Loading...
HomeMy WebLinkAbout25044-zFORM 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. 25044 Z Date JULY 16, 1998 Permission is hereby granted to: RITA J GILLEY 3 WELLINGTON COURT NORTH MERRICK~NY 11566 for : ENCLOSE A CARPORT ADDITION "AS BUILT" FOR A SINGLE FAMILY DWELLING TO CODE. at premises located at 3245 BEEBE DR County Tax Map No. 473889 Section 103 pursuant to application dated JUNE Building Inspector. CUTCHOGUE Block 0009 Lot No. 004 5 1998 and approved by the Fee $ 75.00 Building' Insp~tor ORIGINAL Rev. 2/19/98 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25872 Date: 08/04/98 THIS CERTIFIES that the building ALTERATION Location of Property: 3248 BEEBE DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 9 Lot 4 Subdivision Filed Map NO. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 1998 pursuant to which Building Permit No. 25044-Z dated JULY 16, 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 CONVERSION OF A CARPORT TO A GARAGE ADDITION "AS BUILT" ON A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RITA J GILLEY of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Bu~ld~ Inspect~ Rev. 1/81 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. F%nal 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, muitiple 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 Upre-existlng" 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. 3. 4. 5. Certificate of Occupancy - New dwelling $25.00, Additions to dwellin~$25.0Q~ Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildi~'$~.O0, Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 Copy of Certificate of Occupancy - , .25~. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . /W~ ~9~ ..... House No. Street Hamlet Onwer or Owners of Property .... . .~!../-~...~...~. ~%~.~..V.6] ~ ~..W~...$....~..,~ ~ y ............ County Tax Map No 1000, Section .... ~P:~ ...... Block ...... ? ......... Lot.-..&/ .................. Subdivision ..... ~ ............................. Filed Map .... .~- ....... Lot...r .................. Permit No .... ~.~.P>l~ .... Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval .... Request for: Temporary Certificate ........... Final Certicate ........... . -- ' . ...... ,.. i .... ~OUNDATION (1st) ~OUNDATION (2nd ~OUGH FRAME & -PLUMBING INSULATION FERN. Y. STATE ENERGY CODE FINAL June 1, 1998 Town of Southold Building Department Town Hall Southold, N.Y. 11971 Dear Building Department, Enclosed please find the following enclomu~es~for 3245 Beebe Dr. Cutchogue. 1. Permit for garage (notarized) 2. Form No. 6 for Certificate of Occupancy 3. Three sets of plans 4. Three copies of survey of property 5. Envelope containing 2 checks~ one for permit and one for CO Occupancy We need an appointment for the building inspector to inspect the garage. you. Rita Gilley, owner 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ].~,ULATION [ ~ FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [. ]~I~ATION [ ~] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: . DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSU~.LA~iON [/..--3"~N AL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR UNDERWRITERS CERTIRCATE REQUIRED PROVIDE % HR. FIRE RATED SEPARATION TO PART. 71.7.3 (f) (1) Of I.¥. STATE BUILDING CODE. OCCU J NC' OR USE ispNL~WI:UL Oi: O1CUPA'NC'Y DATE:~ N OTII~" BUILDING 765-1802 9 AM T( FOLLOWING ~NSPE¢ 1, FOUNDATION - FOR POURED COl 2, ROUGH . FRAMI '"~ '~3~:~ LATION tS NOTED 4 PM FOR THE rlONS: TWO REQUIRED ICRbl E IG & PLUM[lING BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS WILSON %, A~DIOR £~0.~! DAIWA OIII'AII~F.I) l'~Ot, l O~I~EI~S M^R, I~1976 -YOUIqO ,~ .YOUHO 400 O.