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Home My WebLink About20906-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26021 Date: 10/13/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 505 AZALEA ROAD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 6 Lot 8 Subdivision Filed Map No. __ Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 13, 1992 pursuant to which Building Permit No. 20906-Z dated AUGUST 19, 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 ACCESSORY SHED IN REAR YARD AS APPLIED FOR "AS BUILT" The certificate is issued to VITO C. of the aforesaid building. & LAURIE G. ITALIA (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL. COMPLETION OF THE WORK AUTHORIZED) NgN? 2090~;Z Permission is hereby grot~ted to: ..... /~:.~....~ ~..~,~.~......~..z..:~ ....... ~-- ........ .~.~..~.~.~ ........ ..~....:..~..:....../..~..q.5-~- ~ ........ ~ ........ 2.~ ........ ..,fi...~,~_~ ...... ~..-~.:~ ~.'T~......?~:.... ~ ........ ...... .~,~. ....................................................... ~. .................... : ...................... ~.~., ...................... ~t premises ,ocoted cou~ Tox Mop No. ,000 S~c,,on ........ /../.~ ..... B,~k ........ ~ ...... Lo~ No ...... ~./. ........... pursuon, ,o opplication doted .................. ..?..ff...].:.~.. ....................... 19...~...~7., end opproved by the Building Inspector. Building Inspector Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~%PPLICATION 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 Vpre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual hatural 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 Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ate . .. tO.r.ll a.~.~. ........................ ~ew Construction .... ..~. .... Old Or ~re-existing Building ...... ~ocation of Property ........... ~ ...................... House No. Street )nwer or Owners of Property .................... ounty iooo, ..... Bloc .... .......... ..... ............. ;ubdivision .............................. Filed Map Lot ............... {ealth Dept. Approval ................. ....... .. Underwriters Approvai ......................... ~lanning Board Approval ..................... . .. {equest for: Temporary Certificate ........... Final Certicate....~.. ..... ~ee Submitted: $ .......... ~ ~'~ ~*~ ...... 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 March 23, 1995 Mr. & Mrs. Vito Italia 505 Azalea Road Mattltuck, 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 i, 1984). BUILDING PERMIT # 20906-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek O~dirmnce Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD VlTO & LAURIE ITALIA 505 AZM.RA ROAD MATTITUCK, NY 11952 OCTOBER 5, 1992 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~ An application for Certificate of Occupancy is not on file. IEnclosed) No Underwriters Certificate on file. 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 ~. 20906-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 1197'1 February 5, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Mr. & Mrs. Vito Italia 505 Azalea Road Mattituck, New York 11952 Fax (516) 765-1823 Telephone (516) 765~1802 ****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 ~ 20906-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ***ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. FOUt;DATIO~'~ (2nd) F. OUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODB FINAL .I ADDIT!ONA'L COMME}~TS: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 LICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be ~lled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: i. 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. ' f[ F°r existing buildings (pri°r t° April 9' 1957) n°n-c°nf°rming uses' °r 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 i. Certificate of Occupancy - New dwelling $25.00, Additions to dwellin§ $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 New Construction...VLocation of Property.' ....... .~.~Old Or Pre-existi~g Building''f~5~~ ~.~...~ .... .~ ~ '''~.~t~.~ '~'~.~' ' House No. Street Onwer or Owners of Property ............................ ; County Tax Hap No I000, Section..o~7..~.. .... Block ..... ~. ........ Lot ........ .~. ........... Subdivision ' Filed Map Lot Permit No Date Of Permit.. .. Applicant ..... Health Dept Approval Underwriters Approval . . . Planning Board Approval .................... .. . Request for: Temporary Certificate .......... Final Certicate ........... Fee Submitted: $ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved .............. 19¢.2:'. Permit No...~..~.~..~.