HomeMy WebLinkAbout21752-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22722 Date
NOVEMBER l0w 1993
THIS CERTIFIES that the buildin~ ADDITION
Location of Property 1935 WESTVIEW DRIVE MATTITUCK~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 107 Block 7 Lot 5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 14~ 1993 pursuant to which
Building Permit No. 21752-Z dated NOVEMBER 1, 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 DECKING IN REAR OF HOUSE - WATER SIDE "AS BUILT"
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
JOHN J. & JANET T. CONFORTI
~ui~81ng Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hail
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22723 Date NOVEMBER 10, 1993
THIS CERTIFIES that the building. STOVE
Location of Property 1935 WESTVIEW DRIVE
House No. Street
County Tax Map No. 1000 Section 107 Block 7
Subdivision Filed Map No.
MATTITUCK~ N.Y.
Hamlet
Lot 5
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 14, 1993 pursuant to which
Building Permit No. 21752-Z dated NOVEMBER 1, 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 WOOD BURNING STOVE TO APPLICABLE CODES AS APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
JOHN J. & J~ET T. CONFORTI
J~ding Inspector
Rev. 1/81
FOgM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAI.L
SOUTHOLD, N.Y.
N~ 21752 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL
COMPLEtiON OF THE WORK AUTHORIZED]
Permission is hereby granted ~:
',~....&~...~:~ .............................
....z..~_..../_~//_~//~. ~2~, ........................
.....~,%-~. .,....,...~ ........ ~.. .................... ,
........ ....
Coun~yTax Map No. 1000 Section .,.,, .~..~..~.. ........ Block ....... Z ............... Lot No ..... ~-~ .-~.. ...............
pursuant to application dated ...... /~.../.../~... .................................. 19.~..~... ....... and approved bythe
Building Inspector,
Fee S..Z~'~...
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
. APPLICATION FO~ERTIFICATE OF OCCUPANCY
This application must be filled in' ~ typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'.'pre-existing" land uses:
i. 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.
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. Certifica~te of Occupancy on Pre-existing Building - $i00.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.O0
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building ......... ~..'0~ac~ks as built)
Location of Property..~.9.3.~ ............. Westview Drive Mattituck
House No. Street Hamlet
Onwer or Owners of Property..J.o.h.n...J....C. 9.~.f.o.r..t.i' .a.n..d..J.a.~..e.t..T.....cp.n.f.q.r.t,i' ...................
County Tax Map No 1000, Section...1.0.7:.0.0. .... Block...Q7....0.0. ....... not...QQ.5:.0.0.0. ...........
Subdivision .................................... F%led Map ............ Lot ......................
Permit No..~25..2..~..Date Of Perm{t ................ Applicant .............................
llealth Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ......... .' ..............
Request for: Temporary C~rtificate ........... Final Certicate....X. ......
Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
· 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:
1. 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'-'pre-exist~ng land uses:
Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
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.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterationa to dwelling $25.00, Swiinming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $i00.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.OO
ew Construction ........... Old Or Pre-existing Building ..... ¥....(~pp~..~.urning stove) as built
ocation of Property. 1935 Westview Drive Mattituck
House No. Street Hamlet
]Wer or Owners of Property....J. qh..n..J....c. 9.n.f.o.r..t.i' .a.n..d..J.a.n.e..t. %...c. 9.n.f.o.r..t.i ..................
)unty Tax Map No I000, Section...1.0.7.~O.0 ..... Block .... .0.7.,O~ ...... Lot .... .0.qs.,pp.0. .........
~bdivision .................................... Filed Map.. .......... Lot ......................
'rmit No ................ Date Of Permit ................ Applicant .............................
'alth Dept. Approval .......................... Underwriters Approval .........................
arming Board Approval ......... ; ..............
'quest for: Temporary Certificate ........... Final Certicate...~ .... ~..
e Submitted: 25.00 ~
- ......................
FOUNDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
TITI.I~
I
SCAL=.' "lQ '~/''
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
Examined
Disapproved a/c ...
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
B~AKD OF HEALTH
3 SETS OF PLAH$
SURVEY
CIIECK .
:::::::::::::::::::::::::
HAIL
Date ..... 199..3.
a. This 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 public sti'eets
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 this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shah 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 Permi{ pursuant to the
Building Zone Ordinance of the Town of Southold, .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 described.
The applicant agrees to comply with all applicable laws, ordinances, bui/ding c~gde~ hgus/~ code, and regulations, and to
adtnit author/zed inspectors on premises and in b~ilding for necessary ~) (~ . . .
1935 Westview Drive, Mattituck, NY 11952
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, ge~erai/contractor, electrician, plumber or builder.
