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Home My WebLink About28349-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29932 Date: 12/23/03 THIS CERTIFIES that the building ADDITIONS Location of Property: 2755 WESTVIEW DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 8 Lot 7 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 2002 pursuant to which Building Permit No. 28349-Z dated MAY 2, 2002 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 COVERED FRONT PORCH ADDITION AND ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VAN & CHERYL VASILAKOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF~EALTHAPPROVAL EL~C~£~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~r~u N/A 1151604 08/05/03 N/A ~~~ut ~~gnature Rev. 1/81 FORM NO. 3 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) PEP~4IT NO. 28349 Z Date MAY 2, 2002 Permission is hereby granted to: VAN & CHERYL VASILAKOS 2755 WESTVIEW DRIVE MATTITUCK,NY 11952 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2755 WESTVIEW DR MATTITUCK County Tax Map No. 473889 Section 107 Block 0008 Lot No. 007 pursuant to application dated MAY 1, 2002 and approved by the Building Inspector. Fee $ 150.00 gignatu.~ ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~a7- This application must be filled in by typewriter or ink and submitted to the Building Department with the liSllowing: A. 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. Conunercial 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. 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, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimnfing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $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 New Construction: Old or Pre-existing Building: Location oferoperty:'~-~"J'~-' '~qv~'~l~vo x/Sg(~tl~' __ Itouse No. Street Owner or Owners of Property: ~/ta r~ ~0,'~. ;]~k~ 5 Suffolk County Tax Map No 1000, Section /0 ~ Block Subdivision Permit No. ,~~~t~ ~.~..... Date of Permit. ~-' Health Dept. Approval: Filed Map. Applicant: ~//21 Underwriters Approval: (check one) OoO ~ Lot Lot: Plarming Board Approval: Hamlet Request for: Temporary Certificate Final Certificate: (cheek one) Fee Submitted: $ Applicant Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 1OO38 CERTIFIES THAT Upon the application of upon premises owned by RAYNOR FRANK L. VAN VASILAKOS 1800 HARBOR LN./BOX 1065 2755 WESTVIEW DRIVE CUTCHOGUE, NY 11935, MATTITUCK, NY 11952 Located at 2755 WESTVIEW DRIVE MATTITUCK, NY 1 '1952 Application Number: 1151604 Certificate Number: 1151604 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 5th Day of August, 2003. Name QTY Rate Rating Circuit Type Appliances and Accessories Dish Washer 1 0 1.2 KW Range 1 0 11.7 KW Wiring and Devices Receptacle 7 0 General Purpose Switch 10 0 General Purpose Fixture 8 0 Incandescent Receptacle 1 0 20 amp Laundry Receptacle 1 0 30 amp Dryer Receptacle 3 0 GFCI seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. r~5 (FL~, P~LLIN~HA~I ) ",.',,/ESTVt IE %LiFF ~0 TA'/ l'd~,Fl DA-FA ~ lO00- I0"?-8-'7 E3, ,',dO N U h4 Et',,IT C~ kFL~ ~'~LLINGHAIyl ) ~."78 J2 40 e.. ~co.o WEST',/t E',A/ IPF~J ~' E %LiFF ~ TA,'~ MA.P DATA~ 1004:)-IO-t-8--t BUILDING PERMIT EXAMINER CHECK LIST DATE IS'SUED: / /02 ~)~'S $'/£ /02 APPLICANT: lbge/.D~ ~ / I /02 DATE REVIEWED DATI~.SUBMITTED: SCTM# DISTRICT: J,000, SECTION: Io-4 , BLOCK: ~, , LOT: STREET ADDRESS: 2'+5'T' [_},3~-'~1'~l~g. CITY: k-~,q'iT-~-r~c_~_ SUBD~ISION: PROJECT DESC~TION: A,~.$__ ./~'~ ~ ~~ EST~ATED PROJECT COST: ~ fl ~ ~ / ENG~EER:~. FAST T~CK? S~GLE & SEP~TE CERT~ICATION-~QU~D? ~ O NOTES: LOTS 40,000SF -100-24. lx~t reco~ition.(C~ATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25 Merger.(A nonconfomfing at any time after 7/1/83 ZO~G DIST~CT: ~-qo COlOr. G? ~Q. LOT S2n: ACT. LOT S~E: I~ ~Q. LOT COV. ~. ACT. LOT COV. ~ ~ _ ~Q.~Q' ~FRONT~ PROP.PRop.FRONT~ _ 3~Q~ ~ S~E lq]a~ ACT. S~EtI~ DESC~TION: WATER FRONT? P~EL ~: ~, ~ [ FLOOD ZO~:~ , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH D.F-~T: YES or ~(BED #): TOWN SEPTIC RECEIPT: Y NEW YORK STATE DEC: ~m~4)~cgaJ?s YES or7 SOUTHOLD TOWN TRUSTEES: YES oor~) TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES NYS ENERGY: YES ORO : EGRESS (18 H min.? 4 sq total) ~ VENT (SQ. FT. x 4¼)° BUILDING PERMITS OPEN/EXPfRED: BP~J~L.