~ Disapproved a/c ..................................... BOARD OF H£ALTH // SEFTIC - . CALL ................. MAIL TO: .. ~Buildin~ Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs appIication must be completely filled in by typewriter or in ink ~ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises: ~r areas, and giving a detailed description of layout of property must :ation. c. The work covered by tiffs application may not be commenced d. Upon approval of this application. ;hall be'kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole, or in part for any .hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department 5uilding Zone Ordinance of the Town of Southold, Suffolk County, regulations, for the construction of buildings, additions or I'he applicant agrees to comply with all applicable laws, ~dmit authorized inspectors on premises and in building for the Building Inspector, with premises or public stree which is part of this appl ?~rmit. applicant. Such perm Certificate of Occupanc mrsuant to th Ordinances o described regulations, and t, State whether ap/plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................................................... X/ame o£owner of premises...~.i .~..~.~.~ Ii..~.....~. .... · .~..~. f.{ .~ ~/.~. latest deed),.,~,~OV~OA$ (as on the tax roi1 or ....................... ....................... N~'~ aU,m,NG DEPA~NT A UUUUI ~IIUI FOLLOWING INSPE~IONS: UbC lb Ui vvruL ~OR POURED CONCRETE Plumber's Ltconsa Na .............. 2. ROUGH - FRAMING & PLUMBINI Electrician's License No ....................... 4. FINAL CONSTRU~ON MUS D.F .QO. CUPANCY Other Trade's License No ........... ALL CONSTRUCTION ~HAL[ THE REQUIREMENTS OF THE N.' STATE CONSTRU~ION & ENERG . Loc=tJon or,nd on which proposed wo~ wJH be' done ....... , ...... . ....... r ~b'd~.' ' ROt' 'RESPONSIBL~ ' FO ..... ....... ..... .......... ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed ..construction: Existing use and occupancy ................. ~., .-'. ....................... b. Intended use and occupancy ............... } ............ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ........ Repair .............. Removal .............. Demolition .............. Other Work ............. 4. Estimated Cost ........ 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, speedy-nature and extent of each type of use .... ~ ........... 7 Dimensions of existing structures if any: Front ~ Rear ~- Depth ight ~ f St He .... .... ;%- ...... Number o aries '. ..................................................... Dimensions of same structure with alterations or additions: Front ... ~. ............. Rear .... : ........... Depth .......... ......... Height ....... JO~.t' .-:-:-.; ........... Number~., of Stories ............/~. }..~ ...... 8. Dimensions of entire new construction: Front.. ......... Rear...~c:y.t ......... Depth ,. ........ Height ...]~).t ..... '-T.... Nu~mber of Stories ....... 1 ................................... ... -~: ........ Size of lot: Front ..... l ~.,.7.~.[ ~'. ~. ....... Rear .... ./~".,.00/ ........ Death, CZ~,,~::~:(.~ .,~'clD ........ 9. Date of Purchase ...V= .= ............. Name of'Former Owner 10. 1 1. Zone or use district in which premises a.re situated .......................... ,)13r/5 ..................... --~ 12. Does proposed construction violal~iny zoning law, ordinance or regulation: .... g~.~ ..................... 13. Will lot be regraded ........ A,/(,~. ..... ............ Will excess fil~ be removed from premises: Yes ~4. Name of Owner of pre~ise~ ~'~..':.~. Ve-,.2:~//~ddress~./f-~r/~. ~d,.. rho~e ~o. Name of Architect '------- . .... Address ............... Phone No. Name of Contractor ..... ~ .............. Address ................... ~ ........... 15. Is this property within 300 feet of a tidal wetland? *Yes ........ o~. %>) *If yes, Southol~ Town Trustees Permit may be required. - PLOT DIAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fro, property lines. Give street and block number or description according to deed, and show street names and indicate wheth~ interior or corner lot. ........ ~..;~ ....... ~. I ......... [ ....... Deing duly sworn, deposes and says that he is the applicar (Name of individual signing contract) bore named. is the ................ ' ~ .......... (Co agent, orporate offiger, etc.) said owner or owners, and is duly authorized to perform or have performed the said work 'and to make and file th oplication; that all statements contained in this application are true to the best of his knowledge and belief; and that 'ark will be performed in the manner set forth in the application filed therewith. worn to before me this /") .' ............... 'Otary Public, ...~..~..~2': / · ......................... ~~~ (Signature of ap plican