HomeMy WebLinkAbout18963-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19691 Date_ JANUARY 29, 1991
THIS CERTIFIES that the building ALTERATION & RENOVATION
1650 MARRATOOKA LANE &
Location of Property 3935 NEW SUFFOLK AVE., MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 115 Block 3 Lot 28
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 19, 1990 pursuant to which
Building Permit No. I8963-Z dated APRIL 20, 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 ALTERATION & RENOVATION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to ANTHONY & ANN CACIOPPO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-161500 - NOVEMBER 19, 1990 ~
PLUMBERS CERTIFICATION DATED OCT. 3 1490-PERFECTION PLUMBING & HEATING
f~1..
uilding Inspector
Rev. 1/81
FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19692 Date JANUARY 29, 1991
THIS CERTIFIES that the building ACCESSORY
1650 MARRATOOKA LANE &
Location of Property_3935 NEW SUFFOLK AVE. MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 115 Block 3 Lot 28
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 19, 1990 pursuant to which
Building Permit No. 18963-Z dated APRIL 20, 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 ACCESSORY GARAGE AS APPLIED FOR.
The certificate is issued to ANTHONY & ANN CACIOPPO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N-161500 NOVEMBER 19, 1990
PLUMBERS CERTIFICATION DATED N/A
~
1 ing Inspector
Rev. 1/81
nowt 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)
N o 8 9 6 3 2 Date
tl 19.9 0
Permission is hereby granted to: vvv
'
~~~-.~........Y.?~. ~~:.~-a~?.~:~-t~•..... .tom.,.
K~ ~ mil?-,~... ~ :!~:...l.?..~:!~.~-~
~--tom./J..P.rrn.d:~~ ~.1..~'
l.~.s:rt2~r.,~..
at premises located at ~tJ.a..~.w!~tY!:kr.'.~ 'f:...39.SS A~a+?~y,,~,yp,.,,,~, ~
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County Tox Map No. 1000 Section .....'!~5.......... Block ...5:?..,~........... Lot No....~.~............
pursuant to application dated ...~~,M.f,~27.~..4,~......~..~ 19.9..9..., and approved by the
Building Inspector,
Fee
y~l ~ ....c4.~~
q-+~^^'' S'"a Building Inspector
3°`~
5-II $~a,so
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Rev. 6/30/80
.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE..I ~~~9L......
NEW CONSTRUCTION ....OLD OR PRE-EKISTING BUILDING.Q:.,.t.V(ACANT LAND........
Location of Pro ert ~~5~ /1~A,CeCA~ook'p. y. 3935 /Uw.J okcl~ IQOC.... ~lpU~~,
P Y-.........•. (I
HOUSE NO. STREET HAMLET
Owner or Owners of Property..A.N!v.~'..~!~7NON~._C~9C.topf?O_____________
County Tax Map No. 1000 Section .~~?S.. Block ~ 3.. Lot ~ a
Subdivision Filed Mpap ........Lot..........
Permit No. ~$.~(03'~l..Date of Permit ~~y.°~.I.~..Applicant .9'V.~°'~:~~~.//..~~.'Q4jO~~o
Health Dept. Approval Underwriters Approval.t`C..~Zp~.S.O O.
Planning Board Approval
Request for Temporary Certificate Final Certificate X._.........
Pee Submitted:
fy vrl, 'r oK 7WL'LL//~1 C7
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~~5, 6~cG~ QlJ2A GL "
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APPLICANT
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rev. 10/14/88
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~1F.LD I(:S:'EC;iUN m c-
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a
FOUSdDATION (1st mm
c~13
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FOUNDATIOtd (2n )
z~.t
2. ~ a y
P,OUGH FRAME & ~y _ ~c~t
PLUMBING Nb7- ~~"r~
~
H w
~ W
[T1 yi
IIdSULATI0A1 PER N. Y ~
STATE ENERGY ~ /
x
CODE ~~J~ ~ ~ I
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or ~ ~ .
4 . o ~N 17'u , .
