HomeMy WebLinkAbout24069-zFOP~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCcuPANCY
No Z-25230
Date SEPTEMBER 3, 1997
THIS CERTIFIES that the building. ACCESSORY
Location of Propert~ 345 WAVECREBT LANE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 100 Block i Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated ~PRIL 11, 1997 pursuant to which
Building Permit No. 24069-Z dated APRIL 23, 1997
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 ACCESSORY GARAGE IN X~ REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid buildin9.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
TIMOTHY & DEBORAH A. POOLE
N/A
N--428234 -- AUGUST 11, 1997
Rev. 1/81
Bu ~ding Inspector
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)
N? 24069 Z
Dote ..... ~ ............ , 19
Permission is hereby grant_ecl, t_ o: . ~ ~
County Tax Map No. 1000 Section ...Z~ ........ Block ...../.. .............. Lot ,o....../.....~.... .........
pursuant to application dated ......... ~..../~.. ............. 19Y./~..., and approved by the
Building Inspector.
/ '~ Building Inspector /
Rev. 6/30/80
Ao
TOWN OF SOUTHOLD ~7~_
BUILDING DEPA_RTMENT ' ~
TOWiq HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP.~NCY
b~ filled in bv 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 ail 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. Approve! of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/t0 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, i957) non-conforming uses, or buildings and
'!pre-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.
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-existinz Buildinm - $100.00
3. Copy of Certificate of Occupancy - , .25~
Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ......................................
~ew Construction...% ...... 01d Or Pre-existing
Buildin~
House No. Street Ha~et
0~w~= o= o=~=~ o~ ~=o~=~.~.~s.r~< z..~(..~~. ~.~ .....................
:o~=y ~, ~ ~o ~ooo, s~,~o~..~e¢ ......... ~o~ .... ~ .......... ~o~. A ~. ................
~a~o~.~/~ .... '~ ............. ~ ~ .............
~ ~ ~ ~o~ .~2 .................
................ ane Of Pe~it ................ Applicann .............................
Real~h Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
~"'l' - , Ce~tz__c_te ........... Final Car~ica~a.
~Re~ues~ for: Temporary ~ '~ ...........
Fee Submzcted: $. ~ ~ ~d,.~
'~HE 'NEW YORK BOARD OF FIRE UNDERWRITERS p~ ~.
~-~(~(~7~ ~ . -. , , ., BUREAU OF !ELECTRICITy,
[--" 85 JOHN STREET, NEW YORK, NY 10038
Date Ai~GU~'][' ~Li, 1997 ~pplication No. onyi~e ~42,78497/97 ~ 42823~
THIS CERTIFIES THAT
T~I{ P~LE, ._4.~' WAVECRE~T I~NE, t~t~A~UCK, N~Y. ~
in ~he followlng h,ca~io.; ~ B~sement ~ Ist FI. ~ 2nd FI. ~/ODT Section Bilk Lot
~s examined on AU~[]~ ~* 06 ~ 1997 and found to be in compliance with the Na~onal Elect~cal Code.
OTHER APPARATUS:
G. F, C .I';'~4 ·
323 DEEP HOLE ROAD -
...~, CALVERTON, NY, 11933 Per I1 GENERAL MANAGER
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 BUILDI,NG DEPARTMEN'[. THIS COPY OF,CERTIFICA~'E MOST NOT BE ALTERED IN ANY MANNER.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
] F/~OUNDATION 2ND [ ] INSULATION
FRAMING I I FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS= _~~
DATE. 7 INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [/ ] I~ATION
[ ] FRAMING [~] FINAL
[ ] FIREPLACE.& CHIMNEY
DATE ~/~;~ INSPECT~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]~ULATION
[ ] FRAMING [~ ] FINAL
[ ] FIREPLACE-& CHIMNEY
REMARK~:"~ ~ ~
?
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNOATIONIST [ ] ROUGHPLBG.
[ ] FOUNDATION2ND [ ] INS/~LATION
[ ] FRAMING [/]/FINAL
[ ] FIREPLACE & CHIMNEY
Alii) I'1'1 l,
FORH HtJ.
