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19176-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N. Y. CERTIFICATE OF OCCUPANCY No Z-21105 Date OCTOBER 22, 1992 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 1325 MARLENE LANE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 144 Block 03 Lot 04 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2 1990 Aursuant to which Building Permit No. 19176-Z dated JULY 3, 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 & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH & KATHLEEN CIANCIOTTO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-219622-1/8/92 - H-031514-10/14/92 PLUMBERS CERTIFICATION DATED N/A Bui ding Inspector Rev. 1/81 rosax rra. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU57 BE KEPT ON THE PREMISE5 UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N~ ; ~ 1 t ~i Z Date ~ .~4r~....~ 19..~.C1 J Permission is hereby granted to: ~.9....`J .~?a-~-~:~:a.....~:?~ may- .~.4.}~:.r?4:::......~ ~:~~~c~......... to ...Q.l~.~....f..W.f?1:~::..r.'~,:~kkR~4^~1 .~~YJN!le~..~....1..,~.vN:~,~C'y"f~,.....~Sil......... ~z~,~.a... .....1........ ..v....... ..y............ ...p... at premises located at ..1..w~.~.~...~.4!.d.+~k.PA.'.4R .......~.~.Al~!Nrlrt'~.SefL...... County Tox Map No. 1000 Section Block ......Q..~...... Lot No..~.~ pursuant to application doted 19.4.<?, and approved by the Building Inspector. Fee 5....r~.~'..., .t~: S.! Bui g Inspector Rev. 6/30/80 ! Form No. b ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 19 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 o£ property showing all property lines, streets, building and unusual natural or topographic features. 2. A propexly 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, CommerciaQl/x$15.00 Date ......~f.~:F`f:', 2:'L..1..~!°(Z. tdew Construction....... Old Or Pre-existing Building... Location of Property....3 z.~ , ° ?:(1t?-.~.~~~z...~':~.,iJ~... ~'(~"rll7, t~(C(C-~. House No. /y~ Street Hamlet Onwer or Owners of Property..... County Tax Map No 1000, Section.....1.~~....Block.......~.......Lot Subdivision ....................................Filed Map............Lot...................... Permit No...~ ~.y~``.._ Z .Date Of Permit ................Applicant............................. }fealth Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate... Fee SubmiCted: $........r~'..J./ ' ~q,,~,L( ~0~7 ..~LIC THE NEW YORK BOARD OF FIRE UNDERWRITERS PACT; 10001.7n BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 _ dANIlAkY OR,1997. 70243990/90 N 219622 c Dote Applirotion No. on file THIS CERTIFIES THAT only the electrical equipment o. dsscrihed helors and introduced by the applicant nomad on the eftooe app8cetion numhsr in the promises of J~?SEPIi P. CIANCSO'i"i'C. 7;25 [4ARL,FNF. CIANE, MA'fTiTUCK, M.Y. in the folbrcing tuca~rA,,. sNR mP Oll'1' _ Ul~l.C~WFBJU, tpt,1 ? !st Fl. ? Ynd F'!. Sertion Block Lot not examined un I)hl.P HHH FF~'',,,HHN JU 7J ondfoundtu be in cumplianre with the reyuiremenM Uf this Buord. pXTUEE RXTURES RANIig COOKING D[CKS OVENS l1YSN WASNNS EXXAUST PANS OUTLETS AOUK SWITCHES INCANDtSCENT flUOFftCENT OTHER AMT. K. W. AMT. K. W. MIT. R.W. MIT. N. W. NAT. N. P. IMYBS FLRNACE MOTORS PUTUR! AMMIANCE IHONtS SMOALRK'PT TIME CLOCKS pLL UNIT IpATRS Mlllil-0UiIET MMMlRS AMT. K. W. dl N. P. GM N. I. AMT. NO. A. W. G. AMT. M11. AMT. AIMS. TERNS. AMT. M. P. t/~. 0! ~T AMT. WAITS S - SERVICE IMSCONNRCT NO.OP S E R V I C E S MIT. AAII. ITPE ~ 1 / tW 1 / SW 1 / ]W 3 / AW DYER 1COND. a C COND. NO. Of MIAFG Of ~NWI~IEG NO.OF NFIIIEAlS Of NEUTMI i { 1 LOO CP. t X 7 4 1 a = i oTIIEE AP?ARATUs ~"l E.E.C.