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HomeMy WebLinkAbout23758-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No Z-24959 Date MARCH 27, 1997 THIS CERTIFIES that the building ADDITION Location of Property 2740 & 2850 GILLETT~ DRI~ House NO. Street County Tax Map No. 1000 Section 38 Block 2 Subdivision Filed Map No. EABTMARION, N.Y. Hamlet Lot 29.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in thia office dated SEPTEMBER 19, 1996 ~ursuant to which Building Permit No. 23758-Z dated OCTOBER 18, 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 TWO CAR GARAGE ADDITION WITH BREEZEWAY TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & NANCY MUIR (owners) of the aforeeaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-414753 - MARCH 21, 1997 Rev. 1/81 FO~ NO. st TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 23758 Z Permission is hereby granted~,~ . .../..cA.,~.....~'./.~_~... ~. ........................ .... ~..~Z./'.~.....~:. ................... ,o...~~...*..~......~. ...... ~....~..~~......~./.J..~.-.~ ............. ~ -' _ .z~ a.,,' . ........... ~.~,~ ........ ~ ............. ~ ............................................... , ............................................ at premises located at .....~..Z~.~... ..~--.~..........~...Z/.e~.~..~..~.~,~~. .............................. .............................................. ~.~..~...~.~ ............................................................... cou.~ Tax Map No. ,000 Sec,on ..... .5..~ ........... ~,~ .... ...m..~. ........ Lo~ No....~../....*.....~... pursuant to application dated ............ .r~r"'~...~'...'~.t..../'~...~..~.~... ....... , 19.~...~.., and approved by the Building Inspector. Fee $,.Z~z Rev. 6/30/80 TOWN OF SOUTHOLD BUILDIYG DEPART~E,~NT %OWN ~ULL 765-1802 APPLICATION FOR CERTIFICATE OF 0CCUP~CY L~JAw~O~Sou'moLD , This application must be filled in by type,~rriter Ok ink and submitted to the building inspec:or with the following: for new building or new use: !. Final survey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from 5ealth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn s~atement from plumber certifying that ~he solder used in sysEem contains tess than 2/i0 of i% lead. 5. Commercial building, industrial building, muir±pie residences and similar buildings and installations, a certificate of Code Compliance from archiaect or engineer responsible for ~he building. 6. Submit Planning Board Approval of completed site plan requirements. For' existing buildings .(prior Eo April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 1. Accurate survey of property showing all proper~y i/~es, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent uo inspect si~ed by the appiican~ If a Car%ificate of Occupancy is denied, the Building Inspector shall sta~e the reasons therefor in writing to the applicant. Certificate of Occupancy - New dwelling $25.00, Additions :o dwelling $25.00, Alterations ~o dwelling $25.00, Swimming pool $25.00, Accessor~ building $25.00~ Additions ~o accessory building $25.00. Businesses 2. Cerciflcate of Occupancy on Pre-~xis~in~ ~uildi~ - $100.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of 0ceupency - Residential $15.00, Commercial $i5.00 New Construction ........... 01d Or Pre-existing Building ................. ~ecation of ~roperty....Z?¢~....~. L .U~. ¢~T¢...?BW.~. ..... ~..-~..1'../~:~.~[q,.~.. .................. ~OUSe ~O. S~reeC Ea~et County T~x ~V~ap No 1000, Section..'~.~. ........ Block..?~. ............ Lo~..~..~.$.~2~ ........... s~bdivision...M~R, lC.C..t~4, aC..¢.g.-W. ............. Filed ~ ............ ~o= ...................... Ps=it of ,ermi .. ....... ......... Healuh Dept. Approval./<.~.~.. ..................... Underwriters Approval ......................... Planning Board Approva~//.~. .................. Request for: Temporary Certificate ........... Final Cer%icaue..v~. ........ Fee Submitted: . ............ ~PPL i CA~NT Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765~1823 Te{ephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 21, 1997 Karen Oxholm P.O. Box 133 East Marion, NY 11939 Re: Robert & Nancy Muir - SCTM#1000-38-2-29.1 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. The check is (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23758-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. INSIII,^TI¢)N I'I/,R ~. ¥. Al)l) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FIREPLACE & CHIMNEY INSPECTO~ INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. [ ] FIREPLACE & CHIMNEY DATE~/~-~~/~,~INSPECT~ 765-1802 BUILDING DEPT. INSPECTION f ] FOUNDATION IST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY 765-180Z BUILDING DEPT. INSPECTION [y/1~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: [ ] INSULATION ] FINAL INSPECTOR I:0111'1 riO- 1 'rot~i',l O1; fiOllTIIOl.l) flu Il,Il l l'lg I I Ir, l~ b. I~,'ITI t I't T TO~I I,I llttl.l. · q011TI101,ll, l~.t. I 197 I TF.L: 765- ltl02 &Uq,ICM'IOI'I FOil l!.tlll.I)ll~lO PERH['I' I ~g'fRllCl' 1 01~1S a. 'lifts $l~llcatlo~ ,~Jst Im eo~l~lelely filled b by ty~,*rlter m- in ink a~,l m~l~ltted to ¢~ncrJl~l. 'll~e appllcast agr~n to co~fly ~hh aU a~fliealde l~s, ordi~a~mes., lafildh~ c~te, I~slng e~le~ . . . . ',~ff~~ ' .. , ~,~ ,,r ~ or ,,,~,,, .~0~¢~. g.. ~..-~.~ ................................................ (~'~ a~xl title or ('oqr~rale of lb:er) Ikdlder. l,icen.,m 14o .......................... Plt~dlmra Lice ~ 1% .......................... 0tlmr TrmD'u l.lceu~ ~ ..................... I. l~atl(sl ef lam (s~ ~fch p~Dsm¢l ~rlt will I~ d~ .............................................................. ..... ~.d~ ..................... .~ t~...'~g~'~ .................. '~.,. ~.&g~o0 ..................... (~) ., , .. 't - ~.gl.~..~g~ ....................... ,. ~,~,~,.,,~ ,,,~ ,,,~ ,~,=,~,,~y .6..~O~g...' (lo I~ paid (m filing this applicati~m) l)i,~n~i~m of exim:ing ~tn~ture~, iff any: Frimt ................ Ikar ............... Ihl)tl{ ................. Bhs~an~i~m of ent ire ~m~ camtnmticss: l~t~l~ ................ I~ar ............... I~pth or u~ districl: in ~lids pr~i~s are fllt'uat~l ............................................................... loc Im regrm~{ ................. l. ~ill e~ess fill tm rol~l fr~, pr~ai~a: YES off Arddtect ...................... ............. ~klress .............................. I~ ~) ............... of (Xx'a. raclor .. ' PI.(!T I)l AGRAH lex:ale clearly as~l distinctly all IznlIlmgs, whetheF existing or pro~}s~, a,sl isxlicate all ,eb-lmck di,~nsio~ prol~rty li,~s. Give st~t at~ l)l~mlc }~,{mr or tkscriptiim according to ~ed~ m~ ~s~ street ~us~a ami i~licate interior or cotter 1o1:. N~{~ )f it~lividt~{ ,igmng c~mtr~cl.) ((x)~ t. ract ~r, age~ rate ofl t( e -, ett .) lsat Um ~)rk ~i[l l~ i~rJ:orn~l in the n~i~u~r set forth in tile aJ)pl ~)tar'y I~fi)lic . . ~ ROBERT I. S~O~JR. (Si{~uatu,'e of Appl leant) NOTARY POBU~tate of N.Y. No, 4725089, ~flolk Cou~ Term E~ire~ MAy al, 1t OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED APPROVED AS NOTED FEE, "/Tf''~ BY: ~-~ NOTIFY BUILDING OEPA~T"ENT AT 765'1802 9 AM TO 4 PM FOR THE FOLLOWING INSPE~IONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSU~TION FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRU~ION ERRORS "! ,I -t'