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HomeMy WebLinkAbout19939-z FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20244 Date SEPTEMBER 25, 1991 THIS CERTIFIES that the building ADDITIONS & ALTERATION Location of Property 2240 MARLENE LANE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section I44 Block 2 Lot 29 Subdivision Filed Map No. Lot No. conforms substantially to the Applicaticn for Building Permit heretofore filed in this office dated JUNE 7 1991 pursuant to which Building Yermit No. 19939-Z dated JUNE 10, 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 DECK ADDITION ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH FUSARO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-206396 - SEPTEMBER 19 1991 PLUMBERS CERTIFICATION DATED SEPT. IS 1991 - HENRY J. SMITH & SON INC. Building Inspector Rev. 1/81 roses xo. s TOWN OF SOUTHOID 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~ 19 9 3 9 Z gate I9 Permission is hereb granted t ~~......~~~-'rte......... ...y~„~". y . of premises ~....5~~...~.T.~. ~ ...............................................C~%%~ep.? ~.....G"~.r........................................................................... Count' Tox Map No. 1000 Section .......,~Y.:T...... Block .......0.. Lot No.........®~..-.~...... pursuant to application dated 19.?.l...., and approved by the Building Inspector. Fee 5..~•A...7S~ J . ..a. ilding Inspector Rev. 6J30J80 Form No. 6 i TOWN OP SOUT[IOLD f3~~~~~~E°'L4\\~f7~~.'s~;~`+~?~ BUILDING DEPARTMENT I~~~~ s TOWN HALL 765-1802 2 Q " ~,3 r~S u,r.~3~r, ~ t APPLICATION FOR CERTIFICATE OP OCCUPANCY ~ ^It~17b+7 v9a rll ~,d 37 r ..w ,.~Ri This application must be filled in by typewriter OP, 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 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. :3. For existing buildings (prior to April 9, 1957) uon-conforming uses, or buildings and "pre-existing" land uses: 1. ,iccurate 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. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia,~l\r$15,t.00, CommeprGcial $15.00 Date ....Y,~.! ~ ~I . ~.1. ! ~ ::cw C~nstruction....X..... 0O}}~ld Or Pre-ex istin//gyy~Building.../.._...........}~`~ Location of Property... ~P°:',7;Y ................4? (Clj;f~~7lq~..4S~Re.:......:.:1~:~~; House No.I 1 Street Hamlet 7nwcr or Owners of Property.... ~QSQQ.h`:.I-IA~YSif.C7„CJ-,11,~,, ,lx?1 , ,G . . :ounty Tax Map No 1000, Section...~.~ .......Block... 6 2.........Lot.... Z', subdivision ....................................Filed Map............Lot.......~..'"....y.~.../..... 'crmlt No... ~~~~~~.,,Date Of Permit.':~~~ION ~~~~,Applicant.~G~~n..~~j(.t,/,i~.{~-!~C~,~";-~~-' '.ealtli Dept. Approval ..........................Underwriters Approval......................... ':arming Board Approval equcst for: Temporary C/n'ertificate........... Final Certicate..~,,,,, 'ce Submitted: $.,......o2C.S~ yap 7 ~ CO ~do ~~f ~ APPLICANT 7HE NEW YORK BOARD OF FIRE UNDERWR{TERS ~t.oi7,,r,+ BUREAU OF ELECTRICITY i tBxS JC1HN STREET, NEW YORK. NEV~ Yt,Q;~K Qi038 1V ,~4}f i~~ OC7Y)"di1;J~. q.3 ~ (9,u'1 1/s.. 3 ti s # ~'-rr - Bale APPlication No. an file THIS CERTIFIES THAT only the electrical equipment as described be[o[o and introduced by the app[icont named on th¢ abov¢ application number in the premises of .'rrista,~ri r,irsa.rzo._ rhLR(,r,;ti;l~, oi;s.'ar~., ~~if~'t°(~~.7~+fc~„ n++,~. uLl,l. in thefoBuwing IocaLiPryhf,~i,.