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Home My WebLink About21510-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24324 Date MAY 1, 1996 THIS CERTIFIES that the buildin~ Location of Propert~ 505 BAYER ROAD House No. County Tax Map No. 1000 Section 139 Subdivision ADDITION MATTITUCK, N.Y. Street Block 3 Lot Filed Map No. Lot No. Hamlet 13 conforms substantially to the Application for Building Permit heretofore filed in this office dated JI/NE 21, 1993 pursuant to which Building Permit No. 21510-Z dated JULY 1, 1993 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 RECONSTRUCT FRONT STEPS, CONSTRUCT AWNING (ROOF) OVER EXISTING DECK & ADDITION TO DORMERS OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & CORINNE GAl/CIA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM TO~I OF $OUTHOLD BUILD]NG DEPARTMEN/ TOWN HALL $OUIHOLD, N.Y. NO BUILDING PERMIT ITHI$ PERMIT MUS'f BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ............... ~../.../.. .................................... 19.....?..-~... 21510 Z at premises located at ............. ~ .............~ ......................................................................... CountyTax Map No. 1000 Section ...~.?.~..,. ............ Block ......... :~... ........... Lot No ...... /....,~'.. ............... ~s~nt to ~p,,ca,,on dated ...................... ~L ..................... 1~.....~ ..... ~nd o~roved bythe Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 1% lead. 5. ~ommercial 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 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. C. Fees t. Certificate of Occupancy - New d~elling $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 Buitdin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .......................... New Construction../~ ....... Old Or Pre-existing Building ................. Location of Pr°perty''''~House ....................................................... No.~-''~'''~ Street Hamlet Onwer or Owners of Property.. ~..(.~..~q .~...~.. ~./.~.~..~ ~ .... .~.../~2. ~ ..................... County Tax Map No 1000, Section .... ~ ...... ~ Block ...... .~. ........ Lot.. Subdivision .................................... Filed Map ............ Lot ...................... Permit No.j~ ~/O ~ .Date Of Permit. ~ .Applicant..{.C.~..~...~...~...c.~.~. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Ce~ificate ........... Final Certicate../.> ¢0 APFL CANT ~U~DATIO:; (2nd) ~UGH FRAME .PLUMBING ~SULATIO,~! PER N. Y. STATE E}IERGY CODE FI:IAL 11 ADDITIONA'L COMME~;TS: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 14, 1995 Mr. & Mrs. Richard Garcia 505 Bayer Road Mattituck, NY 11952 Re: Building Permit #21510-Z Premises: 505 Bayer Road Suff. Co. Tax Map #1000-139-3-13 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, $OUTHOLD TOWN BUILDING DEPT. !o; ~ou<ho!d Town Building RH : Requeet ior ~ month extension of building permit #21510 i am requesting a 6 month extension of permit # 21510 Z to complete construction Qn lily house at 505 Bayer Rd. ~attituck, N.Y. /rhaDkyou, ~/ Richard Oarcio 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~ [ ] ROUGH PLBG. [ ] INSULATION [ p~I~AL DATE 7is.tse2 BUILDING DEPT, iNSPECTION REMARKS: ~ ~-'-- FORM NO, '1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Examined ..... .~../~. ...... 19 fJ . ..X,prov;d . ?/./. ., l~. Pen.. No.d!~../~_~. Disapproved a/c ..................................... '. (Buildino~'n~ector) ''' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF 3 SETS OF PLANS .......... SURVEY ................... ClIECK .................... SEPTIC F 0 R,'I .............. CALL .......... HAIL TO: Date .............. 19 a. Ttds application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .ets, 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 >r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be cSmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall 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 hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ?he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to .dmit authorized inspectors on premises and in building for necessary inspect~ (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. x,'ame of owner of premises ...... /~l¢/.