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
;