~as~L~aert(t r~ ~ 1st FI. ?Lnd F<. .Sect[on Block Lot c u'as exmnined ort and found Lo be in corupl[anre with the requirements of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOXINO DECKS OVEN5 DISHWASHERS EXHAUST FANS OUTLETS INCANpESCENT RUORESCENT OTHER AMT X W AMi K W AMT K.W AMi K W AML H P 1 ~ .~{i 1 ft i ~ ~i . Li l,. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS - PMi K. W. Olt N P. GAS H P PMT NQ A. W G AMi. AMV AMi AMPS. TRANS. AMT H. P SYSTEMS AMT WAiiS - NO.OF FEET if) SERVICE DISCONNECT NO.OF S E R V I C E MIT AMP TYPE METER 1 9 2W 1 $ BW 3 d 9W 3 d 4W NO. OF CC COND. 0. W. G NO OF HI-lEG A W NO. OF NFUTRAlS A W G. EQUIP. PER B' OF CC.COND OF HI-lEG OF NEUTRAL OTNER APPARATUS: k;tlhlr`. KQQiN 4}~;A'I'a~~p1;7,~ i .k~ t(_W.. ~ G .4 .i C;L)N'C$FlC`i'Oi1 t,'C.C.~{~'7f36: ~ AO`X '?7 s ~ ~G%~ :>Otr~i'flCt 15, NY, .I 3.97'"(, GENERAL MANAGER 4[ !ti} Per I I~` 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NQT BE ALTERED IN ANY HANDIER. i HENRY J. SMITH & SON, Inc. PLUMBING, HEATING 8 FUEL OIL ~ 5 , y MAIN ROAD u r SOUTHOLD, N.Y, 11971 (576) 765-3690 ~ ~ ~ ~ I~ ~j .t tII l+ x C_E_R_T_I_F_I_C_A_T_I_0_N_ . Dat.e___S~t._18z 151 Building Permit No._~/~~ ~ ~ Owner______William-Fusaro--_-_-__-_ Plumber__Henry_J__Smith_&_Soni_Inc_ I certify that the solder used in the water supply system contains less than 2/10 of 17, 1 ad. - - Henry Smith Sworn to before me this 18th day of Sit~----°-' --a~-(_~ cn, _~~~C~~_,rJ ~ 9~1 ! _ Notary P blic Notary Public, Suffolk County BERNADETfE L TAPLIN NOTARY PUBLIC X9844893 Shte of New York ResiAinp in SuBdk Courtly C9mmi9alon Aires Sept 30,19 ~'i~ „ . ~zxr~ TEL.,,7G5-i 802 5~~fa~kc o~p OGy TOWN OF SOUTIIOLD ~v ~ x OTFICE OP BUILDING INSPECTOR ~ 1. ~ P.O. BOX 728 ~ ~ TONN fiALL ~a 0!' SOUTIIOLp, N.Y. 1 1971 /'~Ol ~ ~a September 16, 1991 John Bertani Builder, Inc. 1380 Oakwood Drive Southold, NY 11971 RB: Joe Fusaro 6 Wife To 4Thom This May Concern, We are unable to complete your Certificate oL- Occupancy because of the following reasons. nn application for Ccrt-ificate of Occupancy is not on file. CBNCLOSBD) No ilnderwriters Certificate on file. T}ie check is ( /not on file.) $25.00 No (Ica1L-h Dept. T~.pproval on file. No final i.ns.pccCion has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit If y ~ 2 Buildi.nq Dept. ***/y~No Plumber. Solder Certificate on file. ~ . ( al.l permits involving plumbing being issued after npril 1,19II4 ) f ~ SEP 2 O I~~~i M.~~. a ~ - Oi_r~. Ise ~ r ~ovv(ar~~~c:~;~.<,~,. r_.:LD ~.;:,:IC:iU;i ~~Un:c j~ :;UaKhIE:NTC y ~ ~ J H _ H FOUtJDATION (1st) FOUNDATIOtJ (2nd) 2 . c, ' z 0 ROUGH FRAME & ,PLUMBING ` y ~ H ~ ro 3. ~ m IIJSULATIOM PER N. Y. , ~ ,,,~~e • • y STATE ENERGY CODE x a /3 ~ 4 . ~ ?t-~ ~ ~ y FIIJAL o ~ \ ADDITIONAL COMMENTS: x 9/ ~ ~ ~ a. ~ a 5' b M a ' H O H \ O 2 ~N ~ 1 x rn a r _ H x v m ^u H a i j RYA )t; ' ~ , i 'y, 1 v ~ 1 ~ ~ ~ ' i Q i ~ ~~w~*-, - yr~ ~ ~ 4. ~ / ; _ • /f . ~ c ~ q o ~ , r. , . d o ~ l j ~~j f 'l - O ~ ~ 4 ~ s } r- M ~ = 's• 6 a ° ra, 1 J U 1'~' ~ i 7J r } ' r'74 ~ ` r' Y. 5 ' f:`. r, r.'G A / ' 4i.:,r•., : %1/~.^ /sl.•,~dr"-!r:CC'C+:?/Y~Js7/:4' / ' v r . 