HomeMy WebLinkAbout35994-Z �OSufFOlkcoa. Town of Southold 9/15/2024
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y P.O.Box 1179
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o _ 53095 Main Rd
d oar Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45556 Date: 9/15/2024
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 940 Marratooka Ln,Mattituck
SCTM#: 473889 Sec/Block/Lot: 115.-3-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/25/2010 pursuant to which Building Permit No. 35994 dated 11/3/2010
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:
boiler installation as applied for.
The certificate is issued to Cutrone,Paul&Christina
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
th riz Si nature
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. 35994 Z Date NOVEMBER 3, 2010
Permission is hereby granted to:
PAUL CUTRONE
940 MARRATOOKA LA
MATTITUCK,NY
for
BOILER INSTALLATION AS APPLIED FOR
at premises located at 940 MARRATOOKA LA MATTITUCK
County Tax Map No. 473889 Section 115 Block 0003 Lot No. 017
pursuant to application dated OCTOBER 25, 2010 and approved by the
Building Inspector to expire on MAY 3, 2012 .
Fee $ 200 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FIELD INSPECTION REPORT DATE COMMNTS.
FOUNDATION(1ST) - --9
FOUNDATION(2ND) t�
ROUGH FRANCIL C
PLUMBING
V
r
INSULATION PER N.Y. - H
• STATE ENERGY CODE ;
FINAL r.
ADDITIONAL.CO NTS
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 - �' 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (63.1) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. 9 Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit, ,
Examined �1 ,20 Storm-Water Assessment Form
Contact:
Approved f' ,20/0 Mail to:_IUL ertwhN.41
Disapproved a/c
Phone:
Expiration � ,20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date /O G , 20 /0
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 waterways.
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 a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy. y - '
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter,,a new permit shall be required.
APPLICATION IS HEREBY MADE-to the'Buildirig Department for the is§t-ance'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.
, O NOTED
(Signatur of/applicant or name,if o oration)
f! DATE 3 f6 B.P.# _5
6 w go �•6 w -Pki- s 3A X��1
FEE:
NOTIFY BIJOK6 DEPAR 1 T
7 -180 AM TO 4 PM FQR THE
State whether applicant is owner, lessee, agent, architect, engineer, gene cL plumber or builder
1 FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2 ROUGH-FRA ,
Name of owner of premises C u 72 D1i , U L STRAPPING,ELECTRICAL&CAULKING
(As on the tax roll of lat; dSTRUCTION &ELECTRICAL
If applicant is a corporation, signature of duly authorized office 1,IST FG G�=':1PL�TE.FOR C.O. ..
001P � � C7..��%Y�JU.9 L PLfJI/ , ,lY�'r �r� �. .r.,c a T'�� cu0i' %'PC:FT TWE' '
v
(Name and title of corporate officer) , .
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_
CER
T I ���F r oiORS.
''Builders License No. , ( ;` ����
Plumbers License No. 3 lr— P o ,., D
Electricians License No. ; ,�w ..1
Other Trade's License No. UNDFRWRITF?�^FRTIFICp,„ SEP 2 5 2010
BY---_-----------------
1. Location of land on which proposed work will be done:
ql5i:� /V",&M Z4,Vr /11,41-�7,�
House Number Street Hamlet
l County Tax Map No. 1000 Section Y�3 � �� B1Cc&,: '� ••. .3,, Tt7 Lot
Subdivision Lot
,�s',,`-`.1a 1;7 .:.i;1+:,� .�_, .:+i.v ('l;>;.,.'•II(ir17C1�
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Sj V6Lg_f* j%"
b. Intended use and occupancy SAWS
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Wor Vj Ate 5 eAYV c� l�
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of-cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
)(10. Date of Purchase AP IL)L, Z-u b 6 Name of Former Owner U NJ U L L
7(11. Zone or use district in which premises are situated e A o Pi;n-Ty CODE A/ u
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOX
13. Will lot be re-graded? YES NO_Will excess fill be removed from premises? YES NO
3g—a -voS7
X14. Names of Owner of premises PA vL CuT2u-j5Address //Y /loysnvr1-71 r, phone No. �-/ 6 '
Name of Architect Address G)'20,CN c/z y� i ophone No V 6
Name of Contractor WiSM4 aysa/acp, Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland'? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED,.
