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Home My WebLink About15166-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No z-15899 Date July 1, I987 THIS CERTIFIES that the bmldmg ALTERATIONS ON 2ND BATHROOM & WINDOW ON EX'I~T)[lq'G 0l'llg' ~A~'I'LY'D'Wq~I~L'rN'C ...... Locatmn of Property 1885 Meday Avenue Mattituck, New York House 31o Street Ham/et County Tax Map No 1000 Sectmn 1 ! .3 .. Block 9 ...Lot 15.2 Subdzvmlon ............. Fded Map No ...... Lot No .... conforms substantmlly to the Apphcatton for Bmld~ng Permtt heretofore filed ~n flus office dated August 1, I986 pursuant to which Bmldlng Permit No 15166 Z dated.. Au. ...gu s t 2., .... 1986 . was ~ssued, and conforms to all of the reqmrements of the apphcable prowmons of the law The occupancy for Much tins certaficate as msued ts ...... ALTERATIONS ON 2nd BATHROOM & WINDOW ON EXISTING ONE FAMILY DWELLING 'A~ ~I~/~ L'I ED ' l*O'l~: ................................ JOHN & FRANCES DIVELLO The certffmate as Issued to ...... ?~w&'r, ~,~x .............. of the aforesatd building Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED: N/A N786797 May 14, 1987 Building Inspector Rev 1/81 ~OB, M NO. ~ TO%VI~I OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDiHG PER),,~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15166 Z Perm,sslon ,s hereby granter~~ ~ .-. , ~ ....... ~.~..~%o. ................. .?....,f-~*****~. 2 ~..~ ................................... ~...~...~: .h...:..!. :..~.-~.~ ..... ,o ...~.~.~...~ ..,~,.. ~.,~. ..... ~.~.~...~~ ~, ~,~, ,~o,,~ ~,...~.~.~......~....~ ...... ~.~ ......... County Tax Map No 1000 Sect,on . J~/~.~ . Block ..... ~..Oj. ...... Lot No....~ ......... ~,,~..~. ~ .... ~.~.C,, o,,~ o,~ro,,ed by the pursuant to opphcohon doted Bu,lding Inspector 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 OCCUPANCY Instructions Thru apphcat[on must be hlled ~n typewriter OR ink, and submitted I~ to the Building Inspec- tor with the following; for new buddings or new use: 1 F~nal survey of property with accurate location of all buildings, property lines, streets, and unusual natu raj or topograph lc featu res. 2. Final approval of Health Dept of water suppiv and sewerage disposal-(S-9 form or equal). 3. Approval of electrmal installation from Board of F~re Underwmters. 4. Commercml buddings, Industrml buddings, Multiple Residences and mmilar buddings and installa- tions, a cert~fmate of Code compliance from the Architect or Engineer responsible for the budding. 5. Submit Planning Board approval of completed rote plan requirements where applicable. For exmt]ng buildings (prior to Aprd 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographm features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buddings or premmes, or other pertinent informa- t~on required to prepare a certificate. Fees: Additions $25.00 1. Cert~ficate of occupancy New Owellzng $25 00, Accessory ,$I0.00 Business $50.00 2. Cemflcate of occupancy on pre-existing dwelling $ 50 0 0 3. Copy of certlflcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.updated C.O. $ 50.00 Date ...~.~?..t.~./. .............. NewConstruct~on ..... Old or Pre-exlstlng Building ......... Vacant Land .../z¢. ~- ...... Location of Property .. T,".~.~,: ......... (~-.' ,~.,.~. :'. ': .-; '. '...':-.~, .................. ,,/,~(~./, '. '. ': .'~. ,~. ,~- House No. Street /-/am/et Owner or Owners of Property . ."~.~J... ~. ';.4~./: ?.'./??....~) ,/.~'.~./..._Z-~... ....................... County Tax Map No 1000 Section //..3 ......... Block . .~...~ ....... Lot..