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Home My WebLink About21399-zFOI~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22864 Date FEBRUARY 7~ 1994 THIS CERTIFIES that the buitdin~ Location of Property 1000 PIKE STREET House No. County Tax Map No. 1000 Section 140 Subdivision ALTERATION MATTITUCK~ NEW YORK Street Hamlet Block 3 Filed Map No. Lot i1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1993 pursuant to which Building Permit No. 21399-Z dated MAY 11~ 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 ALTERATION & REPAIR TO EXISTING FIREHOUSE BUILDING AS APPLIED FOR. The certificate is issued to of the aforesaid building. MATTITUCK FIRE DISTRICT (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A, UNDERWRITERS CERTIFICATE NO. N-296636 - NOVEMBER 22~ 1993 PLUMBERS CERTIFICATION DATED FEB. 4~ 1994 - MID-ISIk~{D PL~MB.&HEATING. Rev. 1/81 I~ORM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N.° ~135~ Z Permission is hereby granted to: ' ../...~.~.....~......~..~ ..... ........... . ,ses I a t /' ~ at prem' oc ted o ............................... ./.~...~.., ...... .~.....~..~..~ .................. County Tox Map No. 1000 Section ..... Block ..... ............. Lot No ......~...../. .......... pursuant to application dated .......... ~.~......~.. ............ , I9.~...~, and approved by the Building Inspector. Fee $~ Re~ 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 the building inspector with the following: for new building or new use: 1. Final survey of property wigh 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 i% 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, !957) 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.~0o Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50,00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 New Construction ...... iJ''' Old Or Pie-existing Building~--~ ............. Location of Property.. J. ~.~....c~j~...~7~. ............................. ~,~ ........... House No. Street Hamlet .... ................. County Tax Map No 1000, Sectio~...[~P ...... m oc .... ~.~ tl . ~1 k ....... Lot .................... Subdivision ............................. .... · . . Filed Map ............ Lot ............. . Permit No. ~. ~.~. ~.~.~ . .Date Of Permit....~.~ 'l ~'' .Applicant..~.~.. ~.~ ...... Health Dept Approval -- Underwriters Approval Planning Board Approval Request for: Fee Submitted: Temporary Certificate ........... Final Certicate .... ~ .... INSPECTORS Thomas Fisher Building Inspector Gary Fish Building Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (5 [6) 765-1800 CERTIFICATION DATE: 2-4-94 Building Permit No. BP#21399Z Owner: MATTTTIICW FIRE DISTRICT (please print) Plumber: EDMOND S.MARTIN,JR.C/O MID ISLAND PLUMBING & HEATING CORP. (please print) 215 McCORMICK DRIVE BOHEMIA,NEW YORK 11716 I certify that the solder used in the water supply system contains less than 2/10 of I% lead. ( lumbeKs Signatu~rey - Sworn to before me this 4th day ofFEBRUARY , 1994 Notary Public, gHFF~T,g County INSPECTORS . Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRI§, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 16, 1993 Frank G. Relf, Architect 33 Walt Whitman Road Suite 107 Huntington Station, N.Y. 11746 Re: BP %21399Z- MATTITUCK FIRE DEPARTMENT Suff. Co. Tax Map %1000-140-3-11 Dear Mr. Relf: Please be advised that I was present on October 27th, when All Island Fire Protection conducted a test for the supression system above the stove in the kitchen area at Mattituck Fire Department, and the test passed. 1993 I find it to be installed properly and in good working order. Very truly yours, SOUTHOLD TOWlq BUILDING DEPT. GJF:gar cc to: Gary J. Fish, Building Inspector Ail Island Fire P~otection FOUNDATION (1st) COMM£NTS FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIG AL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION AND [ ] INSULATION FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [ J FOUNDATION ZND [ ] INSULATION [ ] FRAMING FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL R~MARKS: DATE INSPEC~~I FOUNDATION 1ST [~,']' ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL INSPECTORS , Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 16, 1993 SCOTT L. HARRIS, §uperviso~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Frank G. Relf, Architect 33 Walt Whitman Road Suite 107 Huntington Station, N.Y. 11746 Re: BP ~21399Z- MATTITUCK FIRE DEPARTMENT Suff. Co. Tax Map ~1000-140-3-11 Dear Mr. Relf: Please be advised that I was present on October 27th, when All Island Fire Protection conducted a test for the supression system above the stove in the kitchen area at Mattituck Fire Department, and the test passed. 1993 I find it to be installed properly and in good working order. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. GJF:gar cc to: Gary J. Fish, Building Inspector Ail Island Fire Protection INSPECTORS Victor Lessard P~i~cipal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 5, 1994 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Mattituek Fire District 1000 Pike Street Mattitnck, 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 (cutflatc~/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. xxx No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BP# 21399Z BUILDING PERMIT ~ Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. k N377,'7.