HomeMy WebLinkAbout25827-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA/~TMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27378 Date: 10/26/00
THIS CERTIFIES that the building ALTERATION
Location of Property: 1122 BAILIE BEACH RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Ta_x Map No. 473889 Section 99 Block 3 Lot 11.17
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 29~ 1999 pursuant to which
Building Permit No. 25827-Z dated JUNE 25, 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 ALTEP~ATION TO AN EXISTING NON-HABITABLE ACCESSORY STORAGE BUILDING
AS APPLIED FOR.
The certificate is issued to CAROL MAGGIO
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION D~£~
Rev. 1/81
N/A
N/A
N/A
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. 25827 Z Date JUNE 25~ 1999
Permission is hereby granted to:
CAROL MAGGIO
83-03 LITTLE NECK PKWY
FLORAL PARK~NY 11004
for :
ALTERATION TO AN EXISTING ACCESSORY STORAGE BUILDING AS APPLIED
FOR.
at premises located at 1122
County Tax Map No. 473889 Section 099
pursuant to application dated APRIL
Building Inspector.
BAILIE BEACH RD MATTITUCK
Block 0003 Lot No. 011.017
29 1999 and approved by the
Fee $ 35.00
/ Autho l~d Signature
ORIGINAL
Rev. 2/19/98
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 5, 2000
Carol Maggio
83-03 Little Neck Pkwy.
Floral Park, NY 11004
RE: 1122 Bailie Beach Rd., Mattituck.
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 # 25827-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEP~T~
TO~ ~L
~PLICATIO~ POR CERTIFICATE OE OCCUP~CY
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 featuras.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board o{ 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 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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 - : .25X~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occnpancy - Residential $15.00, Commercial $15.00
,~ate ./~./.~ ....................... ..
.... Old Or Pre-existin~_ Building.....~.... ........
New Construction
.-z.-- ~,,q/~ ~ 7o-c,,..r D 7'4 C/C--
Locationof Property... 1/.~ .................. ~d... L.. ~ .~./' ....... ~d.,..~ ,~. ~./. .............
House No. Street Hamlet
Onwer or 0~ers of ~roperty...~?.¢...~.~...C~.~/. ~. ............................... .. .. ...
oo=ty T~ ~ap No 1000, Sectio~.~.g~?.O. ..... B~ock..~..O..~.q.q ...... ~ot.O. ..... t.'7 ..........
Subdivision....................... .......... ... Filed Map ............ Lot ..................... .
Perait No.--~7- ~'Date Of Permit.~ .... Applicant..~....~f.~ ·
.............. ............
e
¥ ~lth Dept. Approval..........................Underwriters Approval...... ............... ....
P~. lng Board Approval ..................... .. .
for: Temporary Certificate ........... Final Certicate ...........
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] IN..SIJI. ATION
[ ~FINAL
DATE
INSPECTOR, ,//~~
CAROL MAG;GlO
FROM : FP~ NO. : ~ug. 12 1998 11:44PM Pi
REAL
'ESTATE
2,46,,0i':'JAMAIC& AVE. ma*.'r.'~OSF,.Ny :11426
PHO,N'E: ?i~ * 515-775-~J45 ~' ~AX: '7.1~19
FAX
FROM:
ADDITIONAL COMMENTS: ~'/,~-- ,,~ ~'7- ~ ~' d ~
No.or pages to follow ...... ~
Ir fids me. rage Is'Incomplete°~jlleglble, please contact the und .erred at (718) 34~.~_q4 or
Tb*~ YOU,
CON~/DEN~ NOTEi'Tho document accompan.vl~ this telecopier ~ansmlSsJo~s sheet
cmm~h**-~ bsrornmtlml rt'~m ~e office of I].S. 1 AD. AM~ I~AL ESTAZ"S, wMch IS mmfldemJal and/o~*
regally pdvihgecL The Informal/on is inteuded only rot the use of the lndtvtdual'.'ur entity, named
Oil tM_R_ tr~n-qml~u~iOn sb, eot.. ff ~O~I.~L'O not tile J~ed recipient, you a~e bozeby'n~tfled that any
dlselosu~e, copying, dlsl~lbuUon o~ the taking of a~y utlon in nllanco on tire contents o! th_~
telecopled information L~ strlc~ prohibite& If you have received m** comm~lcatlon in error,
pleuo nomT us by telephone tmmed~tely at (718) S43a~04 and ream the original message to us
the above ad~ess,vi~ the ~nltod States Post~! Servlce~
ROA~
~SIII~ION ?E~ N. Y.
STATE ENERGY
CODE
FINAL
ADDITIOHAL COMMENTS:
FOP. H NO. !
TONN OF SOUTHOLD
BUILDING DEPARTMENT
TOI~I HALL
SOUTHOLD, N.Y. !1971
TEL: 765-]802
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPT£C FOl~i ...................
NOTIFY:
cAL~ 7'!.~ .:.~.q~ .-. ~.~ :Z
Dir~pt'o~ed a/c ..................................
...................................... -
~ (Building
APPLICATION FOR BUILDING PERMIT
Date ........ ~ ...... , 19 .~.?.
INSTRUCTIONS
MAIL TO: ...................
a. This application must be caupletely filled in by typewriter or in ink and suhnittad to the lhilding Inspector
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing locaticm of lot and of buildings on premises, relationship to adjoining premises or l~blic
streets or areas, and giving a detailed description of layout of property a~tst be dre~n on the diagram which is part of
this application.
