HomeMy WebLinkAbout24898-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25895
Date: 08/17/98
THIS CERTIFIES that the building ADDITION
GREENPORT
Location of Property: 1175 BAYVIEW AVE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 52 Block 5 Lot 15
Subdivision Filed Map No. __Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 22, 1998 pursuant to which
Building Permit No. 24898-Z dated MAY 21, 1998
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 ROOF ADDITION TO AN EXISTING SEASONAL ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to ELIZABETH E METZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
Rev. 1/81
FORM NO. 3
TOWN OF $OUTHOLD
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. 24898 Z Date MAY 21, 1998
Permission is hereby granted to:
ELIZABETH E METZ
1800 BRIXTON RD
GARDEN CITY,NY 11530
for :
CONSTRUCT A ROOF ADDITION TO AN EXISTING SEASONAL DWELLING AS
APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 052
pursuant to application dated APRIL
Building Inspector.
1175 BAYVIEW AVE
GREENPORT
Block 0005 Lot No. 015
22 1998 and approved by the
Fee $ 75.00
n~ fnsp~ctor/--~
.... ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusuR1 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 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.
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 Buildin~ - $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
New Construction ........... Old Or Pre-existing Building......~/~... .......
Location of Property ....... {~.~. . .~..~.V.~.~V.~. . ~ CU
.............
House No. Street Hamlet
Onwer or Owners of Property ..... .~. ~.;.7%.~ .~. ~.~. ~.. ~--3..~ ..................................
County Tax Map No i000, Section ..... ~..~. .... Block... ~ ........... Lot....~..~. ....... '% .......
Subdivision .................................... Filed Map ............ Lot .............. /. ......
Permit No .......... Date Of Permit .... cant .............................
Health Dept. Approval ....................... . .. Underwriters Approval ...................... . ..
Planning Board Approval ................... .... .
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: * ....... ?.~..?~.~T .............
765-1802 9 AM TO 4 ~M FOR THE
FOr. LOWING INSPE~ONS:
]. F~tINOA~ION '~O ~EQUIR~D
FOR POURED CONCR~E
2~ ROUGH * FRAMING b PLUMBING
3, ;NSULATION
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O,
ALL CONSTRUCTION SHALL,
THE REGUIR~ENT8 OF THE N.Y,
STATE CONSTRU~ION & ENERGY
COOLS. NOT RESPONSlB~ FOR
DESIGN OR CONS~U~ON ERRORS
'1
COHM£~T£
FOUNDATION
(1st)
FOUNDATION ( 2nd )
ROUGH FRAME &
·PLUMBING'
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDI,~!ON~L COMMENTS:
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
August 11, 1998
Joel Daly
52 Wilmarth Ave.
Greenport, New York
RE:
11944
1175 Bayview Ave., Greenport, Elizabeth Metz,
1000-52-5-15
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
becau~ 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 # 24898-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765-~.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] IN~JLATION
[ ] FRAMING [~/~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS/~,~~~ ~'
FOEH I'10. !
TOIJN OF SOUTIIOLD
BU][I,.DI NG DEPAR'fHE[IT
TOWN IIALI. ,
SOUTIIOLD~ N.Y. 1197 I
TEl,: 765-1802
(l~ilding
OR BIIILDINO PERHIT'
BOARD OF HEALTH ...............
3 SET8 OF PLANS ...............
SUR~/EY ........................
CHECK .~ .......................
SEPTI?f FOII}I ,. ..................
/
HAIl. TO; ....................
INSTRUCTIONS
'Ibis application must be conpletely filled in by t~jpewrtter or in ink end red,mitred to tim I~ihllng Inspector
3 sets of plans, accurate plot plan to acale. Fee accunllng to scbe<hfle.
b. Ploc plan shewing leeattee of lot and of boildltgs on premises, relationship to adjoining premises or I~blic
streets or areas, and giving a detailed descripti~ of. iayont of property mint be dravm ee tim
this appl matiee.
c. 'll.~e v~rk c~ered by this application way not be cm~encad before issuance of l~Jllding Peri, it.
d. Ullon approval of tiJis app] icatlee, ti~ I~ilding Inspector will~ iss~ a ~llding PemlC to the applicant, a~ch
~miC gmll ~.kept ~ U~ ~{~s ~ail~le for ins~ti~ three.lc ~
e. ~ ~ildi~ gmll ~ ~pled or ~ in ~1~ or in ~rt br a~ ~ ~mt~r ~tll a C~rti~icaCe of
~y ~mll h~e I~n ~t~ by tim ~dldi~ Inserat.