1~~~~ rsS-1802 BUILDING DEPT. INSPECTION [ }FOUNDATION 1ST [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ~ FRAMING INAL REMARKS: C~ _ DATE G3 ~ INSPECTO 1~~~~' 765-1802 BUILDING DEPT. INSPECTOON [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~?i C~ DATE f INSPECTOR 76S-18fl2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ) RO GH PLBG. [ ]FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~~f E DATE INSPECTOR F > L~ l`~~3~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ] F NDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: _!1 DATE ~ C INSPECTOR ~ 765-1802 BUILDING DEPT. t NSPECTt4N ATION 1ST ( ) ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ [ ]FRAMING [ ]FINAL REMARKS: L ~ 4 '2 i t t DATE ~ ~ INSPECTOR i. . j~ 41 ~ N~ M to ~ . ~ ~ t,7 ~ U ~f- ' ~ I ~ ~J y ~ ~T~ I'I 'Tr ~ w ~ N ~ j~s 4, r I, cti ~ II v I j! I . r r 1 n t+ ~ i~ ~ ° ° ~ ° i ~ o o'~, ~ I lam, ~ ~ I- ~ ~a4~d~dnoA~ ~ a :o ~ N o I ~ r G f ~ ~ rn ' ~ ~ J I I ~ ,cU F' ed b i et I C7 "q vo. ~ o J I T' n, • v, i ~ Q sn U ~ ~ N o ~ I G W ` h R) ! ' ~ ~ ' Z Li .1---_ ..._t- - - - - , YS ~ I ~T ~ Y FF" Gy r,l 6 ~ .i C r d . a__~.._- . . - - - I ~ of (.a i O .,o o ~ cv , cN ~ ~ , I ~ n ~ ~ n - R ~ ~1ry~M~tl~ ~ ~ S ~ ~ (1 ! it ry (i rb ~ ~ I~ :O d' rt dPo ~ Y t" ~ I 1, ~ I rn n+ r ~ ' ~ ' r~ T ~ d ~r ~ ~ 'F ~ Ql ~ a,O„~ ~qW T9 r ~ ~ ` ~ * s s c O ~ 9F '11 ' ~i ~ r ~ b m N m r Ili :I, I ~i ~ 3 m R' C Z n~ ~ AtI Sao ~ ~ ~I r~ a. F 1 i C~hE~ ° ~ -i ~ . ~ - ~ C~~`V1Lsli BO.\RD OF• HEALTH..::::::: ~ it FORtnN0.1 3 SETS OF PL.\aS SURVEY I~ _1`Z ~gg1 3 ~ ( TOWN OF SOUTHOLD Ctlcct: , , . , , , , , , , , ~~'~9,)~ BUILDING DEPARTMENT SEPTIC FORM TOWN HALL F5t ~ ~ $OUTIIOLD. N.Y. 11971 _ TCtf f:i C~`' ; Cif I~u,~..<. q~ t /J~y~! TEL.: 7G5~1B02 MOCALY • , I~~/ Examined l9 4(. MAIL T0: • • • • . Approved .:6.t'.~........., 19Xr,1 Permit Na..~~'~..~/ ~ . Disapproved a/c . APPLICAT ON FOR BUILDING PERPr11T . Date ,~VS1F~i..7___,,,,,. 15.~1.~ INSTRUCTIONS a. Tltis application must be completely filled in b rl. ' ;ets of plans, accurate plot plan to scale. Fee accardin Y typewriter or in ink and submitted to the Buildir>; inspector, with 3 b. Plot plan showing location of lot and of buildin~s on premises, relationshi to ad'oinin~ or areas, and giving a detailed description of layout of property must be drawn on the diagram whicmhrm or public streets cation. part of this appB- 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 appliant. 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 CertiSe~te 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 Zane 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 rcoulations, and to admit authorized inspectors on premises and in building For necessary ~intspecttons. 72 atc? l{PJ..~.eiC~L~.4c~/.f:.,,~rtr.CQ~+.~ .-~c[C.. . • (Signature ai applicant, or name, if a corpora;ton) ..f.3~...C9/1r~xQ.7.drdG~ Ld/~PUCr uvt2a; ~'-?0.~. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. NameoCownerofpremises ....,/~91L_FM2S' ,TD~'.t~f.~5,fi~ (as on the tax roll or latest deed) ~ If applica~n.t~,isQa~ ~corporat/i~on,.,gs_ignature of duty authorizedp~oFFcer. l/ (IJame title of corporate oftccr) Builder's Liccnsc No. , f;';x, , , ,f ?•19~Q. , , , , , , Ptum tier's License No. . ~?~-y!~' yt~gt.i , , , Electrician's License No. .~"~,'~9, ~LtC77,l,CG... Other Trade's Liccnsc No......./.~/.A. I• Location of land on which proposed work will be done; (louse Nuntbcr • • . • • • , /'~pYT!`t /JC/~.. Street. Hamlet County Tas \fap No. 1000 Section ©'Z ~ i• Block 2 Sub Lot i" , division F.ilcd flap No. ~(Namc) Lot............, , 0 • State esistin~ use and occupancy of premises and intendeJ use and occupancy of proposed constructior_ a. ECistin~ - , - use and occupancy .....Qc~~... "...