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HomeMy WebLinkAbout25557-zFORM NO. 4 TOW~ OF SOUT~OLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26453 Date: 05/14/99 TRIM CERTIFIES that the building ADDITION GREENPORT Location of Property: 150 WILLOW DR (ROUSE NO.) (STREET) (RAMLET) County Tax Map No. 473889 Section 33 Block 6 Lot 7 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 1, 1999 pursuant to which Building Permit No. 25557-Z dated FEBRUARY 22, 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 i~ DECK ADDITION FOR EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ERNEST & MATILDA LATUSO ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Buildin~ 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. 25557 Z Date FEBRUARY 22~ 1999 Permission is hereby granted to: ERNEST & MATILDA LATUSO 15 MURFIELD PLACE MELVILLE~NY 11747 for : CONSTRUCTION OF A DECK ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at promises located at 150 County Tax Map No. 473889 Section 033 pursuant to application dated FEBRUARY Building Inspector. WILLOW DR GREENPORT Block 0006 Lot No. 007 1 1999 and approved by the Fee $ 75.00 Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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 buildJ 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 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 applicar 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, Sw~ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existinR Buildinm - $100.00 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 ~. ~ . ~.~.. %'. ~'~,~ ..................... New Construction~f.~ .... Old Or Pre-existing Building ................. Location of Property ........................................................ House No. Street Hamlet Onwer or Owners of Property .................. County Tax Map No 1000, Section.~.~ ........ Su division.. -/ ..... Bloc .O.A Lot O . .. ..Filed Map ..... Lot. ~ ..... Permit No ................ Date Of Permit ..... Health Dept Approval . · Planning Board Approval .................... _ Request for. Temporary Certificate ........ Fee Submitted: $..'..~. .................... Applicant .. Approval Underwriters .. . · 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 May 12,, 1999 George Terry 600 Highland Rd. Southold, N.Y. 11971 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 # 25557 (LATUS00 Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 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 May 12,, 1999 George Terry 600 Highland Rd. Southold, N.Y. 11971 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.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). (LA USO} on this matter. Thank you for BUILDING PERMIT # 25557 Please contact our office cooperation. SOUTHOLD TOWN BUILDING DEPT. APPROVED AS NOTED DATE: I'~,&,'~l~[ B.R#3'~'~7 ~' FEE:. '"'?~?,,,BY: ~ NOTIFY BUILDING DEPA~ME~ 765-1802 9 AM TO 4 PM F~ ~E FOLLOWING INSPE~ION~: I FOUNDATION - ~0 FOrt ~URED CON~ 2. ROUGH - F~ING & 3, INSU~TION 4. FINAL - CONSTgU~TIOg MU~T BE COMPL~E FOR ALL CONSTRUCTION 8HALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & CODES, NOT RESPONSIBLE FOg DESIGN OR CONSTRU~ION EngOnS OCCUPANCY OR USE I$ UNLAWFUL WITHOUT CERTIFICATE, OF OCCUPANCY ,, UNDERWRITE. RS RE@UJR£D 76S-1802 [ ] FRAMING [ ] FINAL [ ] FIREP~ACE.&~I'IIMNEY DATE *~/~///~ I NSPECTOR~, 765-1802 BUILDING DEPT. INSPECTION [ ~ F~O"NDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ REMARKS: ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INNSPECTION [ ] FOUN~D~ATIONIST [ ] ROUGH PLBG. [ ]/~)IJNDATION 2ND [ ] INSULATION ~/FRAMING [ ] FINAL [ ] FIREPLAC~C~ HIMN~Y _ DATE INSPECTOI NDA--T~ON NDATION (2nd) ]GM FRAME & .PLUMBING SULATION PER N. Y. STATE ENERGY CODE 'FINAL -FOP.~I NO. ! TOl~l OF SOUTIIOLD BUILDING DEPARTI~NT TONN HALL SOUTUOLD ~ N.Y. 11971 TEL: 765- 1802 Disa~t oved a/c .................. ..... : ' / f~uilding Inspector) ':- ' A~LICATIO~ FOR BUILDING PE~IT BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOR~ .............. .. ... NOTIFY: CALL. ............. .. .. lqAIL TO: ............ INSTRUCTIONS ~ a. This application mst be ct~pletely filled in by type~iter or in ink and sul~itted to the Building Inspector ~rirt, 3 ~eta of plans, accurate plot plan to scale. Fee according to schedule. a b. Plot plan shying location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layont of properOj trust be dra~n on the diagram ~hich is part of this application. c. The ~ork covered by this application may not be ctm~eaced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector x~ill issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the ~ork. e. NO buiiding shall be occupied or used in ~nole or in part for any parpose ~atevor until a Certificate of Occupancy shall ha~e been granted by the Building Inspector. APPLICATI(I~ IS lt~.B¥ ~ to the Building Bepa~lmm~t for the issuance of a Building Permit l~rSt~mt to the Building Zane Ordinance of the To~fl of Southold, Buffolk County, li~ York, and other applicable La~s~ Ordinaaces or Pegulations, for the construction of Imildings, additions or alteretioan, or for re,oval or demolition, as herein described. The applicant agrees to comply ~ith all applicable la~s, ordinances, building cedes housing code, and regulations, and to admit authorized inspectors on pramises and in building for necessary inspections. ./..~ ..... : .... ;~ ......... (Signature of applicent, or name, if~a/corparetian) (14ailing address of applicant) State ~bether applicant is t~,mer, lessee, agent, architect, engineer, ganeral contractor, electrician, pl ~t~e.. r or Builder. /.. /. ................ .+ ~ of o~er of pramises ............................................................................................. (as on the tax roll or latast deed) If applicant is a corporation, signature of duly antberized officer. (N~r~ and title of corporate officer) Builders License lib .............. Plmimrs License Ilo .............. Electricians License No ............ Other Trade's Mc~se No ............... !. Incation of land on ~ahich proposed ~ork will be done ............... ~ .............................................. / -/- ................................... ................. ltoose Nt~er St.'et l~let County Tax 14ap No. !000~ -- ,.~ection ...~..-~ ........ Block ...¢~...~. ........ l~ot ..9..~. ........ Subdivision ~/.°- .~. ~ $- ?- .~- ~- ·'~- · · ~' '~; ~ -~' '3' .... Filed 14ap NO ................ l~t (~) 2. Stage exlstir~ use and oconpanc~ of premises and intended use and occupancy of proposed construction: a. ~isting use and occupancy .. .'¥.~..!. .~-.e,. .~..~ ........................ : .... ............... b. Intended use and occupancy .. .i.i. ~,z.~ ~..~ ......................................... 12. )4. Names of, N~ne 15. Ts tiffs pn Locate de~ f~m property li~ ~hether interior ,~FA'IE O~' NI~ C~I~i'I"/~..~. (Ix~ne of indlvld~ lie is the of said owner or applicat icm; that the ~ork wit ,9worn to before Notary I~,atnre of ~ork (d~-~:k ~hidt appljicable): Ne~ l~ilding .......... &ldition .......... Alteration .......... Repair I~oval ~ Demolition Other Work Estimated ~s ....... ; ................ fee .............................................. (to be paid on filing this application) If ~mllin;, n~/~er of d~elhng Imxts ............ Khnber of d~11ing units on each floor ................ If garage, n~n/)er of cars ...... I .......................... If I~iocs cam~rcisl or mi~d[ occupancy, specify nature ~nd extent of ead~ type of u~ ...... ~ .-~ ~i~sai~. of existi~ st~,' if .y: ~o~t..4.7. ......... ~nr ..~...--d ........ ~pth ..~--~. .......... Ilei~ht ..Y. ...................... I Ix~aber of Stories ..... ]. ................ Dimesaisas of s~re stn~cture witb alterations or additions: Front . .~. i~...~.-..~ .... l~ear .~..a...~..~. ...... Depth ..... ~./. .......... Hei~hE ...3"~. ~'k~ .~,. ~ ....... lx~r~r of Stories , .$..~ .~, .~, ..... Oi~nsio. of entire ~ ~st~tion: ~.~..~.~.~ ......... ~r- Y~ ............ ~' .... ~,, ~./ ........ thi~t . .~..~.¥v. s. .............. i Ix~mber of Stories .. ~ ,~. & ......... Si~ o~ lo ..... ~ ............ . ......... ~te of ~ ............... o[ Four ~r ................................ ~ ....... .... ,. ,U t~ir~t ........... ~ ..................... ~ss ...................... . ....... ~tr~or ~k~a ~ ~ .d $~c ~.b ............ , .... ~ress ~o. ~ ~ A .. i d.~ .......... PLOT es, Gi~ 8t~ ~ )]~ ~r or ~scrlpti~ ~co~i~ to ~, ~ ~ s~r~t ~a ~ i~icate or corr~r lot, ~1 s~iltg contract) / e~g~nt, cq ~rate or,leer, etc.) ~ is dffy ~thori~ to ~rfom or h~ ~rfo~ He ~id ~ m~ to m~ ~ file this all statists c~ta[~ in ~is a~].icati~ are t~ to fl~e ~st of his ~l~ n~ ~llefl a~ (Si~t~re of A~lic~t) ~ ~0, O0 THI : ~'~ O? VtELLS, WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED FRO~, OTHERS. SURVEY OF: L,,,,'o,'~ I ~- . -- fences, retaining wells,pools, pallos, planting areas, addlhOn Io buildings or any Olher conslruchon, ~D DEoTI ~ ~ A / DESTING~NY.~ IIgNn R~OR7 ._ ~ ~ 3w°°~slewater M~''"~ TAX I.D. No, JO~- ~-- O~ --0~ ' PHONE (516) 821-~42