16. Provide survey„to scale, with accurate foundation plan and distances to property lines.
17. If elevation at Ativ..,point on property�is at 10`feet or below, must provide topographical data on survey.
18. Are there'any and r"dAnictions with respect to this property? * YES NO
* IF YES, PROVIDE A'iCO�'Y?���!
0.9'4!UL03 1 1,T01T -V1,01TrVi:ji' .
STATE OF NEW YORK,.EitnU.l1
1b"!'7 0�AM .
COUNTY OF
being duly sworn, deposes and says that(s)he is the applicant
\ (Name of mdividual'signing contract) above named, _
(S)He is theLy�
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to bef9re me this "
d of
zmf CARI OS
. CASTILLO
Notary Public Notary Public,State•of New York Signature o Applicant
No.01 CA6135623
Qualified In'Suffolk County
Commission Expires October 24,2013
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CERTIFICATE OF LIABILITY INSURANCE DATE(MMroO/r"
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
L-10/27/2012
Michael A LaSorsa Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
23 Oakwood Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Huntington, NY 11743
631-421-4284 INSURERS AFFORDING COVERAGE NAIC#
INSURED Rick Genova Plumbing & Heating INSURER A Ratig6re CaSUalty Insurance Co.
Richard Genova dba INSURER 6;
110 Woodrow Parkway INSURER C:
West Babylon, NY 11704 INSURER D:
INSURER EI
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POUCI@S,AGGREGATE LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS.
INSR D1
LTR NBRo TYPE OE INSURANCG POLICY NUMBER POLICY EFFEC VE POLICY EXP TION
DATE DJYY DAT MMIDDIYY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE S 1 O00 000
X COMMERCIAL GENERALL)A9fUTY
PREMISE$ Es=,".noe s 100 0Q0
CLAIMSMADE g OCCUR MEDq(P(Any�person) $ 5 000
A SKP-3106885-10 5-15-10 5-15-11 PERSONAL&ADV INJURY s 1 00,000
GENERAL AGGREGATE s 2.000.00o
GERLAGGREGATE LIMIT APPLIES PER; PRODUCTS-COMP/OP AGG $ Q 000 IJ�O
POLICY , JE c LOC
AUTOpgOSILE LIABILITY
ANYAUTO COMBINED
INGLE LIMIT $
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY
IL $
HIRED AUTOS
NON-OWNED AUTOS BODILY INJURY
(Perewdenl) $
PROPERTY DAMAGE $
(Peraaidvnt)
GARAGE LIABILITY
ANYAUTO AVTOONLY-E.AACC10ENT $
OTHERTHAN EAACC $
AUTOONLr qGG S
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE g
OCCUR CLAIMSMADE AGGREGATE $
$
DEDUCTIBLE
RETENTION S
S
WORKERSCpMpENSATIONAND yf
S
EMPLOYERS LIABILITY YLIMIT ER
ANY PRDPRIETQRIPARTNERlEXECUiryE E.L.EACH ACCIDENT
OFFICEMNENIBER EXCLUDED $
SA
E W RROunderrNS below E.L.DISEASE-EA EMPLOYE $
OTHER E,L,DISEASE,POLICY LIMIT S
DESCRIPTION OF OPERATIONS LOCATIONSIVEHIC BY�NDNI EIyIENTI kI,PROVISIONS
D
FOC272010
CERTIFICATE HOLDER GAN ELLATION
Town Of Southold TOWN OF SOUTHOLD SHOO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
54375 Main Ad. DATE THEREOF,THE ISSUING INSURER WILL EQIDFAVOR TO MAIL30 GAYS WRITTEN
Southold; NY 11971 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Attn: Gary , IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENT IVES.
`'• AUTHO Err IVE
ACORD25(2001108) OACORD CORPORATION 1988
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