The URL can be used to link to this page

Home My WebLink About15670-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-15357 March 18, 1987 No .................. Date ................................. SOLID FUEL STOVE IN EXISTING FIREPLACE THIS CERTIFIES that the building ................................................ 545 Greton Court M'attituck, N.Y. Location of Property ~/~s~ ~]o[ ........................................................ Strut I-Iwnlet County Tax Map No. ! 000 Section ... ! .0.7 ...... Block 0 2 .Lot 0 8 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Bu/lding Permit heretofore Fried in this office dated g e b r u a r y 6, 1987 pursuant to which Building Permit No. 15670 z February 9, 1987 dated ............................. 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 ......... SOLID FUEL STOVE TN EXISTING FIREPLACE LAWRENCE & SHERRI KELLY The certificate is issued to ..................... ~o'~0~-,'/'~j~/'~/~/Ri~R .................. of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N/A UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUHBERS CERTIFICATION DATED: Building Inspector Rw. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ........ ....... ~~ ................... ...~.~.....~.~..~.....~ .............. pursuant to application dated Building Inspector. ..~-~,..:~ ................. , 19.~..~., and approved by the Fee $ ...... ~ ............. Building Irmpector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instruotions This application must be filled in typewriter OR ink, and submitted mm 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 disposel-(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 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of proper~y 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. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees:q¢c~5-~c~¥- 104' 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 /_~>_.~...~.. 5.Updated C.O. $ 50.00 Date..,...:..-- ........... NewCons~,ruc%ion Old or Pre-existing Building Vacant Land ofProperty .b~..~..5~. ~-,-~-%'~ 'eTL, ~.~..~.././-..C~..~ Location ............................. House No. Street _ H~rnlet Owner or Owners of Property ~. ~'4/J~'~ ~)¢ '~- .~. ~-~,/q-~'/~; County Tax Map No. 1000 Sect .......... ~.. ......... 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 $..../.0... ~....-~../~. ............ Construction on above described building and perm, it meets all applicable codes and regulations. Applicant../. .. ....................... . . Rev. 10-10.78 OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FINAL - ADDITIONAL COMMENTS: NFPA Minimum Ciea.rances For Safe Installation I'acto~.bu~ chitons. roof suppor~ sup1~rt bracket 36' non,combustible wail pro~cctor pip~, crimped c~ dawn 36" A. [,lated Wood Heater Tront Side, Back Top B, Single ',Vail Connectr r Pipe (2a gauge or heavier) C, Chimney llelghl non.combustible i~oor protection Combustibles 36" 36" With 3~.~' masonry wall or 24 I;auF. e she rectal with I" airspace 3 t'cet hig. he[, than root'; 2 leer higher [hah any part olr too! within 10 fee! (measured horizontalJyl. BOARD OF HEALTH 3 SETS OF PLANS 'FORM NO. I SURVEY TOWN OF SOUTHOLD CHECK. $ ~$,m~) BUILDING DEPARTMENT SEPTTC FORM TOWN HALL &OUTHOLD, N.Y. 11971 NOTTP¥ TEL.: 765-1902 CALL MAlL TO: Approved ~'~.~., 19~ .'/. Permit No../. ~-~.'~ .O...~7 Disapproved a/c ..................................... FEB - 6 t981 APPLICATION FOR BUILDING PERMIT 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. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining promises 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 construdtion of buildings, additions or alterations, or for removal or demolition, as herein described, The applicant agrees to comply with all applicable laws, ordinances, building cod%,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary iny~,~.io:~ ~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) applicant is('~'~ lessee, agent, architect, engineer, general contractor, electrician, plumber or State whether builder. Name of owner of premises ~' 'O't/])' '~"~'tO'(-"~'" ' ' '?' ' '~' ' '/Q ~'ff" ' '/~' J{(as on the tax roll or ..... latest'~' .~../. I ~deed) .................. If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done~ ................................................. .......... n ....... .q.*. .............. .... , ............. House Number Street Hamlet f,.,County TaxMap No. 1000 Section .~.~...~...~. ...... Block ...~....o~.. ........ Lot...'~...~. ........... 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 . ~ b. Intended use and occupancy __ ..... '1o! .~a,,,oo .~o .~o.ualm. .~oqloq*~ oleo!pm, pue sotu~u lolls *~o~ pu~ 'poop ol ~m.p.toooe uo!~d.uosop .zo ,aqtunu ~{oolq pure laa~s a,!D 'sau.q Al~adoad tuo~$ suo!suou~..p :{oeq-los lie oleo!pm..pu~ 'posockud ~o gm1. s!xo .mq~otI*~ 's~m. pF. nq II~ KNom3s.rp ptre Xl~eOlo ol~ooq