The URL can be used to link to this page

Home My WebLink About15993-zFORM NO. 4 TOWN OF SOUTHOI~) BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18923 Date MARCH 27, 1990 THIS CERTIFIES that the building RENOVATION AND ADDITIONS Location of Property 5550 WEST MILL ROAD MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 06 Lot 07 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permmt heretofore fmled mn thms offmce dated MARCH 31, 1987 pursuant to which Building Permit No. I5993Z dated MAY 18, 1987 was issued, and conforms to all of the requlraments of the applicable provisions of the law. The occupancy for which th~s certificate is issued is 2ND STORY ADDITION & RENOVATE EXISTING ONE FAMILY DWELLING AMENDED TO INCLUDE ATTACHED DECKS. The certificate Ks issued to STE~EN SAMBUCCI-JOAN FETHERSTON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Nl18450 MARCH 14, 1990 MAP~K BAXTER FEB. 28, 1990 Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15993 Z Perrmssion is hereby granted to: :~...~.~.~,..~ ~ ~..,3.~.~ ~ ~.~.....~.....~ ................... ..~.~........u..:..~.,..;..L~.t.~...~. ................. ,o ..~.~..~.~.~...~.....~..~...~.~ at premises located at -.~.....~.'~...~...~........~...~...-~....~...~....,......'~.~ .................... County Tax Map No 1000 Section ...ZO...~. ...... Block ...... ..C~....(,Q ...... Lot No .... ..~...~. ........ pursuant to application dated ........~,.)..(~....,~./, ........... 19~..7., and approved by the Building Inspector. Rev 6~30/80 TOWN OF SOUT~OLO BUILDING DEPART}lENT TOWN gALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIPICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..-.~..-VACANT LAND HOUSE NO STREET HAMLET Ouner or O~ners of Property. ~. ~.~.. . ~.~ ......... ~o~ ~ ~ ~o. ,000 ~=~o= .Z~. ~o~ .O.&... ~o~ ...% .... · ~eal~h Dept. Approval ............... Underwriters Approval .......... Planning Board Approval ................ Request for Temporary Cergificatc ....... Final Certificate . -~... .......... Fee Sub~£Cted: $..~.~.~.. ............. APeLrCAN~.~ .................. FORM NO. 6 TOWN OF 80UTIIOLD BUILDING: DEPARTMENT TOWN 765- 1802 APPLICATION FOR CERTIFICATE 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: I. Final survey of property with accurate location of all buildings, pToperty lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(8-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2]]0 of ]Z lead. 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 Board Approval of completed site plan requirements. g. For existing buildings (Prior to April 9, 1957~ non-conforming uses, or huildings and "pre-existing" land uses: !. 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 abstract of title issued by a title company which shall show single and separate owmership of the entire lot prior to April 9, ]957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertiuent inform~tion required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. An application for vacant laod Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a tit'e company showing single and separate ownership of the emtire 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 iu writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteratio~ to Dwelling $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 dwelling - $100.00. 3. Copy of Certificate c? Occupancy - $5.00 - over 5 years - $IO.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.00 Residential Commercial er. 10/14/88 fiXTURE OUTLETS SWITCHES DRYERS MXTURES RANGES OVENS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DM4MERS SYSTEMS NO. OF FEET SERVICE D~SCONNECT S E Il V I C NO, OF CC. COt, lO. A.W.O. PEK ~' OF CC. COND BoX 4g ,JAMb',~?()R'I', NY, ]L947 LI.C. 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 BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IH ANY MANNER. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HA, LL SOUTHOLD, N.Y. 11971 TEL. 765-1802 C E R ~..