HomeMy WebLinkAbout24751-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25990
Date: 09/28/98
THIS CERTIFIES that the building ADDITION
Location of Property: 1475 MEDAY AVE MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 113 Block 9 Lot 5
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 2, 1998 pursuant to which
Building Permit No. 24751-Z dated MARCH 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 SUNROOM ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MARTIN & FLORENCE GELLMAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 21114 08/12/98
PLUMBERS CERTIFICATION DATED N/A
Build~p~ Inspect~F'~
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. 24751 Z Date MARCH 43 98
Permission is hereby granted to:
MARTIN & FLORENCE GELLMAN
PO BOX 256
MATTITUCK,NY 11952
for :
CONSTRUCT A SUN ROOM ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 113
pursuant to application dated MARCH
Building Inspector.
1475 MEDAY AVE
MATTITUCK
Block 0009 Lot No. 005
2 98 and approved by the
Fee $ 75.00
f/B~l~d~ n~g I~n pector
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TO~N
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
Ppre-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 Buiidin~ - $100.00
3. Copy of Certificate of Occupancy - ~ .25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $~570, Commercial $15.00
ate ............................
New Construction ...... ~z~.... Old Or Pre-existing Building .................
Lo ' f I ~v~J ~O~ ~ qTl~V~ ....
cat.on o rope ty ........ , ....................... ......... ........ .....
House No. Street Hamlet
Onwer or Owners of Pro err . ..
Ii~
Subdivision ............................... ~.~.Filed Map ............ Lot ........ ~ ............
...... /.~ ....... Applicant .... ~ .........................
Health Dept. Approval .......................... Underwriters Approval
Planning Board Approval ................... . .
Request for: Temporary Certificate .........
Fee Submitted: ~..?.~?~O ..........
APPLICANT
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
July 24, 1998
Four Seasons
5005 Veterans Hwy.
Holbrook, New York
11741
RE: Martin Gellman, 1475 Meday Ave., Mattituck, 1000-113-9-5.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX /An ~pplication for Certificate of Occupancy is
~,/~t on file. (Enclosed)
No Underwriters Certificate on file.
XX
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 # 24751-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
DATE: 8fJ2/98
ELECTRICAL INSPECTION SERVICE INC.
375 D U~ON A VENUE
E~4ST ?A TCHOGUE, NEW rORK 11772
(516) 286-6642
21114
APPLICATION No. ON FIL~
VILLAGE: Matlituck TOy/lq: Southold
ADDP,~$$: 1425 Meo~ Avenue
ISSUED tO: Martin Gellman
LOCATIO~V: Base..
8/12/98 and foutd to be tn complianva with the ~'ational Electrical Code
1M ~ , 2nd , Srd At~c
Dat. Garage Hot ~tb .Pool
fi~VITCHE$ RECEPTACLES t~'XTURES HEATERS F.~VS i G.FL ~JR. COND.
2 4 1
D1SHW~H~ DR~R CLO~ES WAS~ G~. DISP. ~ O~ SMO~ D~R
~ACE OIL GAS CI~ M~O~ B~L T~. S~CE DI~CO~ECT
OTHER
EQUWMf~VT
BUILDING PERMIT No.
ORIGINAL YELLOW COPYPINK COPY OFFICE
HUGO ~. SURD f
P]~S]DF2~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ~ll:l~H PLBG.
INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
7GS-~.80Z
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ]/~OUGH PLBG.
[ ]/~)ONDATION 2ND [~.'j" INSULATION
[ I./]' FRAMING
[ ] FINAL
[ ] FI REPLACE &/C//..~M~EY,//4 ~
RE/M~RKS-' ~
765-1802
BUILDING DEPT.
INS CTION
] FOUN/DATION 1ST [ ] ROUGH PLBG.
[ ] .~01~NDATION 2ND [ ]INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] IN~ULATION.
[]FRAMING [ ~/~INAL~'*/'-~-~
[ ] FIREPLACE & CHIMNEY
FORH HO.