~ .,t ~.,~ ..... · Subdivision ...... Z~/~ ./? .............. Perm.t N~/..~ (. ?.~..'~.. Date of Permit ....... Health Dept Approval ...... At~..~. ....... Fded Map No ......... Lot No ............ Applicant ..... ///.~. ......................... Labor Dept. Approval ....~../~.. ................ Underwriters Approval .... ,/~/~ .......... Planning Board Approval . .,~../~. ............... Request for Temporary Certificate. ~..~. ........ Final Certificate ..................... Fee Submitted $ ...... ./fV./~. ........... construction on above descmbed budding and permit meets all apphcable codes and regulations Applicant ............................................ Rev 10-10 78 TOWN OF ~OUTHOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~-! &~ 2-- Owner ffo~N ? [~A~;e~ ~ tdm~-/; (please print) ' (Dlease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 19 Notary Public, ~/d County (plumber's ~e) Notary Publ ~c JOHN P BRI$OTTI TOWN OF SOUTE[OLD OFFICE OF BUILDING INSPECTOR PO. BOX '~ ttT~ TOWN HALL SOUTHOLD, N.Y. / 1971 April 24, 1987 Mr. John DzVello 4330 Westphalia Road Mattituck, N.Y. 11952 TEL. 765-1802 To Whom This May Co~cern, We are unable ~o complete your Certificate of Occupancy because ~of the following reasons. /~ An application for Certificate of Occupancy is not on file. (enclosed) /5/ NO Underwrlters Certificate on file. /~ The check isY~Xi~not on file.) $25.00 /5/ No Health Dept. Approval on file. /Z/ NO fmnal mnspectmon has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # ] 5 ] 6 6 Z Buildzng Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) (enclosed) FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS TOWN OF SOUTItOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN 11ALL SOUTIIOLD, N.Y. 1197t TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. /_~ An applicatzon for Certificate of Occupancy is not on file. J_--_~ No Underwriters Certificate on file. _ The check zs(~ed/not on fzle.)~.~ /~/ No Itealth Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. -Building Permlt # / ~'- / ~ ~ Z Building Dept. ***/Z~/No Plumber Solder Certificate on all permits ~nvolv~ng plumbing being issued after April 1,1984 ) iillYlltl1111il~lllh|ltii)lllll~lllllllllllllllttllliltllllllh ~ 0 IIIltlllllilllllllll)ltiitltt~tltil( IlllltlllHIIIIIIIIIIlllliltlltlllllllll II)IlilIIIIUIItlIIIIIiI~)I~IIIIliIIIIIIlillYIIIIIIIUIIIIIIIIIIII) Iltlll}lllll, FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined~_44'~a- , 19~~ Approve~'c~14,a'~)"-'~t~ , 19~t° Permxt No./'~ b ('4 Disapproved a/c .... APPLICATION FOR BUILDING PERMIT Recezved ........... 7ds-- s'77 - Date ., 19 INSTRUCTIONS a. Tins apphcatlon must be completely filled in by typewriter or in ink and submitted to the Building Inspector, sets of plans, accurate plot plan to scale Fee according to schedule b Plot pla~;mv~.t'"}o~c'~.)!~ ,[~a~ld of buildings on premises, relatmnsh~p to adjmmng premises or pubhc str. or areas, and g~a ~~~ layout of property must be drawn on the dmgmm whach ~s pa~ of thru a[ c The wo~{~ a~&~aya~t be commenced before ,ssu~ce of Building Perm,t d. Upon a~of ~s~ ~hcat~h7~h~m~[~ InSpector will ~ssued a Braiding Pe~t to the apphcant. Such per shal be kept o~~ a~~Q~o~ ~roughout the work e. No bufl~II~ o~ ~skrd mkhole or m part for any purpose whatever untd a Certfficate of Occupa shall have been~t~pj~d~g ~tor APPLICATION a ~EkgB~DE t; the Bmldmg Dep~tment for the ,ssuance ora Bmldmg Pem,t pursuant to Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordm~ce Regulanons, for the constmcaon of bmldmgs, additions or alterations, or