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HomeMy WebLinkAbout25943-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26762 Date: 10/27/99 THIS CERTIFIES that the building ADDITION Location of Property: 555 MARLENE LA LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 143 Block 3 Lot 27 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2, 1999 pursuant to which Building Permit No. 25943-Z dated AUGUST 12, 19~ 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to TIMOTHY J & MELISSA MCGOWAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 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. 25943 Z Date AUGUST 12, 1999 Permission is hereby granted to: TIMOTHY J MCGOWAN 555 MARLENE LANE MATTITUCK~NY 11952 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 143 pursuant to application dated JULY Building Inspector. 555 MARLENE LA LAUREL Block 0003 Lot No. 027 2 1999 and approved by the Fee $ 75.00 Aut ho~/'~ ed S ig~ure Rev. 2/19/98 ORIGINAL BLDG, DEPT, ~. ~ ~.,,.2~ u~,~'~'l'"" ~'" OF SOUTHOLD .... 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 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 building~ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plan~i~g Board .Approval of comp!ated site plan requirements. For existing buildings (prior to April 9, 1957) noJ-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 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 ~ccupancy 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 ...... October 15 !9.9.9. New Construction....x. ...... Old Or Pre-existing Building ............ .. .. . Laurel Location of Property .5.5.5 . Marlene. . Lane ..... House No. Street Hamlet Timothy J. McGowan and Melissa A. McGowan Onwer or Owners of Property ................................................................ County Tax Map No 1000, Section..~l.4.3 ......... Block.. 3 ..Lot 2.7. Subdivision ........ .n./.a. ........................ Filed Map ............ Lot .................... Permit No .... 2.5.9.4.3.%Z. ..... Date Of Permit...~.~/./.~/.~ .... Applicant..T.i.m. qt.h.y..J....M.c.G.o.w.a.n. ....... Health Dept. Approval ........... .n/.a ............ Underwriters Approval ........ n./.a. ............ Planning Board Approval. ........ .n/a.. ........... Request for: Temporary Certificate ........... Fina/~erticat~/-..x- ...... Fee Submitted: (~,,,,~. 5'~ OM ' ! . '. ~PPLICANT ...................... ITimothy J. MC~owan EDWARD FORRESTER Director of Code Enforcement BUILDING DEPARTMENT TOW3N OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 October 8, 1999 Timothy McGowan 555 Marlene Lane Mattituck, Ny 11952 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 # 25943-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ~]~NAL [ ] FIREPLACE & CHIMNEY ,,,,,,,,,,,s, OlC DATE INSPECTOR ~DATION ,.~SULATION PER N. Y. STATE ENERGY II FINAL ADDITIONAL COMMKNTS: FORM RO, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL SOUTHOLD, N.Y. TEL: '/65-1802 Disapproved a/c SEPTIC FORM ................... NOTIFY: CALL .................. MAIl. TO: .................... t/jl~ ............. i 1 l i/! APPLICATION FOR BUILDING PERMIT ~~k-.----'-'--- DG DEPT- 9L ' ' LD , ~~be (xl~pletely filled in by typewriter or in ink and submitted to tile Px,ildimg Inspector wi L~'~-6f plans, accurate plot plan to scale. Fee 'according to schedule. b. Plot plan showing location of lot and of b~ildlngs on premises, relationship to adjoining pranises or public streets or areas, and giving a detailed deseriptiom of layout of property must be drm~n on the diagram ~hich is part of this application. c. Rim ~ork covered by this application may not be cc~n~nced before issuance of l~ildlng Permit. d. Upon approval of this application, the Building Inspector, will isane a Building Permit to the applicant. Such pemit shall be.kept on the premises available fer inspection throughout the work. e. No building mhall be occupied' or used ia ~bole or in part for any purpose ~natever until a Certificate of Occupancy shall have been granted by tim Building Inspector. .