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Home My WebLink About26378-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27039 Date: 04/13/00 THIS CERTIFIES that the building ADDITION Location of Property: · 1300 BAILIE BEACH RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 99 Block 3 MATTITUCK (~AMLET) Lot 11.18 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9, 2000 pursuant to which Building Permit No. 26378-Z dated MARCH 9, 2000 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL CARBONE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 067310 03/09/00 PLUMBERS CERTIFICATION DATED 05/24/94 A.R.M. PLUMBING & HEAT. 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. 26378 Z Date MARCH 9~ 2000 Permission is hereby granted to: MICHAEL CARBONE 165 E 32 ST NEW YORK~NY 10016 for : CONSTRUCT AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#22025-Z. at premises located at 1300 County Tax Map No. 473889 Section 099 pursuant to application dated MARCH Building Inspector. BAILIE BEACH RD MATTITUCK Block 0003 Lot No. 011.018 9~ 2000 and approved by the Fee $ 75.00 ~ A~r~ed Signature Rev. 2/19/98 ORIGINAL BUILDING DEPARTMENT · TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and ~ubm~it-Tt~e~ ~o' tb~-U~t~ldij8 ~nspector witb the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property li~es, 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 buildi~ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings ar "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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - . 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...~. ~.~i~ .......................... New Construction ......... Old Or Pre-existing Building ........... Location of Property.ii ' ~.~.~.~. ....· .i... ...... House No. Street Hamlet ' Onwer or Owners of Property .................................. .. . County Tax Map No I000, Section q~ .Block. Subdivision ................................... Filed Map ............ Lot .................. Permit No..~...~.!?...~....Date Of Permit....~.-.3%~9 .... Applicant ......................... Health Dept. Approval ....................... Planning Board Approval ..................... Request for: Temporary Certificate ......... ubmltte : ............... 6qqq\ · iUnderwriter~ ..................... Final Cert ....~..... · FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENI' TOWN HALL $OUTHOLD, N.Y. N£ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] ~o~ z ~°'~ ............. ~ ................................ Permission Is hereby granted to: .... ~zz....~~....~ ..................................... ...~..~~-~...~..~.z~ .... , to..~'.,r~-~.~..-.. ....... ~ ........ ~...,.~. ....... .'.~ ........ ~....~~ ...... ~.~ ....... ~.,~ ............ ~~: .......... ~:....~~....~..~.. ...................................................................... ~...~.~ ..................................................... CountyTax Map No. 1000 Section .....~...~.. ............. Block ....... ...~.~.~, ........... Lot No.....~./."..../,..~,, ........... pursuant to application dated ............... ~,~.. ........................... 19..../...,,~....., Building Inspector. Fee ~....Z~ ....... and approved by the / ~/' Buildfng Inspector Rev. 6/30/80 G^R¥ FLANNER OLSEN ATTORNEY AT LAW ASSOCIATE: DAVID ~/ORTHINGTON OLSEN ATTORNEY AT LAW RO. BOX 706 MAIN ROAD · CUTCHOGUE, LONG ISLAND, NE~' YORK 11935 . PHONE 63~-734-7666 FAX 631-734-7712 March 7, 2000 Re: Carbone to Glover Our File: # 6901 Building Permit #22025Z To Whom it May Concern: Enclosed herewith please find a check in the sum of $75.00, as per your request. Please contact my office to set up an inspection. I have a key to the house. Thank you for your consideration. Very truly yours, FLANNER OLSEN GFO:dwo Enclosure Town of Southold Building Department Town Hall Southold, NY 11971 765-1N2 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [,~-'I~ULATION FRAMING [ ] FINAL DATE INSPE JNDATION XST ~IDATION 2:ND ~FINAL PLBG. ION DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATmON'~ND [ ] INSULATION [ ] FIREPLACE & CHIMNEY DATE ~//y~ INSPECTOR ?ou~ o ^__T ~o.~ _L~ ~_~L FOU14DA TIO~! f2nd ) ROUGH FRAbIE &. 