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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~