Loading...
HomeMy WebLinkAbout29759-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY No: Z-29735 Date: 09/24/03 THIS CERTIFIES that the building ADDITION Location of Property: 2165 GABRIELLA CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 108 Block 4 Lot 7.52 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 2003 pursuant to which Building Permit No, 29759-Z dated SEPTEMBER 24~ 2003 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 AND ALTER EXISTING GARAGE TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT D & SUSAN A TOMAN (OWNER) of the aforesaid building. SUFFOLK COL%%w~YDEPARTMENT OF H]~_LTHAPPROV]%L N/A EI~E~-£KICAL CERTIFICA~ NO. 21657 PLUMBERS CERTIFICATION DATED N/A 0?/24/98 ~A/r '~ZS'~S 1~919n a t u r e 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) PERMIT NO. 29759 Z Date SEPTEMBER 24, 2003 Permission is hereby granted to: ROBERT D & SUSAN A TOMAN PO BOX 1605 MATTITUCK,NY 11952 for : CONSTRUCT DECK ADD. AND ALTER GARAGE TO LIVING SPACE IN AN EXIST. 1 FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#25049. at premises located at 2165 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007.052 pursuant to application dated SEPTEMBER 24, 2003 and approved by the Building Inspector to expire on MARCH 24, 2005. Fee $ 75.00 Aunt/~S~gn~at ureA ' S ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25049 Z Date JULY 201 1998 Permission is hereby granted to: ROBERT TOMAN PO BOX 1605 MATTITUCKiNY 11952 for : CONSTRUCTION OF A DECK ADDITION ON THE REAR OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2165 County Tax Map No. 473889 Section 108 pursuant to application dated JUNE Building Inspector. GABRIELLA CT MATTITUCK Block 0004 Lot No. 007.052 11 1998 and approved by the Fee $ 75.00 // ~Buildfn~ 'Insp~ctf ORIGINAL 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final sup~'ey of property with accurate location of all buildings, property lines, streets, and tmusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fora0. 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 engiueer responsible for the building. 6. Submit Planniug Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming nses, or baildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and dnusual natural or topographic fcatores. 2 A properly completed applicatioo aod consent to inspect sigmcd by the applicant. Ifa Certificate of Occnpancy is denied, ll~e Building hlspector shall state Ihe reasoos theiefor in wi/ting to the applicant. C. Fees 1 Cedit~catc of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessow building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2 Cel~ilicate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Cerfificale ol'Occupancy- $50.00 5. Temporaly Ccltificate o£Occupallcy- P, esidential $15.00, Commerci~ll $15.00 Date. 7'~" ~/'~ New Constrnction: Old or Pre existing Building: /'~' (check one) Honse No. Hamlet Owner or Owne, s of Prol, el.tZ;~~~SLq.~ ~ Suffolk County Tax Map No 1000, Section ~g~ Block ~0~ Lot ~q ~ Subdivision~e~ C~ Filed Map. Lot: Pemit No.~ ~ Date of Peait. 7/~0/9 ~ ApplicantL ~a & ~ Health Dept. Approval: Unde~riters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Subrrhtted: $ oQ~ .