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HomeMy WebLinkAbout23393-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25461 Date: 12/30/97 THIS CERTIFIES that the building ADDITION Location of Property: 265 LISA DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 55 Block 6 Subdivision Filed Map No. __ Lot No. -- SOUTHOLD (HAMLET) Lot 15.3 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12, 1996 pursuant to which Building Permit No. 23393-Z dated APRIL 29, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to TERRY C & MARY E WHYARD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/a N/A Buiid~ng Insp~tod FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT 1'OWN HAU. $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ........... ~..,.,.~...~.. ............... 23393 Z pursuant to application dated ............. ~.....(.~.,,, 19.~..i'...(~'......, and approved bytl~e Building Inspector. ......................... Building ~ Rev. 6/30/80 TOWN OF SOUT~OLD BUILDING DEP J~RTMENT TOWN ~LL 1802 765- APPLICATION FOR CERTIFICATE OF OCCUPA~'YCY A. This application must be 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. 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. B. 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. ~. 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 building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Oate. .~. ~.~ ~.o. a .°,.5. .......................... New Construction 01d Or Pre-~e.xisting Building ,. Location of Property .~.~.O. ~..~.]~.~o. 'l~.~.\.x~.. .~~ ... House No. Street Hamlet Onwer O~ers of Property :-~...~..~ ~ .~..~..ml ...... County Tax Map No 1000, Section .............. Block .............. Lot.. ~ ............... Subdivision Filed Map Lot ....... ~ermit ~o a%.qb t ....... ~ate Of Permit...~:3.~ :.~ ~ ..... Applicant. :%.~..~...~. · -~- · ....... Health Dept. Approval ..................... . . .. . Underwriters Approval ..................... ... . Planning Board Approval........... ........... .. Request for: Temporary Certificate ........... Final Certicats...X ...... Fee Submitted: $ · ~'..-~. .................... I'1,11t111 I III:IIII,^TI()ii I'F, II II, ¥, ,~;'I'A I I': I~ I IIAI. Al)I) I '1' I 011^1, ' Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September ~, 1997 Fax (516) 765-1823 Telephone (516) 765-1802 Terry & Mary Whyard 265 Lisa Dr. Southold, N.Y. 11971 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 # 23393-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ,££'961 --- 3'7 01~10 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ } ~JLATION [ ] FRAMING [,K,']"FINAL [ ] FIREPLACE ~ CHIMNEY DATE-//~////'~/)/~/ ,NSPEC~L~ 765-1802 BUILDING DEPT. INSPECTION [ 4~NDATION 2ND [ ]INSULATION [,/] FRAMING [ ] FINAL [ ] FIREPLACE &~IlMNEY REMARKS:~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ULATION [ ] FRAMING [/~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTO~~ 765-t802 BUILDING DEPT. /~ INSPECTION FOUNDATION 1ST [ ] ~OUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE INSPECTOR 1 ~H'I'RU{71' I ()NH ITOAIID ()lr IIF, AI/HI ............... IIRVF. Y ........................ ~.// (illlt-(;K ......................... .SgPT I ~ FORH CAI,I ............. ' ..... n. 'lid. nl)l)ll(:ntio*t nmmL lie ~:(:m~)lel,ely filled in by I'ylxn4riter or in ~()k taxi md),dtt~l Lo the Ik~ilding hmlmclor I). I'lot I)lm~ I)lgmh~ I~ntit.) o[ lot: o,.I of l.mihling. ~) l)ronise% ~lnl ionnhlp to ~joh)ing ~roninen or Dml)llc d. Illx~) nlq)r~o} of thin nlq)llcel, i(.), the Ikdldi)u~ hmlmetor x*ill inmm a I~dldh)g l%tmlt It) the opplicom~l. I~n)fit ~dmll Im kept t~l tim I)mfli~. nvniloble for tuulecthm tli~xi~l~Jt the (~CUlm*~:y ~mll I)ove t~)et~ 8rnnte(I I)y tim IkdhlinB hmlmCtof- AI)I'I,I(~'I'I(~ 18 Iflil~:llY }~ to tim IkdldJng l~l)artuent for the inmmm~e of a ~dhlh~ Permit Ixmtmmnt: to the I~d hlh)g l~m otdhmtme of the 'l~m of ~dlmld. ~fffolk ~l)ll'y, ~ Yo~k, m~ ()ti)er nlq)licol)le 1~., Or*lJnmmeu I~gulathmu, for lira ~mutnmti(m oE I~dl(Ih~., mkllti~m0 or ol~eratl~m~ or for t'o~al or t~,olltion, o. Imrein (lenctll~.l. 'lira Ol)l)[Jl:O.t ngree~ t.o (:(x,ldy .ith nil nlq)licuble lm~), o~(linmmeu, Imll(ling (:Sx~, IKxmlog t~guInl, i~m, o,~l to ~.it m)tl~rlze(I inMmetorn ~* lira. Then taxi in Imilclizq} for mmceuo~ry innlmctl(ms. .... .................... .qtnle t4mther nl)plicnnt ia o~nmr, lessee, ngenl., orddlect, e.ghmer, ge~mrnl c(mtrficLor, eleetrleim), l)hx~Imr or I~)ihler. ...................................................................................... (0. (Xl {.l~e I~IR roll or }~tent' (leed) ' .......... ~,.a, i,,~,~d ~),~. .~... '~ .......~"~ . ...~..~. 6.~¢~A. ................. 7. Ijlll~llnll~lll o~ ~l~l'hl~ ~l.~L~ll~l]l I~ lul~l F~II'. ............... RSlll' . .............. I~l~lh ................. ILHI~I~ ......................... 1~,6~e l~[~ fill i~lt ...................... Ik~ll~ll: ......................... l~lll~e iii: Bloul~l ..................... ~. ~iiz~ iii: Io1, I l~loll~ .................... I~llT .................... I~plh .................... 785-1802 9 AM TO 4 IN FOLLOWING INSPECTIONS: FOR THE I. FOUNDATION TWO REQUIRED FOR POURED. qONCRETE ;,; /; 2, ROUGH . FR~AMiNG & PLUMBING' 3. INSU~TIO~*~ 4. F~NAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY COOES, NOT RESPONSISLE FOR t~, i,, ti,,, ...0~ .X./.~.~ ........... JOYcE M. WILKIN~ Public, State of New York ~952246, S~ffolk Cou~ Expires June 12, .1: .llid i~.:lx!r or I~,nmll% i.xl in thlly i,lthor l:.';ad ii) I~.~flI~l,i .r' hn'~l! ix!~Joll,l!ll thu iinhl ~nl'~ luKI to ll~lltlt lulll Jlhl Ihirl IlulL Ill(! ~.~llk will b~ LISA DRIVE SURVEY FOR D.B.M. COMPANY LOT NO. I, "HIGHPOINT MEADOWS ,SECTION ONE" AT SOUTHOLD TOWN OF SOUTHOLD' SUFFOLK COUNTY, NEW YORK NOV 20. MAR B, I FEB. O~TE DEC. 7~ I SCALE I""- 50' NO 90 - 09 F~$T