Loading...
HomeMy WebLinkAbout24726-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25776 Date: 06/17/98 THIS CERTIFIES that the building ADDITION Location of Property: 2175 DEEP HOLE DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 14 Lot 15 subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 18, 1998 pursuant to which Building Permit No. 24726-Z dated FEBRUARY 27, 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PETER & SANDRA B. COLEMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A 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. 24726 Z Date FEBRUARY 27~ 1998 Permission is hereby granted to: for : PETER & WF COLEMAN BOX 364 MATTITUCK~NY 11952 CONSTRUCT A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 115 pursuant to application dated FEBRUARY Building Inspector. 2175 DEEP HOLE DR Block 18 1998 MATTITUCK 0014 Lot No. 015 and approved by the Fee $ 75.00 di/{g' I~specto~ ORIGINAL Rev. 2/19/98 Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 June 8, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Peter Coleman 2175 Deep Hole Drive 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. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 24726-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 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 fro~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 Vpre-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 Building - $100.00 3. Copy of Certificate of Occupancy - = .254. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~ ~/~ ~ ?.g. . · New Construction.~. ........ Old Or Pre-existing Building ................. Location of Property...~].~.~ ............. p..~.....P~..L~....~.. .................................... House No. Street Hamlet of Property p~.-f%~ fl~ ~ ~,,v~ ~'~ Co LL~ Onwer Owners ................ County Tax Map No 1000, Section .... ~.~. ...... B~ock...~!~. ........ Lot...~-!~. ............... ~ Lot S~bdivision Filed Map ......... Permit No..~.~Y~.~..%.~T..Date Of Permit...;.~l%?.~.. ~ -~ .~ ~d~re~ · 3'~ C~...~.... .A~plz~a ........................... Health Dept. Approval ...... ~.. ................. Unde~riters Approval .... ~ .................... Planning Board Approval .. · Request for: Temporary Certificate... Submitted: $ .... .......... . .. . Final Certica e..~ ....... ............. ';C ' F!ELD l~,~ ..... FOUNDATION FOUNDATION ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] INS~- [ ~I~AL ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE ~MNEY~ REMARKS: ~/~ ~.*~. INSPECTOR 765~1802 9 AM TO ~ ~ F~R ~. FOHNDffrION 1V~tO REQUIRED r:OR POURED CONCRETE BE COMPLETE FOR C,O, ALL CONSTRUCTION SHALL ME6W THE REQUIREMENTS OF-THE STATE CONSTRUCTION ~ ENERgy CObES. NOT RESPONSIBLE DESIGN OR CONS~ERRO~ ..... F©LLO~ING !NSPECTIONS; ~~,~..,FOR POURED CONCRETE USE IS UN~W~U~ouc~. ~ ~ ~ ~ ALL CONSTRUCTION SHALL THE THE N.Y. j & ENERGY TOWN OF SOU £ {OLD FORI4 NO. ! TOWN OF $OUTIIOLD BtllLDItlG DEP ARTI, IEITf TOISN ltALL SOtITtlOLD, lt.Y. 1197 $ TEl,: 165- 1802 Di~ppr~ a/c ................... u()ARD OF HEALTH ............... SETS OF PLANS ............... RVEY ........................ XJCIIECK ......................... SEPTIC FOR}t ................... CALL NAIl. 'fO: .................... Date ................ · 19 .... INSTRUCTIONS a. 