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Home My WebLink About23825-z j, FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24772 Date DECEMBER 5, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 1160 BAILEY BEACH RD. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 3 Lot 11.19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 1, 1996 pursuant to which Building Permit No. 23825-Z dated NOVEMBER 26, 1996 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 ACCESSORY STORAGE SHED IN REAR YARD "AS BUILT" AS APPLIED FOR. The certificate is issued to THERESA PROSCIA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspe or Rev. 1/81 Foam NO. s 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° 23825 Z Date .............,..... .........: 1 ..............., 19.1..(,-- Permission is hereby granted to: ..�....... :-...... a..... ......... .............. ......a .. ... ......... . . .. ...- .....� .... . ...... . .-.�..... .�`..�...�z. ./ tpremises located at ............ .0��'�..... .... .. ............................................................. .............................................. /&.�........��... ................... :................................ .......................................................................... . . . .......... ............................................................ County Tax Map No. 1000 Section ............. �... Block ......... ....... Lot No. �Q l ��77 .. . .. .... . .. pursuant to application dated ............... .d.............. 19r'%::�" and approved by the Building Inspector. Fee 3.....s . ............... ....... ..... .. ........ .. .... .. ............... Building Inspector Rev. 6/30/80 FORM NO.6 TOWN OF SOUTHOLD Building Dopartment 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 w vwnww�. 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 19571, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 1 Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: •1. Certificate of occupancy $.25 :00 -- BUSINESS $50 . 00 2. Certificate of occupancy on pre-existing dwelling r $ 50'. 00 3. Copy of certificate of occupancy $' 5 :•0 0 , over 5 *years $ 10 .00 9 .Vacant Land C.O. $ '20 .00 October 31 , 1996 5.Undated C.O. $`5 0 .0 0 Date . October 31 , , . .6. . . . . . . . . ConstructionX shed as built r New . . . . . . Old or Pre-existing Building . . . . , . . . . . . . Vacant Land . . . . . . . . . . . . . Location of Property 11�60 Bailey Beach' Road, Matti tuck .. . , . .'. . . . • . • . . . • . . . • • . . . . . . . . . . . . . , . . . . . . . . . House No. Streit �Hamlot Owner or Owners of Property . . Theresa, Pr osci a. . . , , , , . . • . , , . , , • , , , , , . . . . . County Tax Map No. 1000 Section . 99. , . , . . . . . . . . Block 3. . . . . . . . . . . . Lot.!!:1 g . . . . .. . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. . . . . . . . . . . Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . . . . . . . :: . .. . . . . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor.Dept. Approval . . . . . . . , . . , . . : . . . . . . , Underwriters Approval . . . . . . . . :. . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . , . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . :. . . . . . . . . . . . . . . . . . . . Fee Submitted $ . , 25;00 Construction on above described building and permit meets all applicable codes and re'ulations. ApPlicant:. . :. . . . .GARY'P(:AUNPR O-SEN; ESQ: . . • . . . . . . . . . . . . . . . . . . . Raw.10-10-7e P.O. BOX 706 - CUTCNOGUE, LJ., M.Y. 1193.E F I FUJI I I l:i I.U; r o it'1. 1)A F U COI Ull",HTS fy AT I ON FOUNDAT LON V1 Rol)(11 FKAHR I NO -------- --- HIS11LATION P171t ti. .,'TATV 17141-.11(:y I CODR. ----- -------- - ---------- FINAL IEEE ----------------- ADDLTIONAL lvj Cr GARY FLANNER OLSEN • COUNSELLOR AT LAW P.O. BOX 706 ■ MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 1 1935 PHONE .516-734-7666 FAX 516-734-7712 October 31, 1996 Re: Proscia to Hirsch Our File # 6097 Dear Georgia: Enclosed please find the following: 1 . Building Permit for shed as built some time back in 1974 . 2 . Application for Certificate of Occupancy. 3 . 4 . Check in the sum of $35. 00 (Application for building permit). 5. Check for $25. 00 (CO Application fee) . Very truly yours, A-RY F;ANNIR OLSE GFO: lmk Enclosures Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 ;` v�I Young k Yaung, Laud Surveyors 4:€ 1 400 0strunder Avenue. AiverA,ead. New York 11901 e?�} novr Or i0rmerA SOCI , Inc. a 516-�Z7-?JOY aattq each Nome owners N a ; api11C ? . Alden �. Young. P_C d L S. (1saB-1ss1) O xo mzrd r. row. rand s T i�Dang j caw- , TJtamaar C. W01pr►L Prafaar—i Enganerr op s .. X.th F. A6.uz ze. Land Survryor IcAv% Schnur►. La-d S—Var T « W v Rai C NNdi 0 L1 Pill t 1 1. i oo a Area i t +9 _ ` ..[ ` NOTE. 5 89^50'30" £ f 1. ■ UDINTBaur FOUND i .tat rmc % g12� 1 S'1h7(f SET e u ym � J c N 00'09'30" £ 4r* CD 15.00, rr talc a� ' W roi wr wn ; •;! 0 n m 89'50'30'w , ° �, f 6 00' o - 4• t s MAX SURVEY FOR: Da$ ;0 1 S7r 1' I� Q Q A. ,Z; T ouSF SUSAN HSRSCH m Q7 At: MATT1TUCK Town of: SOUTHOLD N o I&V i Suffolk County. New York j U') 11.14 • S 73 0 .