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Home My WebLink About30888-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-30924 Date: 05/19/05 THIS CERTIFIES that the building ADDITION Location of Property: 2705 LAUREL WAY MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 121 Block 4 Lot 12 .4 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 30, 2004 pursuant to which Building Permit No. 30888-Z dated JANUARY 10, 2005 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 "AS BUILT" FRONT, REAR & SIDE DECK ADDITIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH MAIDA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signature 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-30925 Date: 05/19/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 2705 LAUREL WAY MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 121 Block 4 Lot 12 .4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 30, 2004 pursuant to which Building Permit No. 30888-Z dated JANUARY 10, 2005 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 "AS BUILT" ABOVE GROUND SWIMMING POOL WITH DECK & FENCING AS APPLIED FOR The certificate is issued to JOSEPH MAIDA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2049369 05/05/05 PLUMBERS CERTIFICATION DATED N/A uthorized Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 30888 Z Date JANUARY 10 , 2005 Permission is hereby granted to : JOSEPH MAIDA PO BOX 1178 MATTITUCK,NY 11952 for CONSTRUCTION OF ATTACHED"AS BUILT" DECKING & ABOVE GROUND SWIMMING AS APPLIED FOR at premises located at 2705 LAUREL WAY MATTITUCK County Tax Map No. 473889 Section 121 Block 0004 Lot No. 012 . 004 pursuant to application dated DECEMBER 30 , 2004 and approved by the Building Inspector to expire on JULY 10 , 2006 . Fee $ 600 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 TORN OF SOUTHOLD i 1 BUILDING DEPARTMENT TOWN HALL 765-1802 13 "y `L� J ! J APPLICATION FOR CERTIFICATE OF OCCUPANCY 6-- - This application must be filled in by typewriter or ink and submitted to the Building Department wdh the following A. 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 11 u 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,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 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 accessory building$25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building-.$100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial $15.00 i Date. 3�/ New Construction: Old or Pre-existing Building: (check one) Location of Property: ,2705 l/2u/'l�, /!/'XZ ` House No. Street Hamlet Owner or Owners of Property: A%w Suffolk County Tax Map No 1000, Section /arc'/• O</ Block i�2O e9 �Z Lot ell, aD i Subdivision /t`J/AIPA d/-- Filed Map. /,2 Lot: —7 T Permit No. Y d 5�Y,�7 Date of Permit. /d 03 Applicant: O 5 r�/f ��7�//�f Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: d (check one) Fee Submitted: $ App i ant Sign tie Co �3o9a Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT I - — TOWN HALL j 765-1802 13 20115 Lj APPLICATION FOR CERTIFICATE OF OCCUPANCY L_7 This application must be filled in by typekriter or ink and submitted to the Building Department with the following: A. 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 11% 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, 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 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 accessory building$25.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building-.$100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial $15.00 i Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: � 7�5 L'/�(i/�G �l�� s��/7/7ricf. .G/f, House No. Street Han-Jet Owner or Owners of Property: J O s ft P/,' A!W /l>/9 Suffolk County Tax Map No 1000, Section />l`'/. Oy _Block 626) Lot /__ Z.�(> 1(4 i Subdivision /A//A/PA /!