HomeMy WebLinkAbout18817-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19576
Date DECEMBER 11r 1990
THIS CERTIFIES that the building ADDITION & FOUNDATION
Location of Propert~ 1300 BAILIE BEACH ROAD MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 99 Block 03 Lot 11.18
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEB. 15r 1990 pursuant to which
Building Permit No. I8817Z dated FEB. 26r 1990
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 ADDITION AND FOUNDATION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to MICHAEL CARBONE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTM]ZNT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N146191 AUGUST 28r 1990
WILLIAM KNOERNSCHILD 10/14/90
Rev. 1/81
/~ Building Inspector
TO~VN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS ~EP-J~IT M~$T B£ K£PT ON TH£ PR£~ISES UNTIL FULJ_
COMPLETION OF THE WORK AUTHORIZED)
No_ 18817 Z
Permission is hereby granted to:,
~--~,, . ,~ ....., ~
. .........................
~un~ Tax Map No. 1000 Section ........ ~.~. ....... BI~E ......... ~ ........Lot No .....
pu~uant to application dat~ ............... ~/~. .......................... 19.g~.., and appr~ by the
Building Insp~tor.
Rev, 6/30/80
Form No. 6
· TOWN OF SOUTHOLD
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-di$~osal(S-~ 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. Con~nercial 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:
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 o£ Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
.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 building $25.00,
Additions to accessory building $25.00. Businesses $50,00.
2. Certificate of Occupancy on Pre-exis~ing Building -- $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
~. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . J~/.~ ~/~?. ..............................
New Construction .... ~ ...... Old Or Pre-existing Building .................
4.d.'. .....
Location of Property .... ~. ....................... ~ ...........
House No. Street Hamlet
.¥.
County Tax Map No 1000, Section ........... Block ............. Lot .... ./ ................
Subdi$ision .................................... Filed Map ............ Lot ......................
Permit No../..~. ~. L.7. ..... Date Of Permit...~,~? ./.Y.~. ..... Applicant ......................... ....
Realth Dept Approval Unde~riters Approval .
Planning Board Approval . .
Request for: .Temporary Certificate ........... Final Certicate.....~., ....
Pee Submitted:
FOU~; D ATI 0.~; ( I s t )
FOU!,~DATIO:!
(2nd)
ROUGH FRA~-iE &
-FLUMBING
INSULATION PER H.
STATE EHERGY
CODE
Fi:]AL
ADDITIOHA'L CO~4ME~;TS:
TOWN OF $OUTHOLB
OFFICE OF BUILDING IN~'PECTOR
P.O. BOX 728
TOWR HALL
$OUTItOL~, N.Y. 11971
June 5, 1990
Michael Carbone
2 Bailie Beach Road
Mattituck, N.Y. 11952
TEL. 765-1802
' BL[)G. DEPT,
[ .... OF SOUTHOLO , i
To Whom This May Cogcern,
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 U~dcrwriters Certificate on file.
/~The check is(~ax~/not on file.) $25.00
/~/ No Health Dept. Approval on file.
/~/ NO final inspcction has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit tt I 8 8 ] 7 Z
Buildi~ Dept.
***/--_w~' No Plumber Solder Certificate on file.
all permits involving plumbing bein~
issued after April 1,1984 )
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TO%VN HALL
SOUTHOL~), N.Y. 11971
June 5, 1990
TEL. 755-1802
Michael Carbone
2 Ba£1ie Beach Road
MatCicuck, N.Y. 11952
TO Whom This May Cogcern,
We are unable ko complete your Certificate
of Occupancy because.of the following reasons.
/
- - ~ /~// An application for Certificate of Occupancy
_.//is not on file. '(ENCLOSE,D)
/k// The check is(~XK~/not on f~le.) .$25.00
/--/ NO lIealth Dept. Approval on file.
