HomeMy WebLinkAbout19773-z
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FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
O££ice o£ the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20251 Date SEPTEMBER 26, 1991
THIS CERTIFIES that the building ALTERATIONS
Location of Property 2900 STILLWATER AVE. CUTCHOGUE N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 136 Block 2 Lot 15
Subdivision Flied Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 9, 1991 pursuant to which
Building Permit No. 19773-Z dated APRIL 12, 1991
was issued, and conforms to all of the requirements of the applicable
provisions o£ the law. The occupancy for which this certificate is
issued is ALTERATION & ENCLOSE CARPORT ADDITION OF EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to ROBERT METTALIA
(owner)
o£ the aforesaid building.
SUFFOLK COUNTY REPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-204601 - SEPTEMBER 23 1991
PLUMBERS CERTIFICATION DATED JULY 23 1991 - MATTITUCK PLDMBING & HEAT
Building Inspector
Rev. 1/81
rosac xa •
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°- 19773 Z Date 19.41
Permission is hereby grouted to:
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s
at premises located at ....,c~'
County Tax Map No. 1000 Section .......lsa:~.... Block Lot No..........1
pursuant to application dated ......rl~.yl../9~~/ 19........; and approved by the ;
Building Instep/actor.
Fee S.. ~~,T.:.~~..~..
........~.~nr
/ ilding Inspector
Rev. 6/30/80
i Form No. 6
~ TOWN OF SOUTHOLD
BUILDING DEPARTMENT ~ ~ i~
765N1802L S 2 3 i~91
Btr~ s. uti.,
APPLICATION POR CERTIFICATE OF OCCUPAN YO\'JNO~;~'lUiim?t)Lt'i '
......r
A. .This application must be filled in by typewriter OR ink"and submitted to ,the building
inspector with the following: for new'building,or,ttew use:
1.. Final'survey of property w`iEh 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.
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.
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,
A1Cerations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory huilding $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 - Residential $15.00/, Commercial $15.00
Date
New Construction........... Old Or Pre-existing Building..
Location of Property. ~ y®~ l ~ ~~eFr [
House•No.
-yam Street Hamlet
Onwer or Owners of Property...... , , 0!~,1,~~~/,~• .
Cou Tax Ma No ~
my p 1000, Section., ,Black. .Lot...... .
Subdivision .........................'...........Filed Ma
l p... ...L`o't........'.7
Permit No,~,~„l,Z,~~,~„Date Of Permit.y:j(I,~;~~t,,,,Applicant.~l~f'F~l~~~,~y ,l,~~ ~~C,
~U2 (7 cal a17~~
Health Dept. Approval ..........................Underwriters
APProval
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate....{~,.,,
Fee Submitted:
C~z~c,~ ~f~~~'
'~~APPLICANT ~ '
Cod aoa~~
S~FF~~ C TEL. 7G5-18p2
0~0 O~ TO1~N Or S~riJT;~O~.D ,
. OFFICE OF IIUILDIPIG INSPECTOR
o P.O.BOX728
~E~° 3.i~};, ~ TOWN HALL ~j~
~j, ~ f SOUTHOLD, N.Y. ] 1971 "°°°m"-°°°ti
~ ~~.~U~ ~ ~ sJ
~3L(J63.~.'~'<~
T®VUN C7F &~G6J'; WClLd~~
C E R T I F I C A T I O N
Date 7 ~ 3 ~
Build~i/~n,,g Permit No. ~ ~~3 Z
Owners I 1 ~l I~.~ ~ ~
(please prin(t) I
Plurrtber a ~ %~uc~l.~ P'~/c~yrlb'nq ~e
(please print) C'°'T~•
I certify that the solder used in the water supply system
contains less than 2/10 of 1; lead.
i.
t
(plumber's si e)
Swarn to befare me this
/clJtiu~ dv.~/~/day of ~ ~G/L~/
_,7 • _.r-
19 1~~. ~Je-e.~~
Notar ~ic
Notary Public, c~c/~~G~ County
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EDIIF~F.JACK.
Sa'1 ~ e~ r}~'~i ~k~
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~ JUL 2 61991
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TOWPI OP SOU"CHd3E,97
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G TOWN OF SOUTIIOLD
i? ~;a,,; ~ OFFICE Or BUILDING iNSPECI'OR
~a ~{'ke 5~ rn P.O. BOX 728 . .
~ ~ 'tO1VN ffALL
,~ol ~a~~ SOUTIiOLp, N.Y. 11971
August 7, 1991
ENVIRONMENT EAST, INC. n
INDIAN NECK LANE ~ ~II
PECONIC, N.Y. 11958 U IVl
RE: METTALIA -
To 47hom This May Concern,
We are unable to complete y r ~es't'ificate
r= "
of Occupancy becausc,of the foll ing r sons.