Owne~7 ...................................................
N~meofownerofpremises.........John J. Confetti and Janet T. Confo,r. ti '
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No.' ....... I~I[.A. ..............
Plumber's License No ....... ~[~-. ..............
Electrician's License No ..... I2/g. ..............
et er Trade s L~cense No .... ~/A ..............
1. Location of land on which proposed work Will be'done· :
1935 Westview Drive Mattituck
[louse Number Street Hamlet
cotmty Tax Map No. 1000 Section ... ~[.0.7., 00 ........ Block 9 7...q0... ' Lot...0.0.~, 0.0.0. ........
Subdivision N/A
........ . ............................. Filed Map No ..... .-. ........ Lot .... r ..........
(Name)
2: State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy..................Wood burning. ~t;9.v.e. as built
b. Intended use and occupancy ~. .. W:e. qq]. bro:nJ~ng.' .stoFJe .as. J%.u.i..1.t ..........................
.3. Nature of work (check whzch applicable): New Building ........ Addition .......... Altera~r~ ~ .15Q2~flQ. .
Repair .............. Removal ·: ...... :.. Demolition ..... ; ......... Other Work.~{~e .........
~. .c./i.~' c/~'. . ' . ' (Description)
4. Estimated Cost : · Fee .. $35...Q0 ....
i (to be paid on filing this application)
5. If dwelling, number of dwellin~ units .... I~{,A. ....... Number of dwelling units on each floor T
If garage number of cars ~I./A ................
6. ~.busin.ess, co..mmercial or mi.xid occupancy, specify nature and extent of.each type of use .... ~./.A. .............
N/A 7. u~menmons or existing structures, if any: Front ............... Rear ............... Depth ..... · .......
Height ............... ~umber of Stories... :. ~...: .......... .... ' ...............................
· Dimensions of shine structur,. With alterations or additions. Front ................. Rear ..............
DD.epth .................... i' · · Height ........... ' ........ ,.. Number of Stories ........... ; .......
:q/A 8. ~mensions of entire new construction: Front .............. : Rear ............... Depth ............
.Height ............... ,N, umber of Stories . .' ....... . ......
9. Sizeoflot. Front 7.5.0 . ' n~r 75.51~ ........ ~ .... :- ........-'.~;';-'" :~- ~
Da' ~,,' - "'2,~d;.;~ ...................................... Depth ..z.q~,~..~.%p/...q...
10. te mrurcnase ... ¢/,e.4/.l~ ........ · ......... Name of Former Owner ~r.a-gc.o.s .~q~ .~ic~.s,. Inc....
11. Zone or use district in which pr~misesare situated..t~p ............................... i.iiii, i..
12. D°es proposed constrnction violate any zoning law, ordina~ce or regulation: ...ig0 .........................
s.'" '. ' . " ' ' ' No
Name of Architect ... ................ Address ....-.-: ............. Phone No .... ':-: ..........
;u/.a ! ·
Name of Contractor .................. Address ............ Phone No ........
q/ 15 ' 300 ...................
· 'I.s this property within feet of a tidal wetland? *Yes ........ No .........
· If yes,'Southoid Town Trustees Permit may be required.
". i' PLOT DIAGRAM .
Locate cleariy and distinctly ~lli bulldogs, whether existing or proposed, and, indicate ail set-back dimensions from
property lines. Give street and block humber or description according to deed, and show street names and indicate whether
interior or corner lot.
N~'rl~ BU&D~N'G OEf'ARTK~tT AT P.O. dated 8/4/80.
'?~. 't 802 '9 AM m 4 PM FgB THE
~ FOHNDATION ~. REOUIRED
FOR POLll~EO CONCRETE
& [::l~tAL CONSTRUCTION t~UST
BE COMPLETE FOR
ALL (,OMoTRLJCTIOhl SHAtLj MEET
Tt~E MEOtJIREMENTS OF TH~
S~&'FE CON,~TRLILTION & ENERGY
t,.O[,ES, NOT RESPONSIBLI~ FOR
STATE OF NEW YORK.
comrrv ....... .S
· . JoHN J. CONFORTI ,
(Name of ~ndzwdual mgm~g contract) ..... being duly sworn, depose~ and says that he is the applicant
above named.
p.w. ner i '
Heis the ' '
I (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dulYlauthorized to perform or have performed the said work and to'make and file this
application; that all statements contained in this'application are true to the best of his knowledge and belief; and that the
work will be performed in the manner ~et forth in the application filed therewith.
Sworn to before me this
14th
day of I e
~ICK~V~AN
AF~PROV E.D: