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Home My WebLink About16009-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y. Certificate Of Occupancy No .z 16.67.5 .... Date .... ~a55~.8!. 1.~8~ .... THIS CERTIFIES that the building Ad.c!. ~ .t.x.on. .......................... Locatlon of Property 295 MAIDEN LANE MATTITUCK House No. ' ............. ~'t/eet ...... H~mle~' County Tax Map No 1000 Section 14 0 ,Block . 0 I ..... Lot ,. 0. 7 ...... Subdivision ........ .... Filed Map No .... Lot No ........... conforms substant~ally to the Apphcat~on for Building Permit heretofore filed in tins office dated ....May 22..., 1...987. pursuant to winchBuddmgPermltNo 16.009.Z...... . .. . dated . HaX 2. 6 ,.. 19..87 ...... was issued, and conforms to all of the requirements of the applicable provisions of the law The occupancy for winch this certificate is msued is ...... .. Add. it. ion. a.nd..de..a.k .addx.ti.o.n..t.o ex.ist..zn.g o. ne..fa..mil, y .d.we.l.l. ipg. Thecertlficate]slssuedto RITA MARTIN (PONSIGLONE) .... (ewne'r,'l~it,~ltir~e~At~,t~X ........ of the aforesaid building Suffolk County Department of Health Approval N/A UNDERWRITERSCERTIFICATENO..N8.47730..De.c..2.2,..J?.87 N853042 2/10/88 PLUMBERS CERTIFICATION DATED: N/A Bufldmg Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .Z.IA~ .... Date. ~arf~.8~. 1988 THIS CERTIFIES that the bmldmg Pool .a.nd...f.e.n.q .e.. ....................... Location of Property 2 9 5 MA I DEN LANE MATT ITU CK House No Street Ham/et County Tax Map No. 1000 Section 1 ~.0 .... Block 0 1 ....... Lot .07. .......... Subd~v~s,on ............... Filed Map No .... Lot No ........ conforms substantially to the Apphcatton for Building Permit heretofore filed xn this office dated · M.a y..22, 1 .9.87 pursuant to wtuch Braiding Permit No .... ! .69.0.9 Z. ......... dated .M. ay. 2.6 ,. J .98.7. .......... was issued, and conforms to all of the reqmrements of the applicable provistons of the law The occupancy for wIuch tlus certificate is issued is . Inground pool and fence. RITA MARTIN (PONSIGLONE) The certificate ts ~ssued to .................... (owner, R'~ ~4t0[lX X X X of the aforesaid building. Suffolk County Department of Health Approval ..... .Iq/.A. ...................... UNDERWRITERS CERTIFICATE NO. N8.50.20.5.. 3/.l. 5.(.8.8 ................... PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev 1/81 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) NO_ 16009 Z Perm,ss~on is hereby gronte~o: ..~.~...~.~~....~.: ......... ..~... ~-,~--.'-. ,o.~. ~l~ ~ ~ C~.. · ~ .~--.: .......... ~ ......... /~) ............. ~ ............ , ........ : ............... at premises~locoted clt'~/~'~.~.~:1~ ........~ .~...~ ..... ..~......0.,~.~, ................ County Tax Map No. 1000 Sect,on ..... )..~,.~. ..... Block ....... ..~...~ ...... Lot No .......~...--J. ..... Building Insp~tor. Rev 6/30/80 'tOWN OF SOU' HO'~ APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765 - 1802 Instructions A. Thru apphcation must be filled in typewmter OR mk, and submitted ~ ~ to the Budding Inspec- tor with the followmg, for new buddmgs or new use' 1. Fmal survey of properW w~th accurate location of all buddmgs, property tines, streets, and unusual natural or topograph ~c featu res 2. Fmal approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal) 3. Approval of electrma[ msta[[at~on from Board of F~re Underwriters. 