HomeMy WebLinkAbout23369-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24571 Date AUGUST 15, 1996
THIS CERTIFIES that the building ADDITION
Location of Property 2405 MARRATOOKA ROAD MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 123 Block 2 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 9, 1996 pursuant to which
Building Permit No. 23369-Z dated APRIL 15, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOSEPHINE PIGNATO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-392735 - JULY 31, 1996
PLUMBERS CERTIFICATION DATED JULY 29, 1996-ROBERT VAN ETTEN PLUMB.&HEAT
4
;7
/4uildirlg Inspector
Rev. 1/81
S
1
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 .......... ... ........... .......�...................., 19l.. ...
�� 23369 Z
Permission Is hereby granted to;
.... ............................. ....... ....� ..........................
.... . .� .'.. ......................
to ..... � .. . .... ...... ............
... . .. .. . .. ............ ......................................... .�...........
..................................................................................................................................................................
.........................................................................................................................................................
............................................................................................... ..... ................ .... .......................
at premises located at..... �� ........./%GG ........ G�� .../e'er
....................... ............................................... ....................t'� ................................................
County Tax Map No. 1000 Section ........ .. Block......C�............... Lot No. .. ....................
pursuant to application dated ........................ �. �T.'.,�...... 19J ..... and approved by the
Building Inspector.
Fee$...XJ .. ......
.......... .......................
........ ... ......
Building Spector
Rev. 6/30/80
-- T0tvi1 0 F SOUTHOLD ` ' -
����
��" '� l5 0 U � � � 3U=LDLNG DE2zLRTY-EV'I'
�® 706v-N HALL
'�a JUL 2`3 765-1802
i
BLDG.DEPT.
LPPL=C.zT_ION OR.CE3T_FiC '_"_ Or OCCUP_-NC`�
TOWN OF SOUTHOL®
�. This application trust be =_pled In pV tyDeT.yTi ter 0R inK and submitted cothe bLli idZZg
iasDector wi-fh the foliowi ag: for newbuiLdin or ae*a use:
1. F_nal SurVey Or propert;7 rw-'to accurate Location of all buildings, property lirhas,
streets, amd unusual matura- or topographic features.
2. rinai �pDroval =r am Heallth Dept. of water suDD1V and sewerage-disposa?(S-9 -form) ..
3 . ADDroval of electrical installation from Board of :__e Underw-riterS.
�' . Sworn Statement -from plumber cart__y-ng that the solder used in system contains
less than 2/10 of Lo lead_
5. Commercial buildin„ Inaustria-1 building, multiple residences and similar buildings
and 'lnscallat?ons, a ca;t'-fticate of Code Cowliance from architect or engineer
responsible for the bum ding.
o.. Submit Planning 3oard approval of completed site plan reauirements.
B. t7or `misting buildings (prior to April 9, 1951) non-conforming uses, or build no's and
"pre-?Yist_ng" Land uses:
1 . accurate Survey of DraDert-7 show:Lmg all Droverz7 lines, Streets, Dui_aing and
unuSaal natural or tapagrapaic features.
2. L orooeri7 completed aDDlicat=on and a consent to =T1Spect signed by the anul cant.
if a Car=7 cata of OcclDanc-,7 s denied, Cite 3u1_i-fn- 7asoector shai- State the
reasons therefor im - ruing to tale applicant.
s
C. Fees
1 . Certificate of Occupancy - New dwelling 525.00, ldditions to dwe?_= ]25.00,
.1carations to dwelling 325.00, Sun_i=ing pool. '325.00, accessory bui_ldfag S25.00,
Additions to accessory building S25.00. Businesses S50.00.
2- Certificate of Occupancy on Pre-esisti.ng Building - �LOO.00
Copy of Certi_icate of Occupancy
Updated Oaru=;care of Occunanc;r - 50.00
5 . Tamporary Carti_icatz of Occupancy - Residential S15.00, Commercial 515.00
Dace d!,i��. . . . ... . . . . . . . . . . . . . . . . . . . . . . ..