~_-Z / C/0 Z- I6! HAVE PRE CO'S: Y OP,~ BP -Z / C/0 Z- NOTES: DTE: / / PERMIT #:R10- _LIGHT (SQ. FT. x 8%)_ ,_ Nb. FEE STRUCTURE: FOUNDATION: SF F/2RST FLOOR: Zq~ SF SECOND FLOOR: SF OTHER: SF TOTAL: _____ ~ SF 1. ( SF)- ( SF): SF X $ 2.( SF)-( SF)= __ SFX$__ =$ =$ INIT OTHER TOTAL FEE FEE~ +$ +$ +$ +$ = $ 765-1802 BUILDING DEPT. ~. INSPECTION [ ]~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ I FRAMING I I FINAL [ ] FIREPLACE & CHIMNEY do~.~ ~.~>-~~.~ , DATE /r> I/~0 ~"" INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSU~.ATION [ ] FRAMING [ ~.~j'~FINAL []FIREPLACE&CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOU~IDATION2ND [ ]INSULATION [//~FRAMING [ ] FINAL REMARKS: [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ~ PLBG. ]~JNDATION 2ND [//]'"INSULATION FRAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: FIELD INSPECTION REPORT [ DATE I COM1VII~ , , FOUNDATION (ZND) ~--~ i~7 ~~--~~-~, ~-~ ~'S~ATION PER N. Y. STA~ E~RGY CODE F~ ~DmON~ CO~ TOWN OF SOUTHOLD BUILDING DEPARTMENT T~WN HALL SOUTHOLD, NY 11971 TEL: 765-1802 BUILDING PERMIT APPLICATION CHECKLIST Buildin8 Inspector APPLICATION FOR BUILDING PERMIT b. ~ ~ ~o~ I~fi~ ~lot ~ of buil~ngs ~ ~i~ ro~p ~ ~j~n~ ~ ~ ~blic ~ ~ c. ~o ~ ~ by ~ ~ ~y not ~ ~ ~f~ i~ of ~ ~. is i~u~ by ~o Bufld~g ~. APPLICATION IS HEREBY MADE to the Building Department fo~ lhe ism~anco of a Building Permit pursuant to tho Building Zono Orflinan~ of ~ao Tm~ of 8outhold, Suffolk County, New Yod~, and o0aer app~l~ ~ ~ ~ ~ ap~li ~c~nt agrees to comply ~i~ all applic.~le laws, o~inances, building code, housin~ and ~m~q~ions. anglO, m/~ State whether appliearlt is owner, lesaee, agen(a~hite~)ngineer, general contractor, electrician, plumber or builder Nan~ of owner ofpremis~ ~.~0 (as on th~ t~x roll or late~t deed) If applicant is a corporsliort, signatmc of duly aulhofiz~ officer (Name and title ofeorporat~ office0 Builders License No. Humbers Licens~ No. Electricians License No. Oiler Trade's Li~nsc No. 1. Location of land on which pro. poeed work will b~ dom: House Number Strict / Hamlet County Tax Map No. 1000 Section /07 Block ~:~ Lot Subdivision Filed Map No. Lot ~am¢) State.existing use and occupancy of premises and ~ntended use and occupancy of proposed consimetion: a. Existing use and oc~upaney /Y ~ ;~ t t:~ ~¢¢1 b. Intended usc and occupancy Alteration 3. Nature of work (check which applicable): New Building_~ Addition Repair Removal Domolition Other Work (Description) 4. Estimated Cost $ ~ 0,, 0 0 0 F~: (to b~ paid on filing this application) 5. If dwelling, ntanber of dwdling units~ Number of dv~ling units on oa~h floor If garage, number of mrs 7. Dimensions of existing structures, if any: Front ~'- d Rear 5 ~ Depth ~ ~ Height Numbar of Stories Dimensions of same structure with alterations or additions: Front -~ ~' .Rear Depth ~.. q Height Number of Stories 8. Dimensions of entire new construction: Front Rear .[~pth Height. Number of Stories 9. sizeorlotF ent IF)O IOO r th lift9 10. Date of Purchase Name of Former Owner 11. Zone or uae district in which premises are situated 12. Does proposed construction violate any zoning law, ordinenee or regulation: 13. Will lot be re-graded fi/ta Will excess fill be removed from premises: YES '' van '~,c,ht,.Ig , q. ~ames of Owner of pr~m,is~s V~tltrl'~'~ Addr~s~.7~'~'tn/~9~l*~t~PhoneNo. NamaofA~cMieet ~e~s~ #1~,, ~4~'~- Address Nan~ of Contractor Address Photo No., , 15. Is this property within 100 f~t ora tidal w~tlend? *YES NO_ · IF YES, SOUTHOLD TOWN TRUS'I'EES PERMITS MAY BE REQUIRED 16. Provide survey, to wale, with ae~tmfle foundation plan and distances to ~ linea. 17. tf elevation at any point on ptopofly is at 10 feet or l~low, must provide topngraphioal daia en survey. STATE OF NEW YORK) (Namo ofindividuai si_t~i~ ~ra~t) ahoy0 namod, (S)Ha is lbo (Ct mir actor, 5~-'~C~-Officea., oto.) of *aid owner 0¢ owners, aaat is duly authorized to poffotan or have peffomgd the said wlrk ami to mako and file this applioafion; that all statements contained in lfais applieafio~ a~o linc to the best ofhis knowledgo and beliof, and thai ~ work will bo