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Home My WebLink About21384-zFOBM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z--23832 Date AUGUST 24, 1995 THIS CERTIFIES that the building Location of Propert~ 565 BAYER ROAD House No. County Tax Map No. 1000 Section 139 Subdivision ADDITION Block 3 Filed Map NO. MATTITUCK, N.Y. Street Hamlet Lot 14 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30, 1993 pursuant to which Building Permit No. 21384-Z dated APRIL 30, 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 SLIDING DOORS & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JO~N & MARY SANTACROCE (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 ~ ~'/di~g Inspector FO~M NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-oN.° 3138~ Z Permission is hereby granted to: ~ , ~ ..-~.~....~1~-.....~.....,~_ . _~ ~, ......................... ...~a~a_..~....~., ...... , ~.~.~.~..~- .... ,o ......... at premises I~.ted at ..~.~....~~...~~.~~ ........................... County Tax Map No. 1000 Section ...~...~.~ ......... Block ....... ~..~ ....... Lot No..J..~. .................. pursuant to application dated .~......~. ................... , 19~..~,, and approved by the Building Inspector. Fee $...7...~.~..~..~ .... Building Insl:~:tor Rev. 6/30/80 Fornl No. 6 TOWN OF SOUTI1OLD BUll, DING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOIl CERTIFICATE OF OCCUPANCY : B. This application must be filled in by typewriter OR ink and submitted to the beilding 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 11 lead. 5. Commercial building, industrial building, multiple residences and similar buildings aed installations, a certificate of Code Compliance from architect or engineer responsible for the buiiding. 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 al!. property lines, streets, building and uuusual natural or topographic features. 2. A properly cmnpleted application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Buildiag Inspector shall state tbe reasons therefor in writing to the applicaut. C. fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory beilding $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupaecy on Pre-existinp. Bui]diee - $]00.00 3. Copy of Certificate of Occupancy - $20.0(} 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.OO ,/// ate ......... .¢/. ................. New Constructio~ .......... .'<. ..... Old Or Pre-exi3Xing guild£ng ................. · Loeatiou roperty .... ........ ....... ....... }louse No. Street tlamlet Onwer or O~sers of Property--S. :~.. '''~'' ~'~'V.....~..C~.~..~.e..OZ..e. .......... · ........ County Tax Mat) No 1000, Secticm .............. Block ................ Lot ...................... Subdivision .................................... Iriled Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. }lealth Dept. Approval .......................... Underwriters Approve! ......................... Plam~ing Board Approval ........................ / kequest for: Temporary Certificate ........... Final Certicate..~ ..~..... / Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 31, 1995 Mr. & Mrs. John Santacroce Jr. 565 Bayer Road Mattituck, NY 11952 ***** SECOND NOTICE ***** 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 # 21384-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING I~,N~PECTOR TOWN OF SOUTHO~!~ July 31, 1995 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 # 21384-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. INSPECTORS Victor Lessard P~incipa[ B~ilding Impecror Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant F/ye Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 29, 1993 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 John & Hary Lousie Santacroce 565 Bayer Road Mattituck~ N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file.. (Enclosed) No Underwriters Certificate on file. The check is (outdated/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 # BP# 21384Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~SULATION / FRAMING [~/FINAL REMARKS: F1ELD If:Sf'~C?iON '-!IDATE !t FOUNDA'TION (1st) FOUNDATION~ 2. ROUGH FRAME & PLUMBING e INSULATION PER N. STATE ENERGY CODE (2nd) FINAL ADDITIONAL COMMENTS: ,f' "~' ..... ~"~'1'" '..'