~~4-LQ~,~~ . b. Inte ed ,,gyp . nd use and occupancy ....®~C.... f. ~!?~t?. ~5~~! t~~.~.~:.~ t~..:23#~~ ghu~3 ,l.v: m ~1~'.cll~' . ill g6,${ CIYiQA~?AN# ~ . 3. Nature of work (cheek which applicable): New budding Addition . .Utctaiton • Repair Rpmov}t Demolition ............5wictnip;tt_y {~o~_s . Tennis Couct Apcessory duildin g•• ..Fence .......Other IJotk. y4. Estimated Cost "~Qj6>9?? F . cc (to be paid on filing this application) 5, If du•cllin;, number of d~veliing units . . . Number oC dwelling units on each (loot , . . iC garace, number oC cars • , , 6, PC business, commercial or mixed occupancy, specify nature and extent of each type of use • • . • , , . 7, Dimensions of exiting structures,~iiCany; Front . ~'4.. .Rear , ,,$.z?:. .Depth . ~ r ~ • • • Height y~ . Numb4:r of Stories . .I. . . Dimensions of same ~tructurc with alterations or additions• Front 50!" , Rcar , • .~'-d " • • • Depth . ..1,`4~........ , . i. PIcight Number oC Stones . . S. Dimensions of entire new constnt~tion: Front Rear .....35~ ,Depth !8 ~ ~ • • ~ ~ • • Hcigltt ./~:..,,,Nu~nbFrofStorics. - ~ • 9. Size of lot: Front ,/,~0... Rcar D® : . . r . 10. Date of purchase Depth , ....NameofPormcr Owner l 1. Zone or use district in which premises arc situated . l., Docs proposed construction viola4c any zoning law, ordinance or regulation: • • • • • • • • • • 13. \Vill lot be regraded ,k.QQ, , , , , , , , , , , , Nill excess Gil be removed Crom premises: Ycs ~ • , N° . . l4. Name of Owner of premises t`J!z;t',yu~,f , ,~a11'!t2,o, , , , pddress .?ZAP. lK~~,s..4A.tF~ Phone No.. ~9.&^. `."~O,rD. . Name of Architect /Y/q~'?TVC.rC , , , ,phone No.. . .Address . • .l-Q~ Name of Contractor .~F•'?~++!r i„ ,$rriCn, des , , • ,Address . r~H2 ©.~'~Q. 0/C-. ,Phone Na. ~ IS.Is this property located within 100 feet of a tidal wetland? *YCS._..NO„~C.. *If yes, Southold Town ',Trustees Permit may be required. PLOT DIAGRAb1 Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all setback dimensions from property lines. Give street and bloc); nµmber or description according to deed, and show street names and inditate whether interior or corner lot. S'~Gr .S'u~-vo-y- i • r I • I I sTnTC o r• a ew Yo~, _ r, COUNTY OF 4~t.-f. 4.~-K Si S .~P~N. ~,~/G7.A. (Name of individual si niter/ ~ • ' ' ' • • bcin~ duly sworn, deposes and says that he is the applicant • ~ tg COMraCC) about named. 01:+~'.A: ~1, Fie is tltc ....~891?~?B . ~~'C,~~r!2 (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly~iauthorizcd to perform or Itavc pcrfotTrtcd the said work and to make and ale this application; that all statements contai{ted in this application arc true to the best of his knowledge and belief; and that the work will be perforated in the manner'~ct forth in the application filed therewith, Swam to before me this ~ ~ • day of t~c9.c06, , 19 ,~J'~ ; ry public, ~ ..~V~^. .fr~. , County • x (Si;nature of applicant) r f ~ ; r ti ~ ~ i - gg 'z\ o iJ \ y " ~ _ 2xG~ 9 ~ ~ f,~. r. s' .Tr ~ i l ~ i I ~ ~^'N ID is i 1 f 1~ ~ G _ i o _ _ _ ~4-'- - ~ _ i~ o~C ~y i j E "-`S. ~t 5 V r ~ ~y 2u 6" ~ (.'~~a.n \ p~ ~ D L ~ a ~ ' Irb J ~ ` i' i ~ ~ ~ Y O G Q - i"~ v H r' ~ -__=-:_:-______::~~11 N_ j~ ti j x. r N, !p 'r G J M V I~ 16 ~y~~L 4--- j 11 a N - ~l :Lt X: K : la's X~ ~ 1 .ry c_ Z G_ a ~ ~ G L r s ` T' r, N~` ~ ~ c, C~ ~i t\