HomeMy WebLinkAbout24373-zFORM NO. 4
TO~IN OF SOUTHOLD
BUILDING DEPART~ENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25452
Date: .12/23/97
THIS CERTIFIES that the building ACCESSORY
Location of Property: 4615 NEW SUFFOLK AVE.
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 115 Block 4 Lot 8.5
MATTITUCK
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 18, 1997 pursuant to which
Building Permit No. 24373-Z dated SEPTEMBER 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 METAL HOOP HOUSE (GREENHOUSE) WITH PLASTIC COVERING ON AGRICULTURAL
PROPERTY AS APPLIED FOR.
The certificate is issued to MARRATOOKA PROPERTIES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRIC~ CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Bu~l~ng Inspe~or
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMtT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
/?
~.o ~37~ z Do,. ........ ~..~ ............... .,
Permission is hereby gmnLe.~ t/o:~'.'~.~..~.~./~.~-/~.~.L..~... ~~'// '~'/ / ~/~' /") /
,,...~z~....~..~...~4.~..~...
x:~..,~...~./...~.,~.'. ................ :..:: ............
.~,,~.......~~~ ...................... ~ ................
~ ~°~ T:,: :oo:,,.~,,o~ ......... x~,,~ ........ ~ ...... ~ ~o. ~.~ ....
puts,on, to ppi 'o d ed ................ 7~../~'.~... ....... 19~...Z ond opproVed by the
Building Inspector.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPAiITMENT
TOWN MALL
765-1802
APPLICATION FOR CERTIFICATE OF
0 C CIIP ~N'~
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:
t. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from ~ealth 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 cdmpleted site plan requirements.
,For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'Ypre-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.
Co
Fees
i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
3.
4.
5.
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accesso~f building $25.00. Businesses $50.00.
Certificate of Occupancy on Pre-~xistinR Buitdinff - $I00.00
Copy of Certificate of Occupancy - ~ .25¢.
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential 515.00, Com~erciai $15.00
Date .. l.~. :.47: ~ .~ ..........................
New Construction .... ". ...... Old Or Pre-existing Building .................
Location of Property .............. .~. ......... ~ ............ /
.......................
~ouse NO. Street ~mlet
Onwer or Owners of Property..~.~.~.~...~r~... ~.~O. ~.~.~F~.7~. F~ ...............................
County Tax Map No t000, Section .... ~.'.!.~.. .... Block...~.. .......... Lot....~.e..~.. ............
Subdivision .................................... Filed M~ap ............ Lot ......................
Fe=it 4.q. }.7. .... Date Of Permit~.~..~....~/.? ZAppiicar,..t.. ~.1.~. ~. 9~f~r. ~~
Health Dept. Approval .......................... Under~rriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Carticate ...........
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
December 1, 1997
Fax (516) 765~1823
Telephone (516) 765-1802
Eric Keil
4615 New Suffolk Ave.
Mattituck, N.Y. 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.
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 # 24373-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ~/~UGH PLBG.
[ ] FOUNDATION 2ND [ ~/INSULATION
[ ] FRAMII~IG [V/] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS-' ~/~
DATE
INSPECTOR
MAIN
ROAD
~E
/
FORN HO.
TOWN OF SOUTHOI,D
BUILDING DEPARTHENT
TOWN HALl,
SOUTHOLD, N.Y.
~L: 765- 1802
....................................
INS~UCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORN ...................
HOTIFY
CALl ....
HAIL TO: ...................
'Date ................ ,19 ....
a. This appllcatio~ mint be c~pletely f/lied in by typewriter or in ir~k and m~itt~ to t~ ~ildi~ lns~tor -
3 ~ts off plus, ~ate plot pl~ to ~le. F~ a~i~ to
b. ~o~ pl~ ~i~ l~at/~ of lo~ ~ of ~/ldi~ ~ ~s, ~lati~ip to ~joini~ ~i~s or p~blic
struts or ~an, ~ givi~ a ~tail~ ~riptim of l~t of ~y ~t ~ dr~ ~ ~e di~ ~i~
this ~licat im.
c. ~ ~rk ~ ~ ~is ~licati~ ~ mt ~ ~ ~fo~ ism o~ ~ildi~ Pemit.
d. ~ a~ml o[ ~is ~limtim, t~ ~ildi~ In~tor ~11 is~ a ~tildi~ ~t to the ~lic~t.
~mlt ~all ~ ~ m ~ ~ims ~il~le [~ i~tim that ~e ~rk.
e. ~ildi~ ~1 ~i~m~ in~le~ inert for ~ ~at~r ~cil a~rtificateo[
~ ~1 ~ ~ ~t~ I~ ~ ~ildi~ I~tor.
