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