().P.i~~:•:'TRIC <:ORf'. I,I:C.Iy';R1.6E 356F0 Cn17N'fkY k0.48 PF.CONiC, Ny, 17.958 p~µ MANApRR 1.1 ~V Per This cerNficah mint not be altered in any manmr; return to tM offiu of flre bardif incorrM. InspeNOrs may be identified by tMir credentials. s COPY FOR BUILDING DEPARTMENT. THIS COPY OF CE1tTIPR;JITE tAlST NOT Bf ikLTERiD IN ANY MAIiiER. j i I~'' i, ,.,1. Jli~,~ 2 6 Mr. Joseph P. Cianciotto 79 Princeton Street ~ Garden City, N.Y. 11530 June 24, 1992 Mr. Gary Fish Building Inspector Town of Southold Village Hall Building Department - -Southold, N.Y. 11971 - - - Dear Mr. Fish: As per our conversation, please note the following: my permit extension for the addition for 1325 Marlene Lane, Mattituck, New York expires on'July 3, 1992 (Permit 11 19176). I have unsuccessfully been trying to locate the architect who drew up my original set of plans to do a minor revision. The revision is for a sloped rather than a flat ceiling in the bedroom. I have even called Albany and was instructed to fill out a request form and pay $10.00 in order to attempt to locate this architect. To-date I have not heard from them. The two remaining construction deficiencies (deck stairs, and sheetrock in garage) should be completed this week. Hopefully I can locate the original architect soon and finalize this extension and obtain my Certificate of Occupancy. Should I run into further difficulty, I will call to seek your direction. Thank you for your cooperation. Very truly ours, Jo eph Cianciotto INSPECTORS „~.r Victor Lessard tiw ;~~FIt]~ Principal Building Inspector ,(~~~~yi:~~ r ' ' Curtis Horton ~o SCOTT L. HARRIS, Supervisor Senior Building Inspector ~ " 't Thomas Fisher ~ ~ ' ~ Southold Town Hall Building Inspector , ~ P.O. Box 1179, 53095 Main Road Gar Fish 9' Southold, New York 11971 Building Inspector Fax (516) 765-1823 Vincent R. Wieczorek ~'z'~'O' Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD ~ SEPTEMBER 18, 1992 JOSEPH & RAT~.EEN CIANCIOTTO 79 PRINCETON STREET GARDEN CITY, NY 11530 RE: PREMISES @ 1325 MARLENE LANE, MATTITUCR 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) No Underwriters Certificate on file. l~R The check is not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19176-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. INSPECTORS Victor Lessard ~,lr'rDl.,l•~' Principal Building Inspector ~ny\.~" - Curtis Horton : N r~,,' SCOTT L. I$t1RRIS, Supervisor Senior Building Inspector e"~~ 't en ? x~'`r'~., z Southold Town Hall ~ Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector 1 ~ ' ~ as t"" 'r Gary Fish `~,''''n Southold, New Yock 11971 Building Inspector ~'y~ Fax (516) 765-1823 Vincent R. Wieczorek ~y~~=`'~"~ Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD SEPTEMBER I8, 1992 JOSEPH S KATHLEEN CL9NCIOTTO 79 PRINCETON STREET GARDEN CITY, NY 11530 RE: PREMISES @ 1325 MARLENE LANE, MATTITUCK To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: KBX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. ffi 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 # 19176-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. p, //~~w COMMENTS ~ ~ :~1LLai I~.S: [.H1IV1~ ~~Ublr. ( b _ ~ W 1 . ~ ~ ~J r+ _ _ yam, FOUt1DATI0N list) ~ FOUNDATIOtJ (2nd) ~r uF_ S,j 2 . z 0 . ~ (N P.OUGH FRAME & ~ PLUMBING H 3. rh a ~ IfdSULATION PER N. Y. STATE ENERGY ~ CODE ~ 5 a ~ a pn r m. '1 • ' P FI;4AL - _ f it ~ _ ~ O ADDITIOAJAL COMMENTS: ~ ` v • , C+5 •tp H ? ~ ~ ~ H ~ °r s y m " rn a r H - ~ 1~ b • m ro Joseph P. Cianciotto 79 Princeton Street Garden City, N.Y.11530 December 20, 1991 Town of Southhold Building Department P.O. Box 1179 Southhold, New York 11971 To Whom It May Concern: As per my conversation with the building department, I am hereby requesting a 6 month extension to the following: ° Building Permit li 19176 ° current expiration date 1/3/92 ° for 1325 Marlene Lane Mattituck N.Y.11~952 Should you have any questions or problems, please contact me at the above address. Thank you for your always cordial cooperation. Sincerely, JoseL~Cianciott~ ~as K . ~ ~ i. ~ ~ _ e~,M a ~ ~.