The URL can be used to link to this page

Home My WebLink About21982-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22980 Date MAY 3, 1994 THIS CERTIFIES that the buildin~ Location of Property 235 DEER PATH House NO. County Tax Map Ho. 1000 Section 106 Subdivision ALTERATION MATTITUCK, NEW yORK Street Block 10 Filed Map No. Hamlet Lot 28.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 28, 1994 ~ursuant to which Building Permit No. 21982-Z dated MARCH 31,1994 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 ALTERATION TO 2ND FLOOR OF ~XISTING ONE FAMILY DNELLIN~ TO INCLUDE BATHROOM RENOVATIONS "AS BUILT" The certificate is issued to JOSEPH & CATHERINE MOISA, JR. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A R-040452 - ~%PRIL 20, 1994 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A Build~n~ FOBM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N~ 2~982 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ~.~.....£.....~.~ ...... .:T~.:... ....~.....~....~ ........ /~..~.~.,c.~.~.~ ....... ~: ........ ../../.Z~ ....... to ....... ../2...~. .......... ...~././.~ ........ ., .~vT./k ¢., ./.~.. .. , . /, , 7, ./,~ /, , /, , ,~. .......... at prem,ses,ooat~d at ................................... ~..~. ....... ~.....~ ...................................... .................................................................................. ~~.....~ ......................... CounlyToxMopNo. 1000 Sectlon,....~.~.....~.. .......... Bock ........................ L .... ' ......................... pursuant to application dated ,......,~...,~...~....c~.../.....~..,.~.. .......................... 1 g.....~. ,,,~-.,.., and approved bythe Building Inspector. Fe~ ...... Z~.~ .... ~' Building Inspector , Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to 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 buildings 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 and ~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 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, Swimming 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15/00,/Commercial $15.00 Date ................... New Construction ........... Old Or Pre-existing Buildi~ .......... ''" d~''''''--7~g~- Location of Prooertv .......... House No. Street Hamlet Onwer or Owners of Property ............. ~ ............... - .................... /, County Tax Map No i000, Section. ~., .Block ........... Lot. Subdivision .......... Filed Map ............ Lot ...................... Permit No ..... plicant..~.~.~.~..~./~. ..... '..~... Health Dept. Approval...f.~./~.. .......... Underwriters royal ........... ... App .............. Planning Board Approval ................ .~.~...... Request for: Temporary Certificate ........... Final Certicate.. Fee Submitted: $.~..~..:..~. co ..aaq0 APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS ~47259 BUREAU OF ELECTRICITY J--- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date .~R]~L 20,1994 /tpplication No. onfile 05774094/94 H 040452 THIS CERTIFIES THAT o~.~ the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JOSEPH MOISA ,IR, , 235 DF~R PARK, MATTITUCK, NoY, in thefollowlag location; [] B~sement [] Ist Ft. [] 2nd FL 0~ Section106 Biota10 Lot 28.3 ~s examined on ~'II~RCH ~ ~ t ].994 lind found to be in complia~tce with the National Electrical Code. FIXTURE OUTLETS DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OTHER SYSTEMS E E R V I C NO. OF CC. COND, PER ~' A. WG OF CC. COND A. WG OF Hi,LEG NO, OF NEUTRALS OF NEUTRAL OTHER APPAR~US: *NO VISUAL D~FECTS: "An e].ectr~cal survey has been made of the exposed electrical e~]ipment in the premises indicated." "No obvious unsatisfactory condition was found. JOSEPH MOISA JR. ~~/~ 235 DF~R PATH MATTITUCI<, NY, 11952 OENEIIAL MAHAOER 11 ~L~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may he ,identified by their credentials. COPY FOR BUILDING DEPARTMENT. TH~S COPY OF CERTIFICATE ~081 ~OT gfi ALTfi~ ~ g~V ~A~R. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 4, !994 Mr. Joseph Moisa P.O. Box 1239 Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following.reasons: ~ An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. ($25.00) Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on File. (All permits involving plumbing being issued after April 1, 1984.) BUILDING PERMIT % __BP# 21982Z Please contact our office on this matter. your cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~FOUNDATION (1st) FOUNDA TIO~.; /2nd ) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL 7GS-XS02 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN/~TION FRAMING [~FINAL REMARKS: DATE~ INSPECT~ IONAII~'O IN.