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HomeMy WebLinkAbout25162-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27087 Date: 05/16/00 THIS CERTIFIES that the building ADDITION Location of Property: 455 LLOYDS LA (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 99 Block 3 MATTITUCK (PmMLET) Lot 4.10 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21¢ 1998 pursuant to which Building Permit No. 25162-Z dated SEPTEMBER 4, 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 REPLACEMENT OF AN EXISTING CHIMNEY WITH NEW BRICK CHIMNEY AS APPLIED FOR · The certificate is issued to PETER R MCGREEVY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 Authorizi~ure 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. 25162 Z Date SEPTEMBER 4, 1998 Permission is hereby granted to: PETER R MCGREEVY PO BOX 1047 MATTITUCK~NY 11952 for : REPLACEMENT OF AN EXISTING CHIMNEY WITH A NEW BRICK CHIMNEY AS APPLIED FOR. at premises located at 455 County Tax Map No. 473889 Section 099 pursuant to application dated AUGUST Building Inspector. LLOYDS LA Block 21 1998 MATTITUCK 0003 Lot No. 004.010 and approved by the Fee $ 75.00 Bul ldir~/I ns pect~'r ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN IiALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and s~ubm~tted to the bui~dir inspector with the following: for new building or new use: i. Final survey of property with accurate location of all b~l_ 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) nob-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. C. 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 qccupancy on Pre-existing Buildin~ - $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 ~ate New Construction ........... Old Or Pre-existing Building..[~9<¢~.~Z.~_~ House No. Street Hamlet Onwer 0 of Property County Tax Map No 1000, Section .... .~..~. ...... Block... ~.~.~.~. .... Lot. Subdivision .................................... Filed Map ............ Lot ...................... Per mit No..~...~.~/. (..~..~..Date Of Pe rmit...~..'. ¥.'..~..~.... Applicant... ~..~?~.. ~.~A .C-~..-~.3 ...... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ...................... .. Request for: Temporary Certificate ........... Final Certicate ........... 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 March 3, 1999 Peter & Colleen McGreevy P.O. Box 1047 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25162-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~OUNDA'TION (1st) COMM£~T£ FOUNDATIQN 2. (2nd) ROUGH FRAME & .PLUMBING' INSULATION PER N. STATE ENERGY CODE 'FINAL ADDITIONAL COMM .E. .,.t-' /.~ TT /U ¢. F~UE OCCUPANCY OR USE IS UNLAWFUL- WITHOUT CERTIFICATE OF OCCUPANCY Iu~ ' _' I' [bill I :'-" ' ' ..... ~-',"-~~ ........................ ~ ?";'t:~- ~.#~~,~-'- '.. ' BE COM~ :FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION :& ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS' : ,SCnL. E ~ ,//~'; ,,LO" - FL,,~ 5 NlloC~ 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOU~] INSULATION FINAL DATE~iNSPECTO~* 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ I/]~NAL v¥--7 DATE ?~/~',q~ ,,N,PECTOR /~/~'~ 76S-1802 BUILDING DEPT. INSPEi=TION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [.~] I.I.