HomeMy WebLinkAbout24033-zFOR~ NO. 4
TOW/q OF $OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25593
Date: 03/16/98
THIS CERTIFIES that the building ADDITION
Location of Property: 6182 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO.) (STREET) (BA/~LHT)
County Tax Map No. 473889 Section 59 Block 8 Lot 5.8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 27, 1997 pursuant to which
Building Permit No. 24033-Z dated APRIL 10, 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 UNHEATED SOLAR ROOM ADDITION TO EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to JOHN W & DORLEESE J. STEWART
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
Building
FO~M NO. ·
TO~N OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.° 24033 Z
County Tax Map No. 10C'0 Section ...... .~...~.. ........ Block ...Z .............. Lot No ....... ~...,,~,. ......
pursuant to application dated ................................~...~.. .............. , 1 , and approved by the
Building Inspector.
F~ $ .................
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP~NCY
A. This application must bt 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 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 sit-ned 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-existin~ Buildine - $i00.00
3. Copy of Certificate of Occupancy - ~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $I5.00, Commercial $15.00
Date ......... ¢
New Construction ........... Old Or Pre-ex~s=ing Building ................. , /
Location of Property ......... ~...~..z~. ~...~.<~...:....~.~.. ....... .~.~.~ ~J~...
House No. Street H~m~et
Onwer or Owners of Property ................................................................. .
County Tax Map No 1000, Section....~..~. ....... Block ...... .~.. ....... Lot .... .~.:.~. ............
Subdivision ................................... .~ited ~fap ............ Lot ......................
Petit No. . Z-. ata of ....
Health Dept. lpproval .......................... Unde~iters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicata ...........
P.O. Box 257
Peconic, New York 11958
February 18, 1998
Building Inspector's Office
Southold Town Building Department
Southold Town Hall
Main Road
Southold, New York 11971
Re: Permit #24033
Sterling Forest Road
(6482 off Soundview Avenue)
Southold, New York
Dear Sirs:
This will attest to the fact that I was present at my home on Sterling Forest Road
when Mike McGuinness of Greenport built the forms and poured the concrete footings to
the measurement of three (3) feet for the Solar Room.
I have noted on my personal calendar that, on Monday, April 28, 1997, Mike
McGuinness poured the concrete for the 3-foot footings for the Solar Room in
preparation for installation of the structure we purchased from Four Seasons Holbrook,
Inc. I watched IX&-. McGuinness pour the concrete which was done in conformance with
the architect's plans and specifications.
Sincerely, ,~
Dofleese J. Stewart
Owner
lt[~l;(? APRIL I. D'AMATO
~RY PUBLIC, State of New
N~. B2-6745700. Suffolk Couj~ty
Term expires Jut¥ 31, 19
'~{S03 S£3fKIO~[d ~IV~IOS SNOSVFIS ~lfiO~I
]'OE]~M£ 9-2 {
HEL~E O. NO,NE
Nol..,ry Public, S~:ate o, New York
No, 495 ! 3G4
Qua flied in Su~o k COun~ "~
765-X802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[[ ]]:ORAUNM~:NAGTION 2ND [ ]~FNiNA:ATION
[ ] FIREPLAC~ CHIMNEY
DATE/~/.~/~7 INSPECT~
BU ILDI NG DEPARTMENT
TOUR I1~I.1.
~ BLDG DEPT SOUTI1OI.D, N.Y. 11971
..... ~N OFSOL ?~:101,~ TEL: 765- 1802
l,~,i,~.~~, 19~ -- /
AP~ FOR BUtLI)I~G PE~IT
INSTRUCTIONS
HEAIA'tl
BOARD OF PI~S '~/ ...........
/3 SETS OF ...............
/Ci,EC~ . :.:Z: :/Z :::::::::
SEPTIC FORM ...................
NOTIFY:
D~tea..~..q. g7 ..... ,19fi.7.
a. 1his application mast be c~npletely filled in by typewriter or in ink ,-nd m~tanitted to the Building Inspector wit
3 ~ts of plmls, acca~rate plot plan to scale. Fee according to schedule.
b. Plot plan sl~aing location of lot and of Buildings on premises, relationship to adjoining pr~aises or poblic
streets or areas, and giving, a detailed description of layc~t of property mst be dra~m on the dingran ~hich is part of
this appl icatio~.
c. lhe ~ork covered by this application may not he tormented before issuance of Building Permit.
d. Ul~l approval of this application, the Building Inspect:or will issue a Building Permit to the appl icant. Such
permiL shall be kept em tim premiscs axrailable for inspecticm thtxa~LO~ont the work.
e. ~ l~aildlng shall be occupied or treed in wtkole or in part for any purpase ~mtever until a Certificate of
Occ~pancy droll have been grante~..by the Building Inspector.