Inn application for Certificate~'"of Occupancy
T
is not on file.
No Undcrwritera Certificate on file.
I_I The check is(outdat-ed/not on file.)
No Ilealth Dept. l:pproval on file.
No final i.ns.pection has been made.
Pleaae contact our office on this matter.
Thank you for your cooperation.
Buildi.nq Permit i) 1 9 ~ 3 Z
Buildi.ncT Dept.
No Plumber Solder Certificate on Eile.
( all permits involving plumbing being
issued after npril 1,19fl4 )
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. _ , Environment East, Inc.
r~ R. R. No. 3 - 3075 Indian Neck Lane
Peconic, New York 11958
_ - 516-7347474
_
~ THE NEW ~ YORK BOARD OF ~ FIRE .UNDERWRITERS ~ ~ ••~PA'G~';~'".`
1001093 BUREA,V OF ELECTRICITY ~ ~ f''
~ SS JOHN STREET, NEW YORK, NEW YORK 10036 I III
SEPTENAER 23 1991 73317691/91 N 204601. I '
' I~', Date r Application No. on file ~:,,yl.._rill
i TH16 G@RTIFIE3 THAT ~ 't '~{i
oryty the etect'rtca! equipmant m described below and introduced by the applicant named on the above applicgtion number in the prompea of F'
.t
p..
; I G~;,
MR,,&~1RS'METTALIA;,2900 STILI,WATER, 21X, CUTCHOGUE,,N.Y. i!.,.;
t~slit tie foUawinq,lncption; 8aaament ® lat F'!. ? 2nd F'l. OUT .Sertion Hloek .Lot , + I II I'1
SEPTEMAER 03,1991 ~ ~i~a;l;~;f'.'~
ttilaA exgalined'ar+, gndfound to be in wutplignce with tha reyuiregtertra rtl'tiiia Oonrd. _ ipy,,
1~, III ,:G
;'FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FA S
Ol7TUiT3 ~ ECEPTACLES SWITCHES INCANDESCENT FWORESCENT OTHEfl AMT K. W. ~ AMT. K. W. AMT. N.W, pMT, K~ W~ AMT. N P„ '
','tT,5;. ; ,I,. 5 ' 18 17, 1 7~'2 • ,~r; F,"I~
u r ~ w, i, ~ ir.
DRYERS ~ FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'FT TIME CLOCKS REII UNIT HEATERS MUlT40UTlET DIMMERS,-':`ig
~`i(JAT., K. W. '~Oll H. P.~ GAS H.P. ~AMI. NO. A. W.G AMT. AMP. AMT. AMPS. TRANS. pMi. H.P. NOYOF FEET' .,AMt„ is WATTS
(1>f11 - i
i14 II I 50 ,
' 1 'S RV(C~_pIStONNF,~iTo-.N`=. Nb. OF . . , _ c S ..E,,. . R ~ . , .V,.~, ,r.... 1 ~ C- , ,E ~ fT Eie hl~
MATER
IIC. T lA/AP711 Ifl'NPt'''' EOUIF. I.i'tW l,a'7W 3.a'3W 3%~W NO OF CG COND. AW. G, NO Of HbIEG AWG NO OF NEUTRALS .+i
q PER B' Of CC. COND OF H4lEG ptl.OF NE iGRAl~~
s91; ..2GG':! CA 1 X 1 2/ G 1. G,;~~il); (t ,1, 4t
OTHERIAPPARATUS: I' ~"'-tl`-""I`i~l h;'
,.j'MOTORS:1-F H.P. ~ ,i'' ~ I`~1„
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' GARY DOROSKT LIC.#2941-E ~
II ~iilll 1 d 4
I!I I II' ~ 426 M4NSELL LANE `
dIINiI ~t CUTCHOGUE ' NY 11935 ` ,
; ~ ~ ~ GENERAL MANAGER ;
;Ii ~ l1 I
I I Per Cam.; ,
`?Thisl'4ert(ficate 'mlist~not be altered in any 'manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
~,F~X'ab ~ TEL,, :7G5-1802
o ~Gy TORN OF SOUTIIOLi~
~ , ~*~2•ck~. ~ OFFICE OP BUILDING INSPECTOR
~ ,5:.
~ {.'k~, 5' P.O. BOX 728
~ 'tONN f1ALL ' '
.~Ol ~ ~ap~' SOUTIIOLp, N.Y. 11971
August 7, 1991
ENVIRONMENT EAST, INC.
INDIAN NECR LANE
PECONIC, N.Y. 11958
RE: METTALIA _
To Plhom This May Concern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
An application for Certificate of Occupancy
i:> not on file.
No [Inderwriters Certificate on file.
The check is(outdated/not on file.)
No licalth Dept. Approval on file.
