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HomeMy WebLinkAbout17463-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218273 Date AUGUST 15, 1989 THIS CERTIFIES that the building BUSINESS ALTERATION Location of Property 2255 WICKHAM AVE. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 03 Lot O1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 22, 1988 pursuant to which Building Permit No. 174632 dated SEPT. 26, 1988 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 REPLACE ROOFING; RENOVATE_INTERIOR AS APPLIED FOR. The certificate is issued to MATT-A-MAR MARINA (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N078613 JUNE 28, 1989 PLUMBERS CERTIFICATION DATED TOM TOTO--JULY 21 1989 B' wilding Inspector Rev. 1/81 F0832 NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERM17 MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ 017 4 6 3 Z, Date . AIF?y~.1.t.^..'.•r..t:~FA.........~.~!?............ 19.~. g Permission is hereby granted to: ~~" ~.~t.:...R:..k!1.~........r y1... a-...... . `30~..!.a.~~ :............. ...... .............................. ...~..~:~::...u:.~.~........~.!..qs^~-:-...... tt ~ to ...%~~~..~..SX'~,~:~ ....:..;,...~.}-..~~-4-......~...~..~.~---~. ~aa :..................................................................~...(................n........._....................._ ..}.~....~........A............... at premises located at ...~,~~....w~.~^..°'.~.,:t....t..7~-!^Y.:.......~......_~.A.~....~...C~........... ...........................................................................''.//................................................................................... Ccwnty Tox Map No. 1000 Section .........~..(..T...... Block ......Q..~wl...... Lot No.....Q..~ ............. pursuant to application doted ....~!^.a!^-!.h...... ~-~......., 19~~., and approved by the Building Inspector. Fee $..<•. ~.: >ctor Rev. 6/30/80 =1ELD IGS:'~CTIUIJ ~ ~UATE ~ i;OMMENTS ;, , _-r. ~: -o ' m 1 ~ . _ H ~ FOUt1DATI0N (1st) - ~ c cOUNDATIOtJ (2nd) m 2 . '~ z ° N F ROUGH FRAME & ~ G .PLUMBING i H t " 3. Jj I1ISULATION PER N. Y. H STATE ENERGY CODE x r 4 , c '~ , FINAL ~~ , i z ADDITIOPIAL CO NTS: ~ ' - +~ m ' ~e H F a I y E H ~, O 2 r C ' ~ C+] A ? r C m 2 v m .a TOWN OP SOUTHOLD BUILDING DEPARTSIENT TOWN HALL • SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.. ~[`~,-~~.I J. t l ~7 NEW CONSTRUCTION .......OLD OR PRE-E%/I S,T'ING /BUILDI LocaCion of Property...Z_~.5.~_.:...,(it/~~L~h~-v~. UOUSE NO. ~ ~ -SJTaRE~ET Owner or Owners of Property../ `~~~/~! !"(!. rR~J.. County Tax Map No. 1000 Section . J.` [. Block .. ~_ NG. .VACANT LAND........ ` HAMLET .. Lot- .. ~ ..... Subdivision ....................... Filed Map ........Lot.......... Permit No. `.l.l ~ ..Date of Permit ~'N/.a~J~Y~QApplicant ................... Health Dept. Approval .~e~~t~~:~ (/ "... Underwriters Approval..,/. Planning Board Approval ... .': ..-"--~~ Request for Temporary Certificate ....... Final Certificate .... Fee Submitted: $.,~,~~ ~_~__,.._. APPLICANT. G°Q z/~a7~3 /fir. ~ ~ 9 ~% rev. 10/ 14/88 1l/~S/~~ LF• ~ FORM N0. 6 TOWN OF SOUTEIOLD BIIILDING DEPARTMENT ~, TOWN HALL i 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with [he follpwing; for new buildings or new use: ' 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusuallnatural or topographic features. 2. Final approval of Health Dept, of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Pire Underwriters. 4_ Sworn statement from plumber certifying that solder used in system contains less than 2/10 of IE leads 5. Commercial buildings; industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responsi)le for the building. 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: I. Accurate survey of prroperty showing all property lines, streets, buildings and unusual natural or topographic features. 2_ A properly completed 'application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. ' If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information, required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of~, the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OP OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwe~lliag $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Acces'~sory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential, $50.00 Commercial APPLICATION ON BACK 10/14/88 ,i o,~'r~FFQL~ YY ,~~'' / ~~~ .r CA ~/ T o~ol ~~o~ Y '~ , TOW1V OF SOtTTHOd.O OFFICE OF BUILDING 1NSI%ECTOR P.O. BOX 728 TOWN HALL SOUTHULD, N.Y. 11971 7~ TEL. 7G5-1802 O ~~ ~~ ~~,~ D rownsr of ~ePr GUY}i~g U ~.e „~._. .~~~,'Y~•"R°fil'I I F I C A T I O N ~~ ~~'"'~'~'~.. ~- . ,.,{ '; a~ " a~ Date ~u`~~~ Building Permit No. a17'1 ~ j Owner ~ ~ Ch ,, ~ yQ Q„ s e (please print) Plumber ~ ,,,,~ (YleasE p]: lii :.) K c- Purl za~cv ~ ~3G- 21't~ I certify that the solder used _n the water supply system contains less than 2/10 of 1~ lead. ~~~ ~.~ ~_ (plumber's signature) Sworn to before me this day of ~JJI~~ _ Y ~ ~~ 19~• /'/' // Notary Public ~ SU~~~~ County ~AROSg notary I ublic, Notatypuylb,St~saNs~yy!p~ ~usiNia~d In 3~~ ~~, rerm Expket fIb-wry 8,1li~ ~ ~~5 ~~ c-~..