FINAL
o L"
z ®+c
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ADDITIONAL COMMENTS: Q
_ 3
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ca~x, y a
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TEL. 765-1802
S~FFgIk~' TORN 0F' SOY7T~Od.~
1
~ ' .c OFFICE OF BUILDING INSPEC'T'OR ~ s,
~ • ~ j P.O. BOX 728 VVV i
y TOWN HALL j:r
OCT - 919 , ~ I,
Q ~ SOUTHULD, N.Y. 11971
i~41 rya ~~O Bt®~. aE~7. ~L,...,
7®WN OF S(7UTFi()tp
C E R T I F I C A T I O N
Date ~~1319a
Building Permit No. ~ y 7 ~i.3
Owner O/U O
lease nt/)
Plumber t• /D,v /lm of a
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1~ lead. ,
- (plumber's signature)
Sworn to before me this ~f
~_day of CJG~ ~c.~/Q.,~ if ~"1 _
19~• Notary Public
Notary Public, County HELEN t(. DEYOf
NOTARY PU9UC, State of tdew York
Ne. 4707679, Suffolk County
T®rm Expires March 30.19__.?/
151
THE NEW XORK BOARD OF FIRE UNDERWRITERS snh~; I
~)1lt ES ` BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Data Nt~V'N;ki~t;~ 153, tT3K70 ApplicationlVo.onfile NU,7s3~~<3{]!i30 ili ?:`_~t~dl#'!
THIS CERTIFIES THAT
only the electrical equipment os described below and introduced 6y the applicant named on the above opp(icotion number in [he premises of
1YI~LF9 C'At"Iryf!'r,,, f+t~R}2il"i'~ t>gp I,A./?V.Aill 3Kk.(r'1~ •?~GN;, k'OT~L~~ ~F3:2. forAT`P3'l1ir,'Y., N,"Y.,
in [hefollowinQ locationl 0 Basement 0 /st FL ~ 2nd F'!. Ofl"I'
.Section Bfoek Lol
was examined on l~l117TtiPtl4Y';}I i:;,1'd ~)f,/ .
cad found to 6e in cumplianre with the rer/uzreneents o/this Board.
FIXTURE ECEPTACIE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FIUORESCENi OTHER AMT K.W. qMT. K. W AMi NW. AMI. K W pMT H P
3i) .C !Zf•) } ~ t I If
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEOER$ SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MUITI.OUTLET DIMMERS
PMi K. W. Oll H. P. GAS H. P AMi NO. A. W G qMT. AMP. AMi. AMPS TRANS. qMT. H P SYSTEMS AMT. WATiS
NO.OF RET
7 i~ ? Gte6
SERVICE DISCONNECT NO.OF $ E R V I C E
AMi. AMP, fYPE METER 1 q 2W 1 g 3W 3.0' 3W 3,e' 4W NO OF CC COND. A W. G. A W G. A. W G.
EQUIP. PER % OF CC COND NO.OF HbIEG OF MI-LEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARA7U5:
Q.P.'.t', I i
<dAitY Llr}y2ilgKf" ~
!`17q'CHi)I;YI;k„ Id `l, 7.19.?!' GENERAL MANAGER
s IS
Per--
This certificate must not be altered in any manner; return to }he office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
` ~~.~~~~~1 Page No. of Pages
V. ~ ~nlAi;I;Q[~ WcZtFJt
~unr~h~ Syate~sr~
aO O Route 25 Box 421 Peconic, New York 11958
~ (576)765-1200
•
PROPOSAL SUBMITTED i0 PHONE DATE
MR. CACIOPPO AUGUST 15,1990
STREET JOB NAME -
NFW STTFFrTT K AVF
CITY, STATE AND ZIP CODE JOB LOCATION
ARCHITECT DATE OE PLANS JOB PHONE
we hereby submit specifications and estimates for
1 MODEL #BWN-20 ACID NEUTRALIZER
. .
1 MODEL #BWS-20 WATER SOFTENER
.4 #80 MORTON"SOLAR""SALT
INSTALLED WITH 2"YEAR"GUARANTEE ON PARTS"AND LABOR
_
TEST RESULTS LIMITS
IRON .9 .3
P.H. 6.2 7.0 Neutral
HAT~DNESS 4 Grains IVo"Limit
NITRATES 3. 10..
