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Home My WebLink About23430-z De L FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24617 Date SEPTEMBER 11, 1996 THIS CERTIFIES that the building ADDITION Location of Property 245 BAYVIEW AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 10 Lot 1.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 1996 pursuant to which Building Permit No. 23430-Z dated MAY 10, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ANTHONY & BARBARA DiVELLO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A BiAlding Inspector 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) Date................... ( .. �................. Nd 23430 Z Permission Is hereby granted t ... .. .......... . . QP ............... . .......... 1�5............................ ................... ... ... .. ............. .�./...... to ... ....u�...�... ...... .. . .. .......................................... , .....�........ ......... . ............ ................ ........ .. . ................ ...... ................... .... . . ...... . :................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. atpremises located at..................... .�...............C°i/L .... ..... ...............,............................. ....................... ............................................ .............................................. County Tax Map No. 1000 Section ......./ . .. Block......Ir ........... Lot No. �°./............... pursuant to application dated ................ ........ .... ..s.'...., 19..l. ..., and approved by the Building Inspector. Fee$. .��.......... (91 ............ .................. . . . ....... .............. Building Inspect Rev. 6/30/80 Form No. 6 • TOWN OF SOUTHOLD BUILDING DEPARTMENT 7618 2L �_f, a APPLICATION FOR.CERTIFICATE OF OCCUPANCY TOW-, A. 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-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 1% 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. a 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 a 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 Buildiniz - $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 Date U _. . . ��.4! . . ..1. . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . ��r. Old Or Pre-existing Building. . . . . . . . . . . . ..... .y., Location of Property. .2.q.J. . . ��Y�,�. . J.I(/:�n� . . . . . . . . . . . . . . . . f.°. �''� ��°�. . . . . . . . . . . House No. \I 1 Street Hamlet .Onwer or Owners of Property tr y . 11 Yf�!�. . . . . ��C�ta . .�`�e.�I.L�. . . . . . . . . . . . . . . County Tax Map No 1000, Section. 106f 00 . . . .Block. ./O' 00. . . . ... .Lot. ./", G .I . . . . . . . . . Subdivision. . . .t. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . Permit No. .�`�. ! .3U� . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary C'errtificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . .��?:0.0. . . . . . . . . . . . . . . . . . . . . . . . .�E�. . . . . . . . . . O rrl I AP ICANT 7►0-1802 BUILDING DEPT. INSPECTION [, FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY � _- REMARKS: ATE INSPECTOR D r� 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ VFINAL [ ] FIREPLACE & CHIMNEY REMARKS: 6WI-07 17 DATE Z A INSPECTOR X&IA4 /� F(HIIIIIA I'I()II ............. UU A I'l Ol I ---------------------------- FIIAIII; .... ....... 11INIII.ATIo11 11 . Y . C -------- ---------- I' l IIA I. ADDITIOIIAI, 'INN ........................ ............ ............................ ---------- ................. -------------- ................ ---- ------- -- f D y�y { t ak� CC - F ti GT ',J dA i � �f 1: �.� r �= ' gig • ' `/ �� r/ ,. � !' /� }.r Kit 3 _ ew - a V T• i — n { ♦ f � 4x J ,'( .3 hr 7-• � �''��L .7.�f / �:/\\ R i ate+ '{�f �ja P A a,� �4 r ' i 4„% �Y . LE►� L9y JAN 18 : 1995 ►/�y�r'v r y o�� S.C. D PTj- OF HEALTH l - 19 oa � c4 v a i i.