HomeMy WebLinkAbout23590-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25682
Date: 04/27/98
THIS CERTIFIES that the building ADD RAISED PATIO DECK
Location of Property: 2380 HOBART RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 64 Block 3 Lot 6
Subdivision Filed Map No. -- Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 17, 1996 pursuant to which
Building Permit No. 23590-Z dated JULY 17, 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 RAISED PATIO DECK ADDITION ON THE REAR OF EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to JOHN C NEVILLE
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H-053053 12/06/96
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
.1~0mm' NO. E
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N, Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is n ~~
...... ~,,~_ .o../~......._~.~, .... ~ ~ ~
................................................... ~.~~..~...~ .................................
Coun~ Tox Map No. 1000 Section ......... .~Bl~k ....... :..~ ..... ~t No ........ ~ ..........
pu~uant to application dat~ .......................... ~.~. .......... , lg.~and approv~ by me
~ee *.....~
'. .......
Rev. 6/30/80
TOW~'~ ('IF SOdTf4Oi_O ~,
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. F%nai survey of .property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval frQ.~, 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 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 of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
gpre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
,2o 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 Buildinm - $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 ............ .~./~- · -~-/~. f ...............
New Construction ........... Old Or Pre-ex~sting Build~,ng., ...... ~ .......
o, . . . . .... '"' "U' "
Onwer er Owners of
· g,--f U_'
Connty Ta.~ M~p ~o 1000, Section .............. Bloc~ ................ Lot
- Lot
............ Applicant
~eal~ Dept, Approval .......................... Unde~riters Approval
~lanning Board Approval ........................
Request for: Temporary Certificate .......... .. ·
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
April 27, 1998
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
John & Veronica Neville
2380 Hobart Rd.
Southold, New York 11971
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.
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 # 23590-Z
Please contact our office on this matter.
cooperation.
Thank you for
$OUTHOLD TOWN BUILDING DEPT.
~:H,~) ~NSPI~c'r~oH R~.POtlT DATE
U .........
ROUGI{ FRAMI~ &
[NSUt,ATZON I'~R N. Y.
STATE ENERGY ...........
CODE ........................................................................
Albert J. Krupski, President
John Holzapfel, Vice President
Jim King
Martin H. Gan'ell
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1179
S outhold, New Yorkl] 97]
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD O~ TOWN TRUSTEES ~-~1~.5 TOWNiOF SOUTHOLD ,
John C. Neville ~ ~ ~ ~ *OB ~
2380 Hobart Road
Southold, NY 11971
RE: John C. Neville
SCTM 964-3-6
Dear Mr. Neville:
The following action was taken by the Southold Town Board of
Trustees on Wednesday, February 28, 1996:
RESOLVED that the Southold Town Board of Trustees grant a waiver
to add a 12' X 36' deck onto an existing house with the
installation of haybales between the construction area and the
creekduring con~t~cfi~-n~-~-~']
If you have any questions,
this office.
Sincerely,
Albert J. up
President, Board of Trustees
please do not hesitate to contact
./., . _ ~t
AJK:JMB
cc:CAC
JUL - 11996
BLDG. D£PT,
TOWN OF SOUT~OLD
'~-TRE NEW YORK BOARD OF FII,~ ~DERWRITERS ~Ac~= ~
8063574 BUREAU OF EI~ECTRICI~ : ~ '~'
85 JOHN STREET, NEW'YORK, N~ !003~ : ' '~
THIS CE~IFIEs~*'THAT
o~y t~ e~ctrlc~ equipment ~ ~se~ be~w a~ int~uc~ by t~ applicant ~d on the a~e*ap~i~tion number in t~p~mhe~ of
~s examined on
FIXTURES OVENS
CC. COND,
I OTHER APPARATUS:
]?ATTO ¥.IG~TNG
G.F.C.T~-I
~EASR REMIT BY ~L~ ~ ~W
, ,,~OR~ER TO THE ORDER'OF THE NEW
' YORK BOARD OF ~IR! UNDEEWIUTRRS '
AS CASH S~NT BY MAK WIlL B~ AT
~O~ ~ ruSK OF SRNOER.
