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