HomeMy WebLinkAbout19728-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 220121 Date JULY 30 1991
THIS CERTIFIES that the building ALTERATION
Location of Property 1470 CENTRAL DRIVE MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 02 Lot 12
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 19, 1991 pursuant to which
Building Permit No. 197282 dated MARCH 22, 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 ALTERATIONS TO UNHEATED PORCH ADDITION ONE FAMILY DWELLING
The certificate is issued to FRED ABATELLI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
IrOl3M 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 9 ~ 2 ~ Z Date 19. ~1
Permission is hereby gro ed to:
~,F1..4g.....C~~...
..y... .~,/.1...~......./~• ~e~.
to ..~~~~i~r... ..G........~$.......
G~ it a%4L?.••.~'y7.. ~~~~r .,c~ty~... ..`1.. .H..r ~r
7
at premises located at ~ 1.v:~d.:7
County Tox Map No. 1000 Section .......~~.rri.... Block ........a........... Lot No........../...~:^...
pursuant to application doted ..........s.~~./..g 19...~and approved by the
Building Inspector.
~d
Fee $..s.~~..y!~
uildln for
Rev. 6/30/80
Form No. 6
~ ~ ~ ~ TOWN OF SOUTIIOLD
~ ~ ~ ~ ~ ~ BUILDING DEPARTMENT
~ ~ ~ ~ TOWN HALL ~
; JUN ~ 119J1 ~ 76s-lao2
' APPLICATION FOR CERTIFICATE OF OCCUPANCY
j ,.7~~~`'~' •
1. 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.
° 5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from archi'.:ect 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. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Gerti.ficate of Occupancy - Residentia]. $15.00, Commercial $15.00
Date 6/20/91
ew Construction........... Old Or Pre-existing Building..X
ocation of Property.. 1470. Central Drive Mattituck NY
House No. Street Hamlet
nwer or Owners of Property „ Mr; Fred Abatelli
aunty Tax Map No 1000, Section. 106 ,,,,Block......?.......,.Lot.... 1?
~bdivision ....................................Filed Map............Lot......................
.rmit No....19728,,,,,,Date Of Permit....3/22/91 „ Applicant.Stanley J. F1iss.Jr.
:alth Dept. Approval ..........................Underwriters Approval...`~{~, p,{,.{/-2;t;.3,,,,,....
'_anning Board Approval
~quesc for: Temporary Certificate....:...... Final Cert-icae~.-.-~:X.-......
•e ,SQu~bmit~t/egd: G~$.?So•,~~,,,,~....... ~ ~
a
7G'd 9z aQld/ - .......APP ANT.
lELD i;:SPEC:iU;~ ~~UnTc ~ ~OtYMENT°
1. ~ ~ m ~
H
_ - _ y W
FOUtJDATION (1st)
a CI~'P\
FOUNDATIOtJ (2nd) ~
- _ -
2 . `
o \
ROUGH FRAME & ~ ~
0
PLUMBING
ti
3. '`ce ~
m
IIJSULATIOPI PER N. Y. • •
STATE ENERGY
CODE
~ r
H
_
FIiJAL
o
z
ADDITIOPJAL COMMENTS: ~
x
. ~
H
9
H
O~
z
• M
A
- r
H
Z
. d.
[+J
ro
H
- ~ ~ - e_1~. ~ ~ -
765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ INAL
REMARKS: f~-,
k
i
f
I
C
DATE ~ ~ INSPECTOR
i
l 17z~
7ss-iso2
BUILDING DEPT.
1 NSPECTION
[ J FOUNDATION i5T [ ] ROUGH PLBG.
