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HomeMy WebLinkAbout18940-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19460 Date OCTOBER 18, 1990 THIS CERTIFIES that the building ADDITION Location of Property 100 MILL ROAD MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section I13 Block 4 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 4, 1990 pursuant to which Building Permit No. 18940-Z dated APRIL 6, 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 WITH CONDITIONS SET BY TOWN TRUSTEES. The certificate is issued to PAUL KATZ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-150419-SEPTEMBER 20, 1990 PLUMBERS CERTIFICATION DATED OCT. 8, 1990-BAY PLUMBING & HEATING .o'er Bui ding Inspector Rev. 1/81 - roan: xo. a 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) No 18 9 4 0 Date ' Z ........GP 19.`~ v Permission is hereby granted to: Q .per, n 1Y..°....... . 6..~... _ _.U........ t0 Ca ...~AT~l~V~id.. s.~.:....oF^L:.....41.f~.4~A.r~:~~.. ~.~?...aC~S....rQ:J~~ I J...7.t.rye,~.~.,...1..,..~=.~,~,~.er+`..A....4~........~'~.~?P-~:::~~,.~-dUV at premises located of rf.(..~:CX.. ~~:...........~.9:I.Ct'4.....!V.:y ....`~~.....V.'...~~ . County Tox Map No. 1000 Section Block .....Q..~ Lot No......Q.2:.......... pursuant to application doted f.~1.4:~-P.... ~ . 19.7..x., and approved by the Building Inspector. U Fee ....../.4. Bui ding Inspector Rev. 6/30/80 ` ti Form No. 6 f'~'~~ ~~'N~y••tc tilj~..k`' t i 4, a - "~~lE~p TOWN OF SOUTHOLD ~~>i BUILDING DEPARTMENT ~ g z. ~ ~ TDWN HALLS ~ ~ ~ 765-1802 ~ , 'r t ~3, s. 3L APPLICATION FOR CERTIFICATE OF OCCUPANC-"~~ ' 1. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: far 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-disgosal(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 8. 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 o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicanC. C` Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, ti 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 Upuaeed Certificate of Uccupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 - Date ~~l.,.r°./g ~ ::cw Construction.........~~11.. Old Or PreM-existing Bu?i1l^d~ing...........~.y..... Location of Property....b 4~~ , t ~ L:!':..~Q:7 C House No. Street ~~Hamlet Onwcr or Owners of Property...J..~U//1:...1.6.:~1.~~..'.....t, County Tax Map No 1000, Section..../.~ ~..,...B10Ck.... ©.Z ........Lot.....a.~............ Subdivision ..............................,.../..Filed Map............Lot.............':........ f~~ D a/I ~ ~ yy~~vSStL~nS 6~¢Ll2yot~ Permit No.. ,1.,,,,~,Date Of Permit..••••~'• ~ ••••'Applicant:l... }1o:~te ~yllfiluVC~wtc^N~5 e7,~0 'iealth Dcpt. Approval ..........................Underwriters Approval. ~~':~~°cZuS.~:~.......... . Tanning Board Approval ''.equest for: Temporary Certificate........... Final Certicate........... v.