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,