No final i.ns.pccCion has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Bui] d5.nq Permit 1 9 7, 7 3 Z
Builc]i.ng Dept,
No Plumber Solder Certificate on file. ,
( all permits involving plumbing being
.issued after April 1,198h )
e'1cL.D ;;GSPEC;iOtJ ~~UniE ~ ~0^iMENT°
'v
7. y ~ V
H rrV,,
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FOU1dDATION (1st)
FOUNDATIOtJ (2nd) -
z . ~ ~.e~ ~
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0
ROUGH FRAME & O
O
.PLUMBING
ti
3. ~
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H
ItdSULATIOPJ PER N. Y. • •
STATE ENERGY
CODE `
x
4. ~ -
FI;JAL
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ADDITIONAL COMMENTS: x_1`.
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rss-isoz
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T [ ] ROUGH PLBG.
[)FOUNDATION 2ND ] INS TION
[ ]FRAMING [ FINAL
REMARKS:
DATE ~ INSPECTOR 6~2~
c w J t
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: t~~~~~--~,~.P~ .
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ROUGH PLBG.
( FTION 2ND [ ]INSULATION
~ RAMING [ ]FINAL
REMARKS: ~C.~r®
DATE ~ v 7 INSPECTOR
~
ass-isoz
BUILDING DEPT.
INSPECTION
[t~]~FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
DATE ~ / INSPECTOR
k~ ° r~ ~'~',s~ ~ J ~ ~ /-'~eOP/iUric~Cl ~Gie ~Qe~
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_ Environment East, Inc.
R. R, No. 3 - 3075 Indian Neck Lane
Peconic, New York 11955
_ 516-7347474
_
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~i e p-~~ c~ ~ ~t 773 Z ~~a~//
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JUL 2 61991 I1~6]
Tt71Nl~~ Cr€~ fs~t?iJat~if)Ll'D^y,,,rc.>
~ ~ _ IIOA1.0 OP HEdLTH
~'j 3 SETS OFsPLANS
I ~ ~ p, ~ FORM NO. 1 SURVEY
I ~~i~~~' TOWN OF SOUTHOLD CHECK ~6~9~ : . . . . . •
BUILDING DEPARTMENT SEPTIC ~OI2M
TOWN HALL ' ' '
fsLp[».
F''T. EOUTHOLD, N.Y. 11977
TOWN OF :50;1'3')~t~'t3Gk~ N 0 T I C Y
' TEL.:7G5.1II02 CALL .73y:.7,Y7y,
<amincd .~f 19~y//~" / MAIL T0: . .
?proved , , „ 1970?., 'Permit No. , f~
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sapprovedalc
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~(Bu' ding I ectod) ~
APPLICATI N FOR BUILDING PERMIT. }
. Date yf9.~Y,1,".. ']5 .
" INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
s 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
areas, and giving a~detailed description of layout of property must be drawn on the diagram which is part of this appli•
:ion.
c. ~ The work covered by this application may not be commenced berore issuance of Building Permit. ~ ~
d. 'Upon approval of this application, the Building Inspector wAl issued a Building Permit to the applicant. Such permit
dl be kept on the premises available for inspection throughout the work„ ,y,~
' e. No building shall be occupied or used in whole or in part for any purli'ose whatever until a Certificate of Occupancy
tll have been granted.by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the ~~'$suance of a Building Permit pursuant to the
ilding Zone Ordinance of the Town of Southold, Suffolk County, New 1't~rk, and other applicable Laws, Ordinances or
gul~tions, for• the construction of buildings, additions or alterations, or f' removal or demolition, as herein described.
e applicant agrees to cbmply with all applicablu laws, ordinmtces, buildin code, housing; codo, and regulations, and to
ztit authorized inspectors on premises and in building for necessary inspects.
ENVtRDNM~t~- ~sT ffJC.
(Signature of applicant, or name, if a eorporai~on) ~ ~ •
' ~~`J C •N Pr,.°rrJ N EC.t~.. !-A!-~'.. ~?ECOhI\C,
(Mailing address of applicant) l1~t58~~
rte whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber orCda
M
' me of owner of premises .~.C..~~..1 : L~ ~>2,~'~"~f,~~ t ~ .
(as on the tax roll or latest deed)
g lican c n i p atu f duly authorized officer.
an title of corporate ~ leer)
Builder's License No. ....n. ...~J.SS
Plumber's License No . . . ,
Electrician's License No . .
Other Trade's License No . .
Location of land on which proposed work will be done. , , , ;
.2:~ OD S:h(Iv;l;a;-l~;r„~.y;e.......... Cc.>:E:~o ~
House Number Street ~ ~ .
Hamlet
County Tax hlap No: 1000 Suction Bl ck ~ ~ •
Y Lot' ~q...
Subdivision . . Filed klap No. Lot / • .~d .
