HomeMy WebLinkAbout23863-zFORM NO. 4
TOM OF SOUTEOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OC~"JPANCY
No Z-25209
Date AUGUST 19, 1997
THIS CERTIFIES that the building
Location of Property 710 TALLWOOD L~2~E
House No.
County Tax Map No. 1000 Section 113
Subdivision
ACCESSORY
Street
Block 7
Filed Map No.
MATTITUCK, N.Y.
Hamlet
Lot 19.15
Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 5, 1996 pursuant to which
Building Permit No. 23863-z dated DECEMBER 16, 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 STORAGE SHED IN REQUIRED REAR AS APPLIED FOR.
The certificate is issued to JAMES GEBBIA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/&
N/A
N/A
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. I'.
N.o
BUILDING PERMIT
(THIS PEP~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~38§3 Z Oote ............................. i~ ..................... ,
Permission is hereby granted to: ~/ . /,~ / ,-
................. .7..../..~...~/./~....../...../..~ ....
............... ~.~~.~...-. ......................
at premises//Iocated at( .............. ~,~. ~/.~.,...~-~...../~....~.--...~.~.~ .........................................
...................................... ~..~..~.~... ................................
County
pursuant to application doted ......................... -- ('/J ~....~.....~, 19..~....~ and approved by the
Building Inspector.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN 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 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.
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 completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'7pre-existing" land uses:
i. 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 building $25.00. Businesses $50.00.
~. Certificate of Occupancy on Pre-existing Buildin~ - $100.00
'5. Copy of Certificate of Occupancy - ~ .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - ·
V~ Date...~/./i/~..~.. ......................
New Construction ....... Old Or Pre-existing Building..; ..............
Location of Property... ~./. ?.....~. ~..~..f~..O..O..~ ..............
Rouse No. Street ~amlet
Onwer or Owners of Property ........................................... ... .. . .. .. ...
County T~x Map No 1000, Section... l:~.2-,5j ...... Block ...... ~.../, ...... Lot ....................
Subdivision .................................... Filed Map ............ Lot ......................
ltealt:h Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ......
Request for: Temporary Certificate ....... Final Certi~~... ~
Fee Submitted: $...Z.~..~?~.. ......... i i ii
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
JAMES GEBBIA
710 TALLWOOD LANE
MATTITUCK, NY
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 (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 ~ 23863Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
I" I EI,I~ I IHil'l~ ) I1~1'
FiJUHIha. I' t OH
III!IIII.^TIIlll PI~I~, H. Y,
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~SULATION
[ ] FRAMING [~/] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE ~//~/~ 7 INSP£CTOR .~~~
1.1CR'I'I ()H FOIl BIII I,I) I Fl(: Iq~.Rl~ [ T
I iq.q'l'RI]{ 71' 1
I%O&RO I. IF IlEAl.Tit ...............
3 SF.T.q OF I'I.ANS
,q IIRVF,¥ ........................
CIII~.CK .........................
.qF, Irl'l C FOIIH ...................
1)at e ................ , 19 ....
. a. 'lid!; ;)plHicati(.i.unt' Im c(~,q~lelely filled in hy lylx~.~riter or in ink o,.I mfl~aill~l to the IkdhlinR hmlmcfo~ with
1). l']ot pln,I nl~it~g I{mnl'i(xl or Iol ;.KI ol ladhlinR~ ¢.1 i.¢~,dses, rolm i(a~s;hlI
d. IllX.I npl,x~al of Ods al~)llcatlon, lhe l~lihllng hmlm<lor will ismle ~l lhHhling Permit Io Iho ;qq)licnnl. Stlch
APPI.I(~I'II~ IS I~REIIY }~l]~.to lhe I~]ildi~g I~l~n'ln~nl. 17),- tho i~m~ance o[ a I~dlditlg I%tmit: ix,i~ala,H, lo the
Ikfihllng 7x~ Ordinalme o1: the 'l~l of ~g~d~ohl. SuflT)lk (~xml~, ~ YoH% a,xl olher
(ll;,no a,.I tille of corlx),ale officor)
I~dhlorn I.{('en,qe No ..........................
PIt,ltx",r.fl I,i('on.qc~ No ..........................
I)im,."~l~lie)~l~i ()1' ~i~l inl~, I~l~k~:L~iL~i~, il: m~y~ Iq'()~ll ................ I(*tal' ~ .............. (~q~lh .................
I~il~ll ........................ i lll~l*~ I)i' ,~t( ~ hm ......................
~, · J(/ltl I' . .............. I~q~l h ..............
IkzJl~l .... j li~Ix~' (~1~ ~' '
............ ; ........ J~]llJ' , .............. ' ..... l~plh ....................
Jj
Pi,liT I) i A(}IIAH
APPROV~.~.A$ .OT£D
N~IFY 8UILDIN6 ~~
765~1802 9 AM ~ 4 PM FOR THE
FOLLOWING INSPE~IONS:
t, FOLJNDA~ON - ~OREQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMEING
3, IN~U~TION
4~ FINAL CONSTRU~ION MU~T
~E COMPLETE FOR C,O.
ALL CONSTRUCTION SHALL ME~
THE R~Q~IREMENT9 OF ~E N.~
STATE CONSTRUCTION & ENERGY
CODES, N~ RESPONSIBLE FOR
DESIGN OR CONS~UCTION ERROR~
Ih' i~ Ihu ..... :....~e..~..
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