~ '7 ~9,Y0~9 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-180;~ Examiued ................ , 19..,. Approvea~'~.~ L/ ,Igf]eermitNo .,2-.[~. ~.~7- (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD 'OF HEALTH ii~ ..... 3 SETS OF PLANS .......... SURVEY ................... ClIECK - .. SEPtic roast' CALL ................... MAIL TO: Date ................ , 19... 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 scal~. Fee according to schedule. b. Plot plan showing location of llot and of buildings on premise~, relationship to adjoining pr~mises or public streets or areas, and gi¥ing a detailed descripiion of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this applmat~on 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 ifor inspection throughout the work. e. No building shall be occupied ior 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 Tow~ 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 lierein described. The applicant agrees to comply with fall applicable laws, ordinances, building code.~ housing code, a!~ regulations, apd to admit authorized inspectors on premises and in building for necessar,z, inspe ' ns. . . . : ~ - /SSig~oa~e 9f appJ.ic~; or ~n~e, ~fa cor, poration) (Mailing address of applicant) State whether applicant is owner, lc: see, agent, architect, enoineer,o general contractor, electrician, plumber or buil~e,a'. ............ ........ ...................... : ........... Name of owner ofpremi es .~..~. .l~J~. ~ ..... O~ ................. . i (as on the tax roll or latest deed If applicant is a corporation, signaturelof duly authorized officer. (Name and title of. corporate officer) Builder s License No ......... ! Plumber s License No ............... Electric, ian's License No ....... !. J. ! ............ Other Trade's License. No. 1. Location of land on which proposed work will be done ............ House Number Street Hamlet County Tax Map No. 1000 Sectio4 .... I..q..rig. ....... Block ..... 'Y. ........... Lot .... l../. ........... Subdivision .................. . ................... Filed Map No. Lot (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ./:://..~. ~..~. ...................................................... b. Intended use and occupancy ............................................................... .~tq.~..~. 3. Na~ur ork.(check which applicable): Nexv Building ........ Addition Alteration Repair . ..~'~'... · · Removal ............. Demol rio .............. Other Work ............... / ~.A~.r~[~~ ......... ' ................ ~ (Description) ' 4. Estimated Cost ... Fee . . ~ .................... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... Number of dwelling units on each floor .. . If garage, number of c~s ...... If business, commercial or mixed occupancy, specify nature and extent of each ~pe of use .............. 7. Dimensiggspljexist~ngstmctures if any' Front /~ ~, /'~ no~,h Lr ~" ........ Height ~...~.~ ....... Number of Sto~es ~ ~ ~ D~ensions of same structure with alterations or additions: Front . ~- ........ Rear ...... Depth ...................... HeiSt ....... ~ .............. ~ber ;f Stories ......... ~. 8. Dimensions of entire new construction: Front . ~/~ .......... Rear ......... Depth ... Height .......... =~,.. 8prober of Sto~es ............... ront . ar ' '' ............... lO Date of Purchase .............................. Nam~ of ~o~*mr Zone or use district in which premises are situated ........................................ 12. Does proposed construction violatb any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded . ~ ....................... Will excess fill be removed from premises: Yes 14. Nme of Owner of pL~mis~ ~0~. ~,... Add}ess/~ ~j~ ~ ..... Phone No Nme of Architect F~ ~*. [~ Address ' Phone N~' ............... N~e of COntractor .......................... Address ................... Phone No ................ 15. Is th~s proper~y wlth5n 300 ~eet o~ a t~dal wetland? ~Yes ........ ~.. ~If yes, Southold Town Trustees Permit may be requlred. ' ..... PLOT DIAG~ Locate clearly and distinctly ~1 buildNgs, whether existing or proposed, ~d, indicate fll Set-back d~ensions from propeNy ~nes. Give street and block number or description accord~g to deed, and show street nines and indicate wh~ther Nte~or or corner lot. STATE OF NEW YORK, C'OUNTY OF ...... S.S /~'~' '~'~"/' '~.~.~;. (.~ ~ ./~." ................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) >f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this lpplication; that all statements contained in this application ar~ true to the best of his knowledge and belief; and that the a, ork will be performed in the manner set forth in the application flied therewith. gworn to before me this ............ .......... qotary Public, ../~/r~...6~?...7[.L .~ ........ '. County - · _ , Il ttotk C, ount~r,l t' ~ ,/' (S~'gtlatt/re of applicant) ~;°mmissJ°n =xpJres, July 31, 1 g~ , 01'661 --F