~TRAt,IOER ^VF.i'~UE, RIVCRJ ~AP, FlEW YoRK SURVEY FOR: ALEX J. DANOWSK~ ~ RERTHA Ii. DAt{OWSKI TO~,L ,', ,.~F SOUTHOLD FORH NO. TOWN OF $OUTIIOLD IIUI LDI I'IG I)EPARTHEHT TONN IIALL SOIITIIOLD, N.¥. TEl.: 765-1802 IIOARD OF IIEALTtl ............... ~ SETS OF PLANS ............... SURVEY ........................ CI1ECK . - - SEPTIC FOP, H ................... NOT'/DY :~ ~- ............... ~.~ .~o~.. ........... INSTRUC'rlONS a. 'Ibis spplfeattou roast be conpletely filled in by t~'l~vriter or tn i~ aed mtl~itt~ to ~le ~filding lnslector 3 ~ts of pla~, acetate plot plan to ~ale. F~ ~cor~i~ to b. Plot plan ~t~ l~tt~ of lot ~ of ~ildh~s ~ ~i~a, relation~dp to ~jotnlng prints, or ~bllc ,tr~ts or areas, n~ 8ivt~ a ~tall~ ~m:rlpt{o~ of lay~,t o~ pro~rty mint be dr~ ~ tl~ dla~ ~*lch la I>urt of rids a~fl icati~*. c. Ibc ~ c~r~ I~ this a~licati~ my ~mt be cm~ before is~,~ o~ ~ildt~ Pemit. d. U~ a~al of ~ds a~lieaci~m, tim lkdldi~ lna~ctor wil~ ia~ a ~ildlng Pemit to the applicant. ~mlt Imll ~.kept ~ ~m ~s ~ail~le for hm~ci~ tl,m~a~r the *turk. e. ~ ~ilai~ atoll ~ ~ied or ~ tn ~le or in ~rt [or a~ ~ ~mt~er mtil a C~rtifieate of ~y ~mlt hwe I~n ~ant~ by d~ ~Ddh~ ~a~'rl~ IS t~ }~ to tbs Ik~ild{~ ~rt~et for tbs issue of a ~ildlng Pemit ~ramnt to the I~ildi~ ~ ~i~l~ of tbs 1~ of ~tlmld, ~ffolk ~n~, ~ York, ~ otber a~llcabl~ l~s, ~i]~e. or ~lati~a, ~or tie ~st=ti~ of hdldi~s, ~iti~s or altarati~s, or for ~1 or ~llti~, ~s (~seril~. ~m ~ppll~t ~u to c~ly wi~ all a~licabla l~s, ordi~mes, ~{ldlng c~, {~ing ~, regaflati~s, ta~ to &it m~ri~ in--tots ~ ~{~s aM in ~ildi~for ~es~ (S~g~t~e o~a~lk~t, or ~, tf ~ co.ration/ ....... (~ilhg ~mss of a~lleantl ~ State ~mOmr a~llcsnt is ~er, les~, agent, archlt~t, engtt~r,'ge~ral c~tr~tor, electrician, plt~imr or latlhle 0 ~ ~ .~ .............. ~ .............................. ~ of ~r o~ pr~l~ ................................................................. (aa ~ tl~ tax mil or later d~) , If a~fiicant is a t~retJm, si~re of duly ~tloriz~l officer. (llama a~xl title of corporate officer) l~fildera l,leense No. ."TT .... Ph~oera License NO .......................... ~lectrleimm l,lee~ ~ ...................... 1. l~ati~ of la~ ~ ~id~ p~l ~rk .ill N ~ ............ ~ ................. ' .................. .... ........ ........ ..................................... ~.t~ T.~ m, NO. ~ ~i~, ..... ~.P.~ ...... .~ ...... ? ......... ~t .... ~ .......... ~ Film }~p ~ivisi~.... . · .......... * .................... 2. State existi~ u~ a~ ~y of i~i~s a~ iote~kM ~ ~ ~ of p~ e~stnmtla~= a. F~is~i~ ~ a~ ~y.. ................. ...- -. ' ......................................... b. ~nte~ u~ a~ ~ ................................................................. 3. Il). II. 14. 15, *,,d~ther interior or cor?__r_~]ol:, ~ P;~ture of ~o~k (d~:k ~hidl al! ~licahle); 1~ lhlhling .......... ~kliti~x .......... Alteration., ~ ..... I (to ~ fid I~a filtn~ this al~licatl~) ...... 2~ ~ ............. ~, ..... ~. ........ ~... ~. ....... ~ ............... ' I PLOT I)IAOIIAH , I~ate clearly al~ dlati~tly al~l ~[]dl~g~ ~mtlmr ~lating or pro~, m~ h~licaCe all ~t-I~ dJmnaiona or (hacripc{~ according to t~, a~ ~ ~tre~ ~'~a ami i~llei~Ce .%xm~ Lo Ix~fore m th|a Hot~ Public, ~tete of NeW Y~k No, Ol~AS024D~ 8 Quelffied in Nassau Co~nW Commission Expires Mardh21, ~ (C~q~tractor~ agent,*cot rate officer, etc.) o[: $aid (~mer or ~mra, taxi lo duly m]tl~oclM ~o I~rfonn or have lerforn[~] Ihe ~ji] ~ck alxJ tO n~ke taxi file thia al)pi ication; 'that all statamnt8 c(mCai~l in tht8 nlqdtcatim) ore tn~ to the Imsc of his kixml~ge a[~ I~l ief~ alxl that th~ ~}rk ~il[ I~ ~rfon~l in the a~amr ~t forth in the appl. icntit~) fii~l tl~r~iUt.