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Home My WebLink About17213-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217373 Date SEPTEMBER 30, 1988 THIS CERTIFIES that the building ALTERATION Location of Property 1865 WESTPHALIA ROAD MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 1 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 5, 1988 pursuant to which Building Permit No. 172132 dated JULY 14, 1988 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 RAISE LEVEL & PROPERLY SUPPOAT EXISTING PORCH ON EXISTING DWELLING. The certificate is issued to ED NOLAN (owner, Xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ' UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A l~_l~~ee.-a~~ Building Spector Rev. 1/81 aosas xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_ 017213 Z Dare ...........~........1..`~ 19..~.a Permission is hereby granted t/o~: ta .~sl'.sfrA~:~,,,....,.l~F-~^4~...... ~.l,-~D.>~r~....3~vt....~-~JL~:~!'!:s,~....4~t _n~~ at premises located at ~4.~.......4.M,.IL'4..4!iK(.~r ~lel.G~..................... ........................JJ........................................................................................... County Tnx Map No. 1000 Section ~..C Block ....Q..~........... Lot No....~?.~ pursuant to application doted .......~....aS~ 19..8.., and approved by the Building Inspector. Fee $..~`5.:...~,....... . Building inspector Rev. 6/30/80 a _ ~ _ ~,t.Q, iCa Q . ( J rne. o•0 63oy 43`F D '7n`i~a~ ~ y ~15~i FORM N0.6 ~ TOWN OF SOUTHOLD Building Department Town Hall MOWN OF 80 Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted a~~ to the Building Inspec- torwith the following; for new buildings 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 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. a 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 ' / ...Date 4.Vacant Land C.O. $5.00 Z ~r New Building .....lf....... Old orP~~re-existing Building Vacant Land ...yy.~........ Location of Property .1/.1i .S :..~.gl,Q..,/... ~/P S7'~?~/'.+~ L. ~ ~ D ! /~7'7' ! rU C/C . Hou a No. 1~ A / Street Hamlet Owner or Owners of Property ...I ! ~4 Opr L`~ • tt County Tax Map No. 1000 Section ....l~ 1....... Block ......I......... Lot "7......... . Subdivision .................................Filed Map No. ..,,.pp.......Lot No. Permit No. ~ ~.a, t'.~ . Date of Permit /y~~.g.Applicant 0~~ ~J 8N1' / IBC Health Dept. Approval ........................Labor Dept. Approval Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate ? . i. ~ ~.1.. . Fee Submitted $ pf.4-?':~....... Construction on above described building and permit meets all a licabl odes d gulations. C ®r/~ 3'J~ Applicant j. ~N ~ ~''u?'..... . mac. `'h-®. 3 58 ~ Rev, 10-10-78 4¢'r~~~ TEL. 7GS-1 fi07. ~r. ~ 1;~' Z'~«rrr ~~r• SOUTiIO~.D ! +~'J~~,:i1t~~,, Ori'iCfi OI' F1UILllING IidSPf?CTOR ~ nrz, ti J; :+}~~~~r'r"~S~;,r~ ~ i'.O. UOX 728 S1 ~O~c~,S~~:,;i;?'{b,? ~ T044'iJ IIi1LL SOUI'ffO1.U,N.;.11971 g/~0'~~ To SJlzam This May Concern, 4.7e are unable r_o complete your Certificate of Occupancy becau~c of the following raasons. /z/l An :zpplication for Certificate o£ Occupancy is not cn file. / / `!o Unr-ler;oriters Ccrtificat-e on file. `Phe check i~ (ouCc'.aled/not oa file. /_1 i:o health Dept. Approval on file. I:o final inspection has been made. P]ense contact our office on this matter. Thank yo~z for your cooperation. IIuildinc; Permit II i ? ~ ~ ~ Z . E3uilcli,^-[ UepL-. , ,Yhk/_/ p,lumbor Solder Certificate on file. ( all permits involving plumbing being i:,:niccl Zftcr April Z,19I39 Q.