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Home My WebLink About20905-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23272 Date OCTOBER 11~ 1994 THIS CERTIFIES that the building ADDITION Location of Propert~ 4365 DEEP HOLE DRIVE MATTITU~K, NY House No. Street Hamlet County Tax Map NO. 1000 Section 115 Block 16 Lot 25 Bubdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAy 20, 1986 pursuant to which Building Permit No. 20905-Z dated AUGUST 1B~ 1992 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 FOR A DECEADDITION TO AN ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to · (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 JOSEPH & DIANNE MICELI N/A N/A FORM NO. 4 TOWN OF SOUTUOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. CEBTIFICATE OF OCuumANCY No Z-23273 Date OCTOBER 11~ 1994 THIS CERTIFIES that the building ADDITION Location of Property 4365 DEEP HOLE URIVE MATTITUCK~ NY House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 16 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Suilding Permit heretofore filed in this office dated MAY 20~ 1986 pursuant to which Building Permit No. 20905-Z dated AUGUST 18~ 1992 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 A DE~K ADDITION TO A ONE FAMILY DWELLING AS A~PLIED FOR. The certificate is issued to JOSEPH & DIANNE MICELI (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. pLUMBERS CERTIFICATION DATED Rev. 1/81 N/A TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, Ho Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_N°. 2090~Z Permission is hereby gronted to: .... .¢/.~.~......~.~/~.:~.....J~: ............... ..... ~2...>..~.:.~ ....... ..~..,.,.,~ ....... :/../.~... ...... ., .................. ~.,~ ............ ~ ........ ~.~ ......... .4.~.~.:./..~.~ .......... !.~ ......... ~ .......... ,t premises located at ............................ .,~,-,'~....~.....~... .......... ~.,,~..:'~.../~.....,,.-./~,,',,~-.~..........~..../~..,~...~.'.,~,. ............... ......................................................... ~ ........ ~.~:.~.~.~.~ ....... ~ ........................................ ....................................................... (..:~..,.~ ......... ~.:.L~:~.:.:.~.... ........................................ County Tax Mop No. lO00 Section ...... ./.,/,,,~.~. ......... Block ...... ,.//.~.. ......... Lot No. pursuont ,o opplicotion doted ................. ~ ....................... 19~..,~.., ond opproved by the Building Inspector. ~ev. 6~30~80 FO~ NO. ~ TOWN OF $OUTHOLD BUiLDiNG DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereb/granted to* ..... ........ . . i. . . .M,~.~. 7[o. . . . . . ~;. . . .sz ,. . O. . .. . . . . . . a. ~. . . . . .~. . ~o .....C~.~.~~...~.~. ........ ~.~ ~.~a :~...../..~.....~6~ .... ~.~.....z~.~....~~.~.~.~...~~.~.~.~..~ ~ / at premises I~o,ed at ...~.~....~~..~~...~.~ ................................ ...................................................................................... ~~~.~.~.:~ ............. ~.~ y~ M~p No. ~o0o s~io....ZZ..~C ......... ~ ..Z~ .............. ~ot No...~.~..~.~. ..... Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTUOLD 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 1% 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: i. 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 applicanl. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. t. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, klterations to dwelling $25.00, Swim-ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certifisate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $I5.00, C~mmepcial $15.00 / Date .......... :~7.../..::5.~~--~ ............... ~Wew Construction ........... Old Or Pre-existing Building ................. Street - .~amlet nwer or Owners of Property ........... ~ ...................................................... L,~ o~=~ ~ ~ No ~000, ~o,.../~:L ..... ~o~ ...... L.~ ....... ~ot .... ubdivision........... ...................... . . . Filed Map ............ Lot ...................... armit No ................ mate Of Per, it ............. Applicant p-og~ ~ ............. ~alth Dept Approval Underwriters Approval ......... lanning Board Approval ........................ ~quest for: Te.lporary Certificate ........... Final Certicate~.~-~J...~... ...... ::. . . :: · INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCOrl.' L. HARRIS, Supervisor Southold Town Hail P.O. Box 1179, 53095 Main Road Southold, New York 1 t971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 19, 1992 Joseph & Dianne Miceli 4365 Deephole Drive Mattituck, N.Y. 11952 Re: BP #20905-Z (Deck Addition to Acc¥ Garage) BP #14905-Z (Deck Addition to House) Premises: 4365 Deephole Drive, Mattituck, N.Y. Suff. Co. Ta~ Map ~1000-115-16-25 Dear Mr. & Mrs. Miceli: Enclosed is building permit ~20905Z for the deck addition to your accessory garage. Please contact this office when you are ready for a final inspection on the deck so that we may issue the Certificate of Occupancy. Application enclosed. Also enclosed is CO application for the deck addition to your house that was applied for under building permit ~14905-Z. Please submit this application and your check in the amount of $25.00 so that we may issue the Certificate of Occupancy for that deck. