HomeMy WebLinkAbout25644-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
· CERTIFICATE OF OCCUPANCY
No: Z-26645
Date: 08/24/99
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 295 MOCKINGBIRD LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section ~5 Block 6
SOUTHOLD
(~AMLET)
Lot 15.59
Subdivision Filed Map No. Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 9, 1999 pursuant to which
Building Permit No. 25644-Z dated MARCH 24, 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 ONE FAMILY DWELLING WITH COVERED PORCH AND ATTACHED TWO CAR GARAGE AS
APPLIED FOR.
The certificate is issued to HERBERT R. MANDEL & ANO.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0053
07/07/99
ELECTRICAL CERTIFICATE NO.
PENDING 08/23/99
PLUMBERS CERTIFICATION DATED
Rev. 1/81
08/11/99 K & K PLUMBING & HEATING
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. 25644 Z Date MARCH 241 1999
Permission is hereby granted to:
HERBERT R & ANO MANDEL
PO BOX 2100
GREENPORTiNY 11944
for :
CONSTRUCTION OF NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR
GARAGE AS APPLIED FOR.
at premises located at 295 MOCKINGBIRD LA SOUTHOLD
County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015.059
pursuant to application dated MARCH 9 1999 and approved by the
Building Inspector.
Fee $ 531.60
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ~ALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to t
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo{m).
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 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
'!pre-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 Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5.' Temporary Certificate of Occupancy - Residential $~5.00, Commercial $15.00
Date
New Construction....~... .... Old Or Pre-existing Building .... v ............
Location of Property ...... g.~.~.. ........... .,...-.-.. .........
House No. Street Hamlet
Onwer or Owners of Propgrty ...... ~.~...~ .............................................
County Tax Map No 1000, Section....~..~. ..... Block ..... .6 ......... Lot../.~..~.?.~..
Sub d ivi s io n~.~. ~..~/..~. ' .~. ~..~.~. ~.~ ......... Filed Map .~.. ff./..~... Lot. ] ] ~..~. ....
Permit No ............. ate Of Permit ............ Applicant .............................
Health Dept. Approval .......................... ~ Underwriters Approval~
Planning Board Approval ........................
RequeStFe~ ~ub~ t~e~ ~ q$~i'' '[f°r: Temporary.~. C..~. t if ica t e ............. .... i]']]]! ~FinaJ~ Ce~ticate~( ~~~../.....
' ...........
APPLICANT
1~ 1071
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by
WILLIAM FEATHERSTONE, 295 MORNING BIRD
in the fotlowing locatlon; [] Basement [] lst Fl. [] 2nd F1.
was examl, ed o. AUGUST 11,1999
THE NEW YORK BOARD OF F
BUREAU OF ELECTRII
40 FULTON STREET NEW YORt
GA~
FIXTURE
OUTLETS
22 38 29
DRYERS
OTHER
ERS PAGE
N 499028
number ~ ~n ~e prem~es of
BlocAQ6 Lot 15.59
DISH WASHERS
OTHER APPARATUS:
PADDLE 12'ANS- 5
3 1/2 TON AIR CONDITIONW, R-1
6OA DISCONNECT-1
G.F.C,I,-106
G & S CONTRACTOR
BOX 215
SOUTHOLD, NY, 11971
LIC.#578-E
ANN
This certificate must not be altered In any manner; return to the office of the Board
COPY FOR BUiLDiNG DEPARTMENT. THIS COPY OF
1 2/0
GENERAL MANAGER
Per
identified by their credentials.
BED IN ANY MANNER.
TOWN OF SOUTHOLD
OFFICE OF [IUILDII, IG INSPECTOR
P.o. BOX 728 ·
TOWN IIALL
$OUTIIOLD, N.Y. 11971
(pLumber * s st.~nae.~eJ .,, '...'.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (516) 765-1823
Telephone (516) 765-1802.
BUILDING DEPARTMENT
TOWN O]~ SOUTHOLD
August 12, 1999
DBM CO.
443 Main Street
Greenport, NY 11944
RE: 295 Mockingbird Lane,
1000-55-6-15.59.
Southold.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
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 # 25644-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONIST [ ] ROU~iJ~LBG.
[ ] FOUNDATION 2ND [/] I~ULATION/
[ ] FRAMING [/-~ FINAL
[ ] FIREPLACE & CHIMNEY
~___~~/~~REMA KS: ~ ~
DATE INSPE
765-1802
BUILDING DEPT.
INSPECTION~
[ ] FRAMING [ ]FINAL
DAT~ INSPE~
765-~.802
BUILDING DEPT.
INSPECTi ON
[ ] FOUNDATIONIST [//] ROUGHPLBG.
[ _] F~UNDATION2ND [ ]INSULATION
/~/
[/~ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
INSPECT~~'
765-1802
BUILDING DEPT.
INSPECTION
[ ,,] F/~OIJNDATION/1ST [ ] ROUGH PLBG.
[//] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE-& CHIMNEY
DATE ~~/~~~ INSPEC~
765-1802
BUILDING DEPT.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ]FINAL
[]FIREPLACE&CHIMNEY
/INSPECTION
[ ""] FOUNDATION 1ST [ ] ROUGH PLBG.
DNDATION
UNDATION
(~ST)
(2ND)
CO~{gNTS
,UGH FRAME &
pLUMBING
TO" . = 3CUTIqOLD
FORM NO.