~I~ I~ ~ ~ to O~ ~ildi~ ~nt for ~ isle of a ~ildi~ ~mit ~t ~o
~ildi~ ~ ~i~e of ~ T~ of ~t~ld, ~f9lk ~, ~ Yo~, ~ otter ~li~le ~, ~i~es or
~lati~s, f~ ~ ~st~ti~ of ~ildi~, ~iti~s ~ alterati~s, or for ,~,~1 ~ ~liti~,
~ri~. ~ ~li~t ~s to ~ly ~ all ~lic~le 1~, o~i~s, ~ildi~ ~, ~i~
~lati~, ~ to ~it ~i~ im~tors m ~r~lms ~ i~i[~r m~ in~tims.
a
State whether applicant is ~aer. lessee, agent, architect, engineer, general contractor, electrician, plurber or bull.
(as oa the tax roll or latest deed)
If applicant is a corporati~, sigrature of duly authorized officer.
(Name and title of corporate officer)
Builders License No ..........................
Plm/vers Liceflse No ..........................
Electricians License No ......................
Other Trade's License No ......................
,. o. he ...............
............................................................ .................................
House Nt~ber Street Bmnlet
County TaxHap No. 1000 ,~etlo~ ...:[J.~ ....... mOCk .... ~ .......... Lot ..~.~'~ .........
~lxtivisi~ ....................................... Filed ~ No ................ Lot ...............
2. State existing tree and occupancy of premises and intended use and occupancy of proposed co~stroction:
a. ~ist~ng ~ ~ ~...------- - ~//~. ~£.~.~..c£... ~g~..~...z..~. .......................................
b. Inter,led use a~l occupancy .~..('/~.~,.~,..~'..'~..,~... ~ .~'.~..~..~--..~. .......................................
3. Pnt,,re of work (dmck whirl, applicable): New IkJihling ....... &~iti~ .......... Alteration .......... ·
l~l~dr ............ ~al ............. l~l ition ............ Otl~r ~& ..................................
~rlpti~)
Il. Est ~ll~t~ ~sL ......................... f~ ..............................................
(IO W ~id ~ filing tibia a~licati~)
6. I~ Ix~i~ss, ~rcial or m~ ~y, st~ci~ ~tum ~ extent of e~l ty~ o~ u
/Z
, ..........
7. ~inenM~m of ~isting ~troctures, if ~: ~t ..... ~ ........ ~ar ............... ~pth
IEi~r ......................... ~t~r of Stories ......................
~iwnsi~s of ~ ~t~re vith altera[i~s or ~it~ons: Fret ............... ~ar ...............
g. I~in~,M~ e~ire ~ ~mr~i~: Fret ............ ~ar ..._. .......... ~th .......
l~iO~ .... ~ .................. ~t~r o~ ~torie~ .....................
9. Si~ of lot: l~t .................... ~ar .................... ~pth ....................
lO. l~le of I~lrdm~ ..................... ~ of Fonmr ~mr ........................................
11. ~ or ~ district in ~lid~ pr~J~s a~sJ~t~ ..............................................................
12. ~s propel ~[~tJ~ violate any ~Hng 1~. ordi~e or r~ulati~: ...... ~0 .............
13. Will lot W r~r~ ..... ~ .......... ~ill ~.ess fill ~
,,,. ...... ..............................
~t~ o[ Arddt~t .................................... ~rexs .............................. ~m~ ~ ...........
~ of C~tr~tor ................................... ~ress ............................... ~m~ ~ ...........
15. Is this p~rty ~ithin ~ I'~t of a til~l ~tl~ ~ ~ .......... ~ .~. .....
PI.OT IIIAGRAH
l~eate clearly ard diatinerly all buildings, O~etlmr existing or proposed, mxl ir~licate ail set-lmck dimendions
from property lines. Give street ~.xl block n~nlmr or description according to deed, and sl~a street nares ami irxlicate
Mlettmr interior or corner lot.
SS
AiL COI~STRUC, T[ON $,H, AL. MEET
.......................................................... lining dui7 .'~unl, ~k x~O~i{~d~a~k~llJ~sr{}m ~EI i~.
al~e m~, CODES. NOT RESPONSIBLE FOR
DESIGN OR CONS~UCTION ERRORS
is the ...................................................................................................
(C~)tractor, ngent~ COrl~rate o[~[eer~ etc.)
said (~mr or ~mrs, m~ is ~ly mRh()~iz~ to ~rfon. or h~e l~rf()~ tl~ ~tid ~ m~l to n~ke atxJ f~le this
aiq)l icati(m; that all star.mats cnntah~l {n this al~llca~i(m are tam to U]e [~st of hin k~l~lge a~ Im[ief~ mx]
(SigTml:ure of ^ppi h:aut)