4. Commercml buildings, Industmal buddings, Multiple Remdences and similar buddings and installa- tions, a certificate of Code comphance from the Architect or Engineer responsible for the building. 5 Submit Planmng Board approval of completed rote plan requirements where apphcable. B. For existing buddmgs (pmor to April 1957), Non-conforming uses, or buddmgs and "pre-ex~sting" land uses' 1. Accurate survey of p~operty showmg all property lines, streets, buddings and unusual natural or topographm features. 2Sworn statement of owner or previous owner as to use, occupancy and cond.t~on of buddmgs. 3. Date of any housmg code or safety ~nspect~on of buddings or premises, or other perttnent mforma- tlon required to prepare a certificate. C. Fees: Addzt~ons $25.00 POOLS $25.00 ALTERATION $25.00 1. Certlficate of occupancy New Dwellzng $25.00, Accessory $10.00 Buszness $50.00 2 Certificate of occupancy on pre-exmt~ng dwelling $ 50.00 3. Copy of cert~f~cate of occupancy $ 5,00, over 5 years $]0.00 4.Vacant Land C.O. $ 20 00 5.Updated C.O. $ 50.00 Date .. 3,./.8/.8.8. ................ NewConstruct~on x.x.., Old or Pre-existing Building .......... Vacant Land ............. Locat~on of Property ..... 295 MAIDEN LANE MATTITUCK House No. Street Ham/et RITA MARTIN (PONSIGLONE) Owner or Owners of Property ..................................................... ]40 01 07 County Tax Map No 1000 Section ......... Block ............. Lot ................ Subd~wmon ....................... Fded Map No ...... Lot No ........... Perm~tNo.].6.0.0..9.~.o. Date of PermK 5/26/87 Apphcant Health Dept Approval .................... Labor Dept. Approval ....................... Underwmters Approval ................... Plannmg Board Approval ..................... Request for Temporary Certificate ................ Fmal Certificate ...................... Fee Submitted $ 25.00 Construction on ~/~~icabl~odes ~ above descmbed bu ~hng a icabl odes and regulations Rev 10 10-78 Buildmg Department ~ Town Hall TO~,~,-~~ Southold, N.Y. 11971 ~~ 765- APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Thru apphcatlon must be filled ~n typewmter OR ~nk, and submitted ! ~ to the Buddmg Inspec- tor with the following; for new buddings or new use. 1 F~nal survey of property w~th accurate location of all buddmgs, property lines, streets, and unusual natural or topographic features. 2. Fmal approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3 Approval of electrmal mstallat~on from Board of F~re Underwmters. 4 Commermal buddings, industrial buddmgs, Multiple Residences and similar buddmgs and mstalla- t~ons, a cert~fmate of Code compliance from the Architect or Engmeer responsible for the buildmg 5. Submit Plannmg Board approval of completed ate plan requirements where apphcable. B. For existing buddmgs (prior to Aprd 1957), Non-conformmg uses, or buildmgs and "pre-existing" land uses: 1. Accurate survey of p~operty show,ng all property lines, streets, build,ngs and unusual natural or topographic features 2.Sworn statement of owner or prevmus owner as to use, occupancy and condition of buddings. 3 Date of any housmg code or safety mspect~on of buddings or premises, or other pertment reforma- tion required to prepare a certificate C. Fees: Addztzons $25.00 POOLS $25.00 ALTERATION $25.00 1 Certlfmate of occupancy New Dwellzng $25.00, Accessory $I0.00 Buszness $50.00 2. Cert~fmate of occupancv on pre-exmtmg dwelling $ 50. O0 3 Copy of certlflcate of occupancy $ 5.00, ove~ 5 yea~s $~0 00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .. 