mattituck, NY Dear Sirs: Enclosed please find "after the fact" building permit applications and applications for Certificates of Occupancy for a deck addition and shed on my client's property in Mattituck. Since the previous owners added the deck, we do not have plans or drawings for same. I've enclosed the required fees totaling $110.00 and a survey showing the location and setbacks of the deck & shed. Should you need any additional information, please advise. sjk/ Encl. Very truly yours, Clarence R. Banks FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold N.Y. 11971 765 1802 APPLICATION FOR 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: 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, B. 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 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: Additions $25.00 1. Certificate of occupancy New Dwelling,$25.O0, Accessory ,,$10.00 Business $50.00 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 Land C.O. $ 20.00 5. Updated C.O. $ 50.00 Date ..... .O.c.t.:..1.2. ,...1.9.8.7. ..... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. 1825. Woodcliff .Drive Mattituck Location of Property ................................................................. House No. Street Hamlet Owner or Owners of Property Joseph M. & Jean Duva County Tax Map No. 1000 Section 107 Block 6 Lot 15 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .1.0./.1..2./.8.7.Applicant .... C..1.a.r,e.n..c.e..R.:..B.a.n.k..s .... ; ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted$.. 10.00 Construction on above described building a~/.~ r~m~e~s a~,~ cof~s and regulations. Applicant....t.e~:'vYv... y...-v-~%-., x.~-. gt:~.c,'~1,~.. ....................... Rev. 10-10-78 ;3,3,57 2_ d', 0 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FRAMING flmL i::SPECTiON FOUNDATION Ilst) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE ~~FINAL ADDITIONAL COMMENTS: BOARD OF HEALTH ...... 3 SETS OF~LANS ....... FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK : ~r: [q:~-- 0-':: ~ BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-180:2 Examined . .o ~:O~..&..:~., 19 Approved . ~ .s~. ~..&.~., 19~. ?. Permit No. J. Disapproved a/c ..................................... ................................ ....... (Building Inspector) APPLIOATION FOR BUILDING PERMIT CALL ................ MAIL TO: TOWN OF SOUTHOLD Date ..... 1. 9/.! 2. ........198.7.. INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 throu~out 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, Imusing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectiorI~r)/~ __ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is_ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Attorney for owner Name of owner of premises ...... i..GQ.s.eP.h. ?I....&..Ge.ap...Dp. y.a ............................................. (as on the tax roll or latest deed) If applicant is a corpoJation, 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 ...................... 1. Location of land on which proposed work will be done'. ................................................. 1825 woodcliff Drive Mattituck House Number Street Hamlet County Tax Map No. 1000 Section . .. ~97 ............ Block 6 Lot .... 15 Subdivision ..................................... Filed Map No ............... Lot ............... (Nmne) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .S.'.~:n.g.l.e. ?..a~J_.'.ly...I:~..1.1.'.zn.g ........................................... b. Intended use and occupancy .... s.h.e.d..-..s.tg.r.a.g.e' 9.n. ly. ............................................. 3. Nature of work (check which applicable): New Building .. iX..' ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ; (Descfip~tion) 4. Estimated Cost ............ i ......................... Fee ...... ~.2..5:.0.q ....... - .................. ~' (to be paid on filing this application) 5. If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ................ If garage, number of cars .... i ................................................................... 6. ]f business, commercial or mixed occupancy, specify nature and extent of each type of use ........ ; ............ 7. Dimensions of existing structures, if any: Front....2.7. [ ........ Rear ...3.2. ~ ........ Depth . .6..8.' .......... Height ............... Nmnber of Stories ...i..'... ..... ...~ ................. ~..../..'. .... 2 ............ Dimensions'of same structure ~ith alterations or additions: Front ................. Rear .................. Depth ................... ~.. Height ...................... Number of Stories ...................... - .8. Dimensions of entire new construction: Front ....4.' ..... . ..... Rear ...1. q '. ......... Depth ... ~.0.' ......... Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front .... 7.5: ............ ,... Rear ........ 8..4...8.4. ........ Depth .... .2.3.3._+. ~ ............ 10. Date of Purchase ..... 4../.8.4. i .................. Name of Former Owner .... ~. 9.i.1. .................... 11. Zone or use district in which prcmise~ ale ,~naa~e~, .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... Hq ......................... 13. Will lot be regraded ........ I'!.9 .................. Will excess fill be removed from premises: Yes X No 14. Name of Owner of premises ..;. Du.v.a, ........... Address .W...c~.d..ql.