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Home My WebLink About23604-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24781 Date DECEMBER 5, 1996 THIS CERTIFIES that the buildin~ ADDITION Location of Property 740 WOODCLIFF DR.&2380 WESTVIEW DR. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 8 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 12, 1996 pursuant to which Building Permit No. 23604-Z dated JULY 12, 1996 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 INSTATJ. NEW FURNACE FOR EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. BEVERLY BO~-r~.~ (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE DATED 7/3/96 ELECTRICAL INSPECTION SERVICE INC. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 I~0~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted ~o: . Court" Tax Ma- No 1000 Section . Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. 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 ~ Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ~. Fees i. 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-existinR Buildin~ - $100.00 3. Copy of Certificate of Occupancy - -..25¢ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......... ....'II'.Z.~.7.~. . .. ................... Jew Construction ........... Old Or Pre-existing Building.....~.. .......... ~ocation of Property..~ ~.~'~....~ .~.~y.~ .o~....~./~. ~ ~ ......... ./¥.~.~..~.~ .~.~.~. ~ .............. House No. Street Hamlet )nwer or Owners of Property ................... f ........................................ .ounty Tax Map No 1000, Section .............. Block ................ Lot ...................... ~ubdivision ................................ .... Filed Map ............ Lot ...................... i~ermit No~.~.9~..~..Date Of Permit ................ Applicant.~O./~.l!'~.~¢~ ........ ,~ealth Dept. Approval .......................... Underwriters Approval ......................... 'lanning Board Approval ........................ ~equest for: Temporary Certificate ........... Final Certicate ........... ~ee Submitted: $ ..... ~:.~. .................. ~~~ Co -?- OIL BURNER Certificate of Inspection Name Beverly Boehle APPel2568 Location: 740 Woodcliff Drive, Mattituck, NY Applicant: Reliance Fuel Oil Assoc. Address: 77 South Street - PO BOX 868 Tel. No~ 475-4754 Ua Nb 2901-RE Sxpire~: ELECTRICAL INSPECTION SERVICE, INC. 375 DUNTON AVENUE EAST PATCROGUE, NEW YORK 11772 TEL: (516) 286-664/~ _ · ............. ~' ................................ r'"-""-',~--~;"';~_ ............... Town Hall, 53095 Main Road P. O. Box 1179 Soulhold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 19, 1996 PeLto Reliance P.O. Box 788 Smithtowu, N.Y. .11787 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is / not on file. (Enclosed) XX No Underwriters Certificate on file.~~J, The check is (not on file.)$2§.00 ~/ No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23604-Z (BOEHLE, BEVERLY) Please contact our office on this matter. Thank you cooperation. for SOUTHOLD TOWN BUILDING DEPT. cc to: Beverly Boehle 2380 Westview Dr. Mattituck, N.Y. 11951 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULt' [ ] FRAMING [/~'~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ! ". DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [[ ;,~TION [ ] FIREPLACE & CHIMNEY DATE /~/~~ INSPE~ · BOARD HEALTll .... '.'~ . '; FORMNO. 1 3 SETS OF PLA~{S ....... TOWN OF SOUTHOLD SURV£¥ ................. ,'~ BUILDING DEPARTMENT CilECK TOWN HALL SEPTIC FOR,H . o · , SOUTHOLD, N.Y. 11971 TEL.: 765-1802 HA ~ L Examined ^pproved ................. No Disapprove ............. . . ....... (Building'InspeCt · ' AP BUILDING PERMIT ' Date ... INSTRUCTIONS a. T~s application must be completely filled in by ~pewfiter or in ink and submitted to the Buildhg Inspector, with ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of build~gs on premises, relationship to adjoining premises or public state' r areas, and giv~g a det~led description of layout of property must be drawn on the diagram which is part of this appl ation. c. The work Covered by this application may not be commenced before issuance of Budding Permit. . d. Upon approval of this application, the Building Inspector will issued a Bu~d~g Pe~it to the app~cant. Such perm~ 1~1 be kep~~le for inspection throughout the work. e. No buildin~ occupmd or used in whole or in part for any purpose whatever until a Certificate' of Occupanc mil bare been granted bY the Building Inspector. APPLICATION IS HEREBY MADE to the Bulldog Dep~tment for the issuance of a Building Pemit pursuant to th uilding Zone Ordta~O o~ the Tbwn of Southold, Suffolk County, New York, ~d other app~cable Laws, Ordinances o egulations, fo[ the cgnstmction of bulldogs, additions or alterations or for r ..... he app~can[mgree~'to comply w,th all apphcable laws, ordinances, h~fld,ng c:~e~V~}~T~t]~ lmit authohzed insp~to~ on premises and .h building for necessa, inspections.. .