HomeMy WebLinkAbout32924-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32465
Date: 07/13/07
THIS CERTIFIES that the building ALTERATION
(STREET)
Block 16
EAST MARION
(HAMLET)
Location of Property: 2370 BAY AVE
(HOUSE NO.)
County Tax Map No. 473889 Section 31
Lot 7
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 16, 2007 pursuant to which
Building Permit No. 32924-Z
dated
APRIL 19, 2007
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 BATHROOM ALTERATION TO AN EXISTING SEASONAL DWELLING AS APPLIED FOR.
The certificate is issued to FRANK C MANDARO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3030875
05/18/07
PLUMBERS CERTIFICATION DATED
07/10/07 MATTITUCK PLUMB. &HEATING
Signature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
"
This application must be filled in by typewriter or ink and submitted to the Building Depaliment with the following:
A. 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 Dep!. of water supply and sewerage-disposal (8-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swam statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead.
5. Conunercial 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 Plalming 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:
I. Accurate survey of property showing all property lines, streets, building and unusual a\ura! or topographic
features. /, w 'C /. .
2. A properly completed application and consent to inspect signed by the applica~&fI CertifiCat~ of Oo,cupancy is
demed, the Buddmg Inspector shall state the reasons therefor m wntmg to lh;r ap can~ '.....(.
/ 10 /I.
e. Fees, '>. ?~/"> 1/
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00~~,lJ<~1,S well in ,0,
Swinuning pool $25.00, Accessory building $25.00, Additions to accessory building $~e1Jti~sin s $;.00.
2. CertIficate of Occupancy on Pre-exlstmg Buddmg - $100.00 .'to/J
3. Copy ofCeliificate of Occupancy _ $.25 ""-.......
4. Updated Celiificale of Occupancy _ $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Old or Pre-existing Building:
Location of Property d370 ~ flut
House No. Street
Owner or Owners of Property -/Yant ma.nd aru
Dale. -_~IlLQkt7
../'
New Construction:
(check one)
(}. Ot Sf rh'1.r, 0 n
Hamlet
Suffolk County Tax Map No 1000, Section ~73:3'81 03 L Block
OOIlc2___ Lot
00,
SubdivisIOn
Date ofPenuit. Lf lit! 101
Filed Map. _ Lot
Applicant RDn l'r'bri L2()
Pennit No 3 {),.If Q LJ
Health Dept. Approval __.
Underwriters Approval
Planning Board Approval
Request for:
Temporary Certificate
Final Ceriificate:
J
(check aile)
Fee Submitted $ ~5.00
~, 7)'~7
C(j -2:. );ltf(,5
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.
32924 Z
Date APRIL
19, 2007
Permission is hereby granted to:
FRANK C & ORS MANDARO
167 BACHE AVE
STATEN ISLAND,NY 10306
for :
ALTERATION TO AN EXISTING SEASONAL RESIDENCE AS APPLIED FOR
at premises located at
2370 BAY AVE
EAST MARION
County Tax Map No. 473889 Section 031
Block 0016
Lot No. 007
pursuant to application dated APRIL 16, 2007 and approved by the
Building Inspector to expire on OCTOBER 19, 2008.
Fee $
200.00
j~~.
Authorized Signature
ORIGINAL
Rev. 5/8/02
_ /6-. _ ..,
l!I~~~l!I
I BY THIS CERTIFICATE OF COMPLIANCE THE I
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ CUSTOM LIGHTING OF SUFFOLK INC AMELIA MANDARO ~
~ PO BOX 1698 2370 BAY AVE ~
I MATTITUCK, NY 11952, EAST MARION, NY 11939 I
~ Located at 2370 BAY AVE EAST MARION, NY 11939 ~
I Application Number: 3030875 Certificate Number: 3030875 I
~ Section: Block: Lot: Building Permit: 42924 BDC: ns11 ~
~ . . 3;;'C'It::JY .. ~
~ Described as a occupancy, wherem the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located in/on the premises at: ~
~ First Floor, bathroom, ~
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having jurisdiction, and found to be in compliance therewith on the 18th Day of May, 2007. ~
~ Name OTY Rate Rating Circuit ~ ~
~ Appliances and Accessories ~
~ Exhaust Fan 1 0 F.H.P. ~
~~~~ ~
~ Switch 2 0 General Purpose ii!l
~ Fixture 2 0 Incandescent ~
~ Receptacle 1 0 GFCI ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ 9~ ~
~ ~
~ 1 of 1 ~
I I
~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~
l!I~.l!I
Town Hall, 53095 Main Road
P.O. Box 1179
Sour hold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
IL~ JL:;:~ lill
I -- 6cD~.DEPc
L--F~JI!.QfS"'o:.TH9' II
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
?;~7
Building Permit No. ~ J,q d. L{
Owner: JY {in.k.. fi[Y1J1 dafO
(Please print)
Plumber ,;1LII. !-.nJ Plvffl (:s .. ~.j--3
(Please print)
I certify that the solder used in the water supply system contains less than 2/1 0 of 1%
lead.
