HomeMy WebLinkAbout20907-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26019 Date: 10/13/98
THIS CERTIFIES that the building ALTERATION
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 18, 1998 pursuant to which
Building Permit No. 20907-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 ALTER AN ATTACHED GARAGE TO A FAMILY ROOM IN EXISTING ONE FAMILY
DWELLING AS APPLIED.
The certificate is issued to VITO C. & LAURIE G. ITALIA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 10/08/98
PLUMBERS CERTIFICATION DATED 10/09/98 BEST QUALITY WATER
Bui 'ng Inspect
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26020 Date: 10/13/98
THIS CERTIFIES that the building ADDITION
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 18, 1998 pursuant to which
Building Permit No. 20907-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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to VITO C. & LAURIE G. ITALIA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
a
Hui ng Inepec r
Rev. 1/81
FORM X0.2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°_N° 20907Z Date .....................P• M...................., 19./Z
Permission is hereby granted to:
..L!9ur,..Ti~Gi:q
14
5"...zs~-~
//9srL
20 rriru
ftCIA /kmc.....f~ (72....... t4 ...../5'
. .
at premises located at 6~ 46 "q
i /.fkT 7 .t.T..K~ .cam...... Z~2
Y'ap.... :t.C~ , :z.. 6r 2 A.......................................
County Tax Map No. 1,000 Section Block :Qf(1........ Lot No...... 0/
pursuant to application dated 19.9 and approved by the
Building Inspector.
Fee 5... <,~f ~Q......
~ (fo 14 ui In Inspector
Rev. 6/30/80
Form No. 6
.
Qo
' TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
J
1 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. 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.'
B. For existing buildings (prior to April 9, 1957) non-conforming uses, of 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
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 accessary building $25.00. Businesses $50,00.
6 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 «
New Construction........... Old r Pre-existing Buil ing...V.. l 7.
Location of Property:. ~ / h.~
House No. Street ` Ha et
Onwer or Owners of Property~l~.... } 1.1v.~.~.Yf r..... .Q.'
County Tax Map No 1000, Section Block ......4tn Lot.......41?
Subdivision .Filed Map............ Lot.............
mac; ? p p / V .Y .
Permit No. .....Date Of Permit...a~,/C~~ ...Applicant
Health Dept. Approval ..........................U/nderwriters Approval....."...................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted:
~t 5523 . APPT.ICANT,'" /
Form No. 6
Qo Co .
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
J
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 12 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.'
B. For existing buildings (prior to April 9, 1957) non-conforming uses, of 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 $155..00, Commercial $15.00
Date
iew Construction........... Ol.d rPre-existing Buil ing...V . .
J~
.ocation of Property.. '/l
House No. Street
Ha{nlet
)nwer or Owners of Propertyj .D... r.r..... QQ
:ounty Tax Map No 1000, sect:ion....~1-.....Block Lot.......E1.............
;ubdivision .Filed Map............ Lot.............. . V
rr pp GG ,
'ermit No.D...... Date Of Permit ...a~!~!~ ...Applicant
lealth Dept. Approval ..........................Underwriters Approval.........................
'lanning Board Approval
equest for: Temporary Certificate........... Final Certicate...........
ee Submitted: ~1 .
(R,~. s a3 E
OCT 09 '99 102E TOWN OF SOUTHOLD P11
p A
lv~ s'. 1998 i J
FLrxi.DEPT.
Town mall, £9096 Main Roao ~y - _ 3.1923
P. O. 30% 1179 as !i Telepnone (s 16) 7E5-18o2
Soul hold, Now York 11971
W~Ol
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUT'HOLD
C E R T I F I C A T S 0 N
?ATE
Building Permit No. c269.o
Owner: 1 + m A rI P_ -71'I 1 Ea
-(please print)
Plumber: i.,){ alwdi`k/
(please ptint)
I certify that the solder used in the crater supply System
contains less than 2/10 of lE lead.
vLr ~
P1umbors Slgnrr>.~ie)
Sworn to before me th's
7 f~ day of '~Jl e. 19~C~
Notary Public, count
y: ,
MEIANIE W, &ROKW
Notary Ptkk Slate of New York
No. 4908712
CunM In &a& County
Commission E)#res Oct. 19, 19
1 1998
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1 o eR PZ PLEA ROAD
54
I
SURVEY FOR
VITO ITALIA & LAURI ITALIA
LOT NO. 12, " MATTITUCK ESTATES, INC."
