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HomeMy WebLinkAbout24971-zFORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25953 Date: 09/08/98 THIS CERTIFIES that the building ADDITION Location of Property: 355 WOODCLIFF DR (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 7 Lot 25 MATTITUCK Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 1998 pursuant to which Building Permit No. 24971-Z dated JUNE 22, 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 FOR "AS BUILT". The certificate is issued to LUIGI & VIRGINIA C BUONO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N427275 07/31/97 PLUMBERS CERTIFICATION DATED N/A i/lng Inspector 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. 24971 Z Date JUNE 22, 1998 Permission is hereby granted to: LUIGI & VIRGINIA C BUONO 355 WOODCLIFF DRIVE MATTITUCK~NY 11952 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. "AS BUILT" at premises located at 355 County Tax Map No. 473889 Section pursuant to application dated MAY Building Inspector. WOODCLIFF DR MATTITUCK 107 Block 0007 Lot No. 025 18 1998 and approved by the Fee $ 75.00 Building Inspector ORIGINAL Rev. 2/19/98 ,~ ~ Form No. 6 /f~~ 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 buildi~ inspector with the following: for new building or new use: 1. F%nal survey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval froA1Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of F%r~ 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 Ppre-existing" land uses: 1. Accurate survey of property showing ail 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 dweliing $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 Buildinz - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .......~-'" -c~.~.~:~.. ~ !R ?.~. .......... \! New Constructio~ .... ~ ..... p~d Or Pr~-~i~tin~ ~lding ............... Location of Property ............................................................. House No. ~ , , S~reet Ha~et ~ ....... ~ .......................................... County T~ No 1000, Section .......... Block ...... Lot ............ s~v~o~ .................................... ~L-~- ~a~ FF.. ~ ...... ~ot ...................... ~=~ ~o..8.~.q.?/~...~ 0~ ~ ................ ~:~= .... ~ ................. Health Dept. Approval......................---.Underwriters Approval ......................... Planning Board Approval · Request for: Temporary Certificate .......... .. Final Certicate ...... Fee Submitted: $....o~..~.'[. ~,.~ ................ ~, , ..:- d~-$~/~-' ............ ~ ......... NORTH FORK FAMILY PRAC TEL N0.S16 3an 07,25 15:59 P.02 ?'iELD FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITION~T, COMMENTS: IL'- '- --^ / ' 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I~LATION [ ]FRAMING [ ]FIREPlACE&CHIMNEY REMARKS. ~,-~~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INflATION [ ] FRAMING [~ FINAL [ ] FIREPLACE & CHIMNEY :: SOUTHOLO E",~snlned... 19.~. ' I)l ~pproved a/c' ................... 2 .............. BOARD OF UEALTI! ............... SURVEY ........................ CHECK ......................... BEPTIC FOglt ................... NOTIFY CALl .................. NAIl, TO: .................... (Ih~{ hli.p, lnnl~tor) APPLICATION FOR BUILI)]NG PERHIT 1 N,qTRUC'rIONS n. lhls npplJcnt{o. ~mmt Im completely fill~l in by ty~,~rii:er or {n lid[ taxi ~d~itt~ to the ~Hldi.g Ttml~ctor w' 3'~CS oF pinna, ec~lrate pTot p~en to ~ale. ~ accordln~ to ~ b. Plot plan ~t~ l~tt~ of lot ~ o[ lxdldh~s ~ ~1~,, relntt~lp to struts or areas, n~l 8ivi~ n ~tnii~l ~ript{~ o~ la~t of pro~rty ~mt I~ (Ir~ ~ the di~n ~){e{~ {n I~rt of c. '11~ ~ ~ ~ fids n~Hc~rf~ ~y fac I~ ~ml I~fore is~m~e d. Ui~ a~al o~ th[~ n~l. icntio~, tl~ I~iId{~ ]eagerer will is~ n ~ildlng Pemit to the applicant. ~,ch ~rmlt droll ~.ke~ ~ ~ ~t~a ~all~le ~or tns~t{~ th~t the s~rk. 'e.' :~ ~tldl~ atoll Im ~{m{ or ~{ tn ~mle or in ~rt for ~m~y dmtt h.e I~n ~ant~ I~ tim ~dldf,~ Insurer. ~.IC~'FI~ 19 I~ ~ to tl~ Ik~f]dtn~ ~urt~nt for the Issue of ~dati~s, ~or tl~ ~st~ttm o~ h~tldt~s, aHtt{~, or alteratt~s, or thseril~, ~ n~li~nt ~s to ~ly wi~ nil a~lt~ble 1~9, ordl~t~es, (~{g~ture of ~[{cnnt, or ~, {~ n cor~reC~o,)) (~ilt~ ~Fess o~ ~1 ic~nL) ~a~c ........................................ ~~~.~. . ....... ~;; ;'~,;';;~ ~. ~ ........................... o~ ~ IE a~l)licon~ is a corporation, aigrmture of fluly auO?rtzed oEEicer. ==================================OCCUPANCY OR USE IS UNLAWFUL ,~,.~. l.i~e.,,,,..~ .......... : .... WffHOUT CERTIFICATE, ,,,~,, L,~,.~ ............... OF OCCUPANCY Electricians Licens~ No ...................... " 7er~lo0~ e AM 10 4 g~l/~i ~ FOUNO411MI. IWO Illlil~ 4, F~NA~ - CON~U~ON MUST BE COM~ai=,~ ~0. ALL CONSTRU~ON 8HA~ ME~ THE REOUtREMENTS OF ~E N.~ STATE CONSTRUCTION & 'ENERGY CODES, NOT RESPONSIBLE FOR D~S~GN OR CONSTRUCTION ERRORS I. l~atlon of land o~ ~i~|d~ propO~c~l ~ork will I)e (~ .... ~ ......................................................... ...~ .................. ~¢n~s!i~....~ri~.~. ................ ~ '~ ~ I~ ~r Strut I~let ~ ~. ~. ,~ ~,i~, .... {~ ...... ,,~k ....9~ ........ ,~, ..~ ......... ~l~blslm ...................................... ffil~ ~p ~ ......... ~* ..... lot ............... (~) 2. State ~ist~ ~ a~ ~y b[ i~ises e~ intem~ ~e m~ ~ of pro~ c~st~ti~: ,. ~i,tlm ,~ ~ ~ ..... '--., ...... ....................... ~~- .............. b. lnte~ m~ ~ ~ ..... ~t.~:> ............................... ~m~~'-: ....... ~. ~'ltur~ ol~ work (dme..k tllldl ~1~1 ,,. cost .... garage, ~,d~r bi care ...... ic,~ble): I'k~ Lkdlding ........... taklicioa .......... Alteration ..~ ..... ......... I~1 ilion ............. Oflmr ~ ............................... ... ~rfpti~) (to ~ ~id cm filing Lhi~ mits ............ ttld~r o~ &mlltng traits c~l eadl ~r 6. If Ixmi~m.~, Cam~arcial or mi~ad?ocmzluancy, .~1~/ ~ture a~ ~tent o~ e~ t7~ bE u~ ...................... I. Di,~M~m bE ~i~tlng ntnmture~, 1~ any: [~mt ................ ~nr ............... ~pth ................. I~l~t ......................... '[ ~dmr o~ 8torieo ...................... Ilin~n~i~m bE mnm ztnmmre vltl'~ ~lter~tl~mn or ~itlon~: Front ............... ~ar ............... I0. · ,~ o~ Cxmtr~tor . ~klre~ Hm~ ~ I~ate clearly at~ dlatl~tly a'll! Imlldh~a. ~mLImr ~lacing or pro~. m~ lt*licate all ~t-I~ di~naion, O 3TAalqlI9 3 T.UOHT , . ((k)ntractor, agentycor'~rate officer, ere.) of ,ai~l t~r or ~era, m~l la duly mJt}lorJ~ to I~rfomt or have i~n'l:or,t~l I.he alJlJ ~(k alxl to ,eke taxi fil.e thi, nPl)lieation; that all atata~ents o~t:al~l tn I:h[a alad. icatio~) are I:nm Lo Lhe thaL th~ ~)rk will t~ ~r~on~J t, t.he ,~mlmr ~t forth in the nppl. 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