/!d~.
t (p~mbers Signature)
Sworn to before me this / () 7]'
,20~
DENISE KING
NoIalY Public, State 01 New York
RegJs1ratiOn #OlK16041757
QtJallliad In Suffolk County
Commlsalon Ex ',es Ma 15, 2 ~
Notary PUbliC'~ County
/
3PfJ-cr-c
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING J STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] RRE RESISTANT CONSTRucnoN [
REMARKS:
] ROUGH PLBG.
] INSU TION
INAL
] FIRE SAFETY INSPECTION
] RRE RESISTANT PENETRAllON
DATE ~/t? 7
INSPECTO
FIELD INSPECTION REPORT I DATE I COMMENTS \.\J
% ."
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FOUNDATION (1ST) - qJ
+- ""
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STATE ENERGY CODE --- ----..----- - (\\
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ADDITIONAL COMMENTS :>
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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STREET
SUB.
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LOT
VILLAGE
P '/ r
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W'
DIST.
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LAND
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AGE
NEW
FARM
Tillable
Woodland
Meadowland
House Plot
Total
-
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IMP.
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-4'100 /
NORMAL
Acre
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:5 DESC-
ACR~"
,~
TYPE OF BUILDING
I
S
41t .,~
S:..::.\ y c +0
CB. MICS.
Mkt. Value
ARM
COMM.
TOTAL
/doo
DATE
f': / "
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Ce,oo~,) /
BUILDING CONDITION
BELOW'
ABOVE
VQ.lue
~", '(J
Value Per
Acre
J)() 9
,
100
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
9(, ~"
--
10(' CI
-<
~......
DOCK
I
,'"';:l-'; \
.,M. Bldg.
Exte~.!:;.n.....
Extension
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,
I .0;,"'1' ,
''Porch' =._
OV,::.v
-Perelc-c.k::..
Breezeway
Ga rage
Patio
O. B.
Total
~
tL3>< 37= 551> 8'03
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,-, vZ.2- Z'!i-
/7 J( z-t...., 4'l-2-
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; 2~
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't,t:, I;'oundation
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4'7 / Ext. Walls ,
"24 Fire Place
Type Roof
Recreation Room
Dormer
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.
.
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'II J
"
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Floors
Interior Finish
Heat
TRIM
-1.<2-
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~ ~ y
. :z<i
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r'
,/'=:'!r > ex
! .....v
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1m
Rooms 1st Floor
Rooms 2nd Floor
Driveway
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.
2.. "u~
.- i" ".. ---
i Dinette ,.
!K.
LR.
DR.
BR.
FIN. B
"
.
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RDN
MDRIZZD
Kitchens & Baths~
Complete Kitchen & Bath Remodeling
P.O. Box 789 . Southold, New York 11971
. DESIGN. SALES. INSTALLATION
Phone: 631-765-5772 . Fax: 631-765-6196
April 16, 2007
Building Department
Town Hall
Southold, NY 11971
PLUMBING
ALL PLUMBJNG WASTE
Work to be done at Mandaro Residence, Bay Avenue, E. Marion& WATER LINES NEED
TESTING BEFORE COVERING
Reference: Permit for Mandaro
1. Fixed rotten sub floor and install new 3/4" plywood.
2. Added new 2 x 6 flopr beams, 12" on center, 66" long
3. New plumbing fixtures to be put in place of old fixtures.
4. Walls to be sheetrock with 1/2" M.R.
5. House does not have insulation or heat.
6. Replace electrical fixtures in Bathroom.
Thank You,
{k,
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
PLUMBER CERTlFICA TION
ON LEAD CONTENT BEFORE
CERr/FICA TE ci: OCCUPANCY
.00t.~"1II; WATER
SUPPL y :"\,/'~T;-V CANNOT
EXCEED 2, . .... 'Jr 1 % LEAD.
