Loading...
HomeMy WebLinkAbout29090-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29905 Date: 12/10/03 THIS CERTIFIES that the building ADDITIONS Location of Property: 540 SIGSBEE RD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 143 Block 1 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 2002 pursuant to which Building Permit No. 29090-Z dated JANUARY 9, 2002 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 KITCHEN ADDITION & BRICK FIREPLACE TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL P & LAURA SIRICO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ H069902 11/15/00 PLUMBERS CERTIFICATION DATED N/A th ized 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. 29090 Z Date JANUARY 9, 2002 Permission is hereby granted to : MICHAEL P SIRICO MATTITUCK,NY 11952 for NEW KITCHEN ADDITION AND BRICK FIREPLACE TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#26604 . at premises located at 540 SIGSBEE RD LAUREL County Tax Map No. 473889 Section 143 Block 0001 Lot No. 007 pursuant to application dated JANUARY 9, 2002 and approved by the Building Inspector to expire on JULY 9, 2005 . Fee $ 150 . 00 ^/ 'Authorized S gnat re ORIGINAL Rev. 5/8/02 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. 26604 Z Date JUNE 21, 2000 Permission is hereby granted to: MICHAEL P SIRICO 540 SIGSBEE RD MATTITUCK,NY 11952 for NEW KITCHEN ADDITION AND BRICK FIREPLACE TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 540 SIGSBEE RD LAUREL County Tax Map No. 473889 Section 143 Block 0001 Lot No. 007 pursuant to application dated APRIL 14, 2000 and approved by the Building Inspector. Fee $ 75 . 00 -rte„ Authorized Signature ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 5 i This application must be filled in by typewriter or ink and submitted to the Building Department w*h 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 propert) lines, streets,building and unusual natural or topographic features. 2. A properly completed application and 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- $100.00 3. Copy of Certificate of Occupancy-x$.25 4. Updated Certificate of Occupancy,.-' $50.00 5. Temporary Certificate of Occupazkey-Residential $15.00, Commercial$15.00 Date. / New Construction: Old or Pre-existing Building: __� (check cone) Location of Property: J�YO S/ 0)S�z & House No. ,r Street Hamlet Hamlet Owner or Owners of Property: &L{' e �'L–fiL+'i./ a �� •�/ 7 Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. � 61OC)fl Date of Permit.— Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ / All��� Applic VA61ature 51 n L0 0998-5 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8080983 BUREAU OF ELECTRICITY F_ 40 FULTON STREET, NEW YORK, NY 10038 Date NOVEMBER 15,2000 Application No. on flle 10685500/00 H 069902 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of CARMINE & LAURA SIRICO, 540 SIGSBEE ROAD, MATITTUCK, NY in the following location; ❑ Basement f] 1st FL ❑ 2nd FL OUT Section Block Lot was examined on NOVEMBER 09,20M and found to be in compliance with the National Electrical Code. . FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES NA FWORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.1 . 7 11 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS I N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET • YYA 4 600 SERVICE DISCONNECT MSR S E R V I C E • AMP. TYPE EQUIP. 1 0 2W 1 0 JW J 9 JW J 0 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W 0. NO.OF NEUTRALS A.W.G. PER 1 OF CC.COND. OF NI-LEG OF NEUTRAL OTHER APPARATUS: PADDLE FANS-2 ELEC. ROOM HEATERSs3-.750 K.W. G.F.C.I:-1 CARMINE SIRICO L H.r: 540 SIGSBEE ROAD MATITTUCK, NY, 11952 GENERAL MANAGER 11 Per 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. MATTITUCK PLUMBING& HEATING CORP. P.O. BOX 1429♦MAIN ROAD 1 MATTITUCK, NEW YORK 11952 Phone 631-298-8393 1 Fax 631-298-1130 4 FEBRUARY 04,2003 TO WHOM IT MAY CONCERN: THERE WAS NO SOLDERING INVOLVED IN THE REPLACEMENT OF KITCHEN FAUCET AT THE HOUSE LOCATED AT 540 SIGSBEE ROAD, MATTITUCK,NEW YORK 11952. L12366-P YOURS TRULY, PAUL WILSBERG MATTITUCK PLUMBING&HEATING M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ ] FRAMING [ ) FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR v C/ c ,tx--(-1:( M-11W2 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &&�CHIMNEY REMARKS: 0 DATE INSPECTOR U 9C 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION AM [ FRING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK'S: 19 DATE_�� � INSPECTOR iu-C� 6�L6r�l �zi� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ 4"FRAMING �(�� [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: j DATE �l INSPECTOR . /4j-t, 010 �cnenti � M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ J FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: C DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 1171, 4 DATE l ( D3 INSPECTOR FIELD INSPECTION_REPORT DATE COMMENTS qo FOUNDATION ( IST) II � — ---li------ - tr- I FOUNDATION (2ND) it II I — ROUGH FRAME S PLUMBING jlj ii NL-� Ir-- II L II I it U H INSULATION PER N. Y. STATE ENERGY CODE I 11 ff l II N -II i � I II II -!1 II FINALIt N ` ADDITIONAL COMMENTS: po 1YS o �! .Zlo 11a f 6 ca Q c � 1.f�,ir-9 oz J tit m2�y M ro BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: 7 &G()C4 1 ✓le i/1 p i „^ CALL MAIL TO: . . Approved... .:. ..,�ad. Permit No. .��C/...1... D,.j31�.1�.a3.ZS... . .. ... .. .. Disapproved a/c .................................. ...�1!�d,.:G. �1. 754g ................ ........ ............................ (Building Inspector) r4 APPLICATION FOR BUILDING PERMIT � Date. . 204-'50 , 204-'50 INSTRUCTIONS a. Ihis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 mist 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 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 Zane 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 demlition, as herein described. The applicant agrees to comply with all applicable laws, ordinag3es, building,,gode, bowing code, and regulations, and to admit authorized inspectors on premises and in buZd' or s inspections. ... .................. .... ........ . ... ..applicant, or name, if a corporation) (Mailing address of applicant) State whether appli t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde, ......../3.u.1'/d2iZ................................................................... . ....... ...... ..... - . ...... SNone of owner of premises �/ � .. ......:,fl .... �q (as on the tax roll or latest deed) Ieappi /itileof oration, signature of duly authorized officer. ..... ................... rporate off�icer),/ Builders License No. ...It..�..Y. � PluTbers Li ......................... Electricians incense No. ..................... Other Tr s License No. .................... 1. Location of land on which proposed work will be done...................................... ........ . .... ........... ................ .1/.gS....e . R ....................... /�?%� � etc.. .. ........ . ......... Hoose Number Street // .Hamlet County Tax Map No. 1000 Section ..�y�....... Block ..4 .1 ......... Lot ....�7.......... . Subdivision ...................................... Filed Map No. ............... Lot .......... ..... (Name) 2. State existing use and occupancy of ppr`emis/es am in ended use and occupancy of praxm�ed constr.icrion: a. Existing use and occupancy ../;CSE!1/1�/��F�1[i..//.1............................. ... .. . .... ....... ..... ... b. Intended use and occupancy ..!�!'71(f.�2:�141.:....�.t.��1�7'Ux. ! Ratire of work (check which applicable): New Building .......... Addition .y....... Alteration ... .. ... . . . , Repair .. . ........ Rsnuaral ............. Demolition ............ Other Work ........................... .... .. �1 %� ............(Description) Estimated Cos .�J�OU..C/._.......... fee .... oto be paid on filing this application) If dwelling, n ri: r of dwelling units .... .... finger of dwelling units on each floor ................ Ifgarage; number of cars ...................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... Dimensions of existing structures, if anry: Front... ...... Rear ..3.7........ Depth .. .Q......... Height ........ ................. Nnber of Stories ..�/a............. .�.I. Dimensions of sane structure with alterations or additions: Front .. .. Rear ..�...-../...... Depth .. Q.