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HomeMy WebLinkAbout17188-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-14164 Date SUNE 22, 1990 THIS CERTIFIES that the building ALTER & CONVERT Location of Property 305 SOUND BEACH ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block I Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 28, 1988 pursuant to which Building Permit No. 17188-Z dated JULY 1, 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 ALTER & CONVERT EXISTING ONE FAMILY SEASONAL DWELLING AS APPLIED FOR. The certificate is issued to PAUL CALABRO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-093864 - SEPTEMBER 27, 1989 PLUMBERS CERTIFICATION DATED JUNE 4, 1990 - Paul Calabro Building Inspector Rev. 1f 81 absat 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 ~ ~ 1718 8 Z Date 19..4..9 Permission is hereby grcnted to; ^ A . ra ...............°I:...~i~M.U.:?::1.~-...1~:a-a-a'.1-mr~......~..?.~ti~4.4t',!r!~F~.....~...~•O ct premises located ot ~......~..°4.~4..:..................... Caunty Tax Map No. 1000 Section .......Q.`.4`~..... Blo®ck ........Q..~....... Lot No........~.~............ pursuant to opplication dated ..........~.A.~t~,t.......~~µ 19.~~~..., and approved by the Building Inspector. Fee ...1(~Y'd2„ Building Inspector Rev. 6/30/80 M1 - FORM NO. 6 D ~ ~ ~ Q ~ ,5 TOWN OF SOUTHOLD W.~"°#Ir~l Building Department i ,1! / Town Hall ~ 2 f • ~I ~ Southold, N.Y. 11971 v 765 - 1802 BIDG.DEPT. APPLICATION FOR CERTIFICATE OF OC OFSOUTFlOLD Instructions A. This application must be filled in typewriter OR ink, and submitted a~ ®to the Building Inspec- torwith the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the, building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Dated..c/1?-.-.o~l~..lq.~7.~...... NewConstruction ?.,.OldorPre-existin Buildin Vacant Land 9 9 /0~0 (lJe Yw c( ~(,o Location of Property ~ S~ . u y~~lo, ill, , , , , , , , , , , , , , . House Na. Street Hamlet Owner or Owners of Property CG; ~c~ ~ ~'~-+'L~ County Tax Map No. 1000 Section Block ~ Lot ~ ~ , . Subdivision ......Filed Map No. ..........Lot No. . Permit No. Date of Permit ..l..~ll9..Applicant.~J.U~t!~..?.~C~T~I..??~!-~~d~~'~';c'~ Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval ...............Planning Board Approval Request for Temporary Certificate .....................Final Certificate . FeeSubmitted$.. a5„~,,,,,,,,,,,,,,,,,, Construction on above described building and permit me~e"'t~s all applicable codes and regu/l~ations. Applicant .~kld~ .N:. ~.1... . Rev. 10-10.78 C3~>,c. 3Y~y~ co ~ i 4~G3 /f 2u~ "~~S"-'' ' a ~.~a ~ ~j~ o a . ~ ~ D ~~~~''';y=~,'' ~~s~~ BLDG. DEPT. TOWN OF SOUTHOLO THE NEW YORK BOARD OF FIRE UNDERWRITERS ~~ux~ 1(FQOA ~ ~ BUREAU OF ELECTRICITY 88 JOHN STREET. NEW YORK, NEW YORK 10038 Date S~'('~~r'`~'~~"~ ''II'I yY. APPlication No. on file ~ (fig THIS CERTIFIES THAT only th¢ electrIcol equipment as deacri6ed below and introduced by the applicont named on the afwve application numher in the premises of h~,lll caa,~~r~c~, ~u; ;~arllun u~,~c:x 7~., r~tall~,-z, >trx°t`~r.