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HomeMy WebLinkAbout25589-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26450 Date: 08/13/99 THIS CERTIFIES that the building ADDITION Location of Property: 4465 WICKHAMAVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 4 Lot 9.2 subdivision Filed Map No. ~ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 16, 1999 pursuant to which Building Permit No. 25589-Z dated MARCH 9, 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 20' X 25' DECK ADDITION WITH COVERED SCREENED AREA TO EXISTING ONE F~TLY DWELLING AS APPLIED FOR. The certificate is issued to JAMES & ELLEN STEVENSON (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. 25589 Z Date MARCH 9~ 1999 Permission is hereby granted to: JAMES & ELLEN STEVENSON 4465 WICKHAM AVE. MATTITUCK~NY 11952 for : CONSTRUCTION OF A 20' X 25' DECK ADDITION WITH COVERED SCREENED AREA AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 107 pursuant to application dated FEBRUARY Building Inspector. 4465 WICKHAM AVE MATTITUCK Block 0004 Lot No. 009.002 16 1999 and approved by the Fee $ 75.00 Authorized 'S ~ gn~atu~r' ORIGINAL Rev. 2/19/98 mo APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of ali 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 buildi 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 a Upre-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 applican If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, A.Iterations 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 Buildinm - $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 ............................ ! New Construction...?. ...... Old Or Pre-existing Building ................. Location of Property ........................... House No. Street Hamlet Onwer or Owners of Property .......... ~ ................................ County Tax Map No 1000, Section.../h.~. ...... Block ...... ?] ........ Lot...7.'. J.~iq. .......... Subdivision .................................... Filed Map ............ Lot ................. . Permit No..~R~.~...Date Of Permit ................ Applicant .......................... Health Dept. Approval ........................ .. Underwriters Approval .................. .. . Planning Board Approval ........................ / / Request for: Temporary Cartificate ....... Final Certicate ........... Fee Submitted: 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 ~ay 4, 1999 Robert Bohn Contracting, P.O. Box 55 Peconic, NY 11958 IBc. RE: James & Ellen Stevenson, 1000-107-4-9.2 4465 Wickham Ave., Mattituck. 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 # 25589-Z Please contact our office on this matter. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. ~OUNDATION (2ND) Il' FINAL ADDITIONAL COI,~ENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] /F~IUNDATION 2NO [ .] INSULATION [~] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR FEB I 6 tq99 _TOWN QF $OUTNOM) I) i sapi)awed u/c ................................... (Ikdl<{t~ lns~cor/ APPI, tCATIOH FOR BUILI)I~IO ll, ISTRUGTIOH8 '(Stature og ~li~t, or ~ ti · ~,~si} ~,si~ 9~1, ~ ......... ................... ~. ~ ~ ~ ~ .... ....~ .... ~.~ .... ~ . ~ . . F I, ~ or u~ district lo ~ld~ ~a am s t~ .......................... . .................................... ~ {~ tl~e .......... l ' ' ................................... (C~tmcto~r~rnta o~lcer, eec,) ................. lx!{,{t dul,y 5'wi)rt,~ delx)~e taxi says ll,ol~ he J8 tho ai~pl,l<uml: APPROVED AS NOTED FEE: BY: ~'~"~""~"' T65-1802 9 AM TO 4 lam FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION o 'WVO REQUIRED FOR POURED CONCRETE 2- ROUGH o FRAMgiG & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS USE ~S UN~¢FUL OF OOOU?A~O¥