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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~