. tMOERWRITERS CERTIFICATE
REQUIRED
;1 r";~~:'~'!"\'J-\<"n '"
(>df:; )\. jio-",.- II,,; Nil ~"\~'J
DATE:~/i' "';1 -i~~-:t-t
f:E:_..~.~...,/ L~
N:'JiiFY BU~i.C:>i\: ;: :;~~,~~>_.:,',. --A'"":--
7(:.'5-1:\'12 t'l/'d\ "_..... ~,., '\JI"'i/.:',';; . :
v' ,-" ,J /',(,;, ! '-; :l !");,.j Cr~" ~.L'-
FOll,,",>',,'"'''' , . ~ ',., I'_,r"'; !d!::
...VJ"Ii'~G !ri'::rjr'('T~," \,''''
1 t'r',:l,' ,".... --.>' !:.::,;
., '--"-.' '"
[' " ;.., ( -.,-, ~~O
'\.-:,
2. R()~.O::H .. ,..."'
>LUI_lE.ir:G
3. INSUu,-riCN
4. FiU.-\l . CO,'i'": _'I '.' '."
'" .., ., u'T
BE rr)1JiD'- r-,..,. "..11;:'
, .........., if Lc: I~, _,;..}
A'.L CONSTfilK:r::j'; C" '" L ;"VT THe
Rr:"'ll lJ'''r-/ ,~c__. '_', . . ,- "- 'Vi ...:: r...
tU....{U'llt':'llc{\fo OFr~,'"': ("";''-r''\ _.
YOI1K " ' 11- "(/dec> OF NEW
STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoId/
PERMIT NO.
'3~ Gt).4 -r:::-
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
.
~ 20EL
i.f I :202.1
Examined
Approved
Disapproved alc
Mail to:
Phone:
-10/ IC( ,20V ~
,
_f( it-
Buitfing Inspector
Expiration
,...".'
,
f\PR. \ 6
7
APPLICATION FOR BUILDING PERMIT
Date f//2--
,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 fhroughout 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.
(Signa e plicant or name, if a corporation)
{?.lJ .~())tJ 7&'7 So u'Motd
/ (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
CO~~
Name of owner of premises ,JJ /'J1-e,,;/ ~
!JJJ:J1Vcl44V; - ~~tell/
(As on the tax roll or Il\test eed)
orporation, sigrj ture of duly authorized officer
Builders License No. 6 77 2-- HI
Plumbers License No. O!~" {; - ~
Electricians License No.' ~ 3$1: 893, f?J g-
Other Trade's License No.
I. Location ofland on which proposed war will be done:
IhA
House Number
Street
OCr /J?
Hamlet
County Tax Map No. 1000 Section
Subdivision
31
Block / (,
Filed Map No.
Lot '7
Lot
,:
(Name)
2. State existing use and occupancy of premises and intended use and occupancy af proposed construction:
a. Existing use and occupancy .
b. Intended use and occupancy Re l"hocl4. / 6Jt11.1,., ~/YV1 -
3. Nature of work }check which applicable): New Building
Repair \L Removal Demolition
.
Addition
Other Work
Alteration
~M4,~
(Description)
4. Estimated Cost
/"),./fJlJD-
,
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
/
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
Depth
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Depth
Rear
S'~
Depth
9. Size oflot: Front
Rear
10. Date of Purchase
Name of Former Owner
I I. 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 ~ NO ~ill excess fill be removed from premises? YES ~ NO ~
14. Narl1es of O"wner of prcnl1ses fh 1f)\JDA'lL-o
Name of Architect .
Name of Contractor ~ /J?Ok, -z..~
Address J3A-i? Uti 1M IWtPhone No.
Address Phone No
Address f-;' O. .80)6 7g9 Phone No. 76 S - 57?"2-
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~ NO ~
* IF YES, SOUTH OLD TOWN TRUSTEES & D.E.e. 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)
s: SS:
COUNTY OF ff 04:-
eO 11 0 Id ()7 0 r ; z..:L.O being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
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.
Sw
IZ (};z~~
/Si~Plicant
MELANIC- DDROSKI
NOTARY PUBLIC State of NewVorll
No. 01Ol4634870
Qualified in SLffolkCounly
Commission Expires September 30,'2 0 r c