%"0"} ....... ~ ........ ~" ~u~dn~o u~ '= · :uoBon~lsuoa posodo~d jo ~au~dn0ao pu~ osn p~pualtq ptm sas~a~d jo Aouudnaao pu~ osn ~tuls~xa 01~1~ · (aunzN) ....... : ...... lo~ ............... oN duig PaHd ..... ' ........................ . ........ umspx~pq ~S ............. '~'l'' ~o~ ....... ~'o ...... ~o~a ...... ~ '~' r:'" .o~os 000~ 'o~ ~ ~ x~ ]OltU~H. .. ........... ~:i.~,~.~~ ...... ,=,~ .' .": .... ~"~~ ..... · ...... Le'~ ...... ....................... . ........................... ouop'o~ l~p~sodoxd q~ti~ uo puq j~ u~U~o~ '[ " ....... ::2 ......... : .... :~ .,, . '~ OaoUJo m~zo~oa jo opr~ puu O~N) qqVD tt~qV3H JO.fl~VO~ -[IINH::td.DNIO'IIFItt HO::l NOlJ-VOl'lddV '.. (J°laodsuI°°m~na) - . . - :%5.._ . . ~ ' -: ................................ o/~ 'pa^oJdd~s~a · ' ............ ON[ :l!usJod '~06[ .... t~' po^o~ddv tZ~[ 'A'N 'a'ioHJ. nos IN3~lHVd3O DNIC]"II FIB C]'IOH..LEIos ,::10 NMOJ. '3. Nature of work ( heck whmhl applicable). New Building . ~ ...... ' ,,: ,Repair .............. R~moval .... ' .......... Demolition· · Addition . Alteration .... ~ .... · ' · .... : ......... Other Work .............. , 4. Estimated Cost.. "" : Fe (Descrtion) 5 If d ' i . (to be paid on filing this application) · ifgWelhng, number of dwelling units ............... Number of dxvelling units on eec ~ floor ............ · arage, number of cars i . 6 Ifb · · .i ........ · .. ~ ify ............... '. · · ,-. or mi ea occupancy, spec nature and extent of.each · ' typ 'ex ting if e of use 7. Dunenmons ol is structures an,,' Front ' ,~ ............... , ..... Height ........... NUmber of Stories ........... Depth .............. Di f ! itl dditi ....... ' mensions o shme structure v ~ alterations or a oas: Front ' Depth .... H i ................. Rear .... .... 8 Di ........... 't'" eight .......... * ..... '. . .' . . Number of Stories ....... · mensions of entire new cons ruction: Front .... · · .' ..... Hight i ' · ......... : Rear ........ pth . e ......... ~ .... Nu~nber of Stories ............ ' ...... De ............ - 9 Si fl Fr~ '" 10 fP ................... pth ........ · Date o urchase ... 'i .................. De ..... 1 ' ' h Pi mi ' N ........ ........................ amc of Former Owner ............ 2' ~one or use district in whic e scs are situated .......................... . ........... . . . d ia gl · ocs propose construction v ate any zonin aw, ordina ce or regulation: ........ '.. ' .......... Will I t b ' 13. o e regraded ; ..... ;] ........ Will '' ' ........... 14 N fO fP i~ ............ excess fill be removed from premises: y amc o wnero rem es.., ................. 'Add es o f A ~ . ress .. ~ .............. Phone No .......... ' .' · Name o rchitect ......... , .......... · · N f C Add Ph ...... ........ ress amc o ontractor ....... : .... · .................. one No ..... · · .' ' ' Add Ph N ............ t:y ' 15 I.s this proper within ~300 feet of a tidal wetland? *Yes ........ No.. '' · If yes, Southoid iTown Trustees Permit may be required. ' ...... I PLOT DIAGRAM Locate clearly and distinctly alli buildings, ~heth'er existing or proposed, and. indicate all set-back dimensions from property Lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. gTATE OF NEV3LYO, R-K, . X ._ _. OF , .' ''' '~ ' '~' ~' '~'~'L~'~' '~' ...... ~ being duly . T . ,(Name of individual signing contract~ ...... SWorn, deposes ~d says that he ~s the apphcant ~ove names, i - is the · ' (Contractor ................................ ' ~ agent corporate officer etc ) ..... said owner or owners. ~d is duly authorized to perfom or have perfo~ed the said work and to m~e and file this )plication; that all statements containe'd ~ this application are true to the best of his knowledge and belief; and that the ork w~l be perfomed in the manner se) forth in the application filed therewith. , ' · yom to before me this ............... , ........ dayof..~'.. ~ .~ ..... 19 ~ ~ . . ' N0ta~Publio, Stateo o~ . ' · , / ' (Signature ofapplic~t). . Term Expires October 31, ~