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HomeMy WebLinkAbout23599-zFORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25008 Date JULY 22, 1996 THIS CERTIFIES that the building Location of Property 195 MARY'S RD. House No. County Tax Map No. 1000 Section 140 Subdivision ADDITIONS Street MATTITUCK, N.Y. Block 2 Filed Map No. Hamlet Lot 36 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~3LY 9, 1996 ~ursuant to which Building Permit No. 23599-Z dated J~-LY 22, 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 REAR FOYER ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DNELLIN~ AS APPLIED FOR The certificate is issued to JAMES & EILEEN LEDDY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-054875 -APRIL 21, 1997 PLUMBERS CERTIFICATION DATED N/A /B/ilding Inspector Rev. 1/81 FOB, M NO. g TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23599 Z Dote ...........~......'~......'~... ............. , N.o is hereby granted t at premises located at .................... Z .~..'.~~./.~..'~..~.~ ..... :.....~... ..................................... cou.,~ Tax Mop No. ,ooo Sec,on ...... ./..Y..42... .... B,ock ....... ~ ......... Lot No....2.~.. ............ pursuant ,o application doted ............... ,..~..~--~...~.. ..........., 19.2~,~ °nd 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: i. 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 i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and ins.~allations, a cert%ficate of Code Compliance from architect or engineer resBonstble for the building. 6. SuB~t Planning Board Approval of c6mpleted si~e plan requirements. Fo~.~xisting buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'p~e=exi~ting'' 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. Certificateof Occupancy - New dwelling $25.00, Additions to dwelling~25.00,~ Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building-~.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - , .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building...~] ............ Location of Property ......... .Z) ......................... House No. Street Hamlet Onwer or O%mer, of Property..~7-F~...'~..~...~...~..~././.~/~ .... .~...~...~..~.y ................... County Tax Map No 1000, Section ........ Block ............ Lot ............... Planning Board Approval ........................ ~/./~..... Request for: Temporary Certificate ........... Final Certicate ......... Subdivision .................................... Filed Map ........... Lot ........... Permit No .. . ate Of Permit ................ Applicant.. .O9 ....... Health Dept. Approval .......................... Underwriters Approval.. ;-77..~-~-.~-.<~..~.-~--~ .... 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 April 11, 1997 James Leddy 195 Marys Rd. Mattituck, N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of because of the following reasons: XX Occupancy An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23599-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (2NI)) ROIJG}! FRAME & .il II PLUt. JBING INSULATION PER N. Y. STATE ENERGY CODE Ot~/l. XOg ' ~Ot~ H~iON . 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: RoUG~LBG. ~tULATION FINAL DATE THE NEW YORK BOARD OF FIRE UNDERWRITERS 8~6556~* BUREAU OF* ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NY 10038 Det~, APRIL 21, [[99'7 /~ppNcation Mo. o. file 13717397/97 THIS CE~IFIES THAT o~ t~ e~trieaJ ~uipment ~ ~8e~ ~e~w a~ int~eed ~ t~ op~icont ~d on ~he a~e appllcot~n nu tuber in the prem~ea of ,3~-~S P,L~DDY, 195 ~YS RO~, ~TTITUCK, in t~ following h,catlon; ~ B,,ement ~ Ist ri. ~ 2nd FI. OUT S$cth,n Bilk Lot ~s ex.m~.ed o. APRIL 15,1997 a.d fou.d to be in compl~,ce ~ith the NaMo,al Elect~c~ Code. FIXTURE LRCRPTACLE I WIT I FIXTURES I 2 ~ 2 2 ~T, g,W. OIL H.P. GAS H,P ~T. NO. A W.G. RANGES iPECIAL REC'PT SERVIC~ DISCONNECT I I~K). OF I S  METER ~ OTflER APPARATUS: NO, OF CC. COND PER .e' TIME CLOCKS SELL UNI/HEATERS MULTI-OUTLET  SYSTEMS A,~T, A~PS. TRANS. NO. OF FEET V I ' C OF CC. COND NO. OF HI-LEG A.W,G OF HI.LEG EXHAUST FANS DIMMERS E ~O. OFNEUTRA[$ A,W G. OF NEUTRAL 29 BPJ%DFORD BETHPAGE, NY, 1].714 GENERAL MaHAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTHENT. TN]IS COPY OF CERTIFICATE tlUST ,NOT BE ALTERED Itt ANY MANNER. FOItH iq(). 