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, .~.~..~ .... ~.~.~.'~