HomeMy WebLinkAbout24340-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26168 Date: 12/15/98
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 2465 ELIJAHS LA MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 108 Block 4 Lot 7.14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 30, 1997 pursuant to which
Building Permit No. 24340-Z dated SEPTEMBER 10, 1997
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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE & COVERED FRONT
PORCH AS APPLIED FOR.
The certificate is issued to ARTHUR P FOSTER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0114 12/14/98
ELECTRICAL CERTIFICATE NO. H4378 12/02/98
PLUMBERS CERTIFICATION DATED 09/23/98 BERTSAND PLUMB&HEATING
Building Inepe 9yor
Rev. 1/81
FORK NO. I
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° 24340 Z Date ............ .............................. 19. /
Permission is hereby granted to:
:... ,�r.. ..� 'l.
�� .... .. !1-..........6-.......
.. . 114 1� .. .....
...... ...... ........ .....f..........................
l
................................................................................................................................................................
................................................................................ .......................... ........
at premises located at..... Ul ... rlf �l ..S........n.......... ............./.�
County Tax Map No. 1000 Section ...,1e.( G'
/f....... Block ..... 'V......pLot No. ....
pursuant to application dated ........... I.l�.�y......
k!�' 19.,/.,/, and approved by the
Building Inspector. /
Fee .........
................/...... .. ....... ....... . ..........................
Ing nspector
Rev. 6/30/80
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. 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 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:
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.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Shimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - t .25¢.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
��- c
Date . . . . . �. . . �. .: ./.(Jkki. . . . . . . . . . . . . . . . . . . . . . . . .
_w Construction.�� . 7 . . . . Old Or Pre-existing Building. .. . . . . . . . . . . . . . . �1
3cation of Property.�C.�.5.. . . .'/ T/� .. . ::. . . . . . . . . .c ��� 1. :. . :. . . . . . . !. Y. . . . . .
House No. Street Hamlet
iwer or Owners of Property.. . . . . . . . . .. . . .. . . .. .�� f . . . . . . . . . . . ... . . . . . . . . . . . . .. . . . . . . .
./. . . . . .. . . . . . . .
aunty Tax Map No 1000, Section. .^�' � . . . . ..//.Block. . 7. .. . . . . . . .Lot. . 71.6T. . . . . . . . . . . . . .
ibdivision�L/T NS 1 4""-' fJT�(IiS k(��'/Filed Map. . . . . . . . . . . .Lot. . . . I/. . . . . . . . . . . . . . .
armit No. .�t�� X�. . . .Date Of Permit. . , . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
salth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
tanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
squest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
ee Submitted: $. . . . '�. �.�.. . . . . . . . . . . . . . . . .
c� . . . . . . ,. .��. . . . . . . . . . . . . . . . . .
APPLICANT
o�Z aG168'
ELECT- INSP- SERV- INC- 5162866683
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TEL. 765-1802
��c,�fFOLK�O TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
y,
TOWN HALL
�!- SOUTHOLD, N.Y. 11971
C E R T I F I C A T I O N
Date September 23 , 1998
Building Permit No. 243402
Owner
(please print)
Plumber Bertsand Plumbin & He_ating, Inc.
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1i lead.
Vplumger's signature)
Sworn to before„me this
j; day of September
1998 � rh
Notary Public
Notary Public, Suffolk County
BEEN M.ROAC E
N" MM"*
�igMNIMODEIpY�{ .moo
From:Joseph Fischeai,PE To:Gary Fish Date:8120198 Time:5:25:10 PM Page 1 of 1
GAMI'a C�iac,liel
PROFESSIONAL ENGINEER
HOSART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 516.765-2954
Date: August 20, 1998
Reference: Building Permit#24340Z
Building Department
Southold Town
Main Road
Southold,NY 11971
ATT: Gary Fish
Dear Sir,
With regard to the building permit#24340Z (Art Foster) for the house on Elijah's Lane
in Cutchogue,I have reviewed the framing this day and find it in substantial conformance with
the submitted plans.
ytPt—OF IV Y
FISCHF��'A,�,
r
No ,Q
Jo
18310
2
M-1802
BUILDING DEPT.
1 NSPECTION
[ ] FOUNDATION IST [ ROUGH PLBG.�� 1
[ ] FOUNDATION 2ND [ ] INSULATION JJ
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: z
DATE 13 l INSPECTOR
3��
765_1802
BUILDING DEPT.
I NSPECTIO -
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLA HIMNEY
REMARKS• / 1/ S14
4 `
l
B
DATE INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ 7OUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEYS
REMARKS:77
�l
DATE INSPECTO
�Z� o�
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[
V;/F NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
17
DATE l d `l INSPECTOR AAJ
ss-isoz
UILDING DEPT.
��� I NS�ECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ) FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
A
DATE �/ INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] F ING [ ) FINAL
[ FIREPLACE & CHIMNEY
REMARKS:
DATE l INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE ,&,/CHIMNEY /�
REMARKS: ' 0 zr �• 16��
DATE �� �� `l� INSPECTOR
f
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE ( � Y INSPECTORi
765_1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE S CHIMNE �� �
REMARKS-
/y S dlJ
A All"
LDATE
INSPECTOR
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POP! X13 , T..
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PROFESSIONAL ENGINEER
HOBART ROAD PO Bax 616 SOUTHOLD, NEWYORK 11971 516-765-2954
Date: August 20, 1998
Reference: Building Permit#24340Z
Building Department
Southold Town
Main Road
Southold,NY 11971
ATT: Gary Fish
Dear Sir,
With regard to the building permit# 24340Z (Art Foster) for the house on Elijah's Lane
in Cutchogue, I have reviewed the framing this day and find it in substantial conformance with
the submitted plans.