AT MATTITUCK DATE OCT. 7,1988
TOWN OF SOUTHOLD SCALE 1"=40'
SUFFOLK COUNTY, NEW YORK NO. 88-1191 THOR
ALTERA
ON OR SVIRVEY 6 AIv~OLATIOM OFTIfECT OM 7209 OF THE IS GUARA NTE lP' OF Nfw
NEW YORK STATE EDUCATION LAM VITO IT b `
-pr$ Nco'icYs Of TN" vnt ~cr N,OiNKAHWO THE LAND LAUR TA _ pk0 Yy.
r .w..
o~~g~FFO(,~coG
y x
Town Hall, 53095 Main Road I$ Fax (516) 765-1823
P. O. Box 1179 Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 27, 1996
Mr. & Mrs. Vito Italia
505 Azalea Road
Mattituck, NY 11952
Re: Building Permit #20907-Z - (gar. alt & deck add,)
Premises: 505 Azalea Road, Mattituck
Suff. Co. Tax Map #1000-115-6-8
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,
SOUTHOLD TOWN BUILDING DEPT.
~o ~o ?
765-1802
BUILDING DEPT.
INSPECTION
[ I FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ RAMING [ ] FINAL
REMARKS: ;°O ~D
°o~ 49o7i r
O
DATE d INSPECTOR i c
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS~ATION
[ ] FRAMING [ 4,T FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS- W
DATE ~ INSPECTOR
' l
765-1802
BUILDING DEPT.
[INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ AL
REMARKS:
0 0
~,400`9'!
' 11rr l~
I
DATE g3 INSPECTOR '2!`:'
107
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
Q~
REMARKS:
lo~
. C/
DAT INSPECTOR
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ](ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
1-1
[ ] FRAMING [ FINAL~/t%~'~'i^"" 1
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE w % INSPECTOR
u~~J~ Y
C 1.RLJ ~A•:.. ~l:.l '~Jn.L i~ ::Ca lL241
1. ~ m
a'
FOUNDATION (1st)
FOUNDATION m,
(2nd)
2.
CD,
ROUGH FRAME & ~
-PLUMBING
Y, O~ ~i Gf7+'~ ~ylL y
3.'
D _ n
INSULATION PER N. Y. Z ( • •
STATE ENERGY II
CODE I _
4' -~y
d
FILIAL f `
O
777
ADDITIONAL COMMENTS: x
10A6 iz~
x
~ H
H
O .
m
• r~
-v
y
BO,1RO OF HEALTH
oo
[,o FORM NO.1 ,,,3 SETS OF PLANS
/ TOWN OFSOUTHOLD SURVEY
BUILDING DEPARTMENT i/CHECK
'L $ TOWN HALL SEPTIC 1,0911
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 t:OTIFY:
el-I
1.. `S
ffJ~'' p CALL •
Cxamined .....pp11_, I9.9Z h1AIL TOE
Approved .....0.p.? 19 /.)-Permit No. PkJ~:e. L2 {
Disapproved a/c
-
uilding Inspector)
APPLICATION FOR BUILDING PERMIT
Date 19 ! .4
INSTRUCTIONS
a. This 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
J1- 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 commenced 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
iuilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Zegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
Fhe applicant agrees to comply with all applicable laws, ordinances, building cod , ho sing code, and regulations, and to
admit authorized inspectors on premises and in building for necessa ms ections
(tgnature of pp icant, or na e, if a torpor on)
(Mailing address f applicant)
hate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..awnelf .............................`................1...................................... .
\tame of owner of premises .Y 1 Q..1.. t~ ...::''+Q.1.0
(as on the tax roll or latest deed)
f 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 .
Location of land on which pro osed work will be done . .
Q,S .............za ..~3~ gad....a+ is
Ilouse Number Street 1 Hamlet '
County Tax Map No. 1000 Section l1.5........ (hock & Lot .....8
Subdivision Filed Map No. Lot
(Name)
State existing use and occupancy of p inis~ees and intended use and occupancy of proposed construction:
a. Existing use and occupancy J . ` .
b. Intended use and occupancy '
~
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
C~ (Description}
. 4 )on Fee....................................
4. Estimated Cost.... .
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each flour
Sfgarage, number ofcars
6. If business, commercial or mixed occupancy, specify Ualu rc and extent of each t,yype of use .......-.y~ .
7. Dimensions of xisting structures, if any: Front <X::/;'. 't3 Rear A . . Depth . .~a . . .
Height Number of Stories .
Dimensions ofs~ structure with alterations or additions: Front ar..'+?...... Rear
Depth G3 = • • Height f Number of Stories I .
Dimensions of entire new construction: Front Rear Depth
Height Number of Stories . .
9. Size of lot: Front' 10Ll-7a............ Rear .5, M........... Dept /.a... P.
10. Date of Purchase ....,7.-/9~ W..' Name of Former Ownez/~{?i r?C4p,gVq , C-X f,
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: ....,l1.Q .
13. Will lot be regraded }Q0 Will excess fill b remove from premises: Yes
Phone No. 4~9s .:Y~lnl~
14. Name of Owner of premises 1 t .~0.Li U&.I1C~ddress.$X...+ .
Name of Architect ^ Address Phone No:.............
Name of Contractor Address o............. .
15. Is this property within 300 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 £rc
property lines. Give street and block number or description according to deed, and show street names and indicate whetl
interior or corner lot.
rt
a-
t~ n
; Vu5e
Z 6A
. ~Iec-~ Raul
iTATE OF NEW YOR
'OUNTY OF....S
~ being duly sworn, deposes and says that he is the applic
(Name of individual signing contract)
bove named.
Icis the r~~`................................................
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file t
nlication; that all statements contained in this application are true to the best of his knowledge and belief; and that
olk will he performed in the n+mner srl fullh ill the upplicaliun filyd thelewilll.
worn to before me this !1
..........3t, s y-day of r k~4.
C1 :I a
otaryPublic, t.? s, tY, f t~. County
G ROBERT L SCOT1 Av G ............i. h:. . .
NOTARY Pt1DLlC,OT (Signature of applic,
11110. 9. may 1, 9u
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APPROVED AS NOTI 'RDIED ASNOTED rokrAlt! £x/srivG
r DATE: ` ~ B.e 7/7v B.P.B~(' O `r~yn S•r cows.
OCCUPANCY OR So BLD cK BY: b ` NEW -,X
~Y FEE: ' a BY: ILDING DEPARTMENT T
USE IS UNLAWFUL X 8 5 ~1 NOTIFY BUILDING DEPART SHIM A5 765-1802 9 AM TO A PM i AM TO A PM FOR THE 1%/ Z - tT
kE°° r FOLLOWING INSPECTIONS LIGK 3 INSPECTIONS: NE O fair ,
WITHOUT CERTIFICATE F 1. FOUNDATION - TWO SION - TWO REQUIRED Kp8 JRED CONCRETE r EXIST 1.v
FOR POURED CONCRET - FRAMING & PLUMBING fOo nmu Y
OF OCCUPANCY 2. ROUGH - FRAMING & 1 6X/.i T/NG CoNG, SCFI B 3, INSULATION E'KiST/WG- Cr 71ON SGT
A A 4. FINAL - CONSTRUCT CONSTRUCTION MUST
!'l J G /'1 OF COMPLETE FOR C.O, IPLETE FOR C.O. - TY P CAL y/1.` SEGTE 04
ALL CONSTRUCTION SH, ,TRUCTION SHALL MEET
THE REQUIREMEN15 Ur JIREMEN15 Ur INC a...
STATE CONSTRUCTION 1 NSTRUCTION & ENERGY
CODES. NOT RESPONS NOT RESPONSIBLE FOR 9 CONSTRUCTION ERRORS
OESIGN OR CONSTRUCTIC
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