HomeMy WebLinkAbout24181-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25397
Date: 11/26/97
THIS CERTIFIES that the building
Location of Property: 735 GIN LA
(HOUSE NO.)
County Tax Map No. 473889 Section 88
Subdivision Filed Map No. __
ACCESSORY
SOUTEOLD
(STREET) (HAMLET)
Block 4 Lot 7
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 22, 1997 pursuant to which
Building Permit No. 24181-Z dated JUNE 11, 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 BUILDING IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to ROBERT A. & CAROL A. CLEMENTS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
ld~ng Inspefor
FO~I~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.° 2~t181 Z
Permission is hereby granted to:
...~.~,.-.........4.:....C./.~.~/'.z:.~ ................
..... ~./......~,.~......4.~ .........................
"'~'": ~-- ~ZT'"'7"" '"'::-;'"' 'C::;;' .~
,o .......
~' ---- --/ 6/"
...~..7......~..~. .......... ~..., ................................................................................................
County Tax Map No. 1000 Section ..... ~ ......... Block ....... ~.....~....... Lot No ..... ...~..~.... .........
pursuant to application dated ........ i.ii......,...i:....~.~...~..,.~... ............... , 19...~..~, and approved by the
Building Inspector.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING ~EPARTMENT
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/i0 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" 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.
C.
F~/~.eScertificate 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 $50.001
2.Certificate of Occupancy on Pre-existing Buildin~ - $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
~f~ - z~o~U-, c~,t Date ................................
New Construction ........... 01d Or ~re-existing Buildin~ ............
~ocation o~ ~roperty ............................... . ...................
House No. Street Hamlet
, ......
Onwer or O~ers of ~roper~y .........................................
County Tax Map No 1000, Section...~&.. ..... Block.............. ~ ..Lot...~Z... ............ ·
.........
Subdivision ...... fi ..................................... ~ ................ ~ ~e~g2
Health Dept. Approval............. ......... . ... Underwriters Approval .........................
Planning Board Approval .
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $. ~'
.XSM .... : ...............................
APPLICANT
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 8, 1997
Mr. Robert Clements
735 Gin Lane
Southold, NY 11971
File under Sternett, Victor
To Whom This May Concern:
We are unable to complete your Certificate
because of the following reasons:
xx
xx
of Occupancy
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 # 24181-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
Al)l) I f'l (UIAI, ~.;(.)lltlIr, ll'l'll !
LOT'
NOZ'o o5' 5o"F,/ '
12:,5, ~C),
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765~1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 8, 1997
Matthew Hallock
4365 Wells Road
Peconic, NY 11958
Re:
SCTM#
Messinger - 2820 Shipyard Lane, East Marion
1000-38.2-1-9
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
bemuse of the following reasons:
~/ xx An application for Certificate Occupancy
of
is
not on file. (Enclosed)
No Underwriters Certificate on file.~#7~
The check is not on file. $25.00 ~/~/~f/~/~
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT
24165-Z
Please contact our office on this matter. Thank you for
cooperation.
$OUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU~PLBG.
i]] ~ORAUNMiDNA~ION2ND i] ~~NALATION
[ ] FIREPLAC~HIMNEY
R£MARK~
MAY 2 2 1997
'rrT~N OF SOU LqO~
ale ..................
FOP, It NO. I
TONN OF SOUTHOLD
BUILDING DEPARTI~NT
TOI~I ItALL
SOUTHOLD, N.Y. 1197 I
TEL: 765-1802'
BOARD OF HEALTH ...............
//3 SETS OF PLANS ...............
/C,/~,, SURVEY ........................
~CHECK .........................
SEPTIC FORH ...................
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application hast be cc~pletely filled in by typewriter or in ink and autnitted to the Building Inspector with
3 sets of plaus, accurate plot plau to scale. Fee according to schedule.
b. Plot plon sho~ing Incation of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of property mast be dr~m on the diagram x~bich is part of
this application.
c. The x,x~k covered by this application r~y not be ~oced before issuance of Building Pemit.
d. ~ approval of this application, the Building Inspector will issue a Building Pemit to the applicaut. Such
pemit shall be kept on the premises available for inspection throughout the ~ork.
e. No beilding shall be occupied or used in ~d~ole or in part for may purpose ~aatever until a Certificate of
Oconpam-y shall lm~ been grunted by ~ Building Inspector.