(411/ AJ• Filed Map. /,Z Lot: 3 Permit No. Date of Permit. /d 03 Applicant: e9 s re- Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate_ Final Certificate: (check one) Fee Submitted: $ g App i ant Sign e COLPLTQ rJ rJ� rJ�cPcPcPrJ�cfrldJcPrJ�r�cPrJ�rJ@Pc Pr�cP[PrJ�rJ@Pr�rJ�r�rJ�r PrJ�rJ�rJ@PcPrJrJ�c fcPrJ@PrnrJ�rJ�rJ� M BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 tj 40 FULTON STREET - NEW YORK, NY 10038 CC5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 e5 5 DOROSKI ELEC. INC JOE MAIDAP. 5 O. BOX 781 2705 LAUREL TC OGUE, N.Y. 11935, MATTITUCK NY1 CU1952 Located at 2705 LAUREL WAY MATTITUCK, NY 11952 S 5 Application Number: 2049369 Certificate Number: 2049369 5 5 5 5 Section: Block: Lot: Building Permit: BDC: ns11 5 Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: C Outside, PooUSpa, 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 5 promulgated by the State of New York, Deg�rtment of StateMCoc(�kforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therF� t o the Day of 5 5 Name QTY Rate Rating Circuit Type 5 Miscellaneous 5 5 above ground pool 5 Appliances and Accessories 5 5 Pool/Spa Bonding l 0 5 Time Clock/Switch 1 0 5 5 Wiring and Devices 5 5 Switch l 0 General Purpose 5 5 Receptacle l 0 GFC1 r5 5 (Stcimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have 55 5 frequent test andfor repairs made b} a qualified person. 5 5 5 5 5 5 sea! 5 I of I 5 5 Iffl) This certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated.LfRI cn s rlcP J1!f ffl@ � Q3f@ cncPcPrJrJrrr�cPrJ ar�cPrlcn�nrPrJ�rJcPc nr�rJ�L3PL r PL R.\ NCAOO TITLE INSURANCE COMPANY f • .'�,: - (515) 7274455 ��- „ a .0 y -•• 5.5s' Sti73C ?� • �13tA A��7_�_-1.JL�f.� I • I m . N y Q� N P' iii 'zr-a-,• •� 05 A ` - i vv*tl I Tt I } N WUUTH012m ALTERATION OR ADDITION To THIS SvrF=.+�1„ :titva: `•'7 iAx �Fl:.-:r 10C?' ' tZ; AA y.r.Mf3 "C"o"720REOFY IS A NEW OF ST �•"' -T" i Z(FT) , EDUCATION LAW, THE NFW YOpK STATE ODRQS Of THIS SURVEY AIAR NOT EEARW6 l'4.�!\R[.1 fi:iY�.w y�r i•ii�T'�T,+'� I TM Wt•D A[:.s[YDR,51t'n Stat CR r - G cc ,,Lo-4 II) T;D 7i NAfDSSM SEA. snr.0 NOT pE coNETDss TO Y A VALID C.U� CJn. -.' I\1��'4i�.• °-.'`..:3 �.^.�l'.:-!;^eco 7"a.'i�itl:.: . . - ITA' ! ,• f��e•,i. t,+q y .q r•Y$ :A:anvtL OUARANIERtuI"L'. ;:v foI\"llcf TOn SMALL JUN$ r.O: i , O.' _ . _ �+� or iO TpB :�: : , WHOAL THE fk JUNn Its DARED. A.c.:r WS ti D, TO f "�f Nfj 1111s COMI .owz pdN-AL Amory AqD _ d JJf'• S_r's_.,,, /,A, , .' ; LflCDTO Rt'6FNuuL "m II�jaEE ! t,,:Ci'�rS:.- L..:•.E J(r 71_;I O��i:�' �R'.'J ;:`5` +>Onl W....T SAif R+Yd�FlM4 TOWN OF SOUTHOLD PROPERTY RECORD CARD loco- iz i -4 - 12A- Ma 41 - G OWNER STREET Z 5 VILLAGE DMfr SUB. LOT O �1 Louk re-t 1�,A a Wi 4 FORMER O NER N E ACR. CI S W CODE DATE OF CONSTRUCTION Gyass r 1 Y ,-I LAND yob IMP. TOTAL DATE REMARKS - P 4 9�� ° G o Lie � 000 _4 Tillable FRONTAGE ON WATER NPI(yt FRONTAGE ON ROAD DEPTH BULKHEAD I -. L M. Bldg. 40 X i4 c 966 5 '=' 46bQ Foundation �• B• Bath ' r Extension 40 x I q9 Z J4 I DO Basement Pctyf Floors Qa.�: Extension Ext.Walls Asio Interior Finish S,i?, Extension Fire Place IV o Heat H.W. Porch Pool Attic Deck Patio Rooms 1st Floor Breezeway Driveway Rooms 2nd Floor Garage 0. B. 4900 Z, 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULAPON [ ] FRAMING FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS! A DATE r -os INSPECTOR hO�Npf SO�u��a ou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ FINAL let [ ] FIREPLACE A CHIMNEY [�] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR A ` NOF p� a N 3ogEg 7— TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION p [ ] FRAMING / STRAPPING [FINAL kC : C/ � [ ] FIREPLACE & CHIMNEY /[ ]\FIRE SAFETY INSPECTION REMARKS: f64 r.� D , DATE z r �s INSPECTOR-- R 1 1 � FIELD INSPECTION REPORT DATE COMMENTS W _ � m FOUNDATION(1ST) ----------- -------, -------------------- -- FOUNDATION (2ND) _ 7 z O m ROUGH FRAMING& - m PLUMBING 3 r� r INSULATION PER N.Y. a STATE ENERGY CODE 44 07.— -y � r FINAL tea- ADDITIONAL COMMENTS 6 �u 0 Imm z Jm i o � ( a 6' c — z x m Z. � x v r T.,,..i.bF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTH OLD, NY 11971 —4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 ---Stuvey www. northfork.net/Southold/ PERMIT NO. -3(C) ( Check Septic Form N.Y.S.D.E.C. 