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Home My WebLink About23825-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24772 Date DECEMBER 5, 1996 THIS CERTIFIES that the building. ACCESSORY Location of Propert~ 1160 BAILEY BEACH RD. House No, Street County Tax Map No. 1000 Section 99 Block 3 Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 11.19 Lot No, conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 1, 1996 pursuant to which Building Permit No. 23825-Z dated NOVEMBER 26, 1996 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 ACCESSORY STORAGE SHED IN HEAR YARD "AS BUILT" AS APPLIED FOR. The certificate is issued to THERESA PROSCIA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A FOnM NO. 0 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) N.° 23825 Z Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD · Building Department Town Hall Southold, N.Y. 11971. 765- 1802 APPLICATION FOP, CERTIFICATE OF OCCUPANCY · Instructions A. This application must be filled in typewriter OR ink, and submitted i ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of propartV with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-IS-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings/Multiple Residences and similar buildings and Installa. tionso a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Subm t P, anning Board approve of comp eted site plan requirements where applicable. ' B. 'For existin~ buildin0s (prior to April 1957)0 Non-conforming uses, or bui$din~}s and "pre-ex{sting" land uses: 1. Accurate survey of p~mperty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner' as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees; .1. Certificate of occupancv $25;00 -- BUSINESS $.50.00 2. Certificate of occupancy on pre-existing dwe. lling ' $ 50. O0 3. Copy of certificate of occupancy $ 5.00, over 5 'years $10.00 4.Vacant- Land CoO. $.'20.00 5.UpdaCecl C.O. $"50.00 Date October 31 1996 · ' X shed as built ' NewCona trucbion ...... Old or Pre-existing Building ., .......... Vacant Land ............. 1~1}60 Bai'le.y Beach'Road Matti.t.u.c.k L cation of Property , House No. Streat Ham/at Owner or Owners of Property Theresa P~osci a ,.~ County Tax Map No. 1000 Section . ,9,9 ............ Block ...3 .......... ,. Lot .1.1. ;1.9. .......... Subdivision ........ , ........................ Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ......................... ;~.., ..... Health Dept. Approval ..................... ,..Labor. Dept. Approval ., ...... , ......... ,..,., Underwriters Approval .................... ' ' t .Planning Board Approval .............. ,, ...... Request for Temporary Certificate..., .., .............. Final Certificate ..................... ,. Fee Submitted $,..2.5¢,0.0... .......... , ......... Construction on above described building and permit meets all applic;ble codes and regulations. Rev, 10.1o,7e Applicant ' GARY PIAflNF. R OtSEN; P.O. BOX 705 CUTCHOGUE, LI., N.Y. 11935 I~OUi'III^T t 0~'t IIIIiIII.^TI()II Iq~l( fl. Y. GARY FLANNER OLSEN COUNSELLOR AT LAW RO. BOX 706 MAIN ROAD · CUTCHOGUE, LONG ISLAND, NEW YORK 11935 PHONE 516-734-7666 FAX 516-734-7712 October 31, 1996 Re: Proscia to Hirsch Our File # 6097 Dear Georgia: Enclosed please find the following: 1. Building Permit for shed as built some time back in 1974. 2. Application for Certificate of Occupancy. 3. ~Cc, ' ' ct. 4. Check in the sum of $35.00 (Application for building permit. 5. Check for $25.00 (CO Application fee). Very truly yours, GFO:lmk Enclosures Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 g0/29/1996 14:52 5167270144 YOUNG &'¢OUr4G PAGE 82 3r1~¥8 · ~, Mi~'hoeI Corbone N 00'09'30" · FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 755-1802 Disapproved a/c BOARD OF HEALTH 3 SETS OF PLANS ....... SURVEY ......... , CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: A~CA'I ~ON FOR BUILDING PERMIT INSTRUCTIONS ~$ a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 appli- cation. c. The'work cov~ed by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such 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. · APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or aIterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cojJ~, and regulations, and to admit authorized inspectors on premises and in building for necessary in~pe~ions__ ~ ,. (Signature of applicant, or name, if a corporat.!on) 25 Brefoni St. Apt. 2-1A (Mailing address of applicant) gmityville, NY 11701 State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner Name of owner of premises . Tb.e .e .a..Pr.o 0ia. ........................