~ISA$ A?ddfl$ Approved .... 1/Permit No..~:./.~, .~.2. ?.. Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180~ BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORM .............. CALL ..',.,~.~ ......... MAIL TO: (Bui~n~'nspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sliowing 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. dj. 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 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 applicable laws, ordinances, b~ing code, housing code, and r~ulations, and to admi,t authorized inspectors on premises and in building for necessarv~nsp~ctions./~ ~.~,~.~ f .............. --- .~_Signature of applicant, or name6, if a corporation) · .... (Mailing address of applicant) (Name and title of corporate °fficer0cculPANCY OR Builder's License No ...... USE iS'UNLAWFUL Plumber's License NO ............... WITHOUT CERTIFICATE Electrician's License No ............. OF' .OCCUPANCY State w/~her applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. NameSjwn~~lges~''/~ '~q~'''~'r''' ..... / / '' '" ..... '"'"'"'"'"'"'"'""'"'"'""''"?:'~['~t'~e't'~~~~~'~ ..... ' '"''" If applicant is a corporation, signature of duly authorized officer. 765-1802 9 AM TO 4 PM FOR THE .... "FOLLOWING INSPECI1ONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULAtiON 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR' Other Trade's License No ...................... U~BERWRff[RS OERTIFiCff[[ DESIGN OR CONSTRUCTION ERRORS I. Location of land on which proposed work will be done .................................................. ...... ................... ............. ................... House Number Street Hamlet County Tax Map No. 1000 Section .......... ~.~..~.... Block ../.~. ............ Lot...C~.. f~. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and int~7~ded use and occupancy of proposed construction: a. Existing use and occupancy ..... .~....~..~.. ~~. ........................... b. Intended use and occupancy ...... . .~......~'.~: ~~~ .... . . ~.~..~ .,~.~ ...... 3. Nature of work (check which applicable): New Building ..... Addition .......... Alteration .~.."v ...... Repair ~/~. Removal , Demolition ...... Other i ..... · ' {Descnptinn) 4. Estimated Cost ' .'. Fee ................ ~ (to be paid[on on) 5. If dwelling, number of dwelling units .............. Number of dwelling units on each floor .............. · If garage, number of cars ..:..i ...... ~ ......................................................... 6. If business commercial or m~xed oecupanc,~ snecJfv nature and extent of each type of use 7. D~nenslons of emstmg structure~, if any: Front .... ~..~.'..r ......Rear . ~..(°.t ......... Depth . .~. ~.,.~. ....... Height Number of Stories ...,:~.. Dtmenslons of same structure with alterations or additions: Front ...~./:~/ ......... Rear . ./p,,r~...~.~. ........ Dept .................... i' ' Height ..... ~, ................ Number of Stories ...................... 8. Dimensions of entire new construction: Front . .~..~..~..~. ...... Rear .~-~...~..t/.~. Depth ............. Height ............ ~.,. Numiber of Stories ............................................ :; .......... 13. Will lot be regraded ....... ._;... ~.O. ........... Will excess_filJ~be rerthov~from premises: Yes . (~o 14. Name of Owner of premises .f//¢(~. ~ ............ Address~...~.&.-. !..¢~../.~..t~..... Phone No..-~.~.~.Y..~'-~.~.~.... Name of Architect ....... ' .............. Address ................... Phone No ................ Name of Contractor ......... : ........ of a t±dal wetland? *Yes ........ Is this property w±th±n }00 feet ......... Address ................... Pit, ne No ................ *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all jbuildings, whe).her existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 15. · ·; ........ ; ......... ~ · · ·; ·. '.....' .'. being duly sworn, deposes ~d says that he is the applicant : (Name of individual .signihg contract) above named: . ' i ' He is the ...................... + · .O~ ~ ....................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authorized to perform or have perfomed the said work and to m~e ~d file this application; that all statements contained ~ this application am true to the best of his knowledge and belief; and that the work w~l be perfomed in the m~ set forth ~ the application filed therewith. Sworn to before me this ~ ~ ..................... /Mof ;~.~ ~.~ ........ 19.. ~0T ~1~ _, ~fl NtY, / (~gnature of applicant) ~o. 47250 ,