HomeMy WebLinkAbout24254-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25175
Date JULY 31, 1997
THIS CERTIFIES that the building.
Location of Propert~ 7155 WICKHAMAVE.
House No.
County Tax Map No. 1000 Section 107
Subdivision
ACCESSORY
MATTITUCE, N.Y.
Street Hamlet
Block 5 Lot 5
Piled Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated J~NE 18~ 1997 pursuant to which
Building Permit No. 24254-Z dated JULY 17, 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 ABOVE GROUND SWIMMING POOL "AS BUILT" AB APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
DENIS & SHARON CORRIDAN
N/A
H-056263 -- JULY 28, 1997
N/A
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~TMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25174
Date JULY 31, 1997
THIS CERTIFIES that the buildin~
Location of Propert~ 7155 WICKHAMAVE.
House No.
County Tax Map No. 1000 Section 107
Subdivision
ACCESSORY
MATTITUCK, N.Y.
Street Hamlet
Block 5 Lot 5
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 18, 1997 ~ursuant to which
Building Permit No. 24254-Z dated JULY 17, 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 DECK "AS BUILT" AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
DENIS & SHARON CORRIDAN
N/A
N/A
N/A
Bu~ding Iq~pector
Rev. 1/81
FOB,~ NO. II
TO%VN 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.o
Permission is hereby granted to:
........................
...~./.~....~.~..~.,~.,,~.......~.../, ~. ,~Y ~
z~.~. ./~... ./.. ~ ~. .~ . . .,~. ....~....: . .//.~. ~
,o ....~,~,.-... ......... ~ .......... ~ ~ ~.~. [.~.~.......~.....~ ......... . .~.....8 ....... ~_~..~
.... ~..........~z,~..,t ....... ,s~....~ ...... ~,~ ........ ~ ....... '.f,~.~......,&;~,/.~'
.~.. ....... ,',~. .~ ....... '. ..~.z ..........................................................................................................
County Tax Mop No. 1000 Section ..l~..,~....~:.....-- Block ...,~....~.... ....... Lot No ..... ..~..~ ........
pursuant to application dated ..................... ~.//.~.. ................. , ,9~ and~ approv~ by the
Building Inspector.
Fee $...(2..? ................
Rev. 6/30/80
Form No. 6
TOIfN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAI~CY
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 completsd sits 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 o~ 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-e~xistinR Building - $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
· ate ................ ............
New Construction ........... Old Or Pre-existing Building .................
Loc~ion of ~roperty.. ~.57.' ............. ~.~... ~ ............... .~. ...........
House No. Street Hamlet
Onwer or O=ers of Pro err . . ~'~ ~ ~+~ ~ ~r, g~
· ~ .~ Oo ' C_.kg'~'~-' O ~0 '
County Tax Map No 100O, Section.../..~..~.: .... Block .... D., ......... Lot ........
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant..~.A~.[~..
Health Dept. Approval .... .*J.//{./¥ ................. Underwriters Approval .... ~.?, ................
Planning Board Approval... ~7 /./~
Request for: Temporary Cartific~e...~ ....... Final Certicate..~..
(:~::' $5o~ Q~ ._ ~ ..... ~PLiCi~
Co ~
TOW~ OF SOUTHOLD
BUILDING DEPARTM~NT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP~NCY
This application must be filled in by typewriter OR ink and submitted to the building
Luspector with the following: for new building or new use:
1. Final survey of propert7 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 Unde~rritars.
4. Sworn statement from plumber certifying chat the solder used in system contains
less than 2/10 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, 1957) non-conforming uses, or buildings and
Upre-~xisting" 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 si~aed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall s~ate 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, Swffmming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-~xistinR Buildinm - $i00.00
3. Copy of Certificate of Occupancy - ~ .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~ate ................ .~.../.~./~ ~ ............
New Construction ........... Old Or Pre-existing Building .......
Loca.~on o~ Froperty..~Z.~.'- .......... .~...~ ........ i .... '~'~ ~'~ ?-
House No. Street Hamlet
Onwer or Owners of Proper~y ................. ~ ......................... . ......................
County ~ ~ap ~o 1000, Section.../~..(.'....~loc~ .... ~., ......... Lot .... ~!..7, ............
Subdivision .................................... Filed Map ............ Lot ......................
Pe=it ~o ................ ~ate 0~ _~ermit ................ ~ppli~ant..~'.~....C~.~.-.~-'..~?~
Health Dept. Approval .... ?f/./? ................. Underwriters Approval..
Planning Board Approval ..... .~..l .~. .............
