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