Equipment will remove Iron, raise the P.H. to 7.0 Neutral,
'r'e'move' hardness'"of '4""gr"ains: ggg,g5 '
Nitrates .,will only. be ..removed by...a.Reverse Osman-is
Drinking Water f_ilt.er. ~ 625.00
~YU}tllSP hereby to furnish material and labor -complete in accordance with above specifications, for the sum of:
b ?=lN CJIk laltNj~iz~D ~Ul~ '-R W donars($ ~2-
ayment o be ma a as fall ws: r
f2~~13 0 _
All material is guaranteed to be as specifietl All work to be completetl in a workmanlike
manner according to stantlartl practices. Any alteration oY deviation from abovo specifics" ABYhOYiZed
bons involving extra casts will be executed only upon written ortlers, antl well become an Signature
extra charge over and above the estimate. All agreements contingent upon strikes, accitlents '
or tlelays beyond our control. Owner to carry }ire, tornado and other rieeessary ,nsurance. Note: This propOSa may b2
Our workers afire fully covered by workmen's Compensation Insurance. withdrawn by us if not accepted within ~ days.
.~Cr1Pp~E~ilCP i1f ~1`A~fASFII -The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:. Signature
PPOWLi 1103 ~Irc, nN1011, MeK 01A]1 io n,Jer PHOtlF Ni[(FEEISBOBIS5636tl _
765-1802
BUILDING DEPT.
iNSPECTiON
[ ]FOUNDATION iST f l ROUGH PLBG.
[ ] OUNDATION 2ND [ ]INSULATION
] FRAMING [ ]FINAL
REMARKS: ~ ~~K~„~~
~J-o - i ~ ~
DATE ~ INSPECTOR
~ ~ ~ ~ ~ ~ 'ss.isoz
BUILDING DEPT.
INSPECTION
[~UNDATION iST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
L
DATE INSPECTOR ~j
I
~t?~-iso2
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
]FOUNDATION 2ND INSULATION
[ ]FRAMING [ ]FINAL
d
REMARKS:
-sc~~~~
DATE ~ INSPECTOR /
~ 765-1862
BUILDING DEPT.
.INSPECTION
[v1 FOUNDATION 1 [ ) ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ )FINAL
RE ARKS: oc~ T;
ft
DATE ~ t INSPECTOR
r
1~~~~
'~.~SO2
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL ~ ,f
REMARKS: ~ r/'f2~-
DATE ~ ® INSPECTO .!V,7/~
~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ~ INSULATION
~RAMING [ ]FINAL
C~
REMARKS:
- - j
DATE ~ ~ ~ INSPECTOR "J
~ ~ 3 ass-isoz
BUILDING DEPT.
I NSPECTtON
[ ]FOUNDATION 15T [ ) !ROUGH PLBG.
[ FOUNDATION 2ND [ ]INSULATION
[)FRAM{NG [ ]FINAL
REMARK5:
DATE ~3 ~ INSPECTO `
1 _ ,
B0.\RO OF HEALTH
3 SETS OF PL.\:(S
Fo1:rn rto. t SURVEY .
TOWN OF SOUTHOLD CIIECI: . . . . . . . .
BUILL]tNGDEPARTMENT SEPTIC r•oltrl
TOWN HALL.
$OUTHOLD, N.Y. 11J71 NOTIFY ;
TEL.:7G5•tII02 CALL
' r1AIL T0:
Examined.. .aP..I9gR .
Approved ...~•~..J~4a,.., t~P., 199A. Permit No.. / $9 .
Disapproved a/c
(Building Inspector)
APPLICATION FOR BUILDING PERPr11T cy Gg~J
Date 15!r-~
INSTRUCTIONS
a. Tltis application must be completely Hlled in by typewriter or jn ink and submitted to the IIuilditr~ 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 isparz pf this appli-
cation.
C. The work covered by this application may not be commenced before issuance of Building Pet7r»t.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to [he applicant. Such permit
shall be kept on the premises available for inspection througtrout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificne 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
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant a;rees to comply with all applicable laws, ordinances, b ilding code, housing c e, and rcoulatrons, and to
admit authorized inspectors on premises and in building For necessa ecti s. ~ '
(Signature of applicant, or name, if ~orazton)~
Z 3 - Z c`1 'WL•-eTYLC7 , y3-~Q .
C~/~ (Mailing a~r~ o applicant
State whether applicant is owner, lessee, agent, azchitect, engineer, genera! contractor, electrician, plumber or builder.
Name of owneroCpremises
(as on the tax roll or latest deed)
IC applicant is a corporation, signature of duly authorized officer.
