HomeMy WebLinkAbout14362-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. ZI6476
Date ...D.c.c..e.m.b.e.r...1,5. ,...1.9.8.7. ......... ~
THIS CERTIFIES that the building A.~d i I: .i.o.n
Location of Pro crt 1555 Westphalia Road Mattituck
P Yh ...................................
ou~e No. Street ...................... h3r~ie't
County Tax Map No. 1000 Section 14 1 .Block ....0.1 .......... Lot 07
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... s..ep.t... 30, 1985 .. pursuant to which Building Permit No. 14362z
dated October 15, 1985
. 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 .........
a solar room addition and fireplace with chimney as applied for.
The certificate isissued to FRANKLIN & HELEN PETTERS
(owner, ~Tf, C~ ~,~v~fffff)X X
of the aforesaid building.
Suffolk County Department of Health Approval ..... N./. A. ..................................
DNDERWRITERS CERTIFICATE NO .... N746772 April 28, 1986
PLUMBERS CERTIFICATION DATED: N/A
Building Inspector
Rev. 1/81
1~o~ 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)
N9 14362 Z
Permission is hereby granted to:
...~~..~...~.~,..~~ .......
............... ~ .......... ~M.. ................ ~....., .......
at premises ,=ted at .J...~..~..~...........~.....'L~.. ~.....~. ....... ...~..~...
County Tax Map No. 1000 Section ...... J.....~..L ........ Block ...... ..(~...J. ....... Lot No .......~..-/. ...........
pursuant to application dated ........ ..~...0.. ....... , 19.~.t~.., and approved by the
Building Inspector.
.
Fee $..~.. ..............
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
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
naturai or topographic featu res.
2.Final approval of Healtll 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:~perty 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 POOLS $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ~$10.00 Business $50.00
2. Certificate of ~ccupancy on pre-existing dwelling $ 50, O0
3. Copy of certificate of occupancy $ 5 00, over 5 years $10.00 -
4.Vacant Land C.O. $ 20.00 '
5.UpdaLed C.O. $ 50 O0 .~ ,--"- · Date ,. . ..C~/~.~,~.~..~5'../',
~ . · . ~-~-- ~ ~/x./~?/__ ...............
New C o n s t t u c t i on..~.. ~d or Pre*ex isting Building ............ Vacant Land .............
Location of Property ~$ 0
......................... , ....................
House No, ,] , Street
Owner or Owners of Property .~.'~ .......
.... B,ock
County Tax Map No, 1000 Section
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. /.~ ~7.. Date of Permit .~/~/~Applicant.. ~1~ ...........
Health Dept. Approval ................ ' ........ Labor Dept, Approval ........................
Unde~riters Approval ........................ Planning Board Approval ......................
Beques~ for Tomoorar ertificate ..................... Final Certificate ..................
....
D
Construction on above described building and permit meets all applicable codes and regulations.
Applicant .... .~....~ ~~. ,~'~, .............
'. d.o, z/¢'¢77
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
'[own Hall
Southold, N.Y, 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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
naturaJ 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, h~dustrial 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 Plannh~g 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:
I. Accurate survey of p~*operty showing ali 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
LCertificateofpccupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00
2, Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of cert[ficate of oct,upancy $ 5.00, over 5 years $i0,00
4.Vacant Land C.O. $ 20.00
New C o~: s t r u c t i on ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property /5'~,:~' ~ /~ /" ' ' ~- ' ' .
........... >¢ < >.¢~'~:.b. (+. .............. ,~ 7~. ~'~,.~,~4-, .//l~.'../../¢ ~ -~.
House No. Street Ham/et
· /,. ........
Owner or Owners of Property ./,-, ~../) ~/~, ./~,/./J/~/ ......
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No./Y~?. ~ . 'Date of Permit /..0.~.. :?.~ .Applicant..~..~..4'?~: .~..i'/~. ~ .... ~¥. ~..Zg.. [°.Z~.~'
Health Dept Approval ' Labor Dept Approval
Underwriters Approval ........................ Planning Board Approval ......................
,
Request for Temporary Certificate ................ Final Certificate ,, ',., ......... ,,, .,
Fee Submitted $
Construction on above described building andcpermit re, eats all applicable codes and regulations.
