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HomeMy WebLinkAbout24914-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26170 Date: 12/15/98 THIS CERTIFIES that the building ADDITION Location of Property: . 1365 WATERS EDGE WAY SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 5 Lot 67 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27, 1998 pursuant to which Building Permit No. 24914-Z dated MAY 29, 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 MICHAEL MILLER of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A /ildin~ Inspector 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. 24914 Z Date MAY 29, 1998 Permission is hereby granted to: MICHAEL MILLER 1365 WATERSEDGE WAY SOUTHOLD~NY 11971 for : CONSTRUCTION OF A DECK ADDITION TO THE SIDE OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1365 County Tax Map No. 473889 Section 088 pursuant to application dated APRIL Building Inspector. WATERS EDGE WAY SOUTHOLD Block 0005 Lot No. 067 27 1998 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN }~LL 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. F6r existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-existing" land uses: i. 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. 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00' New Construction .... ~ ..... Old Or Pre-existing Building ................. Location of Pr~-~,~ 1365 Wa%ersedge ~ Southold . House No. Street Hamlet Onwer or Owners of Property . · · ty ~ qgPP L-- 06v Coun Tax Map No i000, Section .......... Block ............ ou ...................... Subdivision .................................... Filed Map ............ Lot ...................... N~ 24914Z. n ...... May 29, 1998 .... Run Morizzo Builder Inc% Permit ................. a~e~ rermle..~ ............. appAlcanE .......................... ... . . Health Dept. Approval ....... ~..- ................. Underwriters Approval ..... '.~.. .............. Planning Board Approval ..... ~. ................. Request for: Temporary Certificate ...... Final Certi£ate...X.X. ...... Fee SJa~mit tea: ,...2.5...q0. ................ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION FRAMING [~J~AL [ ] FIREPLACE & CHIMNEY REMARKS: _ INSPECTOR. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .FLUMBING' COMM£NTZ INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: M[IRIZZO BUILDER,INC. P.O. Box 789 · Mahl Road, Southold, NY 1 I971 HOME IMPROVEMENTS CUSTOM 14OMES CARPENTRY (5i6) 705-5772 · Fax (5'16) 765-0196 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Ail~iiO~Ei).AS NOTED NoTiFY BUILDIN 766-1802 9 AM TO 4 PM FOLLOWING tNSPE~IONS: 1, FoUNDATiON ' ~O REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & pLUMBiNG 3. :NSU~TION 4. FINAL * cONS~RUC~ON MUST 8E coMPLETE FOR C.O, ALL CoNSTRUC~ON SH~ ME~ THE REQUIREMEN~ OF ~HE N.Y. STATE cONS~O~ & ENERGY CoOES. N~ RES~NSIB~ FOR DESIGN OR CON~U~ON ERRORS cc~ /6" ¢ C MORIZZO' BUILDER,INC. HOME IMPROVEMENTS CUSTOM HOMES CARPENTRY P.O. Box 789 · Main Road, Soulhold, NY 11971 (516) 765-5772 o Fax (516) 705-6196 , ~ .... i ~ TOWN OF SOUTIIOLD · ~ BUILDING DEPARTMENT ' f~PR ~ 7 !' [j TOWN IIALL , SOUTHOLU, N.Y. ! 197 ~ ~'~' '~.~.. :~. ~ ~=q~ TEL: 765- 1802 ~ .... , 19 .... PemtL ~ ..... % .......... D~ a/c .................................. INSTRUCTIONS · BOARD OF HEAI.Tll ............... 3 SETS OF PLANS ............... SURVEY ........ ,.., ............ CHECK ................... ~ ..... SEPTIC FORM ......... , ......... ' CALL .......... I/IlL TO: . 'Date.. A{~ ri[.l..13...., 19.