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Home My WebLink About15448-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certi[icate O[ Occupancy No. Z-16548 Date December 29, 1987 THIS CERTIFIES that the building Construct Addition Location of Property 2455 Westphalia Road Mattituck, New York County Tax Map No. 1000 Section .. J.1.4. ...... Block . ! 0 .Lot 23 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October.....................28, 1986 pursuant to which Building Permit No. 15448 z dated ...O.c.t..o.b.e.r...3.0?.. ! .9.8.6. ...... 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 RICHARD & EILEEN ODDON The certificate is issued to ..................... ?o'n;n~),~f~)~i~n~X ..................... of the aforesaid building. Suffolk County Department of Health Approval ......... .N./.A. ............................. UNDERWRITERS CERTIFICATE NO. N 810816 PLUMBERS CERTIFICATION DATED: N/A /~guilding Inspector Rev. 1/81 FOR~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJvUT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15448 Z Permission is hereby granted to: ........ , o ' '~ . ,.~,_n~ J~ · '-r~.Y ~__ --n-.-.-.-.-.-.-.-.~..J=. at premises located at ................... t....A~..~~..-. ........ f..~.~..~ ...................... County Tax Map No. 1000 Section ....... I.!..q,. ....... B~o~k ....... Z.O. ........ Lot No ..... '~.~ ........... pursuant to application dated ..... {~...~...~.....¢~....~. ......... , 19..?..~, and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCU WN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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" [and uses: 1. Accurate survey of property showing ail 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 POOLS $25.00 1. Certificate of ?ccupancy New Dwelling $25.00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.0 0 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 New C on s t p u c t ~ on ...... Old or Pre-existing Building ............ Vacant Land ............. /~Ol,'S; 'N'o. ' ...... ¥ ' .............. 'S~tr~e';~''''' , ....... Z .... ~ ' /Cam/et Owner or Owners of Property ....... County Tax Map No. 1000 Section ..//. ff ........ Block . ./..~. .......... Lot .~..'~..'~. .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. te of Permit / . Applicant . ~F~.. 'z ............. Health Dept. roval ................. Labor Dept. Approval ........................ Unde~riters Approval,. ~.~/. ¢'..~/~ ....... Planning Board Approval Request for Temporary Certificate ................ ', .... Final Certificate ....................... Fee Su Itt ......... :; .~ ............. Construction on above described building and permit meets all applicable codes and regulations. Ro~. 10.10-78 ,f 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~OUNDATION ~ st ) 'OUNDATION 2nd) ~OUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY CODE FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TENIPORARY Certificate Of Occupancy No.. Z-15870 Date June 22, 1987 THIS CERTIFIES that the building ADDITION Location of Property 2455 Westphalia Road Mattituck, New York House No. Street Hamlet County Tax Map No. 1000 Section I 14 .Block I 0 .Lot 2 3 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 28, 1986 15448 Z ....................... pursuant to which Building Permit No ...................... dated .... 0 c. ...... t o b e r. .... 30, ............I 986 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 The certificate isissued to RICHARD & EILEEN ODDON ..................... /o¥.'0;, ' f roW }gxx ................... of the aforesaid building. Suffolk County Department of Health Approval ... N / A UNDERWRITERS CERTIFICATE NO. N8108 I 6 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~. ~ to the Building Inspec- tot 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. Approvat 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 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 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 ~'~?z~-/'~'~' 5.Updated C.O. $ 50.00 Date ....................... NewCons truction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .H~ ~s .~e .N.o~.. . . .~. . ?.S.? ~. I.~,~ R . . . ~' ',,(~'~'S'~t/ee~J~~ ' ~' '~'~' ~"' ~' ' ' ' ~' ' %~/n/e't , '- '- Owner or Owners of Property .[~,~{]][ ....~.~,/..~ ..... .~ .................. County Tax Map No. 1000 Section .. l ./.~. ......... Block .... /, .~. ........ Lot... 07'..,.~ ........ Subdivision ................................. Filed Map No ..... ~ ..... Lot No .............. Perm t No. 'l .~..~. · Date of Permit ~/~. d/~.~Applicant j~.. Health Dept. Approval ........................ Labor Oept. Approval ........................ U nderwrJters Approval ~..'/] ~ (~/~ . .Plann/ng Board Approva/ ..... Request for Temporary Certificate .y~.. .............. Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Ap ,icant ................ Rev, 10-10-78 I00OT?l THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF= ELECTRICITY I'"'~ 'May 20 ~, ~,087 85 JOHN STREET. NEW YORK. NEW YORK 10038 eat,~ 455891/87 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of EileeEt Oddon, lq/5 14estphelia Road, 300~ N/~ Youngs Avenue, Matttt~ek, N.Y, in the following loc~iion; 1~9 ~a~e~nent ~ let FI. ~ 2nd FI. Secth,n Block Lot was exa~nined on ~'Y and found to be in compliance ~clth the requirements of th s Board. FIX?ORR ~ $1XTUR$S RANOES OUTLETS ECEPTACL$$ SWITCNES OVENS DISH WA~,U,-'",~$ EXHAUST FAN FLUORESCENT VAnO~ 4 5 14 4 DRYERS FURNACE /I FUTURE APPLIANCE FEEO~k~ TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF EEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: 1-G. Fo C.I. t-S~oke Detectors S E ~o O~E~COND R V I C E A W G. NO OF NEUTRALS OF HI-LEG P, O. Box 143 Na~tituck, NoY, 11952 OR. A Board This certificate must not be altered in any manner~ return to the office of the if incorrect, inspectors may be ,denhfled ~ ~ir COPY ~OR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE LOT BE ALTERED IN ANY . 