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Home My WebLink About26153-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27246 Date: 08/15/00 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property: 440 HAYWATERS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) county Tax Map No. 473889 Section 111 Block 2 Lot 3.1 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 21, 1999 pursuant to which Building Permit No. 26153-Z dated NOVEMBER 15, 1999 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 & ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALFONSO & CHRISTINE MARTINEZ-FONTS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1317 07/27/00 PLUMBERS CERTIFICATION DATED 06/22/00 GIUSEPPE SFERRAZZA PLUMB. //~orize~ Slgnature 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. 26153 Z Date NOVEMBER 15~ 1999 Permission is hereby granted to: ALFONSO MARTINEZ-FONTS 440 HAYWATERS RD CUTCHOGUE~NY 11935 for : CONSTRUCTION OF ADDITION & ALTERATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 440 HAYWATERS RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0002 Lot No. 003.001 pursuant to application dated SEPTEMBER 21 1999 and approved by the Building Inspector. Fee $ 481.60 / / AuthOrized Signature Rev. 2/19/98 ORIGINAL TOWN OF SOUTHOLD BUILDINGTOWN765-1802 DEPARTMENT HALL APPLICATION FOR CEP, TIFICATE OF OCCUPANCY Th£s application must be filled in by typewriter OR ink and submitted to the buildi inspector with the following: for new building or new use: i. Final survey of ,property with accurate location of ali buildings, property line 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 build 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings , Ppre-existing" land uses: i. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic features. ~o 2. A properly completed application and a consent to inspect signed by the applica: If a 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, Swqmming pool $25.00, Accessory building $25.00 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....~.l~./~?. . .................... . ... New Construction ........... Qld Or Pre-existing Building..~. ..... ' .ouse' ................. ................ ........ .. ..... County Tax Map No 1000 Section Block Lot . .. Subdivision.../~. ~'~.L?...DO..~..~.'??. ~..~7~....~.'~I..Filed Map. !~. ~ . ~7! ?/o Z?ozZ&~. ......... Lot ..... / .......... Permit No....~..~.!~.~..,Date Of Permit ................ Applicant ........................ Health Dept Approval Underwriters Approval ,~. .. . Planning Board Approval ................... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. . ...... ................... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHP/LBG. [ ] FOUNDATION2ND [ ]~ATION [ ] FRAMING [ ~FINAL [ ] FIREPLACE & CHIMNEY REMARKS~ DATE Town Hatl, 53095 Main F'{oad P. O. Box 1179 Southokd, New York 1197~ Fax (516) 765.~23 i, Telephone (516) 765-~ 852 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. ~_~ Owner: ~/~ /~W~z- (please print) (p£ease p ; I certify that the molder used in the water supply syste~ contains less than 2/10 of 1% lead. Sworn to before me this day of ~ , Notary Public, v~. · · · . County NO. 4904293 ,. ~ ~, ~te of 765-1802 BUILDING DEPT. INSPECTION DATE INSPECTOR Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street * Center Moriches, New York 11934 * Tel: 631-878-3500 * Fax: 631-878-3764 Application No: 1317 Issued to: Martinez-Fonts Address: 440 Haywaters Rd Village: Southold Zip: 11971 Introduced by: Puccio Electric Date: 7/27/2000 Township:Southold License #: 4806 was examined and found to be in compliance with the National Electrical Code l lll Switches Receptacles Fixtures G.F.I. Heaters Air Conditioners 66 59 64 8 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon Range/Amps Monoxide 2-Paddle 1 20A 3gA Furnace Oil Gas Circulators Smoke Bell Detectors Transformers I Yea 2 6 )ther Equipment Meter Amps Phase Motor~ 1 200A OH 1 I-M icrowave-20A 16 Ft Track Lighting I-Water Heater-Oil I-Air Handler-1 SA 1-40A Compressor .)-Exhaust,Bath 1st Fl,l-Exhaust 2nd FI :)ut~Res Building Permit No.26513 This certificate must not be altered in any manner Section: Block: Lot: ~DATION 2ND) ;H FRAME & PLUMBING bH~ATION PER N. STATE ENERGY CODE FINAL ti ADDITIONAL COFXMENTS: 765-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROU~ PLBG.. [ ]/~ULATION [ ~ FINAL [ ] FIREPLACE & CHIMNEY INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ROU~HPLBG. ].~J LATION FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY ]~'-PLBG. INSULATION [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [/~OuGH PLBG. FOUNDATION 2ND [ [~FRAMING [ ] INSULATION ] FINAL DATE~/~'p INSPECTOR~~ [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. ~~,oINSPECTION UNDATION 1ST [ ] ROUGH PLBG. ~ [ I FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY , ~/~'~.-/) // 765-1802 BUILDING DEPT. INSPECTION ~F~D~ATION 1ST [ ] ROUGH PLBG. [ ~ FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [ ]FINAL .