HomeMy WebLinkAbout23484-zFORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~ERTIFICATE OF OCCUPANCY
No Z-24505 Date JULY 17, 1996
THIS CERTIFIES that the buildin~ ADDITION
25 STERLING PL.
Location of Property 405 (a/k/a 306) BRIDGE ST. GREENPORT, N.Y.
House NO. Street Hamlet
County Tax Map No. 1000 Section 34 Block 3 Lot 51
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MY 6, 1996 pursuant to which
Building Permit No. 23484-Z dated JUNE 6, 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 BUILT"
AS APPLIED FOR.
The certificate is issued to
of the aforesaid building.
JOAN M. CAREY
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
ilding I~spector/
IVOBM NO. ~
TOWN OP $OUT~OLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. ¥.
BUILDING FERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISF..5 UNTIL FULL
cOMPLETION OF THE WORK AUTHORIZED)
N.o 23<t8~ Z
Permission is hereby granted to:
........................
.... ~...~.~
,o .....~)~.~ ....... ~ ......... ~.~ ........ ..~..~.~.~ ...... ~ ........... ~ ...................
..~.~.......~.,...~.~ .......... ~.~ ........ ~~..~?..~......~..~'~,
at premises located at ...~...~ ....... .~,./...ff.~.r.~(.ff.,...~... ...... ~.../..~.~.,.~ .........................................................
County Tax Map No. 1000 Section ......~..Y ........... ,lock ..... ..~....~.. ......... Lot No.......~./ ............
pursuant to application dated ............... ..~.....~.. ............................. ,19...~..~, and approved by the
Building Inspector.
Fee $ ........................
//B~ltlding Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMEN~
TOWN HALL
765-i802
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:
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).
o. 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, t957) 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.
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.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations no 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 Buildint - $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
Jew Construction ........... Old Or Pre-existing Building .................
~ocation of Property .....................................................
House No. Street Hamlet
}nwer or Owners of Property ........ .....................~em~ ~V~ ~t~.~... ..................................
3ounty Tax Map No 1000, Section ..... -~..~ ..... Block ..... ~ ......... Lot...~../ ................
3ubdivision .................................... Filed Map.... .........~o~.~ - . ....................
Permit No ................ Date Of Permit ................ Applicant .............................
:{ca!th Dept. Approval ................... Underwriters Approval .........................
'lanning Board Aoproval ..................
~equest for: Temporary Certificate ........... Final Certieate..~l~ ......
Submitted: $ .... ~..~ .....................
...... ................
APPLICAN~ ~'
I'lJlllliJAI i(]ll (t:~'1')
I~UUIII)A'I lull ( ~lll.l~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] I~ATION
[ ] FRAMING ~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS. (~~~_~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN~J~ATION
[ ~*~INAL
[ ] FIREPLACE & CHIMNEY
DATE ~////.//~_~ INSPECTOR ~/~~'~/~
^I'I'I,I(~A'I'ION FOI{ IIUII,I)IN(~ I~Ir, RHI'I*
a. 'Ih|. IJlq}lit:at:|o~l nxmL be c(~.pletely I"illed iH hy tylx~.z[Jter m it~ init m~i mdx~dt.l.c~l Lo the lA,il(ling lns[~(:lol x~ilh
tilts ~pl)li(:ntlon.
Il. [IJX~l ;ll~)t~aJ O~ Iht6 atq)lJ('nLion, the IhlJldJlqT lll~l~t:lor ~.~Jll Jnme ~ l~ildJng lfermJt to the ;tl)l)iJ(:mll..
(k:(:~lJ~il~:y ~IHI I have I~eli [~rllllte(J I1y Ihe I~lJltJillg ill~l~(:lor.
AI~q,I('A'I'I(~ IS Ig~l~ll~ ~AII~ ,J() [l~ I~il(lil~g Ik~l~llllenl [O[ lile iBm.lll('e oF a l~,i IJlill8 I~ellnJ~ ~Jr~lanl: Io the
(~.cril~d. 'lira appliea. I ni~reeB to C[li{)l? ~ilh o11 nppiJc~d)le i~.., or(lJnmxtes, I~lJJdin~ (xxie, I.~8Jng c(xle, aixl
......... ..... ............
(~,ililq[ mhhess of alq]lJcm,,r)
(~J.'; o~ the tJ~ r~ll or Inte.m deed)
If ;q:,plJem~L i, ta cOt-lX~xl'j(~U ~ip,~ll.e o£ dxd¥ m~ll'~rlz.~d ol-£Jcer.
(flm~e nl~l tltle oE Cml~Ornle officer)
I0,
12.
13.
14.
............ ¥..~...~.~} ....................
l)~)lli Io I)~[(HII~ I~). Illlll ~ /
........
I~ll ~ I~b~_~~..~.,,.~.,./~..
C~IRE L GL~ ~ /
Nota~ Pubfic, State o~ew Yo~
No. 4879505i ~ ~
Qualified in Suffolk Coun~ ~/~
Commission Expires Deoember 8, 19~
\ plO LOT ~
74,,07 0
LOT
~ ~0.0O'
SURVEY OF
P/O LOT 9 & P/O LOT 10
MAP OF PROPERTY OF
JONN A. MONSELL
FILED JUNE 18, 1873 FILE NO. 5S
A T GREENPORT
TO WN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 34 - 03 - 51
Scale, 1" = 20'
Dec. 28, 1994
~0,00'
rLR I'If lED
JOAN ~t, cAREY
FIDELITY NA I?ONAL FIFLE INSURANCE COMPANY
CENTERBANK MORTGAGE COMPANY
glA IF O~ NFW YORK kloRrGAGE AGENCY
ANY AL 17~RA rlON OR ADOIITOIV ID ~ 5'URVEY IS A VIOLA
Of ,~EOTION T209 Of THE A~W yORK STATE ~I]UCA TI~I LAW,
EXCEPT AS-PER ,~'EeTION ?~09-5'UBDIVI$10N R. ALL
~REON ARE VALI) FOR THIS klAP AND COPES 17~REOF ONI. Y F
SAIO MAP OR COPE'.S BEAR FNE IMP~_SSED SEAL OF Dill 5~VEYO~
wHoG~: 5lENA FL~'E APPEARS tiER~ON,
'"'~£DITIOItALL Y TO COIViPL Y ~rtt SAID LAW ~ rERI~ 'AL TERE~
"tUfT BE U,,eFD BY ANY ~ ALL SUI~V~YOR$ U~ A
~ANO rlt~ a"I~RV~YOR'$ ~4P. TL~FtI$ SUCH AS 'IA~tTCTED' AgO
'~U~t?-ID~DA 1~' ARE ROI iN CO~ IAMC[ ~IN ~ I.A~.
(516) 76.5 - 5020
P. O. BOX 909
MAIN ROAD
SOU7HOI. D, N.Y.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG..
[ ] FOUNDATION 2ND [ .].I/,~SULATION/
[ ] FRAMING [ ,~ FINAL
[ ] FIREPLACE & CHIMNEY
RrMARKS:/~i?~ ~' ~-~_~,~/~_:~/.~/~,~ --
DATE
2'/"
INSPECT~