'PLUMBING INSULATION PER N. STATE ENERGY CODE FI;;AL GARY FLANNER OLSEN ATTORNEY AT LAW ASSOCIATE: D^V~D ~/OR'I'HINGTON OLSEN ATTORNEY AT LA~/ RO. BOX 706 MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 11935 PHONE 631-734-7666 FAX 631-734-7712 March 2, 2000 Re: Building Permit # 22025~'~ Carbone to Glover Our File: # 6901 To Whom it May Concern: Enclosed herewith please find the following in re the above mentioned open Building Permit: 1) Lead Certificate 2) Fire Underwriter's Certificate Please issue a Certificate of Occupancy for the addition as applied for. If you need to make an inspection you can contact my office to schedule same. Thank you for your consideration. Very truly yours, /~RY FLANNER OLSEN GFO:dwo Enclosures Town of Southold Building Department Town Hall Southold, NY 11971 THE NEW YORK BOARD OF FIRE UNDERWRITERS STREET AND NO OR ROAD CURRENT SUPPLIED BY - EROM THEIR · WORKTELEPHONENUMBER Lr"ST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of Fixtures & ' MOTORS H~TERS BR,~,NCH ..amp Receptacles CiRCUiTS THIS APPLICATION IS INTENDED TO COVER TH E ABOVE-LISTED EQUIPMENT TO,BE INSPECTED, BUT IF AT TIME OF I~IS~ECTION, T.T~ E IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, ~'OU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUS~-~E-FEE'rO COVER :THE ADDITIQNAL EQUIPMENT, AS PROVIDED BY THE APPLICANT. Applicant affirms that there i~ not an application for electrical I~ CONCEALED inspe~ti0n pending with a qualified electrical inSpe~cti0n DATE WORK TO BE STARTED DATE COMPLETED ~ authority for the installation listed herein, , · .Thi~ application is valid,~r a, p~riod hot exceed, in~ one'year [~%,vC~E.~N~;~.S SU,U~INe [] u.gE.e.O.~O from-the date race ved by the Boardl : PRINT NAME AND ADDRESS NAME OF APPLICANT "' I DATE OF APPLICATION .Sy~EE~r ADORES9 ' · ' . . ,;on ~Stre ~h~ngton A~/e. [] 3291 Lake Shore Road I [] 803 West Avenue NEw YORK,, NY'10038 SUI 0 BUFFALO, NY 14218 SUITE 106 t (212) 227-3700 I ALEANY, NY 12210 (716) 827-1~55 ~ ROCHESTER,NY 1 202 Arterial Road SYRACUSE, NY 13206 (513) 463-2122 (716) 436-4460 ~ (315) 463-8552 THE NEW YORK BOARD OF FIRE:UNDERWRITERS THE NEW YORK BOARD OF F,!RE UND ERWRITERS 8078996 ' BUREAU OF ELECTRI(~; '~;Y~?', ~:. ~''I ~/"'~ r*1%1 ~-- 40 FULTON STREET NEW YORKi:N¥ ~03~ ' - Date }~JI~CH 09,2~0 A ticaaon No on file ~99~/00 r% ~ ~ ~t 06731~ ~Hl~ G~RTI~I~S THAT only the etect~cal equipment as described be~w and introduced by the applicant ~a~ed ~n thb?boCe h;gHcaaon number is in the premises of MIC~L C~Og~, 1300 BAILEY BEACIt RO~, ~TITUCK, in the following location; ~ Basement ~ 1st FI. ~ 2nd Fl. ; ' Section Block ~t was examined on I~RCH 02 ~ 2000 and found to be in co~pl~hce with the NaHo~al Electrical Code. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS RECEPTACLES SWITCHES FLUORESCENT OTHER OTHER APPARATUS: ~NO VISUAL DEFECTS~ "An electrical survey has been made of the ex~6sed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. MICHAEL CARBONE 165 EAST 32ND STREET NEW YORK, NY, 10016 NO, OF CC COND, pER ~ GENERAL MANAGER 11 r' Per ~ ~ This certificate must not be altered In any manner; return to tho office of the Board If, ldcorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE Mu~T NOT ~E 'AL{~ED IN ANY MANNER FORM NO. 1 I1 ~ i!! I1, I/IL TOW. oF SOUT.OL~' TOWN HALL 'J::J Affi I 3~ ~ "'~t SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ......~ ........ 1 .9~Pemit No. ~ Disapproved a/c ............. < ....................... ................................· . (~l~g Inspector) BOARD OF HEALTH ......... ,3 SETS OF PLANS SURVEY ................... CIIECK .................... SEPTIC FORH .............. t,O'~ .t FY , CALL ............. 1/7"/7 APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ..... '..., 19 a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 seis of plans, accurate plot plan to scale. Fee according to schedule. i 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 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 admitauth~ri~edinspect~rs~npremis~sandin bui~dingf~rn~cessary i~./~s.~j. .~/f. .~.-. . . -- (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............ ~..~.. .... .c.¢..~..~q~.¥ ...................................................... Name of owner of premises ..... .~.../.~.//f.~d..~.Z......~r.J.~..~..~..t~..~.~ ........................................ (as on the tgx roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~.¢...~..~..~..~ .~...~. .... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be do[re .................................................. ../.