HomeMy WebLinkAbout23994-zFORM NO. 4
TO~N OF SOUTHOLD
BUILDING DEPART~IENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25496
Date: 01/22/98
THIS CERTIFIES that the building
ADDITION
Location of Property: 2500-19J PL%PLE LANE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 38 .1 Block 1 Lot 19
EAST ~L%RION
Subdivision Filed Map No. Lot NO. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 7, 1997 pursuant to which
Building Permit No. 23994-Z dated MARCH 18, 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 ENCLOSE SUNROOM ADDITION ON EXISTING DWELLING UNIT AS APPLIED FOR.
The certificate is issued to CAP/RIE FITZM3~URICE
(OWNER)
of the aforesaid[ building.
SUFFOLK COUNTY DEP~RTP~MNT OF HEALTH ~-PPROVAL N/A
ELECTRICAL CERTIFICATE NO. N426356 07/22/98
PLUMBERS CERTIFICATION DATED N/A
;Budding Inspec=or
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIJT MUST BE KEPT ON THE PREMISES UNTIL FULL
cOMPLETION OF THE WORK AUTHORIZED)
N? 2399 Z
Date ...~.C..~....I..8.,,. .................................. , 19...9..7.,
Permission is hereby granted to:
Thomas J. Fitzmaurice a/c Carrie Fitzmaurice
23 Spencer Dr.
Bethpage, N.Y. 11714
CONSTRUCT ENCLOSED SIJNROOH ADDITION ON EXISTING DNELLING IIHIT AS
APPLIED FOR.
County Tax Mop No. I000 Section 38. I Block !... Lot No. ICJ
pursuant to application doted ..... ~.g~.....7.~, .................................. , 19.9..7....., and approved by the
Building Inspector.
Fee $......7..5.:..0..0. .........
, ,or
Rev. 6/30/80
'15 "~8 il:B1 TOHH OF SOUTNOLD
Form
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN }U~LL
765-1802
APFLICATION FOR CERTIFICATE OF OCCUPANCYc
This application must be filled in by :ypewrlte~ OR ink and submitted to the building
in~pector with the following: for new building or new use:
1. Final survey of pxoperty with accurate location of all buildings, property lines~
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Unde~wricers.
4. Sworn statement from plumber certifying that the solder used in system contains
less :hah 2/10 of 1% lead.
5. Co~mercial buildin$, industrial building, multiple residences and similar buildings
and installations, a certificate of Cods Compliance from arcbitec~ or engineer
responsible for ~Ee building,
$. Sub. it Flanning Board Approval of completed siie plan requirements.
For eEtsting buildings (prior to April 9, [957) non-oo~forming uses, or buildings amd
?pre-ex,sting" land uses:
1. Accurate survey o£ property showin~ alt property lines, streets, Building a~d
unusual natural or ~opographic features,
2. A properly sample[ed application and a consent to inspect signed by the applicant.
If s Certificate of Occupancy is denied, the gt, i~d~ng Inspector shall staBe the
reasons therefor i~ writim~ to the applicant,
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alteration, ~o dwelling $2~.00, Swimming pool $25.00, Accessory building $25.00,
Additions ~o accessory building $25.00, Businesses $50.00.
2. Certifica~e Of Occupancy on Prm-exlstln~ Bul~din~ - $100.00
3. Copy of Certificate of Occupancy - ~
4. U~da~ed Cerg~flcat~ of Occupanzy -
5. T~porary Cer~Ifi~a~e of Occupancy - ~esidencial $15,00, Co~erc~a!
N~ Consgrucg~on ........... OLd Or Pte-existin~ Building .... /. ...........
House No. Street Ha~et
Onwer or Owner, of Property...~{.. ......
~emit No ~q -~ Date Of P-~m~* ~ [~ ~ ~,.~,~...~ ~l~
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: .Temporary ~ertifzcate ........... Final Car[irate ...........
Fee Submitted: $ ~
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
June 27, 1997
Thomas Fitzmaurice
23 Spencer Dr.
Bethpage, N.Y. 11714
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 # 23994-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
FIELD INSPECTION REPORT DATE -- COMMENTS
ROUG~ iRA1// &
PLIPM~BING
INSULATION FERN. Y.