~«tuecrxauF~ 765-1802 BUILDING DEPT. ~~i 7~ INSPECTIOt~i [ ]FOUNDATION 1ST [ ] ROUGH pLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ , - i P ~~3 DATE INSPECTOR J T65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ]INSULATION [ FRAMING [ ] FI/NAL REMARKS: <i~~~,~~/z.~.~ ~~`~,c-~-- ~1z;r,~r,~--~' /~_f~ _ _ DATE ONSPECTOR ~ rsS-isoa 7 ~ BUILDING DEPT. tNSPECTtON [ ]FOUNDATION 1ST ( ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: ~U ~u-"f S`S~ DATE ~ ..3 INSPECTOR f 765-1802 6 ~ / ~ BUILDING DEPT. INSPECTION [ ] FO NDATION i5T [ } 1R000H PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMA K5: DATE O INSPECTOR C11 7 ~ lss-1802 C / BUILDING DEPT. ~°~37'~1NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ~ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ j INSPECTOR i~~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ 7 FRAMING [ FINAL REMARKS: ~ l N DATE y0 ~ INSPECTOR fi f i r;~~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST (v] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [)FRAMING [ ]FINAL MARKS: l ( !~-w~--- DATE INSPECTOR Joseph P. Cianciotto 79 Princeton Street Garden CiCy, N.Y.11530 December 20, 1991 Town of Southhold Building Department P.O. Box 1179 Southhold, New York 11971 To Whom It May Concern: As per my conversation with the building department, I am hereby requesting a 6 month extension to the following: ° Building Permit IP 19176 ° current expiration date 1/3/92 ° for 1325 Marlene Lane Mattituck N.Y.11~952 Should you have any questions or problems, please contact me at the above address. Thank you for your always cordial cooperation. Sincerely, y// JoseG~ ianciotto S~3 3 3 a 3 V,~.~a ~r y t. f. ~ a~~V_T ~ ~ y ry ~y . ~ ;s ~ Y r ey F /~e $ mac: s yT aa. F ~ k ~ ~ ,.4••r r'bF rd ~ ~ ~ ~ ~ _ ~ w ~ t v t u .~~t~, r>~~ r Aa-:" ~ n ` r Tw '^~a ~e.: 3 -ay£~' _ r~`wr I - ~ R .S. :.T # ~ ti~,fr ~`.~l ~ t? ~ , aya ~aa~!. k ~ ~ ~ T y 111 _ ~ 'Y ~t e ~ r 1 r ~ ~ ai ;.Y y 4 /Sf t ~ ~ 'vRs y. tS r r m ~I~~ ~ ~ d w, ~,~j, , ~9 ~ L Ill a. ~n Sm; 5 r 4 1 4 i.:~A n`k- e = . , , ~ .x .tea:.. D fi0.1RD OF .HEALTH ~ 3 SETS OF PL.\NS FOftPn NO. t SURVEY _ 2 ~ TOWN OF SOUTHOLD cllECi` . • • • • • • • - • • • • BUILDINGOFpARTMENT SEPTIC FORDS , TOWN HALL ,~,f~-' 6LDG.DEPT. $OUTHOLD.N.Y.i1~J71 NOTIFY; n,p~ ~-pj/'~• 1L]WNGIPSOUTHOLD TEL.:7G5~1B02 CAL f1`! O Q(~~~ ~L T0: Examined a^~":'4~...., l9 cv .1 ~ O . . . Approved.... .^'....,f99t?PcrmitNo..~.°I.~~.7,b.•-L. u Disapprovedalc _.-......a..... +IdingInspector) APPLICATION FOR BUILDING PERDr11T Date ..~~a~.~........., 15~fJ INSTRUCTIONS a. Tltis application must be completely tilled in by typewriter or in ink and submitted to ttte Buildirg Inspector, with 3 sets of plans,awurate plot plan to scale. Fee 3xcording to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premise or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which apart 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 Iattrs• Ordinances or i Rceulations, for the cnnstrnrtian of buIIdirgs, additions ar aiteratiaus, or far removal or demolition. as herein described. The applicant agrees to comply with ail applicable laws, ordinances, building code, housin; code, and meulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Si^nature ot~icant, or name. if a eorparaLwn) • l.. . (Mailing address of appiicant)C~/c State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~Fi~L~C-fA!K-~• .