~ ee Submitted: ~ 4~~7~'~ APPLZCANT~••~. • eo~l9Nba - 2a9-oaos ~titF~ BAY PLUMBING & HEATING NEW WORK -REPAIRS -REMODELING ~weN WATER SYSTEMS SHEET METAL WORK FRANK PAZIENZA 862 WAVERLY AVE. HOLTSVILLE~1%1742 Q~ DATE A,(~~ 19 ~ y Mei1~w~4tq~4~ i~ U/j < r ~ y «n . ~ i I ~ ~ "7~ (~R i:.i t_I~ X7 ~ 'T ( _ f O~ fl O'F ~Ya~ I O _ CHA lES F. SPA EK NotaryPu iC, awYmk Cuelifled In 8utfpik Comm{aeion Exp{rea F{ i i - _ _ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS eA6F T 11 H5100 6UREAU OF ELECTRICITY ~ SS JOHN STREET. NEW YORK, NEW YORK 10038 t Date SEPTF.MEfB rU,199!1 APPlicationNo.onfile 6947389U~40 N 1501,19 THIS CERTIFIES THAT only the electrical puipment as described Hebw end introduced 6y the applicant named on the afNwe application number its thepremissa of A!11. kATZ, 100 ~MI1.1, RIi„ MAITITUCT, tJ v. in tke oUorcin lucation• ~ g men ~y OU 'f X SEPfiF.MF3 E~R I°~16, 1 ~~yilu let Fl. ? Ynd FI. Sertian Block Lot reaa examined on and found to be in compliance Erith the reyuirementa of thia BYtord. pXTWE pXTURBS RANGES COOKIN60KK5 OVENS DISH WASNHIS lXNAUST FANf OUTUITS BTACIES SYY17Ct1E5 INGNOESCENT FlU0aF5CEHT OTNER NAT. K. W. AMT. K. W. NAT. C.W. AMT. K. W. AMT. H.I. 8 6 R 1 F DRYERS WRNAGE MOTORS p1TURE AMBIANCE INOERS SMICIAL RECIi TMIE CLOCKS RNL UNIT HEATERS f~Ytf~MATf T DIMMERS AMT. K. W. ql M. I. GAS N. P. AMT. N0. A. W. G. AMT. AMI. AMT. AMTS. TRANS. AMT. N.I. a ~T AMT. WAT15 SERVICE DISCONNKT NO.OI S E R V 1 C E Anti. AAV. TYPE ~ 1 R aw 1 F SW 7 / 3W ] / AW NG. Rt ~C[IND. Oi GC i:0i1D. NO. Or IN.LEG Of ~Kl C NO. ar NFUTIIAlS ~ i' F IletAl - OTINR AMMRATUS: ~ UTRTNG POR 40AMP '140 VOI. t" SNA-1 kLt:C. ROAM HEATpRS:]-.5 K.W.,2-1.7'~ K. W,,;?~~i h'. W. f.F.C.T:-1 ' 7RACK LT:(~~HT1NG~ 1 k0`;f;O ELt~, CON"fRAf.TiNh Lli',q,',fi1:5-f. 460-10F RLG tiiWN RC). PORT Tf"pF'ER50N `iTA„ Nr, t1. 77~n OM~AI MANA9ER 11 ~ P,r~, t~A~,1 This cerN&aro must not bs alrored in any manner; return ro tM office of tM Board if incorrad. Inspectors may beidentified by fMir credentials. - COPY FOR BUILDING DE AR BE ALTERED IN ANY ' 117,,ti-J~ TEL. 7G5-i 8Q? c~~f F ~f.!{~, c, c,~ s Toy rr or sou~oi.~ r? y. ~c Oi~i'K:tiOC:IIt1ILDINGINSPECTOR o .~i, 4~1~74 ~ ['.O. IIOX 1 1 7 9 o' r'?"r,'~"~ ~ TOWN IIALL w ny .~„!.>y ^ ~,y ,~c SOUTIIOLD, N.Y. i 1971 iyO~ °Li SEPTEMBER 25, 1990 RUSSILLO'S GALLERY OF HOME IMP. LTD. 4515 NESGONSET HIGHWAY PORT JEFFERSON, N.Y. 11776 RE: PAUL KATZ 'Po 49hcm This, May Concern, We are unable to complete your Certificatr_ o£ occupancy because of the folloc•ring reasons. /_V/ An application for Certificate of Occupancy 15 not nn fil.c. ENCLOSED) /~to Underwriters Certificate on file. / I'he chcc;F; i:.(nXYXQCiI4~XIlr/not on file.) $25.00 D;o 11eal.th Dept. Approval on file. No final insi~~ec;t:ion has been made. Plcasc contact: our office on this matter. Thank you for your cooperation. Iluil<lir;g Penni_t-. it 1 8 9 4 0 Z Duildin Dept:. '°'k/ / uo Plumber Solder. Certificate on file. ( al.l pnrmit::; involving plumbing briny iasued aFt-cr April 1,1984 ) C~t-D ztuS~'F.~TZotJ - IfD%#7>+ ~I CO:t:~1~vr.S ~ . ~ ~ ~1 ~~h ~ ~ V H OU:lD~TIO;! (1st) ~ - c N ca OU;IDATT0;1 (2nd ) S t, a ~ TOUGH FRAi~fE & .PLUMBING ~ d~_ . ~o . •a A. 3. ~ H IIfSULRTI0;1 PER N. Y• STnTE EiIERCY CODE ~u 111 i-. ~ 4. ~ ~ FI:fAL i Y-? • , - ADDITIOtIAL COi^.t1EE1T5: ~ ro • x • .ti ' \ H S• ~ . H H O '~3 •-~f m • r y x v m -o .