Loading...
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.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 23863Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I" I EI,I~ I IHil'l~ ) I1~1' FiJUHIha. I' t OH III!IIII.^TIIlll PI~I~, H. Y, {:Dill( I ^l))) I ')' ! ,I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~SULATION [ ] FRAMING [~/] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE ~//~/~ 7 INSP£CTOR .~~~ 1.1CR'I'I ()H FOIl BIII I,I) I Fl(: Iq~.Rl~ [ T I iq.q'l'RI]{ 71' 1 I%O&RO I. IF IlEAl.Tit ............... 3 SF.T.q OF I'I.ANS ,q IIRVF,¥ ........................ CIII~.CK ......................... .qF, Irl'l C FOIIH ................... 1)at e ................ , 19 .... . a. 'lid!; ;)plHicati(.i.unt' Im c(~,q~lelely filled in hy lylx~.~riter or in ink o,.I mfl~aill~l to the IkdhlinR hmlmcfo~ with 1). l']ot pln,I nl~it~g I{mnl'i(xl or Iol ;.KI ol ladhlinR~ ¢.1 i.¢~,dses, rolm i(a~s;hlI d. IllX.I npl,x~al of Ods al~)llcatlon, lhe l~lihllng hmlm<lor will ismle ~l lhHhling Permit Io Iho ;qq)licnnl. Stlch APPI.I(~I'II~ IS I~REIIY }~l]~.to lhe I~]ildi~g I~l~n'ln~nl. 17),- tho i~m~ance o[ a I~dlditlg I%tmit: ix,i~ala,H, lo the Ikfihllng 7x~ Ordinalme o1: the 'l~l of ~g~d~ohl. SuflT)lk (~xml~, ~ YoH% a,xl olher (ll;,no a,.I tille of corlx),ale officor) I~dhlorn I.{('en,qe No .......................... PIt,ltx",r.fl I,i('on.qc~ No .......................... I)im,."~l~lie)~l~i ()1' ~i~l inl~, I~l~k~:L~iL~i~, il: m~y~ Iq'()~ll ................ I(*tal' ~ .............. (~q~lh ................. I~il~ll ........................ i lll~l*~ I)i' ,~t( ~ hm ...................... ~, · J(/ltl I' . .............. I~q~l h .............. IkzJl~l .... j li~Ix~' (~1~ ~' ' ............ ; ........ J~]llJ' , .............. ' ..... l~plh .................... Jj Pi,liT I) i A(}IIAH APPROV~.~.A$ .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..~.. i ~ ~eo~ ' (,;~ ...................