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HomeMy WebLinkAbout26271-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: z-26914 Date: 02/04/00 THIS CERTIFIES that the building HOT WATER BOILER Location of Property: 10095 MAIN RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 142 Block 1 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 14, 1999 pursuant to which Building Permit No. 26271-Z dated JANUARY 12, 2000 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 INSTALLATION OF A NEW HOT WATER BOILER FOR AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. The certificate is issued to ALAN A CARDINALE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 01/28/00 PLUMBERS CERTIFICATION DATED N/A Auorized Signature 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) PERMIT NO. 26271 Z Date JANUARY 12 , 2000 Permission is hereby granted to: ALAN A CARDINALE PO BOX 77 MATTITUCK,NY 11952 for INSTALLATION OF A NEW HOT WATER BOILER FOR AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. at premises located at 10095 MAIN RD MATTITUCK County Tax Map No. 473889 Section 142 Block 0001 Lot No. 026 pursuant to application dated DECEMBER 14 , 1999 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 ,.. _ TOWN OF SOUTHOLD 38 ,Iv /0V, d ( ( i BUILDING DEPARTMENT p TOWN HALL �t i 765-1802 /i br _.... .SAN 2 8 2000 i APPLICATION FOR CERTIFICATE OF OCCUPANCY i 7 ' °Tt °" `:'•- Th'i�`•�+a .pli. ation must be filled in by typewriter OR ink and submitted to the buildinf inspector with the following: 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. Commercial building, industrial building, multiple residences and similar buildii 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 al '.'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 a consent to inspect signed by the applicant If a Certificate of Occupancy is denied, the Building Inspector shall state the 1 reasons therefor in writing to the applicant. C. 1 �1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. usiness`a 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certif t of cc a�25V. 4. Updated Certificate of Occupancy - $50.0D� 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . f/ . . . . . . . . . . � ���.�. . . . . . . . . New Construction. . . . . . .>>. . . . Old Or Pre-existing Builldding. .,x . . . . . . . . . . . 1. _93 Location of Property. . v 9 S. . . . . .. . . . . .!7.�{ :n. /�..004. . . . . . . . . .A .l 1 l t��YGl�. . . . . . . House No. / Street Hamlet Onwer or Owners of Property. l Guil /9, • cap- n ale • • • • . . . . . . . . . . . . . . . . . . • . . • . . . . . . . . . County Tax Map No 1000, Section. . /�� . . . . . .Block. . . . .! . . . . . .. . . .Lot. . .... . . . . . • • . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No. L U./. C. . .Y, .Date Of Permit. 1.:��. �iO�D Applicant��1S �I. :Y,�• ���P'• Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . r . D Fee Submitted: $. 5. . . . . .© . . . . . . . . . . . . . . . . n . ' � ,,e f p� APPU.ICANT / "' cid' ` ri✓ FIELD IN- SPECTION REPORT DATE COMMENTS It u FOUNDATION OST) II —_IIII W m 11 a C-{ FOUNDATION _(2ND) II II JI— — i II II _ it jj O ROUGH FRAME & PLUMBING Ij — In--- II � II _—JI II II II II N —11 INSULATION PER N. Y. -- it H STATE ENERGY ri ii CODE u It it II II it A I I II H llll t II —I I I FINAL ADDITIONAL COMMENTS: A J H � H O z --- - t ro H i F ' COLOR i r� ,r- I 7 M. Blog. ��{ i q - - x --- ExtensionJ Extension ;o _ lG '/Cl ;Piir� %7 yl1a � Extension— �" "j Foundation Bath Dinette Porch Basement (Floors K. Porch Ext. Walls Interior Finish LR. Breezeway Ya3 ,r� .,, '� IFire Place Heat DR. �e) ype Roof Rooms Ist Floor BR. Patio — — — Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer Driveway Total g ? + c ICCC- j -a TOWN OF SOUTHOLD PROPERTY RECORD CARD •'," STREET '. aJ VILLAGE DIST. SUB. LOT • �'�rc�l .7C! /� / : <,%.fir r�c��- 17rlJ�r'.