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HomeMy WebLinkAbout24965-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26073 Date: 10/30/98 THIS CERTIFIES that the building ADDITION Location of Property: 775 F~U RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 121 Block 7 Lot 5 Subdivision Filed Map No. -- Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 14, 1998 pursuant to which Building Permit No. 24965-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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED. The certificate is issued to JAMES & KAREN S ASCHER (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 Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24965 Z Date JUNE 17, 1998 Permission is hereby granted to: JAMES & KAREN S ASCHER 775 FARMVEU RD MATTITUCK~NY 11952 for : CONSTRUCTION OF A DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 775 County Tax Map No. 473889 Section pursuant to application dated MAY Building Inspector. Fee $ 75.00 FARMVEU RD MATTITUCK 121 Block 0007 Lot No. 005 14 98 and approved by the COPY Rev. 2/19/98 Form No. 6 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 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 Vpre-existing" land uses: 1. Accurate survey of property showing ail property lines, streets, building and unusual haturat 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 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 - $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 ....... ~..:..% ........................... ~ocaeion or ~roperry ............................ -... House No. Street Hamlet of Property ~" ~ -~ ~ C . )nwer or O~ers ........... : ..................................................... ]ounty T~ ~p No I000, Secti ....... Block.. Lot... .~bd~-z ........................................ Filed Map ........................... ...~ ........... Applmcant ................ >ermi~ No .......... ,~,., at Of Pemit. {ealth Dept. Approval .......................... Underwriters Approval ......................... ?lanning Board Approval ..... ~,equest for: Temporary Certificate ...... Final Certicate.. fee Submitted: $ ............................. ex ~x --" Co ?3 ............................. CAN~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 October 20, 1998 Mr. & Mrs. Jamie Ascher 775 Farmveu Rd. Mattituck, New York 11952 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. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24965-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. rlmL .t.S, -~ .ON COMMENT£ FOUNDA'TION (1st) FOUNDATION (2nd) ROUGH FRAME & ·PLUMBING' INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 BUILDING DEPAPd'MENT TOV~-N OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 October 20, 1998 Mr. & Mrs. Jamie Ascher 775 Farmveu Rd. Mattituck, New York 11952 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.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24965-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-J.802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING [ ] ROUGH PLBG, i] ~~iNAU~ATION ] FIREPLACE & CHIMNEY REMARKS: DATE /t~///~//~(~ INSPECTOR ~7~~ ~ Iq - 40 - I~o.oo I°°f~r.- DESIlN 0. GRAF , · No. 50067 SURVEY DATE: "~/~ LAND SURVEYOR FORH fl(). I 'I'()TtN OF ,qOUTHOI.I) Bll I t,1)1N(; DF.I'^RTHEWI' '['OWlq ,qOUTIIOLD, N.Y. i i971 IlOAIll) OF lll~^l,'l'll ............... ,3 Bg'F$ OF P1,AH,~ ............... · qtJRVI~¥ ........................ (:llgCK SF.I'T 1C FORH ................... I)[ SUl)l)f (/ued *l/c .................................. ,[(;ATION I*OR BUIIJ) IN(I PI~RH!T I liSTIIIJC. T 1 ()lis C^I.I .......... ...., ........ a. 'lhls alq)licati~xl ..mt be c`oqHetely filled iii by tyl~vriter or in ink m.I mdxnit't~l to the I~lihlJng lnnlmc`lm' will 3 c~ts of plmm, accurate plot plon I.o sc,ale. Fee nc(:ogdhsg to schmltlle. b. Plot plon dK~Jl~ I~att<~ of lot m~ off I~dl<lb~s ~ pr~nJseo, relationship to mljolning pr~ni~eu or i~fl~lic fit reetfl ot area0, taxi glvl,qj a (~l. oJled (E.criptio, I ()~ Inymll: of prolmt Ly ntmt I~ drls4ll (si the (lJflljr~in ~slch t~h~ nppl italini. e. tk) I.~ihlh,j id.ill Im (mcupi~l or until hi ~Jole or [n imrt For nlly l.n'lXme ~ml, ever tlill:Jl fl (~rtJfJcntc~ (kX:Ulm,~y ~mlt Imve linen granted by Ihe Ihiilcling hmlmCtor. ~ Al'lq,l(Zl'l{~ IS Ii~l~iliY }~1~ Lo the I~llhling I~lmrlu~nl: for lira i.mmnce of a ItdhlJng l'~smJt l.~rmmnt to the I~ulntlmm. for tim cmmtn~ttms oF I~dhllngs, ~lltl~m or alter~l:lons, or for r~ol or doral ILion, ns (8lg~mt~~msr. or nJ~J~, i~ a corlx>ratio-) }q~x~a ol~ ototmr Of prt~nl,e~{ ....... .~..I~N. t%.. ''~ ~r~ ,, % tC (~m ~l the t'a~ roi 1 or lt~tesr de~) If npplic`ant i8 a corlx~raticm, oilFmttnre of duly ~u~tl.n'izx~d offic`er. (t~sn~: m~l Lh le o£ ¢:orlx)rate officer) Pit,it)era I,ic~nse Ho .......................... IkxJ~ ~itt~r Street '.: lg~nlet I'I.OT clearly olxl dl,tlt~cly pr~)l~rly 111~8. Give 6tl~t n~l hl~x:k i~ll~r or 1~6Crll)tl(H~ nccotdln~ ~o i~l..m~l d~t~ 6Lreet i~leo m~l ll~liclll'e (~;.~ ul' h~livhhml ,iii, hill co~lllncl.) ~, ~,, ,,,, ..... ~.~.~ ............................................................................... (l~lLrncLor~ nllll,lli~- (',Orl~lrnle ol I'icer, etc,)