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HomeMy WebLinkAbout27825-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28177 Date: 01/18/02 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1450 MARLENE LA LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 144 Block 2 Lot 35 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 9, 2001 pursuant to which Building Permit No. 27825-Z dated NOVEMBER 20, 2001 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 CONVERT EXISTING ATTACHED GARAGE INTO LIVING SPACE & DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS SALADINO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 01/14/02 PLUMBERS CERTIFICATION DATED N/A thoriz d Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 27825 Z Date NOVEMBER 20, 2001 Permission is hereby granted to: THOMAS SALADINO 1450 MARLENE LANE MATTITUCK,NY 11952 for CONSTRUCTION OF A GARAGE CONVERSION AND DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1450 MARLENE LA LAUREL County Tax Map No. 473889 Section 144 Block 0002 Lot No. 035 pursuant to application dated OCTOBER 9, 2001 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature COPY Rev.. 2/19/98 Form No.6 p —�` `-=- -- TOWN OF SOUTHOLD 202BUILD BUILDING DEPARTMENT JAN 1 765-1802 Rl_DG.DEPT. F LICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 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: 1. Accurate survey of property showing all property lines, streets,building and 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. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool $25.00,Accessory building$25.00, Additions to accessory building$25.00,Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: / t House No. Street Hamlet Owner or Owners of Property: 6p,;Fh6 Sa Suffolk County Tax Map No 1000, Section N7 3y,P,7 Block o 0 o z Lot o 3f Subdivision Filed Map. Lot: Permit No. o? Date of Permit. /t/ay ZO,o?Ool Applicant:,%/asa�r Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) po Fee Submitted: $ o� / Applicant Signature Q uofsSS Co --& �2,9► ? 7 f THE NEW YORK BOARD OF FIRE UNDERWRITERS 8086626 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JANUARY 18,2002 Application No. on file 1387x202102 H 0714049 THIS CERTIFIES THAT+ PERMIT NO. 27825 C10 -P2:-QLFI II only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of T.& C. SALADINO, 1450 MARLENE LANE, MATTITUCK, NY in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. Section Block Lot was examined on JANUARY 14,2002 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS O ENS DISH WASHERS EXHAUST FANS OUTLETS RiCAFIDESCE0M FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. G 6 1 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT.1 TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.I. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO*Of CC GOND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYK EQUIP. 1 2W 1 SW 3 R SW 3 IW PER a OF CC.COND. NO.Of NI-LEG OF NI-LEG NO.OF NEUTRAIi OF NEUTRAL OTHER APPARATUS: R/S CODE "B"-1 SMOKE DETECTOR:-1 T.& C. SALADINO L L 1450 MARLENE LANE MATTITUCK, NY, 11952 GENERAL MANAGER 11 Per TMS "W"O mut not be altered In any manner;return to the office of the Board It Incorrect.Ingmtors may be Identified by their credentials. -------- COPYOTOA BUILDING DEPARTMENT. THIS COPT OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. l�tJ 11 lI� 1d T���rT i-1�L�1 T r T-`�,�L��1-- Applicant/ Date Owners Name: 10-if 14 C Reviewed: /d o Architect/ Date Engineer:-' Submitted: /o�— SCTM District: 1 000 Section: _ Block: a— Lot: Project // / � � � � � Subdivision Location: IV5SD M�(P.n � Cwt T s�wu^�z�. _ Name: Sin&Ie & separate Required certification: {Yes/No r/iV Req. Req. zoning t)istrict:le4z) ,ot sizer(f Actual d / (1,0(coverage PrulxiscJ � J Req. / Req. r ./ �, / r Req. _/ (f=ront Yard35__' Proposed: ) [Side Yard O �S prop ed: (o [Rear Yard ,�_ Proposed I Project Description: r AGENC ERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: / Town Planning Board approval: Flood Plane Elevation??? n- Flood Zone: Notes.: t a. jf 765-1802 BUILDING DEPT. I INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I 1 FRAMING [�wu [ ] FIREPLACE & CFIIMNEY REMARKS: Lool DATE � �� Z INSPECTOR i -1802 sa INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• DATE INSPECTOR B IN SPECTION_RRPORT -_=DATE VOMATION ( 1 STY I OMATION (2ND) c ROUGH FRAME & D ti PLUMBING CWSOLATION PER N. Y.