HomeMy WebLinkAbout25742-zFOEM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26546
Date: 07/06/99
THIS CERTIFIES that the building ADDITION
Location of Property: 1585 WOOD WAY CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 109 Block 5 Lot 14.27
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 12, 1999 pursuant to which
Building Permit No. 25742-Z dated MAY 24, 1999
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 ADDITI~ TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to FRANK C. & GEORGENE T. LINGEN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROV~fL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
//~ding 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. 25742 Z Date MAY 24~ 1999
Permission is hereby granted to:
FRANK C LINGEN
PO BOX 1070
CUTCHOGUE~NY 11935
for :
CONSTRUCT A DECK ADDITION IN THE SIDE YARD AREA OF A SINGLE FAMILY
DWELLING WITH RAILINGS~ HANDRAILS~ STAIRS AND FOOTINGS TO CODE.
at premises located at
County Tax Map No. 473889 Section 109
pursuant to application dated APRIL
Building Inspector.
1585 WOOD WAY
Block
12 1999
CUTCHOGUE
0005 Lot No. 014.027
and approved by the
Fee $ 75.00
thorized Signature
ORIGINAL
Rev. 2/19/98
L R,LDG. DEP[ ~
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
ion must be filled in by typewriter OR ink and submitted to the buildi
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property line
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9
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/I0 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar build
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
Upre-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 applic~
If a Certificate of Occupancy is denied, the Building Inspector shall state th~
reasons therefor in writing to the applicant.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw~m~ing pool $25.00, Accessory building $25.0(
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 - = .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 ............. ~.,
~ouse No. /Street Hamlet
County Tax Map No 1000, Section .............. Block ................ Lot ................
Permit Mo..~..~.7.~.}.-..~. ate Of Permit ...........
............. Applicant .~. ~..~{O.Z
Health Dept. Approval .......................... Underwriters Approval ...................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
APPLICANT[ '
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 29, 1999
Frank & Georgene Lingen
P.O. Box 1070
Cutchogue, NY 11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX 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 # 25742-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT,
PLI~BING
]{SULATION I'ER N. Y.
~TATE ENERGY
CODE
FINAL I
AI)DITIOI~AL COMMENTS
/ Ii'
765-1802
BUILDING DEPT.
INSPECTION
FC)UNDATION 1ST
FC~UNDATION 2ND
FRAMING
FIREPLACE & CHIMNEY
REMARIKS: /~----c-~
[ ] ROUGH PLBG.
[ ] INSU~.ATI*ON
[ ~INAL
DATE ~//~//~
INSPECTOR
^pR I
TOWN OF SOUTHOLD
FORH NO. [
TOI~I OF SOUTHOLD
BUILDING DEPARTI~ENT
TOi~I HALL
SOUTHOLD, N.Y. !]971
YEL: 765- 1802
Dir~ ~ed a/c ................................ . ·
/
(Building Inspector)
A~PL~CATIOIt FOR BUILDING PERI, IT
IHSTRUCTIONS
,/3 SETS OF PLANS ...............
SURVEY ........................
JCHECK .........................
a. This application ~st be cx~pletely filled in by t-ypa~iter or in ink and sul~/tted to the Building Inspector ~
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plum shoving location of lot ~ of buildings on premises, relationship to adjoining premises or public
streets or areas, ~4 giving a det~iled description of layout of property rmst be dram on the diagram ~hith is part of
this application.
c. ~ turk covered by this application may not be cu,~,~ced before ismance of Building Permit.
a. Upon approval of this applica£ion, the auildir~ Inspector ~ill issce a l~ilding Permit to the applicant. Such
permit shall be lmpt c~ the ~,=~ise. s available for inspection throughout the work.
~ e. Ixb building shall be oncupied or used in ~ahole or in part for m~y purpose ~Imtever until a Certificate of
Oeo .m~cy shall ha~ been grante~ by the Building ~tor.
APP~ICATI~I IS I~l~_~ ~ to the Building Department for the ism of a Building Permit pursuant to the
Building Za~ Ordirmnca of the To~ of Southold, Suffolk Cot~L-y, ~ York, and other al~liceble La~, Orflinar~es or
P,~ulati~s, for the mt-ruction of buildings, aSditions or alteraria~s, or for rem0val or d~m~lition, ~s herein
&scribed. T~ applicant agrees t~ comply ~rlth ali applicable lams, ordinm~ces, building code~ housing code, and
regulations, and to ~miC authorized inSlXmtors on pr~i~s and in, --~'--bu~di~g. ~~. inspections.
...........................
(l~li~g ~.~a~ ss o~__at~licant) /
State ~faether applicant is o~ner, lessce, agent, architect, engineer,' general contractor, electricim% plm~er or build
................. ............................................................................. .... . ... . . . .
~ of o~ of ~a~,~ .... .~....~. .... ~. ....................................
