HomeMy WebLinkAbout21527-zFORM NO. 4
TOM OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24693
Date OCTOBER 24, 1996
THIS CERTIFIES that the building ACCESSORY
Location of Propert~ 1330 WESTVIEW DRIVE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map NO. 1000 Section 107 Block 7 Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 24, 1993 ~ursuant to which
Building Permit No. 21527-Z dated JULY 12, 1993
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 ABOVE GROUND SWII~ING POOL WITH FENCE ENCLOSURE AS APPLIED FOR
The certificate is issued to RICFIARD & KAREN FIELD
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
PENDING - OCTOBER 15, 1996
FO~M NO.$
TOWN OF $OUTHOLD
BUILDING DEPARTMEN~
TOWN HALL
SOUTHOLD, N.Y.
N-° 21527 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission Is hereby granted to:
/~..o...... ~.../.,~_........~...4.: .................
.~ .......... ~~.....~ ................................................................................................
at premises located at....../,,..~.....'~...~...~....~,.~,...~...~. ........................................................
...................................................... ........................................................................
Coun~yTaxMap No. 1000 Section...,, ./....~?..Z ....... Block ....... Z .............. Lot No..,, ./.../.... ..............
pursuant to application dated ......~.~...~... .................................
Building Inspector.
Fee 8..~,~,,~'.
19,../~....., and approved bythe
spector
Rev, 6/30/80
TO~N OF SOUTHOLD
BUILD !5IG D EP~RTMENT
TOWN
765-i~02
.%PPLICATION 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:
!. Final survey of property with accurate location of all buildings, property lines,
s~raets, 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/!0 of i% 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.
For ex~sting buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
t. Accurate survey of property showing at! 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
r~aso~s 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 Buildinm - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $I5.00, Commercial $i5.00
Date . . . .--. . :: >. .....................
New Construction ........... Old Or Pre-existing Btkitding ................. ·
Loc&~ion of Property..HouseL¢. ~o.. '~/' '~' '~'/~' ' '
Onwer or Owners of Prop~rty.~'~..-..6~:..~.g~...~.~...Y~/..~;..~....~.....~..~...~.---.: .........
County Tax Map No 1000, Section .............. Block ................ Lot ......................
Subdivision
.................................... Filed '~-c~.a~ ............ Lot ......................
Health Dept. Approval .......................... Unde_~-writers Approval .........................
Planning Board Approval
Request for: Temporary Certificate ........... Final Cerricata ...........
~OU~DAT~O|!
~OUOH FRAME &
-PLUMBING
~SULATIO:I PER N.
STATE ENERGY
CODE
FI~AL
(lst)
(2nd)
ADDITIONA'L COMMENTS:
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
December 14, 1995
Mr. Richard Field
1330 Westview Drive
Mattituck, NY 11971
Re: Building Permit ~21527-Z
Premises: 1330 Westview Drive, Mattituck
Suff. Co. Tax Map #1000-107-7-14
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] IN. ION
[/~INAL
DATE INSPECTOR
765-~,802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] INS~JLATION
[~INAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~~ ¢~
INSPECTOR
Examined . ~ ............. 190
Approved ./.2:-. .......... 19~. Permit No..~.../9~.'~. 7.//
Disapproved. a/c '
· .......... .......
N?lFY ~UILDtNG DEPARTMENT AT (~ilding/l~a~pector)
76~-1802 9~'AM 1'O'4 PM FOR THE ' '/ --
~ .... . APPLICA1 ION FOR BUILDINGPERMIT
FOLLOWING IN,:~PcCTIONS:
1. FOUNOAT[ON 'fWO REQUIRED
'~ 2. ~OUGH ~ FRAMING ~ PLUMBING INSTRUCTIONS
BOARD OF HEAL'ri{
FORM NO. 1 3 gETS OF PLANS
TOWN OF SOUTHOLD SURVEY
BUILDING DEPARTMENT
TOWN HALL SEPTIC
SOUTHOLD, N.Y. 11971
TEL,: 765-1803
Date .................. , I9...