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co.orate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plmnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section . .99 ............... Block . .3 ................ Lot.. ! !: 1. 9. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and ill tended use arid occupancy of proposed construction: a, Existing use and occupancy .. 5hell. as. bllJ.l.g..(som~.gJme, in. J 97.4) ................................... b. Intended use and occupancy .................................................................... 3. Nature of work (check which applicable): New Building shed'as b.U~d~lition Alteration Repair .............. Rembval .............. Demolition Other Work ~ (Description) $500 GO 4 Estimated Cost · ' ' Fee , '~ (to be paid on filing this application) 5. If dwelling, number of dwellinglunits ............... Number of dwelling units on each floor ..... ...' ....... If garage nu~nber of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use , . ' 7 ..... if any: Front Rear Depth DlnlenslonS of exlstlng structures Height Nuntber of Stories lid Dimensions'of sa,ne structure w z alterations or additions: Front ................. Rear .............. ,.,. pth .............. i.. igl ... ... .' De ..... He it ................ Number of Stories .................. Dimensions of entire new construction: Front Rear Depth Height Nuniber of Stories ' 9 Size of lot: Front ~ Rear Depth 10' DateofPurchase ........... i ....................................................... .............................. 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. Willlot be regraded ......... ~ ................... Will exee~s fill be removed from premises Yes No 14 N of Owner fpre ises Add . amc o Ill ' i' ' ress .............. Phone No .............. Name of Architect ......... ~ Add ................... ress ................... Phone No ............... . Nmne of Contractor i Address ~ ............................'. ' : .............. Phone No ................ 15. Is this property located ~ithin 300 feet of a tidal wetland? *Yes ..... No ... ..... · If yes, Southold Town Tru, stees Permit maybe required. . I PLO-T DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all ~et-back dimensions from property lines. Give street and block mmber or description according to deed, and show street names and indicate whether interior or corner lot... , , ,,~ .,~SEE ANNEXED SURVEY , STATE OF NEW YORK, COUNTY OF, $~JFF.9[-[< ....... ... .S Theresa Proscia (Name of individual signifig contract) above named. OATE: 7~5-1802 9 FOUNDATION FOR POURED ( 2. ROUGH - FRAIV 3. ~NSULATION FINAL IB[/COMPLETE FOR, ALL CONSTRUCTION THE REQUIREMENIt~ STATE CONSTRUCTION CODES. NOT DESI TO 4 FoR YHE TWO NCRETE & PLUMBING MUST MEET ,THE ... ENERGY FOR (Signature of applicant) County of said owner or owners, and is duly application; that all statements con work wilI be performed in the man Sworn to before me this horized to perform or have performed the said work and to make and file tlfis this application are true to the best of his knowledge and belief; and that the in the application filed therewith. Heisthe ' owner i I (Contractor, agent, corporate officer, etc.) being duly sworn, deposes and says .that. he is the applicant IS1E, 7270144 YOLJN~ & *YOUNG ~GE 82 n~w or forr~erly Mh'hoel Corbone 0 t o~ %1o t 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 7,q5-1802 BOARD OF IlEAl,TIt ...... ;I SETS OF PLANS ....... gURVEY .......... CllECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ HAIL TO: Disapl~roved a/c .......... , ............. ' ............ (Buildin~ ~'~lt~;l~tor) ' ' ' API~AIION FOR BUILDING PERMIT INSTRUCTIONS a. This application mnst be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. , b. Plot plan showing location of lot and of bnildings 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 appli- cation. c. The work cov~ied by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole of in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department fi>r the issuance of a Building Permit pursuant to the Buildiug Zone 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 la}/s, ordinances, building code, housing co~, and regulations, and to ad,nit authorized inspectors on pre~nises and in buildin,, for necessary in~pefdions. ~ ,. .....