HomeMy WebLinkAbout23606-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24709
Date OCTOBER 28, 1996
THIS CERTIFIES that the building ADDITION
Location of Property. 412 PARK AVE. MATTITHCK, N.Y.
House NO. Street Hamlet
County Tax Map No. 1000 Section 123 Block 7 Lot 9.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 15, 1996 .pursuant to which
Building Permit No. 23606-Z dated JULY 25, 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
NICHOLAS & PATRICIA LACONTI
N/A
N/A
N/A
Rev. 1/81
~1~' g/I~nspector
lrOB~ NO. it
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)
N.° 23606 Z
Permission is hereby granted tg:' .
~..,.L,~..~.~.......~....~.: .............
.... .~../~ ........ .~.~ ....... ~..~.,~,. .................
. . ~.~. ~.~.. z u,~. . .c . . . .._ . . .~ ~,. . . . . . /. /. ~x,~
,o ..~~.~......~ ....... ~ ........ ~~ ......... ~.. ....... ~ ...............
....
at premises ,ocate'"/d at .............. y/~ ........ /'~"///////~/4 ...... ~' '~'" .......................................................
co..~ Tax Map No. ,000 Sect,on ~. ............. ~,~ ...~ ......... Lot No..~:.g. ..........
pursuant to application dated ........ ...~.."~...~...~.. ......... /.~....?.. ........... , 199~, and approved by the
Building Inspector.
Fee $.....~..~...~ ..........
Rev. 6~30/80
2. Elna! i~proval from ~e~ch Oe~. of ~acar supply and sewera~e-disposai(S-9 fo~).
3. Ag~rova! of a!accrical L/scallaui~n fro~ Board of Fire Unde~izars.
Lass chan 2/I0 of il iaaa.
rasponsi~ia for ~a ~u~d~.
6,. Sub~ ~la~g Boa~d kpprov~ of compLauad siva plan requirements.
'~pra-~is~g~' !~d uses:
L. iccur~a su~ey of proper~ show~g a!!~ properc7 i~es, scraeus, bu~d~g ~d
unusu~ ~a~ura! or copogr~p~ic faa~nras.
C. Fees
!. Carziflcaua of 0ccupanc7 - .~e,= Rwe!!ing ~25.00~ Addi~-!ons co dwa!!Lng $25.00,
'~ ;7~ $25.00, ' ' pool ~25.00, Accessory bu~d~g f25.00~
Additions co accasso~z budding 525.00. Bus~esses S50.00.
2. Car%i~!ca~a of 0ccup~c7 on Fra-~xis~Z Buil¢~ - Si00.00
3. Copy of Cart~icaza of Occupancy - ~ .25~.
f. I~porar/ Carcificgua of Occupancy - ~esidenuia! S!5.00~ Cc~erci~
Yew Consc~acu!on ........... 0id 0r ~r,-~!sc~go = Building ..... ~.~ .....
' . r '~ 0 · . IIg~-~
................. .................... ......... .. .....
~Subd~xision ......................... ~ .......... Filed Hap ............ Loc ......................
?erm±= No.~ ..... Da~a Of Permi= .... ~ ~ ~ = ~ ......
· . ............. pp__c_n ........................
Eeaich Dept. Approval .......................... Jnde~-~icar$ Approval .........................
Planning Board ippr=va! ........................
taquesu for: Tampcrary Carcmfmca~a ........... ii~a! Carzicaua....~r ......
~PLiCA~[T
FIELD INSPECTIOI~ REPORT DATE COI'IF, J!NTS
~OU~T~O~ ( ~ ST ) ~1 .,t'
FOU~ATION (2ND) II
INSI~ATION PER N. Y.
STATE ENERGY
CODE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] INSULATION
REMARKS:
] FIREPLACE & CHIMNEY
DATE ~ ~//?/?~/~ INSPECTOR ~/~_~//~/
FORM NO.
TOWN OF [;OUTI,OI.I}
BUll.DING DEPARTHENT
'I'O~N I1AI,I,
SOUTIIOLD, N.Y. 11911
TEl.: 765-1802
ItOARll OF IIE^LTII
3 SETS (IF Pt,fiNS ...............
SURYE¥
I;IIECK .........................
SEI~'I'I C FOEN ....................
HAIl, TO: ....................