]FOUNDATION 2ND [ INSULATION
[ ]FRAMING r) [ ]FINAL
REMARKS:
DATE ~I ~a ~ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
(]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ] FOU ATION 2ND [ ]INSULATION
[ RAMING [)FINAL
0
REMARKS:
DATE / INSPECTOR
_ .T
TMIg I~EW YORK BOARD OF ~'IRf UNDERiiVR17~#~ -~qr:}; '
7oootzi T=
~ • . , ®uRSnu of et.EC'nMCtrr
Jdl~h lstlneer, tvevv rowtc, I~ew rottxc tooae
,tUi,Y 01 ,199' 7366' 597/d;t 1V 7 Q4fi04
DaN Ap'Ncetitm No. on file
nits o~tenftES nu?T
awtr the tdeettied tpttiptwewt M t/ekeetked hetstD and inttro~d hY the epplteettt rented tm the ehooe oppltention nuwkkly M theprawtees q(
F'RE;?ERICIC ARATEbt,t, 747A CEN'fRgi, ~R7VF~~„ryryMq't"i'i'19JC:K, N.Y
in thefoUondntr ,Q'Aeeet~ent ? IAt Fl. LJ Snd FL (/!1'f Section Week. Lot
~6; ! 44 119V ~Y
uae eremtned on and found to be in cRNnvlience uvth the reyuirementA ttf thb~yerd.
IEQt1Y OECRL ONMf
~f t !NT llUOttlCTNT OTME11 AMi. R. W. AMf. R. W. AMT. k.W. MR.. W: AMT. M. R.
' 7 Q
~ on"ss IlttttRE. At1UAl1iE t~f %Mp~t RECEt At%N®tOpPf EILL tRtIT NEAiE6 LpIkUEB
AMT. R. W. Oll X. A. O,N' M.I. NAT. NO. ? W.O. AMT. AMt. NAT AAVt. ~1~. AMT. M. F. AMT'. WATIE
mac
E E R V 1 C
NAT. AMI. 7Mtl' 1 / tW 1 / tW t iTe 7 / M ItD.Ot .COND. ~ A~W. NO. OF NFltti ND. p NlYI%M{ ~ W.
O/1M AMNRk1ttE:
C~OOL=
~1=
2.75 TOMIJ I~A(R(+it I~qN}. s%-
ClTf~`Hpr,n, NY, 7.19'11 M~MI~NAMR
t? -J -
PH k
chit at+ttiwt% tatltt tat t» tthered in , twnrn 1D tM EHk.., of thR Bootd if itlcottMCt. ~ ~ . ' M _
. R wn.o~w P~~ of ce i n r
.,e .v..~;-A~
n
TEL. 7G5-180''
S~EF~Ck~~`'~
o~p b~, OG~ TOWN OF SOUTIIOLD
~ 2,,, ~.t( -c OFFICE OP BUILDING INSPECTOR
o :h, z P.O. BOX 728
~0~~! ~ apt' SOUT[iOLp, N.Y. 11971
MAY 30, 1991
STANLEY FLISS, JR.~
565 OLD MAIN RD.
MATTITDCR, N.Y. 11952 R6: FRED ABATELLI
To 4.7hom This May Concern,
41e are unable to complete your Certificate
oL~Occupancy because of the following reasons.
nn application for Certificate of Occupancy
/ is not on file. (ENCLOSBD)
/_~/~No Underwriters Certificate on file.
`i'I~c oheck is (~14~~$$~d~not on file. ) $25.00
No 1lcalth Dept. l.pproval on file.
No final inspection has been made.
Please contact our office on this matter.
Thant you for your cooperation.
Buildi.nq Permit t) 1 9 7 2 B Z
Buildi.nq Dept.