New Cons z-ucti an. . . . . .. . . . . Old Or ?=e-existing 3uii�dii9n7. V/ . . . . . . . . _ . .�./.
Location of Property. . . . . R6tM, e2s���Q's,,.�1��t-Gr . . . . .. . . . . . . 1 G�l.�=A-k1 < .. . . .. ..
House No-. Street. Hamlet
Onwer or Owners of Property. . �/e�3� �iya?� ..!l: . .�l�?2 . . . . . . . . . . . . . . . . . .: . . . . . . .. . _. . _ . . . . .
Count] T�Y `yap No 1000, Section. . /,1 3. . . . . . .Blocs. . . . . . . . . . . . .Lot . . . . . . . . . . . . . . . . . . . .
Subdivision. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .Filed 'Hap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
PsrmJ_t No.4.336 /. . . . . . .Dana Of Pe=i_ �YE/_� - . onlicant.
tiealth Dent. ADDrovai. . . . . . . . . . . . . . . . . . . . . . . . . .Under-.aritars ADDrova!- . . . . . . . . . . . . . . . . . . . . . . . .
?lanni_.g 3oard approval. . . . . . . . . . . . . . . . . . . . . .
3aauest 'or: Temp07ar7 Carti'icata. . . . . . . . . . . .ina Carticate. . . . �`: . . . .
,ee cubmitted. � . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
:lpPLICAIKE
QJLcC•
C6 �-a�f S7I
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i.
1000121 BUREAU OF ELECTRICITY
F 85 JOHN STREET, NEW YORK, NY 10038
Date JULY 31 r 1996 Application No.on file 12154596/96 ' N 392 735
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
J.A. PIGITATO, 2405 IMARATOOKA ROAD, 1IATTI`.1'UCK, N.Y.
in the follotcing location; ❑ Basement EZ Ist Ft. ❑ 2nd Fl. OUT Section Block Lot
was examined on JULY 26,1996 and found to be in c�pliance with the National Electrical Code.
FIXTURE FIXTURES RANGES' ICOOKING DECKS OVENS I DISHWASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER —T. ew- AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P.
5 9 9 4 1 1- F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SW CIA1 REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF ST _C7})l� E_ R V I C E
AMT AMP TYPE METER 1,0•YW 1 0 3W 3 A'3W 30 4W NO.OF-CC.COND. 'A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G.
EQUIP. PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL
OTHER APPARATUS:
PADDLE PANS-2
MOTORS-.2—F H.P.
G.F.C.I:-1
SMOKE DETECTOR:-3
PAUL R. BURNS LIC.#3897—E �_ l.. L
P.O.BOX 1061
SOUTHOLD, NY, 11971-0932 GENERAL MANAGER
>b 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.
Town Hall, 53095 Main Road C4 ` y Fax (516) 765-1823
v
P. O. Sox 1179 v- r v Telephone (516) 765 1802
Southold, New York 11971 �� T
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE
Building Permit No .
Owner: 5—cSe-ek Itie e1'5( 41L0
p eal se print)
Plumber:
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(PlumbersSignature)
Sworn to before me this
a c/ day of 19
Notary Public, �Count YiELENED.HORNE
Notary Public,State of New York
No.4951364
Qualified in Suffolk Countyy
Commission Expires May 22, 19
40�
765-1802
BUILDING DEFT.
INSPECTION
[ /FOUNDATION iST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE �� � INSPECTOR �vJ
�-3 3 (42 �-
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACES CHIMNEY
REMARKS:
DATE '
INSPECTOR a
765_1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST [ OUGH PdBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS:
DATE INSPECTOR
765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS•
DATE '(� � INSPECTOR
rss-iaox
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND IN TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
-zz
DATE INSPECTOR
���| x�[VKT UNl
l
� �_---- -_'-=
----------------------------
I WHITATI 011 111,111 11. y .
4x
------------
------------- ,,KI
-'--'----'-----'-'-------------------'----'--------- !
