HomeMy WebLinkAbout18376-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19015 Date MAY 3, 1990
THIS CERTIFIES that the building ACCESSORY
Location of Property 450 THERESA DRIVE MATTITUCK, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 115 Block 13 Lot 21
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this of.Eice dated JULY 31, 1989 pursuant to which
Building Permit ]Jo. 18376-Z dated AUGUST 11, 1989
was issued, and conforms to all of the requirements of the applicable
provisions of thi>_ law. The occupancy for which this certificate is
issued is ACCESSORY SHED AS APPLIED FOR.
The certificate .is issued to THERESA THOMPSON
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CER7.'IFICATE N0. N/A
PLUMBERS CERTIFI(:ATION DATED N/A
a
Building Inspector
Rev. 1/81
FOIB3i NO. 8
TOWN OP 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 ° 8 ~ 7 ~ Z Dote ..t~~f . 9~
Permission is hereb granted to:
........~~..r~.l~~...........~~'?/
ct premises located at ..........~,,rls.~ A..../..'TJ:er/.te~lr.....~,l~.v...... ~.~~j
....t-~:
L
Sf,:1..~.................,.................
County Tax Map No. 1000 Section .......~l.Jr..~...... Block .........1~...... Lot Na....... 1:~..........
pursuant to application dated ............~.,~./,..~.1 19.r~,~., and approved by the
Building Inspector,
O a'
Fee
t....
~uildi g 1 or
Rev. 6/30/80
~
TOWN OF SOUTHOLD ~ ~d~~'~{~(~ r~~~l~~~~`~~~~
BUILDING DEPARTMENT ~Jtu~ ~i~
TOWN HALL ~wY ~
SOUTHOLD, NEW YORK 1 197 1 h! !
TOlNlsVl•~F 50U
HOLD
765 - 1802 ~
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE..OCtp~pr„5~ 1989
NEW CONSTRUCTION .X.....OLD OR PRE-E%ISTING BUILDTNG......pACANT LAND........
Location of Property.......4`JQ..ThereSa Drive Mattituck
IIOUSE NO.
• STREET HAMLET
Owner or Owners of Pro ert Theresa Thompson
P Y•
County Taa Map No. 1000 Sectio? 21
115 Block •13.__
Lot
Subdivision Filed Map ........Lot..........
Permit No. .1,8376 Z..Date of Permit 8 11 89
••l ~•--.Applicant Ron Morizzo Builder, Inc.
Health Dept. Approval
Underwriters Approval
Planning Board Approval
Request for Temporary Certificate %
Final Certificate I
Fee Submitted: $.-1Q:00. i
A P P L I CA N T ~;G~ ~ / Ga~ - • - .
OlOPI1f10S d0 NMOl
A.d30 ''JOlB
_
i 06610' - AdW
~I~
r v. 10/14/88
~-cC, 3~l'Flo
2U ~ 1901.5
Memorandum from .
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
TOWAI HALL, $OUTHOLD, N. Y. 11971
765-1802
April 20, 1990
Dear Barbara:
I am returning your check 64067. It is ~
outdated and the amount due is $25.00.
Please send us a new check. Thanks.
/ 4(~.P~w
'c'1cLD II:SPc^CZIU1] ~~UATE ~ i;OMMENT° ~
'O ~1
_ ~ P~~s~d
H
F OUI7DATION ( 1 ) ,
~ rc/o
i _
~J a
FOUNDATIOtd ( 2nd ) _ _ ~s.\\~
d
2.
z
P.OUGH FRAME & o
PLUMBING
N
H
3. ~
ra
m
IIJSULATIOPI PER N. Y. • •
i
STATE ENERGY
CODE
x
a
r b r
FIidAL
o
z
ADDITIOPIAL COMMENTS:
~ \
' ~ x ~
H
A ~
9
O
'x
ra
A
C\
H
x
d
m
^o
H
l~~ T65-1802
~ILDING DEPT.
INSPECTION
[ FOUNDATION 1ST ( ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING ( )FINAL
REMARKS: ~
i _ ~a v'r
DATE d INSPECTOR ? ~,~v~
1 ~ ~ 765-1802
BUI
LDING DEPT.
INSPECTION
[ ]v FOUNDATION 1ST ( ] ROUGH PLBG.
[ FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: D~C ~ ~,Z~~,
DATE ~ ~ y INSPECTOR
' RON
MORIZZO
BUILDER~INC.
