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Home My WebLink About17180-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z17069 Date..,JUly 7, 1988 THIS CERTIFIES that the building , A c c e s s.o r y Location of Property 360 WESTVIEW DR. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section ..1,3 9 .......Block ~ .......Lot ...I.? . Subdivision ...............................Filed Map No. ........Lot No. . conforms substantially to the Application for Building Permit heretofore filed in this office dated June 24 , 1988 pursuant to which Building Pernrit No. .1.7 1802 dated ...June 30', 1 988 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 . ,,,Accessory.building: T1te certificate is issued to , , .ROY E. 6 EVELYN M. BASCOMB (owner, QLt$~F~%i~~$a&tl of the aforesaid building. Suffolk County Department of Health Approval N /A, , , , , , , , , , , , , , , , , , , , , , , UNDERWRITERS CERTIFICATE NO......... , N/A PLUMBERS CERTIFICATION DATED: N/A Building Inspect nov. vat Foaat xo. s TOWN OF SOUTHOLD f;U1LDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 017180 Z Dote ............~~.~:S.R....~..c° 19~ Permission is hereby granted to: ~~C.Q...J.l..~.'s~:u~,::~.... I~a. ......nl.:.~.:.....t.~~.~~~--....... ~r f , / ~ p . of premises Iceated ot .s~.!R.O.....~d.l.~A~!..1rtAe4~.. ~!2:.:.........~'.Z. .........................................................................q...................................................................................... County Tax Map No. 1000 Section .....J....~:...1.......`'Block ........Q..~........ Lot No......~.~ pursuant to application doted ........~«~-"~4~...~-.T 19.~.~., and approved by the Building Inspector. Fee Building Inspector Rev. 6/30/80 i ~ J:~....~_s: ~i FORM N0.6 JUN 2 4 I98$ ~ ~ TOWN OF SOU7HOLD i ~ Building Department ~s..rw~.m Town Hall 'rc~WN a€ xC~irl~fOL65 Southold, N.Y. 11971 ~.,.....z,_ 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted to the Building In~ec- . for with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual t natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00° Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 S.Updated C.O. $ 50.00 Date ~ NewCOnstruction,,,,,,O1dorPre-existing Building Vacant Land Location of Property s=-S`! ~`/r -~r~-a d6%, , , , , ,rrf,,~'jTl: i u House No. Srreet Namlet Owner or Owners of Property . s~....~ . /"1 S'~a ry County Tax Map No. 1000 Section Block Lot... Subdivision .................................Filed Map No. ..........Lot No. . Permit No. Date of Permit ~c' ~ • ~ ~-n+~ I ..........Applicant......Y.........~.~:~......~...... Health Dept. Approval . ..Labor Dept. Approval . Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate Fee Submitted $ Construction on above described building and p r it meets all lic codes and regulations. Applicant 0 . ~.~Jo~,~-d"s'.t?m(~ . Rev. 10-10-78 .~s a~a, ~/7/~~ Coz/7a~9 FIELD Js'NSFECTION DATE I COMMENTS ro ~ :r ,J ~ ~ 1 . H o0 H p FOUNDATION (1st) ~ TM T - ~ ~ - I c~ ' ~ f FOUNDATION (2nd) 2. o W 6' 0 ROUGH FRAME & PLUMBING G v, {C. H P. :d CCi 3. ~ y J INSULATION PER N. Y. ~ STATE ENERGY C~,ODE y D y ~ f 4. FINAL © r p~ J o z C- rh ADDITIONAL COMMENTS: ~ 4 H j a tV H O H O ~ z ~ ~ ~ a ? H x rh H "ENO n~1x• a~,~N OGVNG ~^~zr,~ . ~-1 ~ x. nm~.~r~;' W C7 t'7 G y,, O 0 c> z ~ C ~2zCtr±= T= r 7tl ~ ' .x~ ~ C m i ~ ~ ~ ~ ~ r,~ Qj/ ~y _ ~ ~ ~ m H fir,. ~ - Y„3 ...a..,...»..w...,....,......~ff1171~..m„iLl....,_..,~--.- ~ per, ` K ~ ~ " _ _ ~ ,p u ~ R . _ t,. ~ ti ~.a~- 0. J l ' i - (1pJfy~/v1 ,M ' ~ ~ ~ ~ ~ N . ~ ~ ~ ~ rn ro~ i , ~ 0 ~f o ~ a ' .--t _ 7 i. ~ d o" N - - j~ ~ ~ Y? jt1 1 P M O do _ Q o.-~ ~ N s I r- - - B ~ ~ ~ fir" rr ' f ~ - - ~r ~ Ow s u?3C z' ~ 4 0 io --~r Q-; ~ ~ ~ w ~ Z 0 D Q 0 ~ f Q ,F ±D ~ ~ ~ i'T1 m '0 ~ ~ ~ ~`~w~~w o~~D o-n ~Q ~ m~ r i ~ ~ D o m~~~ a~ bAo. ~ ~ F+ a ~ Maso N.I~° ~ ~Y v 47' SQ + N C\ ,s~` N ~ . . ~ m ~ ~~V" ~ 'B ~'?~F m ////yam 0 ! > . . 