APPI.1CATION IS I~I~BY ~ to the Building Oepartnent for the issuance of a Building Permit per,stunt to tim
PaHhli~rg 7.c~e Or¢linar~-e o~ tim T¢~a of Sc~H~old, ~fffolk t'~xm!y, l~e Yolk, ar~l other applicable l~s, Ordinances or
Refcflaticam, for t.be construction of buildings, additic~m or alterations, or for rorcmal or dorolitica, as berein
descril}ml. 'lhe applicant agrees to comply with all applicable laws, ordinances,--,_lalildlng c~clo, hc~aslng cc~le, and
' =,
ng . i 17%t,
State wtmther applicant is rx~ner, lessee, agent, architect, engineer, general contractoyx .electrician, phrnber or t~tilder
(a~ on the tax mi1 or latest deed)
If appl icaot is a corporati(m, signature of ~Mly a~ltl~rizJ~l officer.
(i~'.~ nod title of corporate officer')
Philters Licenae Ro ..........................
Electricians License No .......................
Other Tr;~le'a License ~) ......................
1. ltx:atirm of laed on *t~id~ propor, ed turk *Jill be done ..............................................................
................... .¢.. :¢.e..~..L. :.'9..~...~9.~ ~.q.T.... ¢..qe.~. ........ ...~..9...~...o.j...~.. ..... ~,,/.: ..............
lkm~ Rt~be r St r~t tl~nlet
~,.~, Ta,,.,,p.o. ,~, .~_tion .... .o..~ ..... ,,,oc~ ...... ~. ........ i~t ..... ~..~.'
DJlXlivision ...................................... FHed Map 5k) ................ Lol: ...............
2. State existing use and occxrtmnc~ of F~nises ar~l intenck~l use ami ncca~panc,y of propos~t co~lst:ruction:
a. sad occa ", .... ........................................................
b. lnteeded use sad occupaocy .... I, .., .'Y"~., ~ .~ .~ J..'q ...................... ii~.fl~ vt'.. ;..,., ...... ,~,~.,;.~:.i~4 .........
'i. ~lh,~e of xa~,k (ci.wk which Ol~licable): i~; I~ihling .......... ~kliti¢.~ ..........
I~rl~i r ............ I~al ............. I~1 i t. lcm ............ Other I~H~ ............. ~. ~ ~ .~ .......
,,. ~, i,,,~¢~l ¢~,~, .... Z~.~.~.~ ........... r~ ............................................ .::. ~ --
(Io I~ 1~icl cm fillng this a[~l
7. I)iz~nsi~s~ of exisdng ~trts:lutes. i~ any: Fr{a~t ................ ~er ............... I~plh
I)in~nsi~.~s of s;,;~ st[tmture will; alterati~xm or mNlitions: Fron~ ............... l~ar
IX~pth .................... I~i~,t . [//Tz~'t~r of Storie~_,/7'/
O. I)in~nsi~s or enti~e [~ c:~mt~:t i~x~: Frrmt ............... l~r .... fi/ ......... I~pth
I~J{~L ........ ~. .............. ~s~i~r o~ ~Lo~Jes
J I. /~s~ or tl~ dJsL~ JcL J~ dl[~; pf~lJ~s a~e S~LT~L~I .............................................................
]~. [~S proix,,~l c~x~m~xx:t{*~ violate auy ~.d.g h~. o~tlit~,~e or regulm, i*$~: ...... ~ ..............
I% is this ptx~i~tt.y ~ithln ~1 f~t o[ a tithl xmLlat~l? ~ YI¢S .......... ~1 ...~...
Ikt i~; the. J.~)-r~,..~.-~. ......................................................................................
(Cx,l[racLor, ;~t;ent~ corl×~rnle o[Ficer, el(:.)
:~;ticl cy.-n~r or c~w.l.% ;n~l is (ltJily mdhot i~l to Ix. [oH. or h;rv~ I~rl'orn~d lbo ~Jd ~tk taxi to n~lkt~ n:xl File Ihln
the ~)tk ~iJJ J~ I~rrcml~l i[~ the n~.Jr~r ~/ f(nth h; the appl i('nl i(,~ riled tl~r~ilh.
................... tiny of ................. 19 ........
~,laJy l'~d>l ic -
X,~ ~c _O~U~UN_~ a. ,ass~
~ Pubhc, State of New Y~
No. 01HA5035395
Qualified in Suffolk Coun~ ~