__--------------
�-'
' � ' - '--'-----'---------'-- -'--''--_�__ ---____
---
| '
\
BOARD OF HEALTH
FORM SETS O�PL.INS ,
+ • . . . . . .
SURVEY • ,%,
1' AM "'g TOWN OF SOUTHOLD CHECK P/ , , _ _ _ _ . . . . • • ' ' '
BUILDING DEPARTMENT SEPTIC FORPi • • '
TOWN HALL " " " ' • • • • • •
SOUTHQLD._L\L.Y_t1H7t NOTIFY ,' 7 ,
� � TEL.: 7G5 1a02 t! CALL
Examined . , , , 19 111W MAIL TO :
Approved . . . . . . . .l l j • . . . . . . . . . . . .
.Permit No; . 36�
ji
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . .
. . . . . ... . .. . ..
• qJ//! p
.(Bc,i**ing•Insp. .tor) . . . . . . . .
PPLICATION FOR BUILDING PERMIT
' Date
- INSTRUCTIONS
a. This application must be completely filled in by typewriildi
bets of plans,accurate plot plan to scale. Fee scco ter or in ink and submitted to the Bu
rr}ing to schedule. n-IiITRectnr,vritt
b. Plot plan showing location of lot and of building
s on or areas, and giving a detailed description of layout of property mustsbedra relationship on the diagram which is pan ininq premises or public
bl�ssare:
cation.
e. The work covered by thus application may not be commenced before issuance of Building PF
-d. Upon approval of this application, the Building o Permit.
shall be kept on the premises available for inspection throughout the work.pector will issued a Building Permit to the applicant. Such perry
e. No buildin- shall be occupied or used in whole or n part fo any purpose whatever until a Certificate o
shall have been granted by the Building Inspector.
f Occupa.�tc
APPLICATION IS HEREBY MADE to-the BuiIding. Department for the issuance of Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other aBuildint, Permitg
Regulations, for the construction of buildings, additions or alterations, w for removal 3PPliable Laws,
, rsuant.to tl•
applicable as he, Ordinances c
The applicant agrees to comply with all applicable laws, ordinances, building demolition, as herein describec
admit authorized inspectors on premises and in building ry P code, housing code, and regulations, and t
for necessa ins ecti S.
/
• • �-:e .pL. . . . . . .
(Signature of: or name, corporation ' . .
)
(Mailing address of applicant).
State whether applicant is (Mailing
owner, lessee, agent, architect, engineer, general cont ractor, electrician,. . . Yr Lr-d,j. . .�o YrT Y�ct,c� b tom. . . . . . . . . . .. . . . . . . . . . .. . . . . an, Plumber or builder
s��?,�? •_ • • / . . . . . .. . .. . . . . . . . . . . . .. . . . .... . ... . .
Name of owner of premises
(as on le tax roll or latest deed) • �� ' ' ' '' ' ' '
If applicant is a corporation, signature of duly authorized officer.
. • (Name and title of corporate officer)•
Builder's License No_ .-.� __�-i... . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. •9�. �,�;: • . • • • • . . . .
Other Trade's License No. . . . , , , , _ • • . . . .
I• Location of land on which proposed work will be done:
!louse Nunr b 'r . . . . . . . . . . . . . . . Stree . . . . . . . . . . . . . . . T 441 4-tL l<
t. . . . . . .
Hamlet ' ' ' ' '
County Tax Map No. 1000 Section ✓. • • . . . . . . . . Block , , • •
Subdivision . . . . . . . . . . . . . . . . . . Lot . . . . . . . _ _
• • . . • • . Filed Alap No.
. . . . . . . . . . . . . . Lot . . . . . . _State existing Ilse and occupancy of premises and intended use and occupa • .
ncY of proposed constriction:
A. Existing use and occupancy. . ;S,i.h c� �e_.�ct rn !.y • • ;g i� P in 6- • . .
: :��:' . .c:
B. Intended use and occupancy. . • J`•t:�;';1 p• I` Sl c���,; :. . : ' . . • .
' • .. . . . . .
