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Home My WebLink About12563-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14153 Date January . 15 ................................................ 19 86 THIS CERTIFIES that the building ...... .A .c .c .e .s .s p .r y ................................. Location of Property ...3.6.0.5 ......... Camp Mineola Rd. Mattituck House No. Street Ham/et County Tax Map No. 1000 Section 123 .Block 06 . .Lot . 012.004 Subdivision .......... .X .................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...A.ug.u.s.t...9 .......... 19.8.3. pursuant to wlfich Building Permit No. 12563Z dated .... .8 .ep .t .e.m.b .e.r....4 ........... 19.8.3., 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 ......... - ...... New Accessory Building--Tool Shed ....... The certificate is issued to POSILLICO, JOSEPH & ANGELA ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval......N/R ....... ............................ UNDERWRITERS CERTIFICATE NO. · N/R Re',', 1/81 Building Inspector 1~0~ NO. ~ TOWN OF $OUTHOLD BI01LDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12~$3 Z Permission is hereby granted to: <~-'-'"'~ , .~.....~..~..~.~.~,~.~:~...~. .... ................................................................ 'I .................... ~ ................... ,_~. .......... ~'" .............................................................................. ~";'~;~'T~ ~--~.~'~; .................................. ' ....... :'i ..... at premises located at ....~....~....C?..~.....~.....:-:.~...~......~.~r.':..~.......~'.;..,~ County Tax Map No. 1000 Sec(~....J.....;~.....~ ........ Block ..... ..~,..(~2 ........ Lot No..)..~./...~.. ......... pursuant to application dated ~..~..~.......~ ....................... , 19.~..~.~., and approved by the Buildlng Inspector. Fee $ ~ ~/ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOI~D Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY i JAN BLDG. DEPT. TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. ¥-~J~ --2~inal approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). ~,_/~, -~. Approval of electrical installation from Board of Fire Underwriters. ~-~4'. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and instatla- lions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. ~ertificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. House No, Street Ham/et County Tax Map No. 1000 Section /~3 Block O~ Lot../..~.'..~. Subdivision ................... ; ............. Filed Map No ........... Lot No .............. Permit No. ~.:~.~.-..ty~.~.. Date of Permit .05~..~..~>~ .Applicant .,~~. Health Dept. Approval .... t~.~ .............. Labor Dept. Approval....~./.~...': ........... Underwriters Approval .... ~.~¢1~..'7. ............ Planning Board Approval ...................... Bequest for Temporary Certificate ..................... Final Certificate ........ .~. ............. Fee Submitted $ ~ Construction on above described building ~ ,)_~ t t ~ Applicant v. 10-10-78 apqpermit mt~ets all applicable codes and regulations. Mr. Joseph D. Posillico, 3605 Camp Mineola Rd. Mattituck, New York 11952 I 31 i BLDG. DEPT. TOWN OF SOUTHOLD January 9, 1986 Town of Southold Building Department Town Hall Southold, NY 11971 Att: Dot Midgley Dear Ms. Midgley: Pursuant to our conversation with Ms. Linda Kawalski, I am submitting a completed application for a Certificate of Occupancy - (along with all requested data and a check for $5.00) for a completed tool shed. All items on Form #6 not applicalbe to the shed are marked as such i.e. (N/A). Please be advised the home is in the process of being sold and the Certificate of Occupancy on the shed is holding up the closing. Therefore, we are requesting an inspection of the premise as soon as possible. V~ry truly yours,~ Joseph D.--- ' - Posillico, Jr. ~ JDP/kc YORK STATE~ DEPARTi~NT OF E~VIP. OI~.~ENTAL ~a~o~ Affairs Bldg. 40, .A review has been mmda of your proposal to: New York State Dppartment of Environmental Conservation has found the parcel ~ project to be: Greater than 300' from inventoried tidal wetlands. ~ Landward of a substantial man-made structure'. ~~-.. _ greater than 10O' in length constructed p~ibr ~0 SeP~e~er 20, 19~7, Landward of 10' contour elevation ab9ye means~a level ~ & gradual, nat- ~Land~ard'of topographical crest of bluff, ~l!fg ON dune~i~ ex~as of 10 feet in elevation above mean sea level. ' Therefore, no permit under Article 25 (~!dal Wetlands of the Environmental Conservation Law) is required at this times!ncc ~h~i cu~ren~ proposal is beyond S~ate mail~atad ~risdiction pursuant to t~is ac~.i i~.Sm4e~er,~Y addi~i°nalwo~k or~difieatione tO the project may require a permi~' ,It ~S your r~$ponstb!lity to.~6tify~thia office, in writi, g, if such additiOnailwdrk0i modifications are contemplated, ~' · V e~y truly Daniel J, ~ark~n Regional 8~l~e~or of FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & ~LUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: now or formerly t. eno F. Howe// '905; PECONIC F~. now or formbrly Morit! BAY ~ ISURVEY FOR JOSEPH D. POSI~I ICO, SR. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ........... , 19~.~.. Permit No.]..-~.~..~.~..~..~ . Disapproved a/c ..................................... Application No,...J .)w..~..~...~. ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ........... .~(~.?..., 19.~.. 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- cation. 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 Sou(hold, 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, btfild~g code, housing code, ~nd regulations, and to admit authorized inspectors on premises and in building for necessaryfi~pections. ~ /~ ,- , ,~ - ...... /(~ignattlre of applicant, or name, if a corporation) ./ (Mailing address of applicant) State whether applicant is owner, lessee, agent, archite~t, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises ... ~.~.....~..,.~..~.~-4-~..~...'..?..Z-~-:(Ci,...h~ ......... si /'/e~tur of d~"lyU authorized o(aSonfficer. the tax roll or latest (teeS) If applicant is a corporation, (Name and title of corporate officer) Builder's License No..'...~...~. ? ................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done~.~. .O.~.~.~...~. . .~.. .,. .~.~.~.~. ..... .................... . ......... ............. /..... House Number St eet Hamlet County Tax Map No. I000 Section .... [ :r~.~ ........ Block .... ~).(,0 .......... Lot...I.2 ?...~. .... ~ Subdivision .... ~. ............................... Filed Map No ..... .~. ........ Lot ..... 7 ........ / (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. ~..~..~. ~ ........................................ b. Intended use and occupancy .~.. :~....~...~..~~ ...... ' .......................... 3. Nature of work (check which a plicable): New Building .. ~...... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~.d Oi /'~/0 ~ (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 fioor ................ tf garage, number of cars .... ~ ................................................................... 6. If business, commercial or mix{d 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 ................... i. · · Height ...................... Number of, Stories .................... t 8. Dimensions of entire new construction: Front .... .~...., ..... Rear .... ~ ......... Depth . .J.<~:..../~2~.. Height ............... Number of Stories ........................................................ 9. Size of lot: Front .. ~q.e..~. ,s.0..r,A~..,/ ......... Rear ...................... Depth ...................... 10. Date of Purchase .......... ~ .................. Name of Former Owner ............................. .11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction vie!ate any zoning law, Ordinance or regulation: ................................ 13. Will lot be regraded ........ i ................... Will excess fill be removed from premises: Yes. No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ...................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and, 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. : STATE OF,NEW~OR~ S S (Name of individual sig~ing contract) above named. He is the .......................................................................................... (Contractor, agent, corporate officer, etc,) of said owner or owners, ~d is duiy authorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements conthined ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~nor set forth in the application filed therewith. Sworn to before me this eon mission Expires March 30~