3/~/88 ............. NewConstructzon .x.x .. Old orPre-exlstlngBulldlng .......... Vacant Land ........... Location of Property 2.9,,,5. ~,T~D~ti..[~.k.R.~ . MATTITUCK . House No. Street A~an~let Owner or Owners of Property IJITA MARTIN (PONSIGLONE) CounW Tax Map No. 1000 Section ..... 140 ..... Block .... 0 ] ....... Lot ....07 ......... Subd~wmon ................... Filed Map No ....... Lot No ............. Perm,tNo 1.6q.ODZ. .. Date of Perm~t .5./.2.6./.8.7 .Apphcant .............................. Health Dept. Approval .................... Labor Dept. Approval ..................... Underwriters Approval ................... Planmng Board Approval ...................... Request for Temporary Certificate ................ Fma[ Certificate ................... THE NEW YORK BOARD OF FIRE UNDERWRITERS IJUi581 BUREAU OF ELECTRICITY ~l~g t~abruary ]0 19~x~SLt JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIE~ THAT OTNERAPPARATU$ Jod~ Pumlllo Pa Lane Matt~cu6k~ N.Y. 11952 Lic. 2~09 '~h~s certificate must not be altered in on), manner, return to the off~ce of the ~oo~d I{ recurred Inspectors may be idenhfred by their credenhals COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY IViANNER N ;730 THIS CERTIFIES THAT ..... S~RV~C~ DISCONNECT NO OF S E R V I C E 1 EXHAUST FANS DIMMERS AWG OF NEUTRAL Jody Pu~:[.llo Pal: Lane ~.aC cituck, 11952 lic ~ MANAGEII Per .-- Th~s cerhf~cate must not be altere¢~ m any manner, return to the ofhce of the ~oard ff mcorrecl Inspectors may be tdenhfled by theJr credenhols COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy ~-~ ~'~ 85 JOHN STREET, NEW YORK, NEW YORK I003~8 THIS CE~IFIE5 THAT Klta ~r~,~l~n La~-Route~8,~ttl~uck New york RXTURES RANGES OVENS EXHAUST FANS SERVIC~ DISCONNECT S E R V I C E OTHER A~PARATU$ GFCI-1 *(S~!mlng Pool)Ihl~ Certificate Covers compliance at the date of inspection only. Because of unusual en~ironments It Is advi~able ~o have freq~nt tess/and or repairs made by a qualified person. Jody P~mlll o PaC Lane lla~tttuck,New York 11952 Lic~2300-g ~.~. 11 This certificate must not be altered in any manner, return to the off~¢e of the Goord ~ incorrect Inspectors may be identdled by their credentials COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~U~pATI0:; ~ ~(lst) OU~DATI 0:~ ( 2nd ) OUGH FRAME & ?LUMBING NSULAT!ON PER N. Y. STATE ENERGY CODE FILIAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / , [~INAL REMARKS: ~ / ~ ' d ' // / O__ / DATE/~///~.~//_~? INSPECTOR ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [, ]~U~PLBG. FOUNDATION 2ND [r~r INSULATION FRAMING REMARKS: FINAL ' ," / ~ / 7G5..',802 /~ IHSPEI='I'IOH FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~i~U~TION FRAMING FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [~] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~J'~RAMING ~ ~ FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] ~~ON 2ND [ ] INSULATION FRAMING [ ] FINAL DATE MAY 2 BLDG. DEPT, TOWN OF SOUTHOLD Examined Approved Disapproved a/c . .. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N Y. 11971 TEL.. 765-1802 ,19~.') PermitNo J.[.t) oc~''~ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: APPLICATION FOR BUILDING PERMIT Date .