3. Nature of wort: (check which applicable): New Building . . . . . . . . . . Addition .I�. ` •!=T• • • • f.Uteration • _ _ . . .
Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition ...Sw'1nap..p.oayl
Tennis Court . Accessory '
Building. . . . . . . . . . Fence t er Work: •�•
4. Estimated Cost . AA .a Q 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � . . . . . .
. . Fee . . . . . . . . . . . . . . . .
4 0. be paid_on N�.wn;g rv>applrcatronl
5- If dwelling,number of dwelling units . . . . . . . • . , , , , . Number of dwelling units on each Moor .�
If garage, number of cars . .K%-4 • , •
6. If business, commercial or mixed occupancy, specify.nature•and extent of cacti type of use . . . . ..4• . . • . , • • • • •
7_ Dimensions of existing structures, if any: Front . '4Q. . . . . . . . . . . Rear 4 0. . , . . . . . . . . Depth . -60 '
Heiglit . . . J A f. . . . .l . . . . . . . . . - . . . ' . . . . . .
. Number of Stories , �• ,
Dimensions of same structure with alterations or additions: Front �,�•� . . • • • • Rear . .o . • . . -
Depth r►e.l�e�m,•e eed. . . . . . . . . . Ilcight . . . �. . . . . . . . . . . . . . . . : . . . . . . . .
8• Dimensions of entire new constnuction: Front . • • Nuriibcr of Stories . . . . . • .
. � . . . . . . . . . Rear ?.Q . Depth
Height ��Ljrt Q • • Number of Stories . -
9. Size of lot: Fiont . . . . . . . . . .
•1.�. . . .. . . P.ca: .�:�.�. . . . . Depth . .�,5•�r. . . . . . .
10. Date of Purchase . . . .d. .8.�. . . . . . . . . . . . . . e h aw n . . . . . . . . . . . . . . .
. . . Name of Former Owner !? . • • . . . . . . .
11. Zone or use district in which premises are situated . . . . . . . . . . . . .
12_ Do'es proposed construction violate any zoning law, ordinance•or regulation:.
. . . . . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . . - _ .Will excess fill be removed from premises: Yc:'e".
14. Name of Owner of premises_A i;v-�a a .,�49—....Address :Zyas Na►:r�uiooka �'v�+�.Mal Phone No. . . . ... . . . . . . . .
Name of Architect •- .Address - .Phone No. . . . . .
Name of Contractor -PAV21 I PAS,./• .• • • • • • . •Address 3 7f3,S- �1S,ir�•dr'_e:�" . . . Phone No.3 �a 8
15_1s this property located within •3po feet of a tidal wetland? *YES.' . . .NO .�.`.
*If yes , Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimension-, ::
property lines. Give street and block number or description according to deed, and show street names and indicate
interior or corner lot.
Pi e-cis a -s.e
STATE OF\ENV R ' /
COUNTY OF . . S.S
•- - • •r• •�• • �� �• • • . • • • • • . • . . . . . . being duly sworn, deposes and says that he is the applica:
(Name ofindividual signing contract)
above named.
H-cis the . . . . . Cp. ?I . . 'W� �.✓ . . . . . . . . . . . . . . . . . _
• -
(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 th
3PPlic3tion; that all statements contained in this application are true to the best of his knowledge and belief;and that t!,.
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this `
. . . .. . . . .day of. . 1�1 !. . . . ., 19 �
\'ota Public, �,• ,
r5' ,... . .� �. County
CLAIRE L.GLEWv�'�
Notary Public State of NOW York .G�: :":! .
Nca:487$505 . . . . . . . . . .
Qualified in Suffolk County (Srgnzture of appliesn'
Commission Expires December 8,19
y. c. •�
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i IF e. 11 ttoom�.toa of
$1,10cl 72^7 Cr Or•N•tr Yarh•otlt ��1•.��i!aF.'Y,� M�:�.J�+'.!C r7N1''�•: -y� '�� JJ�Iti L.0
; "dacation Lou.
