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Home My WebLink About16193-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19016 Date MAY 3, 1990 THIS CERTIFIES that the building. Location of Property 1565 MEDAY AVENUE House No. County Tax Map No. 1000 Section 113 subdivision ADDITION MATTITUCKr NEW YORK Street Block 09 Lot Filed Map No. Lot No. Hamlet 06 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 30, 1987 pursuant to which Building Permit No. 16t93-Z dated JULY 9, 1987 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 JOAN & VINCENT PISANO N-023251 - JULY 26~ 1988 MAY 3, 1990 - JOHN E. WALTERS PLUMBING //B~lding Inspector FOR.~ NO. 0 TO%VH 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) Na- 16195 Z Permission is hereby granted to: .~.......~ ................. ~...~ ........................ ~.....~..,,~....~.,~.,~...~.~.,.... ..~~~....~.._,-/.,......~.~..~.~.~ ....... to ..... ~ ...... fa.....g~:~ ........ at premises located at ../...~.~.....~..........~...~..~.......~.....~:.....~.~.....~......q.., ....... County Tox Map No. I000 Section ....... L~..~. ........ Block ..... ..~.....~. ....... Lot No ..... .~...~.. ........... pursuant to application doted ...... ..~....~atat,,.....~J~. ................ , 19.~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TO~N OF SOUTUOLD BUILDINI~ DEPARTMENT TOI4N HALL SOUTDOLD, NEt/ YORK 165 - 1802 BLOG, OEPT, TOWN OF SOUTHOLD 11971 APPLICATION NEW CONSTRUCTION ....... OLD FOR CERTIFICATE OF OCCUPANCY ..... OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property../. ..................... ~ HOUSE NO. STREET HAMLET Owner or Owners of Property ................................... 'couuty Tax ~ap No. z0oo Section //~5 Blo=k -'?. Lot' ..?$.. Permit No. .Date of Permit -Applicant ........ Health Dept. Approval ............... Underwriters Approval ............ Planning Board Approval ................ Request Fee Submitted: for Temporary Certificate .~. .... Final Certificate ................ APPLICANT ................... rev. 10114/88 OFFICEOF BUILDING INSPE~TO~ '" P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. ! 1971 C E R T I F I CAT i O ~! Building Permit No.. (please prznt) (please print) I certify that the solder used in the water supply system Contains less than 2/1.0 of 1% lead. Sworn to beforo me this ~ day of ~ ,. ~2~a~/'Public ,~ County (~lumber's signature) ry Public TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUFIIOLD, N.Y. 11971 April 30, 1990 TEL. 765-1802 VINCENT & JOAN PISANO 52 RIVER HEIGHTS DRIVE SMITH?OWN, N.Y. 11787 To Whom This May Concern, We are urlable to complete your Certificate of Occupancy because .of the following reasons. /_-/ An application for Certificate of Occupancy is not on fil6. /--/ NO !]nderwrite=s Certificate on file. /_--_/ The check is(outdated/not on file.) /-/ No Health Dept. Approval on file. /_--/ No final inspection has been made. P]ense contact: our office on this matter. Thank you for your cooperation.' Building Permit St 1 6 1 9 3 Z Buildinqf [)opt. ***/~/~No Plumber solder Certificate on file. all permits involving plumbing being · Ls.~;ued after April 1,1984 ) (i,~) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING DATE ~h/?? INSPECTOR~ // INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION ZND ['~J'"i'NsuLATION DATE /~///p'~ . INSPECTO~ INSPECTION 765-1802 BUILDING DEPT. FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~MING [ ] FINAL ]'65-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ]~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION F~'F~MING [ ] FINAL I NSPECTO~___~__~ BUILDING DEPT. INSPECTION [ ] ~ON 1ST [ ] ROUGH PLBG. [ .] ~'~OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ / / f INSPECTOR~~ UNDATION ( 2nd ) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FI~AL ADDITIONAL COMMENTS: ., .. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined · .C} ....., 19.~2 Approved . .~. ..... 19~..7.. Permit No. ?../8/.? .~..~. Disapproved a/c ..................................... i . .~1.~.~ :: ....... : .... Date/~~-...//...., 19 ../~. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted'fo the Building Inspector, with 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, 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 {~ Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MA~DE 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, ho, using code, and regul~4ions, and to admit authorized inspectors on pr;miNes and in building for necessary inspections. ...... ~.x?..~. & ~.~....a,~...~... (Signat,ure of applicant,l.l..j_.or name, if a corporation) . ............. . .¢. . : X,. . x ..... (mailing ad'dress o~ applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... Name of owner of premises 1t If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. (~) ~e~/1..-(~..IRT'..... Plumber's License No .... .~...'~../.. i~/i'-7 ........ Electrician's License No../.' &..~.. 7 .......... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .../. ....... ..... ............... House Number x..,/ ~treet Hamlef ./o___ ~; .. County Tax Map No. i 000 Section ..... [...~? ......... Block ...... .~. .......... Lot ................. ~'k~',tX, t5 2C~X~¢ *"~d.~ ......... Lot ........... ~.~.. Subdivision ..... \ .............. o~ ............... Filed Map No...twt.'~. 4~ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a, Existing use and occupancy .... ' ...... -i: ,o~.r,n, t ..... ~,~2, ~./, ,'~, ,~, ,~, ,~ ................ b. Intended use and occupancy ,~'cl~ m '~-- o~_~ c~6 ¢.~ ' ' ' "'i '. ....... 3. Nature of work (check which applicable): New Building ......... Addition ....... Alteration ..... Repair .............. Removal .............. Demolition ............. Other Work .............. ' (Description) 4 Estimated Cost fi:q, c~i.~ Fee .~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ~.'l.~./~L~ ~:(~l, 4Number of dwelling units on each floor..~'~f ......... If garage number of cars .... . .~.13..'~..? .......... .~ .......................... k/r .]./~ ...... 6. If business, commercial or mixed occupancy, specify_ngture and extent of'e'ach,~y, pe'of uie.. i.. ~/~..' i i i ...... 7. iDimegsions of existing structures, if any: Front... ~. .... :... Rear ... ~ ....... Depth'...~.~. .......... Height ..... .~. ..... .; .;Number of Stories ........ (Or~..~. ...... /~>,.~ ................ ~ ............. Dimen~[~[ill/t~ct~re With alterations or additions: Front ... ~ ........... Rear . .~.. ............. Depth .... .72~1~1~.... i ?'1.f .~..~:. · · Height ....... ).?~ ............ Number of Stories .... .~.q ~ ............. ' 8. Dimensinns'0f-~gti,ro~ne~'~d6jas~ruction: Front .../'~..-: ....... Rear ...~t]l~: .~. ...... Depth . ~,?. .......... t.. ~el h~:: ::.~:~.~,/1~..~,.:!,5 ..- umber of Stones ........ O/~.- ................................ .......1... ........... ..... z,. ............ ..... ........ 10. Date of Purchase .~'//. O, ~¥/..~..O ................ Name of Former Owner ~.~.//.~r/¢~..~..~.~-~ ~ I~...~.~///,3.,~n 11. Zone or use district i~ whic/t p~emises are situated..(] ~ ~.~ .............................................. 12. Does proposed construction violate any zoning law, ordinance or.regulation: ..... ~7~. ....................... 13. Will lot be regraded ..... ~t.5~ ........... ~ ....... Will ex~es, s fill be removed from premises: Yes 14. Name of Owner of premise~s ~:-.~.~".'*.~7°?.~s. [['~q*~.c~kddress P~ '.~.~ J,4~,..~.:. Phone No. 7..o~.~.~.O~.:~'T...-~ Name of Architect ..... ~. l~.~-~,. .............. Address ~.,~,~,~ ............ Phone No. 'F,,~-hd:- ....... ~.~ .. Name of Contractor .... ~[t~ ~,~. ............. Address . .~ ~ ........ Phone No. 7o~.-~ .o.~...~.~..... 15. Is this property located within t;00' feet of a tidal wetland~ * Y,es ..... No ..... · If yes, Southold Town Trustees Permit may be required. ~- ~ 5/<. ~-vc-' ' .. ! PLOT DIAGRAM ~d\ b :, Cc Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from prope/ty tines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. /o/~ S.S ........................... ; ..................... being duly sworn, deposes and says that he is the applicant (Name of individual si~ning contract) above named. He is the .................... ~ .................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dT~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 man,er set forth in the application filed therewith. Sworn to before me this NOTk~ PUBLIC, State of New.Yedi_ · .; : : Ne. 4707878 SuffolkCoumY ~W ' (Signature of applicant): Telm ~l)tres March 30,19-