` fie,, _ ~y 1195 l '7 ~-l 3 ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGIi PLBG. ' [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING (FINAL REMARKS: - - i k i DATE ~ 2 ~ INSPECTOR ' "r'1cLD i;:SPEC:IU;J (~llAiE ~ i;OhfMENTS J t. ~ ~ H _ y AN OUIJDATION (1st) - fi'1 c ?OUNDATIOtd (2nd) m 2. z o . ~ DOUGH FRAME & G` PLUMBING ti H 3 . ra ra IIdSULATIOt•J PER N. Y. y~" STATE ENERGY ~ CODE x~ a C r H C FIidAL c,~ Po 0 z ADDITIONAL COMMENTS: x to ' x ro~ H > ' ..G y H ~ O 2 pp a r H x d ~ m -o H TELEPHONED: 29B 8692 -BBB9 A. REILLY & SONS, INC. - MATTITUCK, LONE ISLAND NEW YORK 11982 mp~izD PWni -~O~~r11 D ~Cl~m~ao-nZ~m~nra~~m D Q~r~aZO~Ca7~x2~WU Jy,, ~2~Cyi~ S C~GacoC`~ ~ ~ I ~ ~ czn~cm-i~pZ~egiZVSDC~ l ~c ~ -I m c9 Z n ~a Z ~ O m~~ ~ ~ ~u,~,~aav, zz no w ~ y ' ®e_~n aaOn tpmo2roD ~ o ' ~ ~a~~ D -cim~yrr~~-~i~'~rn ~ I ~°r"~~r z ~ p Om, Jv ~ ~ m ~ ~ w c ~?r ~ I ~ ~UmG~zm ai z m z I m ~ < < -i -m ~ o mDi ~'J~ i - . I i ~ ~ t ~qr~n~ "rza ~ ~ ~ ~ CA C if X ~ Cm~A' a ~'Di. ~ r.~ . m~n ~ ~ ~~G~ ~ _ ~T ~ G` r V ' ~ ~T 1 ~ I L~~ I R7 I ,g ~ ~ I I ~ F V - - - ~ ~i riff I / ~ ~a ~ ~ h `a r t> Iii... 4 z- r t - ~ ~ ~ ~ yl a n I ~ n ~ ` ti f L~. _ I - c~_ I ( _ _ ' ~~II cro r~ r_ BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECx BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 ' ' ' ' ' • ~ • • ~ ~ ~ ~ - MAIL T0: Examined (.7...., 19g~. (p~ cc11 D ~~Cr~a~~ Approved ~1. ~ 7. ~ _ ~ 11 ...,19~~.Permit No............ 1[ypn Disapproved a/c C3L.t~'`.Oks'T'. ,f~ TOWN (1F SOUTtiOLb (Building Inspector) APPLICATION FOR BUILDING PERI411T Date f/.~ 19p~ 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ,4'• e ~ f n w.J C.... . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................~.U./~,:/~,CJ~.c.................................................... Name of owner of premises l.~.~.~-~/, ' . (as on the tax roll or latest deed) ' If applicant is a corporation, signatur of duly uthorized officer. .a~rn~..~.~.~ .~"~~.d (Name and title of corporate offic ) .1 ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. a-9.o,,..,17~.~..C........ . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. ~V~S.:.. ~?~Plj/jL/A „I~,U , , , , , , , , , , , House Number Street Hamlet County Tax Map No. 1000 Section ...~.y.~............ Block ~ Lot ~ . Subdivision Filed Map No. Lot . (Name) 2. State existing t~se and occupancy of /premises and intended t~se and occupancy of proposed construction: a. Existing use and occupancy r~m~~.~... /~,G(/~¢L //~6 ~ . b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration .Repair Removal Demolition ..............Other Work . (Description) 4. Estimated Cost ~ ~ ~ ~ ' ° 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 occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front Rear Depth . ; . Height Nuijtber of Stories . ' D P enstons o ith alterations or additions: Front ~ Rear ~a : ~ ~t ure w ..Height . ..................Number of Stories . De th e`i ~ 8. Dimensions of entire new constriction: Front Rear ...............Depth . Height Number of Stories . 9. Size of lot: Front Rear Depth . 10. Date of Purchase . . ................Name of Former Owner . 1 1. ,Lone or use district in which premises are situated . 13. Wiil lot be re raded , , late any zoning law, ordinance or regulation : . p p g ~ Will excess fill be removed from premises: Yes No 14. Name of Ow er of premises v~ m . ,l~.Q ill..... Address ...................Phone No............... . .~'Jp...... Address ...................Phone No. Name of CP ntrpacto~ ~`..d.'„(0/!S ../I'!e..Address ....:..............Phone No. f1.6.1 . 15. .Cs this ro ert located', with in 300 feet of a tigidal wetland? *Yes No ~ *.Cf yes, Southold Town Trustees PermitPLO~ DIAGKAM ed. Locate clearly and distinctly a1J buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloc)' number or description according to deed, and show street names and indicate whether interior or corner lot. ~/,?l Sc~ ~~tie ve ~ • Gx~sTius~ ~ RcN. /`NSi~til.- I N~lii/ SvPPD.e i PoST, l.~~ac,~ li, i'T'y ~ %~`S; STATE OF NEW YORK, I S.S COUNTY OF grE ~ L {yl~. 1y ~ ~ , being duly sworn, deposes and says that he is the applicant (Name of individual si ing contract) above named. I He is the U ~L.61.~`~. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du~y 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 of , 19 Notary Public, County/~ HELEN •v NOTARY PURII N. DE VOE 9 . . No. 47678'/8; Su folkfCou~~ (Sign ure of applicant) Term Expires ~terch 30,19