Loading...
HomeMy WebLinkAbout25265-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26068 Date: 10/29/98 THIS CERTIFIES that the building ADDITION Location of Property: 335 LEON RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 51 Block 6 Lot 3.2 Filed Map No. -- Lot No. -- Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 2, 1998 pursuant to which Building Permit No. 25265-Z dated OCTOBER 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 DECK ADDITION TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT DOERING of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A · fiuil~in-g Inspec~r - 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. 25265 Z Date OCTOBER 22 98 Permission is hereby granted to: ROBERT DOERING LEON RD SOUTHOLD,NY 11971 for : CONSTRUCT A DECK ADDITION ON THE REAR OF A SINGLE FAMILY DWELLING TO CODE. at premises located at 335 County Tax Map No. 473889 Section 051 pursuant to application dated SEPTEMBER Building Inspector. LEON RD SOUTHOLD Block 2 98 0006 Lot No. 003.002 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY ~p~.-_._ This application must be filled in by typewriter OR ink and sul~ inspector with the following: for new building or new use: i. 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 buildiD and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, o~ ~uildings an 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 applicant If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 Occupancy on Pre-existinG Buildinz - $100.00 3.Copy of Certificate of Occupancy - ~ .25~. 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Cpmmercial $15.00  Date New Construction ....... Old Or Pre-existing Building ................. Property ................................................. /~. ........... House No. Street Hamlet Onwer or Owners of Property...~.~..~.~.~. ~ ~. County Tax Map No 1000, Section ..... .~../. ..... Block .... ~. ........... Lot...~.:.~ Subdivision Filed Map Lot " Permit No .............. Date Of Permit ...... Applicant. Health Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ............... Request for: Temporary Certificate ........... Final Certicate ........... ~e Submitted: $ ...... .. . ........... :OUNDATION (lst) FOUNDATION (2nd) Z ROUGH FRAME & .PLUMBING' I~SULATION PER N. ¥. STATE ENEROY CODE FINAL ADDITIONAL COMMENTS: 765~1802 9 Af~ TO 4 PM FOR THE FOLLOWING ~NSP~CTIONS: '), FOUNDATION '~VO REQUIRED FOI~ POU!~ED CONCRETE 2, ROUGH., FRAMING" & ~.UMB~NG 8, ~. FINAL CONSTR{K:TiON OA B~ COMt:LE'I[~ FOR LL CONSTRUCT'ON SHALL THE REQUIREMENTS OF THE N.Y, SLATE CONSTRUCTION & ENERGY /I OCCUPANCY OR USE IS UNLAWFUL WITHOUT-CERTIFICATE OF OCCUPANCY / ?/ 76S-J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH/G/G~G. [ ] FOUNDATION2ND [ ] I~JLATIO. [ ] FRAMING ~'~INAL [ ] FIREPLACE & CHIMNEY OCCUPANCY O~ USERS UNLA~IHIL WITHOUT CERT~BC~[E, OF OCCUPANCY -' 0 // NOF)F'Y BUiLDiNG DEP~ 7(:~5~802 9 AM 'iD 4 PM FOR THE I. FOUN~AT¢)N ~ '[VVO REQUIRED o~Ttl ' ~0~ ............... SETS OF ~*~,~lS'. ....... ' ........ ~SURVEY · .. ~ ...... ~ .:-'.," ",? ........ CllgCK ..... · .... ;*' ...... ~ ...... SE'ETTC ~'O~4 ................... n?'>. . . ':~:,~a',.,,~o~ .... ~' .,. A~/~CATIOII FOE BU'~LD'I'flO I~EIRtXF INSTRUCTIONS CAL~, NAIl. TO~ .................... uace · ·/', ............ ,19 ,. 'lht~ applicu~ton ~C be conpleCel¥ £ttled in 3 r~ts o~ plan~., accucata plot plan to ~cale. Fee ~cco~dlu~ to ~le. chis a~)l.lcoci~. ' ~;;; '~T;~ .................. ~7S ~ ~ .~ ....................... SLate ~ a~ll~ng Is ~r, les~, ~eng, arddC~t, enai~r,'~e~al ~t~tor, el~tdct~, pier or I~thk (~ ~ ~ ~ax ~ll or lutest ~1 . ,' If oa~ticant i~ a co~raCt~, si~re of duly ~a~>rt~l 15. t~ate atearly ~ dlatl~tly all~ ~lldl~a~ ~mdmr ~latfng or ~ro~, ~ t~teata att ~t-~ dl~nalona 2 q' 'l' ................ beh~g duly sworn, tirol the ~rk ~ltl I~ ~r~t In Ll~ln~nt~r ~ ~rth ~n Ul~ n~l. featt¢~ Term ~ir~ June 12,