HomeMy WebLinkAbout25204-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26580
Date: 07/21/99
THIS CERTIFIES that the building
ADDITION
GREENPORT
Location of Property: 325 TARPON DR
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 53 Block 5 Lot 4
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 5, 1998 pursuant to which
Building Permit No. 25204-Z dated SEPTEMBER 25, 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 SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to SEYMOUR BRITTMAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N 493599 07/06/99
N/A
Building Insp~or
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25204 Z
Date SEPTEMBER 25, 1998
Permission is hereby granted to:
SEYMOUR BRITTMAN
PO BOX 1247
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED
FOR.
at premises located at 325 TARPON DR
County Tax Map No. 473889 Section 053
pursuant to application dated AUGUST
Building Inspector.
GREENPORT
Block 0005 Lot No. 004
5 1998 and approved by the
Fee $ 75.00
Building ~nsp~'
ORIGINAL
Rev. 2/19/98
BUILDING D EPARTi~ENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
;t be filled in by typewriter OR ink and submitted to the buitdin
g: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property line~
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 build~
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 a
'~pre-existing" land uses:
l. 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 applican
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 Buildine - $100.00
3. Copy of Certificate of Occupancy - ~ .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .... .~. ~..Jl-O- ~.C ~ .....................
New Construction ........... Old Or Pre-existing Building.~-~-6~-
D
Location of Property. JZ~ O...~. .~.t.~.?~. ....... r .........
House No. Street Hamlet
Onwer or Owners of P roper ty .$.~-~4~ --~--~ [0+..c~......~.. .~ ~k~. ... g ~ · .~--~.-~.~- ~-- ', ......
County T~ ~p No 1000, Section...~-~.........-Block..-O-~ ......... Lot..~ ...........
Sobdivision .................................... Filed ~p ............ Lot .................
Pe~lt No.~.~q~ % .Date Of Pe~it. ~-~Appticant~~~ ~'
Health Dept. Approval ........................... Unde~iters Approval.~ ...............
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final,Cerf~icate---'~'' .....
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
June 29, 1999
Seymour & Adelaide Brittman
P.O. Box 1247
Southold, NY 11971
RE: 325 Tarpon Drive, Greenport.
To Whom This May Concern:
We
because
XX
are unable to complete your Certificate of Occupancy
of the following reasons:
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.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25204-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
:OUNDATION
COMMgNTZ
FOUNDATION
~_.
(2nd)
ROUGH FRAME &
.FLUMBING'
I~SULATION PER N. Y.
STATE ENERGY
CODE
'FINAL
ADDITIONAL COMMENTS:
'l
' ...< ~
0 Ot
765-t802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ]ROUGH PLBG.
[ ]/~ULATION
[ p~ FINAL
DATE /~////,~/~' INSPECTOR
765-1802
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] F/OUNDATION2ND [ ] INSULATION
[c/] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
76S.1802
BUILDING DEPT.
~~u~,oiPECTION
[ N 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
INSPECT~~
76~-1802
BUILDING DEPT.
INSPECTION
[
[
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING
[ ] ROUGH PLBG.
[ ] I~U~ATION
~]/~INAL
] FIREPLACE & CHIMNEY
THE NEW YORK BOARD OF FIRE UNDERWRITERS Pnc .l
1001093 BUREAU OF ELECTRICITY
V 40 FULTON STREET, NEW YORK, NY 10038
· ' ~ JULY 06,19q~ . ~ .... /~8361199/99 ~ 493599
THIS CERTIFIES THAT ~I~T NO
only the electrical equipment as described below and introduced by the a'l~rpti~a~t~t~t~med on the above application number is in the premises of
~. C* BRITT~N, 325 TARPON DRIVE, SOUTHOLD, NY
in th~ following location; [] Basement [] ]st Fl. [] 2nd FI. OUT Section Block Lot
was e~camined on OlJLX/ 01,1999 and found to be In compliance with the National Electrical Code.
FIXTURE
OUTLETS
DRYERS
FIXTURES RANG~ES OVENS DISH WASHERS EXHAUST FANS
FLUORESCENT OTHER
OTHER APPARATUS:
PADDLE FAR-- 1
G.F.C.I:-i
S E
NO OF CC COND.
PER g
R V I C
OF HI-LEG
NO, OF NEUTRALS
A. WG
OF NEUTRAL
425 MONSELL LANE
CUTCHOGUE, NY, 11935 GENERAL MANAGER
11 \ ,
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be Identified by their credentials,
COPY FOR BUILDING DEPARTMENT. THIS OOPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER·
FORH HO. I
?OUN OF SOUTUOLD
BU]I.DIHG DFA'AR'iI4BHT
TOWN IIALL
SOUTHOLO, N.Y. { {97 {
TEL: 765- {802
1){~approved a/c ..................................
LI~ATIOH ]FOR BUILI)iHO ~gRHiT
3 s~TS O~t'~AHS ~ .............
SURVBY ~'. ......................
ClIECK
SEPTIC ~OP, H ...................
NOTIFY~
cA,.~ V. ~:~ .~.~ ¢ .......
HAIl. TO: ....................
