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Home My WebLink About22427-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~uumANCY No Z-23826 Date AUGUST 21, 1995 THIS CERTIFIES that the buildin~ ADDITION Location of Property 2005 MESTVIEW DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 107 Bloc~ 7 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 17, 1994 ~ursuant to which Building Permit No. 22427-Z dated NOVEMBER 1, 1994 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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FRED & ANNE RMNGANESCHI N-360161 -- AUGUST 8, 1995 Rev. 1/81 //uilalng Inspector FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N-~ 2242'/ Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to; .... '.~. .r.~.~ ........ ~~...~.z: ....................... ..... ~ ......... ~.~....,..:~......~.....~:, ....... ....... ~~c< ............ ~ ........ to ................................................................... ..~..L~....~..'.Y. .......... ~ ..................................................... .... z.~ ........ ~ ......... ~~.....~..-.~ ......... .~~ ................................ at premises located at ........................................................ ........................................................... i .......... ~~..?...~:~, ..................................................... CountyTax Map No. 1000 Sectlon,..Z'.~....7.. ......... Block ......... i..~,.,.~,., ...... LotNo ..... ,.~,.~. ........... pursuant to appJicatlol~ dated .......... ~..~.~......../...~... .................... 19.....2 .~..., and approved by the Building Inspector, ~ee ~ ...... .~.~,~ .......... Building Inspector Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957)'non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C., Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00~ Commercial $15.00 Bate ..... :..4 2.-. ............ New Construction ........... Old Or Pre-existing Building ................. Location of Property....~.~.~.~...~...'.~..~...~..~./. ,~.. ttouse No. ' '' ' Street' '~' Hamlet Onwer or Owners of Property..~...~./~/~/.~,..'~..~..~/.~.'.~..~.. .72 County Tax Map No 1000, Section ............ Block .... , ........ Lot ................... Subdivision ................................... FJ]ed Map ............ Lot...,, .................. Permit No. ~ ?..~..~...~...Date Of P e rmit.../.~./../../..~. ?~..Applic ant/~..~~~. Health Dept. Approval ...... ~ ............... Underwriters Approval..~~ ......... Planning Board Approval .... ~/~ ............ Request for: Temporary Certificate ........... Fiual Certicate ........... Fee Submitted: $ ..... ~~ ............ ~ ~~~~~' , ....... co Town Hall, 53095 Main Road P. O. Box 1179 Southold, New Yo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 29, 1995 Mr. Fred Renganeschi 2005 Westview Drive Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. ~ xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22427-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ULATIO,'! PER'~. y. STATE ENERGY CODE FINAL CO~4£h'TS : i ', , ADDITIO{~{A'L COt-__._{~!E{';TS: 765-J.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING ~ ~'~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~ 1 1(~.5~52 BUREAU OF EI.ECTRIClTY ~' ~ ~5 JOHN STREET, NEW YORK, NEW YORK I00~8 ~,te AUGUS? eS, 1995 ~p~fi~,,;,, ~o..,/il~ 87~9~995/95 N 36~161 THIS CE~IFIE$ THAT in the follow~ng location; ~ Basement ~ Ist FL ~ 2~ FL O~ Sec~io~ Bilk Lot u~sexatninedon AUG~ O3, ~995 and found to be in compliance with the Na~onal Elect~cal Code. FIXTURE ~X~ES -- RANGES -- C~KING DECKS OVENS DISH WASHER~HAUST FANS 6 2 2 6 DRYERS ~RNACE MOTORS EUTURE A~LIANCE ~EDERS SPECIAL REC'PT, TIME CLOCKS BELL JNI~ HEAIE~ ~Tt.OUI~ET 0IMPS G.~.C.I:-I ~ ST~ ~C. LIC. 157~ ROC~ POI~ RD. ~DD~ IS~, ~, 11953 G~EeAL ~AGER This ce~ficate must not be altered in any manner; return to the office of the Board if incorrect. (~spectors may be identified by their credentials, COPY FOR,BUILDING DEPARTMENT. THIS COPY OF CERT!EICATE MU~T NOT BE ALTERED IN ~NY MANNER FoRM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT ToWN HALL SOUTHOLD, N.Y, 11971 TEL,: 765-1802. _ .~ : , , . (Bui~i'/,~In~cctor) ' ~, "' ' ' APPLICATION FOR BUILDING PERMIT 3 SETS OF PLANS ~CI-IECK .~' '' '' ....... SEPTIC ~ 0 R.~I ............ CALL .- '. · . · HAIL TO: . · . . ~ iNST'RUCT~iONS , a.' This applicafi/Sn must be comple'tely filled in by typewriter or in ink and submitted to th~ Building Inspector, with pets 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 stkeet ~or areas, and giving a detailed description of layout of property mugt be drawn on the diagram which is part of this appl. 