, 4 F,.~q,:q , CQNSTRUCTION MUST . '
a.' ~j~l~[!~,~be completely filled in by ~pewfiter or in ink and submitted to ~e Build~g Inspector with 3
sets ~ ~7~ . [~ t Fee according to schedule '
~H~I~~ l~t~o~l~t and of build,us on premises, relationship to adjoining premises or pubic streets
or a~n~3~?~O[~le~d~¢n of layout of property must be drawn on the diagram which is pa~ of this appQ-
cati~oES. NOT RESPONSIBLE FOR
~E~~R~tJon may not be commenced before issuance of Building Pemit.
d. Upon approval of this application, the Building Inspector wffi issued a BuUd~g Pemit to the app~cant. Such pemit
shill be kept on the premises ava~able fqr ~spection flzroughout the work.
~~e occupied or used in whole or in p~i ~'or any purpose whatever until a Ce~ificate of Occup~cy
shal[fiave bg~ted by the Building Inspector
APPLICATION IS HEREBY MADE t6 the Build~g Dep~ment for the issuance of a B~Iding Pemit pursuant to thc
Building Zone Ordinance of the Town of South01d, Suffolk County, New York, ~d other appUcable Laws. Ord~ces or
Regulations, for the construction of buUd~gs, additions or alterations, or for removal or demolition, as here~ deschb~d.
The app~cant agrees to comply with all app~cable laws, ordinance, bu~d~g code, housing code, and regulations, and to
admit auth°fized~spect°~°npremisesandEbuild~gf°rneces~7'i~~-- ,,IMMEDJATE YJ' ........
.,-- poOL~,COU~ (Signature of applicant, or n~'e, if a corporation)
u~6~ '~ATER ' (Mailing address of applicant)
State whether appli~hnt is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder.
Name of owner of premises ............ / .................. ~ ..............
(as on the tax roll or latest deed)
If applicant is a corporation, signature of dul~; authorized officer.
(Name and title of corporate fi, f ricer)
Builder's License No ..........................
Plumber's License No. ........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land ~n which proposed work will be'done ..................................................
ltouse Number . Street . Hamlet ~
Cou'nty Tax Map No. 1'000 Section . A..Q .'.-? ........ Block .. ~).'.'Z. :.(~..~..' Lot., .~../.~..~..~..~. ....
SubdivJslon Filed Map No. Lot
(Name)
State existing use and occupancy of premises and in ten,&JtJ ustc and occ, v, tpancy of proposed construction:
a. Existing Use and occupancy .............. / .~,..d~. ~.f'.~. ' ~~. '
b Intended ' ' ' '
.. use and occupancy ............. ~.,.',;..h~- .. ~..~ ......
· 3. Nature of work (check which applicable): New Building .......... Addition .......... ' AJteration .. ,..,~..
Repair .............. Removal .............. Demolition ....
n)
(to be paid on filing ~?h~s 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 mLxed occupancy, specify nature and extent of.each type of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of shme structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height .......... : ........... Number of Stories ......................
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories ....................... , ...............................
9. Szze of lot: Front ...................... Rear ...................... Depth ......................
10. Date of Purchase .................... ' ......... Name of Former Owner ..........................
1 1. Zone or use district in which premises are mtuated .....................................................
12. Does proposefl construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ....... ; .................... Will excess fill be removed from premises: Yes , No
14. Name of Owner of premises .................... Address ................... Phone No ............ ,...
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor .......................... Address ................... Phone No ............ .*...
[5. Is this property within 300 feet of a tidal wetland? *Yes ........ No.~ ......
· If yes, Souchold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description accordin lo d e d show. street names and indicate whether
\ l [ ;.CLOSe POOL TO COOE
\ ~ f ~ - uPON cOMPLETI_O,,N
'1
STATE OF NE~ YORK,
COUNTy OF .................
OCCUPANCY OR'
,SE tS !3NLAWFUL
HO[iT CERTIFICATE
OF OCCUPANCY
S.S
cl
........................................ - ......... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ........................................... ..' ............................... · ..............
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed thfl~-~id work and to make and file this
application: that all statcments contained in this application are true to the best ff[hi~'knowledge and~.~lief; a~tha.t the
work will be performed in the manner set forth in the application filed therewith~
Sworn to before me this
". ........... (7", ........ L ...... - ........... / ) /?
- aovc~ M. mtK~ ....... /~.. '. .... 2. ~ .........
(Signature
of
applicant)