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HomeMy WebLinkAbout23298-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24788 Date DECEMBER 5, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 200 E. LEGION AVE. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 143 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 16, 1996 pursuant to which Building Permit No. 23298-Z dated MARCH 14, 1996 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 EXISTING "SEASONAL OCCUPANCY" DWELLING TO YEAR ROUND OCCUPANCY AS APPLIED FOR. The certificate is issued to JOSEPH & DIANE AIELLO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-291132 - DEC. 11, 1995 PLUMBERS CERTIFICATION DATED NOV. 19, 1996-JOSEPH AIELLO F Bu,Zlding Inspector 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) Date................... � ........................ 19...... �� 23298 Z Permission Is hereby granted to; .............I............................. ..... ...... ........................... ................................ to dI L t�........�IT ....... l rr! ........? .�1�:�...�..... G ..... ................ (�r ?........ ..... .. ....... .......<� ......... ...... '. .......... � .................................................................................................................................................................. ........................................................................... ... . ,F��.................................................................... at premises located at.......... .........!° :..........r............................................... ....................... ..................................../..:.... �(...7..� ...............................................I ............ 6" County Tax Map No. 1000 Section .... ,� ......... Block........ �....... Lot No. ........ ......... pursuant to application dated ........../0.1�5;� ..el .........................1 19...... and approved by the Building Inspector. Fee Fee$.. .1.�✓.............. �i Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. Copy of Certificate of Occupancy - $20.00 - 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. . . . . Location of Property. . . . . . . . . . . . . . . . . : . . . . . g0G CA.11 .lQ�-!•da✓ . . .; !�1 t �C a. . .. . . . . . House No. N Street Hamlet Hamlet Onwer or Owners of Property. . . � • • • • • • • • • • • • • • • • Count Tax Ma No 1000, Section. . . . . . .Block. . . . . f. . . . . . . . . .Lot. . 4. . . . . . . . . . . . . . . . . y P • • Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . tPl Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. .!..". . . . . . Final rtic te. . . . . . �` FEB 16 IC�O6 Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` -- �'�iPJr., ��� . . . . . . . . 'APPL*CAN. . . . . .-:. . . : . : . . . . . . . . . . . ®�og0FO4�®G Town Hall, 53095 Main Road ;;r Fax(516)765-1823 rn P. O. Box 1179 � � Telephone (516)765-1802 Southold, New York 11971 i OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: 96, Building Permit No . Owner: AS-5 {please print) � l Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (P umbe4u Signature) Sworn to before me this: day of IyIdleW6.uy , 19 .9(0 Notary .Public., ' lyehl 3/v)-K County VICTORIA BRANCHE Notary Pu6Qe, State of New York No. 31-4733764 Ouaf?Fld ip rnpnty ier=,IXl ral�rr,., ��.. nc ,ti 31, 1892 DUNE I - I THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 i 1025094 BUREAU OF ELECTRICITY B5 JOHN STREET, NEW YORK, NEW YORK 1003E I DECEMBER 11,1995 81586293/93 N 291132 I i Date Applirtition No.on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JOE AIELLO, 200 EAST LEGION AVENUE, POLE#2, KhTTITUCK, N.Y. in thefoliowing location. 