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. GJF:gar Gary J. Fish, Building Inspector encls. VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 2, 1990 Dianne & Joseph Miceli 4365 Deep Hole Dr. Mattituck, N.Y. 11952 Re: Deck addition and above ground swimming pool. Dear Mr. & Mrs. Miceli: I am writing to you about the above Building Permit, #14905Z. This permit was taken out May 20, 1986 and has now expired. You are now in violation of the Code of the Town of Southold. Please contact our office regarding an inspection on the deck and pool. Two Certificates of Occupancy will be required. The pool will require an Underwriters Certificate. Please give this matter your prompt attention. Thank you. Yours truly, Secretary 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUND.~TION ZND [ ] I~ISULATION FRAMING D/~'FINAL REMARKS: DATE INSPECTOR/~//Y~/ 765-1802 BUILDING DEPT. IHSPECTION [ ] FRAMING RE:MARKS: ~~ ~) FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~FINAL DATE INSPECTOR FIELD INSPECTION. ~ COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~DDE FINAL ADDITIONAL COMMENTS: . L~,:~..( TOWN OF SOUTHOLD I?,/I ...... !~! ii] BUILDING DEPARTMENT I1~\1 14AY201986 ~' ~ TOWN HALL I1\\1 .... ii t~.2t / .......... ' ....... Bi DG DEFT, ~ / TEL.: 765-1802 ~//q/~ TOW~FO:' e,~T~OLD I __ -/_ ~ ~/' ~1 ............. Examined 61~0 ..... I9~ ~eO~ ~~ Received ........... ,19. " '~'' ' --- --- ~ /t~ -~Ts- ' Disapproved a/c ................. 5 ........... ~ ....... ~ ~ ~ ~ ..................... 7 ......... .......... (BulldOg Inspector) APPLICATION FOR BUILDING PERMIT Date...~/~..~.,19? INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl 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 issued a Building Permit to the applicant. Such perm 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 Occupant 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 ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances t Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and re$,ulations, and i admit auth°rized inspect°rs °n premises and in building f°r necessary insp:~~ ~..,,,df,', , (SignM4ffe of applicant, or name, if a corporation) ...'z/.4e:f....~ .~... dZ.,:~.(.. ~ .,'¢::f. ........ 4, rx,.}.,,(_,~, ..,ff.,/.,...~(~.~7'.-: ..... (mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ...~.,.~./.~. ¢.~ ................................................................................... Name of owner of premises . ~S'~ ,~:=',~/ ~Z ,t~/~2,~/XJC~ /'~/Z~[--/' (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) 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 .... ~..~.~.(~..°.'ill. ~."..~(d."~ ........................ .~. ¢'.f ....... ~.~...C. ~ :Y.<... ~ .,~/. '.,'~ ................. ./:f. ~ Er../.r.< ((;~ ................... House Number Street Hamlet County Tax NIap No. 1000 Section . ?'/. fi.7..'~Block.../.~' ........... Lot.....~...~ .~. · ....... Subdivision..,~.t[/'~..~.*./,,i~....O.k2.~.~../d-....~.~.'r.~.F..~,~. Filed Map No...5P.:~.~.'7 .~. ..... Lot .c~.. ~ ........ (Name) 2. State existing use and occupancy of promises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .~.~.' .t'~:.. 'k".2.~.~.i.t..~ .,c/.~.....~ff..~-..~...'~../.'..~f. f.~....~....fi.c.c. ~..r.~9~7..~. ~.c.~., b. Intended use and occupancy ...~..t.~.~.,l.'/.'.d.e.~.....Z).~..{-"ff.. F.¢~.~.~.~f.,~..?f..-~. ......................... 3. Nature of work (check which applicable): New Building .......... Addition v// Alteration .............. Removal .............. Demolition ~ ............ Ot~r Work ............... Repair -~ ~/ ~ '~----~ (Description) 4. Estimated Cost..",~'~, t~t'~<),'" Fee . .;~.~....~...~....~..~. .................... (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 type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front .... /...~.~-..,, (~.~z. '. ...... Rear ... f.~..~.'. Q.~ f ......... Depth . ./.~..~'~..q.: ......... 10. Date of Purchase ........ '~.'/.~:~ ................ ISJame of Former Owner ~. t) .. 2] ~.~.~/.~'.~.. Zone or use district in which premises are situated ,,~'~xzfie~r t~ ~ ................. 11 ............................. ? ........................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~..e: ....................... 13. Will lot be regraded ........ .. ~ .......... ~.:. Will exc..ess fill be removed from premises: Yes ~__~' 14. Name of Owner of premises s~.~..,f.~.C..~4,q,~.,f../5.~7~'~..CtAddre~.~.7.~-~ ~' fg'"~z-P/-/r".ZffPh°ne N°-~'f~' :~F-'gY"~' .... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................. 15. Is this property located withinl.00 feet of a tidal wetland? * Yes ..... ~..~. · 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 show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applican (Name of individual signing contract) above named. He is the ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th application; that ail statements contained in this application are true to the best of his knowledge and belief; and that tb work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .~..0. ......day of ...... . .~K}r,~4 ........., 19 .~.~. Notary Public, . .... ./~--&'J~.. · · · .~f. ~...~..g..~ .... County ~ ,~ ~ ..~.. ,,, :. ........ ........ NOT/FY' BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THI~ FOLLOWING INSFECTIONS: ,]. FOUNDATION - TWO REQUIRED FOR POUR;D CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CON~JTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHAL~ MEET THE REQUIREMENTS OF THE ~ATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRU~ION ERRORS. .Ct--->