�............. Height .................... Number of Stories ...... Number p / Dimensions of entire new construction: Front .... .......... Rear ...�/....... Depth ...4......... Height .... ..................... Nber of Stories .../............... J/� Size of lot: Front ..IL'VJ............ Fear ..hQQ.......... Depth ......1�.. 0. Date of Purchase ..................... Nare of Former Owner ........................................ I. 7,one or use district in which premises are situated .............................................................. 2. Iles proposed construction 'violate any zoning law, ordinance or regulation: ..�/Q.............. 3. Will lot be regraded .i t,.cDm............ Willexcessfill be rmoveedd1 from premises: YES 4. Names of Amer of premises [:1!G.!14fL�1.,.��ll��D.. Address71J ... A` Nave of Architect ... ................................. Address ........................... Phone No. r............. Nam of Contractor .Ga!l..Y.Q/b!t/.�.t.�. >......... �:Address� 1r!4.<�, ..1// . fl�)Wwne Ib. - 5. is this property within 300 feet of a tidal wetland? * YES .......... NO .,{,G...... *IF YES, SCUIlM TOWN TRUSTFE.S PM-flT MAY HE WAUIRM. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions rum property lines. Give street and block rnnber or description according to deed, and show street nares and indicate nether interior or corner lot. fATE OF NW YIN , tSS U,NI"Y OF /v. F1KLI....... . .... ...........being duly sworn, deposes and says that he is the applicant Name of individual. signing contract) bove rvmed, P is the .. .. . /...�� 1:CQ..................... (Contractor, agent, corporate officer, etc.) f said owner or wners, and is duly authorized to perform or have performed the said work and to melte and file this pplicat ion; that all statements contained in this application are true to the best of his knowledge and belief; and list the work will be performed in the mariner set forth in the application filed therewith. worn to before me this . . .. ... .... . .. .:fay of �. �./..I, `20 - F7EF SUSBL0 w� 1 y'�/L state ot ewYork Notary Public-�-/�`: ��ih.N. T.� 1 !?�?" 1 qualified in SuNoIKCOunry ........... ....L............. Commission Expires NaY 59• w' ( i hrre of i.cant) vE ° 1/;,yn�`� s � '` ='''=/� ! ,/'9 .e �`/."" rR``f. a�• � � � t� Pie Lai y 0 cc 40 i r X h 9K o 0 CA c 24 -_ o -- - --Y d > >0o ..._ 'Z' W W Cc,: s FE :v1 0 _.F.,.. x..F _x Jen'7 '�.-r` ^/� ,>/ !'s`��.._+ �(� • O O P Cl. 1E fill l # . iWfJZO r�gr © y OZ = go r / , y Z ,,w✓ �A Z O r./7'�"" ` . X�W S 'o, N v t� upnj a �.� 'I IGI f G' o�, _._._. I �!''��"(�"--��- �/W... ._..,.._...-._., � � [a-.f'c ._ -•� ......y-^--"-- a, l'.;_ f'� (fi r z5c f if ! 1 •� Lt..l�✓1 �i i { ' a a>.tb f a� w� 1 _ , t t va on i V? C„npf z•,;�, J r i' 19 3310327 L3IGAPPI &5URVE, urti rn�c ee All 6xis7., ,� < lTI'i1rEc• �, 3 l i R .xi•.J o• y 161!1 �:. . : 4.65' re r.. ,r.T,Ja (/!e% <q9 3 a 11'L_ 'SrORY 1n =iF=... �anucco N r'7cZ J .S L.{cr � ll C -?L AYE � �6filccnED� s 'F'h•i`IO Y. c3' � O C/,�OL. N t W540 wnE ))) rsrlc q 3 If, W I W 4 x 4 d LI Z M L 4 I � - , J y I d T, u �41 a -;� Iy��I/�UIN OV,L .•P,. P.$ S. 2-ae 30r-oa"E, • 9Bi -AM'VG-*PM FOR TH FOLLOWING MIBPECnoN8: 1 FOUNDATION - TWO REQUIRE Q$� j" FOR FOUND CONCRETE2. ROUGH - FPAMNO a' E DO NOT PROCEED WITH 3. NSULATION G PWMBIN ; F L - C MU Y J `.iJJJ L� FRAMING UNTIL SURVEY��� �Y. OF FOUNDATION LOCATIO A L O C.O.NCSHALL ME HAS BEEN APPROVED. THE REQUIREMENTS OF THE N. ;Y; STATE CONSTRUCTION D ENER i CODES. NOT RESPONSIBLE F r KNOWN AND ORWONATEU AS LOT NO. to AND I I AS SHOWN ON DESIGN OR CONSTRUCTION ERRO r; ENTITLED. "AMENDED MAP OP PKUPERTYOF MA'r(ITUCK PAIOL PROPERTIES. INC'..MA TTITUCK. NEW MA rl AS MAP WAS tel VOAK-ANO WNIGMAP WAa FILGLI IN TNG. cUPFpLK C:UVNTYCLERK'S orFICEON JANIJARY 12. 1926 A - n r "-i.�e."w SUItVRYSU ` • .ir i►-o.v�Jll�°�.w`i V TO: CfAO .4 1, L. f3 fiiF/EO NL - -�-- -� _ Michael P. sirico - � Alliance MouJ.nge BaliklJlp,Corp. ITS svc e4JAF9 •Nb"{IIL dJ1141J1 I�..m+, � /V�/Z - Chicago T'ille Insurance Company w^olw.rww�ww.. M. Tom. r L- - Rom Abstract r- OOT.00 =U :TION:-____- J47-eo 7� �•. RtiH LOOJNITYt------ S♦/U.�F�oF�aGK - AIG APPLE LAND 5VNVgVOK9, BY---___-'� n 6902 15(1 . AVON UE ('(1 BROOKLYN N,Y. 1(f220 rtL (n�) ]JI-vaw rrr_Plq )L au1 _��