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Home My WebLink About28938-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29725 Date: 09/18/03 THIS CERTIFIES that the building ALTERATION Location of Property: 4690 MILL LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 100 Block 4 Lot 2 .1 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 8, 2002 pursuant to which Building Permit No. 28938-Z dated NOVEMBER 22, 2002 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 PORTION OF ACCESSORY GARAGE TO POOLHOUSE AS APPLIED FOR. The certificate is issued to LOUIS & LISA CARACCIOLO, JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 1104237 02/12/03 PLUMBERS CERTIFICATION DATED 06/04/03 MATTITUCK PLUMBING & HEAT X_/1"utxr ized Signature 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) PERMIT NO. 28938 Z Date NOVEMBER 22 , 2002 Permission is hereby granted to: JR LOUIS CARACCIOLO 4450 MILL LANE MATTITUCK,NY 11952 for ALTERATION/RENOVATION/CONVERSION OF A PARTIAL ACCESSORY GARAGE TO POOL HOUSE AS APPLIED FOR at premises located at 4690 MILL LA MATTITUCK County Tax Map No. 473889 Section 100 Block 0004 Lot No. 002 . 001 pursuant to application dated NOVEMBER 8 , 2002 and approved by the Building Inspector to expire on MAY 2 2004 . Fee $ 75 . 00 ized Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT oZ TOWN HALL 765-1802 L_ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 10'0 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 topog=raphic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall slate 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 - $.25 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: ✓ (check one) Location of Property: y(pF6) House No. / Street / Hamlet Owner or Owners of Property: �i3 d 4� �C,--K226 Suffolk County Tax Map No 1000, Section Block 5%a04Y Lot cV,- 610, Subdivision Filed Map. Lot: Permit No. dM28•Z Date of Permit. Applicant: wl5 Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 5J C -70- Applicant Signature Town Hon, 5:1095 Mala Rood I m (516) 7r�r•192� r.: P. U. n0% 1179 . : •, ` 1 ,;� ;, lclophOn9 (515) 7n S.1a92 rnllll,u1d, New Yolk 11971 •I OFFICE OF THE BUILDING INSPECTOR TOWN Or SOUTI IOLD C E R T I F I C: A T 1 0 N un-r�: : Dui ) d.ing Permit No. . Owner: �52> S (:j (pledge pr. .11n'tj / j , Plumber! (please � hrl� t (ureb� {�� I certify that the solder used In the water skipply sy:.tem contains less than 2/10 of J % lend . ( f' Inmber.n onaP.uJ:r+ ) Sworn to beforo me this day of Notary Publics rrannty *my0 "l me o �ns�n�r��nns��n�s�nss�n�nsrr�u��s�n��ss�sss�s�ns�nrr�s�nss�nrn� �r.ns��ns��s�n�.n o 5 BY THIS CERTIFICATE OF COMPLIANCE THE:�� 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY I5 S40 FULTON STREET — NEW YORK, NY 10038 55 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 ROSLAK ELECTRIC LOUIS CARACC:IOLO S 5 P.O. BOX 164 4450 MILL LANE 55 5 CUTCHOGUE, NY 11935-2453, MATTITUCK, NY 11952 5 Located at 4450 MILL LANE MATTITUCK, NY 11952 �5 r7 Application Number: 1104237 Certificate Number: 1104237 5 Section: Block: Lot: Building Permit: BDC: NS11 CCCc��S Described as a Residential occupancy,wherein the premises electrical system consisting of e electrical devices and wiring, described below, located in/on the premises at: S 5 First Floor,Detached Garage, Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 5 found to be in compliance therewith on the 12th Day of February, 2003. e5 55' Name OTY Rate Rating Circuit Type 5 Panels C5 5 1 60 2 5 5 Wiring and Devices 5 Receptacle 5 0 General Purpose 5 Switch 5 0 General Purpose 5 Fixture 4 0 Incandescent' 5 Receptacle 4 0 GFCI 5 5 Paddle Fan 1 0 5 5 5 5 5 5 seal 5 5 f5 5 1 of 1 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 o LPs��LPL�L0�0ss0�0s��ss�s�� BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: // /4P,;7, 02 APPLICANT: 61o DATE SUBMITTED:// / /02 SCTM#DISTRICT: 1,000, SECTION: BLOCK: , LT: �O, STREET ADDRESS: /Uiv CITY: _-f� �� SUBDIVISION: PROJECT DESCRIPTION: �@/ d d �' ESTIMATED PROJECT COST: ARCHITECT/ENG ER: tip/* FAST TRACK SINGLE & SEPARATE CERTIF CATION-REQUIRED w NOTES: QiD LOTS 40,000SF-100-24. Lot recognition.(CREA FED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83 ZONING DISTRI CONFORMING? REQ. LOT SIZEVV ACT. LOT SIZE: REQ. L T COV. �8/o ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE o?` O ACT. SIDE REQ. REAR C) PROP. REAR REQ. HEIGHT PROP. HEIGHT WATER FRONT? 4//� RIT ON:DESC PANEL #: -1 FLOOD ZONE: COMPLIANCE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES o O, ED #):_DTE:—/_/ PERMIT #:R10- TOWN SEPTIC RECEIPT: Y q NEW YORK STATE DEC: / Ec 9/1/75 YES t N SOUTHOLD TOWN TRUSTEES: YES TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERGY: YES OR NO : EGRESS (18 H min.? 4 sq total)VENT (SQ. FT. x 4%) T (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP ---Z/C/o Z- HAVE PRE CO'S : Y OR N BP -Z/C/o Z- NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE 1. ( 7 SF)- SF)= SFX$ _$ +$ +$ $ 7 2. ( SF)- ( SF)= SF X$ _$ +$ +$ _ $ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: i M DATE T�� INSPECTOR a L J 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ '`] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ !'FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS e A�cl � - P� 7 r` 7, C73 DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Z40,z ,� - Orc.L. •� DATE v-' INSPECTO e93P? 