HomeMy WebLinkAbout23618-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
u~TIFICATE OF OCCUPANCY
No Z--24848
Date JANUARY 13, 1997
AT,'i'~xATION
THIS CERTIFIES that the building
Location of Property 1530 FLEETWOOD ROAD cuTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 137 Block 5 Lot 12.1
Subdivision Filed Hap No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 22, 1996 pursuant %o which
Building Permit No. 23618-Z dated AUGUST 6, 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 ~T.~ AND ENCLOSE ~T~TING pORCH ADDITION TO A ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to DNNAT.D & GE~ALDIWE FINNERTY
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
/ //il~g Inspector
Form No. 6
TOWN OF SOUTI{OLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOIl CERTIFICATE OF OCCUPANCY
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 5ealth Dept. of water supply and sewerage-disposal(S-9 fo~--m).
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 Compiiance 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 =_~_~dwelling $25.00, Additions to dwelling $25.00,
~Alterations to dwelling $25.00~ Swimming pool $25.00, Accessory building $25.00,
k~-~ ~c~~g $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $I00.00
3. Copy of Certificate of Occupancy - ~ .25~'
4. Updated Certificate of Occupancy -$50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Con~ercial $15.00
Date .~:.:/~? ..........
New Construction ........... Old Or Pre-existing Building...~-- ..........
Rouse No. Street
0nwer or 0~ers o Property, .~.~.7~:~ ~ ~ -. .........
z000, s =tio=.fP.7 ......... .............
Subdivision Filed Map Lot ...........
Permit × 7ti ....... .................... .......
............... Date Of Permit ~ ~ ~ .... -~ ~' ?~/:~/~
~ealth Dept. Approval .......................... Underwriters *Approval .........................
Planning Board Approval ........................
~equest for: Temporary Certificate ........... Final Certicate./..
:Fee Submitted: $ ..... ~ .......................
Donald J. Finnerty
1530 Fleetwood Rd.
Cutchogue, NY 11935
November 12, 1996
Town of Southold
Building Department
Chief Building Inspector
Town Hall
Southold, NY
Dear Sir:
Please refer to attached Building Permit #23618 Z.
Note statement Construct an alteratton and enclose a porch addition to a
single family dwelling as apphed for".
This is a pre-existing porch and not an addition. Please correct your records
to reflect this and furnish a corrected permit to me. Any questions, please
contact me at 734 7561. Thank you.
Sincerely yours,
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ] INS~J~A"rlON
[ ~/]~NAL
DATE
INSPECTOR
FIE1.D [NSPI~(71'IOi't IUr, PORT I)A'I'I~
........ ~ .................
FOUNDATION (2ND)
II
INSIH,ATH)N PER R. ~. ' ...........................
STATE ENER(;y
COI)E
II
II
A1)l)lrl'lOttAL CO~tl~EN'I'S:
BOARD
FOI,~M NO. 1
'I'O~N OF SOUTIIOI,II
Bll ]~[,DIHG I)EPAR~IENT
TOWN llALL
SOi!TNOLD, N.Y. 1971
TEL: 765- 18(12 NO'I'IFY:
OF ltE^I.'HI ...............
.~'3 SliTS O]~ PI.ARS ...............
/ySII~VgY
;~/c, .c~ .........................
SIr~P'r I C FORM ....................
CALl
MAlL TO:
Date ................ ,19 ....
a. 'll,ls appllcatio~ rmst be co,lfietely filled in try typewriter or in ink aim ~lmitt~l to tl~ ~dlding hm~ctor wld,
3 sets of plans, activate plot pi~ to ~ale. I?~ ac~lh~ to sch~,le.
b. Plot plan sluing 1~ati~ o[ lot ar~l of ~ildlr~s m pr~i~s, relationship to ~joiaimg praises or
sf:r~ts or areas, ami givi~ a ~tail~l i~scripti~ of ]~t of prol~rty n~lst t~ dr~
this a[l~l icati~.
c. 1he ~rk cimr~] by this af~iicati~a~ v~ ;~it I~ ciam~m~l I~fore isstm~e of h~ildlng l'emit.
d. II[~ aM~al of this aH~llcation, lira ~dldlng lnsl~ctor will ism~ a ~ildi~ Permit to the ~{llcant. a~ch
l~mnlt shall I~ kept ~ tl~ l~mises i~ailable [or insi~cti~ l:hrta~lt the
e. ~ l~dldi~g dml[ 1~ {m~pi~t or u~d in ~mle or in ¢*rt for a~V ~l~se ~mtever ~n~til a Cartiflcate
{kt~q~n~:y ~ml[ ha~ l~en gr~t~l l~ tl~ l~dldlng hmtmctor.