'lhis application must tm conpletely filled in by tYlX~eriter or in ink a~ ~hnitt~ to dm ~lilding lns~ctor ~itt- ~3 ~ts o[ plus, acmrate plot plan to ~ale. F~ according to ~. Plot pl~ ~i~ l~atim of lot ~ of hildi~s ~ prmi~s, relationddp to ~joini~ prmims or ~blic struts or areas· a~l givi~ a &tailat &~ription of layout of pro~rty ~t ~ dr~ on the dla~ ~id~ is ~rt of this aplflicati~. c. 'lhe turk c~r~ ~ this a~flication ray ~t tm come~l ~fore issmtme of hfildi~ Pemit. d. U~ a~at of this applicati~, the ~ilding lns~ctor will is~ a ~ilding Pemit to the applicant. ~ch ~mit ~tall ~ ~pt ~ tim ~s avail~le for ins~ti~ th~mt the ~mrk. ~y JmlI h~e ~n ~t~ by dm ~ildi~ Ins~tor. w~.IC~'rl~ IS I~Y ~ to tim lkfilditg ~rt,ent for the is~me o~ a l~ilding Pe~t ~rsmnt to the I~ildiog ~ Ordim~ of ~ T~ of ~Gmld, ~ffolk ~nty, ~ York, a~ off,er a~li~ble ~a, ~di~es or ~Hati~s, for tim c~t=ti~ of Nfildi~s, ~itims or alterations, or,or y~al or ~lition, as herein (Sigtmture o~ a~liem~t, or me, if a co,ration) ~ies~, agent, architect, e~i~r,'ge~mral c~tractor, electrician, plm~r or ~ilder. State ~r (as ~ the tax mil or latest If a~licant is a c~rati~, ~i~re of duly a~tl~ri~ o~ficer. (~ a~ title of m~rate officer) Other Trade's License No..~.... .............. ~. ~atlon o~ ~a~, ~ ,t,ld, pr~ ~o,k win ~ ~o~, ...~....m~.,...~.9..~. ....................................... ................... ................................................................................................ ~mty Tax~p ~. I~ ~tion ...ll~ ........ m~k ...1.~ ......... ~ot ..Y.~ .......... ~l~ivision . Filet ~ap ~ ............... lot ....... (~m) 2. State existing ~ a~d ~y of ~mi~s ~ iote~ ~e mxl ~r~ of pro~ml construction: b. Inte~ u~ aM mm~ .... ~.~ ............................................. , i%~ture of ~ork (check ~hids applica Repair ............ llemtr~al ....... Esti.*ated Oost .... /~, ~ ' If fi~llJng, rsJd~r of d~*elling un,ts .. de): ~ I d (ling ......... r~_~g~ntmn~. ......... Alteration .......... ...... l)emal i~i~ ............ Other l~rk ....... ~ .......................... ~rlptim) ([o ~ ~id ~ filing this a~li~ti~) If garage} m~al~er of cars ......... i ............................. If la~si[~eas~ ccmmrctal or mixed rmca~pancy, a~ci~ mture a~l extent I)i.~nsi~m of ~iating atnmturea, lie lhi~,t ........ ] ................. ~t~r oe 8torlea ..... ( ............... IHn~naims of~m atn~mro ~ith Olterati~m or ~itions: Front .... ~ ....... ~ar .,.~7 ......... ............ ~ler of 8torxea .... ~ ............... I I. ~ or u~ district in ~{d~ pr~l~s are si~t~ ................................... . ........................... ~ of Cmtractor .............. ; .................... ~lress ............................... II~ ~ ............... ~ PI.OT DIAGIIA~ l~aLe clearly md dlati~cly all] ~lldi~a. ~tl~r ~iarlng or pro~, md i~licat~ all ~t-I~k dtmnaiona P~s pr~rry li~s. Gi~ at~t a~ b,l~k ~d~tlmr interior or co~r lot. uthorJzed co l~rfon, or have performml the r.~aid ~.~o[k atKI to mko ami file Lhi8 {r~l i. this o[~Jicati~} are tn~ Lo the {~nt pi his kt~l~ge md I~l. ief~ af~l ~an,~r ~C forth in tl~e appl icaCion f[l~ tl~rmiflL (SilPmcure of ^pplicm~t) of said r~n~r or that the ~rk ~rn Lo I~fore n~ this ........ .......... .... .... ~ta~ lsd . ~J~l~d tn Suff~k Cou~ ,i U~ ~o~mi~lon Expires Jan, (Nm~ off i~dividual, signing contract) ] alx~ve l~lm<l, I~ is the ............................ I ....................................................................... (C~ltractor, agent, ofF)rate officer, etc.)