HomeMy WebLinkAbout25173-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26098
Date: 11/12/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 880 WASHINGTON AVE GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 41 Block 1 Lot 32
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 18, 1998 pursuant to which
Building Permit No. 25173-Z dated OCTOBER 8, 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 ACCESSORY STORAGE SHED AS APPLIED FOR.
The certificate is issued to STEVEN A BERBIG
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
(THIS
FORM NO. 3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25173 Z
Date OCTOBER 8, 1998
Permission is hereby granted to:
for :
STEVEN A BERBIG
108 WASHINGTON AVE
GREENPORT~NY 11944
DEMOLISH AN EXISTING SHED AND REPLACE WITH A NEW 8 X 10 ACCESSORY
STORAGE SHED IN THE REAR YARD OF A ONE FAMILY DWELLING AS APPLIED FOR.
at premises located at 880
County Tax Map No. 473889 Section 041
pursuant to application dated AUGUST
Building Inspector.
WASHINGTON AVE GREENPORT
Block 0001 Lot No. 032
18 1998 and approved by the
Fee $ 35.00
Buildlhg Insp~tor
ORIGINAL
Rev. 2/19/98
Form No. 6
TOm OF SOUT OLD
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. Final 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, 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
~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 Occupancy on Pre-existing Buildinm - $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 ...... .........................
New Const~uction~DJ{~b~ .....Old Or Pre-exis~ing Building .................
' .............
Location of Property .................. ~v · ~ .........
Rouse No. Street Hamlet
Onwer or Owners of Property ...... ~..~ .... 8~le~. .........................................
County Tax Map No 1000, Section....~.~ ...... Block..O~Ol ......... Lot. ~ ................
Subdivision -- Filed Map Lot .... ...... · ·
Permit No....~7~.~ ...... Date Of Permit... I~T~%?~...Applicant .... ~ .~...~,~1~ .........
Health Dept. Approval.......... ............... . Underwriters Approval .........................
Planning Board Approval ......
Request for: Temporary Certificate ........... Final Certicate...~. .......
Fee Submitted: $ .... ~..~=O~ ...................
Town Hall, 53095 Main Road
P,O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802 ~
BUILDING DEPAR~FMF./NT
TOV~N OF SOUTHOLD
November 6, 1998
Steven Berbig
108 Washington Ave
Greenport NY 11944
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
X An application for Certificate of Occupancy is'
not on file. (Enclosed)
No Underwriters Certificate on file.
X 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.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25173Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
~OUNDA'TION (1st)
..'OU N DA TI 0N ( 2nd )
ROUGH FRAME &
· PLUMBING·
INSULATION PER N.
STATE ENEROY
CODE
4.
·FINAL
ADDITIONAL COMMEN[S:
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ~I~L
[ ] FIREPLACE & C,I~/~Y
REMAR~
/~ /~/ / /-/,,,
FORH NO. {
TOWN OF SOUTilOIoI)
TOWN IIALL
80UTIIOLD, N.Y, { 197 {
TEl.: 765- {802
Di r~)roved a/c ..................................
[//{PPI,IGATION FOR BUILDIHO ~IIRH][f
'Date ................ ,19 ....
]NS'I'RUCT]ONS
a. 'lids applicatioo aunt be conpletely itlled in by C~pe~riter or in ink and mg~uiCCad to gm lk~t]ding Inspector vi
3 sets o[ plans,, accurste plot plan to male. Fee ~¢cording to ~l~lule.
b. Floc plan sho~Ing location o{~ lot and o[ buildings c~ premiSeS, relatlco~hip to adjoining pr~mtsea br
streets or areas, and Ilivtrkg a d~tsiled de~cript{ol o! luyc~t o[ property mist b~ dr~n un tim diagr~n ~,tdch la p~rt of
~la~i~s, for t{~ ~t=ti~ o[ hdldi~, ~ltl~s or alCereCi~, or for r~al or ~l}tt~,
(Si~ture o[ a~lt~c, or ~, t~ co~raC{~ )
State ~Oer a~licanC is ~r, les~, ~ent, archit~C, engi~r,'ge~rat c~tr~tbr; el~tri~i~'~Pl~r
'O OPANCY OR
WITHOUT CERTIFICATE
OF OCCUPANCY
APPROVED AS
765-1802,9 AM
1 FOUNDA~ON
FOR ~R~
4 FINAL -
' ...
1~ ~r Strut ~NSTRU~ION
HE REQUIREME~6 OF ~E ~.~
~O~ES. NOT RESPON{IBL{
(as co tl~ tax roll or lstest deed)
applicant is a corporation, silpuaCure o~ duly ao~l~)rized o[iicer.
' ~.~.o:< '
/~, ~l.~t~l ~ .,,, ...... ~ ......... ~ ..............................................
~ ' :'. ......~ar . ..~ .........
13. ~ill lot I~ ~ , ..... ~.~
l~ats elearl~ ~ dlatl~tly ~all ~[ldl~a, ~mflmr ~lattna or pro~ ~ lalicata all ~t-I~ dl~nMona
~amtlmr h~terlor or ~r lot .... - ........
INl'.~.~.~lC/.~..t~.l~:.~:q".J~;-/,,~'t~ ................ bah,~ duly ~,r,~, tlelx~a a,xl ~ys that he la the
~,{ ?~,~c: ..... i ............. :...
............. ~C.~ t,.,T ~. , ........................................................
~OM ~O~~t[~$tOr, ngent,~ cor~rate o~flcac, eta,)
~M "~ ' ' '
'. J~CE M. WILKINS
~ota~ Public, State of New Yo~
No. 4952246, Suffolk Cou~
Term Expires June 12, 19~