(as on ~ tax roll or rarest deed)
If a~pllcamt is a corporation, sigaature of duly authorized officer.
765-1802 9 ~ ~ 4 PM FOR ~E
FOLLOWING INS~ONS:
1. FOUNDAT~N ' ~ REQUIRED
FOR ~URED CONCR~
2. ROUGH - ~ING & P~MBING
3, ]NSU~ON
4. RNAL CON~U~ON MUST
BE COMPLEiE FOR CO.
I. Location of ~.,~ on ~hith proposed york
~ ~ THE REOUIR~E~ OF
........................ .......... , ....... ............
b. ~ ~ ~ ................................................................... ~.. .......
3. ~ture of ~ork (check ~fid~ applicable): ~ Building .......... bxldition .~ .~..:.~... Alteration ..........
l~pair ............ l~mmml ............. De~lition ............ Oflmr Work ................... :;~. ............ .
Esti, t .. ............................................ . -
(to be paid on filing this application) ..... ~;iJ _ ~-
5. If d~elling, nt~ber of d~elling nsits ............ lxlun~er of d~elling traits on each floor ................
If g~r~ge, n~ber of ears ......................................
6. Ii business, ccm~reial or mi~4 nccul~ancy, speci~ nsture ~ extent o~ each type of use ......................
?. Dimensions of existing structures, if any: Front ................ Rear ............... Depth .................
tleight ......................... lxk~x~er of Stories ......................
Dimensions of ~ structure with alterations or ~dditions: Front ............... Rear ...............
Depth .................... Reight .................... Ixl~er of Stories ...............
8. Dimensioas of entire ns~ co~tn~tio~: Fret ................ Rear ............... Depth ..............
Height lx~aber of Stories ....................
9. Size of lot: F~ont .................... Rear .................... Depth ....................
m0. of .AO..:.&I. ZY.E-- ...... of Po r ...........................
I I. Zone or use district in ~hid~ pr~mises are si~at~l ..............................................................
$2. Dnes prol~sed neo~strnetion violate any zoning la~, ordira~ce or regulatlon: ...... ./~.. ..............
13. Will lot be regr~led ~ Will e_~ess fill be removed from pre~i~es: ~S l~
~ of lkrehitect.......... .... ... .... . .............. i~ldress ............................. . l~one ~ .......... ...
~ of C~tractor ................................... fiddress ............................... PI~ Re .............
15. Is this properl2] ~ithin ~0 fe~t of a tidal ~etlanfl? a Y~S .......... NO . ~.. .....
PLOT DIAGRAM
Lncate clearly and distinctly all buildings, ~her~er ~xlsting or ~, ~ {~i~te all ~t-~ d~nsi~s
~ ~r~ li~s. Gi~ st~t ~ bl~ ~r or ~ript{~ ~i~ to ~, ~ ~ st~t ~s ~ i~i~te
~r interior or ~ lot.
.................. :...:. ...... ...'~3.5~:.b. ..... ?.;:'.bei~ dully ~rn, ~s ~ ~ t~t ~ is O~
(~ of i~ivi~l si~i~ ~tract~ ~ ,, .:+ t ~., ~ ~,,,,~ ·
(~trector, ~ut, ~rate officer, etc.)
of ~id ~r or ~rs, a~ is ~ly ;~thori~ Co ~rfom or I~ ~rfo~ ~ ~id ~ ~ to ~ ~ file this
a~licati~; ~at all star--ts c~ta~ in ~iu ~].ieati~ a~ t~ to ~e ~st of h~s k~l~ ~ ~llefl ~
that ~e ~ Will ~ ~rfo~ in tl~ ~r ~t for~ ~ ~e a~licati~ fil~ ~.
~ml~ ~ir~ O~. o, ~
~ i~ LE No. 38 -,~$- lSf130 ~/¢4fl~
L~T Z7
~E~E~H~E~,FR~E~R~TOmEPROP~UN~ARE~RASPE~CPURP~E~LY.~ARE SECTION J BLOCK DATE
~T ~ TO BE US~ FOR ~E ~ ~ FE~, S~UR~ OR ~Y ~ER IMPROV~.J 8 -
UNAUTHOR~ED ALTERATION ~LY ~ F~ ~E ~ [TO THE PER~H FOR WHOM THE SURVEY IS
~ AD--TO A ~R~ M~ HAL ~ ~ SURV~ MARK~ IPARED, ~D ~ ~S B~ TO ~E ~ ~P~; COU~
BEARING A LICENSED LAND WITH AN ORIGINAL OF THE ~V~AL AG~Y ~ ~ ~
SURV~O~ ~L ~ AV~- ~D ~U~O~ ~ ~STED HEREON. AND TO THE ~SIGNE~ ~ ~E
~ON OF ~ECTION 7209, SUB. SEAL SHA~ BE CONSIDERED [~N~ INS~ JOB HO.
GUARANTEES ARE NOT TRANSFERABLE TO AD~