HomeMy WebLinkAbout18024-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218648 Date SAN. 10, 1990
THIS CERTIFIES that the building ADD & ALTER
Location of Property 3265 PARK AVE. MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 123 Block 008 Lot 22.4
MAP OF 16
Subdivision MARRATOOKA POINT Filed Map No. 331 Lot No. p/o 17
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 7, 1989 pursuant to which
Building Permit No. 180242 dated APRIL 11, 1989
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 ADD & ALTER TO EXISTING ONE FAMILY DWELLING.
The certificate is a.ssued to PHILIP A. MOTTOLA
(owner, xxxxxxxxxxxxxxxx)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N092611 SEPT. 19, 1989
PLUMBERS CERTIFICATION DATED MATT. PLUMBING & HEATING OCT. 16, 1989
Bu lding Inspector
Rev. 1/81
roaac xo s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
ry ,
N°- ~8U24 Z Data .....tt 19.~.J.
Permission is hereby granted to:
t0 ..Q.e~.d y'...::5:4~.41s4..~~,....~R~.lrs~:^'S~... Q7L/..~.O~akt~4ls~.. ~..7.!:!d4.?.C.!:ta.q.e... ~t...~~r`.~.`.~'R4..j~?"'~:
.....................................................................................................................I.......n.........................V....
ct premises located at ...off. ?a~a~r~*Z..~ :......~..0.-.., ...:W:S~
.
County Tox Map No. 1000 Section °z.w3...... Block C?. $ Lot No. ~-Z' 7.
n _ n
pursuant to application dated Z 19.~~.., and approved by the
Scalding Inspector. V
Fee 5..15.:.
•Bultdtnp Inspector
Rev 6/30/80
TEL. 765-1802
~p`'~~F~C/t ~Ol~~ TOWN OF SOYJTHOILD
~'c OFFICE OF BUILDIi•IG INSPECTOR
~ P.O. BOX 728
~'E`" T' TONNHALL
"O/~ ~ ~ ~Z- SOUTHOLD, N.Y. 11971 ,
OCT 2 7 1999
C E R T I F I C A T I O N TOWN OF
SO
IFHOLD
Date (s S ~
Buildin/g~ Permityn~ Noy. Z
Owner ) rl h~0 ~~'jCZ
please print)
P1u^Wer~~~rttT~-c~ ~~~~mhrr~5~~~ ~„~C"`~,~.
(please print) g
I certify that the colder used in the water supply system
contains less than 2/10 of 1~ lead. ,
- (plumber' gnature)
Sworn to befor^_ me this
„~'~day of C~77r9~2
19~. Notary is
notary Public,~Soc,T~~~ -County
EUt(N f..!lrGl(SON
fio?ery Pubire, Stale of 4lerrr Pock
No. 4920758
rJua6tud m Suffolk County
Term Expires Feb. 18, 1990
1::LD I:.S: c .iUL j~U,,:E I ~Ga`4MLNT,^.
s
^v
~ . m o~
~ c
H ~
y ~
c0Ut1DATI0;] (1st) a f~
c
ti
-OUNDATIO;J (2nd) m
2. ~
a?, O ? z
o t
r
ROUGH FRAME &
PLUMBING /
~i
~ ~
~ ~
3. ~ ~ ~ ~ u
l n I
I1dSULATIOPI PER N. Y. . ~
STATE EPIERGY ~
CODE _
~ H
FI:dAL
.i
r
O C
£ ~
ADDITIOPIAL COMMENTS: x
y ~
t
r
~-r
m
' x
H
7]
y
H -
H
O
t=7 C
~ ~
r
H `
b
m
H
a S
;
T~ u#.FoRM 7o T'bwN of
Sot~2};aLD ZoM11.JC~ REQt1tQE,N1&NjS,
-7SNIFo1~z~t ~tR~-t"R~~tar ~-!u~ wkt.~.s
~t~t? _2~(1tG4tNG GopE,
3.-;d+L4 GotJSTFUGtIof~To x°
ENERGY GaNSE}~WTiotJ ~
G+cNbTKUCttai GoD6
}tFtENDE.b i/+PR1L l9S7. ; 1~1~W I
' ~ uTlt.l~
I WAt.ts~c¢1L! 6
~
~
1 4
t u
k t7tt'~TIL.16 9p.lK ~ ~a
~ -
r ~-2.EG~ ~n 5~-ou M
~T~iw t~
=D SEW
4 d~,, ~ ~ O-~Ef o ax
_
~,tosu>;E
~ 9"+ 4Nwl wtiR R-1~
-BEY" _ ~'~'e~tp_ ~CQL~'tc~.l ro tttl:
' ~xrs-rre.~ coNSZRtknorJ '(`~A _~Z~SI DENC~. ~T .