=• ,Ur, ` �� / FORMER OWNER N S E �,-'a.. :;� .Y✓ P`' ! �!;-;Cil � �'""`�._.. . , 1sz rS a �� TYPE OF BUILDING RES. SC) SEAS. VL. FARM COMM. LAND IMP. TOTAL DATE REMARKS on s226 s* ii�l1.. . ./- �,�, _ - /� P 1 (7 .2001" et -aPfe ` r r jo meq- J 9Lh. "•f- . . ! C-�I f[ R ��al! �'J 6, �� T az , �51--4 a F9 ' ��017 jdt"-Co�`�� Rets; /i�c-o� NPCrFr�.c Pan�.l4��e��s�0a� (8 Pt(o c_n s - se ' t'fr ) { ✓. J-I �Y: -r_ :(��`•. i6, o�s „ t°/a°,a:"1 gay � /�/;,r� �•�;, �f �t -r�,� ,_ _ � l'�- - RG n TILLABL Q RO TAGE ON ROAD VOODLAND -. -spEA / �l fe� e F dPa O,CC7 D WLAN . l� I �: _s•' 9y- Q''�d � y3a-RL�er jpr7 2 �� 1 EA F<%1OrLOPfT- -1`qPlA4C or't�r �c• .trlLA Dcov011 C -s 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR THE NEW YORK BOARD OF FIRE , UNDERWRITERS PACE 1 8018692 BUREAU OF ELECTRICITY F , 40 FULTON STREET, NEW YOR� NY 10038 ' y Date FEBRUARY 03,2000 Application No. on file 1589.'0301100 11 067041 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant nhm8d on,the above application number is in the premises of A. CARDINALE, 10095 MAIN ROAD, MATTITUCK, NY in the following location; ❑ Basement ® Zst Fl. ❑ 2nd Fl. - Section Block Lot was examined on JANUARY 28,2000 and found to be in compliance with the,National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER IIIAMT I K.W. AMT. K.W. AMT. K.W. AMT. I K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME-CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMi. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. "AMT. 'AMPS.. TRAN$l AMT. HP NO.OF FEET AMT. WATTS 1 F -- SERVICE DISCONNECT No,OF-- - --- — -- - S---- --E - - —R-7-7 I C E METER NO,OF 66 GOND A W G + A.W.G. A W G AMT. AMP. TYPE EQUIP. 10 2W 1 0 3W 3 0 3W 3 0 4W pER 0 OF CC CO D. NO ,(SF PI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: REPLACE OLD OIL FIRED BOILER W/SAME-1 ARISTA TENTH CORP. Ids, L L38 26 TENTH STREET LONGISLAND CT, NY, 11101 GENERAL MANAGER 11 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 cred0tiols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE -MUST'>NOT 'BE ALTERED IN ANY MANNER. tV k+i Marls M. Rosenberg, P.E. Considling1:ngineer RDelIe.11 enue $gyosae4"II791 (516)8224710 Sony Theatres 711 Fifth Avenue New York, NY 10022 Attn: Ed Trincilla Re: Mattituck Theatre Gentlemen: At your request I have examined your hot water boiler and find it badly cracked and leaking. I recommend that you hire one of your licensed contractors to replace the hot water boiler with a Weil-McLain model #BL-488W, or equal, hot water boiler with a Carlin i-pipe oil burner utilizing a 4GPH low fire 7GPH high fire burning #2 fuel oil. If I can be of any further assistance please do not hesitate to contact me. OF"NFw���; '':Sincerely yours, .' $ - : a•. Mark M. Rosenberg, P.E. a •.?o, y , 'A APPROVED AS NOTED •,,,?, ��,o,,�,,,�,, /.Som' Br. c f 2ae— NOTIFY BUILDING DEPARTME T A 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: UNDERWRITERSCERfIflCATE t FOUNDATION • TWO REQUIRED fORPOUREDCONCRETE REQUIRED OCCUPANCY OR a ROuGH INSULATION * FRAMING a PLUMBING USE SUt�ILAVM � 6E t OW FINAL ,ATE FOR C.O CONSTRUCTION MUST FIRE INSPECTION {AI u ALL CONSTRUCTION SHALL MEET RE UIRED BEFORE WITHOUT CERTM�THE REQUIREMENTS OF THE N.Y. OPENING ,, ,;, OF �ti+�"�" "'W CODES. NOT RESPONSIBLESTATE CONSTRUCTION & FRGY OR DESIGN 08 CONSTRUCTION ERRORS s�RvlcE /�REa ,gREA of woR>i EXISTING golLEk RI on ryEHTEg PUBLlG PqRKfNG cEM. Q h Q MRIAI CORD /7RTTITveft,cr'oz 0 7trT Mp �R) -Y• SATE PLgIV R#v L 0cPrrld✓✓OL WORD{ N�1 Td3CAtE 12-1yY9 Mo Mot BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLA I DEC 11999 � , TONN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUTLDING DEPARTMENT CHEC . . JS�� :UG7. . . . . . . . . . . . . . TOWN HALL S FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: pp qq CALL .71V. .✓.3�. 000 Examined.................. 19.... MAIL TO: hfl,.TR.!Y,C, 2 1�) Q1 t.... 1`I Approved..... '-.��......,Us !� Permit No. :oLb 3..:ZG.`�..................... Disapproved a/c ... � .�c..,Ny.//.l.ol.......... (Building Inspector) APPLICATION FOR BUILDING PERMIT 19 INSTRUCTIONS a. 'Reis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shell be occupied or used in wbole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICN IS HOW MATE to the Building Department for the issuance of a Building Permit pursuant to the Buildjgtg 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 dcperibed. The applicant agrees to cdmply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises m-0 in bvildi „ for inspections. (Signature of appli t, or name, 'f a corporation) ( rli add ss of�plucent) /y A 517 tt l�C,pAJ� ITl6A) W �= RP State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluxber or Gilder ' ' MrhkA!fM...CMtrachK................................................................................. Nameof owner of premises ............................................................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License ND. ...................//.