Rev. 10-10-78
/ > I/
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 1003,8
THIS CERTIFIE~ THAT
o~ly the e/ectrlce[ equipment ~ described below and introduced by the appllce~t ~med on the ubove application number in the premises of
~k t~tt~, 1~55 W~t ~ali~ Aven~, ~ttituok,
in the yollowing location; ~ Ba~ment ~ 1st Fl. ~ 2nd Fl. Section Rl~k Lot
was ex~i~d on ~}~l~J ~ ~ and fouad to be ln compliance tvith the requlre~nents of this Board.
FIXTURE
OUTLETS SWITCHES
DRYERS
FIXTURES RANGES OVENS EXHAUST FANS
SYSTEMS
NO. OF FEET
E
E R V I C
OTHER APPARATUS:
El~ctri¢'~ I~ li~e~te~.~ 1--~. Olay,
Tra /t~t~n~ 8,0" 4 Lita
1~.~ J~ob~en
4.10 Wel]wood D~ive
shtrloy, i~.Y. 111~67
GENEF~AL MANAGER
Per-- __
This certificate must not be altered in any manner; return to the office of the 8oard if incorrect, inspectors may be identified by their credentlals.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
December 10, 1987
TEL. 765-1802
Mr. Franklin Petters
1555 Westphalia Rd.
Mattituck, N.Y. 11952
Dear Mr. Petters:
RE: B.P. #14362Z
I am writing to you about the above Building Permit.
I am returning your check #2182 dated Oct. 21, 1985.
When you sent it to us we could not do the Certificate
of Occupancy because your underwriters certificate was
not in your file. On April 28, 1986 your underwriters
certificate came into our office. However your check
by that time was outdated.
I am going through old files trying to clear up all
the problems. I am enclosing a new application and
your old check. Please fill out the new application
and return it to us along with your check for $25.00
and we can clear up this matter. It is a violation
to use the addition and fireplace without a C.O.
Yours truly,
Secretary
FIELD INSFECTION
1.
FOU__!~DA__T I_O_N --- _ _(3 s t,!,
FOUNDATION (2nd)
2.
HOUGH FRAME &
PLUMBING
~NSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
VI£~'V F'IRE PLAO£ ' 'FRANI( PE-T'TERS I),flGE'~
view .... ~/~/C ~ C~2N.s'Trg~N _.._ ..... :,
ECHO HOME IMPROVEMENT CENTEP.
ROUTE 25A
ROCKY POINT, NEW YORK 11778
(516) 744-4433
Examined ..~ .%/.~;'.., 198.~./
'FORM NO. 1
'TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11971
TEL.: 765-180~
Approved .O~./..~...., t9~. ?. Permit No. }.~..~.~..~..~. ·
Received ........... ,19...
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FO[t BUiLDiNG PERMIT
f,~ Date .................. ,19...
INSTRUCTIONS
a. This apphcation 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 buqdings 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 ;his application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection througl~gut the work.
e. No building shall be occupied or used in whole or itl part for any purpose whatever until ~t 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
Reguiatioffs, 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.)(~. ~.~..~~./ns~jecti°ns', , .~.,.~~.~ . ..
(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.
.. ¥.e .&. ......................................................................................
Name of owner of premises , ./5'~. [~A/K 5/
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly autho3ized officer.
(Name and title of corporate officer)
....
Bmlder s Lmense No .................
Plumber's License No.,.../.ff. 7 7 .? .........
Electrician's License No, .~/7Y: ..................
Other Trade's License No ......................
Location of land on which proposed work will be done..
/ff-_6',.,(- .., l/ cJ TT/ ?a. C/t . .............
............................................... . .07, ............ '.(, . ./.. . .
House Number Street Hamlet
County Tax Map No. 1000 Section ..... /..7'/.o.d. ........ Block . .~.,/.6~, ............ Lot..'~..~.?..o?..~ .......
Subdivision ..................................... Filed Map No ............... Lot ............... (Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
· . % ,' ,/ z(
Ex~stmg use and occupancy .~ '; ( V ( ,~ / 7~ '~ . ~ ,
b. Intended use and occupancy. . .?~7[//./,7.&/?/. './.~: ,,/2,6',/,¢.1. ,'~..'~. 7%¢:]2~~ ....... ;..,
3; I Natute of work (cfi'gg~'~,~i~]h applicable): New Building ..... ' .... 'Addition ;~".. . . Alteration ' ...
: Uepmr ,.._. ,_ ,mm~. ;~ ~emoyal .............. Demolitio~.,: ........... Othe~ Work.
~t~t~d Cm~ .......... ~ . . . ~ ~ ............
,: ' ;t :~'J~ Ch f ~y ~' (to be paid on filing this application)
5~f ~welling, number of dwelling uni~ . ] ..... 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 twe of use , :.
7. D~ensions of existing structureS, if any: Front . ~'~ ' Rear ~ ' De~ ~'.:Zg.~::~:~;"~'~'
s ig t ...... : ........ ...... .....'--:': .... :...'...
D~ensions of same structure wi~h ~terations or additions:* Front .~./ ...........
Depth , , ~ ( ....... ;. HeiSt ................... Number of Stories .......
8. D~mens~ons of entire new constructmn: Front ........... ~... Rear ............... Depth ...............
Height Number of Sto~ies ..... ~ ~ ~
9. Size of lot Front 'ZO. ,. Rear. , . ~ ~ '. Depth ~ ~ ~ ...........
10. Date ofPurcha~e . '
.......... ~ .................. Name of Fo~er Owner ~ ............................
11. Zone or use district in which premises are situated ...... ~. ~. ~% .~. ..... ' ............................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~ .......................
13. Will lot be regraded ...... ~:~:;..:.,; · .~..~.. · .: · · Will excess ~1 ~e ~o~d from p~mises: _ Yes , No
14. Nme of Owner of premise~yK(~q, . ~ Address d~.~(~ 7~.. Phone No, ~z .~ ....
Nme of Architect .. ~. ~(~ .~: .~ Addre~ ~t~CLq2 ~ ~'.. Phone No.~t~.~
N~e of Contractor ~q ,~g, ~o~e~'Addres~f~; ,. ~o~/.Wt.'. Phone No. 7M~.'n ~...
P~T DIAGR~
Locate cle~ly ~d dis~ctly MIi bufldMgs, whether existing or proposed, ~d, indicate M1 set-back d~nsions from
prope~y ~nes. Give steer and block ~um~r or description according to deed, ~d show street nines ~d indicate whether
interior or corner lot. i
)
STATE OF NEW YORK, i S.S
COUNTY OF., ................ i'
.~A/iff'Z-~ 4/ j~...~.~,,~?t~, .,.: being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
! (Contractor, agent, corporate officer, etc.)
of said owner or owners', and is duly authorized to perform br have performed the said work and to make and file this
application; th'at all statements coqtmned 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 ~f.. ~.' ............ 19 ~'~
o, .......
"
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF'OCCUPANCY
'",O [LAMINAI:ED R.AFTER W! WINDOW
I~) HEADER·
(~.~ SILL BLOCKIblG
· ~-~ INSULATED WINDO~ PANEL
(~ ALUM NUM MUL ~ ON CAP
' '~ 'TWO-WAY :-AN AND L;(.)I~IRO[.LER
. ..~ POURED CONCRETE FOOTING
~.,) 8" CONCRETE BLOCK
. (,~ AX6 FRAMING
.i ANCHOR
~ :2X8 SILL PLATE
L,~' 1~2 FURRING
,1~). ,.5 I/2" BATT INSU,LATION
. -';(~ - R ~ID, .INSULATI N ,
',~ NAI_'ER
{~ DOUBLE 2X2 NAiL ER /SI'UP.
[i]~ I/2 DECKING
'~-' 5~'' T~M~SGTE'
~ ~C,O~ING FELT ~ND SH NGLES
' ~ ALUMINUM FL~HING
:. ~ ~-8 X 6-8 DOOR ~VlTH G~ASS
.'~-, Z-O.X 5~0 CASEMENf' WINDQW
~ WOOD LOUVRE
, ',. '~ 'A~UMINUM' BASE TRIM ~ SI, LL SEA_ER
~ FOUNDATION ~EAL. AN'r
S'TOP,~
JNIT
OJJN'r ' N ...... '
DOOR ROUGH
OPENING S
' ~FTE~
ADJUST
'N'E. EbEO
/8
3 WlkDOW PNL'.S
FOUNDATION
L AYOU T
F R'ON T WA:L:.,L
~nto'
NOTE
HEAD~r~ 62~2 ANO gHL BLOCKIN6"
TO LOCAFE NAFT'ERS "~ '"
ONTINOOUS "~//
EAD OF
A'ULK
foe, ng
si: ~e th'ru rafter
into sill 91oCl~lng
IN /4' FROM OUT~I~E'
D.ETAI-L, ,'
R'A
L '.WINDOW_
ASSEMBLY: