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HomeMy WebLinkAbout17104-z o;:. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18932 Date MARCH 29, 1990 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 1095 WESTVIEW DRIVE MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 139 Block Ol Lot 02 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 2, 1988 pursuant to which Building Permit No. 17104-Z dated JUNE 13, 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 ALTERATION & ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to JEFFREY & RE A. STRONG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-062419 - MARCH 13, 1989 PLUMBERS CERTIFICATION DATED MARCH 20, 1490 - FRED BAUER ilding Inspector Rev. 181 1R01BM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N fl ~ 1.71. Q !f Z Date 19 i Permission is hereby granted to: / to ~ .......mac... ..Q~~~~f~.. ~ r ct premises located at ............../..ld..,~. .........!1/ . .,~L?.'~.... ......................................................`~I%~"t................. County Tax Map No. 1000 Section .....,,~~,9....... Block ~.1..... Lot No..........Q...fZ.-.--: pursuant to application dated .........~a~~,i~ 19...and approved by the Buildin/g Inspector. Fee $1.4'1 c~, ?~#I~i~ `~c.'ha. ~3~/9~9 Bull g Inspector Rev. 6/30/80 ~ ,~,i, FORM NO. 6 TOWN OF SOUTIIOLD j BIIILDING DEPARTMENT I ~ TOWN DAL: - 765 - 1802 APPLICATION FOR QERTIPICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusuallnatural or topographic features. 2. Final approval of Ile~lCh Dept. of water supply and sewerage-disposal(S-9 Form). 3. Approval of electrical installation From Board of Firc Underwriters. 4. Sworn statement from~lplumber certifying that solder used in system contains less" Chan 2/10 of IZ Iead., _ . 5. Commercial buildings; industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsible For the building. 6. Submit Planning Boar Approval of completed site plan requirements. B. For existing buildings `Prior to April 9, 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. A properly completed application, a consent to inspect signed by the applicant and a certified abstiact of title issued by a title company which shall ` show single and separate ownership of the entire lot prior to April 9, 1957. • If a Certificate of Qccupancy is denied, the Building Inspector shall state the reasons therefor is Writing to the applicant. 3. Date of any housing Fodc or safety inspection of buildings or premises, or other pertinent informatioe required to prepare a certificate. C. For Vacant Laad Certificate of Occupancy: 1. An application for v~canC land Certificate of Occupancy shall be submitted, and a certified abstiact of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If~,a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions Co Dwelling $2$.00, Alteration to Dw~lling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing duelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 4. Temporary Certificate of Occupancy ^$15.00 Residential Commercial it ' i II cv, t0/14 /S8 D ~ 15 TORN OP SOUTIIOLD BUILDING DEPART:IENT ~~8~ T047N IIALL SOUTIIOLD, NE4l YORK 11971 BLDG. DEPT. TOWN OF SOUTHOLD 765 - ! 802 APPLICATION FOR CERTIFICATE OF OCCUPAtrCY DATE... ;~Q NEN COtrSTRUCTION .....,,OOOLD OR~~~~ppPRE-E%ISTZirG BUILDING. ~„pACANT LAND... .a Location of Property..r~~C.