HomeMy WebLinkAbout25277-zFORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Ball
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26507
Date: 06/14/99
TBIS CERTIFIES that the building ALTERATION
NEW SUFFOLK
Location of Property: 1180 GRATBWOHL RD
(BOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 117 Block 4 Lot 8
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9, 1998 pursuant to which
Building Permit No. 25277-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 ALTERATION TO ATTIC SPACE FOR NON HABITABLE HEATED STORAGE SPACE
AS APPLIED FOR.
The certificate is issued to ALFRED & MARILYN STRAZZA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
H-062663
N/A
01/04/99
Rev. 1/81
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. 25277 Z
Date OCTOBER 23 98
Permission is hereby granted to:
ALFRED & MARILYN STRAZZA
36 HIGHLAND COURT
HUNTINGTON~NY 11743
for :
CONSTRUCT AN ALTERATION TO ATTIC SPACE FOR NON-HABITALBE HEATED
STORAGE SPACE AS APPLIED FOR.
at premises located at 1180 G~WOHL RD
County Tax Map No. 473889 Section 117 "~ .~ock
pursuant to application dated SEPTEMBER 9
NEW SUFFOLK
0004 Lot No. 008
98'~and approved by the
Building Inspector.
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
BLDG. DEPT,
,_,~T,O~W N~.S~(} UTH 0 LD
A.
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a
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 sig~ed 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, Sw4~ming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate 'of Occupancy on Pre-existing Buildinl - $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
Date. .................
New Construction ........... Old Or Pre-existing Building .................
Location of Property .... ~.O....~.'~.T.~..~..O./?.~.-.~:O ......... ~.~..~...~-~-~r-~--c,-~ ..........
~ouse No. Street Hamlet
Onwer or O ers of ,rope=y .... .... ..................
County Tax Map No 1000, Section. [ l.~ ..Block ...... Lot .......
Subdivision ................................. . .. Filed Map ............ Lot ..................
~..~.~.~ Of [Ol~[~.~. mppli ..~..~.-~<-- ....
Permit No ....... Date Permit ........ cant ........
Health Dept Approval . . Underwriters Approval ......
Planning Board Approval ....................... ·
Request for: Temporary Certificate ........... Final Certicate ...........
e * .
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ Ii FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
[ ] ROUGH PLBG.
[ ] INS~,ATION
[~INAL
INSPECTOR
:OUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING'
INSULATION FER N. Y.
STATE ENERGY
CODE
4.
'FINAL
ADD N~L COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
~FOUNDA~TION 1ST [ ]/~H PLBG.
2ND
] r_~a.~TION [/./] INSULATION
FRAMING [ ] FINAL
FIREPLACE & CHIMNEY
REMARKS~:/,/~'~,"~'~ g~//--: --
DATE ~.~/:~ .INSPECT:~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
] ~Q_UNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
FIREPLACE & CHIMNEY
·
DATE
INSPECTOR*4~,~
FOR~I
TOWN OF SOUTIIOI,D
IIUI LDING DE PAR'I~4ENT
TOWN IIALI.
SOWl'$1Ol.~,
TEl,: 765-1802
11971
BOARD OF HEALTII ...............
3 B~TS OF P,L~NS ...............
SURVEY ........................
CNECK .........................
SEPTIC FORtVl ...................
NOTIFY:
'Date ................ ,19 ....
INSTRUCTIONS
a. '~his applicucion must be ecmpletely filled in I)y t~pe~riter or in ink Ged md~nitted to tim lluihllng Inspector ~ei
3 sets of plans, accurate plot plan to scale. Fee according to ach~lule.
b. Plot plan ~ho~ing locatic~ o~ lot and ag Tt~tldlngs on premises, relationship to adjoining prentae~ or lx!hllc
~treets or areas, and 81vtng a detailed description o[ lay~xlt of property n~mt be dravm on Use disgran ad,ich ia Imrt of
this appl icat ioo.
¢. 'Ihs ~ork covered by this application may ~'~ot be commenced before iss~mee o1: I~utldlag Permit. ,
d. Upon approval o[ this application, the ]~Jlldlng Inspector will issue a Ruildtng Pe~mlt to tile applicant. ~lch
permit dlall be.l(ept on tie pre~dses available for inspectiee three,lout the (~ork.
e. No building shall be occupied or used in sdgale or in part for any parpose sdmtever until a Certificate
Occupancy shall have bsen granted by the P~ildlng' inspector.
APPI.ICATICgl IS UEREBY ~lfiIE to the lh~tld~ag Del~artne it for tile tasuanc& o1~ a Building l?emit purmmnt to the
I~Jildlng Zone Ordinance o~ the lb~n cE S~thold, ~uffolk County, I~ York, and other applicable I~a~s, Ordi~mnees or
l~agulatlo~a, for the construction o~ heildJngs, additions or alterations, or for removal or desmlition, as herein
described. 11~e applicant agrees to cc~ply with all applicable l~s, ordtnaaces, building code, housing code, and
regulation~,~m~l to admit anthori~ed inspectors on premises and in building for eeceasery inspections.
