HomeMy WebLinkAbout31000-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30991
Date: 06/16/05
THIS CERTIFIES that the building ADDITION
Location of Property: 2370 GABRIELLA CT
(HOUSE NO.) (STREET)
County Tax Map NO. 473889 Section 108 Block 4
subdivision
Filed Map No. Lot No. --
MATTITUCK
(HAMLET)
Lot 7.49
conforms substantially to the Application for Building Permit heretofore
filed in this office dated 9LARCH 15, 2005 pursuant to which
Building Permit No. 31000-Z dated MARCH 15, 2005
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 "AS BUILT" DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR.
· qae certificate is issued to KEVIN G & BARBARA MURDOCK
(OWNER)
of the aforesaid building.
SUFFOLK COUNT"f DEPARTMENT OF ~]~AL~{ APPROV~J~
ELECTHIC2%L CERTIFICATH NO.
PLUMBERS CERTIFICATION DA'r~u
N/A
N/A
A~thorized Signature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
APPLICATION FOR CERTIFICATE OF OCCUPANCY'
and submitted to the Buildin De afl'hen '
This application must be filled in by ts?ewriter or i~ g p
A. For new building or new use: 1. Final su~ey of prope~y with accu~te location of all buildings, prope~y 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 Unde~dters.
4. Sworn statement from plumber ce~it~ing 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 ceaificate
of Code Compliance ~?om architect or engineer responsible for thc building.
6. Subnfit Pla~ng 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 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 $__ .00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy' of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy- $50.00
5. TemporaD' Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. DD
Old or Pre-existing Building: ~,/ (check one)
Street 8afl, let
New Construction: ~
Locatiou of Property: ~'~"~{' House No.
Owner or Owners of Property: ~-[, ~., L/{ I
Suffolk County Tax Map No 1000, Section
Block Lot
Subdivision
Permit No. 3 1~)9
Health Dept. Approval:
Date of Pemfit.
Filed Map.
Applicant:
Underwriters Approval:
Lot:
Platming Board Approval:
Request for: Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
us $ q¢
Applicant Signatt{re - '
FORM NO. 3
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)
PERMIT NO. 31000 Z Date MARCH 15, 2005
Permission is hereby granted to:
KEVIN G MURDOCK
2370 GABRIELLA CT
MATTITUCK,NY 11952
for :
CONSTRUCT DECK ADDITION "AS BUILT" ON REAR OF AN EXISTING ONE
FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 25146.
at premises located at 2370 GABRIELLA CT MATTITUCK
County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007.049
pursuant to application dated MARCH 15, 2005 and approved by the
Building Inspector to expire on SEPTEMBER 15, 2006.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
$outhold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25146 Z Date AUGUST 31~ 1998
Permission is hereby granted to:
K MURDOCK (R DICKOFF)
PO 696
AQUEBOGUE~NY 11931
for :
CONSTRUCT A DECK ADDITION "AS BUILT" ON THE REAR OF A SINGLE
FAMILY DWELLING TO CODE.
at premises located at 2370
County Tax Map No. 473889 Section 108
pursuant to application dated JULY
Building Inspector.
GABRIELLA CT
Block
15 1998
MATTITUCK
0004 Lot No. 007.049
and approved by the
Fee $ 75.00
· ' g nspect~'
ORIGINAL
Rev. 2/19/98
"OUNDAT~'ON
(1st)
{OUNDATION
.~.
ROUGH FRAME &
.PLUMBING
COMM~T£
I~SULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSUL~ION
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REM~~
DATE ~:~/"~/(~ ~'~" INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATI,/0N
[ ] FRAMING / STRAPPING ~FINAL (,,~'~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
~OWN OF SOIJTHOL~
FORH HO, I
TOWN OF SOUTIIOiol}
BUI LO] t~(} OE I'AR'i'HI[IIT
'i'OWH IIALL
SOUTIIOLD, N.Y. 1197 I
TEl,: 765-1802
Penni I; No ...............
BOARD OF IlEALTii ...............
3 SET8 OF ~t~NS ...............
SIJRVE¥ ........................
c,,~c~ .........................
s~mc ~o~ ................ -~.'~'.'"-~ -m
NOT! FY '. ? >
CAI.I, ..................
flail, TO= ....................
INs'rRUCTIONS
a, 'Ibis applicatio~ must be conpletely filled in by ~riter or tn I~ ~ ~[tt~
3 ~ts of pl~, acetate plot pl~ to ~]e. F~ ~i~ to
b. Plot pl~ d~i~ l~tt~ o[ lot ~ of ~ildi~ ~ ~s. ~lati~dp to ~jolnl~ p~i~n or ~t)tic
strata or areas, ~ 8[vi~ a ~ta[l~ ~riprl~ o[ l~y~t o[ pro~rty mint ~ dr~
,c. *~e ~ ~r~ ~ fids a~licaci~ my ~ot be ~ ~for~ is~
~la~i~, for O~ ~C~ci~ of hfildi~, ~iri~s or al~ereCl~, or for ~,~l or
..... .............................
(Si~ure o[ a~. Or ~. l[ s co~rati~O
5LoCe ~Omr a~tlc~nt is ~r. les~. ~enc~ archic~C, enlist.' ge~ral ~or~ el~crici~, plier or
......... ~acC ........ ~ ..... .
(Ii,re a~] ~itte o[ corporate o[[icer)
Ik~ilders License No ..........................
Plumbers Licerme I~ .............
Electricians 1.icer~e
OLber T~ad~'s License ~ .....................
...............................................
I~ ~r St~t i~et,
~ ~ ~-
~'~ ............... ~...~. ....... m~ ~, ~. YZ~.:, ..... ~ ...~ ..........
~,. ,.~ ,~ .~ ~ .....~C'f~ ..............................................................
lel~l[ ......................... Rei~r off BCorlea .....................
PI.OT D'[A~ItAH-
locate ctearl7 and dla£1ne£1y al! L~tldir~n, defter existing or propoaed, and indicate alt ~et-t~ack dlmenelc~e
property llnea. ~;i~m al:reel: a~d I)lock rteber or deecrlpclo~ according to deed. and shc~ etreet naren taxi tndlcnte
~d~ether hJterlor or corn~r lot.
I?X
1
.~r^'ll[ (Rr ~1'.~
(IIINI~' OP .......................
.......................................................... I~iug d. ly ~r., delX~ m~l ~ya LhnC he
........................................................................
(e~tractor, ~r~rnte o~leer, etc.)
o~ ~id ¢~er or ~rn~ m~l la ~ty mtlerJ~ to i~r[onn or htme I~r~orn~l the ~ld ~k taxi LO n~ke n~l file thi~
nl~d lcntim~; Lhnt alt etatm~ta ~:n[~ In tht~ nl~dlc~tl~t nre Lne to d~e le,t o~ his kill,ge
tirol the ~rk ~111 I~ ~r~l In tie n~mer ~C forth in the n~tienLt~m [tl~
(Sigl4~l~lre o~/~'~pl ich,t)