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HomeMy WebLinkAbout19387-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19758 DATE: February 25~ 1991 THIS CERTIFIES that the building Location of Property 990 SIGSBEE ROAD House No. County Tax Map No. 1000 Section 144 Subdivision ADDITION MATTITUCK~ N.Y. Street Hamlet Block 1 Lot i Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7~ 1990 pursuant to which Building Permit No. 19387-Z dated SEPTEMBER 13~ 1990 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CONSTANCE MORENO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-170562 - FEBRUARY 14, 1991 DEC. 19,1990-MATTITUCK PLUMBING & HEATING Rev. 1/81 Building Inspector ][vOuM NO. fi TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, bi. Y. BUILDING PEIU~AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.* 1 ~3~7 Z Permission is hereby granted to: at premises located at ....~..~..~.. .... .~.. .......................... .'..:. ' '. I ~1 ) Coun~ Tax Mop No, 1000 Section ........ .~..~. .......... Block ...................... Lot No .....~ ................ pursuant to application dated ...... ~~......~. ............. , 19..~.~., and approved by the Building Inspector. Fee $..~. .................. B'uil~ing Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPBJtTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: ]~. 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, 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 - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building..~ .............. SiAsbee hQ: Mattituck Location of Property.~.q .............................................................. House No. Street Hamlet Onwer or Owners of Property .................................................... County Tax Map No 1000, Section..~ ....... Block...1 ............. Lot............1 ....... ... Subdivision ............................. Permit No~!~ ......... Date Of Permit. Filed Map Lot . 9/7/90 · Stanley J. Fliss Jr. .............. Applzcant ............................ Health Dept Approval Underwriters Approval ........ Planning Board Approval ....................... Request for: Temporary Certificate .......... Final Certicate. X Fee Submitted: $.2.5.:.0.0 ....................... ~ .~... J ..~..~..~. ' .... .. ............ LICANZ ' TO~N OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-IS02 CERTIFICATION Date Building Permit No. ~q ~7 7 2 0wner/D~. t/~q~ lo$~p~ /fbore~o (please print) "' (~'lease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber Sworn to before me this ~/~day of ~c~:~ , ~_ '"' Notary Public, ~~County Not~b~ic -, Term Expires Feb. 16, 1~2 TOWN OF $OUTIIOLD OI:FICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN I tA LL SOUTIIOLD, N.Y. 11971 December 26. 1990 TEL. 765-1802 Mr. & Mrs. Joseph Moreno 990 Sigsbee Road Mattituck, N. Y. 11952 To Whom ' ' %his May Concern, ~;e are unable to complete your Certificate of Occupancy because .of the following reasons. An application for Certificate of Occupancy is ;lot on file. /~X blo Underwriters Certificate on file. /~ Thc check i:;(~xt~x~x~l/not ou file.) $25.00 /~/ No Health Dept. Approval on file. /-'/ No final inspection Bas been made. P]ea:;e contact ()ur office on this matter. TI)ank you for your cooperation. lh~ildirig Permit: # ~ .~ ~a__7__ Z Building Dept. ***/~ Ho Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) rl=LD I,.S..~, .ON IIDa~ COMMgNT$ FOUNDATION (1st) FO,UNDA TION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN.ION [ ] FRAMING [/./]"FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~-~I~SULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR 76~-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: [ ] FOUNDATION 2ND [ ] INS~JI~TION [ ] FRAMING [//]/FINAL DATE ~/ /~''~ I~ INSPECTOR, /~?? 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ R~~OUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~/J~RAMING [ ] FINAL REMA~: ' ~ ~ DATE INSPECTOR 765-1802 BUILDING DEPT, INSPECTION [~OUNDATION 1ST r ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~r ] FINAL DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL t BOARD OF HEALTH ............ 3 SETS OF PLANS ...... SURVEY ..................... CHECK SEPTIC FORM ....... $OUTHOLD, N.Y, 11971 NOTIFY TEL.: 765-1802 ~..t~/../.<i~ ........ ~ ~TO: ............. , Disapproved a/c .......................... ................................ ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .. ~.e.p.t. ,..7., ........ 19 .9.0. INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter erin 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 th/s appli- cation. ¢. 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 Occupancv 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 Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all app icalJle laws. ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections./) ~ /7 ~ ' ' (~g~p ' ' '~'t: ~r ~'~ r p'~rr~tj . plic cc) n')' ' ' .... .M.a.t.t)..t.u?.k....N..Z..... (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 Mr. & Mrs Joseph Moreno' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) B u ]der s Lice nsc No...1.2. ~. 985, H I Plumber's License No. L12366-P Otlier Trade's License No ...................... I. Location of land on which proposed work will be done. 990 Sigsbee' Rd. Mattituck N.Y. 11952 }louse Numbcr Street, Hamlet County Tax Map No. I000 Section 144 Block ..... Subdivision ..................................... Filed Map No ............... Lot (Name) ............... 2. State existing use and occupancy of premises and intended use ;hid occupancy of proposed construction: a. Existing use and occupancy Res,idence b. lntended use and occupancy -.. Res i. dellce ..... ature of work (check wh,ch applicable) New Building .......... Addition ...~ ...... Alteration ........ Repair .............. R~moval .............. Demolition , .............. Other iWorD:.,~ "' ~-L '.' '.' 4 Estimated Cost ~.J. 4.~000 (Description) ....... 1 .......................... ~ Fee ' ~ (to be paid on filing thl~'~app!ication) 5. If dwelling, number of dwelling units ...... 1 Number of dwelling units on each floor...1.... ' If garage, number of cars ............................................................. 6. If business, commercial or mi, xed occupancy, specify nattIre and extent of each t ' ' ' ' ....... 7. Di ensionsof.existingstructBres, ifanv:Fro,,* 44tl n /.~., ypeofuse .................... 7''''j''f~ ..... ,<ear .'t., ........... Depth... 2.4.'.......'m Height ...1.7. '. ......... Number of~torie ................................... Dimensions of same structural with alteration ........ . ,-,. v ..................... Height . . .1.7 ~,, ...... ,,__ '~ .......... 8. ~almens Ohs n~ ~,,; ........ z .... ., ' ' x } .............. ~umoer oi ~[ones..vU.e... ................. ear . . . = ........... laepth .. 19.' ...... Height ...1.2.~. ... '7' prober of Stories . o..n.e , 9. Size of lot: Front ...4 ..... i ..... ' ......t ............... i i i Rear .7.4- . ' .................... 10. Date of Purchase . 1/27,/77 ..... ' ............ Depth .:1,42.~.. ' ...... ....... " ................ Name of Former Owner Frank Con±f~&~ ........... 11. Zone or Use district in which premises are situated. R.~.s.J, 0ela.t.q ~. ........... ~ ........................... 12. D.o. es proposed construction v~olate an,, zon; .... . 13. Will lot be regraded .g9 i . :~..~y.giaw, ormn~i~;xOrer;sg~ll~t~on: .... t?. ................... 14. NameofOwn~,,,r.,,~,~';o~j,~;~¢14'Mo~no ........ ' ~ I be e oved from premises: 'Y~'s k'~c .... v ...... °=~ '" ' '~ .............. AddressS. lg. stSe.° ·R~r2 r~att' Pha.~ ~I,,298-1132 Name of Architect .. . ' S - ~' ..... : · . ',~ ...... Address ........ Phone No ......... Name of Contractor . tanleV J. Fl~.ss ......... AddressO. l~ Ma'ih' 1~1;' Nht~c.' ,,, 15,Is this property loqated within~o0 feet of a tidal wetland? *YES .... · If yes, Southold To0n Trustees Permit may be required · " i PLOT DIAGRAM ' O ' · · i L cate clearly and distmctly qll buildings, whether existing or pro used and ~ property lines. Give s ~ ~+ --a ~-~^~,. ......... P , . 'ndicate ail set-back dimensions fror'p interior or Comer lot. ~ .... , ,,,.,. °now street nmmes ann indicate whether STATE OF NEW YORK, COUNTY OF ........... $.S ..... ' .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. lie is the ...................... i ........................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to pe, rform 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 mannerlset forth in the application filed therewith. Swum to before me this ......... 7. ....... of.! .... ......... THE NEW YORK BOARD OF FIRE UNDERWRITERS 'J t'iO0]*~][ BUREAU OF ELECTRICITY ~" 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date THIS CERTIFIES THAT only the electrical ~uipment ~ ~scribed belo~ a~ int~duced by the applicant ~med on the a~ve application nu tuber in the premises of iR the followlng location; ~ Basement ~ Ist FI. ~ 2nd ~. Section Bilk Lot was examined on J~{l~'~ ~ '~ ~ '~ ~ 0 ~ aRd found to be in compliance u'ith the req~irements ~f this Board. FIXTURE OUTLETS SWITCHES 2 ~ FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FEEDERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET SYSTEMS DIMMERS SERVICI~ DISCONNECT S E R V I C OTHER APPARATUS: E AWG, OF NEUTRAL GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified J~y their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NoT BE ALTERED IN ANY MANNER.