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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 .......... 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