HomeMy WebLinkAbout24783-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27665
Date: 05/10/01
THIS CERTIFIES that the building ADDITION
Location of Property: 1000 OYSTER PONDS LA ORIENT
(HOUSE NO.) (STREET) (~IAMLET)
County Tax Map No. 473889 Section 24 Block 1 Lot 8
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 10, 1998 pursuant to which
Building Permit No. 24783-Z dated MARCH 18, 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 MASONARY FIREPLACE & CHIMNEY ADDITION TO EXISTING SINGLE FAMILY
DWELLING WITH NON-HABITABLE ATTIC AS APPLIED FOR & AS PER ZBA ~4182.
The certificate is issued to KELLY MCDERMOTT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEpARTI~ENT OF ~ALTH APPROVAL
ELECTRICAL CERTIFICATE
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/~
N/~
Authorized S~gn~re
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. ~783 Date MARCH 18~ 1998
Permission
is hereby granted to:
KELLY MCDERMOTT
PO BOX 2002
ORIENT,NY 11957
for :
CONSTRUCT A MASONARY FIREPLACE AND CHIMNEY ADDITION TO AN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR AND TO CODE.
at premises located at 1000
County Tax Map No. 473889 Section 024
pursuant to application dated MARCH
Building Inspector.
OYSTER PONDS LA ORIENT
Block 0001 Lot No. 008
10 1998 and approved by the
Fee $ 75.00
ding In~pect~
ORIGINAL
Rev. 2/19/98
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. 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 o{ Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of i% 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
Upre-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 Buildin~ - $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 .... fT~...~ ................................ ~/ .
New Construction ........... Old Or Pre-existing Building...z~.. ............
Location of Property...~..~.. ...... ~..~...~..'.~...C~..oQ..~..~...b~,. ....... ~. ....... . .~..~....~..?Q.. ..........
House No.~/OgO~~J Street f~/PwW Hamlet
Onwer or Owners of Property../..~...~.. ~,~..~.. .........................................
County Tax Map No 1000, Section...~. ....... B~ck....~. ........... Lot..~.. ..................
Subdivision .................................... Filed Map ............ Lot ......................
N 0 775 t
Permit .............. Date Of Permit ................ Applican .....
Health Dept. Approval .......................... Underwriters Approva .
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee submitted:
5
APPLICANT
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (631) 765-1~23
Telephone (631) 765-1802
April 26, 2001
KELLY MCDERMOTT
P.O. BOX 2002
ORIENT, N.Y. 11957
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.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT #. 24783-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
CO~M£UTS
ADDITIONAL COMMENTS:
Aj~)roved ........ ,
FOP~ NO. I
TObfN OF SOUTUOLD
BUH,DI NO DRPARTHRNT
TO,iN IIM,L
gOUTIIOI,O~ N.~. I 197 ~
TEl.: 765-1802
1)i ~a~)r~ed n/c .......
BOARD OF HRALTII ...............
· ~J SETS OF PLANS ............... SURVEY ........................
CHECK .... ~...' .................
SEPTIC FORH ...................
NOTIFY:
ca,.,, b-ld-32~ -/.z6 '7
HAll, TO: ....................
~~, INS'rRUCTI()Nfi
n. 'Illin 41~]J~t[~ mint I~ c~ff~letely ftll~l i. by tyl~urlter or in ink nlxl
3 ~t9 of plnns, he.irate plot plnn to ~ale. P~ according to
b. Plot plnn ~1~ l~ttm of lot ~ of lxdldh~9 ~
this nl~)l lentt~.
c. 'lhe ~ ~r~ ~ Ods n~llenti~ ~y ~t I~ ~1 I~fore is~m~e of
i~rmit ~tall ~,~pt ~ tim ~t~n ~nllnble for tne~tt~ thro~t the x~rk.
'e. ~ ~tldl~ gmll I~ mi~! or ~l tn ~le or tn
~y ~lall h~e I~n grant~ I~ U~ ~llhJh~ InsuLar.
