The URL can be used to link to this page

Home My WebLink About22956-zFORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall ~ Southold, N.Y. ~EHTIFICATE OF OCCUPANCY No Z-23952 Date OCTOBER 16, 1995 THIS CERTIFIES that the building Location of Propert~ 450 MAPLE AVE. House NO. County Tax Map No. 1000 Section 107 Subdivision ADDITIONS MATTITUCK, N.Y. Street Hamlet Block 3 Lot 4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 5, 1995 pursuant to which Building Permit No. 22956-z dated AUGUST 22, 1995 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 NON-HEATED ADDITION, ROOFED OFER DECK ADDITION, OPEN DECK ADDITION & BUILT--IN FIREPLACE TO EXISTING OWE FAMILY DWELLING "AS BUILT" The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED EDWARD H. & STELLA B. McLAUGHLIN N/A H-047042 - SEPT. 20, 1995 N/A u i/iding Inspector Rev. 1/81 ~ORM NO.:5 TOWN OF BOUTHOLD BUILDING DEPAOTMENT TOWN HALL $OUTHOLD, N.Y. N£ BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 22956 ................... ~ ..................................... ~"~ '~" Permission Is hereby granted to: /.~....~. ~.~.~~. ~ ....... ~ ............ ~..~....~ ......... ~....,.~~ ............ ~.~.;~..~....~.....~ .... M~/~.....~,. ........................................................ , ..................................................... .................................................................... ~..~.~ ........................................................ ~,,,~m~,~ ~ ~* .............. ~.....~~ ....... ~ ................................................. ............................................................ ~~ ............................................................... oo~n~x,~,,o. ,000 ~o,,on..Z~ .......... ,,o~ ....... ~ ......... ~,,o...~ pursuant to application dated .............. ~. ............................................ Building Inspector, Fee $.....2..~..~.. ......... and approved by the Building inspector Rev. 6/30/80 Form ~o. 6 'fOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN HALL 765-[802 APPLICA'rION FOIl CERTIF1CAYE 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. a. Sworn statement from plumber certifying that the solder used in system contains less than 2/i0 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 "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural br topographic features. 2. ~ 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 - Ne~ 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-existin~ Buildine - $[00.00 3. Copy of Certificate of Occupancy - $20.00 &. Updated Certificate of Occupancy - $50.O0 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 .... ......................... .~..~.... !~..~. ~.e._.. ...... Hous~ No. Street Hamlet ................................... Subdivision .................................... Fi led biap ............ Lot ..................... itealtb Dept, Approval .......................... Underwriters Approvui ......................... 'lanning Board Approval ........................ :~equest foc: Temporary Certificate ........... Fi,al Certicate. Submitted: ~ ' ..... co Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 31, 1995 Mr. E. McLaughlin 129 Commonwealth St. Franklin Square, NY 11010 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) xx 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 # 22956-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INS~ILATION [/~1 NAL DATE 76S-1802 { ] FOUNDATION IST [ ] ROUGHrpLi~G. [ ] FOUNDATION2ND [ [ ] FRAMING /~NAL [ ] FIREPLACE& CH IMNE~~._ REMARKS: ~~ ' DATE ,~/~'~J'~'- , NSPECTOR ~//~/'~ kxammed ....... pin (wed ..... ~./~. , A I)isaPln oved a/c ' FOI1M NO. 1 I'OWN OF SOU'IIIOLI) BUIIAglNG O F_P A I11M ir-_' N T 'tOWN I IALL §OUI'IIOI. D, N.Y. 11071 . (~Xf~ing InSl,eClol) APPLIG^I'ION FOIl BUILDING PEI1MH' INSTI~.UCTIONS ,J)ale ........... , a. This ,qppficalion must be COmldelely filled in by lypewriler or hi ink and submilled lo Ihe Building Inspecloh will~ sels of I)hms, accurale i)loI plan lo scale. Fee according lo schedule. b. Plot plan showing Ipcalion of lot and of Imihlings on p,emises, ~elalionshil~ lo adjoining premises or public sl~ccl or a~eas, and giving a delailed descdl)lion of layoul of p~ol)erly II1u~l J)o (h0wll Oll JJl~ diagulm which is pall el' Ihis al)pi calion. c, 'Hie work coveted I)y this application may not be t:ommenced befme issmmce of 13ni}tling Permit. d. Upon approvnlo[thisapplicalion, lheBuildinglnspeciorwilli~sued aBuihlingPemfitlolhenpplicanL Such pen. shah bo kepi on Iht p~emises avnilablo for inspeclion Ihmughoul Ihe w(nk. e. No building shall bo