~_~ Final Certificate: J (check one) Applicant ~'ig~mt{2r e DATE: 7/24/98 ELECTRICAL INSPECTION SERVICE INC. $ 7$ DUNTON A t/E~UE F_AS~T PA TCItOGUE~NEtff YORK 11772 (516) 286-6642 21657 Mattl ,tgck TOm: $outhold ADDRE~: Gabrtella Court TO: Robert Toman LIC3to: 3186-E and /o~nd to be tn campllanc~ ~vl th the Naltonal ~e~trtcal Code Outside, Res. l-rnlarowave 1-20amp water lntmp 1-oil flred hot water heater BUILDING Pt~iIT,, No. OIUOn~AL YI~Lt.OW corYp~-~ COry OFF~C~ 765-180;Z BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY ROUGH PLBG. /INSULATION ~/FINAL :'OUNDATION (1st.) ;OUNDATION ROUGH FRAME & -PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY CODE FINAL . . . ADDITIONA'L COMMENTS JUN~ I BLDG DEPT. TOWN OF SOUTH~ PORH HO, I TOT/II OV SOUTIIOIoD BUILT)lNG DE PARTHEtlT TOI, IN IIALL SOUTIIOI,D~ N.Y. 1197 I TEl..' 765- 1802 I)i saR)rc,x, ed a/c ................... - .............. APPLICATION FOR BUILDING PEl~lI'i' INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORN ................... NOTIFY: CALL .................. HAlL TO: ......... a, 'Ibis application mint be completely filled in by ~ri~er or in i~ ~l 3 ~s of pl~, ~rate plot pl~ to ~ale. F~ ~l~ to ~le. b. Plot pl~ d~i~ l~ti~ o[ lot ~ o~ ~lldi~ ~ ~i~s, mlatl~dp tO ~joinlr~ p~t~s or ~ddlc struts or areas, ~ givt~ a ~tail~ ~rJ~l~ o[ la~C og p~rCy ~g ~ dr~ ~ tim dl~sn ~dch is ~rt of this c. 'H~ ~ ~r~ ~ ~ds o~llcatl~ my ~t I~ ~ ~fore is~ of ~lidl~ ~mit. d. U~ a~al o[ 6ds a~licati~, ~1~ ]~lld[~ l~ctor wili is~ a ~ildl~ ~mit to ~ a~ll~t, a~h ~H.I~'H~ IS ~ ~ to tim l~ildi~ ~rt~,t ~or tim is~ of a ~lldi~ ~lati~, for tl~ ~t~tim of ~dldt~, ~lti~a or alteratl~, or for ,~,~1 or ~lttl~, ~ri~. ~m applier ~s to ~ly wi~ all a~Ii~la 1~, o~i~s, ~tldi~ re~la~i~, ~m~ to ~ic ~ri~ i~tors o~ ~i~s a~ in ~lldi~ ~r ~ (Nsl l l~ ,~_!~s o[ appltcant) Sta~e ~t~etl~er appIican~ is ~r, les~, ~en~, nrddt~, enRi~r~'~ral ~tor, el~tricim, plier or I~thle ............ ~~ .................................................................................... . ....... . . ..... ' -' ~ 'x~ ~ tl~ ~ax ~11 or latest ~) If a~)ticm~c is a co.ratio, si~e of ~ly ~ti~ri~l offl~r. (~ a~ title o[ ~rote offi~r) APP39~.DJ¢..N,~ .......... NO'r;~ BULLDOG DEP/~T A~ 706-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTION~ 1. FOUNDAllON . TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. :NSULATION 4. FJNAL - CONSTRUCIiON MUST OCCUPANCY OR l~,ilders I,icer~e No ......... ~ ........ USE IS UNLAWFUL Pl,..~,.-s U,=e.. ~ ......... ~ ...... .WITHOUT CERTIFICATE ~i~=;i=i~ Li~ ~ ...... ~ ......... OF OCCUPANCY BE ~M~mRCO., ............................... .... ......' . Im ~r 8t~t i~et ~ ~.,~ ,. ,~ ~,....~ ....... ~,~ ...~.~ ....... ,, ...'~.~ ~ivisi~ ..................---. .--- --- .. · ..... . FII~ ~ .......... · ..... l~t ........... · .... 2. State exist]~ ~ ~~ ~ ~°[ ~t~s ~ inte~ ~~ofpm~ __ ..................................... , PI.OT DIAORAH ~ i~cate clearly nnd distinctly all hdldln/s, ~herlmr ~lzttng or pro~, ~ l~icnte all ~t-I~ dl~nal~s ~r~ pr~rty llmz. Oi~ ot~t m~ bl~ ~r or t~seriptl~ aecoMIng to t~, ~M i~ strut ~ms ~ml i~llcoCe ,~tl~r interior oF ~r lac ...... - ~.../,I ~_ ~ ,~ ,~ ~ ..,.~~.~_ ~ ............................................................ o~ ~ld (~mr ~m~ 15 {~Iy ~t mrl~ to i~rfonn or ht~e i~rforn~ tim ~1(1' ~¢k taxi to n*ke taxi file thin ~ta~ ~ PLOT AREA = 40,009 :t s.r. FIRST fLOOR AREA = I S.r. 0 .0~..~. co,,'~.*. GABRIELLA COURT ~'"':;""' I,~ ~o, · BEHRENDT FOLU3M4#I I1~ 2. RO~H. ~ I i 3. INSU~ 4 FINAL - CONS~U~ON MU~ B~ COMPLETE FOR C.O. ~ C~STRUCT!ON SHALL M~ T ~ m ~ ~mFW,~NTS OF THE N,Y. ~ ~z q~'F~dCTIi*N & ENERGY C ~: ~ u~- ~Fqw)N~BI.E FOR D . ,F'~ ~STRuCTION ERRORS OCCUM~CY OR USE IS UNLAWFUL ~'flTHOUT CERTIFICATE OF OCCUPANCY PROVIDE OP~I~ FOR IEQUI~D ~ PA~. 714 OF