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HomeMy WebLinkAbout21776-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24519 Date JULY 25, 1996 THIS CERTIFIES that the building ADDITION Location of Property 230 KIMBERLY LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 13 Lot 20.19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 29, 1993 pursuant to which Building Permit No. 21776-Z dated NOVEMBER 15, 1993 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 GARAGE AND DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANTHONY & LOUISE MATTEONI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #4235 JULY 18, 1994 PLUMBERS CERTIFICATION DATED JULY 15, 1996-CUTCHOGUE EAST PLUMB.&HEAT. 421, Buildin I spector 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) 9 Date S 19...!..3.. N2 21776 Z Permission Is hereby granted to: .AvZftN ..n'la..e.41.2v...... `.-./.(.........1 e............. /S.p ys~~ V.49 to.......... .....f'`.........„~-sue 9......!T!o^..................... at premises located at . County Tax Map No. 1000 Section Block Lot No. .......".:~9...... I q pursuant to application dated r 19.... j..... and approved by the Building Inspector. d2/9: Fee $ . Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 1 (Y F JUL 2 31996 x s APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG.DEP7 WN OF SOUTHOLD A. This application must be filled in by typewriter OR ink and submitted to t e ui in 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 A 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 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .251~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ? 7.'q ~ New Construction........... Old Or Pre-existing Building I( 1 Location of Property.... 4..........~b:~Y1~Pti~ .AGM A ~I 4R LA House No. Street Hamlet Onwer or Owners of Property. Ay\+ Vq C OUlSL 1 l lTCO I ( County Tax Map No 1000, Section.... .......Block..... .'3........Lot..AA l.............. Subdivision..) OYA&S'. ~A x. 03,..... .Filed Map...~O 3 ..(..Lot.. Permit No.."?.76. 7......Date Of Permit. .l~~l S ......Applicant. ho. Vjr5g:. «q ttg? t:t........ Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate... Fee Submitted: $°r Q 0 Qne. SI(o~d . C~ ~ . APPLICANT c0~ay~/~ TEL. 765-1802 S~FFf TOWN OF SOtJTHOLD ;z( C. ~ OFFICE OF RUILDING (NSPECrOR - P.O.13OX 1179 c TOWN HALL , SOUTEIOLD, N.Y. 11971 C E R T I F I C A T I O N 1 pa to j Building Permit No. Z) /7 6 l Z I may- Owner / 7nik !eOGt1 (please print) 1 Plumber 5a C i- iSwtn di C V t-C 1`0 1 -e d= (please print) 1 II 1 I certify that the solder used in the water supply system contains less than 2110 of 1`; lead. (plumber's signature) Sworn to beforgme this _/:S day of U II 19-L'o C 'tary L~lj.~1C Notarj public, tico County Ndff1'PtST5*dnowYM* 4%55794 4b,%.tov, 30 19 3 1996 t Ov0000000000000000000000000 00000000000000000000000000® O O 0 (516) 286.6642 ELECTRICAL INSPECTION SERVICE, INC. 0 0 375 DUNTON AVENUE ° EAST PATCHOGUE, NEW YORK 11772 4235 0 Date 7-18-94 APPLICATION No. ON FILE 0 O ° O 0 ADDRESS: 230 Kimberly I@P VILLAGE: Southold TOWN: Soutbold o O ISSUED TO: Ant;CgY MattOni _ r p O 0 INTRODUCED BY Merit Electric _ _,LIC. NO._" 4289-E 4 0 was examined on 7-16-94 and found to Ue in compliance with the National Electrical Code. 0 LOCATION BASE. xX 1st. xX 2nd 3rd -Attic Pool O p Q , DET. GARAGE HOT TUB O O 4 FIXTURE RECEPTACLES SWITCHES G. F. C. I. DIMMERS FANS AIR. COND. O 0 18 14 14 2 1 ti 0 DISHWASHER DRYER CLOTHES WASH. GAR. DISP, RANGE OVEN SMK. DET. O 4 O U 0 O O FURNACE OIL GAS CI R. MOTORS BELL IRAN. SERVICE DISCONNECT O p0 a ers ase ° i 0 O O ,u o 0 1-SUB PANEL O I O O President o 0 j 5V o 4 0 5 JUL 7 3 1996 This certificate must not be altered in any manner. O O BLDG. DEPT. O " O TOWN OF $OUTHOLD Inspectors may be Identified by their credentials. ° U ee9ooeoeceoooeoeoeoeoeoooeoeoeooaeoeoeoo®eoooeoeoe®a®o 7~ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Oz /eil-7 DATE 4~11oX~ INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE O INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND INS TION FRAMING [ FINAL REMARKS: dc°~v t DATE ` °Z` / ~ INSPECTOR i -qqq 76 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] :ROUGH BG. FOUNDATION 2ND ULATION [ ] FRAMING [ ] FINAL REMARKS: z i I4 k f f DATE ~INSPECTO 76 T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ OUCH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ J FINAL i REMARKS: f' V F { DATE INSPECTOR M-1"2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 [ ] ROU PLBG. FOUNDATION 2ND NSULATION~ [ ] FRAMING [ FINAL REMARKS: ,f zix C { i E E f r DATE °7 6 INSPECTOR 6"7 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] INSULATION [LA/FRAMING FINAL REMARKS: DATE INSPECTOR y 765.1802 BUILDING DEPT. INSPECTION [ OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: T~ i DATE a / INSPECTOR E i O~,t,gOFFOC,r~o Gym W x Town Hall, 53095 Main Road EO • Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. ewYork 9 11971 Southold, OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 7, 1996 Mr. Anthony Matteoni 230 Kimberly Lane Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21776-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. X~"~'4~•.r? u_i u•1 ,'...t,e.tgTt711`)^ 3dx vgATt atb _ bb ,,yy roU17DATI0*I vh ( 1st) 1 a 'OUHDATIO!! _ (2nd) _ant 0 ~OUGH FRAME & PLUMBING rlSULATI021 PER N. Y. , 32t7, STATE ElIERGY i 2y 5, CODE _ 01~ r ~~G~ tcl FINAL _ I_.' ADDITIONAL COMMENTS: o \ C/ 1240 x r' ' H A H • r'~l y , a.,. 1-ax O~~g~FFO(,~cp Town Hall, 53095 Main Road p e Fax (516) 765-1823 Telephone (516) 765-1802 P. 0. o d New Box 1179 11971 Souih OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 5, 1996 Mr. Anthony Matteoni 230 Kimberly Lane Southold, NY 11971 Re: Building Permit #21776-Z Premises: 230 Kimberly Lane, Southold Suff. Co. Tax Map #1000-70-13-20.19 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. I o~~g~FFO(,~-`O c~ Gy2 y 2 Town Hall, 53095 Main Road p • Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971©j ~a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 7, 1996 Mr. Anthony Matteoni 230 Kimberly Lane Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: xx An application for Certificate of occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21776-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BOARD OF HEALTH FORM NO.1 3 SETS OF PLA2IS TOWN OF SOUTHOLD SURVEY _ . c;q> BUILDING DEPARTMENT CHECK fr,~ 291.., TOWN HALL SEPTIC FOR:I SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOI I FY : ~ CALL .~.~?~f1b Examined ,~~//s'". • • 19 1? MAIL TO: • • . . - cy Approved .~/5 19 {p . Permit No..°. :7 ~G ; DisapwrS 0 / io.1.`/.~.....~. . : ~ ......113... . . (B 11d4Inspector) APPLICATION FOR BUILDING PERMIT Date . 19gj. 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 showing location of lot and of buildings on premises, relationship to adjoining premises or public stieets 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 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ' pections. _ 1?l 4 :'m (Signature of applicant, or name, if a corporation) OX. SG-7•r 0cc vl~~•~lY It~j71 (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. PWhW Name of owner of premises hOUfw--•,•,~kR•6f ev (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer: l.~............I (Name and title of corporate officer) Builder's License No. N/A Plumber's License No..../~(J( Electrician's License No. . A(16. , • , , • • • , • • • • • • • , Other Trade's License No. Alp • . 1. Location of land on which proposed work will be done . . ? e iC wt b. ly.. ~u e Q_. h .l. 4.......................... House Number Street Hamlet County Tax Map No. 1000 Section 0 Block 3 • • . , , , • • : • • , Lot. d U 1! 9 Subdivision.. a! .5:1c. ? v . +tA. , , Filed Map No. L Lot ..off. f 9 . Al 0 (Name) 1 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...:.'prl. Va'+ k 0-w, e t b. Intended use and occupancy n C?-~ . , ko.VM•f..