� Su!!. Co. Tax Mop: t000 99 3 �� z 1�24 .f b` eErNMED 1* susm =%04 i o�5� �t4j C9ftr4CmW-#.11H lMNO 11ME 94SLRM:E COVP.Wr I 8 � ' w $ems Y1 InS `f i �� ' i DA rr :AM 7 1996 OF I s L BOARD OF HEALTH . . . . . . 3 SETS OF PLANS . . . . . . . FORM NO. 1 SURVEY . . . . . . . . TOWN OF SOUTHOLD CHECK • • • • • • • • - BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . . TOWN HALL &OUTHOLD, N.Y. 11971 NOTIFY CALL • - • • • - - - - - • • - - • - TEL.: 7v51802 MAIL TO : Examined . . . `• .• .. • • 19 Approved . . . . ., 19 Permit No. .(/` o. . �` Disapproved a/c X . (Building Inspector) AP CA ION,FCJR BUILDING PERMIT Date . Al.y. .2a2 i.` . . . 109 INSTRUCTIONS a.' This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. r I.. .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 layout of property must be drawn on the diagram which is part of this appli- cation. 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, 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 co nd.regulations, and to admit authorized inspectors on premises and in building for necessary in pe ions. , -Q .4 G� . . . . .c.�r. . . . . . . . . (Signature of applicant, or name, if a corporation) 25 Brefoni St: Apt. 2-1A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) Amityville, NY 11701 State whether applicant is-owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner Name of ownerof..premises . . .Theresa•P.roscia• • • • • • • • • • • • . • • • , • • • • • . • . • • • • • • . • • •.. • • • • • • • • • • • (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL' CONT'RACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . .. . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . , . . . . . . . . . . . . Electrician's License No. . . ... . . . . . . . . . . ... . . . . . Other Trade's License No. . . . . . . . . . . . . . ... . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . 1160 Bailey.Be�Gh.Road, .Mattituck, NY . . . . . . . . . . . . . House Number,, Street Hamlet County Tax Map No. 1000 Section . 99. . . . . . . . . . . . . . . Block . 3. . . . . . . . . . . . . . . . Lot 11 19 Subdivision . . .". . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. Lot . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a: Existing use and occupancy . . Shed. as. bui It. (so meti me. in. 1974). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . shed as 3. Nature of work (check which applicable): New Building buIt Xddition . . . . . . , . : . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . , , . . . Other Work . . . . .. .. . . ... . . (Descripxion) 4. Estimated Cost . . . 500.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . ` (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwellingunits 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 .f. . . . . . . . . . . . o Stories . .8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Height . . . . . . . Depth . . . Number of Stories . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . ._. . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . 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: 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: .Yes . No 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . ... . . . . . Phone No. Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . Phone No. Name of Contractor . Address . . : . . , , . . Phone No. .. . 15. Is this property located within 300 feet of a tidal wetland? *Yes No. •_ '� *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 from property lines. Give street and block number or description according to deed, and show street naives and indicate whether interior or corner lot. � .. . . . . •.,_ a SEE ANNEXED SURVEY Al i' AS WOT - DATE �. NOTIFY GUIL NCB DE 755-I802 9 Ash TO 4,p FOR THE FOLLOWING INS, EC'fIONS I, FOUNDATION 4 Tti'Jt?1�EOUlRE ..'. h��o; b r of FOIE POURED C4 NCRETE 'i° 3 ;ty 2. ROUGH - FI�� MIl Ca c°t PLU.�/1131NG. . � 3. INSULATION, ." r 4. FINAL ^ . CON IlCTI011 IUII�S � BE COMPLETE O 0 << y r _ ` THE CONSTRUCTION ALL, MEET T �` ?" E!E REC1lI11$IdGOdI NT3 0 TIdE ICI Y, ' ' Ei �Fa STATE CONSTRUCTIONENERGY ' CODES. NOT RESPOND FOR; DESIGN OR CONSTRUCTION Rd�RS STATE OF NEW YORK, COUNTY.OF:.,SUFFQI K S.s � ; x Theresa Proscia ui • • • • • • • • • • • • • • • • • • • • • • • . . . . . . being duly sworn, deposes and says that he is the.:applicant (Name of individual signing contract) above named.. He is the . . . . . • ,owner (Contractor, agent, corporate officer, etc.) of said .owner or owners, and is duly horized to perform or have performed the said work and to"make and file this application; that all statements conta�ed • this application are true to the best of his knowledge and belief;and that the . work will be performed in the many�r•�e forth in the application filed therewith. Sworn to before me this . . . . . . . z2nd. . . . . . . . . . . . ay of �' � . . 19 96. Notary Public, County 3York uy 53�l7 L{ 0L C r . . . G�J ? 3 ra2'sf;sl:1'tet S13F'; CCnicvill ' (Signature of applicant) F+ �rch 30 'F