AITLICATI(~ IS [n~t~alf ~ to the Building Uepartn~nt for the isemmce of a Building Pemit porauaut to the
Building Z~e Ordimace of the Tc~ of Sonthold, S~ffolk County, Ne~ York, and other applicable La~s, Ordinaaces-or
P~gulatiees, for the construction of beildings, additions or alterations, or for re~oval or demolition, as herein
described. The applimt agrees to co~ply with all applicable l~m, ordinances, building code, honsing code, and
rngulations, and to admit as~berized i~spectors on premises and in building for secessa~y inspections.
(Sigeature of applicast, or r~, if a corporation)
(flailing address of applicaut)
Sta.te, ~etherO~v~£,Capplicaut is o~er, lessee, ngont, ardaitect, engineer, general coutraetor, ~[~l~r..~builder.
...................................................................................
(as oo the tax roll or latest deed) 765-1802 9 AM TO 4 PM FOR THE
If applleset is a ~oratfoa, slguatm~ of duly authorized officer. FOLLOWING INSPECTIONS:
1, FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
(Nar~ and title of onrperate officer) 2, ROUGH - FRAMING & PLUMBING
3, INSULATION
4, FINAL - CONSTR~CTION MUST
BE COMPLET~=OR
Builders Liem No .......................... ~.t~l. ~ONSTItUc~tON '$NAL~. M£ET
Pinnt~rs Lieun~ No .......................... T~E REQUHtEMENT$ OF 'l~lfi N.Y.
STATE CONSTRUCTION & ENERGY
El~t;i¢iaas L;cease No ...................... CODE~ NOT RESPON$18U~ FOR
Or~r There's ~ose No ..................... ~ Oi~ Q3#~11~ '~1~ ~
1. Location o~ ~a~l on ~;hich prepas~l ~o~k wil! he done ........................... · ...................................
......... ........ .... ....... ................................ ............
Honse ~r Street N~ulet
County Tax ~ No. lO(K) Section ................ Block ....... - ......... Lot
~s~on ..... f../~....¢..~ ............ :~.. ~. hied ~ No ...... l ...............
(~)
2. State existing use and aconpa~y of premises and intended use and occupancy of proposed construction:
a. E~.sting ~ ~ ~ ......... C) ................ £ .............................. . ..................
.. . y~-~ .6. ...... ,~ 7~o?, .~ !mm.p?. ..............
from properly li~es.
t~mure og ~ork (cl~k ~dlidl applicable):
I~apalr ............ Removal .............
If garage, m~t~r o[ ~rs ..... ~ .................................
6. If I~si~sa, ~rcial or mi~ ~, s~ci~ ~ture a~ ~tenC o[ ead~ ty~ of u~ ......................
7. Di.~nai~m o~ ~isting atnm~s, if any: Fret .......... ~ar
Dinenai~a o~ sam at~t~re ~th alteratJ~s or ~i~ions: Froot ............... ~ar ...............
~pth .................... lhi~C .................... ~mi~r of B~oriea ...............
~ee of C~tr~tor ............ ]~ ................. ~lresa ............................... I~(~ ~ ...............
PI.OT I}IAGRA~
,d~etlmr interior or corner loC.
(~i~ of lt~tvl~l~[ slg~mg cootYact)i
((~tractor, agent, or~rote officer, eLc.)
of aaid ~mr or ~ra, nr~l ia du[y ~thori~ to I~rfonn or h~e l~rfom~ the ~id ~ atxl to ~ke at~ file thi~
aiqfl leaCt(~, ti a: ~ [1 statamnt~ c~ta t~ m I.ht~ al~)l tea~t~ are trim to the I~C of hi~ kt~]~lge m~ lmtlef~ etxl
that the ~)[k will I~ ~rfon~l in thd tmant~r ~t fortl~ in the al~licati(m fl.]~l tlmr~ith.
~m to I~fore .~ this