'trustees Examined 1/I0 20 S Contact: Approved t O , 20C%5 Mail to: Disapproved ac ,,y Phone�q$-510 p v Expiration / ( Q ,20� Building Inspector 3 0 2004 APPLICATION FOR BUILDING PERMIT Date 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 streets or areas, and waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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,Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code, housing code, and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. CWin. _ l/ (Signature of applicantr k9re,if a corporation) •.L', N. li (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises :o (Z, (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location jof land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 7/, o J Block D z/, p d Lot D/.2. aO Subdivision t!LL-,-, oi- Filed Map No. / 2 Lot 7 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed con truction: a. Existing use and occupancy ?2264/ C/Y� ��?� G� b. Intended use and occupancy UMTS 3. Nature of work(check which applicable): New Building Addition x Alteration_ Repair Removal Demolition Other Work /Qt (Description) 4. Estimated Cost �6 rj /�J�/ � 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 /Ulm 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. L�GKfs 7. Dimensions of ex* ing structures, if any: Front Z,/ / Rear �5 / Depth Height 2 Number of Stories Dimensions of same structure with alterations or additions: Front 5-Z�92, /CJ Rear Depth 4g, Height ?/A�) Number of Stories 8. Dimensions of entire new construction. ront Rear epth Height Number of Stories 3� //"d , 9. Size of lot: Front Cid Rear o 5 Depthlg� 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_No 13. Will lot be re-graded? YES_WO Will excess fill be removed from premises? YES NO < 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO / * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)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 this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swo to before me this day of % 20z4 Notary Public —�op" signature of Applicant "aEN S. SANTOBA NJIAKY PUBLIC, SIM&A NW W No. 30-4916019 Ounliliyd in alloyC0y16�B Comm.uon FnOirr " . .' �y,�r ham } ` 171W k#pl is � , 8tal+ � !Yn' tA$TF . I NOTE Sit OT I4&%4DQiwL- )I , If dry/ P,{ 4-I DI1rd i 'r"�b 'I i,4 �f ,jc - V61'HiIP"T L/ _ G � IG�A'•IrFa h f � �1- � - . .m....r ( " � �,,,.1' f T I M' • WAuzaFi 1, 1 , �-J' �h�_� �I ��'�� ..- ._'� � � I I I � -.-.—�.._ '� a ,-._.. Ta�-•� ,�-'"� �"..,� 1'r��6 . yy' L � L ,l' - riu r l - � U(9`f711O"Xi�JrG� �6r�� f✓"GP? I Q C 4 -- ALL �JIPIv"gG. C�txlntu I rikfi - 2x�,r�� ' I�x�uR� xar �5 Ool Fes. } N I 121' 17"x V " v{ .JV['�I NVRY �',�,.--- ...I,.. ,.,.�..w,__ 4f -.__, .«... < ' ._ . '.�,T. .,.,._'C-__--._• _.._.' �-.-I I ., j 1 4 P0 y LIVE— � o A�i(�N�LT �..� I-,T r�''�i �1113KIn"x�' '" ' ` a 1 CCUPANCYOR'�' SE IS UNLAWFUL t ] i ITHOUT CERTIFICATE Y.�I ��r _ , .. .. �,� OC�CUP CY AI ----------- __ -_-_._.i' CERTI �T APPROVED AS NOTE __ FIS� ILII9C�.MS.,ATION OF. ECTIONS � DATE: -IDS ��,�,��yy e '�,m'G� I 1 REQUIRED. FEE: 00. f NOTIFY BUILDING DEPARTMENT q7 '� !i` �.�' I, 'i, T I I I , 7 ,,qLL CONSTRUCTION SHALL 765-1802 8AM TO APM FC,, 1HE (( J E C�� /LZ��✓ MEET THE F NEW YORK S OF THE FOLLOWING I 'c y 2 Qk. a 1. -1 -t CODES OF NEW YOHK STATE. 1.FOLLOWING m ,- hBoulREo L :NCRETE GMdaIN � � �_ ��' 6 „ „ 2, FUUCH - FRAMING 8 PLUMBING Dare uNdt U�GK f. L K - I t?Log I'q ,4E1 Ori IMMEDIATELY 3. INSULATION Y CIIII�h r r /3Gh{ 3l "�iYy' ENUPONBCOPOOL PLEOTIONCODE 4 BE COMPONSTRUCTIn., N MUST LETE 4-IV BEFORE "WATER" ALL COP,"T ,, }Oi SHALL MEET THE UNDERWRITERS CERTIFICATE LinusErdTS aFTu; OF NEW `Ja/ q" YUHK STATE - 1JNSIBLE FO REQUIRED '��"��"�^'�DESIGN OR CONSTRUCTION ERRO S. 2JD� !A/� '1t,�WAY - T✓M••-. � � SCALE. uI G�f APPROVED'8V. OR�WN HY i� g yah !"CT +G� GF �'A�1.�(w T' G%/.",4g+ �. f �. I>X'. DRAWING N\IMOLF -I