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.) ,