~ APPLICATII1N IS tlERgBY ~ to the Building Department for the issuance of a Building Pennlt pursuant co the l~ildlng Zone Ordinance of the To~n of Southold, Suffolk County, New York, amd other applicable Laws, Ordinances or R~gulatiorm, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant s l ...... ~gree to c~p y with all apphcahle laws, ordinances, butldml~cede, housmg code, and regulations, and to admit anthorlzed inspectors on premises amd in buil~g//l~or nece~sa~ inspections. ~.u~gr~ure of applicant, or name, if a corporation) ~5.55 Marlene Lan% ~att±l:uek, New York 11952': (Maillng a&lress of applicant) State }t~ether pppllc~t i~ ra~er, lessee, agent, architect, engineer/general contractor, electrician, plmt~er or tmilder Ram of r~ner of pren~ses Timothy 3'. MeGowan and ~elissa A. McGowan {aa on t!m tax roll or latest deed) If applic~t is a corporation, signature of duly authorized officer.. (Name and title of corporate officer) Builders License No .......................... Plmbers License Eo .......................... Electricians License NO ...................... I. 50catico of land o~~ ....... ~ ....... ~aich proposed work will, ~ done .............................................................. 555 Marlene Lane ~ Number Street llanlet C~mty Tax Map No. ](110 Section 143o00 Block 03.00 Lot 027.000 Subdivision ...................................... Filed Map No ...... '.....~.~...'.' l~t- ~ ...... 2. State existing use amd occupancy of premises and intended use and occupancy of pr~pos~,'COmSirdotionf'~ ing single family dwelling a. Exist use and occupancy ....................................................... . ... .. . ..... .. ...... .. · single family dwellin~ ~ b. Intended use and occupancy .............................. v ............ .-~c.a-~.v~-,.~.ic~.w%l.~l.~.; ..... ,~i~ ............ ~al ~ ' ' ~o* ..~.'~ ~. .... ~ ........ 1)emohtlon ............ OCher ................. {Descripclo~) 4. Es~i~mt~ ~s~ ...... . ... .~.....,....... f~ ............... . .................. .. . .. . . .. ... . ; , ~ ([o ~ ~id ~ f!li~ this a~li~i~) ............ l~r of ~llma ~its ~ e~ ~r If ~raSe, ~r of ~rs ~ 1. Di~nsi~s of aisci~ s~m~s~ if ~: ~ ................ ~ar ............... ~pU~ ................. I~i~ ~ ~ S~orie ~p~h .................... ~i~C ~ .................... ~r og Stories .............. . ~ ................. ~ ................... ~pm .............. I~i~ ...... ~r o[ Stories ~, Si~ of lot: ~[ · .~00. . ', .... ~ar 100.01 10. ~e of ~rdm~ 12/11/9J ~ o[ Four ~r Blanche A. Thompson violate ~ } 12. ~s pro~ ~C~i~ ~i~ 1~ o~i~e or re~lati~: ......... CP. ............ 13, '~ill loC~ ~ . o ~ ., ~ill ~ss fill ~ r~ 14. ~s of ~r of ~i~s Tim Mc~owan ~.,'555 ~lene ~e, ~ttixk ~ ~. 2~-35~ 15. -,Is fids p~r~ ~in ~,f~t oi~a' ci~l ~1~? *,~ ....' ...... ~ ..A.,.;.. ~mU~r interior or co~r lot. ' SS ......... X % .m.q~.n. n ~.cgg~..a~n ............. ',Nam o£ i,~livideal signlu§ conLracC) ~bove .... l ............. being duty sworn, deposes and says thaC he is the spplle3a~t I ' le i,~ Lhe o~-ner ; ............ ' (P~ntracCor, ~genL, corporst& officer, etc.) ........... ~f ~id ~r or ~rs, ~ is duly mthor[~ to ~rfo~ or h~e ~fo~ ~ ~id ~ m~ ,~licati~; U, at att stat~nts cmta[~ in'~is a~[icatlm~ am t~ tp~ fl~e Im~t of his ~1~ imf' O,e turk will ~. ~rfon~ i, tim',miner ..mt forO~ la ~e a~hcktim fil~ tlm~.'' ~m to ~fom m flus ...... [ .......... ........ ~.9: ...... ~o~ ....... :~ .... ,~.,?~ .... ~ ',~.'//~ ~~--~ ~. ~ .~.zz.~/'u ' . :~.~ '.~~ ...... NO 6010642 8u~01K~oun~, , [ ,, - Timothy J..~d~pwau .... , , lerm ~plres July 20,~ == .......... ~,,~'"r, , ', oq.~lD CCA qxq ALL CC THE RE STATE: CODES DESIGN IE iNSPECTIONS: . TWO REQUIRED . FRAMING & PLUMBING MUST SHALL MEET ,O, UIREMENTS OF THE N.Y. ,ONSTRUCTION & ENERGY NOT RESPONSIBLE FOR OR CONSTRUCTION ERRORS Ix,/ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ZI