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Home My WebLink About24012-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~umAN~Y No Z-25010 Date MAY 6~ 1997 THIS CERTIFIES that the building. ADDITION Location of Property 784 BAILIE BEACH i~D. House No. Street County Tax Hap NO. 1000 Section 99 Block 3 Subdivision Filed Map No. MATTIT~K~ N.Y. Hamlet Lot 6 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20~ 1997 pursuant to which Building Permit No. 24012-Z dated MARCH 21, 1997 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The oertificate is issued to ALBERT W. & ~T.T.~,~ L. DUNGAN of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A BAlding In~tor Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Yo BUILDING PEIOAIT (THIS PER~IT MUST BE KEPT ON THE PREJ~41SES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 24012 Z Permission is hereby granted to: ...~ :..o......~o.~....e..5. ....................................................... MATTITHCK, N.Y. 11952 to ..~.c..°~.s...~...~..c.T.~.~.z.~gp~.~.x...z..s~.z~g.~.°.~.~.~.~.~em~`x~n~..?~s BUILT" ~t premises located at ..... .7..8..4.....B..~..I..L..IE....B..E..A..C..H.....R~..: ..................... ~33~3E~..1S.,2~ ............................... County Tax Map No. ~0'00 Section ....... 99 ............. Block ....... 3 ............. Lot No ..... 6 .................. pursuant to application dated .... xv~d~<~..Z{2 .................................. , ig.gZ..., and approved by the Building Inspector. //uil.~g InspeCtor Rev. 6/30/80 TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN l~LL 765-1802 APPLICATION FOR CERTIFICNFE OF OCCUPANCY This application .lust be filled in by typewriter OR ink and submitted to the building inspector with tile following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unosual natural or topographic featnres. 2. Final Approval from Health Dept. of water supply and sewerage-di,~qmsa](S-9 3. Approval of electrical installation from Board of Fire Underwrite, rs. 4. Sworn statement from plumber certifying that the solder used iu system cm~tains less than 2/i0 of l% lead. 5. Commercial building, industrial building, multiple residences and similar buiid£m~:~ and installations, a certificate of Code Compliance from architect or emlineer responsible for tile building. 6. Submit Planning Board Approval of completed site plan requiremcnt~. For existing buildiogs <prior to April 9, 1957) non-conforming uses, or bui]dhu,'s and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, bui[di, n!,, and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed I,v thc al,p~icm[, If a Certificate of Occupancy is denied, the Building h~spector ~,~lt ~;tatc thc reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00. Additions to d~,,cllim Alterations to dwelling $25.00, Swimming pool $25.00, Accessory Additions to accessory building $25.00. Businesses $5I).1)O. 2. Certificate of Occu?ancy on Pre-existing Buildinu - $1/)0.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00-, Gommerci.~t nato . .. 9.9.7. ..................... New Construction. X Old Or Pre-existing Building. Location of Property ....... 7.~.4..B.a.$.l.i.e..~..e.a.c.h...R.o.a.d.: ...... Mattituck IIouse No. Street Hamlet Onwer or Owners of Property...A.l.b.e..r.t..W.;..D.u.i~.q.a.n. and Ellen L. Dungan County Tax Map No 1000, Section. 99 .Block... 3 .Lot.. 6 Subdivision .................................... [riled Map ............ Lot ...................... Permit No ................ Dat. e Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwrit,e, rs Approval...,3/.". .................. laan~ng Board Approwll..., ..................... ~/' Request for: Temporary Cortigicate ........... ' ' . ....... Fee Submitted 25.00 ' ............. INSPECTION REPORT DATE COMMENTS FO~ATION ( 2~ ) II I~ INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COI~ENTS: I~?1 March 20, 1997 WILLIAM C. GOGGINS ATTORNEY AND COUNSELOR AT LAW P.O. Box 65 11775 Main Road Mattituck, New York 11952 Phone (516) 298.4200 Fax (516) 298-4214 Southold Town Building Department 53095 Main Road Southold, New York 11971 DONNA M. PALMER Re~ Application for Certificate of Occupancy; Premises: 784 Bailie Beach Road, Mattituck, New York SCTM# 1000-99-3-6 Dear Sir/iVladmn: In connection with the above referenced matter, enclosed please find an application for Certificate of Occupancy and Consent to Inspect. Also, enclosed please a check made payable to the Southold Town Building Department in the amount of T-a~'rty Five ($~5.00) Dollars as and for payment of stone. ~'e~ed7 If you have any qnestions, please do not hesitate to contact the undersigned. WCG/~p 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] I~SULATION [~FINAL~-~. ~~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ULATION [ ] FRAMING [ ~/] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR ¢:ONSENT TO IN%PECT1ON Albert W. Dungan and Ellen L. Dung,an thc undersigned, Owner(s) I~:amc{ a) do(es) hereby :;tare: That the undcmai~ned (is) (are) the owncF(s) of tl~e premises in ~hc Tovm of Southold located aL 784 Sailie Beach Road, ~attituck, New York , which is shewn and desianat-d on thc Suff~li: County tax mnp as District 1000. Section 99 , Bloc[( 3 , I,o~ 6 That the under~i~ncd (has) (have) filed, or caused robe filc,I, zm applic.,- tion in the Southe!d Totem Building Inspectop's Office fop [he foll(~,,,,iut~: buildiaq permit to deck as exists to repair existing concrete deck That the undersigned do(es) tmreby give consent to the }Yuildiu!! of the Town of Southold to enter upon the above described proper[y, any and all bu[ldimls located thereon, to conduct such inspectkma as tbuy may deem necessary wi[h respect to the aforesaid application, ~cludiu~ inspections to determine that said premises comply with all,of the laws, ordinances, rulc,~ and re~utations of the Town cf Soutbold. The undersigned, in conseuting to such h~spections, do(es) so with the knowledge and understanding tbat any hfformatlon obtained in the conduct of such inspections may be used as evidence in subsequent prosecut~Or rules (~r regulations of tl~e To~ of Southold. March 18, 1997 .~ u (.) Ellen L.Dunga ~Wi, ~ C. Goggins ~ / tint name) (siRnnture) (print name) TI?L£ NO. ? 1281 SURVEY FOR ~]L~/?T P~' DUNGWN El ELLEN L. DUNGAN JULY ~lw 1981 AT ~TTITUC~ OAT[ ~ JULY 15, TOWN OF SOUT~LD SCALE: /" = /00 ' SUFFOLK COUNTY, NEW YORK NO. ~/- YOUNG sYOUNG .,v~[. AND LAND SURVE~R N.ZS. LICEN~ N0.12845 I~O^RI) OF IIF.^I,Tll ............... · ~il~,'l'i½ t)F I'I,ANI; ............... .qURV~Y ........................ CIIF, CK ......................... .qEP'{' I C FO~ttt ................... }tOT I Ir¥: CAI,I ................... I1^ 1 I, TO: .................... llate.., ~lar~h .18.,.. , 19 ..9.7 . n. 'lhi.~ alq,licaki;at..mt Im c't~,l)lelely filled in Dy lyl×'milt!r ot in ink a,~l md,.ilt~l to the Ikdhli. this nlq~l it:at r T ~'~,'~ :~ c/o P.O. Box 65, 11775 Main Road .................................................................. at'F~al~> 4 ~. ~jO~E f> ........... ' - ~ > I ~ },~ ......... ~ ...... t ............................ : ...... fi, .... ~.'~..'X']~-~.:,t.'~,,~ ..... ......................................................... ;-r'~! ~,;?/kY~O~,~ iq,th" q~'~ 784 Bailie Beach Road, Mattituck (k,,,,ty 'l'a~ ~'1' tk,. ItXX/ m~cti~,, . .9~. ........... Bl,~.k ..... ~ .......... I~,(: ...~ ............ Yld~tivis{~ ...................................... Filed }~nl~ {k) ................ IiIL ............... (~,,~) a. E~ist {.g t,~ m~] ~:cx,l~.~:y ... ~.i~.9~.~..~$~[. ~!~P! ....................................... h. l,,t~,,~t ,,~ a,~l ,~c,,l~,,~:~ ... ~.ia~k~..?~i~. ~V~?~P~ ....................................... See attached survey dated July 21,1981 for location of existing structure. This application is fer(a building permit for repair to apat~io "as exists" above a concrete patio as shown on the attached survey. ~OF¢./~ ~ $ ~6///TL) ,1~, i,i (h,..... 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