occupied o~ used in whole el [11 pad for any pllfl)ose whaleve~ until a Cedi~cale of Occupant shall have been gHmled by Ihe Building Inspeclor. AI'IqACATION IS IIIZREIIY MAI)I! Io Ihe Building Depadmenl for the issuance of n Building Pe~mil pulsuml{ {o Ih ~hdlding Zone Oulimmce of Ihe Town of)g'pu,l:ha~)ll;~'~:t,t~[olk~;County, New Ymk, and olher n ~ ~licnble l.aws ()ulimmces Regulalions, for the conslruclion of builaingg,'a'(l(l[llb~'tj"l e o~s or for ~emoval ~ 'demolition ns Iht npl)hcan{ aglees Io comply wllh all alq)hc0ble laws, O~dlnances; blHhhng code, hOtlslng code, and ~eguhdions, find lJdmil nulho~ized hisl)eclols on p]em.iscs and in building f?,rjmcessar~speclions. ~ ~. , " .. ',' . :--~~--~, (Sigpalt~ofappJicanff~,if Slale whelhel aplflicauI is owne~, lessee, agenl, ,uchilecl, engineer, 8enelal conhacloh elechichm, plumbcl or build~l ..................... ',.:..':..:.'....'.':' .:. . .............. -,.. $ . . (as on lbo lax loll or lalesl deed) If ~Hqflicanl is a coq}omlion, sigmdum of duly aulhod~ed.olficeL (Nnme and lille of'colpolale officeO II hlc~ s 1,icense Iq,,) .......................... I'lmnbef's l,icense hi() ......................... I~Jecl 'c' iii s License No ....................... ()liter 'l'rade's License No ...................... ~ ' 77~ ........... 7 .... fii,~,;i ~LL;G ....... ; ............................ &'i;~"' ..................... 7 ,_o, ......... Courtly Tax Map No. t000 · ' .................... ' .... Subdivision . .; ..... . ........................ . ..... Filed Map No ............... I.ol ............... (N,me) Shlle existing use and occul)nncy of promises and inlende~l use nnd occupancy Of l)roposed conslruclion: / . ~,~.~:~ ~,,~.~6~;¥i'.o~ .............. · 'ct)nh .............. Re,I ~iov.l .............. De,molJlh)n .... ; ......... OIhcr \Vo~k ............... i (Ia lie, paid oil fiJinl; lhis npl)JicaJio.) 5, If dwelling, Immbe,r aC dwellinlJiuniis ....... '~.'. .... Number of {IwellinB units oil ench floor .... -~ ........... 7. Ihme, nsions of existing slruchu-es, il' nny: Fronl ' ,. , Re,ar .............. Del)Ih J)inlensJons oJ seine, shuChl,re, wllh nJle,r.lJons or nddJlions: l;ron( ............................... I)e,plh I .................. RelU' . . , ..... ' ......... ,,~ lYumbar of Sloiie,s ....... '' ''T .......... ,, ............. : Re,er . .............. I)e,plh ............... Jell, id ............... NulHJler of S o I(}, )nec, c ~ ' , ........... l)e~ Z( ~ , , . '''i .................. Name of l,o . net Ow e,r , .......... II. Does plOpOSe,d ROIISJliICIJoiI viollnle, lilly ZOllJllg IIIW, ofiJJllllllC(~ O1' re,l]lllilJJ{;ll: ............................ Will Jill be lelO'ade,d ....... ', .i .................. \VIII exce,ss fill be, re,nioYe,d fro. in pralliJSe,S: Iq. Nan;e, of O\vller of l)~emisas · , I Yes .I ........ ; ........ Addle,ss ................... Jqione, No ................ Nellie of AlcJtilecl .......... j ................. Adth'e,ss ................... PJtone, NO ................ 15, .s I ~l.s Ire ally t,dt:hli{ '~0(1 feel: {if ~.1 tidal I~oLI{;i{(I? *¥e8 ........ J~l,') ....... hl~-; yes~ SoutiJloJd '{'OUll 'J.'lTtifll~ee8 ]?e¥llllJ' 111~.¥ JiG l-equJYed .. , lq-:OT I)IAO tAM LomHe clenlly nmi disllnell~ hill buihlinBs, wh~lhe[ e,xi~ling or propose,d, nnd. imlieale, Idl se,lq;ack dime,nsi(ms fi(mi I,opeHy liuos. ('~iva ~lre,e,I and block iunlJ;e,r or de,sc, dpliol'l nCcoldin~ Io dee,d, and Bhow ~lree,l nnme,8 ~nd in{lie,ale, wlm, lhe~ Il, APPROVED AS NOTED oAt'E: NOTIFY BUILDING DEPARTMENT AT '/65-1802 9 AM TO 4. PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REOUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING &. PLUMBING 3. INSULATION: ~ ~ r ~ ~ 4. FINAL -,~)N.;~TRUCTION MUST BE COMPLET~ E FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y. BTA~E CONSTRUCTION & ENERGY CODES· NOT ~IESPONBIBLE, FOR DESIGN OR CONSTRUCTION ERRORS ..................... ........ ... (Name al'individual signi~lg conh'acl) being duly sworn, del)aBes mid says Ihnl lie is Ill(; nl)plicnnl Ih~ is Ill(; .., ................... i /ConlrnClOl, lige,llJ, COl'pOIifl'l~ ...................... J ' oiiiccr, e,{c.) ' '"" ............ i o1' smd ownel or owllers, and is (lul~ aulhodzed Io i)eifornl or hflve i)crfollned Ihe snid wail and Ia Illflke and file this npplicnlJon; (llnl ;ill slaleinenJs COIIJiI(lleJl ill lids fll)plicalJon lire, J'[ile lO Iha best of iris knowledge ;lllJJ belief; lind Ilia( wolk will be I;e~formed in Ihe nuulllarise,I forlh in Iii0 iijq)JJcfllJon filed IhelowilJi. Swam h) I)efol~ lUG this . i .' i . .................... ....., i -.,1 I -4 0 fA .( 3t t I