¢~'~' .', :" ' ..... (Signaler9 of applicant, or name, if a corpo[ation) ..... ~ /tqT~ ~ raga tess o~pplicant) :ate wh~ther.applicant is o~neL lessee 'agent, architect, engineer, general contractor, electrician, plumber or builder, , , · ..j.t.., .... .:,..,~.;,. .............. ... . 'V~ ; f~ r~, ,,, ~ .... , ................................... ,;:~¢ &I~IUIA(¢~-" ~ ' '"" ................ ~ .............................................. ..... '. ''~: ~' ;: (as on the tax roll or latest deed) appucan~'15 a corporatmn, mgnature of duly authorized officer.' : (Name and title of corporate officer) Builder's License No .......................... Electrician's License No. c~ Other Trade's License No ...................... Location of land on which proposed work will be 'done. "7,4¢ . tO°ode t,'4.(- ............................................. · House Number Street Hamlet Cou'nty Tax Map No. 1'000 Section ...:.../.~. ~ ..... Block. ,~ ' Lot..// .............. Subdivision · ". ........ . ................... ......... '. Filed Map No. · (Name) .,.. · .... ... ....... Lot . Stat~ existing use and occupancy of premises and intended use and qccupancy of proposed con~struction: a. Existing use and occupancy ..... b. Intended use and occupancy ...... I. ~ ~.~.: .... u,,,Iz "" ,,3. N~t, ure of work (che'ck whic apPlicable'~. New BuU ; r~o~: ' ~ ~ .... d,,.% ......... Addition ........... Alteratior' . ...... · ,,~v,~r .............. l~emoval .............. emolition .... ; ......... Other Work ............. 4, Estimated Cost ..... - ......'~'~': ' ~ 7.~'.: (Description) : ................. Fee o O (to be paid on filing this application) lli~g s ............... mb ' 5. Ifdwelling, numberofdwe unit Nu erofd , · · · If garage, number of cars , . welhng units on each floor . 6, busln ss, co nmercml or m~. ed occupancy, specify nature o-,~ - ' ............................ 7. ~imens~ons ut ex~stmg struc~a'res if any Front ~ . .... c~,r~nt re.each type of use ................... Height Nu ......... ~ear .............. Depth ............. .' .............. mbei- of Stories ............................. witl · .... . Dimens ons of shme structure l alterations or additions: Front ................... Depth ' i ight ............... Rear ... it . ' ................. ; · · Number of Stories ......... ' 8. Dimensions of entire new coils ruchon: Front .............. : Rear ............. De ........... Height ........ Nu[nber of Stories. ................ ' pth ........ 9. Size of lot: Front ....... i ....... , ............ · · ~ ......... Rear .............. 10. Date of Purchase .... ~ .................... Depth ..... ...... ' ........ · Name of Former Owner ..... 1 1. Zone or use district in which PlFeinises are situated .................... ' ........................... 12. D°es pr°p°sed c°nstruction viQlate any zoning law, ordinance or regulation: .............. 13. Will 10t beregraded · · 'i ................. ' ........... · · ........ Will excess fill be removed from premises: Ye,s, N~ t4. Nmne of Ownei' of premises ~g.~c Name of Architect . , ..... ; ...... ~' ' ',4-: ............. Address . · · Phone No z~ yes, $outhoid ~o~n Trustees Permit: m~y be requi~. '"'' ' ~' PLOT DIAGRAM ' Locate clearly and distinctly allI buildings, Whether existing or proposed, and. indicate all set-back dimensions ~roperty lines. Give street and block ~numher or description accord/ng !o deed, and show street names and indicate whethcl nterior or corner lot. 'i %TE OFNEW YORK, ' (Name of individual s i t~dc ye named. . 1'. FOUNDATION . ~0 REQUIRED FOR POURED CONCR~E 2. ROUGH .FRAMtNG & P~M'BING 3. I~SU~ON 4. FINAL CONSTRU~N MUST BE COMPL~E ~R C,O. ALL CONSTRU~ON 8~ ME~ THE REQUIR~E~ OF ~E N,~ STATE CONS~u~oN CODER. N~ being duly sworn, deposes dud says that he is tile applicant s tm ... ' . .. ' . ; (Contractor, agent, corporate o~i;;;,'e't~.i ............................ aid owner or owners, and ~s duly aOthonzed to perform or have performed tile said work and to make and file this ication; that all statements contained {n this application are true to the best of his knowledge and belief; and that the '{ will be performed in the manner sci forth in the application filed therewith. ' m to before ina this .......... .... .... oun '"~, ~' . NOTARY PUBliC, $i~te o ew YOlk ' · ............ ~ · l'~rm Exl~lr. M~r01~ S, lS~ " ' ~/' ,tbignature of applicant) .