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. Jcation
gg% 'o~ ~G~RO~
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