~,I~TI~ IS tE~ [~ to tim Ikitldi~ ~rt~nt for tt~e issue aiwa ~ildt~ ~mlt ~r~nt to the
I~ildlng ~ ~d~ of ~ ~ of ~tiold, ~[~olk ~, ~ York, ~ atilt a~licable I~, ~l~es or
~laci~s, for tim ~r~ri~ o[ hdldi~s, ~iti~s or alterati~s, or for ~al or ~ltti~, as I~rein
descril~. ~ applier ~a to ~ly wt~ all a~licable l~s, ordi~nces, ~tldi~ ~, ~tng c~, aad
re~daCi~s, im~ to ~ic ~ri~ in--tara on ~i~s aM in ~ildi~ for ~s~ i~ti~.
, . ...: .... ...............
(~tg~t~e of a~lt~nt, or ~, ~[ a co~ratlou)
(~i I t~ ~se
[ ~1 ~ ~[Wl4 ~ .................................................
~ o[ ~r o[ Pr~t~ .................................
(ce m ti~ tax mil or latest d~)
1[ appLiCan~ is a c~rati~, s~re of duly ~ti~)rizaJ officer.
(~ a~ ~tTe of co.rate officer)
Phmbers I icerme lto ..........
Electriciansl,iceose~. ........,. ....... · · · ·
Otber ~'s Lice~ ~ ............
L l~a~i~ of la~ ~ ~id~ Pr~l ~r~ ~tll ~ t~ ...........................
....................... 1Z.7. ...... ................ .
I~ ~r Strut i~det
..... .......
~nt~ Tax ~p ~). I~ ~tiee ..... ~.. ....... Bl~k
~Mivlsi~ .................. ..... .. .. ... .... .... Fil~p~ .......... ~ ..... I~t ........
(~)
2. State exlsti~ u~ a~ ~y of ~i~s ~ intem~ ~e ~ ~ of pm~ ~stn~tlee:
a. F~s~i~ ~ a~ ~y ........................................................
·
3,
I0.
II.
12,
13.
14.
15.
I~.m'e <ff ~o[k (d~oek sdfld~ appilcable)~ bl~ Adlding ........... AMi[i~ .......... Altera[~on' ..........
~i~ ............~.t ......... ' .... ~]i~l~, .. ........... 0~,~ ~ ..~.~/.~4/~ ......
(~rlpti~)
E~cii,~t~I ~sC . ,~ ........ f~ ..............................................
I~ Sarape, I~l*]~r O[ car8 .......... ~ ........................
*~t~,~ ..... ~ ................ ~,,,~ o~ s,o~l~, ........ Z ............
1~I Lh ...............
I)i.en~l~m o~ entire ~
SI~ o~ lot; t~t ~ ...................,
~ or u~ district in ~fldl pr~i~n fl~ nt~ ..............................................................
~ propel ~mt~tl~ violn~e a~ ~InR I~, onlt~e or reRulatt~; .... ~ ..............
~lll lot I~ r~r~ ~ .....
~nm o~ t~tt~t .................................... ~lrenn .............. ~.,~ ..... fl~ ~ ..............
PLOT DTAGRAH ~;
Iz~a£e clearly and distinctly all butldlr~s. ~lm£1~r exlattng or pro~. m~ h~llcnEe nit ~-I~ all.salons
'froll prof~rCy ll~a. Ot~ at~t taxi bl~ ~lti~r or (~acrlpti~ according to I~, a~ ~ street ~a a~l i~ltca~e
~d~tlmr interior or co~r loC.
~I'A'IE
(~le (ff i,xlivi(h~l, signing e(~itrac:c)
I~ i8 the .......
(C~Eractor, agen:,- cora}raCe officer, eec.)
off aald (~er or ~era, m~l la (hdy mtlg)ri~ to l~rfonu or lume lmrfor,~l I.he ~i(l ~ck aiKl to n~ke arxl file this
that Lh~ ~rk ~ltI I~ ~rron~l in tl~ u.met ~t Forth in the apptleation
~rn to I~fore ~e this