-7 :t? lKf ^ p ~L~[~Od~ a~ Sao ~ g~FFa~/r~Do s y< BIDG.pEPT. N OF SOt1TH0(.p ~ rn SCOTT L. HARRIS John M. Bredemeyer, III, President ~0 ~ ~ Supervisor Henry P. Smith, Vice President ~ Albert J. Krupski, Jr. ~ ~ Town Hall, 53095 Main Road P.O. Box 1179 John L. Bednoski,Jr. Southold, New York 11971 john B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 March 23, 1990 Paul Katz 204 Patchogue Road Port Jefferson Staion, NY 11776 RE: Request for Waiver Dear Mr. Katz: The following action was taken by the Board of Town Trustees during its regular meeting held on March 22, 1990: RESOLVED that the Town Trustees approve your request for a waiver to add a sun-room to an existing house, but with the following stipulation: That a snow fence be placed between project and the creek to prevent any materials from entering the water. The property is located at Mill Road & Jackson Landing, Mattituck, NY facing the West Bra>tZCh of Mattituck Creek. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Very truly your , . .Pit/ Fl'r J hn M. Bredemeyer, I resident, Board of Tow rustees JMB:jb cc: Bldg. Dept. CAC File r, 1~~~ rss-isoz BUILDING DEPT. INSPECTION . [ ]FOUNDATION i5T ROUGH PLBG. ()FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: _~~uwli DATE INSPECTOR 765-1802 BUILDING DEPT. ~ ~ 1 NSPECTION [ ]FOUNDATION 1ST ~ ~ ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ / INSPECT ,~c ~ ~ 765-1802 ~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING / ~ ]FINAL REMARKS: ~'",~t,~a~t ~,r,~~r_ .dti~" DATE ~ ~ INSPECTOR ~ 765-1802 C BUILDING DEPT. 1NSPE~TION [ ]FOUNDATION 1ST f ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~S''U~LATION [ ]FRAMING I"F NAL ' REMAR S: t~ - Q I DATE INSPECTOR i~ y~ t~-i8U2 ' BUILDING DEPT. INSPECTION [)FOUNDATION 1ST ( } !ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION FRAMING [ )FINAL REMARKS: ~~-C~~~ DATE ~ J INSPECTO l t RR - sonao oe HEALTH D l5 ldJ C`i ~"'~1 3 SETS OF PL\NS FORM NO.t SURVEY l~ ~ TOWN OFSOUTHOLD cllcct: BUlLD1NG DEPARTMENT SEPTIC r•oart TOWN HALL !,'a ccer<'y a~'f/n-.~ .J:r„frroy• RI,DG.DEPL $OUTHOLD, N.Y. 11rJ71 NOTIFY; ~71/-S~Pf~ ii7 TEL.:7G5.1B0~ CALL ........_...........Q~ • rln L TO' Examined . 19~' D ~ c~'%S: /JE~CransS~i ) approved .:j`;':':'+':.. 19`i°.PcrmitNo.~.g9r0~ ..1.`:C'TJCFG'~A. l~:l:~. VVVVVV .lr~ ~~j Disapproved a/c ................................~cA.4!-:- (iuilding Inspector; I APPLICATION FOR SUI! DING PERMIT ~ J ~1 Date _ IS INSTRUCTIONS a. Titis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, vvit sets of plans, accurate plot plan to scale. Fee according to scheduie. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. o. The work covered 6y this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Buildin; Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department fox• the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or Recutations, for the construction of buildings, additions or alterations, or for removal or demolition, as. herein.d?ss~-ir-cd; T11P_ appl+_C:1nt 't.^_rPP$ to rn!j7 t:^, all a~til::'1c~iiG id W:. ~:i!isr~~~:.-y.~.. ',!;i.!ji3 i.i~-~-~ C11Sln~ COdC, atld rip'(o~ulations>/a~nd tU !d,:,.:t .iieihGri~ed insPect~.> ~'.i Premises and xa7 bu:Idi;,L for ?:ecessary tns ns. uW'/ t`~ C),rFte(: . .moo OT--~,tpx.,,E' ~Lm(~'YC"17 (Signature of applicant rln/ame/, if~a corporlntton) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engine ,general contractor electrician, plumber or builder. ..............................'/........................r~.,.,.....p.~............................... Vame,of owner of premises .'~~sJ.4..1~.A'(~. ~.Q£1.. M~ •t`=.