$ TA'i'~ El'~r~R~r~f II
CODE II II
the
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] ROUGH PLBG.
[ I~NSULATION
[ ] FRAMING
FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
J~:~-~-/-~ INSPECTOR
765-1802
BUILDING DEPT,
INSPECTION
[ ] FOUNI2,ATION 1ST [ ] ROUGH PLBG.
[ ] F/F~Nn~ATION2ND [ ]INSULATION
[ ~J FRAMIPJG [ ] FINAL
[ ] FIREPLACE & CHIMNEY
~REMARKS:
DATE
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ~INAL
[ ] FIREPLACE & CHIMNEY
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,~c,~; ~
BUREAU OF ELECTRICITY
~' 85 JOHN STREET, NEW YORK, NY 10038
"~,19[~7~, t4227~97/97 N 426356
THIS CE~IFIES THAT
C~NIE PITZt~ICE, 19 ~'~LE ~, E~T I~:ION,
flX~lE L EP' I I RXTURES f RANGES LC~KING DECKSI OVE~ ]high WASHERSl EXHAUST FANS
~TU. ~c .~sI SW.CH~ I'~I~E~I o~ I ~ r ~ w I ~T' I ~.w I ~T I ~ I ~ I ~W ~ ~' I ~ '~
7 / [4 1~ 7
DRYERST ~RNACE ~TORS ~ ~TUaE A~ANCE ~E~ /~IAL REC'~TJ~TIME CL~KS J TRANS] ~Ua l UNIT HE~EES ] ~ULTI.OUT~TsysT~s -1 DI~ERS[
PADD[~ FANS- 3
E~C, R(i~H HEA'f~R?: 4-1.5 K.W.
S~D~ DETEC~R: ~ 2
J~D ELEC~ CORP/J,DUGGP~N
,~?'11 7,q~{ STRE:L~t~
t,!IDD~ VTSL~¢E ,
LIC, #257(~"}
11379
GENERAL MANAGER
This certificate must not be ahered in a~y manner; return to the office of the ~oard if incorrect, Inspectors may be identified by their credentials.
iii r. nR~r(r~c4 aJ¢ ..................................
FORM NO. I
TOWN (iF ~qOU'HIOI,I)
BIJI l,l)I NG i}EPAR'FtlENT
TO~I It^l,l,
SOlITIIOI,I), N.'X-. 1197 I
'FEI.: 765- 1807
I~OARI) ()ir IIF,^I,TII ...............
3 sE'rs OF iq,ARS ~ .............
~IJRVE¥ ~.1 .... .................
"' 13 3. ':; .................
SF. PTI C FORH ...................
NOTIFY: '
CAM
HAH. TO: ....................
(lt~]i hli.~ lnnl~rlor)
APH.1C^'FIOI~ FOR i~IJII,I)IFIC, I'ERHH'
IN~'I'RUCTIONS
] ~Is oF plnn~, ncolrnte plot plnn lo
b. Plot plan ~if~ l<nt'i~
str~ts or nren~, aTgl ~ivlt~ n ~btnil~l ~b~cril)[i~
Ik}ihlis~ 7x.~ ()~li~a~e of I.}~ T~l
the tnx ~11 or Inte~l: de~l)
(~-~ro ntxl t it le of corporate officer)
/
I. ICatttu ~d' ',",~tk (tt~ck ~dth tq~gtictdHe); a_".,~ Ikdhlin8 .......... &kliti~l. .......... Mlet'aLioa ..........
I~q~fi r . ........... I~t~a I ............. I~t~t it ion ............ Olh~
(to la: fid on filitlll Ihiq applit:atifa~)
'~u,~ ..... g~ ................ ~.,~,-,,,: ~,,,, i.~ ..... ff ................
9. Siz~ of hit: I"lfall [~F .................... I~plh ....... ~..
lal this pmlxnty ~ithin 7~) feet: of a ~ithil ~th, d't x YI~ .......... ~1 ...~...
~IP' YES, ~UII{~])'ll~ ']1~1~11~ l~J~J'l' [~Y J~ IU~IIIUCl).
PI,OT I)TAGIJAH I
hx:ate cleat ly aod dial:ic, ctly all InihlituAa