P.O.,Box 789/• Main Road, Southold, NY 11971 • (516) 765-5772
ter- ~br C I> X (yW OC7!"J
2~~
ZX Y • b
~ v.c-
z
~ Ti-~i
siDiNg
m m
~ycc~
_
~6.. ~ ~rnDE.
. ° s
r •s
~ ~ .
~iON
MORIZZO
BUILDER.INC.
P.O. Box 789 • Main Road, Southold, NY 11971 • (516) 765-5772
~es• Thon,,osoiv
i z'
CLAC 1z.
C
F. FL
~~~C C~ TIFF
A
~l
____LL_~
- z~
ii
~2 /y
_ - °'e
r p ~
O ` a ~
n `'1 ~o 0„3
'.v
~ ~
w ~
s
~IO WFr' N - ~ i J
i ~
~ ~ i
~ p t~Sipoo~~-= ~ steTlE. ~
b 4
~ h
.1.~~-;_ ; ~ ~
9T ~ '
27 } ~
1 ~ ~ ~ ~
F/vrr
'y N 67'/9:2x' y~/, /82.0 ~
I Let/~ ~~o ~na I
.2 n~ ~ ~ ~ W
~ ~ q
WW ~ x N G sn
~ y q~ ~ !llIII
W (Y. ~ O S. .d
GI
A ~ .-1 ~ ,H
~i9P OF ~R OPEr?7"Y ' ~ x ~
' - ~ -3- ~ ~ - - : SVR?EYEO FOR - ,9R,~ - _ Ego .`Di b D. 'w -
VE //-~ERESA A ~ ~ ~ t~
N -ri U y oJ,, i -
aµ%,~ ~ SY~FVO.LX.Gr
otiNTY~Y•' _ - _ ~
r u, - ~
_
"yl - . ~ _ . .
Nee: l.al'ii.:"i..6yit i-~.' Scn% =-¢o'=/.'' t,UARANrHrb To jclF GIUtAkA j'IjiE
-Eo ,~,Ge-:%Y1~...'9?`~y~.~.5/.% . e= iron . P.yc _ 'INSU ((A#!ff LD. ANA ~'0 TI#F SdUltlo-t0.`.-
(~rae.~ Ftnfe^.s,~fi/ec/iiv ID =mo+fumerEf'. ? '''.JC~d~ifZf(S 'FrAFJI~ .p , C~
UNAUTHORI>_~D gLTERATION OR ADDITION StlgvEyt't3~ ~.JiJNE3.1974_
_`~~~~CC`Q`' ~E'~-~ ~,/C~ - ,~v/'~ / ~~/~S SERION 9?~9 rTSi
HE NFW YORK OSTATE ~ ~ tE~' L ,{OI , .
~ .^_JfCa 01 /J/n~A IY~~~I~S6.'+`,~ ~ EDUCATION UW. ~ ~OAIG ~~G1~ i ~ N T~ Y ~ flA ^
COPIES CF THIS SURVEY MAR NOT BCARIN6
E ' ' ~ ~ ~ THE LANf~SU'VEYOR S INKFD SERI OR _
.EMBOSSED SLAT $ALL NOT BE CONSIDERED' : ~yj' ~~/J
~ - - = TO BE A VAEiG v U yOpy. r' F...~y I 'A4±1r
l -
-.-GUARAMRF - ~ '
~ ~ ONLY 70 jp A D HEREON SHALL RUN _ ~iG enSSOr /b,~~Sur rG~.pl-s'k'
r i * i ~ IS FRf: A.;Ct„ A ~ FOR WHOM THE SURVEY - -
~TITL[ CCIAPANV ~ ON HIS BEHALF i0 THEy ,
OVERNMENiAI-AGENCY AND" ~ ~sI'~G'E~i~-~W "M"
1 r / e S LENpI. ~ ~ .1 TU11~N LISTED HEREON, AND - '
70 THt A:,S..,..:ES OE 1.,. DING INSiI- ~ ~~..Nr
TUTION GUnRPVtt~c p ~ ~ '
BDARD DF HEALTH
ti.
3 SETS OF 1?SANS
FORM NO. t SURVEY v
TOWN OFSOUTHOLD CHECK •V=tee3.(4~~tt.
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971 CALL (516). 765-5.772.....
