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Home My WebLink About20071-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20286 Date THIS CERTIFIES that the building Location of Property 2875 BAY AVENUE House No. County Tax Map No. 1000 Section 144 Subdivision OCTOBER 17~ 1991 ADDITION MATTITUCK, N.Y. street Hamlet Block 5 Lot 8 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 0%ILy 29~ 1991 pursuant to which Building Permit No. 20071-Z dated AUGUST 8r 1991 was issued, and conforms to all of the requirements of the applicable previsions 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 (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 JOSEPH WILLIAM MAVELLIA N-206515 - OCTOBER 3~ 1991 N/A /=Bulldihg Inspector ~OB~ NO. O 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) Ne_ 2007t Z County Vox Map No. 1000 Section ....... ./....~..../~..... Block .......... .~....... Lot No ........ ~ ........... pursuant to appllcotlon doted ...~.. ....................................... 19.~/...., Building Inspector. Fee ~ and approved by the Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S.9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all propertv lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.O0 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancv New Dwelling $25.00, Accessory ~$I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0. O0 3. Copy of certificate of occupancy $ 5.00, over 5 years 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .. / New C OhS truc t, i on ...... Old or Pre-existing Building ............ Vacant hand ............. Location of Property . . .~. ..................... Hou No. Stre., ............. Owner or Owners of Property ~.~'~..h ..~..; ~. [~ ~ ~l[~__~ ... L, . . . .. . . County Tax Map No. 1000Section ../...,...,.,~.;~.. Block Subdivision ........................ ' · '1' · '~ · · .Filed Map No ........... Lot No .............. Permit No. C~..(~.~l ~-Date of Permit. Health Dept. Approval ........................ Labor Dept. Approval ....................... . Underwriters Approval ........................ Planning Board Approval ....................,. Request for TemperaW Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Applicant .............. Rev. 10-10-7e THE NEW YORK BOARD OF FIRE UNDERWRITERS I O0 i.071 BUREAU OF ELECTRICITY ~ BS JOHN STREET. NEW YORK. NEW :YORK 10038 Date OC'J'O~,~ 0~ ~ ~)~J ~ppl~catlon No. on file ~'] :~'~ /g'~ ~ ~t~ ~ THIS ~ERTI~IES THAT only the electrical equipment m ~scrlbed below and intr~uced by the applicant ~med on the a~ve application number in the premises of in the/ollowlttg h,catisn; ~ Basement ~ Ist Fl. ~ 2nd Fl. was exatnlned on atid fouttd to be ia cotnpllance with the requirements ~f this Board FIXTURE FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT OTHER 2 DRYERS OTHER APPARATUS: E R V I C GENERAL MANAGER / This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be Jdenfifled by their credentials. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Superviso~ 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 October 10, 1991 Mr. Joseph Mavellia 2875 Bay Avenue Mattituck, N.Y. 11952 To W~nom 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. (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 ~ 2007i-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. [IDATE FOUNDATION (lst) FOUNDATION 2, (2nd) ROUGH FRAME & ·PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BUILDING DEPARTMENT ~L~ TOWN HALL · $OUTHOLD, N.Y. 11971 TEL.; 765-1802 Disapproved a/c ........... BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK . . ................. SEPTIC R CALL .................... MAIL TO: APPLICA'FION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~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 _or areas, and giving a detailed description of lhyout of property must be drawn on the diagram which is part of this appli- dation. 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 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 Occupancy 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. OrdNances or ' Regulations, for the construction of buildings, additions or alterations, or for ~:emoval or demolition, as herein described. The applicant agrees to comply With all applica~e laws, ordinances, building Code, ho in~- ode, d regula ' s, and to admit authorized insp¢ctor~ on premises and in building for neces:~7 ~~~... ~~' _ ~._ · . ' - (Si~7~'fure ot appl cant, or name, ~f a corporaImn) · .., .,? . ............ ,, (Mailin= address of applicant) State wl~ether appli~aht ii owfict, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... ........................................................ - , ,~; . ~,~ ..... ~.~ ': ~'.ve:i ,t ,*.7' .,~. (as on the tax roll or latest deed) If applicant is a corporatio'n~{~l~na,ture Of duly authorized officer. Builder's License No...t 1 ~ ~t-J .1. ......... Plumber's License No ......................... Electrician's License No ...... Other Trade's License No I. Location of land on which proposed work will be done; H be ' St ' ' .... ouse Num r reef Hamlet " Countyra. Nol 00o Section . j.5.q..qO. ....... : ..O5OO. ......... Subdivision ..................................... Eilcd Map No. Lot ' (Name) ................ 2. State existing use and occupancy of premises and intended use and Occupancy ofproposed construction: ' -- a' Existing USe and occupancy Q;V2 ,~.- .~..~ ¢¢.,.'l.c~ ,~x~ e¢-o~ ' ' b Intended use and occupancy ........................ ,, ..... . ~, ,d ,, 3. Nature of work (check which appiicable): New Building .......... Addition .......... Alteration ·; · ,:,.,; .... Repair ...... R~moval .............. Demolition .., ........ Swimming poo_[ ....... ~:.~,.. .......9.0.0. i" Tennis Court .:.__--.... Accessory Building .......... Fence ....... Other , '... 4. Estimated Cost ...... , ........................ Fee ............................. ,, ,,. ....· , (to be paid on filing this applicii;iq~{l 5. If dwelling, nmnber of dwelling uflits ............... Number of dwelling units on each fl~ .............. If garage, number of cars,. ...................................................................... 6. If business, commercial or mixed )ccupancy, specify nature and extent o f each type of use .................... 7. Dimensions of existing structures, if any: Front.., ............ Rear ................ Depth .............. Height ............... Numb :r of Stories ....................................................... Dimensions of same structure witl[ alterations or additions: Front ................. Rear ................. Depth ..................... [ Heist ...................... Number of Stohes ..................... 8. Dimensions of entire new constm :tion: Front ............... Rear ............... Depth .............. Height ............... Numb :r of St6hes .............. ; ........................................ 9. Size of lot' Front · .}a3~ . .". .... Rea- .~.~. ........ De"th .l~.O . 10. Date of Purchase ~ .t.~ ............... Name of Fomer Owner ............................. 11, 5one or use distric~n which pre~ises are situated..(~g I~a .~ ..... x .............................. 12. ~oes proposed Construction violate:any zoning law, ordinance or regulation: .g.O. ...... ;'" 7s ...... ~; ......... 13} W~I lot be regraded .:...~. ~5 ................ Will exces~ fill be removed from pr raise: es ..... No. 14. N~e of O,vner of premise~Q~m.-.~~'dress~>. ~ ...... Phone So. ~.g:~o~ .... N~e'of Architect ........... ; .............. Address .............. ~.., Phone No. N~e of Contractor ~gS(~~q¢~.. Address 55((~ ~... ~. Phone No. 15.Is this property loeathd~ within 100 feet of a ,tidal wetland? ~lg8 .... ~If yes, 8outhold Iowa ~Irustees Permit may be required. i PLOT DIAG~M Locate cle~ly ~d dist~ctly ~1 Bu~dNgs, whether existing or proposed, ~d. indicate ~I set-back d~ensions from prope~y Hues. Give street ~d block m mber or description accordNg to deed, ~d show street nines and Ndicate whether interior or comer lot. STATE OF NEW YORK, SIS COUNTY OF ................. · (Name ofindividualsignin contract) above named. Fee is the ....................... APP;RO~D AS NOTED ~ I\lOXIP/ BLI[LD~G ' oEPA~ ~T 76~-]802 9 AM ~ 4 PM FOR THE ,, FOLLOWING INSPECTIONS: 1, FOUNDATION ,- ~0 REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL CONSTRU~ION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHA~ ME~ THE REQUIR~EN~ OF THE N.~ STATE CONSTRU~ON & ENERGY CODES. N~ RES~NEIB~ FOR DESIGN OR CONSTRU~ION ERRORS being duly sxvorn, deposes and says that he is the applicant (Contractor. agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and file this application; that all statements contained in this application are true to t m best oflfis knowledge and belief; and that the work will be performed in the manner let forth in the application filed therewith. Sworn to before me this ' ' ..