~; - • • L~~ ~ • • • _ (as on the tax roll or latest deed) - fapplicant is a corporation, signature of duly authorized officer. • ~ ~ (Name and title of corporate officer) • Builder's License No. ....~v : Plurnbcr's License No. ,;d.l i . Electrician's License No. Otlicr Trade's License No. . Location of land on which proposed work will be done; : ' (louse Number Street. - Hamlet County Tax lfalt No. 1000 Section • • • • • • • ~ • Bl'ouk • • • • Lot , , , , ~ , , Subdivision Filed !\tap No. Lot , l ..(Name) State existing use and occupancy of premises and intenPdeyd~use~yaQn~d,o~c'cupancy of proposed construction' a. Existing use and occupancy ~ . ~~:'s l • ~ • • ~ • : " , b. Intendedusoandoccupancy t•" Y i7 ql Nature of work (check which aPPlicnble): New Building Addition . "A1 Cibn Repair RRmoval ! Demolition ,Swimn>~ppo~ . Tennis Court'„fr~.. Accessory Building..... `Fe'nce .......0th rk t. Estimated CostS..~W~.~t~ Fee g E.. (to be pail! on C~~;~ i. IC dwelling, number oC dwcltin units Number of dwelling units on cacti Ilaor if garace, number of cars ,,q,,.. i. If business, commercial or mixed occupancy, specify nature and cxtcnt•of each tape gf~usc l~lfFi.'.. rte..... . 1, Dimensions of existing structures, il', any: Front 9s9,~ . Rear °4 Depth ..cep . . Hcicht Numbcn,of Stories ..'~.v~, . . Dimensions of same structure with ~ltcrations or additions: Front Rca2~ . Depth Flcigllt mn rIi Numbef gG~..fErics r r.~r . 3. Dimensions of entire new constnuction: Front L7,~: t..Z. Rear l~..Q~........ Depth . ~.T.r........ . Height ..,l3.......... Numbcr',of Stories .l ' ?..Sirs, t~f lot: Front , - - Rc,., ~ . 1)rnth i1,XtC of Puretlase , ~ . ~ • : - ' J: ..............Name of 1=onncr Otvner i,: ; ~nr,c or use district in which prcmi$es arc situated . . . 'J, Dors proposed construction violate any zoning law, ordinance or regulation: /,l(gd/E; . 1':~E.. ~,r/c7a7 • d 3, SVill lot be regraded ...I,?o pp .Will excess fill be rcmov' d from premises: .Yes NoA!a 4. Nantr. of Owner of premises P.~O.~ ~ C~?.y,T:Z:"..~... ,Address /.oo tGG~,~,~, r~,~N~... . . Name f Archr~tecf ~ 1. L.iE/.tC~2MA~ . ~ .jp~q y1YLG G7. ~'jP•, 3-~ t':ic~3. • .Address Namd`ot ~ontractor~l~ t~e:2>:.ol<fo.~G=.~mp,• G.;c(; Address~ls',E'~3s~~+~~,•J•S•)i?'lb, .Phone No..4.74 ~Q•8~~, , , , , , , lS.Ys this property located within (00 feet of a tidal wetland? *YCS.._.NO.... *Ef 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 block number or description according to deed, and show street names and indicate whether nterior or comer lot. STATE Ol' `E1V YORE, C~QUNTYOF S'S t~ FvSs/c.t,v 1CU~S rCl ~ ~;t~•~2~', p~,~;lo, , ~7~POy~G~~E~!'T~'L'~C~eing duly sworn, deposes and says that he is the applicant • (Name of individual signing contract) above name 1}c is the 4rY.~~l9.el.®~~........ J I (Contractor, a cnt, corporate officer, etc.)• of said owner or owners, and is duly huthon crform or have performed the said work and to make and file this application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed thcrcwitlt. ' Sworn11to bciorc me this 'i . ~yy~ 1 ~ 1 tary Public)J~iG~~h:'.:~: ~ :-:~t~~:-~: N County ~.Lf • U ELIZABETH SGANION L/~ NOiARV PUBLIC, STATE OF NEW YORK • • • • • • • • • • • • • • • • • • • • • • ' NO.A81 200 (Si;naturc of applicant) ~TEpMEff%PREBJ~UNE30~8~ y Ir r 1. ~ Y;. 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