/--/ No final ins.pection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit ~ I 8 8 ! _.? Z
Buil:~ Dept. ,F
***/~ No Plumber solder Certificate on file.
all permits involving plumbing being
issued after April 1~1984 )
YO~M NO. 5
TOWN OF SOUTHOLD
HUILDING D~PARTMEbCF
TOWN CLF. RK'S OFFIC£
SOUTHOLD, N. Y.
ORDER TO RF.M£DY VIOLATION
7
Date ...S~]LT~U~I~ .................................. t9....9...0.
TO MICHAEL CARBONE
(owner or authorized agent of owner)
165 E. 32nd ST.
.......... .,...~.W_X.0.~ .z..,... ~.,.L ...J..0.0..L6.j' ....................
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
CHAP. 100
O.+her Applicable Lows, Ordinances"or Regulations ..................................
at premises hereinafter described in that -AN ILLEGAL DECE HAS BEEN CONSTRUCTED
(state character of via}arian)
HITHOUT A BUILDING PERMIT AND A CERTIFXCATE OF OCCUPANCY FOR
PERMIT {]88{?Z HAS NOT BEEN OBTAINED.
in violation of 'ARTICLE XXVI~_I CHAP. 100-21~1 & 100--284
(State section or paragraph of appHcob{e Iow, ordinance or regulation)
YOU ARE THEREFORE D1RECTED AND ORDERED to comply with the {aw and to remedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
....2.....~..A.[.L....~..E.....B..E...A.~.~....R.~.....~..~.~.T.~[~.U~.~. ........ County of Suffolk, New York.
SUFFOLK COlIN'C[' TAX 14Jt~ // 1000-99-03- ! I. 18
Failure to remedy the conditions aforesaid and to comp{y wilh the applicable provisions of law
may constjtut~ an offense punishable by fine or 'imprisonment ar both.
~ ., ~ f ~. . ~, 4. r,~-~P-..~/ ~ ' . au,,
.....................
VINCENT R. ~IECZOREK
(Cert. Mail)
765-1802
BUILDING DEPT.
INSPECTION
] Fo/O~UNDATION 1ST [ ] ROUGH PLBG.
/
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE
INSPEGI~TOR
765-180Z
BUILDING DEPT.
INSPECTION
FOUNDATION /ST ~ ] ROUGH PLBG.
FOUNDATION 2ND [ ] I~ULATION
FRAMING [~'~INAL
ILDING D£Jrl'.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
] FO~I~ATION 2ND [ ] INSULATION
FRAMING [ ] FINAL,
INSP£CTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ]/FOUNDATION 1ST I- ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
DATE
INSPECTOR
Tom ~1!
Job: Carbone~Bailey Beach R~.~ Mattituck
To ~gnom It L~y Concern~
AIl hot a~d cola water pipei~ solderd
with lesd free 9~.5.
Williar Knoernschild
· OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
UNO,WRITERS C~RIlI~K~AX~
REQULR[D
APP, ROV~ AS N(:~'ED
DATE: ~8 e # /~'/:~
765;~802 9 AM ~ 4 PM FOR ~E
FOLLOWING INSPE~IONS:
1, FOUNDATION ~O REQUI~D
FOR POURED CONCR~E
2. ROUGH - FRAMING & PLUMBING
3, iNSULATION
~ FINAL CONSTRUCTION MUST
~E COMPLETE FOR C.O,
ALL CONSTRUCTION SHALL ME~~
THE REQUIREMENTS OF THE
STATE CONSTRUCTION & ENERGY
,.. F ~ :~',~ C~H ~)N~TFRUCTION ERRORS
BUILDING DEPARTMENT
· TOWN HALL
__i ~'~ I ' ' ~OUTHOLD, N.Y, 11971TEL.;765.1802
ExamJ'ncd .~ ............ 19 .~.
Disapproved a/c .....................................
~tor)
APPLICAT)ON FOR BUILDING PERMIT
BOARD OF HEALTM ..........