~ F I C A T I O N Owner ~ ~ ) (please ~rlnt) (please print ) X certzfy that the solder used in the water supply system contalns less than 2/10 of 1% lead. ~' (p-lum~er~ s szg~ature) __ day , ~a. Y p Uotary Publ&c, ~ County OUNDATIO:; OUNDATIO]I (End) OUGH FRAMe& ?LUMBING NSULATION PER N. STATE ENERGY CODE FIi!AL AD[ 909 AD ~N ¥ 1~971 ~0~p N- 7~° 5Z'50" E 255 N. 84053 '40"W. JOSEPH LEO, GRANDE LIC. NO. 49668 ENGINEERS , P.C. C3 0 198 46 CERTIFIED TO FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK_ TITLE NO. 632 S 0505 STEVEN SAMBUCCI JOAN FETHER SI'ON ARE&= 21,75! SURVEY STEVEN SA~,~ . JOAN FETHE AT M ATTITI. TOWN OF SUFFOLK COUN 'i I000 - 106 O~ SCALE I" = 4 OCT 20, 198~ t'repared in acco~c~ance with the mi~ the L .... ~. a~d appm~ ~d ~ Steven Samhucci & Joan Fetherston 140 Pine Street Soutbold, N.Y. ] 1971 TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P,O. BOX 1179 TOWN ltALL SOU'I IIOLD, N.Y. 11971 February 5, 1990 TEL. ,65-18~_ To Whom This May Concern, We are unable to complote your Certificate of Occupancy because .of the follo%~ing reasons. application for Certificate of Occupancy not on file. (ENCLOSED) Dnderwr~ters Certificnte on file. /--_/ The check i:,(~/nut on file.)$25.00 /~/ NO Health Dept. Approval on file. /--/ No flna! ~ns[',oction has been mado. Please contact our office on this matter- Thank you for your cooperation. l',u[ld~ng Permit f} I 5 9 9 3 Z Bu xld lng Dept. **~/~Ho Plumber solder Certificate on file. ( all perm~tu involving plumbing being issued after April 1,1984 ) Memorandum from .... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD Tow~ HALL, SOUTHOLD, N Y 11971 765-1802 March 10, 1988 Steven Sambuccl: You will need to send a check for $200.85 to amend permit ~/15993 for attached thzs office plans for decks. Szncerely, TF/lmr TOM FISHER :765-1802 ILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~FRAMING REMARKS: FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND l ] INSULATION FRAMING [~/~AL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. DATE . INSPECTOR .~. _~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [,/]~NSULATION FRAMING FINAL DATE INSPECTOR 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST R~~OUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING// / /~! FINAL DATE *'~~~7'65-1802 ILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~/ROUGH PLBG. ] FOUNDATION ZND [ ] INSULATION // FRAMING [ ] FINAL DATE ~//''/~ INSPECTOR ~~.~'~ ~~~1 N S~Up705'~8°2 ILDING DEPT. ECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~J'I~SULATION FRAMING FINAL REMARKS: DATE 0 IT ~XT~/~n xv~z~ (~P~OUE) -7~ g ~ ~ o.ow z t x o ~1~1~3 /~r q o d ~ o 0 05 Z, I t o ~ THE BEST OF ~ ~LEDGE, 1) H~TING E~IPME~ ~ ME~ 7813.23 - 75% EFF. BELI~, ~ PROFESSIONAL 2 ) H~T!NG CO~ROLS ~ ~ 7813.13 ~ THeE PLUS A~ ~GE 45 ~ 75 DE~ES FAHRENHEIT. IN ~LIANCE ~TH THE CODE. 3) WATER H~TING PER 7813.31 THRU .38. 4) PIPE INSULATION 7813.19 5) WI~S - ~LE GL~S. 6) CONS~UCTION ~ ~ET N.Y.S. ENER~ CODE. 'R)WN OF '~O~OL~ I!/ Examined '~ %. t5g ,19~7 Disapproved a/c ................ BOARD OF HEALTEI 3 SETS OF PLANS FORM NO. 1 SURVEY ~', /"f' , TOWN OF SOOTHOLD C.ECK BUILDING DEPARTMENT SEPTIC FORM q TOWN HALL NOTIFY MAIL T0: Penmt No ! ~' ~ 9~ ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ......... 19.. INSTRUCTIONS a Tlus apphcatmn must be completely filled m by typewriter or m Ink and submitted to the Bmldmg Inspector, wzth 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, relatmnshlp to adjoining premises or pubhc street; or areas, and giving a detatled descnptmn of layout of property must be drawn on the dmgram whmh is part of this apph cation. c. The work covered by ttus application may not be commenced before issuance of Bmldmg Permit d Upon approval of this apphcat~on, the Building Inspector will issued a Braiding Permit to the applicant Such perm~i shall be kept on the premises aYafiable for mspechon throughout the work. e. No bmldmg 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 Bmldlng Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the ~ssuance of a Bml&ng Permit pursuant to thc Building Zone Or&nance of the Town of Southold, Suffolk County, New York, and other apphcable Laws~ Ordinances m Regulations, for the construction of buildings, additions or alterations, or for removal or demohbon, as hereto described The apphcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tc admit authorized inspectors on prennses and m bmldmg for necessary inspections (S~gnature of applicant, or name, ff a corporation) (Mmlmg address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or bmlder (as on the tax roll or latest deed) If apphcant ~s a corporation, signature of duly authorized officer (Name and title of corporate officer) Bmlder's L~cense No .... Plumber's L~cense No Electncmn's L~cense No Other Trade's License No .. Locatmn of land on which proposed work will be done. House Number St re,et County Tax Map No 1000 Section I ~7~(~:2 Subdivision (I~ame) H .mr .rvc ............ Hamlet Block.. .(<> ....... Lot. 7 .... .... Lot · Fded Map No State ex:st;ng use and occupancy of premises and :ntended use and occupancy of proposed constructmn a Ex~stmg use and occupancy . b Intended use and occupancy 3. Nature of work (check which apphcable) New Building .... Addition .~' .... Alteration ~<'.. Repair )<' .. Removal ........ Demohtmn ... Other Work ~ (Description) 4 Estimated Cost· . '~ ~0 Fee ]/ ~' '~ * (to be paid on filing this application) 5. If dwelling, number of dwelhng units .......... Number of dwelling umts on each floor .......... If garage, number of cars ....................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each [ype of use ............. 7. Dnnenmons o£el~Istmg structures, if any Fror~t .~ 6 t. . Rear ...Tl ....... Depth ~..l~:p.. Height . '.rS ~. ...... Number of Stones . .I '" ii Dmaenmonsofsamestructurewlthalteratlonsora~dltlons Fro~t'' '~'6'.''ii.i'ii'i Rear Depth ./~ ......... Height ............ Number of Stones ... ~ ............ Dimensions of enhre new construction' Front ~ (e ...... Rear . ~. ~? ....... Depth .. ~.~2 ...... Height ..... Number of Stones .. .~- ................................. 9 Size of lot Front i i ~' /~(~... Rear ................. Del~th . . . 10 Date of Purchase ..... h .......... Name of Former Owner . ~'./r.gd.t~ . .~4.~I~)~.' ~-p.' .~.5. 1 1 Zone or use district in which premises are situated ................................. 1 2. Does proposed construction violate any zoning law, ordinance or regulatmn .................. 13. Will lot be regraded . . t~.{> ........... Will excess fill be removed fron~ premises 14. Name of Owner ofpre~m~ses~77y~] .,J~r~.~. &~t, 4~i . Address ./.~/q /.aqqe~./~. ~.~.'~.~JtChone No. ~j.6:.? .~.3..K~.. Name of Architect ~ ~*~/~ ~4 .~. .... Address .......... Phone No ............. Name of Contractor . ~-~ '. ........... Address ........... Phone No ............ 15. Is thzs property located wzth~n 300 feet of a t~dal wetland. Yes ..... No .~.. *If yes, Southold Town Trustees Permmt maybe required. PLOW DIAGRAM Locate clearly and dlstmctly ali buildings, whether existing or proposed, and. indicate all set-back drmenslons fro property hnes. Give street and block number or descnphon according to deed, and show street names and indicate wheth interior or corner lot · STATE OF NEW YORK, ' COUNTY OF ....... SS (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the apphca He m the (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file ti application, that all statements contained m this application are true to the best ofh~s knowledge and belief, and that t work will be performed in the manner set forth m the apphcation filed therewith. Sworn to before me thls :.~ ._3/. dayof .. ~q'?~-- 19.~,7 County (Signature of apphca~ If aal~oer tubing la used for Water distributing system; piping shall be SUPPLY SYSTEM CANNOT, ~.~...~...o ....~.. ~. OCCUPANCY~.n~ '[~ ~65 1802 9 AM TO 4 PM .o~o..~,.~.~,o..USE IS UN~WFUL FOUNDA~ON ~0 REQUIRED FOR POURED CONCRETE 'm ,.~0~.o."°"~" ....,... ~u~.,.. WITHOUT CERTIFICATE 4, FINAL CONSTRUCTION MU~T BE COMPLETE FOR C.O, ALL CONS'FRUCTION SHALL ~I~,~T THE RI~L~I~EMENT~ OP ~ N,,¥ CODES NO~ flI~$P[')~BI, E ~ OF OCCUPANCY I J_ H ~opper tubing for Wafer distributing ~'Stem; piping ahall CZ55 !, 9" -? 4, FINAL, CON~TRUCTIONMU~' , r ,x , ,~o,~,~co.. .... , OF OCCUPANCY" ':'" ::':"':'~ coNsmUcnoN ~ M~? '" REQUIRED: ,~OR'~O~ED CONagra - RouGH FRAMING & ~MalNO cc~ ~ ,Vt .00 · ,: * : ~l'il~mKor,L"only , , ! 'OCCUPANCY OR USE!~, UNLAWFUL' · . · } { WI~UI':,,~ERTIFICATE ,OF O UPANCY ' O~ ~AD ~E~ BEFORE ~: / ~ ~ ~ > _ ~. CERrlFI~TE ~:O~UP~CY * aOTl~ ~ICO~N{: ~*~A~r~ 7~5-1802 9 A~ ~0 .e ~M ~R THE ~FOLLOW~G NSP~T~ ~, : FOUNDATION -~ ' , ROUGH FRAMINC- {,