The URL can be used to link to this page

Home My WebLink About25950-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26703 Date: 09/22/99 THIS CERTIFIES that the building ADDITION Location of Property: 925 DONNA DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 115 Block 16 MATTITUCK (HAMLET) Lot 9 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 25, 1999 pursuant to which Building Permit No. 25950-Z dated AUGUST 13, 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED F OR · The certificate is issued to MARK E BERRY of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A /Budding' Inspector 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. 25950 Z Date AUGUST 13 99 Permission is hereby granted to: MARK E BERRY 925 DONNA DRIVE MATTITUCK~NY 11952 for : AS BUILT DECK ADDITION TO ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 925 DONNA DR County Tax Map No. 473889 Section 115 Block pursuant to application dated MAY 25 99 MATTITUCK 0016 Lot No. 009 and approved by the Building Inspector. Fee $ 75.00 ,v. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 mo APPLICATION FOR CERTIFICATE OF This application must be filled in by typewriter OR ink and 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 plumbar 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 Ppre-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 Occupancy on Pre-existing Buildin~ - $I00.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...~..~. l~.~. ~ .~..~ ......................... New Construction .......... Old Or Pre-existin~ Building ..... Location of Property House No. Street Hamlet Onwer or Owners of Property ...... '..' ....................................... County Tax Map No 1000, Section..l~. ......... Block ..... ~ .~. ....... Lot ...... .~ .............. Subdivision Filed Map Lot · · Permit No..~. ~.~.~..~..~..Date Of Permit..O~../~.~. l .~ .~...Applicant.~ .~.~. L .~.~..~.~.~. · ....... Health Dept Approval Underwriters Approval · · Planning Board Approval .................. Request for: Temporary Certificate ..... Fee Submitted: $...~. ~.~. ~ ?. ?. ......... o ... Final Certicate.....~.. .... 765-1802 BUILDING DEPT. INSPECTION DATE ~/~/~'~/~ INSPECTOR Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (516) 765-1823 Telephone (516) 765-1.802 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 24, 1999 Mark Berry 925 Donna Drive Mattttuck, 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 # 25950-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ION R~PORT DATI~ ....... COHIqlEHTS ~DATION (IST) # ~O~II~=A_~ON .... (=__2=l~=) ...... ~ ........ ~= ..................................................... FRAME & PLUMBING .~SULATION PER N. Y. STAUCE ENERGY CODE ADDITIONAL COMMENTS: ~.. -. .. ~,~,- ~ ~ ~ , , . -~: .... : . . . _,, ..... .,..~.: . - ' ;I;~"':"' , ~-' I ' ' ~ ' ~ i - -, ~T. , -BLOCK ' '"~'~-t9~0~7,;'-' ' - . _.., ~' ~ - -: ' - ' .,. ' ...... : ...... . -j.-'~ ,, ~,. ,,%x ,~_,~ k~~ . -" '~- - . '-:- -C'~--- -~ .. ' -' · FOEIt NO. I TOi/N OF SOIJTHOLD . BUILDING DEPARTHENT TOI/I/ HALL SOUTEOLD, N.Y. 1197 I TEL: 765- 1802 BOARD OF HEALTH .............. . 