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
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