API'I.ICATION FOil BUll.DING PERHIT
Date ................ , 19
INSTRUCTIONS ' ,.,
a. 'lids apptleatlo~l ,alst I~ cotl~lel.ely [ill~l in 1~ tyl~.witer or in ink m~l sut~nltted to the Ik~ildin8 Insl~Ctor with
3 sets off pi.ns, oceurate plot plan to scale. F~ aceordi~ ko sch~hlle.
b. Plot: plan ~ming I~:at-i(~ oF lot m~l of I~ildit~8 ~ proalses, relati¢mshlp to ~ljolnlng prcmlisea or la,hilt
e. 'lhe ~rk c~r~l by this Oll~llcati~at ~w~y m)t ~ cm.e~:~l I~fore isstmt~e of ~Hldit~ Permit. ..,
d. UIx~ aR~n~al off this al~heat~on, the lk~thhng lnSl~cLor w~ll iam~ a ~ildlng Permit to the n~;l~canl. ~ch
e. ~ ladldlng dml [ I~ ¢~pied or libel in ~te or in l~ark for mff ~rl~se sdmtever ~mcit a C~rciflcate
(k:taq~.~:y ~mtt have linen 8rant~l by Llm l~tildi~g hsslector.
Ik~iltlh~g Zxs~ Onli~m~,¢ of the 'l'¢x~ of ~aJtl.~ld, Si[folk (kxmty, ~ Ymk, m~l other applicable l~s, Onli~m~ees or
1~Bulati~s, for tl~ c~sLn~ti~ of ladldlngs, mHitla~s or alterations, or for ro~al or ¢~litlon, as here,.
(~flliu8 mglress of al~licant)
,qtate WheO~er applicant' iQ t~r, les.,~ee, agent, srdlitect, engineer, get.fsi couktacl.or, electrician, pl~xit~r or I~dlder.
.......................................................................................... p .,Asut o ........
,.
' (.~ ,., ,,,~ ,.,,~ .,. o~ ~,~,: .,~,) ...... '~'~ ..... ~;"~?~'
NOTI~ ~glLOI~B OE~A~T~T AT
[[ al~d leant ia a COrl~ratl~, sJ1~atn~ off duly aull.)riz~l officer. 765-1802 9 AM TO 4 PM FOR THE
~.. ,,,,,, ~,,,e o,~ eo,',,,,,'a,e o~,,,~e,-) OCCUPANL;Y OR
~,~: USE IS UNLAWFUL
,,,i,,,e~,,.~,,,~ ~, ........... .~ ..... WITHOUT CERTIFICATE
Pit,liar8 l,Jcen~ ~o ..........................
.... - OF .OCCUPANCY
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING r
3. INSULATION "
4. FINAL - CONSTRUCTION MUST
BE COMPLET~]I'~OR C;O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS ,OF THE N.Y.
STATE CONSTRUCTION & ENERGY
Otlmr 'l'rale's License Ho ..................... CODES. NOT RESPONSIBLE FOR
· ' DESIGN OR CONSTRUCTION ERRORS
I. l~.'atJ~m of Imxl o~ ,~ich propose41 ~n'k will Im ~k~r~ ...............................................
~d~llvlsi~ ...................................... FiI~I t~l~ ~) ................ l~t ...............
2. Stale exlatJt~ u~ atxl ~:Catl~a~x:y of pr~nises at~l in?[gl~l Ilg¢ a~xl c~C~l~m~y of p~q~ c(~sLtuction:
I
V[,OT
14x:nt,t cleflrly m,I dl~l;ir~tly ~ll IAHI(Iins~~ ~Jethev ~xJsl:inBm' proF)sal, m,I l~licflte nit ~eL-lmc. k dJ,~nflionfl
/"/au- ~ f~'
Al,
' I
~ .............. I.'- i,ll~ duly
Ik~ ill the. ......................... '
((Al t [ I )ri ~Jl~.O. ll[) l'.Ol'lX)l-lil~. OfJ~lCe. r. {~l.t:,)
Ih~ll. [lift ~)rk ~JlJ I~ I~rl:om~d ]11 I~ IJ~lJJJ~l' Jj(]J: l:Ol(li ill I.h~ II~li('.~ll ion I'Ji~d
{ ~OYCE M.
Term Expir~ June
(Lqtylat'm e ()f Appl
I