New caNStltvcrioN ~~~~t-~~_ ~~D_~ 1~ta~TrtT~.~c~, N.~
_ . _ -~XIST~ GoNSf To ' DotaALD Q. blc}Jt S ! ,6.tA ~ A~R~31riECT
~ (Li<Mov>zp
- l~'{u: lt_on
~~_~-PRIt. 1989
f~ -
Memorandum from .
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
TOWN HALL, $OUTHOLD, N Y 11977
765-1802
Dec. I5, 1989
DEAR MR. MOTTOLA:
I am returning your check 3911 in the amount
of Q50.00. Please send us a check in the amount
of $25.00 for your Certificate of Occupancy
Yours truly,
D
BLDG fIEP7
TOWr
F
crat
~THO~
L~_-----
J 765-1802
` BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST f ] ROUGH PLBG.
[ ] FOUNDATION 2ND ~ ]INSULATION
[ ]FRAMING [~NAL
REMARKS: C
6
DATE ~y INSPECTOR
1 ~OL ~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ~ ROUGH PLBG.
[ ~ FOUNDATION 2ND ~ ] INSU TION
[ ]FRAMING [ FINAL
REMARKS:
~ /L
DATE ~ ~ ~ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ]FRAMING [ ]FINAL
R MARKS:
` ~ d,
~ ~
~e
lG6C~"
l
DATE/~- ~ INSPECTOR
76S-iSd2
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST (ROUGH PLBG.
[ ]FOUNDATION 2ND ( ]INSULATION
~/j
FRAMING [ ]FINAL
REMARKS: G~f ~i ~
~
DATE ~G INSPECTOR l
" tHit1l~IRl?g3~ R
~ o
3 ro
.a'g y ~ Mgr. £ ~ N~nm ~ ~ ~ A T
n ~ s. Ze 4 ~ ; A ~ s r
p _ _ie~ ~ Z > x Cm
-C o .moo 'y ~ A ~ m ~ : ~ N
T n ti A C '2' ti z Z M N ~ o b 2 Y,
C ~ ~ aAp ~ ~ in <f+ m
0 £ ~ ,o S p~ G
~ 4 ~ ~X s =o O
z: ~ c
m ^ > ~ ro ~ - ~ 2
Z $ ~ 3 N T N
-i ' a o s 3 a -i
~ ° F m ~ ~ me W
= o
N N ZO ~ ~ m Z C? n ^ i m O
n ~ C ,g £ R " a r` o Y
IZmI ~ ~ p ) m n m 3 r T.. q
T a n£ r n r Z~
n ~ o~ ~ m t ~ ~ ~ m n
i p~
5 v ~ S ti <<
s ~ ~ R s a C
C ~ p .n m
N-1 ' o ~ £N x n ~O Z
Z 'o a_ i m o O 0
0 o c N= ~ a ~ ~ m
w ~ y "o
r b R> ~ ; x . ~ 'c 'Q
m m ~c b
a 9 o c 7
m y
= m, Z m OKC y~ G S F ~ m
o ~
y a > a R' ° U1
x N
Z ~ ~ ~ m ~INg £ m e '
~ ~ s ~ ~ A y "a
T ~ N
n m
m
A ~ ~ y£ m y
Q N 9 s
N
:~9 ~ ~ IflSnnrtm[eNRlatlfiE4ftirn Mxmtrtnnrmrtuaronanvrtr r•rwwnnnrrnrar®eeunnua
rq-Z
+~M~+~DMru~T To ~hlt~>' A rff,71-'otA /2E.S'IDl.ryr,~ AI,t~17-lo,v
1TE+~R - ~ALSTF4LL~itoiv I/`[Si'Rcx-~torv.-S ll~tc(,ut~fW _F
NS U tRTi o/~[
(~f~LLS - (JJ+tc. t3E L7L0~-W~l - //Y /t~Sur,a7ToN
fie-ex~+2 - r~„ ~u.rr,+]
C-Lc~-Itil(~ - AS /rrSPe~~s? <4" 2~t~7
~4p-r l.Ua~ 1~r~
~N~~,~~v,1H~1 ~oo# C vr- 3 4 33 5 Lr~~
U~.,uY Crn,~wEY wtc.` 13t ~H.4r~6~ T'O cailE
PAPS- ~'z~ lS on( 5'/~-~-~
_ f3rL7ti2oo.K
I`~ VENT 1ncSTsa/.t,rlil Inc t~01J7cyv
VEe~k i lK t
v4U~ o"7S/ilE o~ fjDil I~aY iS /n!STr'+t(~CA~
D~ ~
BLVF SOU 6iD
TOW N
a ~ _ ~ j 'J
I-
i ~ f--~-
i - tt - "!4 _
t.
