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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.