1 ~ 1 ~ ~ ~ -j ~ / - ~ _ l- ~ ~ . ~ ~a a~; Gwa~ 0 Q a0 ~ 1 • I ~ ' , °S ~ _ 1~ S•'t~°OI'3 ~ iy ~ '•E, ~ ~ 6 J, . ~ Mastery ~ / N ~ A~ \ 'p ~ c ~ 1C7 ~ _ , - % i -~?~a:0.,,, s O .i (~'7 ~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [FINAL REMARKS: CJ~ ~ DATE ~~~INSPECTOR i (l BOARD OF HEALTH ~~~~pi-~LI\~!J~~(I' 3 SETS OF PLANS ~I FORM NO. 1 SURVEY . ~ JUN 2 41988 I TOWN OF SOUTHOLD CHECK . {B BU{LD1NG DEPARTMENT SEPTIC FORM 96,m,a,....,..-~;.a..,.,~.,.~..all_s TOWN HALL t,{.rc;. ot.rr. SOUTHOLD, N.Y. 11971 NOTIFY TOt/1~~1 iY= SOt1Tti0Lt'~ ~ TEL.: 765.1802 CALL MAIL T0: Examined 19 g.~ . . Approved ...~.,{.tp11.1... ~ 19 ~ Permit No. ? ~ UZZ. Disapproved a/c S..rY~.e..`' . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 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 streets 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 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 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, buil g code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary tns cttons. ~~(S ggatul1~t app icant, or name, if a~jcorporatton) ~j (Mailing address of applicant) State whether applicant is w~ essee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..~0/....~`:...~..~"1/h~'L.7.`,/+~..d~J:•••~alc'•~•~'?l:~?•~~••••••••••••••••• (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. ....d?S':'"sP!t! • • • Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . House Number Street Hamlet ~.y....... Block Lot County Tax Map No. 1000 Section ~ Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy oflpremises and intended use and occupancyi~of proposed cyonstruction: r^~ a. Existing use and occupancy ~s~~,~~;r+./~•~• • • • • •~l~'• K-•J71. ~.I... ~ . ~ ;~~-J.l~:•t'.`~~, b. Intended use and occupancy • • ~ L} ~.r ~ +~i) ~ ~ / . • . • • • ..~r~' ...........l.:'~::.,~ i 3. Retuuri of work (check which applicable): New Building Addition Alteration . p Removal . Demolition ..............Other Work .F".x!~~~/,n?,~~Gfb~,E _ (Description} 4. Estimated Cost ....J~. D.~ :.Q.l~ Fee ~Z•cf' . . n\ (to be paid on 61ing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars .....I ...............i................................................... 6. If business, commercial or mixed occupancy, specify*natu ~ and extent of each type of use y.... . 7. Dimensions of existing structure's, if any: Front . ' , , . ,Rear ~ Depth /.-•74...... . Height Number of Stories ..•!~~1:................................................ . Dimensions of same structure with alterations or additions: Front Rear . Depth .....................,..Height , Number of Stories . " 8. ~emh~sions of entire new construction: Front . Rear Depth . g .....NumberofStories 9. Size of lot: Front Rear Depth . 10. Date of Purchase .................Name of Former Owner 11. Zone or use district in which premises are situated . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . 13. Will lot be regraded K.z? . . ...Will excess fill be removed from premises: Ye 14. Name of Owner of premises ~?~./.3.~:ei4rYi. Address-~~+1~w1~."1, ~lk`kL? .A.~Phone No. ~:`~i~.~. ~4f/.... . Name of Architect ................Address ...................Phone No............... . P P Y .................Address ...................Phone No........... . IS.Ismthisontzaotert located within 100 feet of a tidal wetland? *YES....NO.:?.. *]:f yes, Southold Town Trustees Permit may be required. ' PLOT DIAGRAM Locate cleazly and distinctly all's, 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. i STATE OF NEW YORK, 3.S C jO~UNTY OF . •F~ • • • ~!9~•~t~•'•'~•l~•~• • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual si n ng contract) above named. Eieisthe. ~l~..ovi~ !tr ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to.~zeat•-0rm vr~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 set forth in the application filed therewith. Sworn to before me this ............c,2.