~t'f3c'~. in the following location; ? Basem¢nt 0 /at Fl. ~ 2nd F'1. Sertinn Block Lot uws examined on aP'1F 1 A~Pt RI',t2 ~ I t ey r; u and found to be in cornpfianee with the requirements q(this Baard. iIXTURF ECEPTACLE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K W AMT. K.W AMi KW. AMT K W AMi. H.P. 3 if K 3 DRYERS FURNACE MOTORS PUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W. Oll N. P. GAS H P. AMT. NO P. W. G. AMi. AMP. AMT. AMPS TRANS. AMi. H. P SYSTEMS AMT. WATiS NO.OF FEET f h{1Q SERVICE DISCONNECT NO.OF $ E R V I C E AMT. AMP. TYPE METER I 1W I ~ 3W ~ ~ 3W 4W NO OF CC. COND. A. W G. NO OF HI~LEG A W' G NO. Of NEUTRALS A. W. G. EQUIP. PER 9 Of CC COND OF HbLEG OF NEUfflAL OTHER APPARATUS: ApC)frx47P3 i7Cdt+Y-1. At,1~~7+h11?I~R. F>. 4111?3i3=RC GIC.~304-•~; A0~ 221 ,AF}iFFa3l)UUI; L+. S' . , idY. i 1631. 6ENERAI MANAG@R 1 L jd~ Per J J This certificate must not be altered in any manner; 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 ALTERED IN ANY MANNER. T ~ ~ ~oS~F~°t~ ~o, TORN Or SO~JT~Od.D ~ 1, ~ f.::''• :t'' < OFFICE OF BUILDII•IG INSPECTOR ' S ~ I s i ~ ` ~ ,.,.r~~t - P.O. BOX 728 ~ j}LLL~~~~~) 'r' ~ TO1VN HgLL O ~ `r SOUTHOLD, H.Y. 11971 BtoO. uS~r. /'fO~( ~b© ~ TOWS OF SOUTHOLi7 C E R T I F I C A T I O N Date 6~5_ l9D_ Huildirg Permit No. O 17 I SS z Owner~RU1..FAa~J(w~Rrtlt e-AlA13R0 (please print) Plu^Wer QLV tvE1Z. (please print) I certify that the solder used in the water supply system contains less than 2110 of to lead. , ~~y " (plumber's signature) Sworn to before me this Notary Public t notary Publi~~, (~U!~~`'C/_L/~County FRANG150.~,°t;;ERJA Notary Public, Side u4 Idcw Yotk No.45N25b Qualified ~ Sutiolk County Commkaton E~iroa Feb, 28,1882 I PETER T. PODLAS, A.I.A. Architect 71 SHINNECOCK AVENUE EAST pUOGU E, NY 11942 (51 W 728-5531 -pyg gyp/ US ~ ~ a V ~cr~7 ~zrt~. ter October 26, 1988 Tl~WIllD~.SJ!lTHCSL~e ~ Building Inspector Town of Southold Main Road Southold NY 11971 Re: Mr. Paul Calabro~ Mattituck Dear Building Inspector: As per the request of the building department, enclosed please find a revised plan for the above-referenced project which indicates the revised structural beam on the first floor. if you have any further questions ro concerns, please feel free to contact me. Best egards, 1 Peter T. Podlas~ A.I.A. ~ ~ Architect PTP:grp Enc. cc: P. Calabro ~ 1::LD'~ °SP~CiIUSJ ~~llATE {COMMENTS V ~ cn e: y-- ~ 1, ~ ~ H . _ _ H ~~~'V`` Ir FOISSJDATION (1st) ~,1~ FOUNDATIOtJ f 2nd) _ - b~ z. 2a ~ °W 3 Z-~$ ~ ~ 6 ~ a P,OUGH FRAME & ,(1 C'~~ d.-~ d0 iCe-~ PLUMBING ' ~ y 3. ~ a ZIJSULATION PER N. Y. STATE ENERGY CODE ~ b 'Y ,3~ lath ~ 1 y 4, , F I i~ A L ~ ~ o d~ a ~ ~ z ADDITI AL COMMENTS: ~ ^ t ~ 4. r x ~ ro N Y ' H H 2 O ~ ro • r ~ H 5 b C+7 b H i ~ i ~l L;"' , h ~.r tT' o ~ z cy n","~ ~7 - (7 t c ~ r~ I o~ tr N 2'~ ~1 ~ ~n ~ti t V ir'J ~t N Icy 11 {t ~ ro I ?A ~ y i1' ~ ~i u ' ~f~ ~ _ ~\J 1- y L ;-VQ ~ Y U ~ ~ r• ~~'"I ~v \lJl i 1`` ty i_ _ --j t r c " g, 6 4 is -n ~ 1~'' ' , ~ C " ~'.~_f>' oar d• ^~,r ~ C. "f" 1 ;r. ' ~ ~ b Z. (p ~ ~ p ~ 1 L_--- f.t r ' t ~ , l r ~T ~ 4 1~1 4 { l' ~ ~ y` ~r ZZj~~~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ]ROUGH PLBG. [ ]FOUNDATION 2ND INSULATION [~RAMING [ ]FINAL REMARKSa V ~ Q_~ p t~ i S~Y/~-OVhn, ~ ~ D ~ d ~JC. ~ L~~ ~ DATE~~INSPECTOR (~_____~_C~~E~ ~ ~ _ ~ ,~ll~'~ BOARD OF HEALTH ER iJ w 3 SETS OF PLANS pp ~u,,~~ q g . E; I} ~ JtlIY(.8i~ FORMNO.1 SURVEY 1'1` TOWN OFSOUTHOLD CHECK u;,~,.~_,~,_ BUILDING DEPARTMENT sEPTic Foarl . I RLUG.OEi'7• TOWN HALL TOWNUFSOUTHOLD SOUTHOLD,N.Y.11971 NOTIFY TEL.: 765-1802 CALL .~c~.7:.c~.~3.(~....... Examined ( 19 MAIL T0: Approved 19~~. Permit No. I . [ 1.B B ~ . Disapproved a/c tel.".°~:V ~ . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~1,'a~........, 19 INSTRUCTIONS a. Tltis 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 Diving 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. Tlie applicant agrees to comply with all applicati)e laws, ordina udding code, housinti code, and regulations, and to admit authorized inspectors on premises and in building for neces ry in ecti ns. (Signature of applicant, or ame, if a corporation) fps Sot~,vlD ~¢G-~ Rd~ ux ~.t2 R ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Qw)u~iZ Name of owner of premises (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. /.O, Q,.~B , ,S`,/_u;L?~¢P?a, ~,v Plumber's License No . . Electrician's License No. . Other Trade's License No . . 1. Location of land on which proposed work will be done. ~ . House Number ~ Streets ~ • • " " " " pp \ • . • • Hamlet Q~ County Tax Map No. 1000 Section .....I. Blgck Lot Subdivision Fled slap No. Lot . (Name) ; State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ .1'l~. • ~ , .t..i?tai.~,d~ b. Intended use and occupancy ~ ~n'• ~ ~ ~ ~''--it.~;~;i~ 'j~ . 3. Repair of work (check which'',applicable): New Building Addition r...... . Refnoval Demolition Other Work . (Description) z',~ 4. Estimated Cost f~~. Q Fee .t . I ~ (to be paid on~filing this application) S..If dwelling, number of dwelling units . Number of dwelling units on each floor . If garage. number of cars . . . 6. If business, cornmerc.ial or miCed occupancy, specify nature and extent of each type of use . 7 Heial tswns of existing stru Nures, if any: Front . Rear Depth . ^ mberofStorics Dimensions of same structure with alterations or additions: Front Rear . Depth IIcight , .Number of Stories . Ditn~ensions of entire new c NUtruction: Front Rear ;Depth , , , . Her^ht tuber of Stories . . 9. Size of lot: Front Rear Depth ]0. Date of Purchase , , , ! ..................Name of Fortner Owner . . 1 1. Zone or use district in which p'Femises are situated . . I2. Does proposed construction viplate any zoning ]aw, ordinance or regulation : . 13. Will lot be regraded ....................Will excess fill be removed from premises: ,Yes No 14. :Name of Owner of premises ....................Address ...................Phone No............... . Name of Architect .................Address , ...............Phone No.............. , . Name of Contractor ......Address . .Phone No............:.. . IS.:Cs this ro ert locl'~ p p y ated with in 3,100 feet of a tidal wetland? *YES..,.NO..,. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM , Locate cleazly 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. i ~ ~ ~ ~ STATE 1V Y K S,S COUNTY OF . . . (Nanndividua] signii ~ ~ ~ ' ' ' ' being duly sworn, deposes and says that he is the applicant tig contract) above named. p ~ q / 1~ He is the ..................~.\-1~J.`.~iY,........................ (Contractor, aggnt, corporate officer, et~.)° of said owner or owners, and is duly' authorized to perform or have performed the said work and to make and Gle this aPPlication; that all statements con[aiped in this application are true to the.best of his knowledge and belief; and that the work will be performed in the manner pct fordt the application filed thcr~wiYh. Sworn to before me i day I,, ......,19 Notary Public, County /l u~ ,~(C,h) ClAM1 1.01.lW' NOIMtI /tAllb, pf NSW YaAt . No. (Signature of applicant) i QwlNkd M l3uNollt Cqunty Commission Expirea Qacembgr 8,1