TEL.: 765-1802
p MAIL T0:
Examined ~ 19R 9 ~,_,~o .
p~ S 19 Perntit No.. .3...l°. ~ ~ ~ ~ \"J
Approved ...0, l . ~ ~ ..,.~..!-;„7
3/
Disapproved a/c ~ ~ i~ g~~~
1
t,
BLDG.DEI'T. ~
TUVVIV OF S6?U7t:f)LF7 I
( ildi n ector)
APPLICATION FOR BUILDING PERMIT
Date ..July. 25,........, 19 89.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildutgs on premises, relationship to adjoining premises or public street
or areas, and giving a detailed description of layout of property must be drawn on t}te diagram which is part 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 Perrnit to the applicant. Such permi
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 Occupanc}
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 th<
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~
Regulations, for tite construction of buildings, additions or alterations, or for removal or demolition, as herein described
The applicant agrees ~ g~~t~~l#~rgt~iplicable laws, ordinances, building code, housing code, and regulations, and tc
admit authorized inspec ors on premrses and in building for necessary ' ectto ,
• ~ ~ , } (Signature of r~lcant, or name, if a corporation)
i!~ TNlst~i-Sl'~1~5.+~4 B~G~{3.at~' -
, ; z , . P.,. 0... box..7.8.9.,. SQU.th~1d.,. IVY. 1.19.71........... .
f. i~IUO.IH t-„rl l rl, y; (Mailing address of applicant)
State whether.~pyp~lilc~p~~rs~oyn~Xz-,legsee,, agenx, architect, engineer, general contractor, electrician, plumber or builder.
.Contractor ~.at?~.,..,,.+•s . .
t'a
Name of owneryofiprerp~seg::..`171~r~sd;:'~'hQ~}l?soXl .
r b.2 ~1F'F *.(3 -~.~i4nfi =.rf~ ~ ~ ~ (as on the tax roll or latest deed)
If applic t is areb`~j~bri~t~dn;~s'i~isatiP~~ of duly authorized officer.
z::~'. 9~,: r - .
/~C-41....
(Name and ti f corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. ,6772 HI
Plumber's License No . .
Electrician's License No . .
Outer Trade's License No . .
I. Location of land on which proposed work will be done. ..Matti.tuCk,..N•. .
450 Theresa Dr. Sc;uthold
House Number Street Hamlet
County Tax Map No. 1000 Section .....115.... , , , , , , Block ....13 Lot ~ .
Subdivision Filed Map No. Lot...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy One family dwelling
b. Intended use and occupancy , ,One .family, dwe],7,i;r}q with shed
i
3. Nature of work (check which appjicable): New Building Addition . , Alteration .
Repair Removal , Demolition Other Work . SYted....... , . .
(Description)
4. Estimated Cost ~4r449.•49..', Fee$::5; 00................................ .
(to be paid on filing this application)
5. If dwelling, number of dwelling u~tits Number of dwelling units on each floor .
If garage, number of cars
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 .
Height ...............Numb;erofStories........................................................
De th h alterations or additions: Front Rear .
D pensions'of e~fap~e wit l• Height Nwnber of Stories .
$ Hei htsions of entire new c Nuntbction: Front Rear ...............Depth .
g erofStories
9. Size of lot: Front Rear Depth .
10. Date of Purchase ............'I Name of Former Owner .
11. Zone or use district in which premises are situated . . .
g e any zoning law, ordinance or regulation: Aio .
13. Will lotrbe re raded tructron viola. Will excess fill be removed from premises: XX~f85 No
14. Name of Owner of premises ....'',................Address ...................Phone No............... .
Name of Architect ...........................Address ...................Phone No............... .
Name of ContractorRcm_ Morizzd• Builder,. Inc. AddressPO. Box 789,Southold phone No.~F;16) 765-5772
15. Is this property located w)_thin 300 feet of a tigidal wetland? *Yes No X
*If yes, Southold Town Trustees PermitPLO~DIAGKAMed.
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
interior or corner lot.
APP D A=NORD
DATE r.R M 76
o~
NOTIFY SUI NO AE AT
786-18D2 8 AM 10 4 PM THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TIAlO REQUIRED
FOR POURED CONCRETE
2. ROUGH • FRAMING a PLUMSINQ
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION A ENERGY
CODES. NOT RESPONSIBI~ FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NEW YORK, S.'S
COli'NTY OF .
• • • • • • • • being duly sworn, deposes and says that he is the applicant
(Name of individual signins contract)
above named. ~
He is the
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly iauthorized to perform or have performed the said work and to make and file this
application; that all statements contairied in this application are 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 therewith.
Swom to before me this
Notary Public, F~:~!. , 7S ...~t-~ 4-. ,U,
p~`.?:...... County
HELEN K DE VOE
NOTARYPUBUC,SteteofCdewYorN ~ (Signature of applicant)
No. 4p07878, SuHoik Odin
nty~
T4rm Ez fires Merch 30,1 .