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Home My WebLink About20398-z ^i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20845 Date JULY 9, 1992 PHIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 590 RILEY AVENUE MATTITUCK NEW YORK House No. Street - Hamlet County Tate Map No. 1000 Section 143 Block 5 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application far Building Permit heretofore filed in this office dated JANUARY 17, 1992 pursuant to which Building Permit No. 20398-Z dated JANUARY 21, 1992 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 2ND FLOOR ADDITION & ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH H. FRIEDMAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A. UNDERWRITERS CERTIFICATE NO. N-238319 - JUNE 10, 1992 PLUMBERS CERTIFICATION DATED JUNE 25 1992 - MATTITUCK PLUMB.&HEATING ~~c' ii $7~ilding Inspector Rev. 1/81 sroaas xa s TOWN OF SOUTHOLD 9UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE710N OF THE WORK AUTHORIZED) N o 2 0 3 9$ 2 Dare .../~a:l 19.~Z Permission Is hereby granted to: .~~~~~~i...-~.~..~:-ter.. J°....~'~..`~~~~..~~~!~~j~i ....y.°~-. s~: 5-~ of Premises located ot ..:,'.~~..........~~'G...~f./'~~ ..erd,..~~u~•%r••s:•~ . ...y........................ r County Tox Map No. 1000 Section Bloek ...........~x~......... Lot No... ~1 pursuant to application doted 7 19~~, and approved by the Budding Inspector. Fee 5...~'..~.a~.. ~S • ~ G•• :;arc.e~-:• Iding Inspector Rev. 6/30/80 C~ n y q f~ Q ,p Form No. 6 ~ Y. r `t, -~:''t'+,"`l'/''A~ of l d ` ~ C~ ~ 7 ~ ~ ~ ; , , TO[dN OF SOUTIIOLD ff BUILDING DEPARTMENT a~~t~j ry ~ ~J //~~C_.~/1~,, TOWN HALL G l(. ~ 765-1802 t.f E_, 9'~" APPLICATION FOR CERTIFICATE OF OCCUPANCY ~`~~,.A,-N"e~_,.. A• 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 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 17, 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. 3•` 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. • 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 Building - $100.00 3. Co~~y 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~~jy$15~~ryry00 Date •~•ti~.G.e.. aw Construction...... ~ Old Or Pre-existing Building., y, ~ xatian of Property......~~~............F~~,~`~.. ~:~~.......l~:h?'ms"i'Y,~?.~.r'~... Clouse No. • Street Hamlet ewer or Owners of Property... unty Tax Map No 1000, Section.., ~~77 t - .~....B1ock.....~1.........Lot.... .1 bdivision .................................~~.--ryry.tt.Filed Map............Lot.. rmit No.. , , , ,Date Ot Permit. . F,..Y~: , ~~..Applicant.. , alth Dept. Approval ..........................Underwriters Approval......................... arming Board Approval Iuest for: Temporary Certificate........... Final Ccrticate.........., _ Submitted: ~d~•yHa~9 Cc9 ~~OSyS APP1,rcn~~T C TEL. 765-18p2 o o~ TO'1RrN Or S~YJTIIOd.D , . 1 OFFICE OF BUILDIPIG INSPECTOR o `i'~ P.O. BOX 728 r+ ~ J -r TO1VN HALL ~ 10~ SOUTHOLD, N.Y. 11971 4J0~ ~ t, I ~ ~ ,~l}+1 2 9 ~.e7t' ' C E R T I F I C A T I O N t- Date Building Permit No._~~- Owner (please print) Plumbers ~-I V~r~<. rri (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. '(plumber' s' atu Sworn to before me this ~ev~F~UTy6ijT/f day of ~~y~ 19~, ~ Notes y ublic Notary Public, ~jC/~LoG,~ County EOtINF.JAd(SON Ne1my Pubic, Stets of New Yak No. 4920758 ~ueiied in Suffolk County ' 7era Expires Feb. Abp t"~:9" THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ° lU9U /44 BUREAU OF ELECTRICITY - ~ 85 JOHN STREET. NEW YORK, NEW YORK 10098 Date JUNE 19,1992 ApplirotionNo.onfile 7'7165b92/,32 N 23£13'~i9 THIS CERTIFIES THAT only the electrical equipment as described below oral introduced 6y the applicant named on the above opplication number in the premises of ,TAE FREEDMAN, NIIrET AVENUE, IfAT1'1"TUCK, N.