0 Basement iE Ist Fl. _ 2nd Fl. OUT. /LOFT Sertion Block Lot was examined on SEPTEr�ER 29,1993 and found to be in compliance with the National Electrical Code. FIXTURE I FIXTURES j RANGES 1COOKING DECKS 1 OVENS IDISH WASHERS I EXHAUST FANS OUTLETS ECEPTACLES! SWITCHES (114CANDESCENTJ FLUORESCENT OTHER MIT. K.w. I AMT. , K.W. I AMT. K.W. I AMT. I K.W. I AMT. I H.P. i 8 114 13 8 I i DRYERS I FURNACE MOTORS FUTURE APPLIANCE FEEDERS (SPECIAL REC'PT TIME CLOCKS REU. UNIT HEATERS I MULTI-OUTLET DIMMERS SYSTEMS I AMT. I K.W. i OIL i H.P. GAS H.P. AMT. I NO. A.W.G. I AMT. AMP. AMT. AMPS. TRANS. AMT.I H.P. NO.OF FEET I AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. I AMP. TYPE METER i I X 2w 1�3W 3 6 3w 3.0 1w; NO.OF CC.COND. A.W.G. NO.OF HI•lEG A.W.G. NO. NEUTRaIS A.w.G. EOUIP, I PER 8 OF CC.COND. Or MI-LEG I OF NEUTRAL - • I 1 100 CB 1 X 11 4 i 1 4 OTHER APPARATUS: I MOTION DETECTORS.-2 MOTORS:2—F H.P. i I G.F.C.I:-4 j SMOFM DETECTOR:-1 TRACK LIGHTING:-4 BRIAN BROOKS LIC.#3613—E 77 HALLOCK LANE i ROCKY POINT, NY, 11778 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. i I moo Eits4- L� 1"0,) Aw �WaQr,L& of- OL K-JA OAS also - -�-U was r I � A, Lk air, TosT4 P� e\�o C+. vvl �� fFQ(,�coG 0 W z Town Hall,53095 Main Road p Fax(516)765-1823 P. 0. Box 1179 y �� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 19 , 1996 Joseph & Diane Aiello 200 East Legion Ave . Mattituck, N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. outdated xx The check is x=xfdKlaac) $25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder. Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 23298-Z Please contact our office on this ,matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. *YOUR CHECK #2084 is RETURNED HEREWITH. PLEASE SUBMIT NEW CHECK IN THE AMOUNT OF $25 .00 ALONG WITH SOLDER CERTIFICATE (ENCLOSED) SO THAT THE CO & PRE CO CAN BE ISSUED. J ,65.1Soz BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [, }-FINAL [ ] FIREPLACE & CHIMNEY REMARKS A X zggo'-Cof oz oq 4—el-- DATE 101W /ff, _INSPECTOR ��y 'Culotl 10"VORT DATE' FMINDAT I Oil I,;*I ----------- ['01)N DAT[Oil Off[)) ItO1)(;II FRAI-11, VIARM I NG I IMULATI OU III'-It N. Y . STATI t I P'.I t G,y CODR, ---------- -------------------- F 1.11AI, ------------- ---------------- -------- T�, -----------------=—----------------------- ------ -:z:. o Q ------ ------ AI)D1'rIOIIAI.. cowivurs: L� BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . TOWN OF SOUTHOLD /SURVEY . . . . - . . . . _ . BUILDING DEPARTMENT / CtiLCt: . . . . . . _ _ . . . . . . . . . . . . TOWN HALL SEPTIC FORD! _ . _ . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOT 1 FY ; f� CALL . • . • . . . • . . . Examined . . . . . . . .� . ., 19QQC. MAIL T 0 : . . . . . . . . . . . . . . . . . . . . Approved . . . . . . . .�`�` Permit No. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . � �. . . . . . . ., 1996. 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- catiofi. 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buil i g code, using. ode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe ions. ( r . . . . . . . . . . . . . . . . . . . .. .... . . . . . . . . -- (Si na of applicant, or name, if a corporation) (Mailing ad7iress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . . 5 /-. `�"•�tvil - a !^S�-I� .`(a's''on'.the:tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. APP OWED AS DOTED . . . . . . . . 3 �� �.P.# (Name and title of corporate office' , '� FEB FEE: %✓ BY: Build�e�i� I���i� , , . . . . .,.�QTIFY• BtJILDING DEPARTMENT AT AS ( 765-1802 9 AM TO 4 PM FOR THE V Plulye �LisIil���A ,��L . . . . .FOLLOWING INSPECTIONS: �r t�C ;=" � T ' I T i FOUNDATION - TWO REQUIRED = - ElecYrYc���OUTSER! IFICAT F FOR POURED CONCRETE iNDER ,FRITHS vER-TIMATE F r�- ��� F ' 2.• ttOUIV •-•FRAMING .