HomeMy WebLinkAbout24964-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25890
Date: 08/14/98
THIS CERTIFIES that the building ADDITION
Location of Property: 1600 WESTVIEW DR MATTITUCK
(HOUSE NO.) (STREET) (~A~LET)
County Tax Map No. 473889 Section 107 Block 7 Lot 18
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 14, 1998 pursuant to which
Building Permit Nc. 24964-Z dated JUNE 17, 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 ROOFED DECK ADDITION AND DECK ADDITION TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to DANIEL O'SULLIVAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
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. 24964 Z Date JUNE 17, 1998
Permission is hereby granted to:
DANIEL O'SULLIVAN
1600 WESTVIEW DRIVE
MATTITUCK~NY 11952
for :
CONSTRUCTION OF A DECK ADDITION WITH ROOF AND DECK ADDITION AS
APPLIED FOR.
at premises located at 1600
County Tax Map No. 473889 Section 107
pursuant to application dated MARCH
Building Inspector.
WESTVIEW DR MATTITUCK
Block 0007 Lot No. 018
14 1998 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
APPLICATION FOR CERTIFICATE 0F OCCUPANCY
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
This application must be filled in by typewriter OR ink and submitted to th~ building'
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 buildings
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 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.
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 Buildinm - $i00.00
3. Copy of Certificate of Occupancy - ~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15~/ Co~cial $15.00
-~ ~ Date ......... f~!.~/~.-- .........................
New Construction ........... ~.~ Ola~~Or Pre-~isting Building...~ ...........
Location of Property ......
L ' /
Onwer or'O~rs of ~ ..... ~,, ~l ~'~ ~-~
Co=n~y ~= Xap ~o ~000. S~,=io, .... ~ ...... ~o,~ ..... ~3 ..........................
Subdivision .................................... Filed~ap~'. ~ ...; ..... Lot ..............
~ealth Dept. Approval .......................... ~nde~r~eers ~pproval .........................
Planning Board ~pproval ........................
Roques~ for: T~mporary Cort~f~cate .......... ~nal Gerr~caee ...........
Fee Submitted. $ ....... ~ ............... /
~c ¢~ ..... ...................
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516)765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 3, 1998
Daniel O'Sullivan
1600 Westview Drive
Mattituck, New York
11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX
XX
An application for Certificate of OccupanCy is /~
not on file. (Enclosed) / /
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 # 24964-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FOUNDA'TION
(lst)
COMM£NTS
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING
INSULATION FER N.
STATE ENERGY
CODE
Z
FINAL
ADDITIONAL COMMENTS:
~ 76S-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ]FIREPLACE & CHIMNEY
REMARKS: /~
[ ] ROUGH PLBG.
[ ]/~$ULATION
[ ~ FINAL ~C,,
i ,~..,
DATE r~ ~(~' INSPECTOR, .~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [~INAL ~~
[]FIREPLACE&CHIMNEY
DATE ~/~~ INSPECTOR ~~-~ ~
765-1802
BUILDING DEPT.
INSPECTION
I ,~o."~A~,O.,~ [ 1 .o~o...~o.
[ ] FOUNDATION 2ND
[ ] FRAMING
] FIREPLACE & CHIMNEY
REMARKS: ~'"
[ ] INSULATION
[ ] FINAL
DATE (-~/c:~/~"2 INSPECTOR ~~/~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
]ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN,.~JL~TION
[ ~]~INAL
[ ] FIREPLACE & CHIMNEY
.,=.,~.,~s: /~~ ~.
DATE
INSPECTOR
PIPE:
Oomnanp No.12hlu~2
-....,..~!
3~VE~ED FOR .:-~-~ ~,~ ....
.J ONES ..
. . .~ ;. ~,
· .....,. ,...,.-.~
.... ...~.
SIDNEY
0
0
U
0
0
"' {i ~ :i TOWN OF SOUTIIOLD
'['OWN NALI,
; ] ................... ~ SOUTIIOLO, N.Y. 1197 I
! c.'_ :3. ~;).52'1; ~
'~pp~al ~lc ................... ~ ..............
SURVEY ........................
CHECK .........................
SEPTIC FORH ...................
NOTIFY:
~oo 19 ...
CALL ~. ............
HAIl. TO: ....................
APPLICATION FOR BUILI)INU PERItlT
INS'I'RNCTION9
a. 'Ibis application nust be completely filled in by t-ype~riter or in t~ aml
3 ~ts of pl~, acetate plot plan to ~ale. F~ accordi~ to
,b. Plot pl~ ~t~ lmtim of lot ~ of ~ildt~gs m ~mi~s, ~lattou~*ip to ~jotnt~ pr~i~s or ¢,blic
struts or areas, a~ givt~ a ~taii~ ~:rtptt~ of layo,t of pro. rOy mint I~
this nppl icati~.
d. U~ a~al of fl~i8 a~lieaci~, t{~ l~ildi~ ]ns~ctor x*ili is~ a ~ildt~ Pemit to the opplicant. ~h
~mlt ~mll ~,~pC ~ fl~ ~8 ~ail~le for tns~t{~ thm~t tl~ ~rk.