TOWN OF SOUTUOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTNOLU, N.Y. 1{97{
TEl,: 765-1802
Ea~nined ................. , {9 ....
....... , ,9.5'.9
uianpp~ved ale ..................................
IrFPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF FLANS ...............
SURVEY ........ ~ ...............
CHECK .........................
SEPTIC FORM ...................
NOTIFY:
CALL ................ ..
MAIL TO: ........ ~ ...........
a. lhis application must be completely filled in by typ~.rriter Or in ink and sul~aitted to the Boilding Inspector wlch
3 sets of plans, accurate plot plan to scale. Fee according to schadule.
b. Plot pla slmwlng location of lot and of beildings on premises, relationship to adjoining prealsas or public
streets or areas, and RiVing a detailed deseriptias of lay~t of property must be drmm on the dingrmn which is pert of
this application.
c. 3be work covered by this application may not be cc~aced before issuanca of B~ilding Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. SUCh
permit shall be kept on tbe premises available for inspection thro~o~t tie work.
e. No tmilding shall be occupied or asad in whole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by tie Deildlng Inspector.
.APPLICATI(Iq IS llglllilPf Mbill to the Building Depertment for the issuance of a Building Permit pursuant to the
I~uilding Zoee Ordinance of the Town of Sentl~ld, Suffolk Coenty, N~ York, and other applicable I~s, Ordiasnees or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
deacribed. The applicant ngr~s to c~ply with all applicable laws, ordinances, building code, banning code, and
rngulatiees, and to admit anthori~d inspectors on premises and
(Sig~mture of applicant, or name, if a corporation)
(Mailing address of applicant)
State whetber applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pl~ber or builder.
......... .......................................................................................
(as on the tax mi1 or latest deed)
If applicant is a corporation, sisnature of duly anthori~d officer.
(Neme and title of corporate officer)
Builders License No ..........................
Pltmbers License No ..........................
Elactriciass License No ......................
Other Trade'a License No .....................
I. Location of laud on which proposed ~rk will be done ..............................................................
llonse Nt~ber Street llmnlet
County Ta~ Ma~ No. lO00 ~tion ..... .~. ~ ....... Block ~.. ~ Lot ./$~
Subdivlsien .. J~l~.k4°~f~....~. %C~9.~.~ ......... ~iled Map No .... ~ ....... l~t .... .~..~. ......
2. State existing use and occupancy of premises and intended t~se and occupancy of proposed censtrt~tien:
a. Existing use and occupancy ......... ' ..............................................
b. Intended use and oeeupaney ........................................... ... ·
3.
I0,
II,
13.
ll~.
15.
l~cate clearly and dietinetl
rrm* property line$. Oi~ street
dmtlmr interior or co~r lot,
~ .
~a pro~a~l catatnetJm v~olaLe any ruling l~. o~lJl~me or regulat:J~a; ..... ~. ~.: ............
~ill lot Im regrm~ ....... ~ ............ ~ill ~eflz fill Jm r~
................................... ~Jrefia .............................. H~ ~. .
this pm[ratty within ~ ~t: of a t.~t ~mtlaM? * Ylffi .......... ~ ..........
PI.OT IHAGRAH
all .Ixdl(li*~s, ~mtlmr existing or pro~l,
~ bl~k amimr or &acriptitm acco~ing to ¢~, a~ $~ street m~ms aM imitate
.................. J.:Jlllj duly fagJra, delx)~.~ and says that lie ie the allplitalnl.
/ ((k)liLracLor, al½ent'l, COrlX}rate officer, et(:.) '
iq)pi Jt:llt{Ollj JllilJl il} J 8L818i~11[8 CODLllJlK~J ill Jhi~i ely1 i(:atJon are I.n~ Lo the I~t: of hi9 klx~l~lse aM I~1 ieq lilxl
,(~)rn to Imrore .~ this j
Nma~ Publ~, 8~e of N~Y~
No. 4822563, Su~.~un~
($il;iml:ure of Applicm~t)-
'¢ ,now or formerly Francis ~ Patricia O'Malley
/
~[K CO~ D~PA~O~ ~A[~ SErVICeS ~U~Y FOR
D.B.M. COMPANY
" SEPT, 2 I, 1998
pE~R~PROVALOFCONS~UC~ON~RA LOT NO. 53,"HIGHPOINT MEADOWS,SECTION THREE DEC, 16,1991
~G~E~A~Y~ID[~O~Y AT SOUTHOLD DATE: NOV. 29,
~FFOLK COUNTY, NEW ~RK NO. 9~- 1036
~~E~A~DA~OF~ROV~ ' . cop~[s ~ ~s s~v[v .OT ~*,~ TH[ b*.O BRIDGEHAMPT~ NATIONAL BANK
H[~ OEPARTMENT-DATAF~ APPRO~ TOC~STRUCT mE ~ FOR WHO~ THE SU~EY ~S
NOTE, ~ ~ I ALDEN W YOUNG, PROFESSiONaL ENGINEER Su~,~,' Country
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ~ ~ AND LAND SURVEYOR N.Y.S UCENSE N0.12845
~ ~ N.Y.S. LICEN~/ N0.45893
now or .formerly FranCis & Patric;a-O'MoIley ' Young '&
, [~ ~ ' ' LAND SURVE~ AD~TEO BY-THE NEW YORK STA~ AS~CATON