INS'rRUCTION.q
a. 'Ibis application r0u~t be conpletely filled in by LTOc~riter or in ink ami m,~nitted to tim ik,ilding Trmpactor wi
3 ,eCs of pinna, accurate plot plan to scale. Fe~ according to schedule.
b. Plot plan ~{~ing location o~ lot and of buildings on preaimea, relattotmhip to adjoining premises or p~a)lic
streets or areas, and givtr~ a detailed deacripttcu of layc~t off 'property met be dra~n on tim dtagran d,ich la I~rt of
this application.
c. 'l],e ~ork covered by fids application may ~ot be conrneoced before is~unoce o[ Building Pemit.
d. Upon approval o1~ this appl. ica~lon, tl~ Building Inspector ~ili ie~ a Building l~mtt to the applicant. ~ch
pennlt ~hall be kept on rim pr~ses available ~or inspection thro~0~t tim ~rk,
e. No b~i~ding almll be occupied or used in dv~le or in part ~or any parpa~ dmtever until a Gertiflcate of
Occupancy grail Imve been granted by t~e Butld|ng Inspector.
APi~.ICATEIq IS IIlI~ZBY ~lt~ to tie I~fl-lding Department for ti~ ia~uaoce of a i~utlding l~rmit per,dent to the
lkdldlug Zone Ordlnan~ o1~ the Ib~n of Sonthold, Suffolk County, I~ York, and otber app].icable I~a, Ordi~tances or
Regulations, for the con~tmction olY hdldtnga, additions or alteratio~m, or for r~oval or de~oltttcu, as herein
descril~l. 3be applicant ngreea to comply with all applicable l~a, ordtrmncoa, building code, housing code, ergl
regulations,~m~l to ad~lC authority! inspectors on premises and in building for n~caamary tn~p~tions.
(Signature ol~ applicant, or na~, if s corporation)
(l'{ailit~laddFese of epplJcant)
State ~d~etl~er applicant la o~r, les~e, agent, architect, engtneer,'gmeral c~t~tor, el~trici~, plier or Ixdhle~
~ ........... , .......................................
~ o~ ~ o~ p~.. ~.~.v. ~. ~ .~.b.~z~. ~... ~ ~.~ ........................
/(~ ~ O~ ~ax ~il or lutes~ ~) ·
l~ 8ppli~n~ i~ ~ co~ra~i~, .i~e o~ duly ~l~)ri~l
(1L~e and title of corporate officer)
'~,- VI a- H..t...
lkdldera License lq6 ..... ~w~ ...........
el~nbers License ~ ......
}. l~uCi~ o~ 1~ ~ ~id~ p~{ ~rk rill ~ ~ ..............................................................
........ ~ .~. ...... ~.~ ..... ~ ~z ~. .......................... .~e .c~ ~,~ ................... ~ ....
I~ ~r St~t i~et
~ty Tax ~p NO. I~ kti~ ~ ~ ~ Bl,~k 0 ~ l~t ...... ~ ........
~ivlsi~ ...................................... Fii~ t~p ~ ......... ~, ..... I~C ...............
(~)
~. ~ ,~ ~ ~y .~ ~...~.~.~ ~~ .... . ...........................
b. ]nte~ ~ a~ ~ ......................................... ~-"~'~ ..................
I0,
12,
13.
15.
[~ltill'e ()~ ~ofk (cl~eck dilch aPPlieable)s
I~l~ir ~al ; l~lltl~ ,, ........... Ouher ~ ,, ~ ~ . ~ ....
~ (~rlp~t~)
I~l~ ........... , .....
~pth ...~...2. ........ mld,c .... ~ ~ ........ ~ .......
' t
~,,.. ,a ~.,~,~.. ..... &~.~, ....... ~. o~ ~,o.,.~ ~.~ .~ ................................
~lll lot I~ ~r~ e..~.~
this p~r~y within ~
PI,OT DIAORAt, t ·
I~cate clearly and dlat:lnetly 611 butldlr~ls, ~l~tlmr exist:lng or proposed, and traltcate all aet-lmek dimensions
I:ro~ i)rol)~r~y lines. Give al:reel: and block rs~d~r or descrlp£lon accordlsg ~o deed. and olm~ street r~res ar~l irxlica~s
~deather interior or corner loC, ~
(IIlNI~ ill, , .,'ff~~. .... , '
. C~ O~ ' 'z~ ,_11
..... ..... .......
(~ o~ h~llvhl~L nlgnlng
(C~ttractor~ ngent~cor~rfl~e officer, ere,)
o~ said t~r or ~mrs~ mgl Is {~Iy ~tl~rl~ to i~rfona or lu~e I~rFor.~l t.lm ~id ~k taxi to nuke n~xl file this
al~d teariest; that att statnmnts ~x~a[~ In this nl~)llcnth~ are tn~ to fl~e Ims~ o~ his kt~l~ge
that th~ ~rk ~lll I~ ~r~n~l In tl~ n~m~mr ~t forth in the nl~l. icati<~ fH~
.... beiug duly me)m, (lelx)sea atxl sayn tha~ he in the applncm.:
E; :
i i J
i
: