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Home My WebLink About19917-z FORM NO. 4 TOWN OF SOUTHOLD BUIT,DING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20896 Date JULY 28, 1992 THIS CERTIFIES that the building ADDITION Location of Property 1690 BAILEY BEACH ROAD MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99. Block 3 Lot 11.14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Pern7it heretofore filed in this office dated MAY 30, 1991 Pursuant to which Building Permit No. 19917-Z dated JUNE 4, 1991 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 BEDROOM ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOSEPH & JOAN AVELLA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-206394 - OCTOBER 3 1991 PLUMBERS CERTIFICATION DATED OCTOBER 23, 1991 - MATTHEW J. SCHIBI Buil g Inspector Rev. 1/81 TOHM NO. f 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) N~ 1 991' Z Date ..............~..~.~~Y.IR......7..........., 19.9.. Permission is hereby gmnted to: ta ....c..!?~r.:4S..tll.:....~!r..L:~NI:!~:.'.v?.....~..dt.OCR.Ark~`la..°.rJ...~.....~~:~,~......... ~ d of premises located of ..~..~4 ~ Q .......~t~A.~ ......~..C~:4r.................... p County Tax Map No. 1 00 Section ....\~nn~..1....... Block ......5? .~......p. Lot No...~~ : pursuant to application dated .............J.Y.`..9,!~~..~................, 19...t.~.., and approved by the Building Inspector. \ \\~l Fee S..~J~......'' ~a'I' ~:.Y..~1......... Bui ing Inspector Rev. 6/30/80 THE NEW YORK BOARD OP FIRE UNDERWRITERS Nn"" toa5nlo 9s ®UREAU OF ELECTRICITY OCTOBER U.1,:1.9y j ~OHH STREET. NEW YORK, IV~W ~YQ~K 1Q098 !y lOt~ tY4. Dole Application No. on file 4~. 1 / ~F THIS CERTIFIES THAT only [hs electrlca! equipment as described 6eloto and introduced by [he opplicant named on the abode opplieetlon number in the pronuaes of s ;InSP:PH AVE;hi,A, 7.690 BA7J~i'lr, kRA(`H RO,gt), ii(C, #21, MA'I"L'+"o't1CK, N.1'. npa~ J,,y,~ OUT tk in thefolloFCinp GFCa(tF,I~IPBM~ST;II-""T.~°TT1U 3J let F(. ? Ynd Pt. .Section Block Lot reaa examined on and found to 6r in compliance with the reyuirernents of [his f7oard. s 3 NXTtIEE RXTURES NOES COOKING DECKS OVENS DKHWASHERS EXHAUST FANS OUTLETS E?TAClE4 SWITCHES INCANDESCENT FlUg1ESClNi OTHEn AMT. K. W. AMT. K. W. AM1. K.W. AMT. K. W. NAT. H. P. a 9 73 10 7 DRYERS RIRNACE MOTORS WTURE AMUANp RKmM4 fMC1Al RlC'rT TIME CLOCKS Elll UNIT HEATERS MUlN.0YTIET DIMMERS AMT. K. W. ql H. P. GAS N. P. AMT. NO. A. W. G. AMT. NAT. AMT. AMPS. TRANS. AMT. N. P. ~ ~T AMT. WATTS J 30 K 5lRVNi DISODlME[CT tq.OF S ! R V 1 C E AMT. NN. TYPE ~ 1 P TW 1 / TY ] H SW 9 / M' ~RC,CDND. ~ C[ CD D. OG NI-lFG OF~MI'L G NO. OP NEUTRALS a j.~UiGWLL 1 7.50 CB 1. X i ?/4 ? 7.j0 - OTNFR AMARATUS: ES.Ef.. ROOM HEATERS;?-?..5 K.W.,7~-.5 N.M. ,-J K. W..,I-1 .5 n.ii. - h;Lk;C. DATER HF,A'PRRS;:7.-~ 5 R,W, SMOKE: OF.TF.CT{1R : - 7. .Po'~ dOS~:kH T. ISQLA ;,FY'.il!1,~37.-F - 579 BROHHS RDAD - CAKE RONIKONKt)MA, NY, t.i_7w ORNNtAE _ Per ~C~ Thit certificaM moat not be obend in any mannsr; return to 1M office of 1M. F,loard if .incorrect.. Impactors may ba identified by their crodentiala. r_ I l I 765-1$02 BUILDING DEPT. INSPECTION [ ] (FOUNDATION 1ST [ ] ROUGH PLBG. ] i FOUNDATION 2ND [ ]INSULATION [ ] (FRAMING [ ]FINAL RE ~ AR S: ~ ~ ~ ~~~e ~ --r- I DATE ~ INSPECTOR I ~ ' 765-1802 BUILDING DEPT. i INSPECTION [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ,FRAMING [ ]FINAL ~ e REI~IIAR~! 5: -~~~'~~L/~ ~-~-0 ~ _ --r-- DA'~E S INSPECTOR i I I 7sS-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]~F~INAL REMARKS: ~.~~.-1~,~ r i DATE INSPECTOR qµ' ) Form No. 6 "'"~`a' TOWN OF SOUT210LD /~j0 }O 71 cT 9 P 0 1310X I I a- ` BUILDING DEPARTMENT ~c+~ ~-T ImaiT~~'l1L~C N~ Il9S~a^ 09 ?