HomeMy WebLinkAbout27003-zFORM NO. 4
TOM OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27742
Date: 06/11/01
THIS CERTIFIES that the building ADDITION
Location of Property: 845 FANNING RD
(ROUSE NO.) (STREET)
County T~xMap No. 473889 Section 117 Block 4
Subdivision
Filed Map No. __ Lot NO. __
NEW SUFFOLK
(HAMLET)
Lot 25
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 4, 2001 pursuant to which
Building Permit No. 27003-Z dated JANUARY 5, 2001
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is ~ssued
is CELLAR ENTRANCE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to JAMES P HOWARD & WF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF L~L~LTHAPPROVAL
ELECTRIC2~L CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'rmu
N/A
N/A
N/A
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. 27003 Z
Date JANUARY 5, 2001
Permission is hereby granted to:
JAMES P & WF HOWARD
845 FANNING RD
NEW SUFFOLK,NY 11956
for :
CONSTRUCTION OF AN UNHEATED CELLAR ENTR3~NCE ADD TO AN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 845
County Tax Map No. 473889 Section 117
pursuant to application dated JANUARY
Building Inspector.
FANNING RD NEW SUFFOLK
Block 0004 Lot No. 025
4, 2001 and approved bythe
Fee $ 75.00
Rev. 2/ 9/98
ORIGINAL
FORM NO. 3
TOWN OF $OUTHOLD
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.
Date MARCH 2 98
Permission
is hereby granted to:
JAMES P & WF HOWARD
845 FANNING RD
NEW SUFFOLK~NY 11956
for :
CONSTRUCT AN UNHEATED CELLAR ENTRANCE ADDITION TO AN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 845
County Tax Map No. 473889 Section 117
pursuant to application dated FEBRUARY
Building Inspector.
FANNING RD NEW SUFFOLK
Block 0004 Lot No. 025
20 98 and approved by the
Fee $ 75.00
/ding I nspe~ct/r~
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
, APPLICATION FOR.CERTIFICATE OF OCCUPANCYtI:'
This application must be filled in by typewriter OR ink and su~mi~.~to;t~e,,~in
inspector with the following: for new buildin~ or new use: { C~.~ :i~7'3 ·
1 Final survey of ,property with accurate location of all
streets, and unusual natural or topographic features.
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. Con~aercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Comp!ianee from ardhitect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. 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
~. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25f00,
Additions to accessory building $25.00. Businesses $50.00...
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - [
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00,'Commercial $15.00
~ew Constructibn ........... Old Or Pre-existing Building ..................
· ooation of P'ro err ..~/t~....f~n~.~../t~.. ...... P/f~ ~ ~z:Fo~
House No. Street Hamlet
onwe or. o ers .......... .................................
County T~ ~p ~o 1000, ~ec~ion...~ ......... B~ock ........... LoC
Subdivision ~' Filed Map Lot
Per,it No..$.~O.~.~.: ..... Date Of
Health Dept, Approval .......................... Underwriters Approval .........................
Planning B0ard, Approval ........................
Reques~ for: Temporary Certificate ........... Final Certicate .......
· . ..
~ee~bmiitecL: $ ............ ....
'(Z c ..................
'765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ] ROUGHP~.
[ ] IN,>~II.ATION
[ ~FINAL
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]/II~SULATION
/
[ ] FRAMING [~/] FINAL
[ ] FIREPLACE & CHIMNEY
,DATE
INSPECTOR
[ ] FOUNDATIONIST [ ] ROU/GHPLBG.
2ND
[ ] F~ATION [~/IRSULATION
/~ [~/]/FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
R.EMARKS: ~ ~
765-1802
BUILDING DEPT,
o PECTION
[ N 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS. . ~
DATE
INSPECTOR
BUILDING DEPT.
INSPECTION
[ ] F~NDATION 1ST [ ] ROUGH PLBG.
[ /~;~OUNDATION 2ND [ ] INSULATION
[~/] FRAMING [ ] FINAL
FIREPLACE & CHIMNEY
FORH lq().
TOWtl ()F ,~iOUTIiOI,I)
BU II,D I H(~ I)E I~AI{THENT
'l'O~N IIAI.1.
SOUTII(]I,I), N.Y. 1197 I
TEl.: 765--t802
BOAEI) OF IIE^I.TII .~,~'. ........
SETS OF P1,AHS ...............
CAILCK ./,~.: .....................
Sl[l>'r I C FOIII-I
NOTI FY:
1 NfiTIIUCT 1 OHS
I)o! e ................ , 19 ....
a. 'lhis al~lica~ic~ muet Im coq)leLely filled in I)y tylx~.triter or in ild[ taxi md~,ilted to Ihe Ikdlclin~ l~sl~ctor
3 r~ts of plmm, ack,rate plot pla0 I.o ~ale. F~ according I'o sdt~lule.
b. Plot plan ~i~ I~al:i~x~ of lo~ o~ of lxdldi~s ~ pr~ni~s, relationship ~o ~joining pro,lse~ or i~d~l
slf~ts or areae, alxl Bivil~ a c~tail~l ~cril)l'Jon of ]ay~lr ol: I)lOl~tly,~mt I~ dr~l cx~ the (liol~r~n~lich i, l~lrl of
C. 'lhe ~rk c~l~ by ihi~ nl~)ltcati~ my ~)1 I~ com~:ol I~fore ism~me of Ikdldi~ Permit.
cl. IIl~l 8l~)~al Of this al~lica~iml, the lklJl(lJnl~ hmlm(:to[ will iostm a IhJJlclitlg PenuJL Lo the li[)l)[jcmtl.
e. E~ IxlJl(lil~j ifllell I~ ix:cupi~l or u~l il~ ~le or in imrl for rely l~n-lXmm ~lalever ~.ll:tl n (~rtifi(.nle
(~:oqmimy ~mlt have I~. i~rm~tol by the Ikdldlilg llml~cLor.
fiPlff.l(~'l'l(~ I~ IEI~[IIY }~![ to the IkHhlio~ I~l~rlll~lll. for the iommnce of . t~dhling ~mit I~srmmnt to
Iklildln8 ~ Ordim.~e off tl~ T~ o[ ~ltlr~ld, ~fYolk (~.lty, ~ York, 81~l other al~lJcldde l~s. Ordhm~e, or
I~dntiom, for tl~ mmt~tlm of I~dldlnss, ~kliti~m or alteral:ions, or for r~al or do~l ition, a0 herein
~scrJl~. 'lira appttcai~ a~s ~o c~qdy with ~[I n~d icahle 1~, ordh~nces, I~ildlng c~le, I~slng c(xle, m~l
rel~ulal:i~m, al~ to ~tni~ ~rlz~ insl~tors (~l pro. i~ taxi i~ ....
[ (~hltmt~tre of al~licnnt, or n~st~,/i[
(t~il inB ~klre~s o~ .1~)1 lcmd ) ~
StaLe ~heLl~r al)ptJcallt [8 o~/mr, lessee, l)gerlL, archilecL, enBhmer, Beneral cozlrrac:l.or, electliciml, plmt~er or la]ilder.
' ' .~ - = ' ~ BY:~/7 /
' '
,,,.,,,, CUPANCY OR FOLLOWING INSPE~ONs:
~l ~ UN~WFUL : ~o..OUnEOCO.C.~
'~'"~" ~'~"~ ~' ....................... WITHOUT C[RTIFIOATE
,,~,,~,, u,:.,.~., .......................... OF OCCUPANCY ~. :NSU~TION
4. FINAL CONS~U~ON MUST
El ec~rlcians l,ice~ A~ ...................... BE COM~ FOR C.O.
O~her 'rr~', l.lcen~ ~ ..................... ALL ~NG~U~O~ S~. M~
................................................ . ........................ OR,~~E~ ....
Ik~ ~mi~r Strut ., I~slet
c,,,y '~,~ ~,, ~,. i~o ~,:~,~, ..i. t3. ......... m~l, ............. ~ ..~. ........
~lxlivlullm ...................................... Filed t~ll~ ~ ................ I~t ...............
(~l~)
2. 81ate exi~l, ln8 u~ a xl ~ D~ ~:y o~ prt~ nes ~1 I.mgle~ t ~e a ~1 ~ct ~ my of prol~l e~sl'mct'ion:
b. lnte~l u~ a~t (~c~qm~:y .............................................................................
'1,
6. F~ti,*ltc~l (~sl' . I..~.~,~:.. ~ ....... fee .................. ~ . . . i
' X?' ~'
7. I)hi~lml~m Of exist, lng .l'rimL~e,, Ir un~: Vr~l..~.v. .......... ~ ............... I~pth .................
,. o0 f~ C~. ..I.~ ........
~.,., .... ~.~I ............ m~ ~,r ..~ A '. ~. ~. . . a,,~ .r s.,d~ . .Z.~ ........
,,. ,~,,. ,,~ ~.-,:,.~ ..%&~r.l .... ,.~ ,,~ ,..,.~ ~,~ ..~.~E~.~...~.~.~.I ..........
I
15. I, Ihi~ p~lmtty within ~} f~L of n Lidal ~tlal~ll * YI~ .......... ~) ,~ ......
Iq,OT I)IM~IlfiH
It~:~l.e clearly mil dtstl~tly [~11 I~dldis~a~ ~etlmr exlstin8 or p~ol~sed, m~l l~lleate nll set-I~:k dlnnnaiona
i~lether interior or cor, er lot.
i~e.
................. , ,,,,~ { y
(H~ o[ [~altvidt,tl .iBnh~B coilt
I~ i, Ihe .,; ..... ' ................... , ..... '-.',.; .................................................
. ((k)ntraclor. nBent.- eorlx)rnte orfh..er, etc.)
/ t~ll.horiz~l I'o I~rl'olnt or have lerl'o[,~l the ,aid ~rk u[~l to .nl(e alxl file thhl
ilalix~l in Ihia nlqdtcnt:'o, nfo tr~ tO the I~,t:
Lite .~,,~r set forth ie lira nppllcntiou fil~l
ti,il: the ~)l'k will I~ I~rFon~l in
}~)t-n Lo Imfor~v! thin ~ /
..... ~ ........... ,,,~ ,,e ~~9.~.~..
Appl ich,t)
State of New Yo~'k
4951
~h.fffolk County