HomeMy WebLinkAbout25625-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26555
Date: 07/13/99
THIS CERTIFIES that the building ADDITIONS
Location of Property: 490 WINDY PT LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 6 . Lot 11
subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 4, 1999 pursuant to which
Building Permit No. 25625-Z dated MARCH 19, 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 ADDITIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to FRANK & CATHERINE MCGINNIS
(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
Building Inspe~or
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON T~E PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
25625 Z Date MARCH 19~ 1999
Permission is
hereby granted to:
FRANK MCGINNIS
177 MARGARET DR
EAST MEADOW~NY 11554
for :
CONSTRUCTION OF DECK ADDITIONS FOR AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at 490
County Tax Map No. 473889 Section 078
pursuant to application dated MARCH
Building Inspector.
WINDY PT LA SOUTHOLD
Block 0006 Lot No. 011
4 1999 and approved by the
Fee $ 75.00
horized Signature
ORIGINAL
Rev. 2/19/98
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION ~OR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the buildin
inspector with the following: for mew 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 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a
':pre-existing" land uses:
i. 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.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwellimg $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 Buildinm - $100.00
3. Copy of Certificate of Occupancy - , .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certif~ate of Occupancy - Residential $15.00, Commercial $15.00
· / _ ......
New Construction..~.~f ....... Old Or Pre-existing Building ...............
Location of Property .............................. ''''
House No. Street Hamlet
or O ers of .......................
County Tax Map No 1000, S¢cgion...~.~.~. ..... Block .... 0.~.~ .... Lot ..... O.~l .........
Subdivision Filed Map Lot .- ·
Permit No~..~.~.5...~%...Date Of Permit ................ Applicant .........................
~'-'-- Appr 1
Health Dept. Approval .......................... Underwriters ova .....................
Planning Board Approval ........................
Request for: Temporary Certificate...7 ....... Final Certicate .....
Fee Submitted:
Oo -Jg555
EDWARD FORRESTER
Director of Code Enforcement
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
June 22, 1999
Raymond Feeney
1945 Westphalia Avenue
Mattituck, New York 11952
RE: Frank & Catherine McGinnis,
490 Windy Point Lane,
Southold.
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 # 25625-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONIST [ ] ROUGHPLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREP~ACE&CH~
REMARKS.~ ~
,
INSPEC~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND/~ [ ]~J~ATION
[ ] FRAMING [~/]' FINAL
[ ] FIREPLACE &.CHIMNEY
REMAR~ '
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [
] F/O~NDATION 2ND [
FRAMING [
] ROUGH PLBG.
] INSULATION
] FINAL
INSPEC~
765-t802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] ROUGH PLBG.
[ ] FIREPLACE & CHIMNEY
INSPECT~~
765-1802
BUILDING DEPT,
INSPECTION
[ ] ~I~NDATION 2ND [ ,~r INSULATION
[ ~/FRAMING [ ] FINAL
[ ] FIREPLACE/&~.HIMNEY
REMARKS: ~./z/~/~-,m-.
PlgCTION P~PORT DA ~ . ~ COI,~gNTS
I1' ' '
II / ~' /
FOR~f NO. !
TO~/N OF SOUTHOLD
BUILDING DEPARTmeNT
TO~ HALL
SOUTHOLD, N.Y. ! {97 {
TEL: 765-1802
INSTR~CTIOHS
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CDBCK .........................
SEPTIC FORI'i ...................
a. 'Ibis application ~ast be eempletely filled in by type~iter or in i~ ~ ~itt~ to ~ ~dldi~ Ins~ctor
3 ~ts of pl~, ~ate plot pl~ ~ ~le. F~ ac~i~ to ~le.
b. ~ot pl~ ~ l~ti~ of lot ~ of ~ildi~ ~ ~s, ~lation~ip to ~joini~ pr~s or ~lic
struts or am~, ~ givi~ a &tailM &~ripti~ of last of ~ ~t ~ dr~ ~ ~e diem ~i& is ~rt of
· is ~li~ti~.
c. ~ ~ ~ ~ ~is a~li~ti~ ~ mt ~ ~ ~fore isle of ~ildi~ Pe~t.
~ a. ~ ~al of ~is ~li~ti~, ~ ~ildi~ I~ctor will is~ a ~ildi~ Pe~t to the ~li~t.
~t ~11 ~ ~ ~ ~ ~s ~il~le for in~ti~ thr~t ~e ~rk.
e. ~ ~ildi~ ~1 ~ ~i~ or ~ in ~le or in ~ for ~ ~ ~at~er ~til a ~rtlficate of
~ IS ~ ~ to t~ ~ildi~ ~nt for ~ isle of a ~ildlng ~t ~r~t to the
~ildi~ ~ ~i~ of ~ ~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er ~li~le ~s, ~di~es or
~ati~, ~r ~ ~t~ti~ of ~ildi~, ~iti~ or alterati~, or for r~al or ~liti~, as ~rein
~ri~. ~ a~li~t ~s to ~t~ ~ all ~li~le t~, o~i~s, ~itding ~, ~i~ c~,
..... .: ....