(n'~il~ 4 Cam rrth d' (.e~~
V -
s ~ O~
40 ~y F,o
0
h°' • ~~i,L
i k s~
y
\ Z ~ v
vp '7" ti
i~ ~,p ~'p L
' k, ,
" t
~ ~
~ O~
µ ~ O/
~0
E ~
~ ~ ~
O
V ~ dog ~ ~
~ 4 a°j ti°~
' O~ ~K \4 M
~ 't n° vj6 N
<C/e V ~ ~ ~o°d ~ h
~ ~ ~y~' ~
r`~
~ ~e •.r,,,,
~ o . ~ \ d°oK ~ V~
o
~O 3~0 ~~3) i~'I' ty8 ~ ~ y1
r O \ ~
QO \ `s, ~ ~ 5n~se ~ 9 ~ ~
~y' ~ s,, d°°K Q vo Q
~ I O Q
r0~ Gie I C, ,
2 / ` S'u d~ ~
h
~ oV v/
N ~
6~ Sao
' N p3 • of
~C'Q ~ SURVEY OF PROPERTY
<ody ti
y~ AT MATTITUCK
d'o~l _ TOWN OF SOUTHOLD
Rd'gO;~.,~~o ~ ~y~ SUFFOLK COUNTY , N. Y.
lOT NUMBERS REFER \
TO "MAP OF MARRATOOKA 1000 123 - 08 P/O 22.1
POIN7~~.FILEO MAR 9,1927 SCALE I" =30'
IN THE OFFICE OF THE SUFFOLK ~
COUNTY CLERK AS MAP NO 331 JAN. 8 , 1987
Proparod in accordance with the minimum
Nandards for titlo survays as estahlished by
the L.I A. L S ar d eppro.ed and od i
for such me by Thy Ko.v Ymk State w,,.
LANDS fair Assoaatnn
~ yEQ"~ A. tNCFy9~~,c CERTIFIED TO .
~ a ~ COMMONWEALTH LANG TITLE
~ INSURANCE COMPANY
li .S * IC NO. 49668 TITLE NO. G 776774
PROMPT ABSTRACT CO. INC.
PECO ~,F¢ 0 P
S& ENGINEERS , P C P 1277 S
> (516) RN PHILIP MOTTOLA
P.O. BOX 909 -
MAIN ROAD
SOUTNOLD , N Y. 11971
86 - 827 - i
BOARD OF HEALTH
a ~ 3 SETS OF PLANS pf•~N
FORM NO 1 $URV EY d:n+..
~ TOWN OF SOUTHOLD CHECK •~g~``^ .
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL I1 fiM' I~,qM•
p SOUTHOLD, N Y 17971 NOTIFY X66 _ ~ 2
TEL.. 765-1802 CALL ? 7...... .
' MAIL T0: ~
Examined 19 ~9. V
Approved ~I 19~g Permit No. ~ 3 ~OOG
DisapProveda/c
(But ding Inspector)
APPLICATION FOR BUILDING PERMIT
Date . . . 15 . .