- STATS ENERGY CODE FINAL ADDITIONAL COMMEWS v Z vtj Q 1 v v cu W-4 ^" 'y p w ... ad �1 ° .� Z a o a .�.__._ �_.: .. __.._. ..iiasl.: .. _ .»✓�tbA4Ulliliilf I : 2001 �J BOARD OF HEALTH . . . . ..... . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . ... . . . . . . . T WN OF SOUTHOLD SURVEY . . . :. . . . . . . . . . ... . . . . . . . ► BLDG.DEPT. BUI DING DEPARTMENT CHECK . . . . . . . . . .. . . . ..... . . . . . . L. TMN OF SOU !QLD TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 DEC ........................ . TEL: 765-1802 TRUSTEES . .. ...... .......... ... NOTIFY: CALL . . . . . .. . . . . . . . . ... Examined....� a 3 29.01. MAIL TO: . . . . . . . . . . . . . . .. . . . . Approved....... 67 t1�cP:�...,�01.. Permit No. ..: 0.a: � .................................... Disapproved a/c .................................. .................................... ...................................................... .. .'.. V.: 4.:�........... (Budding ) APPLICATION FOR BUILDING PERMIT q �1 Date. . . . .! � D INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wil 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 application. 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 issue a Building Permit to the applicant. Such permit shall be.kept an 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 O=gxu y shall have been granted by the Building Inspector. APPLICATICN IS BERM MM 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. -1�.�.. .. ... � ..5PNa............ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether app�liicaant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ........... ::' ......��.....................��...................................................................... Name of owner of premises ........................ .......\.....\N ..................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done......................................... .� ............... ......... 0......... ................................... .?...... ..... ........... House Number Street Hamlet County Tao Map No. 1000 Section .....1 .... Block ..... . ......... Lot �`-�..5.......... 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 ..�-�.1N ..... .. ............. b. Intended use and occupancy ;/......... >.. •... ...................�f1.i .� 4 � o w 0 {Q�G oa tri✓erg 0 2y.s c � o•s o~ f•s f J�y z r $ nse o a Rte• o 0 o W S.a� _ 5°' • oNERK �. , oe �. a 9020 S• lF F• LPill Ngo O� pN�G SURVEY FOR THOMAS & CHRISTINA SALADINO A T MA TTITUCK TOWN OF SOUTHOLD CERTJFIED Ta SUFFOLK COUNTY, N. Y. THOMAS SALADaVO 1000 - 144 - 02 - 35 CHRISTINA SALADWO Scale. 1"= 30� EXCHANGE MORTGAGE CORP. Oct 22,1993 J. O LAAO ABSTRACT CORP. :1 ~uei t �n h N.Y.S. LIC. NO. 49618 Prepared in accordance with the minimum c ; standards for title surveys as establ/shed ' by the L.IA.L.S. and approved and adopted PECQIuIC' ;� . YOBS, P.C. for such use by The New York Slate Land f51.61: 7� . 020 Title Assoc/ot►on. P. O.`�'80k 909 MAIN ROAD SOUTHOLD, N.Y. 1/971 93-278 Jqhdtilo PROVIDE SMOKE-DETECTING rl � ��.A OCC�s^A " . ALARM DEVICES 2 PROVIDE OPENN,j ' A R VEDASNOTED USE IS UN't �, AS TO PART. 721.1 EFAMENCY EECA" r l ,� _ ;, - eLoc.�Pr. .: DA B.P.# WITHOU I CER -ATE N.Y.S BUILDING CODE. REQUIRED BY PART. 711 �, k '4 �� B .. OFOCCUPA . Y N.Y. STATE BUILDING C4 ' �? OTIFY BUILDING DEPARTMENT AT " 1W1802 9 AM TO 4 PM FOR THE UNDERWRITERS CERTIFICATE ,f'•t;' *OLLOWINGINSPECTIONS: REQUIRED r� yy J.'+ .. __ '' �;�4�;•��,r '; r. IL hOUNDATION TWO REQUIRED � 'l(!� �� � ���r -�C � G�� t t� FORp10UMCONCRETE ;- p VI � `� Jy ROUGH • FRAMING t PW ING ' { INSULATION � �• � 4 FINAL CONSTRUCTION UST 1 { ALLE ONSTCOMPLETE T�ON SHALL EET C S�4 f cam- Rv-4 3j THE REQUIREMENTS OF TH N.Y. 'fib .ww►�- STATE CONSTRUCTION A E RGY a�1 EX�S�"tivt CODES. NOT RESPONSIBLEFOR ��. DESIGN OR CONSTRUCTION El lkbRS \os& CtpS�'t- L" b\e 2x��`1-leteR Both C\o aX% floor 1 D:5} 16PC W�jti. T.-i �S 44wRooF O► 304 _ ToUcti►�oA ! 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