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Home My WebLink About22560-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~RTIFICATE OF OCCUPANCY No Z-23458 Date JANUARY 19, 1995 THIS CERTIFIES that the buildin~ ACCESSORY Location of Propert~ 1555 FACTORY AVE. & 10530 SOUND AVE. MATTITUCK, NY House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 2 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 16, 1994 pursuant to which Building Permit No. 22560-Z dated JANUARY 13, 1995 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 GAZEBO IN REQUIRED REAR YARD "AS BUILT" The certificate is issued to BLAISE DiPALOLO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTB APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HNJ. SOUTHOLD, N.Y. 22560 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..................... ~ ............................ Building Inspector. .... Rev. 6~30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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 plumber certifying that the solder used in system contains less than 2/10 of i% 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 "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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. ~q~..l,..l~J ................... .. .. sunroom an¢. gazebo New Construct±on..~-~./. ...... Old Or Pre-e×isting Build±ag ................. ~qr~.q Av~. qn~l~ North Road, Mattituck, NY Location of Property.. of Factory ... House No. Street Hamlet Blaise Di Palolo Onwer or Owners of Property ................................................................. . County Tax Map No 1000, Section .... 1~ ....... Block.............2 ...Lot..]~ ..... Subdivision ............................. ....... Filed Map....... ..... Lot ................... .. . Date Of Permit Applicant Permit No ................ . ........................................... . HealEh Dept. Approval .......................... Underwriters Appr~...!. . . / / Planning Board Approval ................... . .. .. / / e · ' ' ' rtie~t // ~ o~est for. ~emnorar¥ Cer%±fzcate ........... ~zDaI Ce~t~c_~//t ~...~.~ .... - - ~ GARY F[~NNE~ O~SEN, ESO. ~z~ Fee e · 25 CUTCNOGUE, ' - /,':Vz~./~.~~*' Submitt d. $ ............... '~.0..~.70~. .. ~ .~ u., ..................... fL/TIO:I PER'N. y. STATE CODE FIUAL GARY FLANNER OLDEN COUNSELLOR AT LaW P.O. BOX 706. MAtN ROAD · CUTCHOGUE, LONG ISLAND, NEW YORK 11935 · PHONE 516'734-7666 FAX 516-734'771E December 7, 1994 Re: Di Palolo to Luiz and Gomes Our File # 5819 Gentlemen: Enclosed herewith please find the following: 1. Consent to Inspect for pre-existing detached garage. 2. Application for pre-existing certificate of occupancy for garage. 3. My attorney's check in the sum of $100.00 for the pre- existing certificate of occupancy for the garage. 4. Application for building permit for sunroom and gazebo. 5. Application for Certificate of Occupancy for sunroom and gazebo. 6. My attorney's blank check for building ~mit~or sunroom and gazebo. sunroom.7' My attorney's check in the sum o~00 f0~/~zebo and 8. Copy of survey. Very/trul~ you/r~, GFO:lmk Enclosures Town of Southold Building Department Town Hall Southold, NY 11971 GARY ~OLSEN FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Exam/ned.. Z/t~'. ~. ...... , Disapproved. a/c ..................................... . CATION FOR BUILDING' PERMIT B~,~RD'OF HEALTH 3 SETS OF PL.[NS SURVEY CllECI~ · ............... SEPTIC MAIL INSTRUCTIONS a. Ttfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 set~ 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 sti'eets 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 covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will i~sued 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 {vhoie Or in part for any purpose whafever Until a Certificate of Occupancy shall have been granted by the Building Inspector. ~- APPLICATION IS HEREBY MADE to the Building Department for the issuance ~/~ Bm'Idi~g Permit pursuant to the Building Zone. Ordinance of the Town of Southbld, .Suffc~[k County, New York, an¢/other app~cable Laws, Ordinances or ~R,egulab.ons, for tke cons,truction of buildin.~s, additions of alterations~, or for ren26val/~ de~61ition, as herein described. the applicant agrees to comply wi~h ali app~¢able laws, ordinances, building c9de, ~;~hsing~ode, and/regulations, and to admit authorized inspectors on pre~;i~es~and in building for necessary insp ce t~' ~/~j. ,' . .~_,~_ -- ''"~i~ '~''":':; .... '"-~ .... , .' G~~' Ol's~fl-~§--~t~orney for owner .... o,, ..NY.. !!.9.3.5:........ " (Mailing address of applicant) " State whether applicant is owner, lessee, ager~t, architect, engineer, generai contractor, electrician, plumber or builder. Attorney for owner ' : - ' Name of owner of premises Blaise ' olo · ~ (as on the tax roll or latest deed) If applicant is a corporation, signature 6f duly authoriied officer. (Name and title of corporat~ officer) Builder's License No .......................... Plumber's License No ......................... Electncmn s Lzcense No ........... ;: .......... Other Trade's License No ........ i,;.; .......... 1: Locaiion oflan'd on which proposed work will be done ¢0r~or ¢~ Factor~ Avenue 'and Sound Avenue,, Mattituck, New York House Number Street Hamlet Cotmty Tax Map No. 1000 Section - 122 Block 2 . 15 .................................... Lot ............ '::.' .... Subdivision ........ . ......... ' ................... '. Filed Map No ............... Lot .......... ; .... (Name) 2; State existing use and occupancy of premises and intc_/~c,/~.sc and ~.;':~.~p~ncy of proposed construction: ~"~' ' :" a. Existing use and occupancy zebo as constructed ~ gazebo as constructed.~'-,~ ~ ~,~,'~. b. Intended use and occupancy '. ~¢ ~'.~ ;~:~"~ . · I ' " IIIIII ~ ,' Gazebo '.3. ~Natur. e of work (check whic~ applicable): New Building .......... Addition .......... Alteration .... ; .... ~epa~r .............. Rgmoval .............. Demolition ...... Other Work .... . ' 4. Estimated Cost $1500. (Description) ................ Fe i . (to be paid on filing this application) 5. If dwelling, number of dwe 1 'ng units . . xi..~.~_ _,-, : . . _ If ga lb of cars i .......... ~umo,, uxuWeulng units on each Iloor ............... 6 ' rage, nun er ''t .................. ' .................................... · If busi o.m i 1 o mi~,xed o cupancy, specify nature and i .......... 7 Dim ness, c merc a r c , extent of.each type of use ...... · nsio sot itl gstruct~ if any Font ; R ...... ~ · H e n exs n res, : r .............. ear ............ Depth . eight ............... Number of Stories ..... 2.. ' .............. Dimensions f shine stmctu e: w~th alte ations additi ' ........................ o r r or ons: Front .. ' ......... D pth Hight ..... ' I ............ Rear ................ e ................... : .... e ............ Number f Stories 8 Dimensions of entire ne eon! tructi n: F ...... : · · o .... ' · · w s o r Re .................. ont .............. : ar ............ Depth Height ..... N~mber of Stories ................. Si e ...... ' ....................... , .................... , ........ · ront ......... I, ............. Rear .......... .. 10 Dat of Purchase ........ Depth ...... I ........... Name of Former Owner ............................. 11. ~one or use restrict ~n winch premises are situated ......................................... i ~ .' ..... · t gl ,i ' 12. Does proposed construction v olate any zonin aw, ordina ce or regulation: ............................ ?¥' d? i '" 13. ~11 Io regra ........................... Will excess fill be removed from premises: Yes No 14. r~ame o~owner mpremises .: .......... ; ........ Address ................ Phone No ............ ;'... Nam~ of Architect ... ........................ Address ................... Phone No ............ : .... amc of Contractor ....... i .................. Address ...; ......... . ...... Phone No..... ' . 15.' Is this property withini 300 feet of a tidal wetland? *Yes ...... . ...... ~ .... · If yes, Southoldl Town Trustees Permit may be required. " No ......... PLOT DIAGRAM '.',Locate clearly and' disfihctly ~ [1 buildings, whether ex~sting or proposed; an& indicate all set-back dimensions from property lifles. Give street and bloci: number or description ac~ording ~o deed, and show street names and indicate whether interior or cornerlot. ~/j ~'~C.~.~. rm :'" .~ ~ ,IG INSPECTIONS: ? ~ FOUNDATION'., ~O'REQUI~EO FOR POURED CONCRETE . ROUGH. FRAMING & PLUMBING . ~- INSULT ON - , CONSTRUCTION MUST 8E COMPL~E FOR C.O, ,LL CONSTRUCT ON SHALL-;, THE N.~ EN'ER~ OR' GONSTRUCTION ERROR8 ' STATE OF NEW YORK; J cou v OF. 5PffPk ..... . S.S ~ary Flanner 01sen ,' ' ...................................... '. · .' ......... being duly sworn., deposes ~d says that he is the applicant (Name of individual signing c~ntract) above named. · . . I ' He is the ' '' ' ' (Contractor; a~ent corporate officer etc ) >f said owner or owners,, md is duly~ authorized to perfom or have perfomed 'the said work and to'm~e and file this pp mahon, that all statements qontmbed m tMs apphcatmn are true to the best of his ~owledge and belief; and that the ,york will.be perfomed in the m~ner~et forth ~ the application filed therewith. ' ;WOrn to ~efore me thb / ) . : '7 ' . . h_ ~ ~.Decemb.err *94 / / ...... ' '," ~''~""~; .... "~ 'l'-r '~w'", ......... 19... ~ot~ PU~~.~ Count~ .: - ..... . ~/"~/~ ~~ .... ' ~. ~. ~ ~' . .- , . · .......... / /77V