for removal or demolmon, as hereto descnk The apphcant agrees to comply with all apphcable laws, ordm~ces, building code, housing code, and regulations, an- admzt authored mspectom on premmes and m bmldmg for necess~ectm~ ~ (S~gnature of apphcant~r name, ff ~cor~no~), (Marling address of apphcant) State whether apphcant m owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or build Name of owner of premises ~ '~ .. (as on thc tax roll or latest deed) If ~pFh~cant m a corporation, s~gnature ~ duly authorized officer (Name and ~ of corporate officer) Bmlder's License No '~ 7 ? Plumber's License No. Electncmn's Lmense No Other Trade's Dcense No Location of land on winch proposed work ;viii be done Ilouse Nmnber Street County Tax Map No 1000Section Hamlet Block q Lot ~ f Sub&vis,on Fded Map No Lot (Name) State ex~st~ng use and occupancy of premises and intended use and occupancy of proposed construcnon a Exlstmg use and occupancy ~ ~ ~,~J~¢--~-.... ...................... 3 Nature of work (check which applicable) New Budding Repmr . Removal .. Demolition 4 Estimated Cost ~ t~..~' O47 5 If dwelling, number of dwelling units .. If garage, number of cars ....... Addition A/teration ~ ..... Other Work ........ (Description) .... Fee ........ ~ (to be paid on filing this application) ·.. Number of dwelling units on each floor ......... 6 If bumness, commercial or mixed occupancy, specify nature and extent of each type of use ... 7 Dtrnenslons of existing structures, if any Front .... Hezght Number of Stones Dunenslons of same structure wzth alterations or additions Front Depth .... Height .... 8. Dmlenslons of entire new construction Front Height Number of Stones .... 9 Size of lot Front .... Rear .......... Depth 10 Date of Purchase ......... Name of Former Owner ........ 11 Zone or use district in which premises are mtuated ........... 12 Does proposed construction violate any zoning law, ordinance or regulation .................... 13 Will lot be regraded .......... Will excess fill be removed from premises' Yes Nc 14. Name of Owner of premises ...... Address .......... Phone No .......... Name of Architect ......... Address ........ Phone No ...... Name of Contractor ............. Address ......... Phone No ......... Rear . .. Depth ...... ·. Rear ............ Number of Stones .......... Rear ............ Depth .......... PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, an& indicate all set-back dimensions froli property hnes Give street and block number or description accordmg to deed, and show street names and md~cate whethe~ interior or coruer lot. OCCUP CY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY STATE OF NEW YORK, COUNTY OF SS (Name of individual signing contract) above named APPROVED AS NOTED NOTIF'Y ~UILDtNG OEPARTMENT AT ?~1~2 ~ ~ TO 4 ~ ~R THE F~LOWING INSPEC~ONS. FOUnDATiON ~0 ~EOUIRED ~R ~UREO CONCRE ~ 2 ROUGH FRAMING & PLUM~ING 3 INSULA FIO~ 4 F~A[ C~STRUCTtON BE COMPt ~TE FOR C 0 ALL CONSTRJCTION ~H~L MEET 3TA~ ~ONS~UC~ON & ENERGY m~IGN OR CONSTRUCTION ERRORS, being duly sworn, deposes and says that he is the apphcanl He is the .................. (Contractors agent, corporate officer, etc ) >f said owner or owners, and is duly author[zed to perform or have performed the said work and to make and file thr lpphcatlon, that ail statements contamed m this application are true to the best of his knowledge and behef, and that the work wall be performed in the manner set forth m the application filed therewith. gworu to before me this ....... / ..... day of. ~ ot ub,,c, .x4r .. County~ ~hcant