~,WPis~l21~) ~~n..,__ _ _`~.~~t?'?^:4.,~c~4o~a NOUSE NO. STP.EET NAMLET Ovner or Ovners of Property...~:,?C~~~_ L~~~B~ JJ r--.- County Taz Map No. 1000 Section /.~,zlq._ Block Lot' Subdivision Filed MaP -.......Lot........._ Perait No. J~~U~_._Date of Permi[ ~.!3"-~~ ~`L'~ ~ 1 - ApplicanC , BealCh DepC. Approval./~/f~n„~,--;/V./~},, ndorvritcrs ApprovalNO a~~~-. Planning Board Approval ~lvQ~r~Q.,!~14F~- <C< ~Q Request for Temporary Certificate . Final Ccrtifica[c~ .1,~;,'-.,-.... Fee Submitted: $ APPLICANT.... _,r CCV• 10/14/88 Cp ~ i ~~3~, _ . ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS I't°°~~~ I tec,n:,t,a BUREAU OF ELECTRICITY BS JOHN STREET. NEW YORK, NEW YORK 10036 ;tiAitIJN t'<,f'iBb !.~t~6(1`?'SHt3F~;Ft (J tif.7Fl.i~t Date Application No. on file ~ THIS CERTIFIES THAT ' only the electrical equipment as deaerihed below ¢nd introduced 6y the ¢pplicant n¢med on the ¢hooe application numher in the premises of dFI-I=x[RY r~fkClltu, Id~;aTVfrlt! plit4tg illilTl1!1!`h, I~.','. ++I24 in theJollowing kreactiom ~ Bgs_ement ? /st F6 ? 2nd Fl. .Section Block Lot f41;~1~t1 Y t"L; was examined on ¢ndfound[o 6e in coneplianre with the rnquirements q(thix Roard. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWI7CHE5 INCANDESCENT fIUORESCENi OTHER AMT. K W AMT K. W AMT K W. AMT K W AMi. H. P. t . l.. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT 71ME CLOCKS BELL UNIT HEATERS MUL11.OUTLET DIMMERS AMi. K. W. Oll H. P. GAS H. P. AMT NO. A W. G. AMi. AMP AMT, AMPS TRAM. AMT. H. P SYSTEMS AMi. WARS NO. OF FEET ~ }U j ~ f.tj(d SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER I ]W i a, 3W ~ JW 4W NO OF CC. COND A. W. G. NO OF HI~LEG A G. NO Of NEUTRALS A. G~ EQUIP. PER 9 OF CC COND. OF HI~LEG OF NEUTRAL OTHER APPARATUS: 19.!•.C. C: '1"' TRI~I,'k I_liiNttNli:-t+I t R~LYEf~ ktI'WNku ~i, L.tr,~214£+ ~ I. AUi{EL, i~lP, 11445 GENERAL MANAGE~Rp/ 1% ~ ! _ Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR EUILDING DEPARTMENT. THIS G®PY OF CERTIFICATE MUST NDT 6E ALTERED IN ANY MANNER. c~~FF~(~,C, TEL. 765-1802 ~o o;, Town or s~~rT~oa.m ~s- f < OFFICE OF BUILDID7G INSPECTOR P.O. BOX 728 =r TOWN HALL 001 SOUTHULD, N.Y. 11971 C E R T I F I C A T I O N Date ,?j'' ~ Building Permit No. I ~Jo ~ Owner e~ , _y ~ '~~_c( (please print) ~~~z+~~ Plumber~_~~~_. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~"i~~ (plumber's signature) Sworn to before me this a 7 day o f 1A R R c Qn L't' 19~__ N ary E~~Se~~SSA Notary Public,_~v~ol~ County IdstaryPo.~~w,gtaWOfNewYak . No. 4755y34 (8aa'w5~d !n SuI;aM Coualy Commis~i~ Exp~~» t!d6it.30, i9~p ?1cLD I;:Si'EC:~U;i ~~Ui.:= ~ COS`1MLNT° ~ _ -q 1. -mom " - y 1~ FOUNDATION (1st) O~ FOUNDATION (2nd) _ 2. O z~ / o~ ROUGH FRAME u' PLUMBING y 3 . I1dSULATIOPf PER N. Y. ~ y~ STATE ENERGY W ~ CODE a a . 3 Gi'l9 O, p y F FIidAL ADDITIOPIAL COMMENTS: Y ~ ~ s~~. 9 ~ TM~ A r H S d ~d y~ y ~ `~G© ~ 765-1802 BUILDING DEPT. tNSPECTI4N [ ]FOUNDATION 1ST [ ] OUGH PLBG. FOUNDATION 2ND []INSULATION L] [ ]FRAMING /7 ]FINAL REMARKS: ~-'~ti~.~C' ~ . E E - - I j DATE D INSPECTOR ~ ' _ l 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ 7 FRAMING [ ~NAL REMARKS: / " ~ ~C ..~'S ~i _ _ DATE - S~ ~ INSPECTOR _ u~~/ ~V / 7/°`~ rss-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T f ] ROUGH PLBG. [ J F UNDATION 2ND [ ]INSULATION [ FRAMING ]FINAL REMARKS: __~~~c E _ yF. G~ /+'r 't ~ DATE D ~ INSPECTOR e ~i ~7~~~ 7ss-iso2 BUILDING DEPT. INSPECTION [FOUNDATION 1ST [ J ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [)FRAMING [ ]FINAL REMARKS: ~-~-~-e ~ ~,t27 ~,...,..~~~~t.L. . s _ { DATE ~U INSPECTOR ,,f/,~ T65-1802 BUILDING DEPT. MNSPECTIC~N [ ]FOUNDATION i5T [ ] ROUGFI PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~ [ ]FINAL REMARKS: I~ G ,t I 'r DATE ~ INSPECT ~)~lg~. ~ a ~ ~a.9~ , ~ ~ o ~ (`7/01, ~okQc~ 1~ ~~a~~~~ ~ c~.~~ . 0 ~ ~1 ,I~! 2 7 l9QB BLDG, DEPT. OF UTHOLD • ~ ` ~ , , . ~ Utl: ~ [ 189 (J~~~ ,~.,w.~.,~_ _ ~ 9. Iq~~ . ~ t~~ ~ ~ z~i7~o~ - c~-~d ~ I ~ ~ ~ ~ cam ~ ~ ~ , ~4 ~ - F • - . ---ter- ~ , n~= F , { .i ~ _ ?a7 - ~ K Z O ~ ~ ~ ~sFO q pD x~ n m rn m a' MAT T~TUCK Zoo ~ f ~ . ~ ~tiy c° ~ cR£F ~ ~ ~o ,~a sac ~ K . ro o z q~, . aor'' t0 ~ N y fA N r n ~%e /ice e a/on~ N m ~ ~ ~ 6~i iii-acC ry. p3~ 21 X42°E. z M ~ p _ ` ~ 86.23 ~ r y E N <D I b 01 N'OCC avLicHEAa n m I ' N J ~ 2 Z { N ~ ~ O ~ o ~ i cTo x N T - { O ~ ' ~ ~ .7HG~ O= o, ;rw'g rn N N 'L 'N.f ~ ~~M mD ~ 3~ Z' ' -rVM w1 JHO~ yyr 1 O } rn ai p N ~ D m m i r~*1 ~ {0 , b ~ ~ ~ ~ ~ ` 2 -Ni ~ ~ c~ ~ O ~ a f o r --i v ~ 33 M D2 { -I ~ m {i O z 0 .'Days oLLr^o ~ 3 ! ~ N G : ' ~ ^tl3 59.Lo~ o~ 19~Z1 9'G ~a C N ° ~ ~ to St E Z ~ ~ ~ ~ ~s¢ '~9vbv~ A o}$ ~ ~ ~v f m ~ '9~ 0 ~ynoH ~~~i ^'a a_ f n N .a ~Z'4L S 1e. w ~ .9~~Z~ ~O't ;S'R F 8 ~Z'o~ ~ N {{i .N I ~ ~ ~ 1 N i m S a o d) Iro o ~ m n c r O ~ V { ~ w ~ N' p ~..c V t moo ~ ~.°~s o O Z D rn ~ ~ „ ~ .3 pZ L1v~~~ ~n r o C0 -i a ~ ~ ~ ~ C7 -o a ~ 3 ~~14 M3~nyS3M ~'m ~ z ~ 0 3 n ~ o o ~ zo ~ -c ~ o v o ! ~ ~ ~ . `5 - `3 ~.ae-L~ l.~~e-~F ea- FORM NO. 1 JUN Z i~ ~j TOWN OF SOUTHOLD ~pr..x r°"~""'"~ ~63c1. I`~~ t(11i'~.. BUILDING DEPARTMENT ~a ys'',,,,ti„_r~u,_ (J,,. ` ~ ~ ~%,°ri,;..,. TOWN HALL J ~ _ e_•._.. 90UTHOLD, N.Y. 11971 TEL.: 765.1802 Examined {a/! .r•~.........., 19~lZ~! ® Recce"ived........... , 19.. . Approved . 1~`?. Permit No!~.~~,~fz.~~ Y.n~cu-4. ~ lag~crl~' Disapproved a/c 7 8~ r r~'~~ s' t~ r 1 ~yr~ d't'r e~ dk'C ~L/~ .1... , ~ V , . ( ilding pec or) APPLICATION FOR BUILDING PERMIT Date 198 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. l 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 MA~E 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, housin ode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectio r.: (Signatu plicant, or na if a corporation) :.~.~:i :,..n?~.~.11.9s~........ (mailing address o applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. y. ~ . Name of owner of premises e, L' r Q'S°v\ 1C1-n ~~qY~~. • • • / (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 . . 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 County Tax M ,(~No. 1000 Sec~tiMon 3.~."-~d,•~'~.'^~~ ~ Block ~~6~:4Y.P~??w'.~.1wY.ot . Subdivision ~1 ~`.?•41LA.~5.. 4 ~ 1 ~~.VV "`?!~~Filed Map No. Lot . (Name) 2. State existing use and occupancy of pr~~em''°°ises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......J.l . ~~!~~...~w~~ S;n.. ~~o ~a•, ~ vtlN~Y+~ , ~ rc ~uaaar, .~il~~ . b. Intended use and occupancy .....~.4 ~f~S~•2-........... s! .....w 1'N9: ~~"~~'-~s~~ . € 1 Y'rr~+•. ~ ~+nn...n.ww<a.. 3''rgi,,':~t':,'if'"~:~,7r,~f 3. NRetumr= of work (check whine npplicable): New Building Addition . f ~~~yy~1teraX~on . . p .oval . Demolition OY2111{ Work".. 8........... , ' (Description) 4. Estimated Cost ~~.d.~a0 Fee . (to be paid on filing this application) g 5 If garagennumbeb of carswellin~ units Number of dwelling units on each flooi . .Q 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 ...............NuirtberofStgries........................................................ Dimensions of same structure with alterations or additions: Front . Rear . ]ileight . ...................Number of Stories . Depth ' .truction: Front Rear ...............Depth . Height ~ u ~ ber of Stories l....... ~ .........r . 9. Size of lot SFronttire new o"~' Rear R Depth .'d:%y~. F :~a~~'...... . 10. Date of Purchase ~ ....3.4:-: ..........Name of Former Owner !m:4~1 . '~w! ~~i~-£'........... . 11. Zone or use district in which premises are situated ' 12. Does proposed construction violate any zoning law, ordinance or regulation: ..Y. 41. V ' 13. Will lot be re rade P Yv .O , ....Will excess fill be r moved from premises: Yes ®N , g 14. Name of Owner of remises ..Address 4~, VJ'~?t~~!' ! , .Phone No..~9 8..:~~°.... . Name of Architect :........Address ~ ...Phone No . Name of Contractor If yes, Southold Town Tr~~ ' • Address ...tMl Phone N . . 15. Is this property located within L0~'feet of a tidal wetlandl * Yes No * ustees Permit may be required. PLAT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocjc number or description according to deed, and show street names and indicate whether interior or corner lot. ' I, I' ' STATE OF NEW YORK, S.S COUNTY OF .................I (Name of indiv dual sig~~o~J ~ ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant ( 'ping contract) above named. //aa~~ C~ ' Heisthe............V....V~:C.~..... r~..'ti~'c°r (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d}~ly 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 many}er set forth in the application filed therewith. Sworn to before me this ........day 9f `.S .C'~'V`.'~........ 19 Notary Public ~~0.1~ County WWbV JOC M ~ • I . IiOMy~ ~ New Vorl{ . !.l . N0.A/71b7 Suffolk County ' • Gommlabn F.epires May 29, 19~ Signature of applicant) E N ER~Y CODE CALCUL,~,TIOf,~l.5 ~~oa NON-ELEGT/i!G _u,4T~ Fo,o, _ ~o ~ e._ / /~o G PEn. ~ \vN ys : ~vh n 5 r , d(j Y2 ~ y 6 00 ~ eyaEE bars ~ES/ ~J ~4/TE.cia DATED ' - O.rt~ ~ /o F S. A. 70'F i ~UBSYSTEn~ AREA Q L)ES/y~~ +QLLOWEG L1 @S/yN ALSO\vFO En\,4Rk3 - - "U" U BTUfI f3TUH EXTE,Q/~Q \VALLS (C~/3~55) io 2 o O. l7 /p ~~o EXTE,~/oQ \VALLS (~GAgUE) 7 2 / ~ 0.05 ~ / g ~ / ~+LL1Z//V~j 3~ % J76 .53 O.SE3 74 H-D /'~~+~YPMScw F~~n,ra t, - L]C]~QS l a 0.40 ~~~3J GE/L/NC~S//•1CY1F X77 ,~J tv. O.'03 /Si`3J 263 FG~.Q ~f P/ / p o.os /y /47n I .ZNF/L'T.QAT/pN ~ p~0 O.O/8 75 6 J 7,5'6 ~ /U~ TcTnGS 7v p 22 D 6 U ~~.r, 1) HEATING EQDIPMENT TO MEET 7813.23 - 758 EFF. TO THE BEST OF MY ENOWLEDGE, ~ 2) HEATING CONTROLS TO NEST 7813.13 HELIEFi AND PROFESSIONAL ~ RANGE 45 TO 75 DEGREES FAHRENHEIT. JUDGEMENT THESE PLANS ARE ~ 3) WATER HEATING PER 7813.31 THRU .38. IN COMPLIANCE WITH THE CODE. tl~ ti 4) PIPE INSULATION 7813.19 5) WINDOWS -DOUBLE GLASS. J:, t oaszsa-i 6) CONSTRUCTION TO MEET N.Y.S. ENERGY CODE. _ ~;~~'n, ~ f'aFE55l0~~P ~