3 SETS OF PLANS ..........
SURVEY ...................
CHECK ....................
SEPTIC FORM
NOTIFY ~ CALL ...............
MAIL
.lo~t..//e ./( ........
az. ,,~;~ .&. ,~ ......
Date ................... 19 .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witl
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 pubIic stre
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap.,
cation·
¢. 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 per~
shall be kept on tlie premises available for inspection throu~h, out the work.
e. No building shall be occupied or used in whole or in part for aDy purpose whatever until a Certificate of Occupan
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 t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appIicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for ~'emoval or demolition, as herein describ,
The applicant agrees to comply with all applicable laws, ordinances, buUding code, housin~ code, and regulations, and
admit authorized inspectors on premises and in building for necessary inspections.
X.'~~..~~"---- ~.~-~ '>~ ~ ~ ............
(Signature of 5pplicant, or name, if a corporanon)
· l ~.~\~.: ~ ~. ~.~,;~ ..... ,g..c.. v. · .~.,~.. · ).~. ~
(Mailin= address of applicatt)
State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~
(as on the tax roil or latest deed)
It' applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Plumber's License No .........................
Electrician's License No '
Other.Trade's License No ......................
1. Location of land on which proposed work will be done:
I .~..f. ~ ................
House Number Street, Hamlet
County T~x Map No. I000 S~efion ............ Block K ............... Lot~. .
Subdivision ~ .................................... Eiled Map No. ~ ............. Lot ~ .............
(Nmne)
2. Slate existing use ~nd occupancy of premises and intended use and occupancy o~proposed
~. ~x/s[in~ use and occupancy . · , ........ ~ ~ . ..
b Intended
· use and occupancy ' ' '
3. Nature of work (check which applicable): New Building .......... Addition .......... AltcratloW'~', ........
Rep:fir .............. Rbmoval .............. Demolition .............. Swimming pool .... "i ....
Tennis Court~-~ ......... ~Access°ry Building .......... Fence '''t'' '~V°~--:- :[ .....
4. Estimated cost 5./. ........................ Fee ............. . ................. . .. ...
(to be paid on filing this al~pl~cat!otu)
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 ....
Heieht ....... Number af ma,-ies .......... : ..............................
9,,~ Sb.c of lot: Front ... ................ .. Rear ................. ... . . Depth ...................
16 ...... ' ~ Name of F' Owner
11. Zone or use district in which premises are situated ....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...............................
13. Will lot be regraded ............................ Wiil exce~ fill be removed from premises: , Yes .... No
14.X Name of Owner of premises .~/..' .~ f?..~,z. .~'¢,~.~..~'.°..~t.~ddres~ 4¢.'I f; ?,_.:~'(,..W;,~., .c.... Phone No.&~3. ) ~.~/.-~.&-'¢.'7.
Name of Architect ..... Address Phone No ......
Name of Contractor ................. 2 ........ Address ................... Phone No ..... ~ ..... '
15.Is this property located within 100 feet of a tidal wetland? *YES .... NO..i.''
mlf yes, $outhold Town Trustees Permit may he required.
PLOT DIAG RAM
Locate clearly and distinctly M1 buildings, whether existing or proposed, and. indicate MI set-back dimensions from.
property lines. Give street and block number or description according to deed, and show street names and indicate whethe~
interior or corner lot.
~/STATE OF NEW Y4DRK,/'~ e -
cou, 'rv _
../ (Name of individual signing contract)
above named.
sworn, deposes and says that he is the applican
lie is the : ..................... ;.
(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 th!
application; that at[ statements contained in this applic~,tion are true to the best of his knowledge and belief; and that th
work will be performed in the manner set forth in the application Qled therewith.
Sworn to before mc this
......... (.
Notary Public. ,<::~., .~. L''''
" T 7 -
/ ~ .,~2~.~ri~.'2~.~.L,~,,~ta ................................