HomeMy WebLinkAbout25217-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26266
Date: 02/08/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 892 ELIJAHS LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 108 Block 3
MATTITUCK
(~ANLET)
Lot 5.44
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 14, 1998 pursuant to which
Building Permit No. 25217-Z dated OCTOBER 8, 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 AGRICULTURAL FARM STORAGE BUILDING AS APPLIED FOR.
The certificate is issued to JOSEPH SHIPMAN
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N 478539
N/A
//u~g Inspector
02/01/99
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. 25217 Z
Date OCTOBER 8, 1998
Permission is hereby granted to:
JOSEPH SHIPMAN
ELIJAH'S LANE
MATTITUCK~NY 11952
for :
CONSTRUCTION OF AN AGRICULTURAL STORAGE BUILDING AS APPLIED FOR.
at premises located at 892
County Tax Map No. 473889 Section 108
pursuant to application dated AUGUST
Building Inspector.
ELIJAHS LA MATTITUCK
Block 0003 Lot No. 005.044
14 1998 and approved by the
Fee $ 50.00
ORIGINAL
Rev. 2/19/98
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 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
~pre-existing" lend 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.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw~-,-ing 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 - , .~5~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00
Date ...........
construction ........... Old Or Pre-existing Building .................
~ation of Property '
House No. Street H~mlet
of Property '
Owners ....
',aty Tax Map No 1000, Section. .t ~.~. ....... Block...3 ........... Lot ...............
bdivi Fil Map ............
"~ i sion .................................... ed ........ Lot ..............
~Zmit No.w .............. Date Of Permit ............... can ..
~lth Dept Approval ~ q ~ l~ Underwriters Approval ......
.arming Board Approval ........................ ~
~quest for: Temporary Certificate ........... Final Certicate ...........
Submitted:
APPLICANT
:OUNDATION (1st)
POUNDATION (2nd)
ROUGH FRAME &
.FLUMBING
I~SULATION PER N.
STATE ENERGY
CODE
'FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
] FO~J~ATION 1ST [ I ROUGH PLBG.
/
]/FOUNDATION 2ND [ ] INSULATION
/
[~/] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
IN S PECT~~/~
765-1802
BUILDING DEPT.
INSPECTION
[ F~OUNDATION 1ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
REMARKS:
] ROUGH PLBG.
] INSULATION
] FINAL
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL~BG.
[ ] FOUNDATION2ND [ ] INS~JL~ION
[ ] FRAMING [ ,~NAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA = 1
11~197 BUREAU OF ELECTRICITY
~--- 40 FULTON STREET, NEW YORK, NY 10038
. Date FEBRUARY 01,1999 App~cation No. o. file 17532899/99 N 478539
THIS CERTIFIES THAT PE~{IT NO. 25217
only the electrical equipment as described below a~d introduced by the applicant named on the above applicafio~ number is in the premises of
JOE SHIPMAN, ELIJAHS LANE, /gATT/TUCK, NY
in the following location; [] Basement [] 1st FI, [] 2nd Fl. OUT Section Block
was examined on JAI~UARY 12,1999 and found to be in compliance with the National Electrical Code.
Lot
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FIXTURE REC~1ACLES SW~CHES
OUTLETS
12 4 6
DRYERS
OTHER APPARATUS:
P~E~O~S:I"gCIR. lOO
E- R- ~ V -~ I C E
NO. OF CC COND, A W.G.
pER ~ OF CC COND
50 PAT LANE
MATTITUCK, NY, 11952 11~£NERAL mANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by thor credentials.
COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
BLDG, DEPT,
INSTRUGTIOHS
e, 'ibis ~pplicuCion must be co~letely l~tTled in by L~pc~ri~er or in }~ ~
3 ~ts 0~ p]~, ac~rute plo~ I)1~ to ~ale, ~ ~co~}~ to
s~r~ or ureas, ~ 5ivi~ ~ ~ull~ ~rip~i~ o~ luy~ of pro~r~y ~ ~ dr~
d. O~ ~l o~ fids ~wl.i~cio~, tl~ ~lldi~ ]us~c~or wilI is~ ~ ~ildi~ ~mt~
e. ~ ~iid[~ ~ll ~ ~pi~ or ~ in d~le or in ~r~ for ~ ~
~laci~s, for tl~ ~c~ci~ oi hfildi~. ~i~i~s or alteraCi~, or for ~a] or
re~daci~s.,~ Co ~tC ~ri~ t~Cors ~ ~t~s a~ in ~ildt~ for
.... 7}.?. 9.?!.gfftt~..a..e .....................
(~tli~ ~mss o[ awlic~O
Sc~Ce ~O~r ~ltcan~ ts ~r, les~ ~en[, archlC~C~ en~i~r.'~ral ~r~Cor~ el~crtct~ pl~r or I~dlde
................. 9.~.~.g~.;n..: .......................................... , .......................................
~.p~ ~ 5.~i~,~ .¢. ~t.~.~ i;.~X/~a ...................
~ oi ~r 0i pr~l~a .. ' .... "
If a~flico~c is ~ co~r~ti~, si~re of duly ~l~ri~l ollicer,
l~filders License Ho ..........................
Fltsrbers License lqo ..........................
[~ai~ o~ ~ ~ ~,t~, p~ ~ ~tu ~ ~..~.~.~E~ ..... .~5 ...... ~... · ......
..........................................
State existing ~
a. F~i~ ~ a~ ~y ...................................................... ' ......................
I~l~Ir ~t ' ' ~ ' ~
z~.~. ~ / ""
,
tff l,xllvfd~It si§nh)8 c~trnc~ ~ '
tire ......................................................................................
(C~,tractor, n~ent~or~rn~e o~[cer,
to t~fo~ ~ Ods
duly m,~)rt~, (leix)ee8 ami ~tya LIml: he {a the atppl,{c~itll:
II
II
)~NIq NI~'H D
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~ ~ ' ~ '~'~ q l ~ , ~ /I
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SU~Y
dOSEPH R SHIP~AN ~ CATHLEEN
AT MATTITUCK o~r[ JUNE
~WN ~ SOUTHOLD SCALE f'= ~00'
SUFFOLK COUNTY, NEW ~RK NO 97'0416
Ii YOUNG s YOUNG
NOTES~ ~=MONUMENT FOUND ~: STAKE FOUNO
RE. LOT NQ I, MINOR SUBDIVISION FOR"GREENBRIAR HO~ES~INC'.' ALO[N W Y~NG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N Y.S UCENSE NO
~ = STAKE SET
HOWARD W YOUNG, LANO SURVEYOR