~.f.f..D.r...,../..t~.~o ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address .... : .............. Phone No ................ 15. ils this property loeatedlwithin 300 feet of a tidal wetland? *Yes ..... No .~.. *If yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM . Locate clearly and distinctly all buildings, whether existing or proposed, an& 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. See surVey attached STATE OF NEW YORK, COUNTY OF... $.U.F. EQ .L~ ...... i S.S .......... Cl.aren~.a .R,..Batiks. .................. being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) above named. He is the ....... a..Lgp, r.n..ey ..... ; .................................................................... ' (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. Sworn to before me this ,FL._ .......i,.(49...--T .......... day o~f...Ocg.o, ber .......... ,19.8.7. Notary Public, ........ Su£.£olk ................ ,. County taAR¥ KOI.AKOWSIQ NOTARY PUBL C, State of New No. ~70006, Suffolk C°~'°/.&t~l~ ; (Signature of applicant) Cc~mi~fon Expite~ Sept, 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: ........................ Disapproved a/c ..................................... ................................ ~ ~ OWN OF ~OUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...... 10/3_.2 ....... 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 deta/led 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 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 inspe ' s. /~~ (Signature of applicant, or name, if a corporation) ).5 2~.v~cleaq Nclua~e,..,.qaut2xarc~ton,. ~ .LED.&8 ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ A~gDYgqY for owner ............................................ Name of owner of premises Joseph M. &..O..e.a..n..D.u.y.a.' ......................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co~orate 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 ...................... 1. Location of land on which proposed work will be done ............. ' ..................................... ...!8.8.5..~.o.o..d.c.%i. f. g. p. Xi. ¥.e .......................... M.a.t.t.i.t.u..c.k ............... : ............. House Number Street Hamlet County Tax Map No. 1000 Section ..... 1.q7 .......... Block .... .6 ............. Lot .... .3_.5 ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... $i.n. ql..e..f.a.m..i.1Z .d..w.e,l.l.~n. g ...................................... Addition of deck only b. Intended use and occupancy .................................................................... 3. Nature of work (check which al ,plicable): New Building ' Addition ...X.X. ..... Alteration ........ Repair .............. Rem )vel .............. Demolition .............. Other Work ............. (Descrigtion) 4. Estimated Cost ...................................... Fee ..... ~..59...0.Q ......................... " (to be paid on filing this application) 5. If dwelling, number of dwellingI units ............... Number of dwelling units on each floor ................ If garage, number of cars .... . .................................................... . ................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... ...... 7. Dimensions of existing structures if any: Front...2.7. ' Rear .3. .2 ,' D~pth 58 Height . Number of Stories 1 . . ~... · , ............ Dimensions of same structure with alterations or additions: Front 27 ' Rear 32 Depth 68 ' ,' Height . Num her of Stories -- 8 Dimensions of entire new construction: Front 32 ' ' R Depth .10 Height ............... Number of Stories ........................................................ 9 Sizeoflot: Front 7.5.'... ............ p~. ~ 84.84 pth 233+' 10. Date of Purchase .... zJ/.8.4. ~ ................... Name of Former Owner . ..5.ug.u. s t.. ~,..3,u..d.r.e.y..~.e.i.%... 11. Zone or use district in winch p~iemmes are smeared .............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... N. 9 ......................... 13. Will 10t be regraded ....... I~1¢ ................... Will excess fill be removed frpr~ premises: Yes X No 14. Name of Owner of premises .. p.u.v.a. ............. Address ~.o9..d.c.I.~.f.f.p.r...,..~..t.t~rNo ................ Name of Architect ......... ! .................. Address ................... Phone No ................ Name of Contractor ........ i .................. Address .... : .............. Phone No ................ '15. Is this property locatedlwithin 300 feet of a tidal wetland? *Yes ..... No .~.. *If yes, Southold Town TrUstees Permit maybe required. PLOW DIAGRAM Locate cleariy and distinctly all buildings, whether existing or proposed, an&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. See attached survey STATE OF NEW YORK, S.S COUNTY OF .... $ U~'~'.QI~ .... Clarence R. Banks . ,... being duly sworn, deposes and says that he is the applicant : (Name of individual signing contract) above named. ' He is the attorney i i (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. Sworn to before me this ) ~o Vt'~ if: October 19.87 ........................ day o ....................... . oun ~AR¥ KOLAKOWSKI ~ ;~ .... . NOTARY PUBLIC, Sta~ of N~ '~ I (Signature of applicant) N'o. ~70006, Suffdk Cam~. Commission Expires ~epl. ~ --1 '-77 / //