[tt-tk<~t°f~. ~ I , 19~ iNSTRUCTIONS a. This apphcation must be completely filled in by typewriter or ~n ink and submitted to the Building Inspector, sets of plans, accurate plot plan to scale Fee according to schedule b Plot plan showing location of lot and of buddings on premises, relahonshxp to adjmmng premises or pubhc sir or areas, and giving a detmled descnptmn of layout of property must be drawn on the diagram which ~s part of thru a~ cation. c. The work covered by tins apphcatlon may not be commenced before msuance of Building Permit. d Upon approval of this apphcat~on, the Building Inspector wr!l issued a Bufidmg Permit to the applicant Such pe~ shall be kept on the premises available for mspechon throughout the work. e. No bufldmg shall be occupied or used m whole or in part for any purpose whatever until a Cerhficate of Occupa shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the B~ddmg Departrb. ent for the msuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinance Regulahons, for the constructaon of bmldmgs, additions or alterahons or for removal or demohhon, as herem descnl The applicant agrees to comply w~th all applicable laws, ord~nan~dmg code, housing code, and regulations, am admit authorized inspectors on premmes and in bmldmg for necessa e' hons ' (S~gnature of apphcant, or name, ff a corporatxon) (Malhng address of applicant) State whether applicant 1s owner, lessee, agent,f~ltect~0, enDneer, general contractor, electrician, plumber or buff( Nameofownerofpremmes ~:~'(-'T,0.' ~--Jqi~'F/~''D ~::t:::~'-~Sl~qr~I::~ .. (as on the tax rolI or latest deed) If applicant isa co.oratlon, slgna~-~v ~thorlzed officer ~ ' ' '~ ~' ~, ~- -r~'~ (Name and t~tle of co~ora~ of¢cEr) ' i ~ ,- ALL CONTRACTOR'S MUST BE SUF~O~O~NTY LICENSED Builder's License No. --v . . Plumber's License No. Electrician's License No Other Trade's License No Location of land on which proposed work will be done ttouse Number Street County Tax Map No lO00 Section J "] [3. Block Hamlet .. Lot. '7 Subdivision Filed Map No. Lot (Name) State exlstmg use and occupancy of premises and intended use and occupancy of proposed constructmn a Existing use and occupancy ~-~'~[l[Dt~tADC~ ............. b. Intended use and occupancy [~{~.l gx, ~klC~. ......... '~ature of work (check which applicable) New Budding .. Addition '~ Alteration l-tepmr ....... Removal ..... Demolition ....... Other Work ......... .~)..irD(~.. (Descnplmn) EstlmatedCost .F~-'c'~?.k .WJ..C~. ~ .'[~...~.¢. Fee ......... ~' (to be prod on fihng this appl,catmn) If dwelhng, number of dwelling units .. (..1.). (D/~. Number of dwelling umts on each floor. If garage, number of cars . . . ~1 .~ C_J/:,J~,-. .................... , ...... If business, commercial or mixed occupancy, specify natu,re anc~Fxtent of each ty, pe_of~gse . Jg./.~ ~ .... D~mensmnsofexlstlngstmctures, ffany Front_ . '~ "~ Rear .-~--a~.~.,.~ ,.. Depth: .~7.~ ...... Hmght .. ~ ' .... Number of Stones ~9.~") 'T~..C>. · .~.~z I......~ ~ - ~ .... , --~-It Drrnens~ons qf sam~ structure w~th alterations or addi}mns Front ~-~',_.,h *--',.-~ Rear . ~q~ - Depth . ~ .. Height.. ~.~> ....... iqun~be;ofSto~es ...~'~,.~..~.~-~ '.' D~mens~ons of entire new constructmn Front . l,.)/'/-k'~ . Rear ........... Depth ......... 8. Height ..... Number of Stones 10 Date of Purchase ................ Name of Former Owner ............... 1 1. Zone or use &strict in which premmes are situated. . .~e~j ~[2>.~3~F~..Lt~ ............... 12 Does proposed construction violate any zomng law, ordinance or regulation .b[C::} ....... 