Loading...
HomeMy WebLinkAbout25479-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27278 Date: 08/28/00 THIS CERTIFIES that the building ADDITION Location of Property: 2875 BAY AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) county Tax Nap No. 473889 Section 144 Block 5 Lot .8 Subdivision Filed Nap NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 1, 1998 pursuant to which Building Permit No. 25479-Z dated JANUARY 20, 1999 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 ENCLOSE AN EXISTING CONCRETE STOOP ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH & LINDA MAVELLIA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A G u hor zed 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. 25479 Z Date JANUARY 20, 1999 Permission is hereby granted to: JOSEPH & LINDA MAVELLIA 2875 BAY AVENUE MATTITUCK,NY 11952 for ATTACHING AN ENTRANCE ENCLOSURE TO AN EXISTING CONCRETE STOOP AS APPLIED FOR. (MAINTAIN EXISTING SETBACK TO THE ROAD. ) at premises located at 2875 BAY AVE MATTITUCK County Tax Map No. 473889 Section 144 Block 0005 Lot No. 008 pursuant to application dated DECEMBER 1 1998 and approved by the Building Inspector. Fee $ 75. 00 2M Authorize Signatur ORIGINAL Rev. 2/19/98 Norm No. b TOWN OF SOUTHOLD �(A5 �iau�l C 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 17 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. f 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .251;. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residen-tlial $115.00, Commercial $15.00 Date .. 1 . . Jl70C 2C�? . . . . . . . . . . . . . . . . New Construction. .. . . .. . . . . Old Or Pre-existing Building. .. . . . . . . . . . . . . . . Location of Property.zt' �. .. .b Alm .Avg .. . . .. ... . . .. . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . House No. Street Hamlet `,t P Onwer or Owners of PropertW .YY. . .. . .. . . . .+; , MfE. .. . .. . . . . . . . . . . .55��, . . . . . . . .. . . . . . . . yH County Tax Map No 1000, Section. . . ) . . . .. ..Block. . . ..�J . . . . . . . . .Lot. . . .Cl. . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. 25 4:T". Z . .Date Of Permit. Aq:� n' . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . .. . . . . .. . . . . . .. \ Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . Z .. . . . . . . . . . . . . . . . . . . 44 C✓ �j O 1 APPL CANT Ell IIII In�n�sss�ss�sssssrL3rd3 Rimffl n mimmmrrrr�r��r l��n�n�n�n��n��rrsssssrsrsssss���n�nsrn�n�n �o BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU 40 FULTTON STREET F C NEW YORK, NY 10038 CC� 5 4 ' � CERTIFIES THAT 5 a a� a 5 CIO Upon the application of upon premises owned by 5 5 5 BARRY ROOT BARRY ROOT 5 C55 2875 BAY AVENUE 2875 BAY AVENUE 5 MATTITUCK, NY 11952 MATTITUCK, NY 11952 7C7C7C5 5 Located at 2875 BAY AVENUE MATTITUCK, NY 11952 CS Application Number: 2060100 Certificate Number: 2060100 Section: Block: Lot: Building Permit: BDC: ns11 ••�5�5�5e Described as a Residential occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 service only,Detached Garage,Outside, 5 5,55 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 5 authority having jurisdiction, and found to be in compliance therewith on the Day of 5 28th June,2005. 5 Name 2 Rate Rating Circuit Type e 5 Service 5 5 1 Phase 3W Service Rating 150 Amperes 5 c5 Service Disconnect: 1 150 cb 5 Meters: 1 5 5 5 5 sui5 5 IN5 5 5 seal 5 1 of r r5 11101�r + 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 5 lrJ�r Tc nrJcrcnrJdPrJ�rJ�rJ�rrrJ�rJ�rrJrJ�rrdlrrrrc tcrcncr� rJ�rJurrrJrJ�rr�rJ�rrc I�rnrJrJrrJrJ�rrJrJ�rJrJrJrJrJrJrrrJ�cJ�rJ�rrr� o 9-s FIELD INSPECTION REPORT DATE COMENTS N -----------_ ------_-it I It t I, u H s FOUNDATION ( 1ST) __�j` x I ii-----ii - at FOUNDATION (2ND) II jj-- — ' t ROUGH FRAME h I Cp i �— III PLUMBING it 'I It i II INSULATION PER N. Y. I Ii H S STATE ENERGY �_�_ CODE --u it II � II 1 H II ii --u II ii N- --II FINAL �I II jj � ascaaacaxcxaccsaxaccsxxxc�acccczxx$aecccc�cxeaasaacc-�xacasaaa_axxea=aacxxaxeaaaaaxxxxe= O ADDITIONAL COMMENTS: acacaacaacxeecsccccccccccacccaxxaacccccccxxxacaascacccxxxacscccaccxxeesccccxz____rcccxxxx 7y ^ Y O� ro H n ryy `Y� I x � ro H o��$OFFQj/r Town Hall,53095 Main Road p '� Fax(516)765-1823 P.O.Box 1179 Telephone(516)765-1802 Southold,New York 11971.0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 12, 2000 Mr. & Mrs . Joseph Mavellia 2875 Bay Avenue Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25479-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REMARKS: � DATE INSPECTOR a v� 9 age a `op In14 tV All-or1 Z�.oy iaos� q Ti Wl L PA44r n h � rrtYR2S'✓O�!' ,�K1ll. oaoA�A�Ya�.r �a: 4",rIVor/y W [eluovoow�rs sdsvr�ew•. •�rrsi�"r.�c. 71wa� er/ aeo..uY. e.se/es Su.rv�rm� �svoen,.u. r: A,,,P•�s��rrs�.��' • �4,�tar /M:.dry ' IS O V 15 l' BOARD OF HEALTH . ; . FORM NO. 1 3 SETS OF PLANS ... .. . . ... . �• TOWN OF SOUTHOLD SURVEY ••BUILDING DEPARTMENT CHECK. .................... ..... TOWNHALL SEPTIC FORM . . .. .. .. . ... .. ..... DEPT SOUTHOLD, N.Y. 11971 TOWN OF 8O OIn TEL: 765-1802 NOTIFY: CALL .. . C Examined.. .....!• 19. MAIL TO: .. .. .. .. . . . �3 Approv , 19// Permit No. ..� ....