~....... .day of'il.. 19~.~~. PY Notary Public, t . .d.`~.-.......... County . HELEN K DEVOE ~ (Signature of applicant) NOTARY PU811C, Shte of MewiYatt No. 4707878, SuNalk Coup Term Expire: March 30,19 fl(~~ BOARD OF HEALTH . r~3~.\,~,,,,„~ ~ 3 SETS OF PLANS FORM N0. 1 SURVEY U: K: - ,JIJN Z 4 X988 ~ TOWN OF SOUTHOLD CHECK ....?~!Q L~ . BUILDING DEPARTMENT SEPTIC FORM .,~v,... ~ TOWN HALL -,r,,,,.,, i,~,yu~iieFui~C(1 SOUTHOLD, N.Y. 11971 NOTIFY iE,,.l.a ,.,.,,~,...~,.~.n,~~, TEL.: 765-1802 CALL . p ~ MAIL T0: Examined ......~r!~..., 19 4.. , Approved ..3"~ 19~~ Permit No. ~ 7~~V Disapproved a/c ..i.!`~.........,.............. (Building Inspector) APPLICATION FOR BUILDING PERMIT , Date 19 INSTRUCTIONS 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 streets 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 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 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, buildin ode, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe t s- ~ (Sigq ture applicant, or name, if a corporation) 3 Ate... ~~~~t~~. (Mailing address of applica~t) State whether applicant ' owner essee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~ ~"°rf~L"?°•~•••~•%:••r-•~~r~`_'C~r++-~•~3•••••••••••••••••••• (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. 6;t~?"rt0!L/ • • • • • • • • Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . House Number Street Ham]et % s 'S County Tax Map No. 1000 Section . ~ Block Lot . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises nd intended use and occupancy of proposed construction: a. Existing use and occupancy • • • • • • • • • • • • • • • •~.,e...:-fi~~~.®~ , b. Intended use and occupancy • • r- • • • • • • • ~ • , , n . , w . 3. Nature of work check whiRemq licable): New Building Addition . , Alteration . ( P Repair val . Demolition , ..Other Work ~nl$,,T/.N, ~z ~ (Description) 4. Estimated Cost ~.~~av: . Fee , . ,,-~5 . g g i p,` (to be paid on filing this application) 5. If' dwellin number of dwellin pnits Number of dwelling units on each floor , . If garage, number of cars ....................t......,............................................. 6. If business, commercial or mixed occupancy, specify~nature and extent of each type of use . . 7. Dimensions of existing structure', if any: Front , , , , , , ,Rear . , , Depth . Height ...............Num!berofStorics....,...............,...............................,... Dimensions of same structure with alterations or additions: Front Rear , . Depth . Haight Number of Stories . 0 $ Hemh~sions of ~ fire new c Num ction: Front dV, ~ Rear ..../.'P.:....... Depth ~ . g ~ ber of Stories , ~ . . 9. Size of lot: Front Rear Depth . 10. Date of Purchase , ,~i . . . . . . . . Name of Porrner Owner . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: !~.D . 13. Will lot be regraded ' , ,Will excess fill be removed from premises: Yes 14. Name of Owner of premises'~a ,l~,fi{C®,,vt ~3, , , ,Address ~ :E~~' . ~ ~~.R!•V,~S"7. ! . /~.~-Phone No.. `7'~-..i'rb:~j... . Name of Architect . . .Address , , ..........Phone No............... . Name of Contractor , 15.Is this property loca.••.,•,•,,,.""•Address Phone No............" )ed within 100 feet of a tidal wetland? *YES....NO.IJ.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block pumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUN'T'Y OF $.S . I ~U (Nam div dual~gni ~ ~ ' ' ' ' ' • • • • being duly sworn, deposes and says that he is the applicant 1tg contract) above named. He is the n~1f~,C_...... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized 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; set forth in the application filed therewith, Sworn to before me this ~ ~ .~....day~o/f, , 19 Notary Public, ,N;r-CQ!rc., , , 1t,•~~ , ~.C, ~d,•C-; , , , , County ~~!'t~-. NOTARY p 9U6 SGi M New Yorh . ~l/~~ • • • . Tor~m•Ezpir~M~trch~30~,1~n~ (Signature of applicant)