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ FINAL [ ] FIREPLACE &cCHHIMNEY REMARKS: C/ 6 DATE 0 INSPECTOR ,H! FIELD INSPECTION REPORT DATE COMMENTS oQ� � FOUNDATION (1ST) - - - --- - y DQ ---------------------------------- - N FOUNDATION 2ND) --- -- - - - - z 0 ROUGH FRAMING& - y PLUMBING - INSULATION PER N.Y. STATE ENERGY CODE - - - --- r FINAL ADDITIONAL COMMENTS 9 n a U x t4 I TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before rpplying? TOWN HALL Board of,Health�/ SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Bo. d'approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO Check 1 Septic Form -. .. *a/c N.Y.S.D.E.C. Trustees Examined ,20 , Contact: Approved 20 ^7Mail to; Disapprov —C7�" Phone: Expiration 20 uildi sp n : 8 20,02 APPLICATION FOR BUILDING PERMIT Date !//8 206?z_ �— - - 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 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. 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 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 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. gVZ7— cant or name, ' orpomtion) //� � //9s (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises Lw i S d- �,SCS La-cCe_c-Li O t 01 d „r � 1; :fir (As on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer ' (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: yl 9c� �✓1�// Leh � �a�'-�� House Number Street Hamlet tR,..t.. *4y County Tax Map No. 1000 Section /OD Block 626i7 / tot Yoz. o / Subdivision Filed Map p:—' t (Name) i 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and 6ccupancy 2 C-ar �4 ar,24 e 4 "p b. Intended use and occupancy Ve GoA 1)e-Ao 4 -v ?cr>l �xe �i rennaAh �erSe 11 (3 Sea6rm r-00m 3.` Nature of work(check which applicable): New Building Addition Alteration ✓ Repair Removal ' ' Demolition Other Work (Description) 4. Estimated Cost `&Lll oao,oo Fee - (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor it garage, number of cars -9 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing stritetitres, if any: Front a 7 Rear vt 7 " Depth 2c2 " Height I L11 Number of Stories I Dimensions of same structure with alterations or additions: Front Jaa-�e Rear saw Depth e Height .5a.nr NumberofStories sez , e 8. Dimensions of entire new construction: Front ,4AA�W' Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO 13. Will lot be re-graded?YES_NO_/�Will excess fill be removed from premises? YES NO_ / ko�,s 14. Names of Owner of premises Ca.ratuylo Address h'690 4-H Z t e Phone No. X98-SaZy Name of Architect Address Phone No Name of Contractor 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 any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF L ) r r o ca t'3 D(0 V f being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)He is the Ota yl (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 aIrstatements 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 before me this day of KO, 20 �_ Notary Public S ature of Applic VNDA M.BOHN 11MMY PUBLIC,State of Now York No.01808020932 10ueliffed in Suffolk Cou Terre Expires March 8,20 4— �/kiz��oly GF�_ - :,,5,�9G� r►�-� t l �-`�"'`�- it 4 �c�occ�Cu�� ,BC '� C' � '� Mcatt4ct, I) �? o OCCUPANCY OR "~ ro1y�T Galvv ¢T aNa- 3AJ of p�� t�u; td ;Yac, toot kousc UND6°WRITERSCERTIFICATE USE ISUNLAWFUL REQUIRED WITHOUT CERTIFICATE A R YED AS N�T( OF OCCUPANCY DATE 1 27 NOI Y BP UILDING DEPA M NT AT 765.1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECT!)NS: Zx�l Wtytly �(G ' � p� ,M1q 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Z )"-I {7�F-- 17',14 4�k r--> Z 2r 9:V,e—' l 2. ROUGH - FRAMING & PLUMBING & INSULATION Z+r(o Golhct -I• e3 �� y�`� 4. FINAL - CONSTRUCTION MUST Z,)-S l F�>A� 2�i .4 iso v� L BE COMPLETE FOR C.O. LbnR y W;nDo�.J 3 "7 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. "in- Oem/4"4"N STATE C NS I + RESPONSIBLE FOR !� Lor�✓>:�� -v ' G,� s �� c DESIGN OR CONSTRUCTION ERRORS t'�b�-i0 � _ f�� F•�csUS C /Gf Zv ` Sr�•r�� /rl.sl-�� ! U 13c- ivD / f19Ma' 14' 1 G r7ar�ri:K5 Zv"O.0 ZM-f"WhIIS 16A�. �� 1 y' 1 40 �,npcau.� (ZU32� Svc WAY LA4.&W X24:�A s I FROWSHADE TREES NURSERY POOL HOUSE IIM252 PHONER310220041 2OF2 ............ fly A .. ..... ....wl mon win 0 jr. ......... -o x WAS qym 9 its MAN FOR:: No sit fit 1 Ely Aggy ............ 1P I 05M ....... ....... . ....... it,VMS: OA il.1AG of P,enPE.PJY AT v ` �� ',�, MArrirucr To/w�ur�ur.5e�co f.o . 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