HomeMy WebLinkAbout18059-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25123 Date JULY 9, 1997
THIS CERTIFIES that the building ADDITION
Location of Property 275 HAYER RD. MATTITIICR, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 139 Block 3 Lot 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 19, 1989 pursuant to which
Building Permit No. 18059-Z dated APRIL 20, 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 ADDITION TO S%ISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to EDWARD & MARY GATTO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-033693 - MARCA 4, 1993
PLUMBERS CERTIFICATION DATED N/A
r
Building Inspector
Rev. 1/81
rows xo. s
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°- 18059 Z Date .............~:a................, 19...1
Permission is hereby gmnted to:
~..a,~......
w ~
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at premises located at ...r~.?..~~...... ~L...r ~...1.41.A,(dlh4h~
.
County Tax Map No 1000 Section ...1.. ~ Block .....~..~~i......... Lot No...
pursuant to application dated ~ ~ 19..~~., and approved by the
Buildfng ll~nspector
Fee S..`•'a••.:..~...
Building Inspector
Rev. 6/30/80
- - Form No . 6 -fix rtd vZ 7 R.~~~~~
' ` f2 N n° 4
j i,~ L5 ~ ~ TOWN OF SOUTHOLD ~ a1y
' ~a___.. a _ _ BUILDING DEPARTi'~'.*]T 1 ) 4 Sot - )(a 7~
~ ~UL ~ 3 ~~97 TOWN HALL
7b5-1802
6LDG. DEpT.
~ThtNN 0FS0JT.4O1O I APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OF, ink and submitted to the building
inspector with the following: for new builaing 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 1~ 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 bu~.ldzng.
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:
L. Accurate survey of property showing all property Lines, streets, building and
i unusual natural or topographic features.
2. A properly 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. Cert>_f~cate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw>.mm>.ng pool $25.D0, Accessory building 525.00,
Additions to accessory building 525.00. Businesses S50.00.
2. Certiii.cate of Occupancy on Pre-existing Bui.ldine - $100.00
3. Copy of Certificate of Occupancy - .25~
4. Updated Certificate of Occupancy - 350.00
5. Temporary Certificate of Occupancy - Residential{ $15Ln00, Commercial $15.00
Date .....4.I3J.I~
New Construction..........r{. Old Or Pre-existping Building...` .......i~.
Location of Property...°1.1~..~nY~'C!'~:.1`:~...........MA.11711/~CK.
House ''N~~o. Sntreet Hamlet
Onwer or Owners of Property.'::~W~.~. ~ _M~2.~ Cdr 1 U
I qL
County Tax Hap No 1000, Section.... i3.1..._.Block... n3 .........Lot.. U1
.
Subdivision ....................................Filed ~fap............Lot......................
1~U5q ~ ~{~xo`8~ ~ • M~~ CA,
i
Permit Yo. ............Date Of Permit .............Appl?_cant. 4..
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary ~C~enrtificate........... Final Certicate..Al..... .
Fee Submitted: 5.~.~').:!!-.~? ~y~:
.~+nlv:==•...........
3/~ AP LICANT
cow ~s~a 3
o~~sUFFO(,~~o
o~ Gym
Town Hall, 53095 Main Road p • ~ Fax (516) 765-1823
Southold, New York 911971 y'~~~ ~ ~.a~~ Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 25, 1996
Mr. & Mrs. Edward Gatto
275 Bayer Road
Mattituck, NY 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
xx 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 # 18059-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
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IIdSULATI0t1 PER N. Y. 'j
STATE EIIERGY
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ADDITIOIIAL COMMENTS: x
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ]ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INS TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE B~,~CrHIMNEYnn~
REMARKS: ~ /7~-~S
G
DATE INSPECTOR
~~s~
765-1802
BUILDING DEPT.