Ceo1•edtMa•r"wINIP10bWing G•= .J;c�/��
S W low w�:ws•brew eem a
-"i I - • •meo.rd 540 date"nat be a,rdimaa - •- .. "' __� .
_ .:
r+�`: SI „� - - i � �.. ._ - -_.._ _ _ � Ouerwlr•e kdioteC hw•pttlNfl tvn _. . - �:...'.. _:._- ..' -— r�V �:��
x +� .. "' _•' 'r''' -. --r r or r -rw,o,ns v a rot •.. _ j'�/,c •� C,. ^�l
't M e-,.:Rn-i.Cawm.r wm e',.
A mv arid11,nCtluiv n hinvi M+,f+n and
to to tevloea of the tar.Grnp ina« - -- 1�,.•'� �-/r
+ - ration.Guarantees are not tranrerehb --._.- lc•7a.
ENERGY CODE CALCULATIONS
(For Nan-ElecL-ric Ileat) Design Criteria 6 , 000 Degree'.Gays
0.11. JOOF I .A. 70OF
FOIL: , J& PER:
q u c DATED•
DESIGN TIII RMEl; REMARKS
SUBSYSTEM AREA IfU° RATING
Ex Lc .i.oj. Walla (opaque) �p� 10 .5,
Glaziny %
Doors
Ceili.11y/hoof (Opaque) 4,?7
Skylights S � (� 3 ! f
Floor C 3 0.
. ®'r
1 oulldaL-ioll Walls
Slab Insul.atioli
TOTAL
Notes !
13uilcll.ny Envel.ope Systems to meet- requirements of 7015 . 2
I1VAC Equipemeht to meet requirements of 7015 . 11
IIVAC Systems to meeL- requirements of 7815 . 'r2
DucL Systems to meeL- requirements of 781.5 . 1.3
VenL:L.laLiollu SysLems L•o meeL a:eduia:emcllLa of '1015 . 14
1.11SUIULioll of p1pilly Systellls to meet r.cquircmenLs of 7U15 . 15
Sel:vice Water Heating Systems & EquipmenL• to meeL requi.r.ements" of 7U15 . >.1.
ElecL.rical & LighUng Systems & EcluipmenL to meet requirements of 701.5 . 31
To the best of my knowledge, ,��. c� p
belief, & professional
juc1ye111e11L- , these plans are
colnpliallce wiLll the code.
a :� �
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UNDERRITERS CERTIFICATE
RQU
ACPF 0 '
j. . _ , S MOTED
IN
NOTIFY BUILCI-M OEP T
i - 765-180:� _0• PR71 FOR THE .
- . . .._ ......._.. . ..__..._... __._. ...... _-•- ----FOLLOI@ilhl���I•�rc FryTi.OkVS: ._-- - .
I 1. FOUNDATION - TWO REQUIRED
CONCRETE" -
.._..._.2._ROUGH - FRAMING & PLUMBING
3. INSULATION
�rL PL.0 R-TIFICATI --- --4.---FINAL =-•'CONSTRUCT10N_.MUST.
'd° o
i ♦ a . .._
0AA LEAD COOT BEFORg• ' BE COMPLETE FOR C.O.
ALL CONSTRUCTION- -SHALL MEET
CERT'F1CAT_ 0F XUN Cy .__THE_ :REQJUIREMENT$ OF THE N.Y.
STATE CONSTRUCTION & ENERGY
SOLDER. SE TE CODES. NOT -RESPONSIBLE FOR
S+ PPLY SYSTEM CCAMV0T DESIGN OR CONSTRUCTION ERRORS
PLUMBING'
__. ALL PLUMBING WASTE''
-- ..._--&W. ATER LINES.NEED... .. .. '.A, Copppr;ubing is used
TESTING BEFORE COVERING for water distributing
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PROVIDE-OPENINGS-FOR
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