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Home My WebLink About26991-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27738 Date: 06/08/01 THIS CERTIFIES that the building ALTERATION Location of Property: 3505 DELMAR DR LAUREL (HOUSE NO.) (STREET) (H3kMLET) County Tax Map No. 473889 Section 125 Block 4 Lot 5 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 13, 2000 pursuant to which Building Permit No. 26991-Z dated DECEMBER 28, 2000 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 ROOF OVER FRONT ENTRY TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. T~e certificate is issued to JOHN VIOLA & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPART~gT OF HEALTHAPPRO~-L ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Signature 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. 26991 Z Date DECEMBER 28, 2000 Permission is hereby granted to: JOHN VIOLA & WF 3505 DELMAR DR LAUREL,NY 11948 for : CONSTRUCTION OF A ROOF OVER FRONT ENTRY AS APPLIED FOR. at premises located at 3505 County Tax Map No. 473889 Section 125 pursuant to application dated OCTOBER Building Inspector. DELMAR DR LAUREL Block 0004 Lot No. 005 13, 2000 and approved by the Fee $ 75.00 Authori z~ Signature Rev. 2/19/98 ORIGINAL 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 a~d 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 Health Dept. of water supply, and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board o~ 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 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00._ 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. .Temporary Certificate of Occupancy - Residential $15.00, 'Commercial $15.00 Date ......... ~. ?. ~..~'..(~).. ( .................. ,.oca,ion of Fropert ...5 ............. ' ........ ..... House No. Street Hamlet Onwer or Owners o~ Property ' county T~ ~ No 1000, ~ection../~.~. ..... ~i;ok.. ' ...~o~ ............... Subdivision ....... ~ ............................ Filed Map ............ Lot ...................... Permit No..~.~..~.l'....Date~"'~ ' Of Permit ................ Applicant ............................. Mealth Dept, Approval .......................... Underwriters Approval ......................... Planning Bpard Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... · .............................. ~y ~ ................ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 June 4, 2001 John Viola 3505 Delmar Dr. Laurel, NY 11948 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT #26991-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ [ ] FO/UNDATION 2ND [ [ ~] FRAMING [ ] ROUGH PLBG. ] INSULATION ] FINAL []FIREPLACE&CHIMNEY REMARKS: jDATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] ~U~LATION [ ~**'FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOU/NI)ATION 2ND [ ] INSULATION [ ~-'FRAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: ~~2-~_ ~ DATE INSPECTOR FIELD INSPECTION REPORT DA~E COI~iENTS FOUNDATION ( IST) II II ~1' !I INSULATION PER N. y. II STATE ENERGY II ri CODE ,, I1 FORM HO. I TONN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. ! {97 TEl.: 765-{802 v.w~nined ................. , 20 .... Disapproved a/c .................................. 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORN ................... DEC ........................... TRUSTEES ...................... NOTIFY: CALL . ......... ................ (milding in~k:tor) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ................ ,20 .... a. Tnis application mint be c~npletely filled in by type~iter or in ink and anl~itt~d to the Building Inspector t 3 sets of plans, accurate plot plan to ~cale. Fee according to schedule. b. Plot plan showing locatiee of lot and of buildings an premises, relationship to adjoining pr~mises or public streets or areas, and giving a detailed description of layout of property mast be dr~an o~ the dingram ~ahich is pert of this applicatiom c. 'lhe ~0rk covered by this application my not he co,tranced before isstmsee of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant, such permit shall be kept on the premises available for inspection through~t the ~ork. eX NO building shall be ononpled or nsed in Onole or in pert for any imrpose ~hatever until a Gertificate of Occupan~ shall have been granted by the Building Inspector. RPklCarlCt{ IS IEIEa¥ M~ll~ to the Building Deparment for the ismmnce of a Building Permit puranant to the Building Zone Ordlnar~e of the Toan of ~ithold, Suffolk gxxmty, Nea York, and other applicable Laus, Ordinances or Regulatins~, for the construction of buildings, additions or alterations, or for remwal or &~olition, as herein deser{k~ad, lhe applleant agrees to comply vlth all applicable la~s, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on Fremlses and in building for necessary inspections. (Signature of applicant, or naue, if a corporation) State Mmther applicant is oansr, lessee, agent; architect, engineer, gensral contractor, electrician, pltm~er or builck ~ of o~o~r of pr~ise~ ..~h~ ................................................... (ns on tt~ t~ roll or latest ~) If ~pplicant is a cold, oration, si{~nat~ of duly antt~ri~ officer. Plumbers License No .......................... Electricians License No ...................... Other Trade' s I. Eocetion of land oa ~Sdeh progosed ~ork will be done.'.. ?..~ ..... 9....?. ?.~.(.. fl-..~J. I..~.~. f..O. .... ..... .......................................... : ............................................................ co=~ T=~, No. ,mo ~io..,.~, ............ B~oa .., ......... ,... ,or ...--. ......... .... (~) 2. State ~isti~ ~. ~i~ ~ ~ ~ ..~tw~t.m.l ........................................................... b. ~t~ ~ ~ ............................................................................. 3, l~,ature of ~ork (check ~hich aRliemhle): Ne~ l~iildin~ .......... Addition ....... Alteration .......... ~ir. ...... ..... " (~ripti~) ~,~i,~,~ ~,~ ..~.O.~.....J ......... ~ .............................................. (~o ~ ~id ~ filing this a~li~i~) 5. If d~lli~, ~s~mr of ~lh~ umts ............ ~r of &~]ling trolls ~ ead~ fl~r ................ If garage, ~r of ~rs .... ~ ................................. hsi~ss, ~rcial or ~ ~, ~ci~ mture ~ atent of ead~ ~ of u~ ...................... If ,i~=i~ o~ ~i~i.~ .~, i~ .~: .......... ~ ............. ~,, .~.,.- ........... I~i¢~t ....................... 4- ~r o~ Stories .................... Oimnsi~ of ~ stature ~th alteratims or ~itions: ~out ............... ~ar ............... ~pth .................... ~i~t .................... ~r o~ Stories ............... · · · }~i~t .!~..~. ............... ~. ~r o~ Stories .~. ................ ~ ' 1~ ~ I~o~ 9. Si~ o~ lot. ~t ..L~¢ ~ ......... ~ar . 0 .............. ~pth .................... IO. ~te of ~rdm~ ............. i ....... ~ of ro~r ~mr ............................... II. ~ or u~ dt*trmt m ~1~ m~8 a~ s~t~ .. .I .............................................. 13. N~I1 lot M ,,,. ............... .... I ' ~ of ~nt~t ................................... ~ress ...................... ' 15. Ia ~is p~r~ ~thln ~ ~t of a tlal wtl~l * ~$ .......... ~ ...... PLOT DIAGRA~ I~ate clearly ~ disti~tly Ill ~ilSi~s, ~m~r ~isti~ or pr~, a~ i~ieata all ~t-I~ dimnsions ~ ~r~ liras. ~i~ strut ~ bl~ ~r or ~aripti~ aeeo~ing to ~, a~ ~ strut ms a~l i~ieate ~etlmr interior or corner lot. .... .................. (l~,e o~ i~xllv~dual stgmng c~tract lb is the ................................................................................................... (C~tr~ctor, agent, 'cor~rate officer~ etc.) o~ ~id ~r or ~rs, a~ is ~lly ~thorlz~ to ~rfom or ha ~rio~ the aid wA mxl to rake a~ ~il.e this appllcatlcm; that all stati~nents con that the ~ork will be performed in ti ~t~ ~lic .~ X HELENE D Notary Publio, St; No. 495 Qualified in St ~ission ~xpirm ...being duly sworn, delxoses and ,~qys that he is tim applicant ~... z~% ~...t~>~... .................. HORNE (Signature of Appllcont) te of New York 364 ffolk ~ounlv May 22, ~ alned in this application are tn~e to tile best of hisktx~ledge "a[xI Iml]ef;' ' ' al~l ~ mt,mr ,set forth in the application filed ttmrc~[th.