~,ICA'FI~ 18 I~ ~ to tl~ l~ltldinB ~rt~n~ For the issue of n ~ildlng ~mlt ~lrmmnt to I.he
I~ildi~ ~ ~1~ of t~ ~ of ~tl~ld. ~ffolk ~. ~ Yo~, 8~ otlmr n~llcable I~a. ~i[~es or
~dnti~, for tim ~st~tt~ of ~dldt~9, ~ltt~s or 81. ternti~9, or for ~nl or ~lttton, o~ l~reln
~scril~. 1lin a~lt~nt ~n to ~ly w{~ nil n~licnl)l~ l~, ordi~me$, ~tlding e~, l~91ng c~e, a~l
.........
~ (~g~mture of a~lteant, or ~, ~f * cor~ration)
~tl~r .~ltcnnt t8 ~r, le.~} ~~,~, -~----- engt~r,' ge,~ral c~traetor, electrtcimh pl~r or Ix,il&
SLate
~?~.. . .... .. ...............................................
~ o~ ~= o~ ~.~.~. ~..~~ ...........................................................
(ns ~ the rex x~ll or lotest d~)
(N~e and title of corl~rate officer)
Plumb~ra Lteen$~ fro ............
(~)
State aist~ ~ nM <~<y b[ ~tns aM inte~ ~e and ~ of pro~ c~st~ti~:
....~... ~ .......................... ~ ...........................
I~'it,re id ~ork (d~.ck ~./ltdi al~licable); ~ ~dlding .......... &~ici~ .......... Alteration' ' ...... ....
~i~ ............ ~.~ ............. ~,~ttl~ ........... oth~ ~ ~~ .................
,, ~i,,~ ~ ~ q .: ..~
5. I~ ~k~llil~, i~l]i~t o~ ~llil~ ml~s ............ Jl*fl~r o~ tk~lltn~ mica ~l eadl ~r ................
7. I)i,~.M~m of ~isting aCne(ur, % 1~ any: [~¢mt ................ ~ar ............... ~l~tl~ .................
I~i~c ......................... ~d~r o~ 8curie( ......................
l~pth .................... I~i~lg ..........
I)l~*e~mJ~m o~ entire ~ ~laC~t. icnl.
........................., j R~d~r
m. ~,~. ,,~ ~,~,~,.~ ............... ~ ..... ~.,.
12. ~a propel ~ls~ti~ violate any ~lln
16. ~*ea of (~er oi pmn[~ ..... ~ ..................... ~liea~ .............................. ~ae ~ ...............
~me iff Ardt ec~ .............. r ..................... ~lrea9 .............................. ~ ~ ..............
............. ~ ..................... ~klrea~ ............................... [~ ~ ..............
15. la Iht~ pmlerty vithin ~ i~:Jog a tJ(~l ~e:l~?
[ PI,OT
l~aLe clearly md dlaCi~tly a'l~ I~ihli,~, detl~r ~laci~ or pro~, m~ hxlica~e att ~t-I~k dish,lone
~PPRO~ED AS 80TED __
~OTIFY ~UILDING OEP~ AT
7~-1~02 g A~ ~ 4 ~FOH THE
FOLL~ING
1. FOUNDATION - ~OREQUIRED
CODES. N~ RESPONSIBLE FOR
DESIGN OR CONS~U~ON ERRORS
(~,~e nf i~xlivicl~ml sig~dng c(~tract)
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
^ppi lemur)
lie i~ the ... ((xmtracto rporate of Elect, etc.
thorJzed to ix~rfnm nr Imve i~.~rl'onw~l Lhe mllll turk m~l ICi) rake taxi fha thin
~1 in I:h[s alqilicatlon are the Lo the ImsL Og his ki~l~e al~ I~l.[ef~ taxi
mm~r ~C forLh itl the npplicaCion [il~ tl~r~[OI.