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Home My WebLink About22301-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23430 Date DECEMBER 29, 1994 THIS CERTIFIES that the building ALTERATION Location of Property 6285 NEW SUFFOLK AVENUE NEW SUFFOLK NY House No. Street Hamlet County Tax Map No.- 1000 Section 117 Block 5 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 16, 1994 pursuant to which Building Permit No. 22301-Z dated SEPTEMBER 6, 1994 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 A NEW CHIMNEY AND FIREPLACE AS APPLIED FOR. The certificate is issued to PAUL & THEODORE MAFFEI (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uild'ng 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) WeDate ............. .. ...................................., 19...., . N2 22301 Z Permission is hereby granted to; ................................... ..... ......CGi.. ...�!:.-...�.9 2................................. fir. �✓ i5-�/� ....... .........a'/ ....... ............ �....... �to ... ........ .�� .. ......... .......... ....... ......��.......... i %. ..4 ... .......................................... ............................................................................................... .................................................................................................................................................................. .................................................................................................................................................................. 0000' ....................I......I.........I................... ........ i'69. E atpremises located at............................................................ ................................................................ ............................................................ �... ........................................................ County Tax Map No. 1000 Section ../�7.............. Block......0`5.............. Lot No. ...�OG.:. pursuant to application dated ............... ........�(®.............. 19... ..., and approved by the Building Inspector. Fee$........:.. ......... ....... .......... ..........:........................... Building Inspector Rev. 6/30/80 CLj_,rP i !} Form No. 6 TOWN OF SOUTHOLD 1 ` , R z BUILDING DEPARTMENT -�(�-r,��1 ,/�� ( o7 ,D! TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY 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. �. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . ./a/ a�/ lcy. . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . Old Or Pre-existin B/uildin ✓. . . . . . . . . . . ` Location of Property. . . . �-I�j... . . . . /1'g Sro l�. . .::: . . . . . . . . . . . N�. .. . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . .`.. . . .. . . � . . . . . . ....f:.�I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .?. :D.v. . .Block. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . ..Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Az Permit No 3a� . . . . . ,Date Of Permit. .l Q e'�IZAV . . . . .Applicant. . . :. : .1��:': .��':� . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . .. . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . t . . . . . �'. .G . . GAG. . . . . . . . . . . . . . . . . . C3 C� APPLICANT BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL REMARKS: � // ,- DATE L-� INSPECTOR COMMENTS JNDATIO:I : ' ( 1 s t )77. ------------ A T I O II :. (2 n d ) `l, ;GH FRAME rg. ULATION PER N. - Y , II m "j STATE ENERGY II CODE CTI •FINAL •• I - ADDITIONAL COM�1ENTS : x \\\ ------------------- • x ' .• H 'Vey 77 O \ f ------------------------------------ S•'lv-�.r:-+-mow��?�.1:,,.:.��:s+:.-..�.ti:rt,.••f r�•w.S11-"�. ..�:� ..� �. .• - t " . .� ... ... D. BOARD OF HEALTH . .. . . . . , . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . p AUG F2JM TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . 1 BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . i( TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . BLDG.DEFT SOUTHOLD, N.Y. 11971 -73qv TOWN OF SOUTHOLD TEL.: 765-1802 t:07.1 Fy ? 51 co . ? CALL . . . . . . . . . . . . . examined . . . . (� . 1k MAIL TO : 4pproved . . . �P. . ., 19 . jt No. a 30/.4; . . . . . . . . . . . . . . . 6199 . . . . . . . . . . . . . . . . . . . .. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BLDG.DEPT. - . . . . . . . . . . . . . . TOWN OF SOUTHOED. . . . . . . . . . / (Buildi nspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building'Inspector,with 3 ets 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 ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 permif hall 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 hall 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 Wilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other-applicable Laws, Ordinances or :egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he 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,ins aNs.A . Signature of applica , or name, if a.00rporation) QO (L)FF. �. . . 9 . . . .ST�Tr q T-S.;). .Y. .1 0. �J�' (Mailing address of applicant) Mate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . .OW�/EIz . . . . . . . . . . . . . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .y nA v L M FL I lfr�oaoRf MAFfE 1 lame of owner of premises . . . . . . . . . . . . . . . .AF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. APPROVED AS NOTED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE: � B.P.# .77)-3 01e- (Name and title of corporate officer) = FE0 7,�- BY. NOTIFY BUILDING DEPARTMENT AT Builder's License No. . . .2 3 .. 6 88 . . I 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . 1. FOUNDATION .TWO,. REQUIRED FOR POURED CONCRETE. , Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . 2. ROUGH - FRAMING'& PLUMBING..,: 3. INSULATION Other Trade's License No. 4: FINAL - CONSTRUCTION :M.US'f " ' BE COMPLETE.FOR C.O. ALL CONSTRUCTION. SHALL 'MEET Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . •T`I+E' -REQWREMLNTS I OF, THE, IT.Y. . . �Z6- . . . . . . NEw. .5uFFOLfc . . . J'C.''►�. . . . . . . . . . . . . Iv£W ST�u }PS� �tIRUCTION & ENERGY,,,-:... . . . . . . . . . . . . . . . . . . . . • • . CODE • -NOT- •RESPONSIBL& 'FOR::'.. House Number Street Hs> N OR CONSTRUCTION ERRORP,TM};. County Tax Map No. 1000 Section . . . . 7..0.0. . . . . . Block . . . ..... . . . . . . . . . Lot . . ..G...00. . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Namej State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . .?R.VA.. . . .✓v t<e. . . . ... . . . . . . . : .,::`: . :f:'.: 3 . . . . . . I�R) VA7t' � k/tLL. 1N� . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . off• r,, Nature of work (check which applicable): New Building . . . . . . . . . . Addition . Repair . . . . . .X. . . . . . . 1 . . , . . . . . . . . . . Alteration . . . X. . . Removal Demolition Other Work . (Description) Estimated Cost . . . . . . . . •t;5. , . , , • . . , • • , • . . . . . . . Fee . . . . . . . . . . . (to be paid on filing this . . .application If dwelling, number of dwelling units . . . t f • �I— ) ' 'If garage,number of cars Number of dwelling units on.eachfloot,.•,,:..,.:,,.,,q,,,,, ,,, , , If business,commercial or mixed • � • • • • • • • • • • � � � • • � � � � • " " " " " " ' ��"'- '�r" •g� • • • • • • occupancy, specify nature and extent of each type of use. - 'Dimensions of existing structures,if any: Front . 2 $.�'G.�� . Rea $, , (�," Height . . . —1 . . . . . . Depth . . . .��..' • • • • . Number of Stories . . . . .7H„R�•t• • •(4 , Dimensions of same structure with alterations or additions: Front • • • • • • • ' ' ' Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . :.Rear . _ . . . . . . . . . Dimensions of entire new construction: Front ' • • • • • Number of Stories . , :.'. :•. . .. . . . . . . . . . . . . . Height . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . Number of Stories . Size of lot: Front . . 1.7Q' . . . . . . . . . . Date of Purchase Rear . . . . . . .�. 3�. . . . . . . . . Depth . ZQ,Q �• ,C;��i R;1G¢� •��!• .';,. •/• . �3 z . . . . . . . . . . . Name of Former O D.H H .%:�/�s i r'R Zone or use district in which premises are situated . " • ' ' ' ' ' ' ' ' ' Does proposed construction violate any zoning law, ordinance.or• wner regulation:. • • • • • • Will lot be regraded /` R , , . Will excess fill be removed from premises: No Name of Owner of remises .T Do% - Yes p ��° � • �`1!lff�l. Address ��.�4��F Ss • cawrn . . . . . . . . . . . . . 5?AgE�+ •ems 'IJy'' .Phone No. �!Y-,447-37S' ,,vt dd>'ese . . ,►07 o S Fe.ttda� � EF'a r ,��G�R� Soa�� Five . . . . . . . . . . . . . . . Is this property within 300 feet• of a •tidall wetland?nd? *Yes. . . .x. . .' o. . . .•l.. , • • , • • , • , • ' ' ' ' ' If yes, Southold Town Trustees Permit may be required. No. . . . . . . . . PLOT DIAGRAM ,ocate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from :rty lines. Give street and block number or description according to deed, and show street names and indicate whether Aor or corner lot. - °off • r a o 75 ' 7•s Q a. B8'3o'6. ssB:�s Q Q 130 .rr 'T 33 housC J • IL 0 _ - 4 W •i 17 b LL Sfr�ri" -es arC exisT�n 60 a 0 N ' W Z 3oS 3 .. • .�!a .. .. .. � OF NW.YO ry OF . . . . . . . . . . • • • • • • • . . . being duly sworn, deposes and says that he is the a individual,-signing contract) applicant (Name of lamed. zo e . . . . . . . . . . . r, �. . . . . . . . . . . . . . . . (Contractor, agent,corporate officer, etc.) • • • • • • • . • • • . • • . . • • • . • • • . • • " owner or owners, and is duly authorized to perform or have performed the said work and to make and file this :ion; that all 1 statements contained in this application are true to the best of his knowledge and belief;and that the ill be performed in the manner set forth in the application filed therewith. o before me this . . . . . . . . . . yof. . . . . S Public, . . R �' E ounty - I �.. Notary Public.State of New York No.4879505' Qualified in Suffolk County � . • . . . . . . . . . • . . . . . . . • . . . . . . . . . . . Commission Expires December 0,19; . !• Z 8.5�.. nIEW S(;FCOLK �oAD 3 _N SOFFO -K IM:t, YoRK t� �q Na L 0 �0j � S• 83 '3o.'G, t d, &-7S' � barn p IL o/C/ Cb r&yi--y .to be . ._r��cci.Lt�.us�f�;new�'vc�(ace 0 N DisT. )000 SC CT-1 O N I j 7 00 V Lor o06, 000 o7-oS-9� _ W oop - � ! i ._ tlAaT�t k; : �' �.w• Q; ='AD --- -�7--X_3_ (awsT//.,4) MEW HEADER-. UNLAWFUL` N� GO -- - ------ -- OF.000UPANC- _ _- =--- -- -- w-Rw.gcE-=-- -- -- - .._.- - - -._ fdE�✓ .CONCRETE I I sLA/3 j f I - - - _ i 7 X3 S/As T i M I /2 - - I � I • : I I 1 �EW �i/FFioLK �OAD - - . ME