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Home My WebLink About22194-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23833 Date AUGUST 24, 1995 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 435 WESTVIEW DRIVE House No. Street County Tax Map No. 1000 Section 139 Block 1 Subdivision Filed Map No. MATTITU~K, N.Y. Hamlet Lot 23 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 1994 pursuant to which Building Permit No. 22194-Z dated JULy 18, 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 FINISH SECOND FLOOR IN EXISTING ONE FAMILY DWELLING AB APPLIED FOR. The certificate is issued to PAMELA J. SELLARS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL W/A UNDERWRITERS CERTIFICATE NO. N-354377 - JUNE 8, 1995 PLUMBERS CERTIFICATION DATED AUG. 18, 1995 - HEHTBAND PLUMB. & HEATING Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARI'MENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE'flON OF THE WORK AUTHORIZED) ............................................................ at premises located at.................~..-~...~....... . .................. . ' .......................... ..................................................... ~~.z~ ....... ~..Y.,...~.,. ............................. z 3 .?'. ..z. CounlyTaxMapNo. lO00 Secllon ...................... Block ....................... LolNo. 2,,-,~ pursuant fo application dated ........~.....~...,../~....~.....~.. ..................... ] g..~...~... ...... and approved bylhe Building Inspe~. ~ee~....7,.,¥..~ .... Rev, 6/30/80 Building Inspeot~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1195197 BUREAU OF ELECTRICITY [--- 88 JOHN STREET, NEW YORK. NEW YORK 10038 /)ate JU~ O8,1995 ~pplicatJon No. o,~ 8546~19G/94 }~ 354377 ~lS CE~IFIES THAT PAM SELLAR, 435 WESTVIEW DRIVE, MATTITUCK, N.Y. ia,h~Iotlo,~ia~ loc.rio,; [] m.eme,t [] x,t ri. [] 2,a n. GAR/OUT .~tian m.~ ~as examined on J~ 05 ~ 1995 and found to be in compliance with the National Electrical Code. rot 3 fiXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 9 7 DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET OT#ER APPARATUS: HOTORS:~-I H.P. ,1-F H.P. G.F.C.I:-3 sHaKE DETECTOR: -1 E R V I C E NO. OF CC. COND PER ~' A. WG OF CC. COND ~0. OF HI-LEG EABAT ELECTRIC 50 PAT LANE ~ F~ATTITUCK, NY, 11952 LIC. #4204-E 11 ? This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR .~UILD~G DEPARTMESJT. TH~S COP~Y OF C~T~CATE MUST NOT SE ALTERED ~N AI'~Y 'I'DHH Of SOU'IIIOI,D BU I[ I,D ! fig DEl'AR I'(IF, H 1' 'l'OWH IIA[,L 765-1802 AI.'I'I,LGATIoN FOR CEIFI'IFICA'H: OF OCCUI'ANr,;y A. 'l'h~s oPPJ. Lcntlon musl: be ['ttLed tn by I, ype~,~ltnr OR ~.,Ic ~ml sulm~tl:ed ~o tim 3. Apptovn[ o[ eJ. ectrl, c~uJ Jnsl:ol[~ :~oil [rom Bonrd of Fi. re J. es~ l. ilnn 2/10 of J% lc.cl. 5. ~o"",~rci;tl buiJ. tlh~/~, ~nclustrj[lJ. bu~ (l~ tespons.il)le [o[ Lhe bui.td.lnB' 6. StlblllJ. l: FJ[mnJ. ng J~ollt'(i Apl~l:ov[tJ o[ eltl]) I'tetl ,J.l.e pt;Ill re(ltl~BiItgllL~' Jre~ exJ. stt. ll~ I jJd~llBfi (pl/J. ov to Aprj..I. 9, 1957) llOll-COll[OtllJll~ uses, or bu~.l(lJ, ngs I-e e s Al te~nt[o,s to du~J.tl.nh ,$25.00, St~,immjnt~ pool. $-o. OO, Accessory [)t.tJd[ng AddJl:ioits l:o nccessot-y buJ. tdi~g $25.00. llus~nesses $50.g0. ' 2. Certi[tcat. e of Occupancy on I're~exjstin~ BuLIdin[t - $100.OO 3. Copy of Certi[).cate o[ Occupnncy - . ~,,~ ~., r~,~y~e~,~ ', (.~...~ ~. ~ .... Ile~ Gonnl:[Ucl:[on...~.~.. OJ, d Or l've-exZs(:~,8 B.L.I. dL,8 ............ IIouse No, ' ................. ~:.~,,~ 'r.~ .,,..o 1000, ~:.~,,..~.~ ....... ~ ~ ~/ . . .~ ~ ' .... ~ ...................... I'~ led flnp ........ Lot I['~]~h Dep[ Applova[ .......................... Ihider~.~r[t~rs Approvo[ ........ 'J~nn[n8 ~oard Approvu[ ........................ -co...~ 8 3~ " .. :,:.: .................... :ISULATIOH PER 'N. STATE E}IERGy · ' CODE FI;ML Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 76,5-18'23 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE: Augus% 15, 1995 Building Permit No. ~ / ~ --~- Owner: _~lVhq~/Ct ~-~', ~(~ .// ~ (p~ease print) Plumber: Bertsand Plumbing & Heating, Inc. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. · (Plumbers' Signature) Sk~~ to~efore me this 18th day of August Notary Public, Suffolk 19 95 County EII. EEN M, ROACHE Notary public, State of New York No. 4826942 Qualified in Suffolk County Commi~i~h ~gites Janua~ 31, Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 12, 1995 MS. Pamela Sellars P.O. Box 278 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) 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. xx No Plumber Solder Certificate on file. ~ (All permits involving plumbing being ~J issued after April 1, 1984). --~ ~ BUILDING PERMIT ~ 22194-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-t8~2 BUILDING DEPT. INSPECTION FOUNDATION ~ST [~ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING REMARKS: FINAL DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ~//FRAMING [ ] FINAL REMARKS: ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 :~ ~~,,. TEL.: 765-180;3 ~xamindd~,~ - . 