~ 238~ HOBART ROAD ' " ' ' ~
SOUl'HOLD, NY, 11971 ~'
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]--INSUL~AT40~-
/
[ ] FRAMING [c-.**]"FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~ ~
DATE ~/~~~~ INSPE~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] INSULATION
[ ~INAL
[ ] FIREPLACE & CHIMNEY
FORN NO. I
TOIO1 OF SOUTHOLO
BUILDING DEPARTHENT
T01Ot HAM,
SOUTHOLD~, N.Y. 1197 I
TEL: 765-1802
BOARD OF HEALTH ...............
3 BETS OF PLANS .
SURVEY ...;~, ........ , .........
CHECK · ~ .......... , ............
SEPTI~ FORIt ...................
· ~ AP~ATION FOR BUILDING PERItIT
INSTRUCTIONS
IIAIL TO: ................ ....
a. Thi~ applicatlou uttst be ccul)letely filled in by type~iter or in ink and st~mitted to the Building Inspector wlth
3 sets of plaa~ accurate plot plea to scale. Fee according to schedule.
b. Plot plan sl~rln8 location of lot and of buildings on prc~ises, relationship to adjoining pr~nlses or publlc
stre~ts or areas, and giving a detailed descriptlcm of layer of property mast be dra~u
this appllcatiau.
e. lhe ~ork covered by this application may not be ccnuenced before issuance of Buildiug Pemlt.
d. Upon ~pv~o,al of this application, the Building Inspector will issue a Daildivg Permit to the applicant. Such
permit shall be kept on th~ praises available for inspection throo/~hout the ~,~k.
e. No Imildiu8 shall be occupied or used in whole or in part for any purpose ~,t~atever until a Certificate of'
Occupancy shall have been granted by the Building Inspector.
APPLI~ IS l~tami Ht~ to the Buildiug l)epartnnnt for the issuance of a Buildiug Permit pursuant to the
Daildlng Zo~ Ordinance of tl~ To~n o~ Southold, Suffolk County, ~ York, and other applicable La~s, Ordinances'.or
Regulations, for the construction of buildings, additions or alterations, or for i~oval or dt~olitlon, as herein
described. Ihe applicant agrees to comply with all applicable la~s, ordinances, building code, housing code, and
regulations, and to adadt authori~x~l inspectors on pr~asesmxl m ~.ila~, for necessary ~n. spectmns.
: ....
/(Sj/gnattwe of applicant, or m, if a corporatxon)
(liailin8 address o'f applicant)-- /
State ~tether applicant is o~ner, lessee, agent, ~itect, euglneer, geneYat contractor~ electrician, plmber or builder.
.gy. ad. Mg,(4, ................. , ............................................ , ............................
o^m..: .......... .....
(a~ on the tax roll ,or latest deed)
If applicant is a corporatiou, ~igi~atttre o[ duly authorized o[£1cer.
3. Nat~Jre of ~ork (check ~hich applicable): t~ P~dlding .......... ~iri~ .... '. Al~erati~ ..........
~lli~ ~
5. If ~r of ~l]i ~mita ............ ~flmr of ~lling traits ~ e~ fl~r ~
~i~i~ of ~ at~a ~th aiterati~a or ~it~ona: ~t ............... ~ar ...............
,
' PLOT DIAOR~
f-rc~a prol~rty lines. ~iue street and bloc~ ,,r~r or deag~ription
~hetlmr interior or corner lo£, ~ .~. F/oo/~£cT- I~;o~,l~
/
'
STATE ,OF NEI~ ~;YORK,,~ . , , :
co,,,r~.o~ ..S'~:'~'~'v.~.I.% ...... ,!ss
....... ' ........... ~'.......,.~" ' ~"' ' , ......... ~i~ ~ly ~m, t~s a~ says flint Im ia the
al~e ~. ' ' '
,~ ~..~ ......... , ......... , ....... i ~<.~.~% ...........................
(~tr~tor, ~ent, ~ra~ offi~r, etc.)
of ~id ~r or ~ra~ ~ ia ~ly~tl~ri~ to ~rfom or ~ ~rfo~ the ~id ~ ~ to ~ ~ fila thia
a~li~ti~i flu~t all a~t~ta ~ta~i~ tn thia a~li~ti~ are t~ to tim ~at of hia ~l~a
flint tim ~rk will M ~rfo~ in ~ ~r ~t forfl~ in tim a~lieati~ fil~
................... ..... ...... ......
Oualifi~d in Su,~o,kCounW ~Oq · ~