�ro,�✓ F"u JFFOhg blf t' )EPA 6`CIAENT OF HEALTH SERVICES � . rW"i'ee-tia::ve_ —�--�I L FA 1LY D - eevv -�- u A.,-})r �dW a � � ONLY 1trut^tz batedA 9 E. .:3. Fiat. The sev� �' At tfil& {;' I 'f 5 on A. Owla, P.E., Udof Office of wi iff alid Wtstowellor ttda ant v,�•.ax.oarrr_..:+I7c'1'4LS71.. ' —,el 7v 39%oa Mw 232.96 �a�t, OC�t�f+�e►L e�"GGoCal --- -.._. ,9veya!/�/ (I�LE`11�i�,C/vo/N✓�� , ��,w,Q.rivrje6-�+1�. ��l-ldrvti�,�'fi3G1"•4�''�• ��. ../.,.-...�--- �, r .-.�______.�_. i MrQ� a.vlc�..�dkf.9.ip�f/ G/ Q� x Of IN- yy V� t ak fC 45 r xsW, OW �� : 3 � �r �; � + � � - ,,� ��.► �.I►�� ;� �� g � p Via_,. F, � ��,� �� t-;,kA- -Af X1, t� JAMil8 1995 Al r v �� • 'o �� S.C. D1 PT. OF t HEALTH �- • �elf � � a y✓ELL K �u ,K i-Qroe✓ �; J FIB ,�i y EPlkR`FMENT OF I1EALYH SERVICES FA LY D — � ONLY Caate j I. ;�, 6� t.No..:.`1 L � 0 j Th seer: ": er b vvaw r rm Ar ply limA ies an or A. Ccetfi, P.E., chlof Otftloo of W hr and` astoVm 61 na ant . � ...�m..LAt'4'rl�.�'d2•«r,•£HG;Y'S" - "i7cSEST�•. . 7d'39'f/D"'w Z32.y6' `i4�ova�' CkW-ii BOARD OF HEALTH . . . . . . . . . . . . . . . ,;, r FORM NO. 13 SETS OF PLANS : . . . . . . . . . . . . . . . 'I.OwN OF SOUTHOLD SURVEY BUILDING DEPAWMENT " CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALi. SEPTIC FORM SOl)THOLD, N_Y. 1:1 7:1-. , i'E.j 7)5-1802 NOT .1 OY' . CALL. rrnined.. /.` 19. MAI1, Approved... ,f�, 191�! Permit' No-9 ................................ Disapproved a/c ........................ ?1110 .................................... ...................•--•--............... spector) APPBUiLDING PERMIT AT Date. . . . . /. , 19.7 6 INSTRUCTTONS a. Ibis application mast be conr(rletely frilled .in by typecariter or in ink and sulmittecd•to the Wilding Inspector with 3 sets of plans, accurate plot plan 'to scale. Pee according to schedule. b. Plot plan showing location of: lot: arxl of Imildings cm premises, relationship to ad•joininp premises or lxrblic streets or areas, arxi giving a detailed descr.iptioxr of layaot of property rust be clr�•x•m on the diagram which is hart of: this application. c. 'Ihe work covered by this applicatim rrxy noL be comenced before issmin`e of Building Permit. d. Upon approval of this application, the Wilding Inspector uil.l issue a lluilding Permit to the applicant. Such permit shall be kept on the premises available for inspecticxf thrcxiglrotrt the work. e. No Wilding shall be occupied or used in wliol.e or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by Lire iDuilcling Inspector. Al'Pi.1CNI-ION IS 11-RE-11Y MAi1C to the ikrilding Deparunent for the issuance of a Building Pennit pursuant to the iluilding Zone Ordinance of Life 'form of Southold, Stiff-olk Oo mty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of: lxrildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to ccu rly with all. applicable laws, ordinances, Wilding code, iousing code, and regulations, and to adnit authorized inspectors off premises and in buil.ding for necessary inspections. ►� .......... ..> ......... (Signature of applica , or rtame, if a corporation) AV (I ail.iifg address of: applicant) Slate wifeLiter applicant is owner, lessee, agent, archdtect.,..engineer, general contractor, electrician, pltnber or Ixfilder. .......•....... . ................................. ......................................................... Nano of owner of premises ..... ZJrrt�:l'��........................................................ .(as on the t x rol I or latest deed) If applicant is a corporation, signature of duly authorized officer. (N<-n>e arxl title of corporate officer) APR 2 5 iq% ' Iduilders License No. ; Pl.umioers License No. ....... BLDG.!)- TOWN OF SOUTIi Electricians License No. Other Trade's License No. ................... 1. Location of land on w(riclr 'proposed work will be clone................................... ............ `� ...................... .6�. ................... Ikxrse Umber Street ilanlet COxonty Tax Map No. IWO Section`��33'�y..lC�s;: Block ..../.0........ Lot ... ......... Sulxlivision ...................................... Filed K)p No. Lot ............... (Nave) 2. State existing use and occupancy of premises and intended use arxi occupancy of proposed construction: a. Uisting use and occupancy .%�r�r��..�'u�lt�...�twel�l(!1Q .............................................. b. Interxled use atxl occiilib1k y a. h•ttrtre of t,n>tk (<J,eck t�ddl apl►licnble): tk,!%4 Ik►ilding ... ....... lvklilion .. A Lion ........ .. Itepair ............ Hamm .......... ... I)elnolition ......... ... Other Work.... ................... (Description) Of IS A hir►led (bsl: 4.P.100..gvl�....... fee .............................................. ,,`` nn (I:o I)e lk•(iol (xt filial; this alr(►l.icaticxt) 'i. 1 f th.,el I ing, txt<ti►er of. &ell ing ►mils .�V�I`..._._. 11(niter of (Axel I ing uni Ls on each floor ............ ` R If garage, txni>er of trots+ ................� ......._........... 6. If: Inisinesa, ci m,ercial or mixed occupancy, specify r iture aml exlent of each Lype of use.0..... ............ 7. 1)€nx!nsitx►s of existring tAme area, if any: FronC—A .......... hear ............... WpLh ................. Ik:igl►C . Umber of Stories' ....... ............... Ointensions of stone sCnx:Lure ;4th alleraCions or txMiLions: front Rear ............... Depth IIeiI4,C Ntt,dser of Sl"oriee: 0. 1)hiensi(x►s of: entire new consCrl Cicx►: Front: ..........p....... Retrr. .... ... ........ Depth .............. Ileigl►t ................ ......... Umber of Stories 9. Six.ejof lot: front: Itear .................. . . 1)epll, ..... ............... rk 10. Ik►Ce of [itrchase .................... . Millie of 1'orner (Mier ....A . . ...... ..:::............... i 11. Zcx,e or use (IisLricC in c,l,icl► preinises are s.iluafed : -.... . , 12. I)oes prolx►sed ccx,sl.rult t.ion violate any zoning lim, ordinance or regulat:ion: .:........................ 11. Will lot be- rehrtxk_d A\l .............. Will. excess fillI d f,e reatxrverown 1re-intse V;. Names of. Om G-'er of pronises �,.117Ui�y .�l.�l�ed........... tuhlress 5."ti.cw'rl"Vl� �Nxxx� No. ....78 �f5.. .. N-mve of Avchliecl: Addret►n .. . ...... . .................... 1'1lone No. ..... . .... . N:rrx� of Gx►t:racCor ' 4 �Vls1• .f tvklressF ,�". .AR�_ V f .�: ooe K) S_� . ?Ili. is this prx>lx.rl:y within 3(x) feel: of a tidal aselamxl'1 * Yl��i .......... ND ..Y......, /�'� J *IL YI?S, !>(J illu ) 'lxx4N '11t1)S ios 111--RM1'I' h1AY 191, Iugpl)c151). PLOT DIAGRAM IccaCe clearly and dislincCly all Imildinl;s, ca,eCher exisl:ing or prolx►sed, atxl ltxlicaLe all, set-back dimensions frc>fn property lines. Give stmeC aml block mmber or descripLio►► according Co deed; aril slow sCreet nttrnm atxl irxlicale ►kelher interior or corner lot. ��ti1� �2 t,(Ies+ yA tLL � tZl�`t71l C.r. J AR(`si -ED A91 ti310TED FEE: €`40TIFY BUILDING DEI A " ✓'ia l� li ., �u J t=i?l_l.,t:3itiING INSPECTIONS: Y. E•'O(J I`a Dt�1'I i�f.! 'S'�Snjl3 REQUIRED ` FOR PI~1 fJ R it(~Ge.✓NF.fiETl~ V` 2. RO lGH - 1af1ANNING. ? PLUMBING 4. FINAL - CONSTIRLICTION MUST £ � � ' BE COMPLETE FORC.O.� � �� l' ALL CONSTRUCTION SHALL MEET srn'n. (>t tr<w v(NtK, THE REQUIREMENTS OF THE N.Y. c STAo E CONSTRUCTION & ENERGY UAINIll (A. .... .. . . CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS f� .._.... . ......... ...a. _. . . ..._.. ...._.. ..__.be ing duly swxrrn, delx,ses a►xl says that he in the appl icanl' (N:nx! of i►xliviolual. signing cot►trucC) above ntx°rc1, Ik! h; I.he ....................... .............:........................ ...... ((btitrarlor, ngenC, twlx►rnCe officer, eCe.) of: said owner or ow,xms, ntxl in duly authorized to l,erfonn or have (►erfout°ed Lie said work atxl L'o nuke atxl file thin alipl icaCim; lhol: till" sCaLonenlst conLained in Chis appl,icalicm are t.nie Co the best: of his knowledge and b6l.ief; mxl that (lie work will. Ise perfomied in the numner net I`orlh in Lhe nplAictit:ion filed therewith. !),acsrtt Co isefore ur! tl►is ............v.....(illy of .02?�............ 19.1p. ._ R)Lary Pt►bl.ici � �sfit�r 41,evwol.e . ........._ ...... (S'tgn:►ture of nppl icnnl.) y l �