~ /. ,v.-c,~ c~-~. . :./'¢-,,(,/¢...-~.~.. c.~. .~,~. ......... (Signature of applicant, or name, if a corporation) 25 Brefoni St; Apt. 2-1A (Mailing address o,f applicant) Amityv]]le, NY ]1701 State whether applicant is owner, lessee, agent, architu'ct, eugmcer, general contraqt~t,' etectiici'an, plumber or builder. owner ' '~' "" -, :' Name of owner of premises . i . TOe:..~. p. r.o. ~c. i a, ........................................................ (as on Ihe tax roll or latest deed) If applicant is a corporation, signature of dnly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ............. ,.. .......... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ............. ! 1.6.o..Boi 1 OY..Beocb. n. Qa. d.,. ~. a.t.t, i t. u. c. k.,. ~.Y House Nulnber Strecl Hamlet County Tax Map No. 1000 Section ..99 ............... Block ..3 ................ Lot 11.19 Subdivision ..................................... (Name) Filed Map No ............... Lot ........... / State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occnpancy ...Shlgd. cl.s. bLlj ] g..(sorelY.ti ma. J B..197.4) ........................ / .. b. Intended use and occupancy ....................................................... 74~. 3. Nature of work (check which applicable): New Building .s.h.e.d.'.a.s..b.ujk]d~lition .......... Alteration .... Repair .............. Removal .............. Demolition ......... ' · · · ~. Other \York .......... $.5.00 O0 (Descriplion 4. Estimated Cost ' , .... F "(to be paid on filing this application 5. If dwelling, number of dwelling units ............... Number of dwelling Units on each floor .............. If garage, number of cars .......................................... , ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each iype of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear ..... : ......... Depth .............. lleigbt . Number of Stories l)imensions'of same structure with alteratidns or additions: Front ................. Rear .................. Depth ..................... Ileight .................... N I[ berofStores ...................... Dimensions of entirt,~ new construction: Front ............... Rear ................ Depth ............... Height ............... Nmnber of Stork:s S ze of lot: Front ...................... Rear .... Depth ...... 10. Date of Purchase .................................. . . . · ............................ Name of Former Owner; I 1. Zone or use (hstrlct in which premises are situated .................... ' ........................... 12. Does ploposed conslruction viohlte ally zoning law, ordinance or regulation': ' ' ............................ 13. Will lot be regraded ' ' .............................. ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address .... : ........ ' ...... Phone No ................ 15. la this property located within 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit may_ be required. 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 slfow street names and indicate whether interior or corner lot. SEE ANNEXED SURVEY ?~5-1802 9 A FOI.L.OWING 1, FOIl 2. ROUGI,t- 3, INGULA'HON I 4. FINAL CON ALL CONgTR}ICTION ?IG REaUIREME~S 81ATE CONSTR~CTION CODES. NOT RESPONSII DESIGN OR CONS~U~OI TO 4 PM FOR THE ECTIO?IS:'. tCRETE G"& PLUMBING MUST MEET THE N,Y, ENERGY FOR STATE OF NEW YOP, K, COUNTY OF, SUFFPk[< ...... Theresa ProscJ a ................... , ............................. being duly sworn, deposes and says that he is tile applicant (Name of indivklual signing comract) above lunned. lte is tile ............. owner (c ~ ......... ontractor, agent, corl/orate ofl'icer, etc. of said owner or owners, and is duly to perform or have performed tile ~aid work and to make and file this application; that all state~nents con this ,'qu~lication are ll't~e to the best of hils knowledge and belief; and tltat the work will be performed in the man{ the applicatim~ filed therewith. Sworn to before me this ' 1996 County .~. ,.O-~ (Signature of applicant)