1 Approved... ~%.~., 19~Teermit No . Disapproved ak ' ........... APPelATION FOR BUILDING PERMIT B~ARD OF HEALTH 3 SETS OF PLA~S SURVEY ................... CIIECK ......... ~ ..... SEPTIC FORH .............. MA~L TO: APBROYED AS NOTED 765-1802 9 AM. TO 4 ~ FOR THE FOLLOWING iNSPECTiONS: ~. ~OUNDA~O~ T~mO REOUIRED 4, ~ . O-.""]~h_iCTJON MUST INSTRUCTIONS ~ a. Tiffs 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 publ/c stkeets onareas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/o cation. c. The work covered by thi§ application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will i~sued 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 South01d, 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 describbd. The applicant agrees to comply with all applicable laws, ordinances, b~lding code, housing codec, and regulations, and to admit authorized inspectors on pr em ises and in bu il ding for ne ce~~~~_ ../~;./~~~' '~ '/~' · · ~~' ~ .~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general 'contractor, electrician, plumber or builder. ........ .............................................. . .......... , ................ Nmne of owner of premises ...... .~..~. [ 6L .~. ~. ~..c~.. 1 .I ~C~..~. ..................... .............. (as on the tax roll or latest deed) If applican{ is a corporation, signature of duly authorized officer.' (Name and title of corporate UNDERWRITERS 0ERTIFICA~'£officer) Plumber s License No · Electrician's License No. Other Trade's License No. 1. Location or,nd on which proposed work ~i'll~e~}A~-~ ~..~:~.{ ~ j~':~g~ ~ ~'[" ~9[I[~Mfi,TS O[ .~,fi N.~ ,"house i~um" ' bet ...................... ~'~ . County Tax ~ap No. ] 000 Section ............... '. B]oc~ ............. :... ~ot ................... SubdivJsinn ........ . ............................ '. Filed Map No ............... ~ot ............... (Name) 2: State existing Use and occupancy of premises and intended use and occupancy of proposed construction: b. lntended use and occupancy ~/~..~ '3. Nature of work (check which applicable). New Bul ding .... Addition .. ....... ...Altera_.tJgn~/~/) Repmr .............. Rem:oval .............. Demolition .... ; .... Other Work..'~...' o (Description) 4. Estimated Cost... r ...... 53>'~w' · ~ .................. Fee ....... ;~; ............................. ' (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 o,-,-,,,- .... ' ................................... ' c .... vancy, specny nature ana extent of.each type of use ........ 7. Dimensions of existing structur s, if any: Front ............... Rear .............. Depth .......... Height ~urCber of Stories ' Dimensions of shme structur ............... ' ............................. ~ with alterations or additions: Front Depth ' I Height ............... Rear ................. .................... "' ' · ...... ' Num her of Stories ' 8 Dimensions of entire new construction: Front ............ "' ' ' Rear Depth Height Number of Stories ............................................. 9 Size of lot: Front .' · Rear 10 Date of Purchase ' Depth · ' Name of Former Owner ...................... 1 1 Zone or use district in which premises are situated ............................. 12 Does proposed construction violhte zoning law ............................................. . · any ordinar~ce or regulation: ....... 13. Will lot be regraded ...... ' i ............. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ... I ........ , ........ Address ......... .......... Phone No ............ ;.... Name of Architect .......... ~ Address Name of Contractor ................... Phone No ................. ' ' ........ i ................. Address ................... Phone No .............. 15. I.s this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Tlown Trustees Permit may be required. ' .... PLOT DIAGRAM ., Locate clearly and distinctly all ibuildings, Whether existing or proposed, anddndicate all set-back dimensions from property//nes. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. I .~ ,./STATE OF NE~t~-~K~F_/~ $ ..... ~' · ....... 5.5. .. being duly sworn, deposes ~d says that he is the applicant (Name of individual signingNontract) ...... ~bove named. (Cont ag nt po file ) ~ ractor, e ,cor' rate o er, etc. said owner or owners, ~d is duly a~ttiorized to perform or have perfo~ed the said work and to m~e and file this pplication; that all statements containdd ~ this application are true to the best of his knowledge and belief; and that the zork will be perfomed in the manner set forth in the application filed therewith. wom to before me this~ . j ~ ... ........... .... Qualified in Suffolk CouP. ~ ' // ' (S gnature of applic~t) Commi~ion ~.ire, De.mba, ~, 1~4[ , ~ ~ . F® ERTIFICATE REQUIRED , ,~ LUMBING · WATER LINES NEED TESTING BEFORE COVER~G CERTI£/~:;:i;'7:2 OF' OCCUPANCY $OL]:~-R USED ~1~/ WATER SUPP£Y SYSTEM CANNOT EXCE£D 2/'10 of I% LEAD. If ¢oppe[ lubin(~ is used for water dist¢;budng system; pipinfj shall be of types K_.or L on!y. ~r BLDG. DEPT, TOWN OF $~)~"r'~O~LD ~