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HomeMy WebLinkAbout24365-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27295 Date: 09/07/00 T~IS (~E~TIFIEB that the buildi~ ALTERATION L~cation of P~y: 880 F~U ~ (HOUSE NO.) (ST~ET) (~ET) ~ty T~ ~p No. 473889 ~ion 121 Bl~k 7 ~ 11 ~ivisim Fil~ ~p No. __ ~ No. __ conforms substantially to the Application for Building Pe~it heretofore fll~ ~ ~ offi~ ~t~ AUGUST 14, 1997 ~su~t to ~ich ~i1~{~ ~t No. 24365-Z ~t~ SEPTEMBER 18, 1997 was issued, and conforms to all of the retirements of the applicable provisions of the law. The occupancy for which this certificate is issued l~ ~TE~TION TO EXISTING TWO C~ G~GE (NEW GI~ER SYSTEM FOR ~ EXISTIN~ O~ F~ILY D~LLING AS APPLIED FOR. The certificate is issued to FRANK J & KAP~N E MELE (OWNER) of the aforesaid building. muF~-~LK (]O~T~ D~PA~T~ENT OF ~ar.TH ~PPRO%r~L pLr~H~ ~IFI~ATION D~ N/A N/A N/A t~ized ~ignature Rev. 1/81 FORM NO. ~ TO~H OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~.o ~,~s z Do,...~ ....... ../..~. ................ , ,,.~? Re~, 6/30/80 BU~-LD [NC D EFARTiffENT 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" ~nd 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. 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-existinR Buildinm - $I00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 Date ..... ~.~. ~ .......................... New ConstruCtion ........... Old Or Pre-existing Building...~.%-- ........... ..' F'~O v ~. ' . ~oe=ion of ~rope=y ............ .'ff~m..~ .... ..~i .... ~.~.~.~L,..~.¥ ........... House No. Street Hamlet outer or o ers of .. ............. . .. .. ... · -- County Tax Map No i000, Section .... I.a.t ...... ~loe~ ....... -1. ........ ~ot...]~ ............... . Subdivision .~.~..~¢ .~....' ............................ 3.~. ......... ......... Filed Map Lot ..... Permit No..~-~.~ Date Of Permit .~. ~jn~D Applicant...~.~-~?).-~-~- -.. Health Dept. Approval .......................... derwriters Approval .................... Planning Board Approval ........................ / Request for: Temporary Certificate ........... Final Certicate .......... .~.... APPLICANT lall, 53095 Main Road P.O, Box 1179 old, New York 11971~0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 July 14, 2000 Frank & Helen Mele 880 Farmveu Rd. Mattltuck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX 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 # 24365-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMIHG [ ] ROUGH PLBG. [ ] INfLaTIoN [/.~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ~,OUNDATION 2,ND [ ] ROUGH PLBG. [ ] INSULATION ] FINAL c.J o.H. ¢~ooR. 5 J f-- i~ '4" r¢¥ -1 ',3 ~-~ I o~l o '-Z L ~'~I ~, ~ I ,-" ~ I' ' ~ ~°~w ~ = / ~, ~ ~ . . ~ :~ ' ~ FORH NO. I TO~/N OF SOUTIIOLD BUILDING DEPART14ENT TO~IN IIAI.L SOUTt]OLD, N.Y. 1197 I TEL: 765-1802 f PLICATION FOR BUILDING PER,lIT INSTRUCTIONS BOARD OF IlEAI.Tl! ............... 3 SETS OF PLANS ............... SURVEY ........................ CNECK ......................... SEPTIC FORH ................... NOTIFY: ~/ ~ CALL ........ ~..~.~. ~'~.~ ~ HAIL TO: .................... 'Date ................ ,19 .... a. This application ns~st be cc~Pletely filled in by type~iter or in i~ ~ ~tt~ to the ~lildi~ Ins~or v. 3 ~[s of plus, ~[e ploc pl~ to ~le. F~ a~i~ to b. Plot pl~ ~i~ l~ti~ of lo~ ~ of ~ildi~s ~ ~i~s, ~la~i~ip to ~jolnlng pr~i~s or ~llc s~s or areas~ ~ givi~ a ~ail~ &~rip[i~ of last o~ ~r~ mst ~ dr~ m ~he di~ ~id~ is ~rr of fl~is a~l icati~. ~. ~ ~k ~ ~ ~id: li~ti~ ~ ~t ~ ~ ~fore isle of ~ildi~ Pemit. ~i~ ~all ~ ~pt'~ ~ ~s ~ilable for in~ti~ ~h~ O~e ~rk. e. ~ ~itdi~ ~11 ~ ~i~ or ~ in ~le or in ~r~ for ~ ~ d~at~r ~til a ~rti~icate o~ ~I~ IS t~lli ~ to ~ ~ilding ~r~ut For ~e is~nce of a ~ildi~ ~mi~ ~r~nt to the ~tildi~ ~ O~i~e of ~ T~ of ~ld, ~[folk ~, ~ Yo~, ~ other a~llc~le l~s, ~i~es or ~la~i~, for tim ~st~ti~ of ~ildi~s, m~i~i~s or altera~i~s, or for r~al or ~Ii[i~,.~ tmreln ~ri~. ~m a~llc~r ~ to ~Vly ~ith all a~li~ble l~s, ordi~es, ~ildi~ ~, h~si~ ca~, a~ ~lati~s, ~ to ~ir ~ri~ im~tors ~ ~i~s aid in hdldi~r ~ces~ ~Ci~s. ...... ................... (Si~ture o[ a~lic~nr, or ~, if a co~ratim) (~ili~ ~ress o~ ~lieanr)~ State ~O~r a~li~t i~ ~r, le~, ~nt, a~d~t, e~i~r, ~ral ~tractor~ el~trlci~, plier or ~ B~ilders License No .......................... Plumbers License No .......................... Electricians License No ...................... 1. l~caticsl of land on ~aid~ proi~sed ~0ork will be done .......... I Ic~se limber Street Hadet co~, t~x~,No. ,~ .~,ion ..1~.1 ........ ,~o~ ...2 .......... ~t ..Il ........... ...... ......... F,i, No ................ ,, ............... 2. State existi[g use and occopar~, of premises and intended usen a~d ocoal~m:~ of proposed construction: ,. ,,,,,, ....... .,.' " -- ........... 3. I0. II. 12. 13. 16. 15. If I~mine~, ~m~rcinl or mi~nl ~Otlmt~. ~cify trot.ute anti exLen~ o~ each ty~ o~ use ...................... I)in~nsimm of existing ~tnmtu~. if any: Frnt~t ................ ~ar ............... ~plh ................. ~n~ of C~Lractor ................................... ~klre~n ............................... H~xm ~ ........... PI.OT DIA(;RAH lot:ate clearly ar~ distinctly all Doildings, ~hetlmr existing or proposed, mxl indicate all set-I~:k dimensions frml propert~y tines. ¢ixae street and block ra~l~er or description according to deed, and sho~ street m~raes anti indicate xdmtlmr interior or corner lot. OF O¢CUPAFIC~ PROVIDE :~A HR. FIRE RATED SEPARATION TO PART. 717,3 (f) (l) OF N.Y. STATE BUILDING CODE. .... ..................... APPROVED AS NOTED _ DAT~ :~I~P. ~ OTfFY BUILDING DE~ENT~Arl, 78~-~802 9 A~ ~ 4 P~THE FOLLOWING tNSF~ON8~ 1. FOUNDATION . ~0 REOUIRED ~OR POURED CONcR~ 2, ROUGH - ~RA~ING ~.pLU~eiN~ ~ '.NSULA~O~, 4. FINAL -, CONS~RU~ON ~UST ~E CO~ FOR C.O. ~LC .CO~STRU~ION SHALL ~ T~E REQUIREMENTS OF THE N.~ STATE CONSTRU~ON & ENERGY CODES. N~ RESPONSIB~ FOR DESIGN OR CONS~U~ON ERRORS ~rn, clelx~mes a~xl r, ay~ thaL lie i.q Lbe aifl>l it':mi Ik: t., II~t ....................................................................................... //~Cz.,~rac. tor/, ap, el,t, corporate officer, etc.) of ~;aid ~nr ¢~ntl iS ch~ly ~thorlzol to lx~rfonn or have [x~rfo[.~l the said ~rk aIxl Lo n~ike mgl file Ihi~ Ih;ti. the ~)[k will I~ ierfonl~l in Ihe II~lln~r ~t forth in the nlqflicntita~ film tl~rc~iLh. ($11;T~tture of Appl lO.mt)