& PLUMBING li_ ;1lRED Other Trae siceilseN'o �. . . , , .3. INSULATION F 4. FMAL '= 'CONSTRUCTION MUST BE COMPLETE FOR C.O. 1. Location of land on which proposed workAM:41 ltq1haMUCTION• SHALL- -MEET . . . . . . . . . . . . . . . . . . . . . . . . . . . • • . . . THE REQUIREMENTS OF THE N.Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .STATE. .CONSTRUCTION •&• ENERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number COIS1fhet NOT RESPONSIBLE FOR Hamlet DESIGN OR CONSTRUCTION ERRORS County Tax Map No. 100'0 Section Block . . . . . . . ... . . . . . . . . . Lot . . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . Filed Map No. . . : . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of remises and intended use and occupancy.bf proposed construction: a. Existing use and occupancy . .` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . Repair . . . .,X . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . ..�<. . . . . . . Other Work . . . . . . . . . . . . . . . (Description) A. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . ..:-7�. . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . 7. Dimensions of a isting structures,if any: Front . . �1•. . .. . . . . . Rear . . .. ... . . . . . . . . Depth . .a.-W. . Height . . . .t�. . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . h . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . .d�-4.. . . . . . . . . Rear .1%1 Depth . . . . . . ..94. . . . . . . . . . . . . Height . . . .I . . . . . . . . . . . . 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 � 9 . . . . Name of Former Owner . . ,�iGsC��Y.fGb'1nC. . �i;.or-lq• 11. Zone or use district in which premises are situated . • • • • • 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded . . . . . . . P. . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address. . . . . . . . . . . . . . . . . . . . Phone No. . . Name of Architect. . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . Address . . . . ... . . . . . . . . . . . . . Phone No. 15. Is this property within 300 feet of a tidal wetland2 *Yes, , , , , No. a ' *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, an&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. rMrty STATE OF NEW YORK, S.S COUNTY Ol�uffolk • • Diane Aiello being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 -performed in the manner setforth in the application filed therewith. work will �Sworn to efo me this / Yldotary Publ'ac 8tite of ®w York otary Public, NO 5nsuolkGoo,nty . . . . • Coun Duelion • ires Jun®30,18 Gpmmission fexP . . .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �+ (Signature of applicant) Joseph Aiello 200 East Legion Ave. Mattituck, NY 11952 516-298-1145 H Town of Southhold Building Department Town Hall Southhold, NY 11971 Attn: Gary Fish Dear Mr Fish: Please find the enclosed application for C.O. and building permit. I have provided copies to the board of fire underwriters certificate and the insulation report. I have enclosed a check for $100 to pay for the Pre-C.O. I understand that I will need to get a final C.O. after the work is completed. If you have any questions please feel free to call or write me. Thank you for your time and consideration in this matter. r gupi-das,Joe FED 1 6 n96 i JbJei � � f�lchc /ji�ll�. VP = *•---� 12-/t g�r5 71 ''r� � �`• RRF%EIS - ,t % 2� o_e... s r uLATloi✓ K .-T1'R 0Ffl A1'1 !P/S die CalivE�✓To v x L �. R o / �� r O AT itAr .4 A CF+tiN� �qrN di L J ;BEVKO A^iv of tlaos� / / IV) ?GNf oN SOV7� NP ! Ir I/ S h�? I �G is ,c use Q' ►n c.J, h ors • I ', j'r.� '.` � ' 1L o�rs r� WALLS' 14 co FovSHEC Sv3 fLev�"�I _ f75Cl:G �t/LL 3 X F�Ooa SEAMS r7 �rA16' Fa Al / LLO ;t,...• �'.: ToSEPH AeJD VIANfi RIE rAST LEGIod AVE. i 3 3�'Ii•'N/NP"v W�,jDoVol " 36 w/Nvow z :3 ; a .z .Q \ �z V . w °o N S1sj4 o�� f� . i P "Co oT �� r gd