(Name)
State existing qse and occupancy of premises and intended use and occupancy of proposed construction:
a. ExistinguscanJoccupancy.....S~f1Glf~•.. ,,~(~J,2,(~tVl
b, Intended use and occupancy ......~?1 V 1~...:Zf~'r1~ c~~ , , ,G,~U12~,~C ~ t~
UUL.JJJ
3, Nature of work (check which a~',pplicable): New Uuildin , /
Re air
p B Addition Q~Ir,,f . Y , .
-2t~C.~OS2. f¢-v~oV~a~c'2. . , . Demolition . Othi'"WtSrk.. , .
xis ca~~o~-!- c~rec~
4, Estimated Cost ~,d~ '°I ~ (Description)
~ P~~ ~ , . Fee .
,,'is~
5,, If dwelling, number of dwc!lins units , , , ~ , , (to he paid on filing this application)
• • • • • • Number of dwelling units on each floor ~ , , , , ; ; , , , ,
Ifgaragc,numbcrofcars ..............L1...................,,..,.......,...........
.
6. If business, conunercial or.mixed occupancy, specify nature a„ d extent of each type of use . ~ • ~ •
7, Dimensions of a ~tstin~ structurFs, if any: .Front , , ,Jl, q, -Q ! n ' ' ' ' ' t ,
Huight •,.,.a~~a,.. ,.,,.Rear ,.,..5.`~,P.,... Depth ,3•¢
.NuipborofStorlcs,,... ,,,i,,,,,,
Dimensions of samo structure with alterations or additions! Front , , , , , , ~ .Tipp!' ~ ~ ~ S~cvywit,~ ~ ~ ~'r j
Depth , . ~ . .
Dimensions of entire new cons • • , !!eight • ~ • ~ ~ a~~ ' ' • • • • . Number of Stories ,
t~uction: F
Height . , ,1ih A i~~NSpber of Storint ~ N, Rear /,U, : Depth . ,/t! • • •
9. Size of lot: Front + es , ~ • • • • • •
10, Date of Purchase , , , , i " " • • • Rear ~ . ,l~E,', , , . , , , Depth ~h}: 6.R ~ ,{-p ,16 2 ; q o t
1. Zone or use district in which } ' ' ' ' ' ' ' ' • • • • Name' of Former Ow er . . •
2. Does ro Prpmises are situated ~ 2S fd4 n.;{;%*-~. • . , • • • • ' ' ' ' ' • • ' '
p posed construction vio'ate any zoning law, ordinance or re ulation: O ' ' ' ' '
3. Will lot be regraded , . R s , ...N . . ~ . , .
4. Name of Owner of remises t •s • ~ • • !Vitt excess fill be removed fro n remises:
P 1h. ~.tMl[.:.P!lei{-c~,(,iR:Address X414.1tiliSsen!~-~!?,~iw~Fbi~RrSe'.734:F~~.4.
Name of•Architcct , i
Name of Contractor ~~U: (°n~~,{. ~4?f • ' ' • ' ' • Address 30 5 , , , , ,phone No.. , , •
IS.Is Chis property located with n•••'.Address „i„ y»~'~~~t honeNo,?-:Z;$;~E;',"r~?j4;.
'~00 Feet of a t-idael we~~a~d7
YES NO
*IF yes„ Southold Town Trustees Permit may be required. y
PLOT DIAGRAM
Locate clearly and distinctly ally buildings, whether existing or proposed, and. indicate all set-back dimensions from
roperty lines. Give street and block I'number or description according to decd, and show street names an¢,i~dicate.whetheF
tenor or corner lot,
~-}C( S'Etnq CGt.(~oc'~ ii "b b4.. 2.Ylc~OSe.~• ~ CRX1oJ0.~:Pn~ lS. . ..2A~-O+r ~ ' .au. 1, '
~ ~ ~ I ~ ~ ~ ~
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:1T1; OF_NESV YORK, ~ . -=P~
LINTY OF Sj S ,
y P y ,.,•v..,,, ,
(Name of individual signiil ' • • • ' • • ' ' bans LI sworn, d~ ores and sa s that he is the applicant
rve named. f 8 contract)
is.tlte . ~ ~ ~ ~ ,.~.f
(Con~tracto
,agent, corporate officer, ete.)• ~ • • ~ • • • • ~ • • • • • • • ~ • • • ~ '
:aid owner or owncrs,~and is duly~autharreed to perform or have parfoaned lire said work and to make~and file~tltis
lication; that all statements contairicd in this application arc true to the best of his knowledge an~i belief; and that the
k will be performed in the manner pct forth in the application filed therewith.
rn to beforeGm~'c'this
l.. ~ ~ s~,;
.day oi'.i•C•ff•••••~ 19>~./
try Public, y ~/.'~County ,z
,
.NNMI ~
1 • (Signature of applicant)
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