INSPECTION
[?j
OUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
DATE ~ INSPECTO
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i
8038834 BUREAU OF ELECTRICITY
EIS JOHN STREET, NEW YORK. NEW YORK 10038
pore MARCH 04,1993 AppplicotionNo.onJile 04185093/93 H 033693
THIS CERTIFIES THAT PERMIT N0. 18059 Z
orJy the slectrlcal equipment o. described bekKw and Introduced by the opplicant nomad on the above opplicetlon number in the premises of
6DNARD GATTO, 275 BAYER ROAD, NATTITUCK, N,Y,
in thefdlowinq brotion; ? Basement ® Ist Fl. ®Ynd F1. Section Bloek Lot
was examined on MARCH 02,1993 ondfoundtobeincomplioneeuithehereyuirementsofthisBuord.
AXTURF lC9TAClES fYF1TCNE5 RXTURES, RANGES COOKING DECKS OVENS DISH WASNlRS EXHAUST FANS
OUTUBS INCANDESCENT Fll10RESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMi. X.P.
a la 9 a
DRYERS FURNACE MOTORS FUTURE AMUANCE 1[lDERS SplCIAL RK'FT TIAM ClOCNS REII UNIT HEATERS MUtT4WITEET DIMMERS
AMC K. W. Oll N. P. OAE N. P. AMT. NO. A. W. G. AMT. AMI. AMT. AMPS. TRANS. AMi. N. r SYSTEMS AMi. WATTS
NO.01 R!f
2 -
5lRVICE DISCONNECT NO.Of S E R V I C E
AMT. AMI. TW1 METER t,I tw t / Sw 3 ! Sw S R Aw NO. OF CC COND. A. W. G. NO. OF NLLEG A. ~ G. NO. OF NEWIIAlS A. W. G.
EOUN. NR.e l% CC.COND. OF NI-LEO OF NEUTRAL
9eb
onlER AFFARitTUS:
HOTORSsI-F H.P. . f
G. P.C.It-1
6DKARp GATTO
275 BAY&R ROAD
NAPTITUC&, NY, 11952 oesalu uilwAORR
i l ~
Perms
This nrtificaN must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by tMir credentials.
DE A S N BE A E IN ANY MANI4ER.
- _ - - - _ , d
_ _ ~
BOARD OF HEALTH
3 SETS OF PL<1N .4.~,,.,
FORM N0.1 SURVEY Q-~~............
TOWN OF SOUTHOLD CHECK !i'".-`i`~ .
BUILDING DEPARTMENT SEPTIC FORM 1.........
' TOWN HALL
SOUTHOLD, N.Y 11971 NOTIFY
- TEL.:7G5-1802 CALL
n,/~~7
~/Q~• 0q
Exanuncd. i ,.4~. ,19P L MAIL TO: ~°~q°q~~
Approved ~,,~r+p ~ . , 199 Pcrmtt No 1.~~ ~ ~ a~a"-? ~y~6~
Disapproved a/c .
.
h-C.iV .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . . . 15 .
INSTRUCTIONS
a Tlus application must be completely filled m by typevvnter or m ink and submitted to the Building Inspector, witi
sets of plans, accurate plot plan to scale Fee according to schedule.
h. Plot plan showing location of lot and of buildings on premises, relationship to adloming grcmises or public stre
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of ttus apl
cotton.
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 wdI issued a Building Permit to the apghcant Such peiz
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupan
shall liave been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnb,
Tlie applicant a;rees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authonzed inspectors an premises and in building for necessary inspections.
(Signature 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
o vJ r'1 G' ~
Name of owner ofpremues ....~:.~~a2~..Y?ND r-'f~lCY ~~i i p
.
(as on the [a~ roil or latest deed)
If applicant is a corporation, signature of duly authonzed officer
(Name and title of corporate officer)
Builder's License No .....da:i-:"?•?~!!. .
Plumber's License No ~'3?-?^! .
Electrician's License No .
Other Trade's License No
1. Location of land on which proposed work will be done .
. . . . . . .
.ads ~~Yr-re ~~h .............M~rri ~~.ci.C
. . .
House Number Streqet Hamlet
County Tati Aldp No 1000 Section , . ~ ~.'1 . Blpck Lot ~ .
Subdivision M ~ rTl-ruc~C ter ] GH rS Fdcd Atop No ~ (g`-~ /
. Lot... 3
(Name)
~ State e~isung use and occupancy ofd/premises and intended l`u~1se and occupancy of proposed construction
a. Existing use and occupancy ~CS i ~ Y a ~
1 A~„HDPq r ,
p
b Intended use and occupancy(.