~ ~ .0 ............... .~..~./..Z/..~.,, .~..~C .~....~.~.~ .......... . .~/..<W~..4 ./7. ~../.c ................. House Number Street Hamlet County Tax Map No. 1000 Section ..... ~'~.~..~. ......... Block ....~..~.-- ........... Lot ~//Sf/~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ended use and occupancy ~ ~ ~' '~'' ' ' Repair .............. Rem?al .............. Demolition ............ 4. Estimated Cost / Fee ~j~j .~;. Ire be paid on filing~s application) 5. If dwelling, number of dwelling hnits ............ ~ Number of dwelling units on each floor~*~yaa~ .~)O.~a ........ If garage number of c~s :~ 6. If business, commercial or mixe~ occupancy, spec~y naturefind e~tent of each typ~ of use ....... ~ ..... ~ . 7. Dimensionsofexi~tingstmctur~s, ifany. Front .[~.. ~.. Rear ...~ ....... Depth . .~e.~. Height .../~.~ ....... Nu~berofS~ofies.~2~/ .... j ........................ D~ensions of same structure with alterations or additions: Front ................. Rear .................. Depth ~' HeiSt Number of Sto~es 8. Dimensions of entire new const¢cfion: Front ............... Rear ............... Depth ...... . ......... Height ............... Number of Stories ........................................... - ........... 9. Size of lot: Front ...~.,.~.~ ........ Rear.. ~.~ .......... Depth ...../~4~ ......... 10 Date of Purchase ' Name of Fomer Owner 11. Zone or use district in which premises are situated .......... 12. ' ' ' · · · Does proposed construction wolate any zomng law, ordinance or regulatmn: ................ 13. Will lot be regraded ..... ~ Yes Will excess fill be removed from premises: 14. Nme of Owner of premises .. ~ff~. ~Address ~. ~.~. Phone No ........ Nme of Architect .......... [ ................. Address ................... Phone No ................ Nme of Contractor .~/~¢. ~.~ ~t~ ...... '.. Address ~7 ..... Phone No ....... Is th~s property w~thSn 300 feet of a tidal wetland? t~Yes ........ ~o ......... · If yes, Southold ~own Trustees Permit may be requSred. PLOT DIAG~ Locate clearly and distinctl~ ~1 ~build~gs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from or description accord~g to deed, and show street n~es and indicate whether 15. property lines. Give street and block humber interior or comer lot. STATE OF NE~O~.F_ coumv ' (Name of individual aigni~g contract) above named. He is the ....................... ~...~-: .~'~ .................................................. ( of said owner or owners, ~d is duly ~auth~e&_to.-~form or have peffo~ed the said work and to m~e ~d file this application; that all statements contained ~ this application are true to the best of his ~owledge and ~ief; and that the work will be perfo~ed in t~e m~ner ~et forth in the application filed therewith. Sworn to b~fore me thi~ Notaw N~aw ~bmlo. Stere of New Vo~ .~: :~ :'. ~. ~ ....... .. ~ommisslon Expires December 8, 19~ Feb-28-O0 09:37 MJM PLUMBING 212 966 0031 P.02 PLUMBING AU. I~JMBING WASTE & t/I~TER UNE$ NEED TESTING BEPORE COVERING t If copper tubing ia used for water distributing system; piping shall be of ~/pes K or, L only UNDFJ~I~ITERS CERTIFICAT[ REQUIRFJ) PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERT'IFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. DATE=.~ %~,.~'~-J";~ l~. ~,~ ~6~cd-S-~ ' FEE: ~3,~ ~ ~.Z~ N~ eUI~G ~E~ AT 7~I~gAM~4~R~E ~O~NG ~SPE~ONS: 1. FOUNDA~ON - ~0 REQUIRED FOR POURED CONCR~E 2. ROUGH - FRAMING & PLUMBING 3. IhSU~TION 4 FINAL CO~4STRU~ON MUST 8E COMPLET~ FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQut~MENT~ OF THE NY, :': .-:.~i~ 0~: CONSTRUCTION ERROF:5 OCCUPANCY OR USE IS UNLAWRR. WITHOUT CEITI'IRCATE OF OCCUPANCY Feb-28-O0 09:38 INSPECTORS Thomas Fisher Building Inspector Gary Fish Building Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 MJM PLUMBING 212 966 0031 P.04 SCOTT L HARRIS, Supervisor Southold Town Hall P,O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Suilding Pemit ; (please print) tplease print/ I certify that the solder used in the water supply system contains leas than 2/10 of II lead. ~(Plumbers Sxgnature) Sworn to before me this ~'2~ day of f~ , 19q~ "otary Public, ~:~lk County Areo ;6,348 sq. ft ..: - 400 OSTRANDER AVENUE,, RIVERhEAD, NEW YORK SURVEY FOR: . !,, ~ ',. ' ' ' '.-"~" "::' "' ~'L '~ ' '*J . .. .~~~~- ...... '~~T~"~ StJFFOLK CO., N.Y. ~' ; --' -.'?.-'e'-.~