{0~...~...'{;"...Q .Oft.. [ .~'?/.f/:.. ;~/..~ ........ (as on the t~: roll or latest applicant is a corporation, signature of duly authorized officer. ....................... ' ........ ; ,OCCUPANCY OR (Name and title of corporate FOLLOWING INSFEC~ON$: 1. FOUNDATION - 'BNO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Builder's License IS . UNLAWFUL P,u,nber's License No. ' 'WITHOUT CERTIFICATE:: FINAL CONSTRUCTION MUST Electrician's License No ............ BE COMPLETE FOR C.O, 0F OCCUPANCY co.sT.o r,oN MEET' Other Trade's License No ...................... THE REQUIREMENTS OF TNE NY, STATE CONSTRUCTION & ENERGY Location ofland on wh ch proposed work ,.viii be done · . ..... CODES. NOT RESPONSIBLE FOR ............. .~.~./.~.w~. .... ..~. ~.P. ................ .~...~..re..~. ~.¢. ............................ Ilouse Number Street Hamle, t /~' ~3 'L /~ ' County Tax Map No. ]000 Section ................. Block ................. ot ............... Subdivision...~...~0..~.~.-t.~.. S.efl.: .~r-.. &}(~. Filed Map No ....... · ........ Lot .... ~.~ (Nan]c) Slate existing use and occupancy of premises and intended use and occupancy or proposed construction: a. Existing use and occupancy ~¢~ ~ e~ 3. Nature of work (check~whichlapplicable): New Building ........ Repair .............. Relmoval ............ Demolition'' Addition .......... Alteration ........ .............. Other Work .............. 4. Estimated Cost.. . ese on) · , (to be paid on filing this application) 5. If dwelhng, number of dwellin!g units ............... Number of dwelling units on each floor ......... · If garage, number of cars ~ ...... 6. If business, Commercial or mix. ed occupancy, specify nature and extent of each e of use .............. 7. Dimensions of existing structui-es, if any. Front typ ...... He gilt x, , __' .............. Rear Death ............ ~u,m orr o[ ~torles ........ ' ...... t- ................. Dimensions of same structure ivith alterations or additions: Front ................... Depth ........ i Height .... ' ................ Rear ...... i ............ Number of Stories .......... 8. Dimensions o£ entire new cons ruction: Front ..... · .......... igt mb '" · ...... Rear ..... He it ............... Nu er of Stories ..... ' ......... Depth ............... 9. Size of lot: Front ....... ............ 10. Date of Purchase I .... Depth ...................... ......... P'i .............. ..... Name of Former Owner ............. I I. Zone or use district in which cruises are situated ......... . ............... 12. Does proposed construction w ate any zonm aw, ordinance or r ula 13. Will lot be regraded fp ' '. ................... Will excess fill be removed from premises: Yes No 14. Name of Owner o remises "' ............. Address ' ' '" ' .................. Phone No .......... , .... Name of Architect ........ ~ ................ Address ' Name of Contractor ..... ! ..... · · · · Phone No ........ ~. , · '' B~0 ......... Address .... ' ..... · ' · .............. Phone No .............. ~.. 15. Is this property within feet of a tidal wetland? *Yes ....... No ......... · If yes, Southold %own Trustees Permit may be requirgd. PLOT DIAGRAM Locate clearly and distinctly allI buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or descriptioh according to deed, and show street names and indicate whether interior or comer lot. OqY£ TATE OF NEWtYOR~(,n . / S'~ ou y (Name of individual signing ?ontracti ' ' ' )eve nailed., . , " ontractor, agent, corporate officer, etc.) said owner or owners and is duly authorized to perform or P/cation; that all statements contai-~h · .uu m tins app cation are true to the best of his know edge and b~'l~ and file this ~rk will be perfomed in the rammer set[ forth in the application filed therewith. , and that the 'om to before me this ...... ......... .......... , Notary Pu~ o, State of NeWYork · · · ~o. 4951364 Qualified in Suffolk Coufl~ ~ (Signature of applicant) Commission ~lms May 22,~19~