***/J/ Flo Plumber 5o.lclcr Certificate on file.
( all permits inc~lving plumbing being
issued after npril 1,19II4 )
o
i ~ L' ~ ~
1 w } 3
Z UU'~
'i Q o - + sr r
V~~ m Y q v Y J'tQl 0
Q LL~ u i 0 ,a ~ a ~
J ~ d a y z ~ ~~N
i O r d ~ QQ~ ~ I 6 v~~Nw~ J
W Y F U1 ~ ~ N SYb1' r T~~T''Y
~ Q oc U Q 0 D * s' 3 3 '6 ~
0
O v °ic>T>
f?~ W I-
' ~S W 0
~ t~Z r3 ~ r
~ ~ 3+ o ~y U Y
- - - - i ~F'~ 60 ~l~
i
~ i
I
i I
_ , 08 ~
~I i
' I i1J
o~vo~ -300 ~ S
' - - - c
- - ~ p
' LL
of o 0
r
II ~ ~ ~ Q
~ ~ _ ~
- t _ , 9 ~ 0 ~ I nj fU
~ ~ r~ ~ R7 Q ~ W C! N
r m k Y o ~ ~ Y a 3,19
C z eE 9c y ~ I sN Z
~il J
m
7 - - m Z Z ~ ~U 1'
~ £6'9t UU
aa~ aM N ~ 3•svez N U I
1~...i
V
C i y ~
t°}I FapoO9 i i ~ z~+' C
y ~ 3
S ~ l,~ U
I a µ
rr
\ / / ~U+ Q
t, i
'V I ~ ,KIN
i 0~y
I
S _ ~a~Y
+ fl
\ _
~ Z~~v
- ,
tt BOARD OF HEALTH
U ~ ~ ~ ~ ~ ~ ~ 3 SETS OF PLANS d.~
FORM NO. 1 SURVEY ,,77~
TOWN OF SOUTHOLD CHECK .#:..7~Py , , , , , , , .
BUILDING DEPARTMENT SEPTIC FORM _
TOWN HALL
TOWN OFSOL1TFi0LD SOUTHOLD, N.Y. 11971 NOTIFY
TEL.: 705.1802 CALL
~ .
Examined , l9 .y y., MAIL T0: S ~ ~ pn
Approved ...3~ l~l. Permit No. /.o~1.L7 7Y/ocZ.,, ~I , //~s~LC
Disapproved a/c
•iii•~.
uildi nspector)
APPLIC ION FOR BUILDING PERPAIT
Date ......March _ 18, _ „ ly 91
' INSTRUCTIONS
a. Tltis app]ication 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 streets
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
Re;ulations, 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 inspections.
(Signature of applicant, or name, if a corporarion)
565 Old Main Rd. Matti tuck NY
• (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
Name of owner ofpremises . , ,Fred •Abatelli
.
(as on the tax roll or latest deed)
(f applicant is a corpoca(ion,`'signature of duly authorized officer.
. r°r-a
e, _
(Name and title of corporate officer)
Builder's License No. ..1:2, 98,5-HI, , , , , , , , , , , , ,
Plumber's License No . .
Electrician's License No . .
Ot1~er Trade's License No . .
1. Location of land on which proposed work will be done .
1470 Central Dr. Matti tuck NY 11952
house Num bcr Street. ~ ~ ~ ~ • ~ ~ " ' " " " " " '
Hamlet
County Tax \tap No. 1000 $CCUOn ,106, • . , , , , , Block 2 Lot ...1 Z .
Subdivision Filed Map No. 106 ,2-12..... Lot 79......... .
(N:un e )
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy , , ,Residential
b. Intended use and occupancy R.~31dOrit1a1....k'?'Y/:K-, , ~e~c~t„q~~,~~
3. Nature of work check whic X
Re air , , • . • • Rl- applicable): New Building , Addition Altera '
P emoval Demolition ~ •
. Ott
4. Estimated Cost , , . $3, 000: 00 New orch & Ceilings (Description)
P
e ionH.......,,
5. If dwelling 1 (to bc`paid on filing this applic5"tT'o`h`)
If garage, number of carsvclll.. • • • • . • . • • • • . • . .
ng units , , , , , , , , , , , , , , , Number of dwelling units on each floor , , 1,
6. If business, commercial or m{xed occupancy, specify nature and extent of each type of use .
7, Dimensions of existing structures, if any: Front , , , , , , , , , , , , Rear , .
Height . Number of Stories , Depth .
