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HomeMy WebLinkAbout25373-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26695 Date: 09/16/99 THIS CERTIFIES that the building ADDITION Location of Property: 225 MARLENE LA LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 143 Block 3 Lot 31 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 6, 1998 pursuant to which Building Permit No. 25373-Z dated DECEMBER 3, 1998 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 AOCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to MICHAEL J & JEAN E VITALE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /UInspector 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. 25373 Z Date DECEMBER 3, 1998 Permission is hereby granted to: MICHAEL J & JEAN E VITALE 225 MARLENE LANE MATTITUCK~NY 11952 for : CONSTRUCTION OF AN ADDITION ~TO AN ACCESSORY STORAGE BUILDING ENTIRELY WITHIN THE REAR YARD AS APPLIED FOR. at premises located at 225 County Tax Map No. 473889 Section 143 pursuant to application dated OCTOBER Building Inspector. MARLENE LA Block 6 1998 LAUREL 0003 Lot No. 031 and approved by the Fee $ 35.00 Building Inspector Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. ~his 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 plumbar 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. B. For ex~sting 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. 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $~5.00,/Commercial $15.00 ....................... Date ..,. ....... New Construction ( . Old. Or Pre-existing~ildin~ ..... '7 ........... Location of Property...~.~.~.. .............. ~~,'~. ~.~-/.e~''~'~''C'}''~''e'' '' Street .~. Hamlet '°'" '°' ......... Onwe~ or Owners of Property ............................... County Tax Map No 1000, Section ......... mAOCK ................ hOg ...................... Subdivision .................................... Filed Map ............ Lot ...... . ......... >D~ .... Permit No...~..~ ~ 2.~ . .Date. Of Permit../. -~/~../?. · · -~-- Applicant ~'''~' '~' '~' '- '' · '~' ' '~' '~' '~'~' '~' '~'~ Approval . Underwriters Approval ......................... Health Dept -- Planning Board Approval...... ................. · Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ · · .~- -~.: ...................... ~~ ca ,= .... ........ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax(516) 765-1823 Telephone(516) 765-1802 September 14, 1999 Mr. & Mrs. Michael Vitale 225 Marlene Lane 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 # 25373-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. OU~D£?~O__~ _ (~st) 'OUNDATION (2nd) tOUGH FRAME & .PLUMBING' INSULATION PER STATE ENERGY CODE 4. Ye COMM£NT£ 'FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [~L DATE , ,,, INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL To: Michael J. Vitale 225 Marlene Lane Mattituck, New York 11952 PLEASE TAKE NOTICE that your For permit to Location of Property 225 County Tax Map No. District 1000 Subdivision: Is returned Date: 1998 October 6, 1998 EXISTING ACCESSORY BUILDING at Marlene Lane street Section 127 - Block No. the following grounds: Mattituck, N.Y. 3 - Lot 10 Lot No. building addition does not meet the requirements of All be As proposed, the addition encroaches Zoning Board of Anpeals action Will be required. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOW~N CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date: i 3, 1998 To: Michael J. Vitale 225 Marlene Lane Mattituck, New York 11952 PLEASE TAKE NOTICE that your For permit to CONSTRUCT Location of Property 225 1710use NO. County Tax Map No. District 1000 Subdivision: Is returned herewith and October 6, 1998 EXISTING ACCESSORY BUILDING at Maylene Lane Mattituck, N.Y. 127 - Block 3 - Lot 10 Lot No. Map No. J on the folloMng grounds: The proposed accesso not meet the be eleven Zoning Board of Appeals action Will be required, FOP, ti NO. I TO~I OF SOUTHOLD BUILDING DEPARTI4ENT TO.ti HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 BOARD OF ItEALTtl ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORN ................... NOTIFY: ..~..t~.~.., ,~ ~e~ ~ ................. .......................... "~ ~ Date ............... ,19 .... ; .'. -. ~ INSTRHCTIONS s~r~s or are~, ~ givi~ a ~il~ ~ip~i~ of la~ of p~ ~t ~ ~ ~ ~ di~ ~i~ is ~r~ of ~ a~li~ci~. a. U~ a~al of ~is a~li~i~ ~ ~ildi~ l~cto~ ~11 is~ a ~ildi~ Pe~c to the a~li~. ~ ~1 ~ ~pt ~ ~ p~s avail~le ~r i~ci~ ch~t the ~. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~r~ for ~ ~ ~t~er moil a ~rcifica~e of ~ ~11 ~e ~n ~ ~ fl~ ~ildi~ I~or. ~I~I~ IS ~ ~ to t~ ~ildi~ ~ut for ~e isle of a ~ildi~ '~e~t ~c to ~he ~la~i~ ~r [1~ ~t~[i~ of ~ildi~, ~i[i~ or al~era[io~, or for r~al o~ ~li[i~, ~ ~reln ~ri~. ~ a~li~t ~s ~o ~ly ~ ~1 a~li~le l~s, ordi~ea, ~ildi~ c~, ~i~ ............... : .... (Si~t~ of ~h~ or ~, if a (~ili~ ~reas of ~li~t) Sta~e ~e~r a~ti~t is ~r,.lea~, ~enC, a~it~t, engi~r,'~rM ~tv~tOr, el~tr!ci~, pl~r or -; .......... ............ If m)lic~t is a m~ratim, si~e of &ly ~tt~ri~ officer ~ ~m~ ~Sg ...................................... w'~ ~ N~ ~Ol~[~ D[~[~ ................... N~1' 76S-'~a "A~ (~ ~ ~,~,~ o~ ~ o~.~.) OCCUPA~CY ~,. ~ ,o~.6,..~.: ~,,~ ~,~ ~. USE IS UNLAWFUL ,. ~ou..A~O, ~o .......... , ............... ~.~~~ ,~ ~,~ ~ ............... ~I~O. UT CERTIFICATE. ~. "~ '~" 3. 1. , ~i~ of I~ ~ ~i~ ~ ~rK ~111 ~ ~ .................... ~TATE ~ON~THU~TION · ENERGY ..~.~ .................. ~~.~.~.~ ............ ~~~~,,~:.. ~~. ,~ ~ ../~. ...... ~ ...~ ..........~d/. .......... ~ivisi~ ...................................... Film ~p ~ ................ let ............... (~) a. ~sti~ ~ ~ ~ ............................................................................. ~. ~ = ~ ~ ...... ~a~,.~ .................................................... I0. II. 12. 13. 15. [~cate clearly aud. dlstiuctly all properly lines. Give sCre~t aud h ~/aether interior or corner lot. [t~ture of ~ork (check ~hich a icable): Ne~ l~ildi~ ....... ~klitio~ .......... Alteration ~ir ............ ~l .., .......... l~liti~ ...' .' ' Other ~ ~ ~ ~rlpti~) (to W ~id ~ filing this a~li~ti~) ~ ~o.~..d(~.~.~ ...... L' "" .............. ~pth .......... ~.7. ...... ~ig ~ 2 .... ~.{.'.. ....... ~r o[ Stories ..&'~ ....... .~n~ .... o~ ~ ~ ~,~ ~ ...~g ........ ~ .~ ........ ~..~ ~.~. ........ ~ .......... g ~ .......... ~ ~ o~ ~o~i~ ..~ .................. si~ or ~o~, ~..'.z~.> .... ~.~ '~ <~ ~h ~ o~ ~,~,,~ ...... .v./4~.~ o~,~ ~ .:~x~...o:m~ ............ ~ill lot ~ ~ ....... '~( ~ .... r" ~ill ~qss ~ill ~ ~ ~m ~i~s: _ ~ ' "· ......... ~&. ~Z~q~..~ ......... ~..~ ~ o[ ~tt~t .................. ~ o[~tr~tor ......................... . . .... . . . ~reo~ ............................... ~m ~ ............. Is this p~r~ ~fldn ~ f~t o[ a. till mtl~? * ~ .......... ~ ..~.. PLOT DIAGRAH ~ildi~, ~r ~isti~ or ~, a~ i~icate all ~t-~ d~nslons 1~ ~r or ~seripti~ aeco~ing ~o ~, a~ ~ strut ~s ~1 i~icate lie is the .............................................................. ( rp ~rate officer, etc.) o: ~aad owner or owners, and is duly auth, wlzed to perform or have perfour~l tim ~ald work m~l to rmke and file th|s appl icatlon; that all statements c~tatr~ in this oppllcatlco are trim to the beet of his k~ledge and b~l. iefl and that the work will be perforfl~! iu tim ~am~er s~t forth in the application fil~l tberc~r[th. Sworn to,l~efore me this /~ .~ ' ..... a*.~ ~o, .~.~..~ .... ~.~.~.'~