HomeMy WebLinkAbout23742-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25450
Date: 12/00/00
THIS CERTIFIES that the building ACCESSORY
Location of Property: 10505 SOUND AVE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 122 Block 1 Lot 3
MATTITUCK
Subdivision Filed Map No. __ Lot No, __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 27~ 1996 pursuant to which
Suilding Permit No. 23742-Z dated OCTOBER 10, 1996
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 STORAG~ BUILDING IN REAR YARD AS APPLIED FOR.
The certificate is issued to MARK P & LAUREN D SISSON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
FO~ NO. Iii
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWH HALL
SOUTHOLD, N. I'.
BUILDING FERMIT
(THIS PEPJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.° 23742
Permission is hereby granted to: ~
/~..~~...~~ ...........
/o~...~..~J. ............ ~ ~. ........................
,o.~v~.~.~..~.... ....... ~ ....... ~~:~ ......... ../././~..~ ......... ~.~ .......... ~.~.
.~ ..... .,~. .......... ~...~ .......... ~~.....~....~.,... .............................................
at prem,.. ,~ed o, ............................... ~;i~ ......................................................................
............................................. .xf..O.~....~...~ ....... .,~/..~.....: ............................................
.................................................... ~.~...gzz~,.~.~......~./...,.....././.~../...~ ............................
County Tax Map No. I000 Section ./~....~.. ........... Block ./..~./.. ...... Lot No .........~.. ..........
pursuant ,o application doted ............. ~.....,,~, .,~....~,.. ........ , ,9..,~..~, and opproved by the
Building Inspector.
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOW~ 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 foll6~ing: 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 c6mpleted 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. 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 buildingS25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buiidin~ - $I00.00
3. Copy of Certificate of Occupancy - ~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ....
Constrnction ........ r n ng ................
Location of Property ..... ~P.~.q~, ...................................
House No. Street Hamlet
Onwer or Owners of Property .................................................
conntyTax~p~o 1000, section...'~ .~lec~ ..V.! .Lot.
Subdivision .............................. .... . . Filed Map ............ Lot ......................
Permit No2.~.?.~..~...~...Date Of Permit ................ Applicant .............................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval
Request for: Temporary Certificate ........... Final Certicat~e....~ ......
Fee Submitted:~. ~,~ ~ $...'%...9., ¢?P. .............
e0~E5 ~5 0
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 12, 1997
Fax (516) 765-1823
Telephone (516) 765-1802
Mark & Lauren D. Sisson
10505 Sound Ave.
Mattituck, NoY.11952
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) 6'~
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 # 23742-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] INSULATION
[ ~FINAL ~'-/~j
DATE ,~/~/ INSPECTOR~/~_~
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] RO~PLBG.
[ ]/~I~IJLATION
[ ~ FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR
765-~80Z
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[[]] ;ORAU~iDNA~ION 2ND [[ ~TION
[ ] FIREPLACE & CHIMNEY
REMS'
W, 8Z.50'
$, p.
$OUNP
SEP 2 ? 199~' ~
CERTIFIFZD TO'
MARK P. SISSON
LAUREN D, $1580N
THE SUFFOLK COUNTY
NATIONAL BANK
CHICAGO TITLE iNSURANCE C~
v~NdE
SURVEY FOR
MARK P S/SSON & /_AUREN D. S/SSON
A T MA TT/TUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000- 122- Ol- 03
Sca/e: 1" = 40'
July 2, 1996
AREA = 21,778 sq. ft
IR.30 IRA FEI. ER STREET
SOUTHOLO~ N.Y. 11971
96- 187
F'ORH It(). I
'l'OlCN (IP' ,.qOUTIIOI.D
lllJ I l,I}q[N(~ DF, P b. RTi:IENT
TO~dN IIAI,L
$OUTIIOLD, N.Y. I 19..' I
TEl,; 7~ 1802
IHSTRUCTIt)NS , ,
BOARD OF IIF,^I,TII ...............
] SF, T$ OF Pi,fiNS ...............
SURVEY ........................
CIIECK .........................
SF, PTIC F(IRH ...................
HO'F1 FY:
:.5. ..4Q .....
HAll, TO: ....................
l)nLe ................ :. 19 ....
3 ~ts o~ pinna, ~rate plot pl~ to re:ale. F~ accordl;~ to sch~hHe.
b. Plot: plan M~it~g I~ati¢~l of lot atxl of l~,ildi~s
ntr~ts or arena, a~l 8ivi~ a cbtnilal ~scripti¢~ of
this nT~dicatics~. , ,
c. 'ihe x~rk c<~r~l l~ this ni~llcatics~ pay ~K~( I~ ccsme~'a:~l i~fo~e ism~q~e or ~Jihli[~ Pc.nit. .
d. Uixst nl~n~al of this nl1~licati~, the ~Jilding lnsleelor will inm~ n ~ilding Permit t¢~ the nl~;licanl:. ~ch
e- ~ laHldi~ Mini [ I~ ¢<oTpi~l or u~d in ~le or ill Dart for m~ ~tr~se ~mt~r until a C~rtificale of
Ihslhlii~ 7zx~ OtxlD~m~:e of the q~ of ~xt[l~l¢l, ~ffolk {~mty, ~4 Ymk, md other alqdicoble l~s, o~dhm~ees or
l~8ulaki~s~ For tim ~sLn~i~ o~ lafildlnga, mhliti~s or alteraki~s~ or for r~al or ¢~lltlon, ns herein
~acril~l, 'lbe Oplflicm~t agr~s t.o c~ply with all
{,qi?.lmttlle of nlafl leant, or nme, if n Cmlx~rat iOl~)
title oF corporate officer)
l'.~. 1= [hJa g~t~l~ity ~ithin ~X) feet o~ u Lldal t~tliuxl?
Pl.(IT II
l.-'x:~le clearly m~l distinctly all l~Hlding~, '~l~elh~r e~isl:it;g or pro[x~c-d,, at~] h~li,e~L~ all. ,~el;-baek di,~n~ion~
r~,m~ i.'oi~Nh~,~. Civ~ ~tree[ ~xl bl~x:l~ ~.~d~r m' ~le.~eril:,l:i(~ ~,~:eo'~dlng Io ~------------------~edi aim ~11(~.~, ~lreet
NOTARY PUBUC,~,Stete of N.Y.
No. 4725089. S(~ffolk County
Term Expire~ May 31o 19..~8
L
ILLUSTRATION ['0-1
FRONT FRAME
FLOOR SHEATHING LAYOUTS
ILLUSTRATION []
ILLUSTRATION [] REAR FRAME
ILLUSTRATION [-~ SIDE WALL SHEATHING LAYOUT
F
10x12 ~
10x16
FRONT FRAME SHEATHING
ILLUSTRATION [-~
ILLUSTRATION [] REAR FRAME SHEATHING
ROOF SHEATHING LAYOUT
Shown in Flat Plane
LLUSTRATION r~
DOOR MEMBER
ILLUSTRATION