The URL can be used to link to this page

Home My WebLink About34211-ZFORM NO. 4 TOWN OF SOUTROLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33542 Date: 02/13/09 THIS CEA(TIFIES that the building ADDITION Location of Property: 700 BAY SHORE RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 38 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8, 2008 pursuant to which Building Pern~it No. 34211-Z dated OCTOBER 8, 2008 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 GARAGE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VINCENT A GADOMSKI JR & JANICE ( OWNER ) of the aforesaid building. SuFFOLK CO~ITI~DEPARTMENTOFHEALTHAPPRO~-AL N/A EI~-rKICAL C~KTIFICATE NO. H 054294 03/12/97 PLD~RS CERTIFICATION DATED N/A ~/ut~/~ ze~Signatu re Rev. 1/81 TOWN OF SOUTHOLO APl Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 LICATION 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 fi'om 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: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A ProPerlY completed application and cousent 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, Swimming pool $25.00, Accessory building $25.00, Additions to aeeessory building $25.00, 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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Co New Construction: Date. Old or Pre-existing Building:. ,./~ Location ofProperty: '~ o O (-~ ~¥'- ~10 h~c° ~ (~ House No. ' r Street Suffolk County Tax Map No 1000, Sectao~ Block c~ Lot Subdivision Permit No. ~ ~.-9.. I r Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~..: 3' Date of Permit. · (c/t~ck one) Han~et Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: ~ (check-one) (..~) Applicant Si~a~ure - THE NEW YORK BOARD OF FIRE UNDERWRITERS ~4*:~)R BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NY 10038 l)~te }'L~C}~ I 1~ , I?~~/ ~ppl~tion No. on file ] ~ ' THI~ CE~IFIE~ THAT ~ t~ ~t~ ~uipmen~ ~ ~ ~ a~ ~nt~c~ b~ t~ ~nt ~ on the ~ ~t~ numar in t~ pmm~s of TIMECLOCKS BELL UNITHIATER$ MULTI-O~TL~T SYSTEMS ~T. ~p$. TRANS. NO. OF FEET V I C EXHAUST FANS DIMMERS 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 DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY HANNER. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~A~ION [ ] FRAMING / STRAPPING [///]~I:INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ~REMARKS:" DATE INSPECTOR TOWN OF sOUTHOLD BUILDING DEPT. 765-1802 iNSPECTION [ ~ ROU//GH PLBG. ~ FOUNDATION 1ST [ ~d~U_LATION ~ FOUNDATION 2ND [ ] FRAMING / STRAPPING [//~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY iNSPECTION [ ~ FIRE RESb'TANT C0NS~ ~ ~ FiRE RESISTANT pE#ETRA'fl0N REM DATE /0/~ I~ ~ _ INSPEC~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] I~ULATION / [ ] FRAMING [%/] FINAL DATE INSPECTOR FIELD I N S"flEC T~ 0[~ COMMENTS FOUNDATION (1.~t) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER STATE ENERGY CODE FINAL ADD iONAL COMMENTS AFT J) AS NOTED N~, ..... ¢ B~ IILF~ING DEPARTMENT AT ?'~ 1802 9 AM TO 4 PM FOR THE ~ OLLO',A/I h ~0 I~!?ECTIONS: 1. ~OUNDA~ION ' ~0 REQUIRED FOR P~URC~ CONCRETE 2, ROUGH - F~A~ING & PLUMBING 3. INSULATION 4. FINAt. - CqN'?m~Z~oN MUST BE C~'~el ~wr FQR C.O. ALL CONS~R'}~ION S~ALL ME~ THE REOtPRFMeF:TS OF TH~ N.Y. STATE CONSTRUCTION & FN~RGY CODES. NOT RESPONS~Bt E FOR DESIGN OR CONSTRUCTION FRRORS.