~•t ~ (as on the tax roll or latest deed) . • • • • • • • • !f applicant is a corporation, signature of duly authorized oificer. • • • • • ~ (Name and title of corporate officer) Builder's Liccnsc No . _ Plumber's Liccnsc No . . . . • Electrician's License No . Otitcr Tr e~No. . 1. Location of land on which propo~sed wonrk will be don'e'; ) house Nunrbcr Street. Hatnlct County Tax Map No. 1000 Section . • • • • • • • • • • Block • .....U~.......... Lot .,a , Subdivision Filed Atap No. Lot . ..1Nantcj . • State csisting use and occupancy oC premises and intended use and occupancy of proposed construction: ~ ` a. Existinguscand accupancy b. Intended use and occupancy , G~;?-~, " • ~I F,.. 3. Nature otwork (check which applicable): New Ouilding , , ,Y...... ~UteraUOn: S • Additicn ; i Re air R • moJal . ~ . P F Demolition .~°~'t~ni.n~~ppool },1 . . Tennis Court Accessory Buildin " ' g• • • • ...Fence .......Othec tJork.~~ ~p ,~4. EstimatcdCost..r~P..~~.l~:Q:G~.:~ Fcc...........,.....,,,.'a:.cp.i3t.. (to be paid'ony()jOYg.ttSppt lion) 5, If dwelling, number of dwelling ul~ni,,ts~ . !!tip Number o(dwclling units on cach,tloor . . If garage. number oC cars ~I CG/. • , 6. if business, commercial or mixed',occupancy, specify nahtre and extent of each type oC use ....r-:'; . , 7, Dimensions of existing structureshh if any: Front ...30? Rear ..~c,J' Depth . p~,~il, . . Hcigltt Numfiet of Stories ~ ZL-e-~ Dimensions,,ppC ~me structure with alterations or additions. Front .ti~.v? Rear ...t'~s~, ; • Depth ...r.~, jj,? , , , , , , , , , ; , Ilcight . Number of Stones . .~7~Q,~ , , , , . ~ i~ S. Dimensions of entire new constni'ction: Front Rear ~v2~ Depth ..j,/, , , , , , Height . Number of Slorics . .8:1.~-~.. 9. Size of lot: Front Rea :.......................~~Pf, ...,J, 10. Date of Purchase ~ , Namc of Former Owner • ~!/~s+=r . • ..`f... . 1 1. Zone or use district in ~4tticlt prctjtises arc situated . l2. Does proposed construction violate any zoning law, ordinance or regulation: . /K~? • . 13. Hill lot be regraded • 1Vill excel be remove rom premises: Ycs No . . t4. Name of Owner of pre. ses ,~~r,~; l~;'~°,y~ , , , ,Address 79..,~~,~~ ..Phone No...~sh.~:~ (0.3. Name of Architect s~~cP~~.%S-d.~(L~;c;2~.......... Addresses ..Phone No. 4~1.~~ ~5:~~ . . Name of Contractor • ~ , , , , , , ; , , , ,Address . .Phone Na.. . . IS.Is this property locatled within 100 feet of a tidal wetland? *YES....NO..iI • *If yes, Southold Town',,Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly al! buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. I II r li t~ I STATC of N~;v Yorl;, ~ S COUNTY OF..~;~ll-'~,p.4~~ • • • • • • • • • • + • • • • • • • . • • • • , . being duly sworn, deposes and says that he is the applicant (na c of in~id al signi tg contract) above na crrt' . f-k is the ©Lv A~rL w ' . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have pcrfotmed the said work and to make and file this application; that all statcmcnts contayncd in this application arc true to the best of his knowledge and belief; and that the ` work wdl be performed in the mannerlsc[ forth in the application tiled thcrcw,ath. Sworn to beiorc mu this ~ • ........a/7~ ...........day of 19 9~. ry Public, i ' Nola ta-Q-~.-l County - LINDA J. CQ PER " " " ' • NoteryPubtic,5tateufNewYo i (Signa[ureoCapplieanU No. 4822503, Suffolk Cou ~ I Term Expires December 3t, 79 ~ ,