~S.' ~?F1~'t-l RL ~oN~~-, ~ ~ r~,w
3. Nature of work (check whrch applicable) New Budding Addition • • • • Alteration . Y , . ,
Reparr Removal , . Demolition Other 1York . .
.
4. Estimated Cost . ~ 5i dO0' ~ Fee . .
(to be paid on filing ilia apphcauon)
5. If dtvelhn„ number of dwelling units . ..1 Number of dwelling units on each floor
If garage. number of cars .
6. If business, commercial or mixed occupancy, speedy nature and extent of each type of use .
7. Dimensions of existing structures, if any Front Z.g ` Rear 2.g~......... Depth . r , .
Height ..............NumberoFStoncs........
Dimensions of same structure with alterations or additions Front Rea .:2, g
Depth ~ Height Number of Stones . • • ~ ~ .
8. Dimensions of entire new construction: Front ~ .`U~....... Rear Depth . -
Heigltt $r........ . Number of Stones ,
9. Size of lot. Front , ~k ~ a~i Rear . ...~:J~.~eq.......... Depth .l ~ai . (SFC• Su2Vk
10. Date of Purchase liYp`.N$~7~. ~ al Name of Former Owner .P~ISS.~7.- . TwT!~ ~ !-.j:....
11. Zone or use district in tvkticlt premises are situated • .
12. Does proposed construction violate any zoning law, ordinance or regulation. ,O .
13. WIll lot be regraded J~ ....Will excess ,f`Il be removed from premises: Yes
14 Name of Owner of premises ~DU%!1(ZD. G.~!T.+.o. , . , , Address ~1~.~Y~? (~b~FIRrn ~`?u'~Phone No. 2,~3-!-1zSi}
Name of Architect . ~~nl E..... ...Address Phone No..... .
.
Name of Contractor ..~BA? E . .......Address .Phone No.
15_Is this property located within X00 feet of a tidal wetland? *YES... _NO....
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAhI
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dunensions f~
property fines. Grve street and block number or description according to deed, and show street names and indicate whey
interior or corner lot
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STATE OF NEW YORE, S S
COUNTY OF .
• • • • - • • • • • • • • • • • • • - • • • being duly sworn, deposes and says that he is the applic
(Name of individual signing contract)
above named
IFeist}te
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duty authorized to perform or have performed the said work and to make and file
applicaton, that all statements contained m this application are true to the best of his l.nowledge and behef,and that
work wdl be performed m the manner set forth m the apphcauon Cited therewith
Sworn to before me this
~ ~ .....day of ~q.
19.
Notary Public, .~:^.'S~:Kr ..ll'.. ~~.r!~ County '/JI r~/,A~/-•-
NEtEN K DE VQE rR~J`~~e\ .
N~tp~l707878 Sufrolkt
nllki (5i;nature of applic
Term Exprtes March 30,18. r
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. ;,eAe E _ OCCUPANCY OR a
~ ~y , 'r
USE IS UNLAWFUL
f ~ WITHOUT CERTIFICATE
w OF OCCUPANCY °
-
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APPROVED AS NOTED ~
4ATE `I~so ~ ~ FO
B.P. b
~ ;E_
NOTIFY BUILDING DEPARTMENT AT
765-18D2 9 AM TO 4 PM FOR THE ~
ay FOlLOW1NG INSPECTIONS. ~ ~ 1
y
a~ ~ 7 . FOUNDATION TWO RECUIRED ~ ~
" FOR POURED CONCRETE
2. ROUGH • FRAMING & PLUMBING ` '
3. INSULATION -.-"^_'-^,-=1 'Y
~ = ; ~ ~E ~ usl~ 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
~ ~ fOr Mla)IESf di,Mbutinp ALL CONSTRUCTION SHALL MEET - '
: P{~~ THE REpUM16NENT$ OF THE N.Y. _ _ _ _ Y
STATE ooNSnwcnoN s r~+Ea6v
~ UNpERWRJIER$ CERTIFN~IgE DESKiN OONi~kICERRO~RS
~ < _ REQUIRED .
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