~. in the fo/lowing locations ® Basement ® 1st FL ®2nd Fl. ATT.(.C LOUT Section Bfack Lat ° was exaneined me JUNE 02 ,1 ~ ~ 2 and found to been conrplianre uirh the requirennenLS q(this Board. FIXTURE ECEPTACtES SWITCHES FIXTURES RANGE$ COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FIUOAESCENi OTHER PMi. K W. AMT K.W AMT. KW. AMi K W AMi. H,P 34 3?. 37 24 6 a DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AML K W Oll N. P. GAS H P qMT. NO A. W. G. AMi AMP PMT. AMPS TRANS. AML H P SYSTEMS qMT. WATiS NO.OF FEET 3 F 2 - 2 SERVICE DISCONNECT NO.OF S E R V I_ C E AMT. AMP. TYPE METER I RW r ~ 3W 3 A' 3W 3,9' 4W NO. OF CC COND. A W G NO OF HI~LEG A W C'' NO OF NFUTRAl1 A. W G. EQUIP. PER .e' OF CC.COND. OF HI-LEG OF NEUTAAI 1 '109 Cl3 1 % 1 4 1 4 OTNER APPARATUS: MOTORSI?.-F N.P. G.F.C.TL-4 " SMOKE DBTECTONI°7 - z ~~~~~~.~~i~ RTCNARD G. RELYEA GIC,~21.48-E P.O. BUS 3'72 ILANREI, r NY r 11.941E GENERAL MANAGER H :t 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 credentials. ~Y FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY. MANRIER. 7GS-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION C l FRAMING [ ~FINA~ ~ ~ ~ REMARKS: ~-].~...P_ A.• ~ ~,G _ ' r ' DATE ? INSPECTO i rss-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ~ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ® _ AL ~r .1~~-, REMARKS: F i i f l r DATE INSPECTOR I ass-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]~H PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~i DATE ~ ~ ~ INSPECTOR ~ „1 ~ T 765-1802 BUILDING DEPT. f NSPECTrON [ ]FOUNDATION 1ST OUCH PLBG. [ ]FOUNDATION 2ND [ ] {NSULATION [~RAMING [ ]FINAL REMARKS: °~,~~~;~`"~-e~ C/ ~ ~ .c.~. ~ / ~ ' DATE ~ INSPECT ~ c'15La7 L:.~`.CL~,~~~:;1 ~~Jb:.. :;vbfi4lNT: Q =j wl~+~~ _ .C-. .n ~ ~ 1. 'OUtJDATION (1st) `I - - 'OUNDATIOIJ (2nd) m -I - C TOUGH FRAME & ~ uri PLUMBING ~ ~ ~ ~tG ~lA~~°/ Gal ~ i N~~ H L ? r m CIJSULATIOi! PER N. Y. ~ y STATE EPIERCY CODE I ' ? • Z t .e ,lr ~ m i a. H FI;lAL a DDTTIOPIAL COMMEPJT m ~O ~ Vie.' a i.1 x H ~p ~ \ ~ 1~ H hi O W • x m _ a ~ - m ^o H _ a i ,E'/LEr ,~l~~;C/UCH ' ,v7o ° .3r',E ----y. ~ - - ~ - is.9'i y-! ~ ~ b ~ Fxvwr I N i a ~ ~ ~ J T ~ q j,~~ ~ ` ~ peYr_ H~ o W ,1 n 0 4 ~ m w ~ o. -F. m a~-., y cc~.S(w~ ,'/M:FA4up t o'~saT ~a N CRL/N~ a J9~9i y zis_ ~ Ar~'U9de . L~~J ~,QE~,C J~ME~ ~ ~gED LANpS,. vG .y. LEIt%~ ~9~~< O ~ p iu~~+y ~ _ cry ~ * ~ ~T~ "3690 ~ O~N[W Yy~ .~acrEV,~or, ?D~EANfi~~ELEA3UO,CEFiP/EOr~'J~5'.U ~J~!/T//D.UY l~S~ l~/Y•9,</I-lb~v3-t'i' LaT-_/Z~';N.t+po.~.°.ogvis¢r~'oFG ~DY_TFOCO,T,~?i~~"M.9.c°~L~i~ L,SU/O .~icr?6'!~ _ d~aco, ,u r. LoC.oliau, AJi~TT/niL~I~Y_~at ou~aco_-~-_.!/~__ , 6~!_9eSd~YXElBT°-.' Cow~~oy _ --------1 trF•pvrG.v_,vvT>r/~ccQ.pace'lfviyavs'~,Q,~~~1,vEa.~.9.yarr~~___- ~ i D,~re -~L.ae~r 9 /99/ CoNG<°dTe'Ma.t4iMC'c/17~ //r0(,{/N Th'!.y A ~ L~-c-~s K ti II ' i BOARO OF HEALTH FORMN0.1 3 SETS OF PL\NS TOWN OF SOUTHOLD SURVEY . BUILDING DEPARTMENT CIIECI: . TOWN HALL SEPTIC r•o«rl SOUTHOLD, N.Y. 11971 ' TEL.: 765-1802 t:oT I FY /,1.°~~ 191! CALL>~..~~° .~~:b`~j',~. . Examined , , Approved . ~~p2./, 19/.~,IPermit No..~.d~~~~ . Disapproveda~c i,~,: •f~'t fii yfaa Buil Inspector) r . y d 'f APPLICATION FOR BUILDING PERMhT r~ ` ~ "-•~'ll Date ~--t.~..