3 SETS OF PLANS ......... ~. ..... SURVEY. ............... .. . . .. . , CH~CK ......................... SEPTIC FORH ................... E~=niued ................. , 19 .... App~t~d.. f..~'t.~.~c~- '.. ......., 19 .... Permit No. ..~..~ .................................. Oi~ a/c ...................................... APPLICATION FOR BUILDING PE~IT _~ ;~[?'" ~ ~ [~9 Date.~I J.'~ ......... 199fl k ................ ~ INSTRUCTIONS a. '~is fillM in ~ ~iter or in iA ~ ~it~M to ~ ~ildi~ .I~tor ~ ' 3 ~ts of pl~, ~a~ plot pl~ ~ ~ale. F~ ~i~ to ~le. b. Hot pl~ ~ latim of lot ~ of ~ilii~ m ~.s, ~lati~ip to ~joini~ pr~s or ~lic '~is ~li~;im. d. ~ ~d of ~is ~liatim, ~ ~ildi~ ~tor ~dll i~ a hildi~ ~t to t~ ~li~g. ~ ~t ~1 ~.~ m ~ ~s mil~le for i~tim St ~ ~rk. e. ~ ~ildi~ ~1 ~ ~i~ or ~ in ~le ~ in ~ for ~. ~ ~at~r mtil a ~ificate of ~ ~1 ~ ~ ~t~ ~ ~ ~ldi~ ~t~. ~I~ IH ~Y ~ m ~ ~ildi~ ~t ~r ~ isle of a ~ildi~ ~t ~t to t~ ~ldi~ ~ ~ of ~ ~ of h~ld, ~ffolk ~, ~ YoA, ~ o~r ~li~le ~, ~imes'or ~ati~, f~ ~ ~tim of ~ildi~, ~i~ia ~ Mterati~, or ~ ~d or ~liti~, ~ ~rein , 5~..~¢~~~.c.%.~ ...... NOTI]~/: CALL ................ .. miL TO: .................... State dnetaher applic~t is o~er, lessee, agent, architect, engineer,' general contractor, el~trici'~, pl~r or ~il~ ...Q~OE.~ .................................................................. ~p~w~ ~s'~o .................. If ~li~t ia a ~at~, si~e of &ly mt~n~ offxcer. NOTIFY 8UIqDING ~PART~NT ~/.~ ',65-1802 9 AM TO 4 PM FOR THE ......................... ; ....................... FOLLOWING INSPECTIONS: (~ ~ title of ~=~eo~,~gCCUPANCY OR 'FoRFOUNDATION'PoURED CONCR~TETWO REOUIR~.D USE IS UNLAWFUL 3,2' INSULATIoNROUGH"FRAMING & PLDMBIN~ ~il~rs Li~ ~ ........... .~ ~.~ ~.__ _,.,........_.____~ ~TEOUT CERTIFICATE ~'~'"~ 'co~.~. El~trici~ Li~~' {~{.'~J.~'V~l ~1~.. - THE REOUIREMENTS OF T~ ~. , STATE C~NSTRUCTiON 1. ~gim of 1~ m ~i~ ~ m~ ~11 ~ ~... ~... ~...'2~EB~ ~{~gT~ ~R~ ........... ..... fl..5 ................ ,. ............. n .... h..~..:~ .......................... ~..~ ................. ~ ~r , St~t ~ ~. ,~ ~ ..t.t.5 ........ ~ ...L~.: ....... ~ ...~. .......... ~i~iMm ............................... ~il~ ~ ~. '~ .............. ~t .... a. ~stx~ ~ ~ ~ ~.].qH2.~ ...................... ~A~au~:~.~i; ................... b. ~ ~~ ............................................... .. ~.~.~.~ .. ~ ....... f~ .............................................. If ~r~e, Ir of ars .... ~ ~ ~ Si~ of 1o~: ~ ............. } .......~ ................ .. . . ~pth . .................. . O. ~Ce of ~d~a~ ................ } ..... ~ of Four ~r ........................................ 3. PLOT DIAO~ hether interior or corner lot. TAlE OF ~i~ YO%~, ,~q al~IrY OF ....................... ......... k~e o[ indivlduat siguit~ contract) ....... beiu~ duly svx~re, deposes and says that he is the applicant (Coutrector, agent, cor orate o£[icer, etc.) said u~mer or o~ners, and is duly ~Jt ~orlzed to per£om or have per[omed the seld work aml to u~k~ and file this pplication; that all stat~nents contain .~l iu this applicatlon are true to the best o[ his lux~ledge and belie[i snd lint the ~urk viii be perfomad in the monet set f~rth in the application filed there~th. k~orn to be[ore ~e this NOTARY PUBLIC,; No. 01ST6008173 Term Expires, ~tate of NewYo~ '(Signature o['~ppticaut)~' ' ' '