HomeMy WebLinkAbout25276-zFORM NO. 4
TOWN OF SOUTMOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26526
Date: 06/28/99
THIS CERTIFIES that the building ADDITION
SOUTHOLD
Location of Property: . 60 KOKE DR
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 6 Lot 14
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 4, 1998 pursuant to which
Building Permit No. 25276-Z dated OCTOBER 23, 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 SCREEN ROOM ADDITION TO ~/STING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to LORRAINE M FEIMER
( OWNER )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
/~ ~" Buildi~ng ~Inspec~r
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
$outhold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25276 Z
Date OCTOBER 23 98
Permission is hereby granted to:
LORRAINE M FEIMER
60 KOKE DRIVE
SOUTHOLD,NY 11971
for :
CONSTRUCT A SCREEN ROOM ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at 60 KOKE DR
County Tax Map No. 473889 Section 078
pursuant to application dated SEPTEMBER
Building Inspector.
SOUTHOLD
Block 0006 Lot No. 014
4 98 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
Form 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
APPLICATION FOR CERTIFICATE OF OCCUP~CY
must .... {'
This application be fzlled ~n by typewrzter OR znk and subm~tCe&""~o:
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 fo~).
3. Approval of electrical installation from Board of Fire Under~iters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of i% 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.
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.
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 to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildina - $100.00
(3. Copy of Certificate of Occupancy - , -25¢.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $t5.00, Commercial $15.00
Date ...............................
New Construction ......... , Old Or Pre-existing Building..
Location of Property.i]...~..~.~.~.~..~./..~ ......... i]]i]]]]]]]~~ .............
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 ...........
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDINO DEPARTMENT
TOWN OF SOUTHOLD
June 22, 1999
Lorraine Feimer
P.O. Box 953
Southold, New York
11971
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.
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 # 25276-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[
[
[
] FOUNDATION 1ST
[ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] I~ISULATION
] FRAMING ~.~ [~'/FINAL
] FIREPLACE & CHIMNEY
~///~/ CTO~~,
DATE . . _ INSPE
FOUNDATION (2nd
ROUGH FRAME &
· PLUMBING·
INSULATION FER N.
STATE ENERGY
CODE
·FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST [ ] ROU~H~,BG.
[ ] FOUNDATION2ND [ ]~,~OLATION
[ ] FRAMING [ ,~ FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE //~~~ INSPECTO~Ii
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N~a~ p~blio, State of New
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