HomeMy WebLinkAbout24904-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Nos Z-26413
Date: 04/28/99
THIS CERTIFIES that the building ACCESSORY
CUTCHOGUE
Location of Property: 950 CROWN LAND LA
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 102 Block 7 Lot 12
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. 24904-Z dated MAY 22, 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 ACCESSORY STORAGE SHED IN REAR YARD AS APPLIED FOR.
The certificate is issued to JAMES D MCNEICE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
B~ildin~ Inspector
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. 24904 Z Date MAY 22r 1998
Permission is hereby granted to:
JAMES D MCNEICE
PO BOX 749
CUTCHOGUErNY 11935
for :
INSTALL AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD OF A
SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 102
pursuant to application dated APRIL
Building Inspector.
950 CROWN LAND LA
CUTCHOGUE
Block 0007 Lot No. 012
22 1998 and approved by the
Fee $ '35.00
ORIGINAL
Rev. 2/19/98
mo
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 buildin,
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 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.
Be
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings ~
Vpre-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.
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 ~o accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - ~ .25g.
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 o Proper ............................ . ..................
County Tax Map No 1000, Section ........ Block ........... Loc .............
Subdivision..................... ............. .. Filed Map ............ Lot ..................
~4~ ~Date .~.~'?..~.-' ~f Applicant
Permit ' Of Permit -- ·
Health Dept. Approval.......-...........-....-.Underwriters Approval .....................
Fee Submitted:
Planning Board Approval - -
Request for: Temporary Certificate ........... Final Certicate..~ ........
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
April 26, 1999
James McNeice
P.O. Box 749
Cutchogue, NY
11935
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 # 24904-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATiONlST
[ ] FOUNDATION 2ND
[ ] FRAMING
[]FIREPLACE&CHIMNEY
[ ] ROUGH PLBG.
[ ] INS/ULATION
[~/~INAL
DATE
INSPECTOR
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING'
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS
FORH HO. I
?O~'N OF SOUTIIOLD
Il, U] I.,D] HO DBI'ARTNBXT
'i'O~J N IIAL1.
SOIITHOLO, N.Y. ! 197 !
TKL: 765-1802
BOARD OF BEALTH ...............
3 8BT8 OF PLAN8 ...............
CIIB~K .........................
SEPTIC FOP, H ...................
NOTIFY~
I)i s~pproved a/c ................... ;.-?~ ......
~~C in i~ a~i ~d~itC~ Co d~ ~dldmg ~n~cCor
by
t~rl~er
b. Plo~ pl~ ~i~ l~ti~ of 1o~ ~ o~ ~tldi~s ~ ~i~s, mla~i~dp ~o ~joini~ pr~t~ or ~,blic
str~ or ureas, u~ ~ivt~ ~ ~cail~ ~rip~io~ of l~ya~ of pro~r~y ~m~ I~ dr~ ~ t{~ disown ~ich
this a~)l ic~i~.
. c. 'H~e ~ ~r~ {~ ~is u~lica~i~ ~y ~t I~ ~ ~fore issue o~ ~ildt~ ~mit.
d. O~ a~l of fids ~li~ci~, d~ I~ildi~ ]us~c~or will is~ a ~ilding ~mic to the o~pllc~nr.
~ ~ildi~ &roll ~ ~pi~l or ~ in dole or in ~rt for a~ ~ ~m~r ~il ~ C~r~tfic~e
~y ~all h~e I~n ~ by ~ h~ildi~
~,I~'FI~ IS {~ ~ ~o ~lm lk~ildi~ ~rt~nt for tl~ i~e oi a ~ildiu~ ~ml~ ~r~r ~o the
{~ildi~ ~ ~l~ oi ~ ]~ of ~d~ld, ~ffolk ~, ~ York, ~ atilt s~[i~le I~, ~dh~es or
~la~i~s, for tim ~ri~ o~ hfildt~, ~i~i~s or alters~i~, or for {~,~81 or ~lt~i~,
re~la~i~s,,~ ~o ~ir ~ri~ in--tars o~ ~i~s o~ in ~ildi~ for ~s~
.........
SLate ~O~r a~llcanC j le~, .~ent, archlt~t, engi~r,'get~raI c~tr~tor, electrician, plier or I~t~lde
~.~ ~...)i.~.':..: ..... ;:.:.~;..~ ........................................ ' .......................................
o~ pr~i~s '~ · .......................................................