- p. a~ y ~- S t~~/ ~..-C.~. 1 o..c.~B~. o~ ?/r~wetic. •2r?~ a~~ h/~ev ~~~ (elsl zss-aooo ,r~~e ~~.Qa.~a! FIRE PROTECTION COMMERCIAL -: MUNICIPAL -,- MARINE -: RESIDENTIAL. 1180 MONTAUK HIGHWAY, E. PATCHOGUE, NEW YORK 11772 ~ C ~'~~~ An installation of (SYSTEM).,gsingP~narcl Sv~tPm_ which is U.L. approved Re:>ta.urant Hood and Duct Protection Equipment has been installed and tested on the following premises: (NAME) Touch of Vence (ADDRESS) -Matt A-Mar Marina, Wyckham Ave.,Mattituck, NY The above system was installed by the ALL ISLAND FIRE PROTECTION CO., 144 E. Roe Blvd., Patchogue, L.T., N.Y., 11772 in accordance with U.L. prescx~i.bed procedures. Prior to installation all hood and duce; work was thoroughly cleaned. The system conforms to all codes and By-laws of the Town of Southold _ (DATED) ~ ,~~A (./ ~ ALL ISLAN FIRE PROTECTION MAINTENANCE CERTIFICATE 2, the owner of the above Hood and Duct Protection Equipment, have a signed contract with ALL ISLAND FIRE PROTECTION to have this equipment inspectE:d Semi-Annually. The servicing representative shall provide me (the Owner) with a report at each inspection which I will. keep in my possession to evidence the fulfillment of this coni;r•act. These reports also will be made available, upon request,upon inspection of my property by the insurance inspector. (DATED) OWNER -. 1`~~- . . lr.,;;z;nras THE NEW YORK BOARD OF FIRE UNDERWRITERS ~r BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date LJxJfjjS ?. fi,1~i ~') APPlication No. on file b~~~~}`)~S ~}/f3~ ~ f~`~~~.~ THIS CERTIFIES THAT only the electrical equipment as described 6ebu+ond introduced 6y the opplicont named on the obove opplication number in the premises of N;~'Cm-•~i-TAR P2nfc.LPdn, 'tTia";~tL~Dfi t ~fi PiA'd'"f".Y.`f°CYC~a{ ~?. `! . „ in thefollowinR location; ^ Baxement ~ lxt FI. ^ 2nd F7 i7f}`(` . .Section Bloek Lot uws examined on s~~f:3.': Or`,; , .~ (d utl and found [o be in compliance with the requirements of this Board. FIXTURE gCEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DI'aH WASHERS EXHAUST FANS i OUTLETS INCANDESCENT FLUORESCENT OTHER MAT. K W, pMi K W. AMT. KW AMi K W AMT. H.P .i .3 I6 ( sl I= DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPEGIAI REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K. W. On M. P GAS H P pMi SYSTEMS . NO. A. W G AMT. AMP. AMT. AMPS TRANS. AMT H P NO.OF FEET AMT. WATTS SERV ICE DISCO NNECT NO.OF S E R V AMT. AMP, tYPE METER EQUIP. L~.9W 1 q 3W ].a'tW 3,b' dW NO OF CC. COND PER % A. W G. OF CC COND I NO. OF HI~LEG C A ~`' G~ E NO OF NEVTRAlS A. W G . . OF H4lEG OF NEUTRAL OTHER APPARATUS; ~3I{41 F1tYe;!{S-'el ~~~a;r r`a~~T`rr, ~~xm~A~- ~ ~•rl:r~ ~«° u~l~fr~~. .4 i}i~, 1;?SCI 2C: hl FIYi e".ffilVf! -1 ~'1v'Tsl)3GttS;3.-4 ?E .3 N;~:T:E2RN'I` ~`i7 P7Iu'~;f,Ac7AZtllSa1-.?~; l";fK. 2(4['t cft,~r~tl.~s a. r~ftrc~:~ Lt~Irt, R~fNKJi+7P+':i•S7i~ N1' This certificate must not be altered in 1=I`t' 1~'isYCS~. fart, . #3 : Fisl6 ~~~~~~ / ~~ .l'~ I+.! ~ GENERAL MANAGlR f,l Per_ J sr; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE,MUST NOT BE ALTER FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..~~.~~.19 ~~ Approve<i~~,t..A-c~4`~s..l~ 19~.~. Permit No........... . I10ARD OF HEALTH ............ 3 SETS OF PLe1NS ............ SURVEY ..................... CHECK ...................... SEPTIC PORt•1 ................ NOTIFY CALL .. .................. MAIL TOi Disapproved a/c ..................................... ............................... . 9 1`. C.r~ ~.... , ...., ...... . (Building Inspector) APPLICATION FOR BUILDING PERMIT Dat.v°~-s~!-> 15 ~.~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building 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 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 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 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 agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporarton) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumUer or builder. ~ L<.~ /U E.%Z~ ................................................................................................ Name of owner of premises .~~ !. !n ~~dfi ~1.....:3U~ , rF',f'p,5,'G~E'~: ~:.,€}.U.'.....-~.~:~J-. ~;'L~~~:... f!5 ;~... (as on the tax roll or latest deed) - If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ~. Builder's License No. ..... ..... Plumber's License ........ ............. . Electrician's Licensc No. ... .......~ ......... . Other Trade's License No. ......~.•••••••••••• 1. Location of land on which proposed work wi11 be one. ... , , . , . , , . ......................r...... ~, pp ... .. .... [{ouse Number Street Hamlet County Tax Map No. 1000 Section .... /.!~.%......... Block ..... 3 ........... Lot ...~ .............. . Subdivision ..................................... Filed Alap No. .............. Lot .............. . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy , , ,~Cs..aJ .... ............... . b. 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