'l'O~lN OF SOUTI1OI.I} BU] l,I)l NG DIt. PARTHENT 'I'O}/N I1ALL · ~;()U'I'IIOL1)~ N.Y. 1197 I TEL'. 765- 1~02 AP~ICA'I'ION FOR IHJI},I)ING I EllNIT 1 NS'I'I~IICT 10NS IIO^RII OF Ilff,^l,TII ............... 3 SIt~'l'$ ltl~ PI,ANS ............... SUII~¥EY ........................ (;IIECK ......................... S FA:'T 1C FOEH ................... ROT 1 FY: C^I,I ................... H^ ~ 1. TO: .................... 1)rite.. a. 'lids ~pplieatic~ uu.t I)e cot~letely filled in by tyl~.~iter or in i~t~ ar~l m~l~uitled to the I~dlding hm~et.or ~ilh b. Plot. plan tdg~i~ l(mati<m of lot. at~l of Ixdldi~ ~ prc~ni,se~ relationship Io ~joining prc~nises or ~blie .Ir~t. or flre~s~ o~l givi~ a (~t~il~l (~.eripti(m of la~t off prolmrly n~st Im dr~.m m the diagrun ~ddt is lkort' of thi~ ~,lq~l lent ion. e. 'lhe ~rk e~erc~l I~ Ihis al~lieati¢~; ~my ~.)t Im come[.:~l Imfore i9stmt~e of Ik~ildiog Permit'. d. tllx~ a~{~al of this fll~lication, the I~]ilding InslmCtor uill {state a lh]ildlng Pemlt to the ni}[~licm~t:. l~n.it ~hnll Im kept: (sl tim pr~ni~e auailnhle fo~ in9l~cti~s Ihrtx~z~t the x~rk. e. ~ I~dl(li~l ~mll lm (mcupi~l or used in ~ole or in lmrt for a~ ~;r~ s8mtever tmtil a C~rtificate (Xxaqmtg:y ~mll lu~e linen grant~l by lie I~dlding ]nSlmetor. APl~,l(~l'l(~ IS I[l~!liY }~E to tim I~dlding Iklmrlnent for the ismia~:e of n lkdldi~ Permit l~,rmmnl Io the Ikdlding lzx~ Otxli~mr~ of the 'lV~m of ~ml.l~ld. ~l[lSolk (~mty, ~ Yo~k, ar~ other applicable l~s. O~li~m~es I~gulati~m, for tim tmstnmti~ of Ndldingu, mkliti~m or all:erations, or for r~al or d~l ition, as Imrein ~.cril~l. 'llm applicant ll8r~s lo co~ly with all applicable l~n, ordlnm~es, I~ildi~ c~, Ig~Mng c~le, regulat'i~m., md to miuit m~tl~ri~l hmlmclors {m pmuise~ mil in I~dldlng for ,mceTs~ry {nsl~cti~m. ¢ig~,amre ,,f .pplica,~ or ,,~,,~. if a corlx,ration) (t~titi~[ ~lre~of fll~licant) .(tis c.~ the ta~ mit or I~t~st deed) Il: nppllcant is a corporaL|{m, Mg/mt:ure of duly fluthorized officer. (Iqan*~ atxl t it le oF COrlX>rate ol:l:icer) I~1| hler~ l.icense No .......................... Piti[Imf. License lgo .......................... Elect'rleimm l,lcen~ ~ ...................... Otlmr %-m~'s l.lcense ~ ..................... Ikmse ~dmr Strut I~nlet ~d~livisi{m ...................................... Filed t~p R> ................ lot ............... (~) ']. H;llmu of ~)~k O:l,'~ck ~llch alqfliicahle): I,k~ I~dhli~q& .......... ~llLtou ......... AiternLion .......... thOle, ir . ........... I~ul I .... I~x)l it. ion ............ Other I~),k . t~. I~1 i,~( ed ( ,..*. ........ g ........ f~ ............................ , ...... ' . t (to i~ fid ~.~ ~ r ~ f f I~x~ l~rOlX)~m(I (:(.~H r~.:l 1(.~ vioh~t'e ~u~y z~.~ll~B I~, or(Ih~al~, or ~'~l~ll.i.i(m: Fb,~ oF (~xTt. en~:l'()~ ............ ~ ...................... ~klr(~oa ............................... lT~)]~ I~ ............... ale Yl~fi, ~j[ll[Xl) 'ITX~ '11~J~l]~J~ HTI~IIT }~Y Id~ I'I,OT I) _ _ ,--,, ~..-'~..~...t~ '" '~ :~.~. ~.~,...~:~.-,. ~.~. ~;. ~ .................. ,,,,,,,, ,,,,,, ,,,,,,,. ,,,,,,,,,~,, ,,,, ,,,,,, ,,,,,, ,,~ ,, ,,,~ ,,,,,,,,,~,,,,, :=====================., ::;: ......... ::.:.. Term Expires~ May 31, 19~ UNDERWRITERS CERIIFICK[E REQUIREO RP. PRO~£O A~ ~OTE~ 765-1802 9 AM TO 4 PM FOR THE t. FOUNDATtO~ TWO REQUIRED FOR POURED CONCRETE 2, ROUGH ~ FRAMING & PLUMBING 4. FINAl., CONSTRUCTION MUST ~E COMPLETE FOR C.O. ALL CONSTRUCTION SNAL~ THE, REQUIREMENT~ OF TH~ STATE CONSTRUCTION & CODEs. NO~ RESPONSIBLE FOR OCCUPANCY OR USE IS UNLAWFUL W~THOUT CERTIFICATE OF OCCUPANCY -/. q ;