. • • ~ (Name and title of c{~orporate officer) '
Builder's License No. i,O~L~.a D/ ~ , .
Plumber's License No. ~.D .
Electrician's License No. . ~ .i~.~ ,
Vi.
O11tcr Trade's License No. .U.~. ~..4t. I.~F~ ,
1. Location oCland on which proposed work will be Jore; ,
.(.~~.°....M.A.RR~';rooL!Ft, Gy~~.;;.3935 A1c~r SkFFo1K.•..~~e.:..!!?~,T.TITu
GlL,
IIousc Number Street .Hamlet
County Tax 11ap No. 1000 Section .II~ Blbck , , , , , , , , , , , , , , , ,
Lot . z~..
Subdivision Filed ~fap No. Lot ~ .
..(Natucj ~
State c~isting use and occupancy of premises and intended use and occupancy of proposed construction: ` - '
a. Existi o ~
ng use and ccupancy Y3TE~....~, f}".`'t.'! : ~ t'~;c'J k$ C, '3r`":`3~~ .
b. Intended use an one ..:'S ~..i 2....f:... ~..e r? a ~}7~.Qlertf+yr. ~~=~s~ ~n°y~f?c:~ Yx` ,......a
v a. ~.,1~..,.. ski .
.r~'~ fA'gti~3fJ;i~U.~~1nnV~6:wAS~"r:R ,
~I , , , , . Al ICrltlOn
3. Nature of work (check which appljcable): New Ouilding , . Addition
Repair RFmoval Demolition ............Swiatnin ; pool_ .
Tennis Court Accessory IIuilding........,,Fence .......Other Wortt..
4. Estimated Cost ~~~lao Fec . ~5'S'; :J'~ • .
(to be paid on Gling this application)
S. IC dwelling, number of dwelling urjits Number oC dwclliug units on each floor .
ICgaracc,numbcroCcars
6, if business, commercial or mixed occupancy, specify nature and extent of each type of use .
7, Dimensions of existing structures,'if any: Front Rear Depth . .
Hciglt[ Numby;r of Stories . .
Dimensions of same structure witt} alterations or additions: Front Rear . .
Depth Hci!',ht Number oCStorics .
S, Dimensions of entire new constntCtion: Front Rear Depth .
Hci;ht Numbi:r of Storics .
9. Sizcoflat: Front Rear Depth .
10. Date of Purchase , ~ ....Name of Pormer Owner . .
11. Zone or use district in wlticlt premises are situated . . . .
l3, 1Vi11 lot be regraded c any zoning law, ordinance or regulation: • • • • • • • • • • • • • • • • • • • • • • •
I Does proposed construction vtolat ~Viil excess fill by removed Crom premises: • Ycs , No . .
l'}. Name of Owner of premises ..............Address Pltonc No.. . .
Name of Architect , ' ,Address ...................Phone No.. .
Name of Contractor .Address . ..Phony No.....1:.. .
IS.Is this property.locat'ed within •100 feet of a~tidal•wetland? ^YL~S._..NO....
*IE yes, Southold Town~ITrustees PermiC may be required.
PLOT DIAGRAM
Locate clearly and distinctly ail >iuildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block nltmbcr or description according to deed, and show street names and iadieate whether
interior or corner lot.
f
I'
STATIs OP tiE1 Rl~, ~ -
CO~.,(NTY OFy ~~:r:/Y~ I S•S '1
• (;i~ ?~/~tES C.:. /f C'14~~„(~ , , , , , , , , being duly sworn, deposes and says that he is the applicant
• (Name of individual signing contract)
above named.
ffcisthc........., ..~C~Jl1-e ~
(Contrattor, agent, corporate officer, etc.)
of said owner or owners, and is duly :tutltorizcd to perform or have performed tltc said work and to make and lily this
1PPlication; that all statements conta}nod in this application arc true to the best of ltis knowledge and belief; and that the
work will be pcrfornted in the manneti~ set forth in the application filed thccetvith. ,
Sworn to before me this ~
~ -l :...day of ~ r ~ 19
~'otlry Public, ~~t,~: ~;C , .0.4~~ County
CIJIIRE 1. GlE1Al .
NoNryPublfa Stms;ofNtarvVbttt • • • • .
No.4879fi06 `(S' ture of applicant)
CuttlHied In $uH ' k County G~~f~~
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