*F()X,~H OF ,t~OU*l*ilO].])
BU 11.1)1 NC I)F. PAWI'HI~NT
TO'NH Il^lA,
SOIJTIIOI.I), N.Y. 11971
TEl.: 765-11102
I N!ITIIIICT I 0i"1~
IlllAl(tl (Il" III':^I,Ttl ..............
-~'.] lil{'fll OF tH,^NS ...............
'~ ,'i lilly E Y ........................
-' CIII{CK .........................
,qI{PT 1C ¥OIIH ...................
NOTIFY:
c^,.,...2 f.
14A I 1, TO: '
Date ................ , 19 ....
~{. 'lhii{ apldiCal }(~x utml I~.' co.pletely filled i~ I}y lYl)e~,n-ilcr or in ink nxM ~nd~uitt~l to the Ikxihlinl~
I~'c-I~U~:y ~d.lll have I~n lirOnt~l lyy lhe lld hling Inflation-.
ltd hling Y~i Onlina~e of tim 'li~{ o1: ~lhold, ~ffl'olk (i~.lty, ~v YoiR, m~l other aPl)l ic~ble J4~tl,
Ih~l~ulal i(nm, for Ihc t~{lit~:tJ(~l al I~dhlinl~L m~lll h~{ or allc{al, long, or for r(mxival or dat~)l il'ion, a~ heroin
de,trilled. 'Ibc alqdicaul, ngrees Io c~]~ly ~ilh all alq)licablc l~s, otdiimnces, I~dhlin~ c(xl% h(z~Sinl~
(Mail in~ ,mldre~s of appl icanl )
Slate xdlether ~H~plicant ia ore,er, lessee, ilgenl., ~rchitect, engil~r, get~ral contract.or, elecLricbm, l)hnd~r or I~sihh
......... ~ ..................................................................................................
,,,,,~ ,,[ ,~,~r .1' p,'m,i~cs ...I.t~..~. .~.~. ~ .......................................................
(as ~l the tax ~l)ll or lalesl, deed)
If nl~Aicmll ia II corlxlrlll, ien, signature of duly auLhorizi~d officer.
(I~,,~ m~l t h le of ¢OrlX)rate officer)
Ih~l~Hr · ........... lb.~,~l . ~lH. Io,~ ............Ot~ .........
I~ i,,~,* ~1 (~.~r -~ ........ ~ .... r.o .......................................
~:~:tllm[~:y. olx~(:i ~y ,~r~l~lr~ z~t~l (~x(~ltt. of' e~]~:lT I.~1~ (1[ ~l~le ......................
I)h~*m~d~.m or ~.,~ ~l~t.:t~r~ ~[th ~Hlet~Li(~m or ~.ldtt. ion~: Front ...............
I~.pIh .................... I~]il~d ~ .................... ~i~ of t~{~'{~ ...............
~i~ . .~ ~ ~ ................................
........... : ...... ,,~,-'. ~.,~ ~ .......... ,~,~,,, . .. ~.'7 ..........
7~ or ulm ~11~1~ I~l' in ~i~t~ I~r~lne~t ~'~ ~l~le~l ..............................................................
,
,~,,,,~,, ,,r-~,,,~, ,,r ,,,, ,,,~,, h~ .N~.~.. ~,,,,,,, ~k~.~a~.&~ ...... ~,o,~, ~,.4~2~ ~..'
R,~ ~F Archile~'.t ................ ~ ............. ~Nhe~m .............................. I1~o~ ~*,
I~; II,i~ I~lX~ly ~ilhh~ '~X) reel: o~1~ ~, I id~H I~l.h~.l? * Yl~l
(,,I i,' iJte ()f ^lqlll(mrll)
HELENE D, HORNE
Notary Public, State of New York
Qualified ia
Commission Expiros May
((2.11 (r)(:l (Pr, rq%¢ml, (:<)rl~<)rld e ()rl'i(:er-, {!l (:.)
APR II 1997
BLDG· DEPT.
TDWN OF SOUT,'IO[ f)
OF OCCUPAnCy
l!