Request for: Temporary Caruific~./~_..,.~, ....... Final Carricata.
Fee Submitted: ~ .............. ,~.~ .... ,,, ....... /~ ~), , /
~..~.s~gV .... '
Co :~
765-~.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [~FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] I~ULATION
[ ] FRAMING [r/] FINAL
[ ] FIREPLACE&CHIM~NEY
REMARKS:
/ /
INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS
' 8067~)22
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY, 10038
-- J(~LY 28,1997 14::~2~897/97
Date Application No. on file
THIS CE~IFIES THAT
o~y the e~tric~ ~uipment ~ ~scd~ be~w a~ int~uc~ by t~ applicant Mmed on the a~ve ap~ication numar in t~ prem~s of
DENIS CORRIDAN, 7155 W]:C~'~{ A~NUE, I~T~ITUCK~
in thefollowJn$ h,cati~]Ly' ~2B~1 nt ~ Ist FI. ~ 2nd FI.
~s examined on and found to be in compli~ce with the Na~onal Electrical Code.
FIXTURE / F XTURES RANGES C~KING DECKS OVENS DiSH WASHERS EXHAUST FANS
S~iI'~IN~ POOL-1
SPEC~ RECEPT. ~P.2~"I
* (SWI~-~ING P~L) This certift.~ate
covers compliance a't the date of
inspection only. Because of unusual
have frequent test/and or repairs
made by a qualified person,
<<< Continued on Page 2
This cedifkote must nor be olfered in uny monner; return fo the o~ice o~ the ~urd iT incorred. Inspecfors moy be identified by their credenfiols.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST N~T BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
8067022
BUREAU OF ECECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
I JULY 28,1997
Dat~ Application No. on file
THIS CERTIFIES THAT
DENIS CORRIDAN, 7155 WICK}blH AVENUE, 14ATTITUCK,
~, ,h, fot~ow~,# t,,~a~i~y. ~2n, ~,~", [] tst Ft. [] ~nd Ft. OU? .%~-t;o, Brock Lot
fiXTURE / I I FIXTURES RANGES ICOOKINO DECKS [ OVENS [DISH WASHERS EXHAUST FANS
OUTleTS rECEPTACLES SWITCHES INCANDE$CEt4Tt FtUO~ESCENT OTHER MT K W. AMT, K, W A~T K W. ,¥,T K.W. AMT. H, P.
SERVIC~ DISCONNECT NO. OF' S E R V I C E
THER APPARATUS:
DENIS CORRIDAN
P, O. BOX 376
MATTITUCK, NY, 11952
This ce~tifkate 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 BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE A~TERED IN ANY MANNER.
DONALD G, FELLER o ARCHITECT
~I~' Oie Jute Lmte * M;~ttltuok, NY 11952 · (516) 298-5250
FORH NO. I
TOI4N OF SOUTIIOI.D
RUI1.DIItG DEPARTHENT
'I'O1~ N ItALL
SOUTIIO1,D, N.Y. 11911
TEL: 765-1802
'/ (l~]il~n,ff Ins~ctor')
^PPL1C^TION FOR BUILDING PF. RHIT
1 NSTRIICTIONS
BO^RD OF III'.'^LTI! ...............
3 SETS OF PLAHS ...............
SURVEY ........................
CHECK .........................
.qEPTI C FORH
NOTIFY:
c^,.,...'~. ,9..¢.. ~/.q.Y..
....... ~ ~o~
...... ~.~. .........
a. 'Ibis application iamt be cc~n~letely filled in by typewriter or in ink a~l mfl~itt~l to the ~filding hm~ctor wi~
3 ~ts of plans, at.rate plot plan to ~ale. F~ accordi~ to sch~lule.
b. Plot iflan M~i~ l~ati~ of lot a~ of I~ildlngs on proni~s, relationship to ~joining pr~i~s or Dfl~l ic
struts or areas, a~ givi~ a (Mtail~l ¢~scription of l~t of pro~rty ~st ~ drmm ~ the dlagr~ ~idl is ~qrt of
this appl lentil.
c. 'Ihs ~rk c~r~l by this app] italian nay t~)t 1~ c¢m~r~l lmfore isst~e of ~ilding Pemit.
d. II~ a~n~al of this application, the hfildir~ lnsl~ctor will ismm a ~ilding Permit to the a~licant~ Such
~nnit M~all I~ kept ~ tl~ pr~i~s available for ins~:tion thr~,O~t the x~rk.
e. ~ I~dldi~ Mm11 I~ ~fi~l or u~l in ~ole or in
~a~ M,a11 h~e ~n ~ant~l I~ tim hfildi~ Tush:tar.