~~.:......, 19a~-- I~I INSTRUCTIONS ' a. This application must be completely filled in by Typewriter or in ink and submitted to the Building Inspector, with 3 ;ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lpt and of buildings on premises, relationship to adjoining premises or public streets x areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ;ation. c. The work covered by this applic',ation 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 ,hall be kept on the premises available fbr inspection throughout the work. e. No building shall be occupied qr used in whole or in part for any purpose whatever until a Certificate of Occupancy ,hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. fhe applicant agrees to comply with a'll applicable laws, ordinances, building de, housi~n~g c~~od,_e,, a~n-d regulations, and to i mit authorized ins ectors on remrses p p and in building for necessary inspe : s. /~/J~~"/" - (S' ture of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. G~~ TTLia-ebTSZ~~ t~ r t_Dic./L, . Name of owner of premis~~ r.t~~.i~ MAC (as on the tax roll or latest deed) [f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~~~2'I~...~.~...... . Plumber's License No . . Electrician's License No. .......~I,.............. . Other Trade's License No. ......IL . L Location of land on hich proposed n /G.e~~ work will be done . . House Number 'i Street Hamlet County Tax Map No. 1000 Section ail...... Black .....C? f1.......... Lot ~ ~ . Subdivision Filed Map No. Lot . (Nar}~e) State existing use and occupancy of prem99ises ame~nd intended use and occupancy of proposed construction: a. Existing use and occupancy ./....l.'.'`~'^.~.! L~ . . • . r_ ~ v_ b. Interided use and occupancy .........T~. '~'t~-.-..... ...................~,~ar.,r,.,c~«•~,;>~,,F.•; . .,w.~4',,~~r: .,t k, .,f- .W .w= 3. Nature of work (check which applicable): New Building Addition Alteration V . Repair Removal , Demolition Other Work . - (Description) 4. Estimated Cost ........r7.Q, .Q~G 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 cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . ....i........ 7. Dimensions of existing structures, if any: Front z.~ Rear ~Z.~-~? Depth . Height ...............Number of Stories ....Z. Dimensions of same structure with alterations or additions: Front Rear . Depth Height ......................Number of Stories . 8. Dimensions of entire new construction: Front Rear ...............Depth . Height ...............NumberofStories........................................................ 9. Size of lot: Front Rear Depth . 10. Date of Purchase .............................Name of Former Owner . 11. Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation : . 13. Will lot be regraded ............................Will excess fill be removed from premises: Yes No 14. Name of Owner of premises , ,Address .Z~ .~^.TT~:.. Phone No . Name of Architect ...........................Address ...................Phone No............ Name of Contractor~M. !!f. C~~-, , , , , .Address ~-'.°.x ~4:'S''a .!"~.~,r7> .Phone No. 2°(~..`-~.'? ~ l5. Is this property within 300 feet of a tidal wetland? *yes..lr... No......... ` *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM ~ ' Locate clearly and distinctly all buildings, whether 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 i interior or corner lot. STATE OF NEW YORK, S.S 'OUNTY OF . • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. feisthe (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 pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. worn to before-yme this ......day of . ~ 19 ~ , otary Public, ~"~(~:-7.. County E M. WILKINB ,~~G: ~l/r~...... . NotarryY bllo, Stets of Newyork No.48B224S,8uHolkCou~~y~ (Signature of applicant) Term Expirae June 1Z, t&..~