• • • • , Nature of work (check which applicable): New Building Addition Alteration . Repair Rempval , . , , Demolition Other Work E (Description) 4. Estimated Cost l~.o a Fee . . (to be paid on filing this application) 5. If dwelling, number of dwelling units , ....I......... Number of dwelling units on each floor 1, If garage, number of cars 6. If business.... ! ? . , commercial or mixe~ occupancy, specify nature and extent of•each type of use n.~Gt • , , , , , , , , 7. Dimensions of existing structures, if any: Front (c2.`..:....... Rear Depth N F . Height Nun her of Stories . Dimensions of me structure w th alterations or additions: Front , , , , , , , , , , Rear ~ t. ; , Depth • Height 6 :..,Number of Stories Dimensions of entire new construction- Front ; Rear :I•.~ ! Depth 6, . , , Height ...Z6:..... , Number of Stories . ? • 9. Size of lot: Front (S°.. Rear......./,J b Depth 3.447 . 10. Date of Purchase .....1teti~ f' ' /Y Ig4k , Name of Former Owner 61A t r , L 4~ I erv; vi SAS. . p.... . 11, Zone or use district in which premises are situated , , , , , , . . . • 12. Does proposed construction violate any zoning law, ordinance or regulation: n 13. Will lot be regraded , • • , II ~ . , , , , , , • Will excess fill be removed from premises: .ems No 14. Name of Owner of pre ises ~ vfbovu~ Address M PY-(v4, 44(. l t L Phone No. 7b,1=. ~ 0 & -A' Name of Architect Nq~ V. ~ Via? • , , , , , , , , , , Address H,t;1,1,~d. k!? pq T . Phone No. ` Y? - o ~a'a Name of Contractor . 5 e IAddress rye! (1uf1 ? i, , Phone No. 7 6 y ; 6 0 64 15, Is this property Southold within 300 feet of a tidal wetland? *yes,,,,,,,, No *If r • Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all i,buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block $umber or description according to deed, and show street names and indicate whether interior or corner lot. i i i I i ~I STATE OF NEW YPR) COUNTY OF W S,, individual 5 • • ' ' ' ' • • • • being duly sworn, deposes and says that he is the applicant mg contract) above named. , 5 Be is the ....Q? of d~2/~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly'I 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 m_annerset forth in the application filed therewith. Sworn to before me this . da of .,19 Q3 Votary Public, sMVCa~y- . ! County "C ~~Gd c i s ' ROBERT I. SCO , JR of . ,C"~ NOTARY PUBLIC ate N•Y. No. 4)25089 ffalk Cou (Signature of applicant) Term Expir ayi 31,19 ( 3JIM ,09 ) - o y ~d 3NVI A-183e Vi lM ~w csy£OS~„ ,9989 3„0I,E9o2 'S 8£'18 = 1 100'0b91 = N a Eh Sol a r v I a co Tl~ m _ I m o o~ W z _ = ,01 LL 4- J . 1 a r lL LL W s W w a° NI } ~ ~ ui N w 'O ° f \ goxfl, I cr 0 a ¢i a~.Wu ro ~~a3w ~o °WW,- O Lz 1C ~ a Z Z T N~ O WaO~W w o n ° a W - I- w a o y a •O'bZ _7 y , w w W lL w w m ~ x ~ VI LL Y 3 V J- b ~ O 0 v p W i; OT ; 4 ti ti h 4 N S c~ m n _o Q_ !G. N rt N3 .O'ZZ _ ~ -O6Z - - ~r-p oonl ~MOONIM AVB ZI y F W ~ v v E Z ~ w w c Oy a P Ed OJ V w F- 2m oy y L a L z Eov° 1-- W J U y O J I .1 ~ 3"03 m y 6N u~yZ Spay V y Cr ° y OF a w 9 ~ ~ O ybJtD y V = y U O w y a y bra W ~ 0 uI I O 'W0 co OVON M3IAA.VN H18ON ONV OVON HO3N 3NId NONA SS3OOV ON '31tl1S Z 1VNOIVN Sll NI NItlN38 O1 tl3Ntl r N N NItlHO 33N3d NNII L~ M„Ob , 9Z °9 'N ov 190.051 CY E~ ( 301M ,S 6b) ~Z od08 M31AAd8 HIHON wr o _ ~ ~O dz u ti, 0 a.. mwaaweak>,w+en..rub sz:4d#::wraw vxax, .ars... .a. (.001 N3A9 113M ) T C M ~ c..~L V v I 3; d°s, CAW ~ h \ C O 5° ylN _ V N s Z 8 8F g}, ff ~ 4 1 ' I 9 W a Lr a~ i ~ 91 1 07 f 'at )i) 4 I i i 1 ~ . ee~,~c i bECit.' I RISE ^ \ 14 1 P NI (E141Na ~I I T7 b$. _L1 sll ~t.m _ ' FMCkOSEb 4' i I n I Cre-3 _ 3042-.2, . i 145 ~Nl ~ ~ 9 ~ _ Quo x~'o, FIRST FLOM- 3 S APPRO ED AS NOTED x ~ - DATE: B.P. Acl - - FEE: NOTIFY Sul NG F \ 1 D PART ENT AT - 765-8 02 9 AM TO A PM FOR THE LOW FOLING INSPECTIONS: OCCUPANCY OR ' 1. FOUNDATION - TWO REQUIRED ' FOR OUGHUR POURED CONCRETE 2. R v. INSULATION ME 9S UNLAWFUL 4. FINAL - CONSTRUCTION MUST Q,4,jjTU0UT CLRTIFI ' MEET ALL CONSTRUCTION BE ATE SHALL THE REQUIREMENTS OF THE MY, Tj~q q~1~0e STATE CONSTRUCTION & ENERGY @g~I~ ~p,p~g°y~q-BPANICY --9' - `~~vF CC/'+~ CODES. 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