INSTRUCTIONS
a. Tlus application must be completely filled m 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 buildings on premises, reiahonship to adlomin~ premises or public stree
or areas, and giving a detailed description of layout of property must be drawn on the dia;ram which is part of this app
capon.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Butldma Inspector will Issued a Building Permit to the applicant. Such perm
shall be kept on the premises available for inspection throu;haut the work.
e. No building shall be occupied or used m whole or m part for any purpose whatever unto a Certificate of Occupan~
shall Piave been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for tfie issuance of a Building Permtt pursuant to tl
Bmldmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances
Re;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnbe~
The applicant agrees to comply with all apphcab~e laws, ordinances, builduig code, housing code, and regulations, and
admit authorized inspectors on premises and in building for necessa;X i ections ~ o
cSign ture of applicant, or name, if a corporation)
• (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
Name of owner of Premises/..!! / li~ ~ ~v./. Zt . .
(as on the [a~ roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No- Q. w
~ .
Plumber's License No. :~:3 ~ - /
Electrician's License No. G. w.j?.e
Other Trade's License No.~~. ~ n
1, Location of land on which proposed work will be done. , 1'! , ~ I tLt Gl~
~ _ ,
House Number Street Hmnlet
County Tai hlup No 1000 Section ~ Block Lot . , , ,
Subdivision Fded ASap No Lot .
(Name)
State e~utmg use and occupancy oCf premises and in~t/ended use .inJ occupancy of proposed construction
a. Existing use and occupancy .Y M ~ t ~ ~ " d l7, e
b Intended use and occupancy
3. Nature of work (check which applicable)' New I3uddtng Addttton A]teratton k..... ,
Reparr Removal Demolition O~~jjc
' Descnptton)
4. Estimated Cost 7. ~.a.. Fee r .
(to be paid an Glmg this apphcatton)
5. If dwelling, number of dwelling units Number of dwelling unds on each floor ~ .
If garage, number of cars .
6. If business, commercial or mteed occupancy, specify nature and extent of each type of use .
7. Dimensions of extsttno structures, tf any Front Rear Depth .
Het_ht ...............NumberofStoncs.....;~.............,.................................
Dimensions of same structure with alterations or additions. Front .Rear .
Depth IIctgJtt Numb ~ pf Stones ~ . , .
Dimensions of entire new construction. Front Rear ~ Depth .y..:........ .
Height .Number of Stones
9. Size of lot: Front l.~.Y Q?, ; , , , . , Rcar 0.8..!............ Depth y
10. Date of Purchase ./.5.~~ . .....................Name of Former Owner .
l 1. Zone or use district to which premtses are situated . .
12. Does proposed construction violate any zoning law, ordinance or regulatton: J: ~ .
13. ~Vtll lot be re;raded ......h:" Will excel fill a removed from premtses: Yes t
14. Name of Owner of premtses,t~~'tl~,h!?.~~./.77 ~l`f01~'Address~s ~d r~cw~, d ~~z' ,Phone No.?6 6..`.' ~
Name of Architect ~'ci(t~ tlr~ ~l r M y !lSx,phone No .
...........................Address...........<..
Name of Contractor t:'. h. r ~ ................Address ...................Phone No.
15.Is this property located with in 300 feet of a tidal wetland? *YES....NO.:..
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and dtstutctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro
property lines. Give street and block number or descnptton according to deed, and show street names and indicate wheth
tntenor or corner lot.
STATE OF \E~V YORK, S S
COUNTY OF .
• being duly sworn, deposes and says that he is the applica,
(A'amc of individual lignin; contract)
above named
fictstfte
(Contractor, agent, corporate officer, ete.)
of said owner or owners, and is duly autltortzed to perform or have performed the said `vork and to make and file t1'
apphcaton, that all statements contained m this apphcatton are true to the best of 2us knowledge and belief; and that tl
work will be performed m the manner set forth m the apphcatton filed therewRh.
Sworn to before me flits
~
- ,7...... day of ....~hi,2;ta° 19
. ~ o-e,
\otary Public, , ,~C,-. , , , . 9(•. U County /~7 ;y~q~
NOTARY PUBLIC Sdte of New Yak ' ' • .
Na4707878,SutIelkCa+M'iG~ (Stonature of applicar
Term Exp(res Mxtch 30,1~~l~