Dimensions of same structure with alterations or additions: Front • ~ ' ' ' ' ' ' ' ' '
Depth....... .1....IIeight. Rear.................
8. Dimensions of entire new construction: Front , • ~ • • ' ' ' ' ' ' • • • • Number of Stories .
Hcigttt Nltmber of Stories Rear , llepth .
9. Size of lot: Front
l0. Date of Purchase , Ju,1y .1956 • ' ' ' ' Rcar . . Depth ,
' • • • • • • • • ....Name of Former Owner ..~U~-J.,a, ,geSS.ant...... , , , , , ,
1 Zone or use district in w}ticlt premises are situated .
Residential
Does ro osed construction v
~ P P • ' . ,~olatc any zoning law, ordinance or regulation:. • • • . • • . • • • . ~ ~ • ~ ~ ~ ~ ~ ~ •
13. ~Villlotberegraded No No,,,,,,..•,
14. Name of Owner of premises .~'ed Abatelli. • . • , Address3 cess fill be remove f ~~lpone No. Yes X Nc
2-21 215 St Bas 718-224-8292
Name of Architect I
Name of Contractor .Stange , J., F >_ss ~ ' ' ' ' ' • Address ...................Phone No.. ,
Y ~-....,~r:......Address .Q~-d.Maila.Kd...
15.Is this property legated w,ithin300 feet of a tidal wetlandon*YL~S298, $NOOX..
*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 bloc~C number or description according to deed, and show street names and indicate whether
interior or corner lot.
I
AP RQV ASNOr~eD
DATE: o E4.&? # 7
NOTIFY BUIL. ING DEPART TAT
'i ~ 7ti-'x802 9 AM TO ~ PM FOR THE
' FOLLOWINL; INSPECTIONS:
b. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. RQIIGH -FRAMING & PLUMEttNG
3. INSULATION
4. FINAL - CONSTRUCTION MUST
8E CAMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET'
i THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NAT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NEtV YORK,
COUNT' OF $.S
r ' ' ' ' ' ' • • • • • • being duly sworn, deposes and says that he is the applicant
• • • • • • • .(Name of individual signipg contract)
above named.
IIe is the
'I' (Contractor, agent, corporate officer, etc.) ~ • ~ • • ~ ~ •
of said owner or otvncrs, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner'sct forth in the application tiled therewith.
Sworn to before me this i
Notary Public, . ~P.~/. ~ ~ r~
~~'v-K~t°G'• •,r•'• • . • County
NOTARY PUBLIC, ~ E VOE • • , , , •
HEIENK.tnteoiNewYork • • •
Nn.d70%8%8,. uHolNCountypG~~ ($ignature of a hcant)
Tenn EKpirex Mainh 30,1_.1., PP
W@Sf V/@1.? Fo rc/T
s
~~~y pR
aj • V `19~ N\v 6 / L~
~j' V
j T p~G ~ e~~cf•N _ C~''`
p'~c
Ro.~ fe ~ S Imo.
e.
/2"
~ `
' 2 Pfe ~eJ~a1 hrplaCeinenf e+~ wa1~IS, Pee ~ ~ W a.~~~?
s
F fId X Y o vi n Y l fe //ih 1 w~ p~o W/Js
I 2X6 ce:l.K_t_~a:st~/o ~ ~.fi-
I C'
M
? ~ Dcck ~ BPS
x
s u~9 /lQQ7l~ S4 M rr~ PO'rG ~ ,
~ ,~e,,F - ~ ~e a
VSG EtE;S}~H1 •~.s ,es. ~ ~/eat
i
I
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
~ ~ ~ CF OCCUPANCY
_
~
i ~
_ ~ l
peck ~ EX;st;n9 ~eo~r+ ~ -
`Fr \ 0
~ ~
ICI
I, I
i
N~• 2yO0 Flor;zon~'a~ l~ir,y/ Ro/%ny W~no%wS
w;hdaw h~;9~t eft. Ab0.tell.
I