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND [ ] INSULATION FRAMING Ii'FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2NDi] /~SULATIONIN FRAMING [//] FINAL DATE INSPECTOR 7GS-XS02 BUILDING DEPT, INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DAT~ ///~/~/~-- INSPECTOi~- ~~ // / Examined .o.~T' .o~.... ~.o.., 19 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved O~...0~.....~.O.., 19~..~. Permit No./. .~..~..~..~..~. Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date../. ~..°c-Z'. ........ , 19 ?.~. 9. 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 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 ail applicable laws, ordinances, building code,~, ouqng code, anfi-~regjaJatj~pns, and to admit authorized inspectors on premises and in building for necessary inspe~. 4~.~;X_, ...... .... (Signature of applicant, or name, if a corpp_ration) · ' ' / : . ./. .?. . .c. ; T-. .,. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmlder. .... · .............................................................................. Name of owner of premises . . C, ./~.6..~../.~ ......... ~..// ............................................ (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.. O.[J0.}~. '1~¢2.'~. ......... Plumber's License No. /P'~) D/&/n, ir'~ ~ Electrician's License No..~ ~ .~. ~. T..LT. ......... Other Trade's License No ...................... Location of land on which proposed work will be done.. Z 2 ,~. ~..~. ~- ~.-'~ .~. ~./~....~Z .~...../.~.~?.~]./?. ....... House ........ Number' '~'"z~" '/'---~" t~ 7- ............. C~C/~ 7'' '/f~" ' '( '~' '~'Street/ ....... ?'/' '/7'-~'~" ' 'I~;n'l;; ........................ County Tax Map No. 1000 Section .... ././..~. ......... Block ........ /...~ ....... Lot =22 ,~ 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 .... ~.~?.5' i/..)~P/I ~"/~ b. Intended use and occupancy ........................ 3. Nature of work (check which applicable): New Building .......... Addition 1'~ .. Alteration .......... Repair .............. Removal .............. Demolition ............. Other Work ............... (Description) 4 ti .'~. · .~fTi/~. · · ' ' F · Es mated Cost ................................. ee ...... ! ............ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ Number of dwelling Units on each floor ................ If garage, number of cars ......................................... . .............................. 6. If business, commercial or mixed occupancy, specify ,n, ature and extent of ~ach type of use ....... - ....... ,.: ..... 7. Dimensions of existing structures, if any Front... ~ O. f .~-.~..... Rear'. ' ~ ~ ~ De~th~ ~. ~ .~. - Height .... ~./..~..~.. Number of Stories ... o2-...' ................. ; ................ . ............. Dimensions ofsan~e structure with alterations or ad~litions: Front . ~.~ ..... ~... Rear. ,4f. ~ '.,~{~-. .......... Depth .... t~' ~' ~/;T.. '. ..... ':.. Height ...... ~t.~,.! ......... ~..;'~ Number of Stories ......... ' ............. 8. Dimensions~ofent(r?~n~w construction: Front ..... '.~.':~;, ....' Rear ... ~ ~,~: .:,.. Depth'~ Height . .~. ~.~/~. Number of Sto~es ..... /. ...... ~ .~ . . 9. S~ze of lot Front ~ _ Rear . . .Z~.~.~ .~ ........ . Depth .~~ ........... 10. Date of Purchase .... "~//~/Z~ .......... Name ofFo~er Ownei . ~.~[~'~e . 11. ZoneorusedistHctinw~ich~remisesaresituated.2.~g).-j~-~.~ff~... :. . ' .......... ~"~'~' ' 12. Does proposed construction violate any zoning law, ordinance or re~lation: .~F. .......................... 13. W~l lot be regraded ...... ~ ...... :. :,. · · · > .... ~ill excess fill be removed (rom premises: , Yes 14. Nme of Owner of premises ~'.~/~C~/~q~ddress/~ ~{~I .~.. Phone No.~P~ -~.. Name of Architect ................. ~.~... Address ..... ~'..' ...... Phone No ................ N~e of Contractor ~.c'~.~..~ ...... Address ............. ] ...... Phone No ................ 15. Is th~s property 1ocated w~thSnl;O0 feet of a tSdal wetland? '~ Yes ..... No ~. · If yes, Southold To~ Trustees Permit maybe required. PLOT DIAG~ Locate cle~ly ~d distinctly ~1 bufld~gs, whe~er existing or proposed, ~d~indicate all set-back d~ensions from prope~y ~nes. Give street and block number or desc~ption accord~g to deed, ~d show street nmes and indicate whether interior or comer lot.-~ .............. [~, ~ ...................... STATE OF NEW~, ......... ........................... COUNTY OF.. ~ ~. ..... .......... ..................... being duly sworn, d~poses and says that he is the applicant (Name of individual signing contract) above named· . He is the ........................................................... i .............................. (Contractor, agent, corporate officer, e{c.) of said owner or owners, ~d is duly authorized to perform or have perfomed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewith. Sworn to before me this .......... ........ N~ 47~118 ~ ~'~'~ ........... qualified in Suffolk C~ (Signature of applicant) ~e~sslon Expires J~. 31, 19~