~ULATION/ [ ] FRAMING [~/] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION2ND [ ]INSULATION [ ]FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~/~' ~*~; DATE INSPECTOR 1)j s~gpmved a/c .................................. ~3 $~T$ O~ PLARS ............... ~SURV~Y ........................ CHECK ........... '~- ............ SEPTIC ~0~ ................... Occu~ncy shall Imve beer~ granCefl by fl~ ~dldi~ I~Cor. ~,I~'~ IS IE~ ~ co CI~ ~dldi~ ~r~n~ for fl~ i~e o[ a ~ildl~ I~ildi~ ~ ~t~ o[ ~ 1~ o~ ~cl~ld, ~[folk ~, ~ Yo~, ~ o~r a~ti~le l~s, ~i~es Or ~la~t~s, for dm ~ci~ oi hdldi~, ~i~i~s or alCer~Ct~, or for ~al or ~ll~t~, (~ri~. ~ ~ppli~t ~s to ~ly vi~ ali a~li~)le l~s, ordi~m, ~tldi~ ..... · ......... :.~. ' . . (Sig~ure o[ a~li~, or ~ ~x ........ ~ ...... ,..~ ....... SCoCe~O~r ~lic~nC Is ~er, lea~, ~en~, ~rdfit~t, e~i~,' ~elerat c~[~Cor, el~crict~, pier or hghle ..... ~[y.~ ........... m ............................................ · ....................................... /Vc~v .... . e~ f ... ...................... ............ ........ ................ If a~)tican~ is a co~ra~i~, si~re of duly ~Q~)ri~l ~/a .......... .... ....... Pl~rs I,ice~ ~ ......... ~ ............ _ ~ ~l~trlci~ l,ice~ ~ ..... ~. ............ I. l~o~i~ oi 1~ m d~td~ pr~l ~rk ~tll ~ ~ .......................................................... :'" ~.ac /~'~ /~,~ ~~e~a ........................................... :... ..................... ~' _ . i~ec 1~ ~r ut~c ...... ~ ,,~, X ..... ~ ..%~.~ ..... ~ivi~i~ . ~4~..~ ............ FII~ ~p ~, · ~f;'[.'" l~t ... I. .......... ~ ~,~.. ff~.., t~t~.~W~. .................................... a. F~stt~ t~ a~ ~y ........... ~ ' ~.~ ~. ,~ ~;~~ .............................. b. lnUe~ t~ a~ ~ .... ~,,.~.+ ....... ' .... ~"¢'~ ........... · l tIS'I'RI1CTIOHS a. 'ibis applica~ioa u~mC be co~]eCely £tlled in by L~[~-~rite~ ur in ink and suhuitted to I:l~ lhildlng Inspector 3 seC8 o[ plans,, accu~a[e plo~ plun to scale. ~ee accordiu~ to acl~th~le. b. Floc plan ~l~iul{ location oE lot aud oE buildtl~s on l~eud~s, relattouship ~o a~joiniu8 praises Or ptlflic streets or ureas, und 5ivi~ a ~tuil~ ~ripti~ o[ loy~t of pro~rty mint ~ dr~ ~ ~iw divan ~id~ la ~rt of this ~>1 icoci~. ' ' ~ ~ ~i8~ troll k ~pt~ or ~ in d~le or in ~rC for ~ ~ ~m~er mill a ~rtific~Ce o[ I0. 12, 13. 14. IAeal:e clearly and dlsl:lnel:ly al I~rc~ p~perUy 1LInea. Olve el:ree~ nnd ~d~etber lncerlor or corner lot:. '~ble):, t~ ~llfllng .......... Addition .......... ~lteretion .......... ........ l)e~rolitlcm ............. Other i~ ~e~,~,~.~.l~ Ii~ txmlteea~ cormetelal or ml~ed')caq~ancy, flpectt',/ nature e~ ~CenC of eadt ty~ of u~ .................... ~l~,, ........ /~,..3 ....... i'.. ' .......... ' ..................... , , ~,, l)l,enal~m oe entire ~ ~at~eJ~i ~t ................ l~nr .~. / ~' ~ ~ ~ ~ .. .~ ...... ~pLh ............... l~ ' ~ / ~s propel ~:~ti~ violate a~ ~lng 1~, o~ll~e or regula~l~i ................... ....... Ka.~ ......... j~ ~. Pi,OT DIA~RAH. L ~[ldl~s~ dm~mr ~la~lng or pro~, ~ tmlicaCe aTT ~t-t~ dl~neions ,t rna ............ !~ ........ i~ the ...~.~ff.~ ............. alqfl lcflth~; LImC all atatemnts tIroL lbs ~rk ~lll j~ ~r~o~J tn ll~ ................... day of '-~..~... .... I~al,g doly m~)r,, detx)sea taxi ~ye tlmt he i~ Lbe eppl. im,,. orporflte ol?lHcer, etc.) utborized to I~tfOnn Or h~ve perflm~! Lite ~hl ~ork mM to flmke taxi £ite LMm mqm~er ~et: £orLh in Lite nppl.[cntitm flied therewtm. (filg~qt:ure o1: App~ 0 P m