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
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