}G TOWN HALL o>~~ /oGd~ 765-1802 ~ APPLICATION FOR CERTII'ICATE OP OCCUPANCY A• This application must be filled in by typewriter OF, 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. • S. 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. 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. Zf 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 S years - $10.00 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~ :2:4.-.qa,.,. _ ew Construction..... q Old Or Pre-existing Building....Y.... ~ ..,,,,..,,e ocation of Property. l ~ ~F,i11,-1 ~~r{,~.. (Z:Lj......... • • 1~T\R;TTII"U,C(~. IIouse No. Street Hamlet ewer or Owners of Property.~QSY,(?If, ~.,a~o ;rtnn, iyVe,(Iq~ DISr21c„r Q 2 aunty Tax Map No 1000, Section.s.J.,.,.,,,Block.....,~.~.. ......Lot..... J.y . ~bdivision ..................................//.!/.Filed Map............Lot.. ~rmit No...~,gq,~~2.,,,,,Date Of Permit...tO.~x!,Q~,.,„Applicant..J.P.~~p„D~~igCI~AL~,..... :alth Dept. Approval ..........................Underwriters Approval..... `.:~q „ 11,,,,,,,,. . anning Board Approval quest for: Temporary Certificate........... Final Certicate.....~ e Submitted: $..t~.Jrl.~ Q.ec.HN~4D / Co~ao$9~0 f APP '7C~u~ c,~FFDU,-c TEL. 76s-1 soz 0~0 Olr T01VN OF SOJ~'IIOb,D . ~ OFFICE OF BUILDII~IG INSPECTOR o ~ ~1'~,,, P.O. BOX 728 y~ ~l, ~ TOWN HALL SOUTHULD, N.Y. 11971 Ol ~ C E R T I F I C A T I O N Date (a f~.7~~/ Building Permit No._[ ~ ~ Owner -JOS~7Ay ~f/E~L ~,/~(~please print) Plumber t iy\1~1C'r~l) ~C~~~i (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~ ,r ( mb signature) Sworn to before me this ~ 2J d a y o f C% ~ ~ __~~~G~E%E~ 19~. ~ Notaly Public notary Public, County FRANK^t°'I811A NO7ARY PUBLIC, S4ate of New Yolk No.47342p5 ' Commiss~lo~n~E>q~k~es~Ofeb~gy° 2g~19 INSPECTORS Victor Lessard {/-"`~~j~FO(,~- Principal Building Inspector %c7,,`? Curtis Horton ti SCOTT L. HARRIS, Supervisor Senior Building Inspector c~ ` va ~ Southold Town Hall Thomas Fisher 3' P.O. Box 1179, 53095 Main Road Building Inspector ~ ,~~~~~`t ~ , Southold, New York 11971 Gary Fish ~,t iyt -.~3 Fax (516) 765-1823 Building Inspector Vincent R. Wieczorek ~'-z~ ` ~ Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JUNE 25, 1992 FRANK PACIELLA JP HOME IMPROVEMENT 91 VANDERBIIILT BLVD. OARDALE, NY 11769 RE: JOSEPH & JOAN AVELLA To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: R%% An application for Certificate of Occupancy is not on file. (Enclosed) %%x No Underwriters Certificate on file. The check is not on file.)$25.00 No Health 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 # 19917-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: JOSEPH 6 JOAN AVELLA ~~LD I;:S:'cC;iU;I ~~Un:a ~ i;OMMGNT° / ~ ,A .a H ~ - H FOUIIDATION (1st) ~ ` ' ~ P FOUNDATIOIJ (2nd) _ _ m ~ r 2. ~t~/O P,OUGH FRAME ~ o PLUMBING • u'~~ Dr y 3. ^ m m ItJSULATIOPI PER N. Y. y,9 STATE ENERGY CODE s 4. L d ~ m y v, FI;JAL 2S / 0 E ADDITIONAL COMMENTS: ~ • m •ti H >7 _ 9 H ~q H ~r m b H T. _ • C:.`,: m 'O . ~ H ~rmy ~ rn~...- _ .re ? n, i~.. ~N'°.. 1Vn~~~~.K~it"L°?stvfLA,:~m . ..n2Yiy4v~: BO,1RD OF HEALTH • FORMN0.7 4-J SETS OF PL.\:7S TOWN OFSOUTHOLD x~SURVEY BUILDING DEPARTMENT a-CIICCt~ , . TOWN HALL SEPTIC FOR:I . . SOUTHOLD, N.Y. 11~J71 TEL.: 765-1802 t:OTI FY ; CALL Examined 199 f , ~CSA hL~ T 0~j. _ • . • • • • . :approved .......A,tM12„ .y 199) .Permit No... 1R9. Disapproved a/c _ . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~~r7.'S', 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to tite Building Inspector, with 3 sts 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 streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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. call 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 tall 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code housing e, and~~ulations, and to lmit authorized inspectors on premises and in building for necessary inspections. V~i~~~~JQ~' . _ .,~C fi ~~!GLLA (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ~"tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. "ame of owner of premises ..`~1~ . ~u~l~; ...,iasG~~, ,~,vL°L/,,~, .gL, ~~yN~y J~(9EGL/f`, . , , , , . (as on the tarX roll or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. :-~.C? .HL, , ~~J~:.~~8', Plumber's License No . . Electrician's License No . . r~ther'Crade's License No. - Location of land on whic]t proposed work will be done . . . ~ coq ~ ~.e. ~eac.~..~:a?a~..:..~ N.y.. i. l ~.a . House Number C''o ~7-r9Glt ~ 7 Street Hantlct County Tax Map No. 1000 Section ~ ~y.•.4.~...... Block , , , , , , , Lot Subdivision Filed hlap No. Lot . (Name) State existing use and occupancy of premises and in``tendTed,,u'se and occupancy of proposed construction: a. Existing use and occupancy , , , , , .~m ~ I ~tJWQi~ I (,n, b. Intended use and occupancy ~ (M t 4 1 d./1N'~il. ~ 3. A'ature oC work (check which a plicablc): Ncw Building P • • • • • • • • Addition Alteration Re air P Removal Demolition Other Work , 4. Estimated Cost • ~l ~EI O (Description) Fee...................................... 5. If dwellin number of dwelling I (to be paid on 61ing this application) g, units , , , , , , , , , , , , Number of dwelling units on each floor , , , , , , , , , , . • If garage, number ofcars 6. If business, commercial or mixed occupancy, specify natuFc and extent of each type of use g Nums, if any: Front .....~.3........ Rear ~V!r........ Depth ..~,~.r........ . Rent `sion~o~~xistin struchrreber ofStories Dimensions of same structure with alterations or additions: Front , ' Depth Hci~ Rear.................. 6ht Numbe of Stories . 8. Dimensions o entire new ;onstritction: Front .....~01~-, , , ~ ar ' De• th ~ : Depth. ; Height S.......... Number of Stories 9. Size of lot: Fro . ,~j„ ~ , , , , , • , , , , Rear ~Qg, 3 10. Date of Purchase , ^ !p^~? P • • • • • • . • • • • • • • , ,Name of Former Owner />t/V7X4N~. (ti,~. 9`; ~~t j'~~G~J-~SC9E~ 12. Does ro osed construction viola ises are situated , , , , , , , , , , • . . . Zonepr pse district in which pre to any zoning law, ordinance or regulation: , 13. Wllllotbere raded _ g NQ • • • • • • • y•~ • • ..Will excess fill be removed from premises: Yes No 14. Name of Ow~t premisesS-~`J~;~h..f;M,UQ.~tQ, , , , , , Address IJo9p.~l~lf~J'~i. .12t~Phone No. n r Addres .a e.~ hone No. u~7 Name of Contractor _'_3^=I„ (Y1p ' ~ • ~ Address ~°'(}dR1b! . Phone No. ,~~0~" . pro err within 3 l5. Is this p y QO feet of a tidal wetland? ~yeS„ • , , , • . No......... *If yes, Southold TCwn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all quildings, whether existing or proposed, and. indicate all set-back dimensions from. property lines. Give street and block n~tmbcr or description according to dead, and show street names and indicate whether interior or corner lot. I ~I I . ~ . I I 'ATE OF NGW YORK, )UNTY OF .vl°FOGJL..... B S.gS' (Name of individual si ninCOntrnct) ' ' ' ' ' being duly sworn, deposes and says that he is the app)ir_ant ove ramcd. /I is the ~..tiY"I l/.~! (~.~u~................. (Con tractor, agent, corporate officer, etc.) ~ • • ' ' ' ' ' ' ' ' ' ' ' ' ' said owner or owners, and is duly aiilhorizcd to perform or have performed the said work and to make and file this >lication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the rk will be performed in the manner sctl, forth in the application filed therewith. urn to before me this / ' ..........'may--~.~.~-1~,~.day of 19~. art P 'c . ~ ounty C~ 9ETH NN EV~LLE ~.-/~-~.~~~~/~<<e~ . ~ttltlrryy public, State f N Hr YoPk ~t1.82.8126860, 5u oI Coun (Signature of applicant) T9rm Expires October 31 1