~,,,.~.~s.' ~ DATE '"~-//~///~ ~ / /5? Z- 765-1802 BUILDING DEPT. INSPECTION [ ~FO~INDATION 1ST [ ] ROUGH PLBG. [ ,~OUNDATION 2ND [ I INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY _INSPECTOR ZM,ico oZx ATERS Date To Re DONALD G. FELLER · ARCHITECT 11725 Main Rd * I~ax 1692 * Maffituck NY 11952 · 516,298,54,53 * Fax 298,1380 ,, !, I,,~l~,~ ........... 'TO~ ~ ~"~'w~,"~ ....... Pages to follow .... ~ ~ ~ ~ For your review As requested Please call at your convenience Comments: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 119~1 TEL.: 765-1802 Examined ................ , 19... ...... :, l" %ermit No. Disapproved a/c ' ~_ / . (~ilding Inspector) ~ . ~LICATION FOR BUILDING PERMIT BOARD 0P II£ALTII 3 SET~ OF PLA~IS ......... SURVEY .................. CIIF-CK HAIL 9/ t 99 Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or i~ ink and submitted to the Building Inspector, with 3 sets qf 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 diagzam which is part of this appli- cation. e. The work covered by t~ds application may not be commenced before issuance of Building Permit. d. Upon approval of thls 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 a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE 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 appUcable laws, ordinances, building code, housing code, and regulations, and to admit auth°rized inspect°~ °n premises and in building f°r necessary ins~ .(Cji.. (Mailing address of applicant) St whether applicant is 'lessee ' ate owner,. , agent a~t enginee general · ~.. ~:~ ~ (-T~c-- ['- ' , r, contractor, electrician, plumber or builder. ~ame of owner of premises ........ (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corpbrate officer) Builder's License No. .~. ~rz2 /'~,f c~ Plumber's'License No " Electrician's License No Other Trade's License No "' Location of land'on which proposed work will be done· 4-q-O · "'" ................... }louse Number , Street Hamlet County Map No. 1000Sec,io. ..... 1.1.1 .......... Uloc Lot ! ......... Subdiv sion..~.?~3~ .~.'.../~...OF' IUA'~,~,J .~.~.( .~/.~... Filed Map No. I~ Lot .p./e. (Name) ....................... ~ intended use and occupancy of prop State existing use and occupanc of premises and Osedc~nstrucfion: a. Existing use and occupancy . .. ~ / , ' b. Intended use and occupancy ...................... , . ,~~ Repair ........... Removal .............. Demolition ........ ' ......... Alteration .......... ..... Other Work .......... ' ..... 4. Estimated Cost I ~ ~79. (Description) ....... I ........................ Fee .................................. 5. It' dwelling, number of dwelling!units ~ (to be paid on filing this application) .............. Number of dwelling units on each floor. If garage, num her Of ears ............ . ............. 6. usiness, commercial or mixe occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front ........ 'T ...... Rear . .~. ~t- ................... Height .... ~. ~ ........ Nun~ber of Stories .... I ...... ....... ' ....... Depth ...B.~ .......... Dimensions o[ same structure w~th alterations or additi Front ...... · ' ................ Number of Stories ....~..... 8. Dimensions of entire new construction: Front...5~,.~ ..... : Rear '5~.. 'u ' ' ' '' ...... 10. DateofPurchase ~t';';,'~ ........... ~ear .... .V'..l!-%.~ ........... Depth ~¢,,~ .............. 12..~oes proposed construction ,~,,~&,,, ...... ..__, ...... '.' ....................................... ......... ~, ~vumg law, ormnance or regulatiom .. ,~,0 ...... 13. Will lot be regraded ...... ~91 ................ .. W"" ........ . J iii e~cess I111 De removea from premises Yes '/No 14.. Name of Owner of premises ................... Address .............. p ' .......... Address .......... ; .... ,... Phonf No ................ 15. IS thi~i~roperty within 300 feet of a ~idat wetland'?. *Yes ........ No..~.' yes, Southold TOwn T{ustees Permit may he required.. ...... -' i . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or prolSosed, and, indicate all Set-back ' · dunenslons fron~ property lines. Give street and block n tuber or description according to deed, and show street names and indicate whether . interior or corner lot. . ' 1ATE OF NEB/~/-QP, i~ ~ ~ _ OUNTY OF....?.'J.'~.'3?.x..~7~..-... S.S (N ..... ,- ,' . I ........ ame of individual s~gnmg egntract) )eve named. ' being duly sworn, deposes and says that he is the applicant said owner or owners, and anthonzed to pero~ oY~ave performed the said work and to m~0 and file this p{ica?on: that all statements contained in this application are true to the best o ' - · r~ will .befierform?d. in the/m-an,ncr set fgrth in the application filed there,.,i~', fh,s knowledge and behef; and that the o eto emeth,s / i · ' . ff../ ~o[ary.?ublie, S~ta.t.o.o.f[l'ewYork ......,...x~. .........ff-, j..~/ ~ 'Ou,,ii~d in .Su._%oLK,~un~V .... ' '~L~ ........................ · No, O1S~4725081J~I~,.. , (Slgnatur~ of applicant T6rm ~pires May 31. .... ~ "~ ) LOT-.??? rt.,.- LOT NOT[