~ o~ ~r ',.... .................................
(,~ ~ cl~ tax ~ll or lo~esC ~ ~.!~]~
I[ a~fli~nr i8 a co~raCi~, si~mre of duly ~Ct~)ri~l o[fi~r,.~t/~ ~.~'~ "~i '~
hillers Lice~ ~ ...................... - -- ·
Pl~rs I tce~ ~ ............
El~Crici~s '
OCl~r ~ Lice~ ~ ................... --
1. I~oCi~ of 1~ ~ ditdi pr~ ~rk will ~ ~ .................... - .........................................
.........................
I~ ~r 9t~t~ ~ I~et9
...... ..... ........ ........
~ivlsi~ ...................................... Vil~ ~p ~ ......... ~, ..... lot ...............
(~)
. F~i~ x~ ~ ~Y .............................................................................
II.
I0.
II,
12,
13.
14,
15,
I. lOttn'e of I,~ot'k (d~'~t ~liich apptlcnble)~ ~ ~lldln~ ..~. ..... ~ltl~ .......... Alteration ..........
~ri pt i~)
Est i.~t~l ~,~ .. .... 2 ............ ~ ..............................................
(Lo ~ l~id (m ~lllng tht~ fll~licfl~i~)
Ik~llll~. ~i~r o~ ~llh~ ~ml~n ............ lieder of t~lltnB tmltn ~ end~ fl~r ................
I~mlnesn~ ~mretnl or nlml'~qm~, n~l~ ~Lure nnd ~tenL o~ end~ ty~ o~ u~ ......................
I}h~nel~m ot ~ nc~n with al LIFaLjI~o o~ ~lLl~n~ ~r~c ............... ~r ...............
I~i~ ......................... ~d~r of ffLorles
NIII lot I~ r~r~ ~ ................... ~tll ~e~ ~tll I~ r~ ~ ~l~n~ ~
· ~ o~ c~cr~tor ................................... ~Mrenn ............................... I~ ~ ..............
thin p~rLy ~lthln ~ f~L. of ~ lllhl l~tl~? * ~ .......... ~ ..........
PI.OT DIAGllAHI
la,cate clearly end distinctly all buildings, ~hether exiating or propo~d, mn imlicata all ~et-lmck dir~naiona
fro. i)ropert, y linen. Give al:reeL: and bll:xzk fatal)er or deaeriptlo~ according Lo deed, and ~ho~ street manes arxl indicate
~d~ether ii,Lariat or corner loll
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
,~I'^'IE (X~ Ixt~
CI~iNIY OI~ .......................
APPROVED AS NOTES'
FEE: ,,, By:.
NOTIFY BUILDING
765-1802 9 AM 10 4 pM~rOR THE
FOLLOWING INSPEC'flONS:
1. FOUNDATION - 'rwo REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING'
3. ;NSULATION
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENT8 OF THE N.Y.
STATE CONSTRUCTION ~ I~NI~RGY
COOE$. HOT RESPO~i~tl!I~, FOR
DESIGN OR
.................................. lx~i~q[ duty m.~rll, deixl~a taxi 8~ya Lhal: lie Ja Lhe appl. i(~mL
(~t~ o~ indlvichml, nignls~ c(xltraeC)
I~ i~ Ll~e ...................................... ~ ............................................................
(C~t~rac~()r, n~en~fcor~ra[e o~Lcer, e[c.)
oF ~nid (~r or ~mre, and tn (Etty ~tlorJ~ ~o i~r~onn or I.~e i~rR)rn~l Lite ~t(I ~rk and ~o n~ke nnd ~ile I.his
~qq)l Ica[l(~l; lhnc alt ntate~n~e ~x)Lal,~ in thin nl~)tlea~t~ are tn~ to t~e I~t o~ hln k,~l~e a,fl I~l. Jef~ tuxl
that the ~rk .itt 1~ ~rEon~l Jn Lira uwmner ~t forth ~n Lhe a~l, lcaLlon ~[J~ tl~r~LOt.
..... ..... ....
~d~LE-N;~ D, HORNE ~:ure
Not~,~'~ f;W~Nc. ~m~o of New York