��....... Plumbers License No. .....A 9.8`C- T....... {� p p Electricians License No. ...(.'.�.P..f}9..... Other Trade's License No. .................... �/ 1 1. Location of land on which proposed work will be done......../.!u4^}.... S{IOA�1/n� C��fek . . ............................. ............................................!4,at .f?!cK...................... House NumberStreetl1 Hamlet County Tax Map No. 1000 Section ...OR ....... Block ...l............ Lot ...A.......... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises andintendeduse and occupancy of proposed construction: a. Existing use and occupancy ......MQft'C...:t °t tfx................................................... b. Intended use and occupancy ............................................................................. Nature of work (dick which applicable). New Building .......... Addition .... ..... Alteration ... lkrrolltion Other Wank FF..h!?t.N�A R. a .q�..bn!k4e` Repair ............ Removal ...... ............ (Description) Estimated Cost .3d.,.Oefl..........�.... fee ... 00 .................... ............... (to be paid on filing this application) If duelling, nurber of dwelling units ............ 1unber of dwelling units on each floor ....... ......... Ifgarage, nnber of cars .........r............................ Dimensions of existing structures specify nature and extent of each type of use..Ma�!�.........fee ng 3f any: Front................ Rear ............... Depth ................. I business coamercial or mixed oc Dimensions of sae structure with ar of Stories ...................... terations or additions: Front ............... Rear ............... Depth .................... Height .�.................. Nunher of Stories ............... Dimensions of entire new coostructi Front .............. Rear ............... Depth .............. Height ......................... Nuiier of Stories ........... Size of lots From ...............i..... Rear .................... Depth .................... ......... ......... I ). Date of Purchase i... Name of Former Owner ........................................ I. Zone or use district in which prenilea are situated .............................................................. ' Does proposed construction violate 'any zoning law, ordinance or regulation: ........................ 1. Will lot be regraded ..............I...... Will excess fill be removed from premises: YES ND i. Nares of Owner of prises ......... ' .................. Address .............................. Phone No. ............. Naze of Architect .......... ... ,Address .......... .. .. .. .. Phone No. ............. Name of Contractor Address 30 /O'uff �;1�% D� %/�f;93�-/✓lYf .. .Plwne No. i. Is this property within 300 feet of a tidal wetland? * YCS .......... NO ......... *IF YES, SCOTIM 'IIJI,IN TR1)S!E s PmffT MAY BE w4unw. (PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions rum property lines. Give street and blci k naber or description according to deed, and show street names aid indicar5. nether interior or corner lot. 3 r fA'IE or NZy 'tN , �� ........F/e.Rai ae—. jk.. II.. .being duly sworn, deposes and says that he is the applicant `� of irdivWual signing cont---c"') 2 is t ...... . ......V l.c.�F... Kj.I ................................... (Contractor, agent, corporate officer, etc.) r said owner or owners, aid is duly suGforized to perform or have per.fonied the said work and to make and file this pplication; that all statements contaln�l in this application are true to the beat of his knowledge and belief; and hat the work owill lbbe performed in the manner set forth in the application filed therewith. worn C orlt'ne this A YA Notary Public ..... P ..................... .. .... (Signature of Appli t) 1tGrpTO ew�'octe llolnry N 1hA1-A9©en3 O0�7D.00 I3UILTJING PERMIT REVIEW CHECK LIST Appi Owners N ,� „� J'T Date Owners Name: � _ Reviewed: Architect/ Date Engineer: Submitted: /aV/ Q SCTM #: � District: 1.000 Section: /7c>� Block: �_ Lot: Project / Subdivision Location: /eg 4 �/� 1 �/�— Name: Sin&le&separate Required certification: (Yes/No) Req Req. Zoning District [Lo(size: Actual: ) [Lot coverage Proposed: ] Req Req. Req [Front Yard Proposed: [Side Yard Proposed. ] [Rear Yard Proposed: ] Project Description: Koeo Ge-� hod- waz?6� " �,,:4W AGENCY PERMITS Permit REQUIRED FOR REVIEW N. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: to • Naw bkLef- +z> 6, pc,n-IL STA VDA4J5 . O