~8. a. ~hls appllcatiee ,,,,,,t be conpletely filled in by typewriter or in ink and selnitted to the Buildlng Inspector ~ith 3 sets of plus, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing lseatiou of lot and of lmildiugs an prenlses, relationship to adjoining premises or public streets or areas, and giving a detailed deseript~oo of layout of property must be drama on the dia~f, an which is part of this application. c. The woflc covered by this application may not be ccnmeaced before issuance o~ Building Permit. d. Upon ~ppio~al of this applicatico, the Building Iuspeetor will issue a Building Permit to the applicant. Such permit shall be kept'an the premises available for inspection thronghcot the ~rk. ' e. ~ No building ~hall be occupied or ~ in ~/aole or in part for ~ny ]mrpos~ ~atave~ ~mtll a Cer~lflcate of Occupan~ ~hall have been Eranted by the lhildlng Iaspac~or., ~ A~EICATI~I IS I~lli ~ to the Buildlng Deparment for ~he lssuanca of a Buildlng Per. it por~nt to the Buildlng Zone Ordinance of the To~ of ~uthol~ ~uffolk Coun~y~ ~ ¥ork~ a~d other applicable La~s~ O~lln~cee'or l~ulati~s~ for, the constroctlan of buildln~ addltlons or alteratlo~ or for ~al or ~11tlon~ .as bereln deserlbed. ~ ~ appllc~ml~ ~s to c~ply wlth all 'a~Pllcable i~s, ,Ordin~cas, buildlng code, housing cede~ acd rngulatlo~;f~ed to ~il~ anthorlzed laspac~ors co premises and in beildlng for necesasry inspactlees. (si~or~ oi~ppUe~. Or ~, i~ a co. or. don) ..... (Mailing address of applicant) State vhetber applicant is ~r, lessee, agent, architect, engiseer, general contractor, elsetrician, plunber or builder. ....... ~N~Rb~.EONTRAETaR ................................................................... l/ama of owner of premises...............--.--..------..---MICHAEL A. ~ILL.ER ............................................. .. . . . . ' ......... (as an ~ taxrell or latest deed) If applicant is a corporation, si~ture of duly authorized officer. ...... .............. (l~e~ and t~tle of coca,'t-ate offlcer) Builders License llb. 6772HI Plm~ers License I/o ...................... . .. · ElactriclansLicenseEb ............... , ....'- Other Trade's License No ............... I. , l~tlon of land on which proposed vonk will be done ....................................................... 1315 WA~ERSEDGE WAY .............. ~.~ .... ,..,.~ ......... $.QU.T~t.QLJ~ ......................... ~ l%~.r .. Street ~ , ~ Hamlet Cam~yraxMapNo. 1000 Section 8.,8...: ..... ;Block "~ , ; , Lot ;.617....... r ~ "Filed ~ No ................ Lot ............... Subdivision ...................................... (sma) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ing ............ a. Exist use and occupancy .... .~I~.~k~Y-~. ................................................ DWELLING' I~.ITH DECK .................... b. fotendad use ~ad aconponcy ......... ~ ................................................. I0. II. 12. 13. 14. 15, frc~ proler ty ~dmLImr ~flteclor or corner lot. I, N;Iture o[ ~otk (check diJch tlpp[lcable): I~,~ I~lhling .......... ~klltim~ .......... Alte~atlon .......... I~1 ~Hr .......... ~ma[....,.......,.I I~diLion .., ..; .., Oilier 1~rk DECK ~,ti,mt~l ~,t ~, 500.~0 j ' I~ Im~is~s, m~relat or mi~J ~mqm~, s~elfy ~ture m~l ~t~nt of ~d~ ty~ of u~ ...................... lJl,~nsimm of existing stn~t~r~s~ ii m~y~ ffr~mt ................ ~sr ............. . . ~pth ................. ~pth .................... I~i~t .................... ~d~r of Stories. ............... I~J~t ................. ~.. ~t~r'o[ Btort~s ' SJ~ o[ lotJ F~t .................... ~ar .................... th i l~t~ of hirclm~ ......... ' .....~ ...... ~ of Foi~r ~r ....... '~'. ............................... ' ~ Pi.OT DIAGRAH l.~ate clearly a~ dlsti~tly a}l {~[ldi~s, ~Umr exla~Ing or pro~, m~{ it~llcate ali ~t-I~ gi~ 8t~t m~J bilk ~t~r or ~scr~pt~o~ acco.ling to ~l, a~ g~ atreet t~a ami jmlicate (~ II,T 1~ irt SgFFOLK ss! (~m o[ h~lvld~[ .tg. iug I~ i'. the QONTRAC~OR J . ' .... ........ (C~tractor, .ge.t, ~orl~rate oEElcer~ eLe.) ,