HomeMy WebLinkAbout23272-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25083
Date JUNE 13, 1997
THIS CERTIFIES that the buildin~
Location of Property 660 MILL CREEK DR.
House No.
County Tax Map No. 1000 Section 135
Subdivision
ADDITION
Block 3
Filed Map No.
SOUTHOLD, N.Y.
Street
Lot 42.3
Lot No.
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 16, 1996 .pursuant to which
Building Permit No. 23272-Z dated FEBRUARY 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR "AS'BUILT"
The certificate is issued to CHRISTOPHER & DARLENE W. GRIZADAS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
M/a
N/a
FORM NO.$
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAIL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED]
Ne 23272 Z
pursuant to application dated ........................... ~.~..~..... ~..~..., 1 9...~...--~......, and approved by th
Building Inspector.
Rev. 6/30/80
Building Inspeo~r
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 solde~ used in system contains
less than 2/10 of i% 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 ~f completed site plan requirements.
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.
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.
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
Date ....................................~/.'~... ~ ~.~ ~?q 7. .
New Construction .... Old Or Pre-existing Building .............
Location of Property...~...~. .......... ..~.¥./...C~.... ~..~... ............... .~.~..~..~ .............
Ho~se No. Street t{aml e t
Onwer or Owners of Property...~.~..~.~..~....~.. ...... ..~Q..i .ZO.~.~ .................................
County Tax Map No 1000, Section.../..~..~.. .... Block .... .~. ......... Lot ..... .~..~.~.~. .............
Subdivision .................................... Filed ~ap ............ Lot ................. ~. ....
Permit No..~.. ..~..Date Of Permit ................ Applicant. .~.~ .....
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
FOII~tl)AT T Or4 ( I .~;T )
FOUHI)A'r [Ot~ (2ND)
ROIJ(;[I FR^ttI~ &
TNSIII,^TTOtl PER H. ¥.
STATE EHI~Rf;Y
I)ATE C OHtll~ tl'l'S
II
tgi
KENNETH A. DEEGAN
ATTORNEY AT LAW
Town of Southold
Building Department
Town Hall
Southold, N.Y. 11971
460 NEW YORK AVENUE
P.O. BOX 570
tiUNTIlqGT ON, N.Y. 11743
(516) 549-0200
FAX (516) 549-0202
February 15, 1996
APPLICATION FOR BUiLDING PERMIT
660 MILL CREEK DR., SOUTHOLD, N.Y.
Gentlemen:
Enclosed please find the Application for Building Permit, Survey and 3 sets of
Construction Plans on the above premises, together with our checks in the sums of $75.00 for the
Permit and $25.00 for the C.O.
Should you have any questions, please feel free to contact our office directly.
KAD:ler
Enclosure
CC: C. Dolson, ERA Victorian Realty
R. Armstrong, Esq.
Sincerely yoars,
KENNETH A. DEEGAN
Town Hall, 53095 Main Road
' P '~0' Box 1179 ,
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 7, 1996
Kenneth A. Deegan
Attorney at Law
120 Main Street
P.O. Box 570
Huntington, NY 11743
Dear Mr. Deegan:
We are returning your paperwork as per our conversation of
February 6, 1996. Enclosed is your check for $100.00 (#8556)
and the applications & survey.
Please return when the necessary changes have been made:
2. Address - 660 Mill Creek Dri ,~,'"~'7~"' ,~
3. need 3 sets of construction plans ' '
4. need 2 separate checks $75.00 & $25.00.
Thank you.
Southold Town Building Dept.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGhinG,
[ ] .~UI~ATION
[,~]~FINAL
] FIREPLACE & CHIMNEY
I NSPECT~./~.
765-1802
BUILDING DEPT.
INSPECTION
[ ! FOUNDATION 1ST [/] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]~ULATION
[ ] FRAMING [~/] FINAL
[ ] FIREPLACF,~&'~HIMNEY ,, ./
INSPECTO ~~
(~ m~l titl~ of ~r~rnte oiliest)
~ ........ ,,, ~ai., ........... ~ml l~l~l ~.~ ........ , Oiler ~sk , .~.,.~ ..............
' ,,/~, ,,-~ 0, -- ,.A(~.~...~......~.6~.. .. . ..- .... ... :: ~: ................
~. 0~ ~ ~0 ' ~ ' '
~,.t. ~ ~ 0 r ...... · ..... '; ........ ~ ...............
,.*,, ..... ,~.-,,.,.,~,,~ ,m~,e ...... , .............. ~,,lm~ o~ 8~orlea ,.ff, ........ .., /
,. ~,~ ~, ~, ~,~ ~.~.~.~ ....... ~,... ~'.,.. ~_,.. ~.//~ -
~. ,~,,, ~, ,,,~-- ,.~,?ZL .... ,.. ~ ~ ~,~,, ~,~ ~.~ .............. . ....... . .....
12, ~u pn~ ~tn~tt~lolate~l. ~y~l~ ~, o~ll~e or ~e6sllucl~ ,,~ .................
I~.
, , ..... ,.. ,,,, . , , ,,,./. ...... .,.~,, ...... .....
~tl~r t,t'erio~ or ~n~r lot,
3
ii 111 ............... ,,..~¢~t~ ...... ; ..... , ........ ~ ...................................................
itu~ 1%d)i lc ....... ~.lty ///~/ ~; ~¢ QualifiedN°' 52-0897943in Suffolk Cd~y'