~. ~ ~ildi~ ~mll ~ ~pied or'~ in ~le or in ~rC for ~ ~ Minter ~cil a ~rCiftcate of
~.l~'rI~ IS t~ ~ to tl~ lkllldi~ ~rt~nC for ~e ts~ ag o ~ildt~
~laci~s, for tl~ ~st~t~ of hHldt~*, ~itt~8 or alteration, or for ~al or ~liti~, as ~reln
re~datl~s,~m~ Co ~ic ~rt~ in--tars ~ ~i~8 a~ in ~iIdt~ for ~es~
(Signature of applicant, or na~e, tf e corporation)
, .....
{l~{ltrlt address at applicant)
Store *t}etlu~r applicant is o~a~er, lessee, agent, architect, engine~r,'general c~tractor, electrician, pl~mr or I~lihh
..... ..............................................
~ of ~r of ~t~s .................................
(as ~ ~1~ tax mil or latest d~)
I[ o~licant is a co~rsti~ si~mre of duly ~O~rlml o[[icer.
(Nane and title of corporate officer)
Ikdlders Iicense No .........
Plmbers 1 icense No ......
Electricians I icense Ho ....
................ , ....... .AI~I~EDASN~ED~ ..... , ....
.....
I~~BY: ~
~ ~ ~4 ~ ~R THE
TWO R~QUIREO
4. FINAL - CONSTRUCT)ON~UST
8E COMI~'~ FMI C.O. '~
ALL CONSTRUtYION SHALL ;MEET
THE REQUIREMENTS OF TH~ N.Y.
8TAT~ CONSTRUCTION & ENaERGY
Otimr Iraa's License No ..................... .~ -.,///p~_.D~, NOT RESPONSIBLE 4~R
I. l~ati~ of la~ ~ ~tld~ p~l ~rk viii ~
~ivisi~ FiI~ ~p ~ I~C .. ·
(~)
2. State existing u~ a~ ~ o[ pr6ni~s ~ intem~
i~ ..................
~. ~ ,~ ~ ~ .~l~.~e~ ..............................................
~,. {~te~.~ ~ ~ ~*cc/~d ~ >~d V ....... ~~ .................
12,
13.
14.
15.
~dure of ~ork (cl~t ~liidt applieabl,e)l k~ lhihlio8 ........... ~lti~ ,..~ ..... MCeratiofl ..........
I~l~ir ............ ~al ......... l~liti~ ,. ........... Other i~ ..................................
Eacin~t~l ~t ,.,. ....... ~ ....... f~ ..............................................
' (to ~ lmid ~m filing this al$1lca~t~)
garage, ~a~Imr of ~ra ...... ~ ...............................
......... , oe ......................
I)incnMam o~ ~m ~tn~mr~ ~ltl~ alterathms or a~ltlons~ Fr~ ............... ~ar ...............
I~pth ................. &.. l~i~ .................... ~tmr o~ Stories ...............
l~l~t ......................... ~a~imr o~ Stories ..... ~ ...............
........... ~nd~ .. '~'k ...............
~m or u~ dlatrtct in ddd~ pr~l~s a~ at.tM
~tll lot Im r~r~ ~ .... ~.,.~ ........ ~ill ~eaa fill Im r~
P ........................
..... i ..................... ~lreas .............................. H~ ~ ...............
· . , ............. ~raas ............................... H~ ~ ..............
this p~rt/within ~ i~t.~og a ;iihl ~tlaM? a ~ .......... ~ ..'~ ....
PLOT DIAGllAH.
? I~eate clearly a~l dlatl~etly alli bu[hiinse, dmtber ~lattng or pro~, ~ lfflicate all ~t-I~ di~naiona
,zPr~n pro[ratty l{~s. Gi~ strut m~ bl~ aJlimr or {hscrlpt{~ according to t~ a~ ~ strut ~a s~l i~licace
of said (~a~r or o~nmra, afKI la {ltlky aut!norjzed to IX:from or have iz~.rforn~l t.l~e ~hl ~rk aim to n~ke taxi flle thin
alqfl leaCh>n; that all state.nra ctmtal.~ in this nlq)l, icatt~ are tn~ to the Imac of his kt~l~ge m~ I~l. lefl taxi
that th~ ~rk will I~ ~rfon~l ia the n~mtmr ~t forth tn the application flJml tlmr~t~.
............. )emg (Mly ~)rn~ delx)e, ea taxi maye that he Js the appl. itmnl:
()race officer, eke,)
NOLaIpI [~~..~