TOI4N OF ,~;OUTIIOI,li
IIUI I,l)l FiG lie PARTttI[NT
'1'01,} N II^IA,
$(IIITIIOLI), N.Y. 11911
BLDG. DEPT. I
TOWN OF SOUi'HOLD i ,
^PPLICATIOH VOR iH!I[.I) IN¢: PI~.IHtlT
i N,q'I'IHICT I ON~
IlO^RI) OF llEAI,'I'II ...............
3 SETS OF I'|.ANfi ...............
8HRVIr, Y ........................
CllECK .........................
~E P'I'I[ C FORH ...................
n. 'lhLs oppHcnLi<x~ mint be c(~npletely filled in by tylx~riLer or in ink taxi md.nitl:~l to Ihe I~dhling Iuslmclor ~ill
3 ~t~ of plalm, acolrate ploL plan '1o ~ale. F~ nccording to 8c.h~lule.
/hi~ nppl icntl~L
~ncrll~l. lira applicant agr~8 to coq)ly wit t
(~[1 i~qt ~klresa Of alii lentil:)
8trite idmtlmr alq~ticant 1s ~r, le~6~, ,genL, archiLect, enllilmer, 8elmral contractor, electricJml, philter tlr ladhler.
................
a ~ the tax ix)Il or ]nLest de~
If tqq)licm~r is a corl~r~sti{~, ~jll~ture of duly ~thori~l officer.
(~,~e nlxl LiLle of corlx)rnte officer)
~-
I~ Il ler~ 1,tcen~ ~,
Electricians Lice[me ~. I
2. 81ate c:g 8:in8 use tnxl ~ctqm~ o~ ing~nine}, m~l inlelxled use tll~l (ml:u~alR:y of pro~)~(I c~ml:~lction:
b.
7. Ili,t~[mitn~a GE exial:ing atnmtm-eu, If any: Fr(~st ................ ~ar ............... [~pth .................
II. axm or u~ diul.~ict i,, ~t{d* p~enise, n~e sltuatc~l ..............................................................
PI.OT I)IAGItAH .{
clearly m~l di,ti~ml:ly all I~[Idings. ~mUmr ~isLing or proI~l, m~l t*xlicnte ali se[-l~k din~nsion~
~;I'KII~ (Xr HI~4 YO~,
(Nmx~ O1' ilxlividtmnl ,ilpdi*g
,,, ~,, ,,., ..~e..~. ..... .............................................................................
o~ ~mld ~mr or ~mrs, m.I is duly ouLhoriz~l Io I~rl'mm or hnve lerlor.~!d Ihe ~mhl ~k taxi to .~ke taxi file Ihi~;
that. the ~)rk ~ill Im Imrfon~l l~ Ihe .~m~mr seL forlh i~ Ihe nlq~lic~Uii(n~ fi}~l therefor.
.......... o .....
[ [ JACQUELINE A, HASSETT (Sil,~al m e of Apl
~ Notaw Public, State of New York
No. 01 HA5035395
Qualified in Suffolk CounW ~
Commission Expires Oct, 31, 19~
" t
~REMOVE EXIST. BAY WINDOW
/OPEN WALL kIAX. WITH NEW HEADER~%,'~:~?~.~., %¢,
EXIST. HOUSE WALL /REMOVE EXIST. OVERHANG
2' / ~
7~I~ ~4~~
~o~t ~O~ c.o.
11,_2, A~NSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
9'-~" STALE CONSTRUCTION & ENERGY
~ ~ NOT RESPONSIBLE FOR
OR CONSTRUCTION ERRORS
I
OCCUPANCY OR u..E,m~,s CER~R~TE
USE IS UNLAWFUL~ i ,
WITHOUT CERTIFIC~IE
OCCUPANCY ' ~
SCALE: 3/8" = 1'-0"
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m ~ ~ ~ ~ ADDRE~~A~ITUCK, ~
~ ~ ~ SYSTEM 8 BACK TO BACK PHONE~ (516)298-5370
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ELEVATION A-A
ELEV ,IlO A-A
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SYSTEM 8 BACK TO BACK
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DETAIL A DETA
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SYSTEM 8 BACK TO BACK
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