# c. The work covered by this application may mot be ccramenced before ismtumce of Bailding Permit.
d. Upon approval of I~his application, the Building Inspector will issue a Bnilding Permit to the applicant. Such
pa~nit shall be kept on the premises available for inspection throoghcat the work.
e. 1/o building mba11 be occt~piad or used in whole or in part for nny purpose ~hatever until a Certificate of
Occupancy aha11 ha~ been grsetad by the Building Inspector.
AF~LICATI~I IS ~t~m¥ MAEE to the Building Department for the isa~mce of a Building Permit pursuant to the
Building Zose Ordir~mce of the To~n of Southold, Suffolk Cowry, New York, ~md other applicable Imps, Ordlnmnces'or
Regulatiorm, for the construction of buildings, ~4dl. ticas or alteretlorm, or for removal or dam01itica, ~s herein
described. ~he ~plicset ~grees to c~ply w/~ all ~!icabla l~m, ordimasees, boilding code, housing code, ~nd
re~'a~7~l to ~n~t '~thorized inspectors on pr~rdsee ~nd in building for necessary inspectioos.
~' '? "" .... ' ' (Signatttr f appli )
-' ' .... ' e o c~t, or m, if a corporation
· "
~' ~ ? "'~ "~ (l/ailing address of applicon) //
State~ ~uhe.~aeyCapplican_t is' ~mer, lessee, agent, arahit4t, engieeer, ~.'~!.q~ntractor, electrician, plurber or buil,
.... vv,~...,~.,~:.~::.,.'.::;,,~. ..................... ...............
.................. ............... .: .... , .......................................
~s~ ~j~,;(as cn the tax roil or ~_atest deed)
If at~liEalit is a corporation, sil~ataire of duly anthoriz/~d officer.
Builders Lieel~e No ..........................
Plts~bers License l/o ..........................
Electrici~s Liconse ~ ......................
~r ~'s ~ ~ .....................
I. ~ti~of l~i~~ll ~ ~ .............................................................
........ 2~.~ ~ ~i~ ~~ ~
~ ~r Stat ~et
~i~sim ...................................... Film ~ ~ ................ ~t ...............
(~)
2. State ~sti~ ~ ~ ~ of ~s ~ int~ ~ ~ ~ of ~ mt~t~m:
~,...~a~.~.....'- ~L~°- ........ , ...............................
~sti~
~&-~-~ff~ ~ ~ ' . ...
b. ~ ~ ~ ~ ................. ../.......~n~...t..~.t.~.~aw~.~..~ ........
/
3. I~,aLure of ~o. rk~(,check 'd,id~ applicable): ~ Building .......... Addition ~ ........ ,. Alteration ..........
Repair .... t -- -- Ronmral ............. l)e~olition ............ Other~o~ ....~..ub.l.
(.Deacriptioo)
4. Estimated Cost~...~./~d ......... ; ;t~J ............ fee ..............................................
(to be paid on [illng this application)
5. If &aetling, r~ber of deelling ;mits . ...'~. ....... limber of dvmlling onits on ead~ floor ................
If garage, rm~ber of cars ......................................
6. If bosieess, ~->-~rcial or mixed oecapancy, specify mture and extent o[ each type of t~se ...... --2'. ...............
7. Dimensions of existing structures, if any: Front ................ Rear ............... Depth .................
}leight ......................... ~r of Stories ..... /fdld./~-~. ..........
Dimensions of m stnicture with alterations or additions.' Front ............... Rear ...............
Depth .................... Beight .................... lqunber of Stories ...............
8. Dimensions of entire ne~ cormtruction: Front ................ Rear ............... Depth ..............
Deight ......................... N~ber of Stories .....................
9. Size of lot: Front .................. Re .............. Depth ..............
m0. , te of ......... : ........... of ,o r ..........................
! I. /one or use district in ~ldl ~[fli~s aT~ situated .../gg~-~7*-'z;c~--~{..'-'g~; ~ .....................................
12. Does proposed construction violate any z~aing l~a, ordinance or regulation: [~J O
13. Will lot be regrnded ..... Zld..~. ........... ~ill ~osa fill be removed from pr~mises: YES NO
Nam of Architect ....... ' .... : ........................ Acldresa .............................. Phone RO ............
~ of Contractor ................................... Nidress ............................... Fhone No ............
15. Is this property within 300 feet of a tidaI wetland? * YES .......... NO ..........
PLOT DIAGRAH
I~cate clearly ~t distinctly all buildings, ~hether existing or proposed, and indicate all eeL-back dlmensioos
frcm property lines. Give street and block max/mr or description according to deed, and sho~ stx~et ms and indicate
whether interior or corner lot.
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUP/\; CY
APPROVED AS NOTED · -
NOTIFY BUILDING D~ARI~ AT
765-1802 9 AM TO 4 PM'FO~
FOLLOWING INSPECTIONS:
I FOUNDATION - TWO REO~JIRED
FOR POURED CONC~
2 ROUGH - FRAMING &
3, INSULATION
4. FINAL - CONSVRUCTION MUST
BE COMPLETE FOR C,O.
r ALL CONSTRUCTION SHALL M~ET
'THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSISLE [:OR
DESIGN OR CONSTRUCTION ERRORS
duly axiom, deposes and says that he is tim appl. ic~t
(SJgsaeare of ~pilcant)
NOTARy PUBLIC, State of New Yo~k
No. 41-4821865
Qualified in Nassau Coun~t
Commission"~ Expbt~ July 31,~'~.,- I
lle is the
(Contractor, agent, corporate officer, etc.)
of said oaeer or oaners, and is duly authorized to perform or have perfonmd the said ~ork and to make and file this
application; that al1 statements contained in this applicaE[on are tree to the best of his kncmledge and betie[i and
that the ~rk will be performed in the mariner set forth in the application filed therewith.
..... ....- ....... 0sy ......................
/\