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 permi 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 Occupanc, shall have been granted by the Building Inspector. ' ..... , - ·ce~REBY MADE to the Building Departme/~t ~or th~ iisuance of a 'Building Permit phrsuant to th( B~fldin.oZon~ordinmg ' · ' nc of the Town of Southold, -Suffolk County, N~w .York, and '~ · ' " ' o her'applJcable Laws, Ordinances Reghlation's, for' the construction of.buildings, additions or alteratior~s, ior for removal or demolition, as herein described The appl/cant agrees to comply with all applicable laws ordinances, bu/idin- code housin~ code hnd *~-u~-*i~,-- admit authofize~t inspectors on premises and in building for necessary il~pecti(~ns/) ..... ~, ........... tc .,' , .......... - ' ,...' . . !( iona~t(r¢ of at~licant, or name, if a forporation) ' .,.,.". ~. ~.~. ,~.-z:~z.. ~.~.. ( ' ,___ . (Mailing address of apr~lican~)' ' '--' ........ State whether applicant is, owner, lessee, agent, archi'tect,,eng!ne~r, generai contractor, electrician, plumber or builder. Name of owner of premjs,es · ..'; ,.' (as on the 'tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' (Name and title of co/porate officer) Builder's License No. ' Plumber s L~cense No ..... Electrician's License No ......... Other Trade's License No.. .................... I. Location of land on wliicli proposed work will be done ................................. ..?~...~= . ..~..¢~,<.-.~.~.....~,'~..' '..~..~...~..:./.--.~.c../.~. ..,~..,.~,:" ~.,~i.~I ........... House Number Street Hamlet (~Z.. ' 7.. Connty Tax Map No. lO00 Scction :...: ........ Block ...... ~.:.. Lot ..... ~ (Name) State existing use and occupancy of preuiises and in tended use and occupancy of proposed construction: a. xs ngusean occupancy ........................................... b. Intended use and occupancy ......................... · 3. Nature ofwo;k (check which ~Pphcable): New Building ..... \ddition Alteration ........ oval .......... Demolitior~ .......... Repair .............. Rem Other Work ............ 4. Estimated Cost...~.¢..,~..~.~1~ ~[~ (Description) [ (to be paid on filing this application) 5. If dwelling, number of dwellinP, units .. ,,~r.,/~ ....... Number of d~velling units on each floor ............. · If garage, number of cars j. ' 7 Dimensions ofexistingstructuies ifa~: ,, apcc,y nature ann extent of each type of use · Front Rear .............. Height Nt mt~er .... : ' '~ ....... · ............. Depth ............... of Stories .............. Dimensions of shine structure ~(,ith nlfr.,-,,t-; ~D.epth ' ~ -I~ .......... or additions: Front ..... Rear ...... . ....... i ight ..... . ........ :..Nu b of Stori .... 8 ....................... e ..... i m er es ........ ' '. tit ti Fr ............. · ~i~mensions of eh e new const:mc on: oat .............. Rear ................ ight .. · Nurhb fSt ri Depth 9. Sizeoflot: Front ....... i . .' . Rear . .. . 10. Date of Purchase .... 2~1~. ~'_' ..... .' ",:' · ............ D,ep t h. ............. 1 1. Zone or use d~stnct zn winch prfemises are situated., nner Owner g'ff.~..,~k: .~)/~t..~./.~.: ..... 12. Does proposed construction violate a ...... "-~ ' ' ;" '" ............ ' ........ ......................... .. ~ ,y /.unmg law, ordinance or regulat on' ,d/~ ..... ,, ,..~ ~ ;.z.~ ;.._. · A' '; .... ~.~.,i)l.)Vdl excess fill be removed from premises: Ye Nc · ', .............. Address ..... , . Phone No .............. 15. Ip this property within ~00 feet ~f''a tidal wetland? ~'y'e's'.'.'.'.~..'.'.' No ......... · If yes, Southoid T. own Trustees Permit may be required. .... PLOT DIAGRAM Locate clearly and distinctly alll 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 show street names and indicate whether interior or corner lot. O y. - DEPAR h',:'NT Of' HEALTH "?3 8: O0 .5'. 8$'.~.r.~-.~o.:ff-T o oF i ' · . ~OUNTY OF ...... i-~-~ k.t.. .; . ........................ ' ..... being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) bovenamed. . · ~ (Controctof agent corporate office? 'etc) ' ' ' ' .... F said'o~he'r br Ov)ndrs, and is duly ~uthorized to perform or have performed the said work and to'make and file this ~plication; that all statements containled ~ this application are true tO the best of his knowledge and belief; and that eh~ ~rk will .be?erfo~ed in the~er sbt (orth iu the application filed therex~itli. ' · om to oelore me this ........... ~.~ ~ay~..~.0.....~...., 19 NOTARY PU~at~.of N.~ ' .~ ' ' ~'~ ~ ' ~/~ ............ ~ ............ . ~o, 4Z25~f~ , / ~ ' (Signature ofapplic~t)