~.ICA'YI~ IS li~l~l~ ~ to t]~ l~ildi~ l~ar~nt for the ism~a~e of a ~filding Pe~it ~ra~ant to the
· dlding 7~ O~i~q~e of t~ '1~ o~ ~thold, ~fffolk C~nty, ~ York, a~l other a~licable l~s, Ordinates or
~gulatiam, for I.l~ ~mt~ti~ of hfildi~s, ~kliti~s or alterations, or for r~al or dox~lition, as herein
¢~ril~. '1~ appllcanC a~s to ~fly ~ith all a~llcable
[e~flati~s, a~ to &it ~tl~riz~ in~tors m pr~i~s a,xl in la~~~es~ ins~ona.
....
~ ~1~1~ (. i~qture of appl leant, or ~'~, if a co~ration)
SLate ~mther a~llcaaL is ~r, les~, a6~nt, ard~i[ec~, bngiar, general c~tractor~ electrician, phonier o~ tnil~er,
., .......................................................... ~~a~. .... ,_~_,_~.
tf a~licanr is a cormrar~, aigr~r,m of &fly aud~r~z~ officer.
-:-,;---; ...... .......... :---0C-C-UPANCY OR
tit,e eo'. at o'i er, USE IS UNLAWFUL
1 FOUNDATION - ~
FOR POURED ~
2. ROUGH - FRAMING
· ,.,cen .,. '..., q.THOUT CERTIFICATE,
~h~nbers Li;ense 1~o.
Electricians l,ieen~ ~ ...... ~ ..............
~her 'IY~ 's ,,ice.~ ~ ....... ~ ........... / C~
l~ati~ o~ la~ a~ ~nch pro~t ~rk will le <~e ......... ~...
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE gOMPLETE FOR C.O.
ALL'CONSTRUCTION SHALL MEET
TIlE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION.& ENERGY
.......
llc~se K~nber Street ll~nlet
................ ~ ,000
~fl~ivision ............ ~. ..................... Fil~ ~hp ~ ........ ~ ..... l~t ..~ ...........
(~)
2. State ezistJng u~ mfl ~ct~y of pr~i~s m~l inteT~ u~ a~ c~enlm~y of ~ construction: ~
~:,hnu of ~,x)dc (cl~ck g,4dch sl~)lil:~dHe): Nt~ l~Hhlhq,* .......... ~litio,~ .......... Alterm'ior~ .........
~q~,i,.. ........... ~,,~ .............. ~,~,~ it. to, ............ otl,~r ~,~ ..~q~'..~..~.~ .....
Est-i"~'ted {~st" ~00~ i fee
I
,,
I)i.~nni~m of ~xisl:ing nl'rx~tureu~, ir mty~ Irr~mt .......... I~mr , ...... ~ ...... ~pth ...,~ ............
I~l)lh ................ ~'... I~il~d'j .................... ~dmr I)l: {;IorJes ........... ' ....
, ,,~,,,,, ,,q ,,~ ~ d,, ~ ,~,, ,,,~ i,,, m~,t ....Z ..... L.. ,,,,- . ........ ~ ..... ~,,~, ........
Size o[: I()l': Fr~ 'L:.'~j~"'''j ....... I~ar .~ .................. ~,L~.~l)lh ....................
m,~ ,,~ ~.-,:hm, ...... w/~.~..~ ..... ~,,, o~ ,.,,,~ (~ .... ~ ..................
m~ .r ,m ,~ ,m h, ,~,*,=,, p~,,i~ ,,,~ ~,m~,~ ......... n.~.C~./.~.~ ..............................
~ll~ o [ Art~lit~t:t ............ ~ ~... ' ~r~s .............................. ~ ~ ...............
~iF YES, ~XYllJ~ 'I[X~ 'll~]~'[~'J~S l~l~l'l' ~Y 1~(
j PI,OT
I~x'al~ clearly ~1 thn~l~lJy nilI I~,ldu~ ~mtl~r ~xl~l;Itl~ or p~olx~d, m~l xl~l (at~ 8J1 ~eL-Jmck di,~nsion~
n[~ellL, ('(~rlx)rste .filter, etc,)
(:(ynt;H?d in this .iqH i(',at ion m'e I~ lo the I.mt of his ~x~lmlR~ thel,~',n.~r mil Ioilh Ji~ II,~ ~qq)lJcati(;n liled hett~Hh.
N~W ~bli°, State of N~ I
No, 4884083
Commission E~ires ~
(SiR:mb]re <)f Applitmnt)