HomeMy WebLinkAbout23937-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
U~KTIFICATE OF OCuuFANCY
No Z-25187 Date AUGUST 5, 1997
THIS CERTIFIES that the building NEW DWELLING
Location of Propert~ 1865 GABRI~.T.A COURT
House No. Street
County Tax Map No. 1000 Section 108 Block 4
Subdivision Filed Map No.
MATTI TUCK, N.Y.
Hamlet
Lot 7.54
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 19, 1997 ~ursuant to which
Building Permit No. 23937-Z dated FEBRUARY 25~ 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 OWE F~MILY DWELLING AS /%PPLIED FOR.
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
DEVELOPMENT CORP.
R10--97--0017--JULY 24~ 1997
N-425687 -- JULY 15~ 1997
JUNE 3, 1997 - WILLIAM DCOLEY
Bu ~ing Insp~tor
Rev. 1/81
leone' NO. ·
TOWN OF SOUll'lOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, No ¥,
BUILDING PERMIT
CFHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.o 23937 Z
FEB.
D~te ~ 25,
........................................................ , 19...?..7.
Permission is hereby granted to:
E.L.E. DEVELOPlqENT CORP (STAPON)
P.O. BOX 1143
.... ~I~UH0~II~,..}I.,Y. ............ 1.!.9.3.5. .........................
construct a two story single gaily dwelling as applied for.
. 1865 GABRIELLA COURT HATTITUCK, N Y
at premises located ar ................................................................................................ .i...i .......................
County Tax Map No. 1000 Section ....... .].,0.8. ........... Block ......~. ............... Lot No.....7..:..5.6. .............
pursuant to application dated FEBRUARY ]9.
......................................................... 19.?.7....., and approved by the
Building Inspector.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 ~f 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 inepect 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
i. 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 - ~ .2~¢~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $I5.00
~,,/ Date .... ~.~/.~. ~. ...........................
New Construction ........... O~.ld Or Pre-existin Building .................
Location of Property... ~.~'¢/.~ ....... .~..~..~./~.~...~m.~. ................ . .~, .~...~./. ,~, .~.~..~, ........
House No. Street Hamlet
Onwer or Owners of Property .................................
County Tax Map No 1000, Section. .. /. .~. ...... Block .... .~.t~. ........ Lot .... ~,w..~".~, ...........
Permit No..2X?~ ...... Date Of Permit..27~r//.? .... Applicant .............................
Health Dept. Approval..~/~..~..2%..¢~,~./.? ........ Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ .............................
HOBART ROAD / PO Box 616
$O~OL~i ~W ¥OR~ ~ ~?~
516 * 765-2954
Date:
Reference:
August5,1997
ELI Development
Building Department
Southold Town
Main Road
Southold, New York
Dear Sir,
Please be advised that the following inspections were made during construction. All work
has been completed in accordance with New York State codes and good practice.
Lot #7
Insulation installed
Lot # 8 -
a. Ali concrete foundation snap tie holes have been mortared and
foundation dampproofed
b. Installation of the pre-fab metal '
c. Insulation instal Ica
Joseph Fischetti, P.E.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No.
Owner:
Plumber:
(please print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumbers Signature ~/
Sworn to before me this
~u~ day of
Notary Publics ~~ County
N{~ Pub~, State of New
No. 01 BA5070387
QUaF~:I In Suffolk C~un~
~3eele',ie~on Expires December '16. 19.~.c~
HOBART ROAD ! PO Box 6'i6
~RO~£$SIO~AL
516- 765-2954
Date:
Reference:
August 5, 1997
ELI Development
Building Department
Southold Town
Main Road
Southold, New York
Dear Sir,
Please be advised that the following inspections were made during construction. All work
has been completed in accordance with New York State codes and good practice.
Lot #7 Insulation installed
Lot # 8 All concrete foundation snap tie holes have been mortared and foundation
dampproofed
Joseph Fisehetti, P.E.
