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HomeMy WebLinkAbout25653-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26992 Date: 03/20/00 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 272 PARK AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 7 Lot 6 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3, 1999 pursuant to which Building Permit No. 25653-Z dated MARCH 26, 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 ALTER GARAGE IN EXISTING ONE FAMILY DWELLING TO A FAMILY ROOM. The certificate is issued to MELVYN MORRIS & MARY EISENSTEIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-512260 01/10/00 N/A Authored signature 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. 25653 Z Date MARCH 26~ 1999 Permission is hereby granted to: MELVYN MORRIS 272 PARK AVENUE MATTITUCK~NY 11952 for : CONSTRUCTION OF ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 272 PARK AVE MATTITUCK County Tax Map No. 473889 Section 123 Block 0007 Lot No. 006 pursuant to application dated MARCH 3 1999 and approved by the Building Inspector. Fee $ 235.00 Aut ho-ri z~d Signature ORIGINAL Rev. 2/19/98 BUILDING I)EPARTMENT TOWN ItALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY At~....~.~apgO~<f~tS~Sn must be filled in by typewriter OR ink and submitted to the buildin inspector'O'{lq{-~]H~6' following: for new 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 o~ 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. Co,~erciaI building, industrSa] building, multiple resSdences and s~milar bu5ldJ and installations, a certificate of Code Compliance from arcbStect or engSneer ~esponSible 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 "pre-existing" land uses: 1~ Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A p~operly 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 I. 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 Qccupancy 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 $i5.00, Commercial $15.O0 Date .~..~.~.9.-~.. /~ ~.~.~.~ ..... . ~. New Construction ........... Old Or Pre-existing Building ................. Location of Property...~.?.P~. ...... .~./~../~.~....~, ~.~: ......... ~..~..~ ~ ~ .... Z/~'~ ..... House No. Street Hamlet Onwer or Owners of Property .~. ~/. ~9~r~. l ~../~q. ~7' .el ~ .~. ~..~.~ .~. ..............- .... · 973 f~g County Tax Map mo 1000, S~ction.~g.~ ......... Block.0~..q~'..O? ....... Lot.. ~.~..~. ......... Subdivision .................................... Filed Map ............ Lo t .................. .. ~ ~¢· ../~?? .. Ap p 1 ic an t .~..~.~. ~. ~/~. · Health Dept. Approval .......................... Underwriters Approval.. ~..o~.. .......... Planning Board Approval ........................ Request for: Temporary Certificate ........... F~e Submitted: $ .................. .. .. zc. 5p Y0 Final Certicate...~.. ...... Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-182~ Telephone (516) 765-1802 March 14, 2000 Melvyn Morris and Mary Eisenstein 272 Park Avenue Mattituck, NY 11952 '~.i~N0~E-~ partial Certificate of Occupancy can not be issued. "~'y~ur Certificate of Occupancy can be issued the entire scope of the Building Permit must be completed and inspected. Also, the amended plans you submitted must be stamped by your architect. ~e(~ ~e~C~ ~ ~ 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) 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 # 25653-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FiRE UNDERWRITERS ,a Ez 1001093 BUREAU OF ELECTRIC, IT¥ 'i. /' · Date :A~UARY IO,2000 Application No. on file 187~3399299 N 512260 THIS G~RTI~IfiS THAT ~ ~,,,,~ **~ ' ~ ¢ o~ly the elect~cal equipment as described below a~d i~troduced by the applicant ~a~ o~ ,t~ above appHca~, ~umber is i~ the premises MEL MORRIS, 272 PARK AVENUE, MATTITUCK, NY in the following location; [] Basemeni [] 1st FI. [] 2nd Fl. was examined on JANUARY 05,2000 FIXTURE OUTLETS DRYERS I FURNACE MOTORS ] FUTURE APPLIANCE FEEDERS ^MT. EW. O,t ,.,. ~S ,.,. ^MT. NO. ^.~.~. AMT. AMP. TYPS , ~ 2W 1,3W 3~3W 3,4W NO. OFCCCOND. PADDLE FAN-1 ADDITIION-1 SMOKE DETBCTORt-1 OUT Section Block be in compliance with th~ National Electrical Code. and found to RANGES I COOKINGDECKSl OVENS I DISH WASHERS MULTI-OUTLET SYSTEMS NO. OF FEET Lot EXHAUST FANS AMT. H.P*' DIMMERS AMT. WATTS E NO. Or NEUTRALS A W G OF NEUTRAL DOROSKI BLEC. INC. 425 MONSELL LANE CUTCHOGU~, NY, 11935 LIC.#294~ GENERAL MANAG,ER 11 /'~ This certificate must not be altered In any manner; return to the office of the Board if incor~ect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIEI~ATE MI~T ~NO:F'BE,~LTERED N,ANY~ANNER ' I)ATE CO~IBNT~ UNDATION (IST) UNDATION ( 2ND ) ,UGH FRAPlE & PLIIHBING ADDITIOHAL CO~O~IqTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ,] F/OUNDATION2ND/ [ ] INSULATION [ ~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATI~ ~~/~? INSPECTO 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ] FIREPLACE & CHIMNEY INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ } FOUNDATION 2ND [ ] ROUGH PLBG. [ ,~J~N~LATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE · FORI~ 1~Oo I TOgH 0¥ SOU~OLD BUZI~IHG TO1~ 80UTHoLD, N,¥. 11971 ' a'~i~: 765-1802 ~ined ................. , 19 .... ~P~PL~CATIO~I FOR BU~LDI~IG PERI{IT BOARD OF It~TB ............... 3 SETS 01~ PLANS ............... ~SU~V~ ........................ ~EPTIC ~0~ ................... XHSTRUCTIOHS a. ~nis applicaci~ must ~'~e~ly fill~ ~ by ~i~r or tn i~ ~ ~tC~ ~ ~ ~1~ ~cor ~ 3 ~ta of pl~, ~ plot p~ ~ ~a!e. ~ ~i~ ~ ~e. b. Plo~ plm ~ lxac~ of lo~ ~ of ~l~!T m ~ ~btt~ip .~ ~o~ ~ or ~lic s~ta or ~, ~ ~ a ~ ~i~ of ~ of p~ ~C ~ ~ ~ ~ ~ ~i~ is ~ of ~is a~li~ci~. d. 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