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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: