HomeMy WebLinkAbout25462-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26237
Date: 01/27/99
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 348 REEVE AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 114 Block 9 Lot 6
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 29, 1998 pursuant to which
Building Permit No. 25462-Z dated JANUARY 8, t999
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 12' X 12' RAISED BRICK PATIO ADDITION & INSTALLATION OF NEW BATHROOMS
& SLIDING GLASS DOOR TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to TANGENT LLC
of the aforesaid building.
( OWNER )
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
~ng Inspector
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. 25462 Z
Date JANUARY 8r 1999
Permission is hereby granted to:
LLC TANGENT
PO BOX 1424
MATTITUCKrNY 11952
for :
CONSTRUCTION OF A RAISED 12' X 12' BRICK PATIO~ 1 1/2 BATHS
INSTALLATION OF A SLIDING GLASS DOOR AS APPLIED FOR.
at premises located at 345 REEVE AVE
County Tax Map No. 473889 Section 114 Block
pursuant to application dated DECEMBER 29 1998
Building Inspector.
MATTITUCK
0009 Lot No. 006
and approved by the
Fee $ 75.00
Authoriz~ Signature
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPA~YCY
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 Health Dept. of water supply and sewerage-disposal(S-9 form).
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 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
'7pre-existing" land uses:
i. 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 - 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 Building - $100.00
3. Copy of Certificate of Occupancy - , .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .~.~.~?~ ........................
New Construction ........... Old Or Pre-existing Building..~o%.~q~l~qg.~rmit #25462Z for raised
Location of Property...~.~ AM~,.o~q~.~V.~9~ ....................... .~.~pa i
House No. Street Hamlet
Tangent LLC
Onwer or Owners of ~ ~y .......... ~ ........................................................
County Tax Map No i000, Section .... ....... loeZ... .... not ...... D
Subdivision .................................... Filed Map ............ Lot .................... ~.
Permit No. 2546~ .Date Of Permit ..... Applicant
Health Dept. Approval ....... ~/~ .............. Underwriters Approval .........................
Planning Board Approval .... .~./~. ..............
Request for: Temporary Certificate ........... Final Certicate..~ .......
Fee Submitted: $ ~5~qO /~//
2 37' . ..
P~ ~_.~7~L~ //APPLICANT
" - ' ~/Abigail A. Wickham, agent
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] INSU~LATION
[ z4-1~INAL
[ ] FIREPLACE & CHIMNEY
REMARKS: /**'~ ~,-/*~' ~
DATE ////~,~///~
INSPECTOR