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