FIELD ~NSPECTION REPORT DATE COMMENTS
FOUNDATION (IST) II I~
FOUNDATION (2ND) . __ __ __
ROU~ F~ &
~ING
,
,,
S~A~ ~
CODE
FINAL m~
Joseph Fischetti
PROFESSIONAL ENGINEER
HOSART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971 516-765-2954
Date:
Reference:
March 2I, 1997
Elijah Lane Estates
Southold Building Department
Main Road
Southold, NY 11971
Dear Sff,
Please be advised that I have inspected the foundation damproofing, for the homes on
loff43, lot ~. lot #20 & lot #22 and have found them completed in accordance with standard
practice and satisfactory for backfilling.
Joseph Fischetti, P.E.
7G5-1802
BUILDING DEPT.
INSPECTION
[ ] FOUI~DATION 1ST
[ ]~ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ~FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~"
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~ULATION
,,,~.A,,KS~
i/ /
FOI{N NU. I
IIi.'mpprt taxi a/C. ..................................
(l~Ji hlhlg
AI'I'I*I(;ATION FOIl IJIIII.D1NC l'lillHl'l'
t NSTI;tlICr I tINS
Date ................ , 19...
3 ~tn o~ pinna, accurate plot plan to scale, le~ accoHling Lo
I). Plot: plan ~ii~ hmathn of h,t ad of la*ilclillIIs mi ploai~n, relaliotiship Lo ml.joinhig prcalisea or iai)lie
this alVI icatitu~.
d. tllXal ajvr~al o[ this apl)lienti(~, tl~e l~fihli~,8 I.~q~dor .ill isstm n IAdlding l'eunit to file ajqfllcant.
leunit. Mmll I~ kept ~l tl~ i,[c~ni~ms availnhle foi i.Slm(:Li(n Iliua~i~(xlL the ~rk.
e. ~ hfihli~; ~fiall Im tx'~l~iml m' u~l in ~.~le or i. i~lrL fl~r a.y i*.pse ~mt~ew uatll a (~rtificnte
(~:uqt'.~:y droll have l~n graul~l JJy tim l~filding h.qmdor.
Al'lq,l(~'l'l{~ lS ll!l{il~Y }~li Lo the I~lihli.g I~ffld,pnk h)r lhe isstmnue of a I~ildhlg Pennlt: inrma.t to the
Ikfihli.g 7xsm Odi~l~e o[ the 'l~m of ~k~ltu~ltl, Pzfffolk (h.dy, ~a~ Ymk, n~sl olher al~licable 1~. Ordi~m~¢a
Ik'gulaLiaJa, for lira L~atnK'ti~s~ Of la~ihli~n. ~kliti~a~; or nlleratJtn~s, or for ~ar*wal or ¢~mlitlo.. na herein
~kmcril~al. 'lhe applica, t agra. ~o c~,ldy with all ~q~fltcalfle h~s. ord.~qta'es, h. hhng c(xle, I~mlu~le~
...... ..........
Si. ate ~mtlmr alVI leant i~}. les~. agent, arddtect, e.glT~er, gestural c<a~traetor, electridau, phsdmr or la,il
............................... .k.z .... ... ........................
(as at II~e ta~ ri*Il or lalest de~l)
(l'lmx? ar~t t il le of coq~orate
l~lihlezs I,ieense li~ ..........................
,.t,,,~,, ,.i,%~ ,,,.....?~.~.?': .~..~.:. E ......
()lime Tr~.k~'. I,ice.~ ~ .....................
.~J ..... ~ ............. ~.y.~.<.'.~/.(n...Cg.<~? ................ ~ ~ 4*, 4 ~ ~ ~
.anal~na ..o ................................... I~il~l t~q~. qql Z lot ............... (~.,e)
~.c.~.¢
(...~....~..
............................ ~TY,~'. ..............................................................
Nota~ Public. Stat~ of New York
No. 4879505
Qualified n St tfo~k County
Corem ssJon ~pires December 8, 19
II