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