13. W~II lot be regraded ... Dl.eT:~ · - · v. - - W~ll excess fill be removed from premises: ~K~ Yes N 14. Name of Owner of premises ¥'/4~-,S t ~[~,.~t,c_.,C~..~-.~dress . ~'4t.,2.~'.,~...~. :..Phone No Name of Architect IA//klck123. F~-~ .p.,.c_ { .. Address . .~r;~R .1,~I ~- . Phone No ~ Name of Contractor ................ Address ............. Phone No .......... 15. Is this property located within 300 feet of a tidal wetland? *Yes .~. No · If yes, Southold Town Trustees Permzt maybe required. PLOT DIAGRAM Locate clearly and d~stlnctly all bufldmgs, whether existing or proposed, and mdmate all set-back dtmens~ons frm property hnes. Give street and block number or descnptmn according to deed, and show street names and red,cate whethc STATE OF NEW YORK, S S COUNTY OF ........ · .. ~.F~4-~I"~4Z) ~-,~r, [J~D~-~P-D ...... being duly sworn, deposes and says that he is the apphcm (Name of m&wdual s~gmng contract) above named He is the . .. ,~kC:~{~teD~' ./,/k~ L-['~"C~['~ .......................... (Contracto~k?gent, ~orporate ofhcer, etc ) of smd owner or owners, and is duly authorized to perform or have performed the smd work and to make and file th apphcat~on, that ail statements contained m this application are true to the best of his knowledge and belief, and that t? work w~ll be performed m the manner set forth m the apphcation filed therewith. Sworn to before me th~s Pubhc ........ .~. ~:. ~ .~ . ~ ~ij~aS klar ch 30, ~*9--"~f' (S~gnature of apphcan FIN FL ~L '.OLO W~L~ILeL~' PAIN WH(~L P~;OL IDAT~ 11,' IN~T&Lt~D ~9 ¢0N- ' , NEW ~.gP ~TION WALL- P~NTh~ i ' - ~,j..~. RE&I-VENl pNIr PET'XlL':'~ PWq A-G 6EB DETAIL. DWqA- ;-' .l i ~EW ADDITION HALL of lYP~ .K, or L only FLOOP~ PLAN Fl~Sl FEIE' "~'~' / BY' ~ ~ L' NOD~ ~ILDIN6 DEPART~BT AT 76B-1~2 9 A~ TO ~ PM ~R THE FOLLOWING INSPECTIONS: ~UNDATION ~O ~EO~RED ~R ~UREO CO~ICRE~FE ROUGH FRA~ING A PLUMBING 3. INSULATIOhl ~ATE CONSTRUC~I~ & DNEF C~ NOT ~S~N~F ~ OR CONS~UCTI~ EF RO~S, PLAN NO~TH *- EXIST INa , SlTE ELAM ¢4~ 1'2. ~u. - a'-d ~ PPo P I ~l W&I~ - / MATCH ~.,~ ~T,) EXIST. /~NuhETE Fi~ O. WALL ~ ~OT~NqdT~r,) , -xs/,%,~ ,,\/~C~OZ/~O~t~AD. . ,(~ - %¢ ~f PLUM~ERCERTIFI~TION ; ~1- ¢ ]/¢I ~,- ~ % "='-~ ON LEAD CONTENT BEFORE I -- ~-' ~ CERTIFICATE OF OCCUPANCY I~¢-iI ~/¢u OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY PARTIAL ¢OUNDATIDN PLAN E ~, I'bT W&LL~ o~ PAF~TITION To P~E~IN WALL OP~ PA~I ITION T~ D~ hEMOVE~ DUPLEX ~TACL~ [~OV~LT TH~E W&~ 6WiT~ ~DiLiNq LIGHT FI~T~E (FJ~NIOHED OuTPO~ W~T~Eh ~ 5WN~ {N~TAL~ID ~XHA~ FAN/ ~E~I GW~Tc~ (~NI~P I-55 7 -3 ~ ' Id' projed title: ADDITION TO PONSI~ LONE ~EGI DENCr: drawing title: ~ITE ?L6N FIf55T PL~% PLAN -~ pOUNDATION PL/~N drawn by: cheoked by: date: scale: I~-~, -~ A~ NmTED drawing numar: ref. no,: ' I hloq~ vent- NO~'f H ELE¥~.T ION T~ MATCH, FAN ELEVATION 56ALB: I/4'~-- NF=W W~ ~,¢¢tA - MA1x.4-~ EAST ~LEVATION ,I ?6,1NTED WP, F¢/2~Z~.61f. E 'fop DF lc'LATE 1~ 4" NEW NOh~ONT~L T¢ M&TCH FIN FL EL FIN, PL. EL,: -0'-~~' ~ II/¢~ ~lqlP INeHL - - ¢"x~I FL~o~ JO __]2 __ project title: P~NGIGLON I'~ DO I DE N,~F= drawing title: ELF:VATION~ ~, 55~TIoN5 drawn by: checked by: date: scale: 19. -& - ~, A'G NC, T~D drawing number: A-2 o, 31 ret no,: 1'o P~P-..M6.1N-?~,7~H :i "l)' 60Nc 5LAt~1 ~M~L ~ ~. ~N6 FT'(4 ¢ FNLg 56&LF. '. 'b/~= I1'O" ~.) FP,I'JV~,'~ ~ ~h, ;.fA,.u LNT~k~M~D /.~i[~ C~055 5 F:C T~ON (%) 4 i PATCH DETAI OMIT L:,ETA ~ L$ project title: ADDITION T~ PONSI& LONE drawing title: 6E~TION DETAIL~ drawn by: checked by: date: scale: drawing number: OF, ret, no,: