Loading...
HomeMy WebLinkAbout31688-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31363 Date: 12/29/05 THIS C~TIFIES that the building ADDITION Location of Property: 560 AKA #24 SOUND ROAD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 35 Block 1 Lot 14 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 20, 2005 pursuant to which Building Permit No. 31688-Z dated DECEMBER 21, 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 AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JEFFREY CAMPBELL BUBB & ORS. ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'l~u3 N/A N/A N/A Rev. 1/81 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 Department with the following: A. 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 sewemge-dispnsal (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. B. 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, buildiug and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant, tf a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. .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 accessdry buildihg $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $ 3. Copy of Certificate of Occupanc3; - $.25 Updated Certificate of Occupancy- $5(h00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00 New C, onstmction: Location of Property: _ ~ ~ House Owuer or Owners of Property: Date. Old or Pre~existing Building: _ ~ Street (che~ck one) Suffolk County Tax Map No 1000, Section Subdivision Permii No. __~a> ,~x~_~ 5~_ Da~e of Permit. Health Dept. Approval: Planning Board Approval: Block Filed Map. Ap p Ii ca nt: ~..~'~" ~ c~ '~ Undm-~vriters Approval: Lot Lot: Request for: Temporary Certificate Fee Submitted: $ ~,~ ~ .C 0 Final Certificate: (check one) Applicant Signature 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. 31688 Z Date DECEMBER 21, 2005 Permission is hereby granted to: FRANCIS & JEAN BUBB 3100 BINNACLE DR NAPLES FL, 34103 for CONSTRUCTION OF AN AS BUILT DECK ADDITION AS APPLIED FOR at premises located at 560 SOUND RD County Tax Map No. 473889 Section 035 pursuant to application dated DECEMBER Building Inspector to expire on JUNE Fee $ 300.00 GREENPORT Block 0001 Lot No. 014 20, 2005 and approved by the 21, 2007. Authorized Signature ORIGINAL Rev. 5/8/02 ~0 o o TOWN OF $OUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]IN~TION [ ] FRAMING / STRAPPING [ ~ FINAL REMARKS: [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION INSPECTOR TOWN OF S~U~[IOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: 11631) 765-9502 ,~//~.,,.(~ ~ Survey www. northfork.net/~outhold/ PERMIT NO..~/~ ~ ~ Check / -- Septic Form ,/d_ / N.Y.S.D.E.C. Examined /) ,20 / Contact: Approved /'Z/~./, 20~~'~ ~- Mail to: Disapproved a/c // ~ ~ Expiration ~ ,20~ ~ // . ., q.~5 ' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval =.D.O .~ ,200._~ '~a.~his application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not co~nmenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the properly have been enacted in the interim, tile Building Inspector may authorize, in writing~ the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant i~essee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises x~J~-~cLcx C. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location o£1and on .which proposed work will be done: House'-Numlffer Street Hamlet / County Tax Map No. 1000 Section Subdivision (Name) .55 Block ] ' ': Lot Filed Map No. ' Lot FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) DATE COMMENTS ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 0 ~T~ 0 _J © -) 0 I~. 15.oo '%.