AH]3(~TI{~ lS I~I~BY }~E t~ tl~ ~d ldlng l~rB~nt for the issue o~ a l~dldlng Pemlt ~rmhm~t ta the
thdlding 7xa~ O~li~m~me of tim 1~ of ~lthold, ~i[folk (~ty, ~* York, a~ other a~llcable
l~guluti~m, for tlm ~mtnrtial of l~dldl~s, ~Miti~s or alterations, or for ~al or r~litlon, as Imrein
i~scril~l. 'lhe applicant ages to c~ly with all ,~hcable l~s, ordlm~mes, l~ildi~ c~, Imsmg r~le,
rel~datii~m, a~l to ahit mlfl~ri~ ~ s~lors ~ ~ises a~l in [g for ~ a~ ins~cti~s.
~¢~ ~ ~; (Si~ml:ure o[~llcaat, or ~*m, if aJCOtl~ration)
~ (~t~ili~ ~Mress oE a~llcant~
State xd,~d~r~llcant is ~~, a~nti architect, er,gumr, ge~ral contractor, electrm]an, plmt~r or t~nlder.
.............. ~ ~z .'; ~: ~&~ ~ ......
(aS ~1 the tax mil or latest de~l)
l[ aI~llcant is a co~ratlm, si~tu~ o[ duly mltl~>rlz~l officer.
(Nm~ mwt t~tt~ q~'co~rate officer)
· lllders tAcen~ ~ ..........................
Phmtmrs Licen~ No ..........................
Electrlci~s Liceu~ ~ ......................
Oiler ' ' ' '
Ir~ s I,~cen~ ~ .....................
I. l~atlm of laml ~ M~iO~ I~l turk will. 1~ {k~ ~ ..........................................................
........ 24 ~z.?%~.~%¢~ .... ~ ................. ~ .... ~. ~..2.~ ...........
~,,,~,~ ~,p ~. ,a~ ~,:i~ ..... J.~. .. ,,~ ...... ~..: .... ~,,, .... ~:~ ......
a~lxlivlsla~ ...................................... Fil~l }t~p ~> ................ l~t ...............
(~)
Stal:e exlsti,g use m~ ~cx~lm~:y o[ pronises o~M in~e~l u~ ami ~m,~y of ~1 c~,st,ucrlon:
a. Existing u~ a~ ~Da~ ;.A~¢.~.c~.~
b. lnte~ t~ a~xl ~ (~ i
3_
8.
Il).
II.
12.
13.
16.
15.
I:~m prol~rry li~. C,i~ ~1:~1: m~l bl~k ~mi~ or ~cripti~m acco~OinB Lo dc~d[
P~ltm'e ol? la)dc (dmck ~ddt:t~ upplicalde); I~-~ I~;ildintt .......... &klition .......... Alteration ~ .........
I~qm[r ............ I~al ............. l~ol J Lion ............ Oilier t~nk ..................................
~l~:ripri~)
Eal. i.~,t~l t~,al' ~.~~...~ fee ..............................................
(to Im I~id ~zt I:iling lhi~ applicatitm)
1/: ~[~llin8, i~t~r of {~mllin8 nulls ~.. . ...........
l~ilOlt ......................... titular o~ 81or'iea ......................
Ilin~ttairma oP a~s~o atrt~:rura ~ith alteiari~m ar ~klitiona: Ftc)nC .............. l~ar ...............
Siz~ o~ lot: Frtmk .................... l~ar .................... l~[)th ....................
Zxam or u~ diarrict in O~idt prani~a are a[tuatal ..............................................................
~{ill lot Im t'eSrm~l .................... ~ill e~ess Pill im r~l Pron [n~ni~a; YES
la tilts pmlmrty witldn ]11 Peet of a ri¢hl {~tlm~l'/ a YIkq .......... ~) ..........
&IF YES, ~llllllB 'lll~ 'llalSll~q 11~1}11'1' ~BY l~
PI,OT i) 1AGIIAH
I~ate clearly a~ diati~tly ail lafildi~a, Omiher exiaring or pro[xmed, m~l it~licaCe all seC-link d[nenaions
FEI;: ~¥:
;~OFII:Y BUILDING DE~
?854802 9 AM TO 4 PM FOR THE
FOU. OWING ~NSPECT~ONS:
'L FOUNDATION . ~O REQUIRED
FOE POURED CONCR~E
2. ROUGH -
4. F~AL ~N~RU~N ~U~
~E COMPL~ ~R C.O.
A~ CObJST~cTIoN
THE REQUIREMEN~ OF ~E N.~
STATE CON~RU~ON & ~RGY
CO~ES. N~ RES~NSIS~
DES~G~ OR ~N~ION
(~.~ of ifzlividual..signing conlracl:)
,,,, ,,, ............ ...............................................................
;q~plicati(m; thai all statatentt~ contai~l irs this applicat:iou are t:ttm to lite Ixet~l:
thai: Lhe ~)rk wilt I~ lerl:omed in the i]~nn~r sec ~orth in the appli{:at:ion filed tlmr~ftlt.
DEBRA K. WOERNER
Notary P~b[ic, State of New York
No. 01WO5018069
Quail!lsd in Sulfolk County ~,
Commissiort Exp;/es Sept. 20,1~