OF
NE�Yp
o QN FISCyFr' Af
4
r
Jo 0 *�
�SS1014
ESQUT-H�OLD
BLOG.DEPT.
OF
FORH NO. I
TO%4N (}F SOU'FIIOI.D
!.I}! NG DEP^RTHENT
'FONN I1^1.1.
SOWI'IIOI.I), N.Y. 11971
TEl.: 765- 1802
I)i sal~proved n/c ..................................
APPLICA'FION FOR BUILI}ING PERHIT
I NSTRIICTI ONS
BOARI} OF IIF~AI.TII ...............
3 SETS OF PLANS ...............
SURVEY ........................
CIIECK .........................
SEPT] (~ FOEH ...................
NOT I FY:
C^L1 ...................
HA ! I. TO: ....................
a. 3his applicatio~ mint IR c~,~)letely filled in hy tyI~.triter or in ink taxi m~itt~ to tim ~dldinR lns~tor with
3 ~ts o~ plus, ~r~te plot pl~ to ~ale. F~ accordiz~ to ~le.
b. Plot plan d~i~ l~ati~ o[ lot ~l of Ixdldi~s ~ ~i~s, relati~ship to ~ljoininR pr~i~s or ~blic
struts or areas, ~. Riv{~ a ~tail~ ~ripti~ of l~x~t o[ prol~rty ~st I~ dr~ ~ the dia~ ~dch is ~rt of
this a~flicati~.
c. ~m ~rk ~r~ ~ fids a~licati~ ~ ~t tm co,,,~ed Imfore isle of Afilding Pemit.
d. ~ a~al of ~is a~licati~, ttm ~ildiz~ In.cLot will is~ a ~ilding Pemil: to the ~llc~t. ~s
~mit ~mll ~ ~pt ~ tl~ ~i~s ~ailable for ins~ti~ th~t the ~rk.
e. ~ ~ildi~ ~all Im ~pi~ or u~ in ~le or in ~rt for a~ ~ ~mt~er ~til a ~rtificate Of
~y ~mll t~ ~n ~t~ ~ tim ~ildi~ Ins~tor.
~I~ IS I~ ~ to tim ~ildit~ l~r~nt for the issue of a ~ilding Pemit ~rmmnt to the
~ildi~ ~m ~i~e of tim T~ of ~t~ld, ~ffolk ~m~, ~ York, a~ other n~licable I~s, ~i~es'or
~lmti~s, for tim ~st~tt~ of Ixlildi~s, ~iti~s ~ alterati~sl or for ~al or ~,~,liti~, as {~rein ~
ib~ril~. ~m a~lic~t a~s Lo ~ly with ail a~licable l~s, ordinates, {~sildi~ c~, l~si~ e~, a~
r~lati~s, a~ to ~it m~fl~riz~ in--tots ~ p~i~s a~I in I~lildi~ for ~cesma~ insulins.
...a~.a....~ ~e..~.op m~ ~ .~...~ ~c0, ......
(Si~ture of ai~licant, or ~, if a co.ratio)
(~ili~ ~{~ss of a~lic~t)
State st~tlmr applicant is olm~er, lessee, agent, arch|tect, enp, i~er, general com~trsctor, electrician, plt~imr or boilder.
.na~ of c~er of pm. tses ~ · L .C ~¥e ~o~'~<(~-~' · . .................................
(as cad tl~ tnx roll or latest deed)
If applica{Lt is a c~rpor~ti~,~si.$nat~re of duly ~tl~riz~l officer.
...... .... .....
(l~e a~! title of con.ate officer)
Boilders License No ..........................
Pl~abers License Ro...3 .o~..~..~. :.p ...........
Otlmr Trndets l,icense No .....................
I. l~cation of ln~! on ~id~ proposed ~ork will IR ~ ..............................................................
........................................ . .................................................. ..m. ..........
I k~use N~d)er Street ll,'~nl e t
Cx~nty TaxHapNo. lO00 Section .... ~-~.~ ....... nl,x~k .'...O..t4 ....... u~t .... ..t.I ........
~,bdlvision .~-~..~:~rCOY~ .{.-.C)~OJ~..~.$.-~'-~.~ ..... Filed l'~ap No....~.~.0/~0~;'... Lot .~. ~ .
~(~,m)
2. State existJl~ us~ a,KI occulml~y of premnise.,; alxl inte,Klc~l use nr~l occalpancy of prol~)sed co~struct{oo:
h. ,nte,~l ,,ne .~, ~=~..%~OqL~.--.t~i~St IV. . .~¢a'~ C.~e n. o~e_ ...................................
..................... fee
I'I,OT I) I AGllAH
locate clearly mid dlstJnetly all I~lihllnl~,.% ~hetlser exi~tlng or prolx)~l' mvl i]xlicnte ~11 set-I~k di~n~i~s~
i. Ol~rty ltms. Gi~ 8t~t m~ I)l(~k ~m~i~r or (~serll)ti(~~ nccovdjng to ~!, a~ ~ 0freer t~m~ a~! isvlt~te
Ld~tl~r interior or toner lot.
..................... : .................................... I~H.I, d. ly ~el~me, .l~l nny.*; (lint lie i~ lite nltpl
(~m~ of h~livi<h~t Sli~llil~~ t:(~ll, rn(:t) ' " ' '
the ~.k wi Il I~ I~rroi,,~! ]~l Ihe ilk. tier ~1: f(~rlh iii lite ~lppI J(nl:i(.i ~il~l
...... ~3..~..,,~ ,,~ ~
~' ~' '~ ] 7) ........ '~' ~ ~---
JOYCE M. WILKIHS
Notary Public, State of New ¥o~
No. 4952246, Suffolk Countx
Term Exp res June. 12, 19..~7