�.1. Disapp:!!roved a/c .................................. ................................... ...................................................... ...... ..�...... .. ..... (Build' r) APPLICATION FOR BUILDING PERMIT 'Date. . .. �.�.. ..,19. INSTRUCTIONS a. 'ibis application must be'completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 application. c. The work covered by this application nosy not be oanmeneed before issuance of Building Permit. locant. Such d. Upon approval of this application, the Building Inspector will issue a Building Permit to the app 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. RMICI+TICN IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zoos 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 regyulaticns, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant. or name, if a corporation) 26-15 CRY A Uc WI/� (TUC /C io`l / SZ ........... Qfailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, plumber or builder �lr W UN a...l� v L �1 ...................A"ROVEDASNOTED Name of owner of premises 5qs�. ... �K...• B.P.$ (as on due tax roll or latest deed) _ � FEE: '?'-� BY: If applicant is a corporation, signature of duly authorized officer. NOflFY BUILDING DEPA T L CC-01 ANC 6 ®R 766.1802 8 NS EC 4 S: FO THE ........................... ................ t�bsl �` 6 FOLLOYVINQ�BISPECTIONS: (Name and title of corporate officer) �* �a 1 FOUNDATION TWO REQUIRED USE IS UNLAWFUL FOR POURED CONCRETE Builders License tb. ..................... WITHOUT CERTIFICATE I N LATIN ®i. • PLUMBING (1,{eC PA /® 4. FINAL . CONSTRUCTION MUST Plumbers License No. •••••-••••••••••••••• ff V l/ttlJ I BE COMPLETE FOR C.O. Electricians License No. .....•..•.• .•.. LL REQUICONSTREMENTS SHALL MEET Z-2-1-752.T.. E REQUIREMENTS OF THE N.Y. Other Trade's License Ib. ...... ...• •• TATE CONSTRUCTION & ENERGY I. Location of land on which proposed work will be ......, CODES. R CONSTRUCTION ER ORS • "'����•��•••� DESIGN OR CONSTRUCTION ERRORS Zg75..1�'4:�.Gt....y?//� i 7-1-7-L)cic.......................................SvF�oL1� ................. Nouse Nurfier Street Hamlet alet County Tax Map No. 1000 Section .... Llc ....... Block .....j......... Lot .....id......... Subdivision ...........................:.......... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupaocy ..............................................................0.............. b. Intended use and occupancy........ ...................................0.......................... I I I W LO I I I l l l 1!A tt u a t^ #nMnMMle t 0 *hie,:zt— i ' i. Nature of work (check which applicable): New Building .......... Addition ...... ... Alteration Repair ............ Removal Demolition ............ Ocher Work .. 1�{?2T ?. CPvt.....N.! ............. !U...�.bV (Description) Estimated Cost l50 few ...... (to be paid on filing this application) 5. If duelling, cumber of dwelling units ....�.....'.. Dumber of dwelling emits on each floor ,.../........... Ifgarage, cauhber of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if anry: Front................ Rear ............... Depth ................. !,eight ......................... limber of Stories ...................... Dimensions of as= structure with alterations or additions: Front ...•........... Rear ............... Depth .................... Height .................... Nhrber of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... limber of Stories ..................... 9. Size of lot: Rent .................... 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. ........................ 13. Will lot be regraded ........•..•....•••• Will excess fill be removed from premises: YES N3 14. Names of Owner of premises ........................... Address .............................. Phone No. ............. Nee of Architect ...........I......... .... ......... Address .............................. Phone No. ............. Name of Contractor .................................... Address ...............................Rhone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *1F YES, SOUi1M 1Udl TrZ11SiEBS PERMIT MAY BE R1J¢JLIa - PLOT DIAGRAM Locate clearly and distinctly all 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 slow street names and indicate whether interior or corner lot. 1 jX 6 X,'� H 17 ETi9'GI-f 19 73 L(; flan-�O CD✓� A 7 7'/J.-C NOS IDU ED7"n�9 tU( l T° �rJGt Ub l TWO (z.) W/No ©ws I)AJC CI) S C-2E E/J ' •n t 6 OtL" 0 ) ALUh/ A-hUAI �kWDI° �/ e0✓L,/Z is �I i H BO 1--f S IS f/N•lo C'ORJC TL .$fb U 19111033 OWW'r • t OffAO14U(i t liY3rdWO,')433NU04 R0:1 a oAlmmq�y "Sum t ,�s,l� SPATE OF NW.Y.M "49! C) - il.5,f i S9 M11Nry or ,�( ,�py_„, •; h. �.k......................being duly sworn, deposes and says that he is the applicant (Name of,individual signipg coRGtt above named, - . - f ' -:•i G'S[iiu�i, Ile is 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 beat of his knowledge and belief.; and that the work will be performed in tike manner set forth in the application filed therewith. Sworn to^before this .......d of .. 19. A... Notary Public . ....• • '4ERESAMA� •••••• .•••••• ... ... 'lotery�PuE10. MMNw Sig �ture of.• licant)� sslon