(Si~e of ~li~t~r ~f a co~rat~)
(~ili~ ~ress of ~lie~t)
State ~hether ~ i t is r, lessee, agent, architect, engineer, general contractor, electrici.~., plumber or builder.
~ of ~r of ~nes .. ~/~.-.:~...../~... ~;~,~.~ ......................................................
(as on the tax roll or latest deed)
?
If applicant is a corporation, signature of duly authorized officer.
(Nam and title of corporate officer)
Builders License No ..........................
Plumbers License ~ ...........................
Electricians License 1~ ......................
Other Traders Licease No .....................
I. Location of land on ~hich proposed ~aork will be done ..............................................................
....... ;,~ .~/~.. ........ ~',,~.~. .......
Ho~se Ntmber Steer~ Ha~et
co~ ~o. ~ ~ion ..... f./.~. ..... B~o& .... /~ ......... Lot ..... .//.. ........
Subdivision ...................................... Filed 14ap No ................ Lot ...............
2. State existing use anti occupancy of pr~ms~.s and ~ ~n~d, use aud occupaney of proposed eormtmctlon.
,. ................................... '...
~. Pnture of ~ork (check ~hlch a cable): ~ 1~ . ......... t~klition ..........'~ Alteration ..........
Repair ............ Removal .... ........ . De,litton ........ . .. . Othar 14ork
(to be paid on filing this application)
5. If e~elling, r~ber of d~elling imits .......... Ix~nber of d~lling mits on earl: floor ................
If garage, n~Imr of ears ...... , ................................
6. If business, eom~reial or mi:~d, accupaacy, specify nature and extent of each type of use ......................
?. Dimensions of existing sttucturee, if any: Front ................ Rear ............... l~pth ..............
......................... . Number of Stories ........
Dimensions of sane structure with alterations or additions: Pr(mt ............... Rear ...............
Depth .................. lt~iglit lxlt~ber of Stories ......
8. Dfin~nsions of entire ne~ eonstrUCtlon: Front ................ Rear ............... Depth ..............
tleight ......................... Nmber of Stories ................ . . .. .
9 Size of lot: Front ............ ; ...... Rear ......... Depth ..............
10. DaLe Of Purdmne ..................... Nm~ of Porm~r O~mer ..............
I I. Zone or use district in ~hich pronises are situated .......................................... ¥..' .................
12. Does proposed construction vlol~te any zoning la~, ordinance or regulation: ........................
13. 14ill lot be regraded .......... ; ......... t~ill .~eess fill be removed f-rcm,premises: YES
~ of Arddtact ............. ~ ~z~c.,] ...................... fi~dress ................. .i ............ Phone No ..........
lqaue of Omtractoc .. ~.~ ~ ~ fiddress
15. Is this property ~dthin ~00 fee~ of a tidal ~etlnad? ~ ~ .......... N0
PLOT DfAGRAH
Locate clearly and distlnetly all buildings, ~,{hather existing ox' proposed, and indicste all ~et-back din~nsion~
Evnm prol~rty lines. Oiv~ street andlbiock nmber or description according to deed, and rd~ow street na~s and indicate
~d~ether interior or corner lot,
.........
(Nane of/individual sxgamg contract);/.__
above na~d, ~
........ being duly s~x~n~, deposes and says that he is tl~ appl.ic~t
,°~m to before me this ,
..... ......
Notary Public ....
Notary Public, State of NeW York
No, 01ST4844752
Qusli~cd In Suffolk C0un y
7
(Contractor, a~nt, c~rForate off~cor, etc.)
of said owner or o~e. rs, and is ~[y ~thorir~ to ~rfom or h~ ~rfoM fl~ ~id ~ m~ to ~ ~ file this
a~llcati~]; that all statists cmth[~ in ~is a~l.i~tlon are t~ to ~e ~st of his ~1~ a~ ~lief~ a~
tirol ~ ~ ~ill ~ ~rfo~ Jn ti* ~r ~t forth in fl}e a~li~ti~ fil~ ~.
APPROVED AS NOTED
765-1802 9 AM TO 4 ~ ~ ~E
FOLLOWING INSPE~IONS:
1, FOUNDATION - ~0 REQUIRED
FOR ~URED CONCR~E
2. ROUGH - F~MING &
3. INSU~TION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL ME~
THE REQUIREMENTS OF THE
STATE CONSTRUCTION B ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRU~ION ERR~S
OCCUPANCY OR '
USE I$ UNLAWFUL
WITHOUT CERTIFICATE,
OF OCCUPANCY
¢"