State d~ether applicant is o~n~er, lessee, agent, arddteet, engineer,' geoeral c~traetor,' electrician, plier or
......... ~.~ ~ ....................................................................................................
~ o~ ~ o~ pr~l~ .... ~.~..4... ~.~.t.~ ~...~.0.~.~ .................................................
(as un the tax roll or latest deed)
If applicant ia a corporation, aig~at~Jre of duly autlg~rlvx~l o[l~icer.
l~,ilders I teem Ro ....
' RPPJ~OYED RS NOTED
NbYiFY BUILDING DE~ AT
FOLLOWING INSPECTIONS:
I. FOUNOATION ' TWOREOUIREO
/S'~) FOR POURED CONCRI:'i e
.l~t~a U=e~ ~o .... 3..o!:-.f..(r~..ru.~,st~i OCCUPANCYOR 2, ROUGH - FRAM!Ne & PLUMBING
mectdelans ~,icao~e ~o ...................... US~ I~ Hlulamr,,, a. INSULATION
, . . ..... ..,~.Z:."~ ~'-~ne~rUL 4. FINAL - CONSTRUCTION MUST
Other Trade s License ~ , R~I/tlU
' · ............. UT CERTIFICAI'~: a~ cOMet~mFOa ~.0.
· __ ..v..~£.THE.,RE. OJ~I[RII~ENI~ OF THe: N.Y.
..... 11 .$.0...~ ~A~../:/.¥.q .~..~eA .~. ........................................ ~.. ~'*r~,~..~-'r~ucnoa. &. r:a£~v
I~ ~r St~t, ~ CO~t N~ R~NSlB~ ~R
/ l o.
~a~7 Tax ~p ~). I~ ~tJ=~ .......... B]~k .............. l=t .... ~ ......... ,
(~)
2. State exist~ u~ a~ ~y of I~eni~s a~ inte~ ~e ~ ~o~ of pm~ cmstn~tlon:
a. F~st~ t~ a~ ~y .... ~[ ......................................................................
. . ......... ~ ....................... ~...~LS.~ .........
3.
II.
12.
13.
I.'~.
15.
l~am'e oE ~ork (dmck ~liidl alii:
Ilepair ............ l~n~va~ ....
cable): I~u Ik~ildln§ ........... Nldltio~ .......... Alteration ..........
........ l~l~lltloo ............. Other I/ork ~TT./C.~.~O~/~&.6~.. ~A .......
~rip~i~)
(~o ~ Imid ~m filln~ lids al~licari~)
If 8arage~ tt~Jimr of car~ .....................................
Dinenai~m o~ ~,~ atn~re ~lt i alteraCl{~a or ~lclona: Front ............... ~ar ...............
DJuenaJ~m of entire ~ ~mtrtml:J~)~ 1~): I~ar ~pth ..............
......... J ............................ ~pUt
~a propel ~mt~tl~ rich re any ~lng I~ ordl~e.ov regularly: ........................
.......
· ~m of C~rr~ror ........ [ ...................... &~reaa ............................... H~ ~ .............
l~cate clearly and dlatinctly al
I:rr~. prolerty linea. Gilas at:mt
td~etlmr interior or corner loc.
PI.OT DIAGIIAt4-
I L~thllr~a, dmtlmr exisrtng or proposed, anti indicate ail set~back dimanaions
51o¢k ntmimr or deacrlprien according ro deed, and abo~ ~£reer m,~ea ars! tr~lh:are
5'r^'ll,~ (x¢ ~,.M ¥OIIKi , ~
(l~-~ra of i~xlivithml, .ignlu§ co~trect)
~lru, (lelx)r,e,e taxi ~aya that lie is the appl, J¢~mt.
.,. ,..';,
';' '~ ' ' ~19 ....-.' ....
Ik~ i~'t[le ~2,...~..~ , . .., [ .......................................................................
, '. :: ~=',,,;~+i ,,, ,,/(Cxaitvaetor,, ':, . , agentg~orporate, officer, etc.)
of aa d (~r or ~ra, mgl la &dy ~thori~ to t~rfon, or have i~}rforii~l Lhe ~itl ~k
application; that att statemnt8 ctmt~[~ In Lids nlqfl, ica~itm are trim to the tea:
thak Lh~ ~rk wilt I~ ~rfon~l tu tl~ nu;mer ~t forth in the appllcatlon fil~
~rn Lo Im6~re .e Lhln
H~LENE D.
Notary Public, State of
No. 495 ~ 3ij4
Qualified in Suffolk Cou
~ommission Expires May
(ork
765-180Z
BUILDING DEPT.
INSPECTION
[ [ .]/~GH PLBG.
[ [/~ INSULATION
[ [ ] FINAL
[ ] FIREPLA~CHIMNEY
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
INSPECT~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INS~LATION
FRAMING [/]' FINAL
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOV~-N OF SOUTHOLD
June 9, 1999
Alfred & Marilyn Strazza
36 Highland Court
Huntington N.Y. 11743
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.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25277-Z
Please contact our office on this matter. Thank you for
cooperation.
$OUTHOLD TOWN BUILDING DEPT.